|
Bx muscle
|
$386.40 |
$386.40 |
$386.40 |
$2,653.97
|
|
Bx nasopharynx/unknown pri lesion 42806
|
$440.40 |
$440.40 |
$440.40 |
$3,213.60
|
|
Bx of breast open 19101
|
$637.20 |
$637.20 |
$637.20 |
$4,531.42
|
|
Bx of cervix w/scope leep 57460
|
$554.40 |
$554.40 |
$554.40 |
$4,010.04
|
|
Bx shoulder tissues deep 23066
|
$1,012.80 |
$1,012.80 |
$1,012.80 |
$3,265.60
|
|
Bx shoulder tissues supf 23065
|
$417.60 |
$417.60 |
$417.60 |
$2,040.00
|
|
Bx skin incisnl ea sep/add l les
|
$84.00 |
$84.00 |
$84.00 |
$257.37
|
|
Bx skin punch ea sep/ addl les
|
$70.20 |
$70.20 |
$70.20 |
$230.75
|
|
Bx skin tangential ea sep/ addl les
|
$58.80 |
$58.80 |
$58.80 |
$206.00
|
|
Bx/soft tis/forearm/wrist/superfic 25065
|
$484.20 |
$484.20 |
$484.20 |
$1,917.33
|
|
Bx soft tiss pelvis+hip area supf 27040
|
$646.80 |
$646.80 |
$646.80 |
$1,917.33
|
|
Bx soft tiss pelvis/hip deep 27041
|
$1,293.00 |
$1,293.00 |
$1,293.00 |
$2,168.40
|
|
Bx soft tissue back/flank deep 21925
|
$833.40 |
$833.40 |
$833.40 |
$2,814.35
|
|
Bx soft tissue back/flank supf 21920
|
$495.00 |
$495.00 |
$495.00 |
$1,929.85
|
|
Bx thigh/knee soft tiss supf 27323
|
$513.60 |
$513.60 |
$513.60 |
$2,294.00
|
|
Bx thyroid/percutan core needle 60100
|
$215.40 |
$215.40 |
$215.40 |
$963.80
|
|
Bx vag mucos smpl (sep proc)
|
$171.00 |
$171.00 |
$171.00 |
$1,174.00
|
|
Bx vulva or perineum/1 lesion 56605
|
$160.20 |
$160.20 |
$160.20 |
$1,110.40
|
|
Bx vulva or perineum/ea add lesion 56606
|
$115.20 |
$115.20 |
$115.20 |
$461.40
|
|
Bypass temp external fem-fem
|
$493.80 |
$493.80 |
$493.80 |
$1,938.60
|
|
C1 esterase inhibitor func - sendout
|
$40.80 |
$40.80 |
$40.80 |
$96.72
|
|
Cabazitaxel 10 mg/ml (first dilution) intravenous solution
|
$25,473.62 |
$25,473.62 |
$25,473.62 |
$27,013.07
|
|
Cabg 2 arterial grafts 33534
|
$4,303.80 |
$4,303.80 |
$4,303.80 |
$5,366.40
|
|
Cabg 3 arterial grafts 33535
|
$4,795.20 |
$4,795.20 |
$4,795.20 |
$5,984.80
|
|
Cabg arterial four or more 33536
|
$5,693.40 |
$5,693.40 |
$5,693.40 |
$6,450.40
|
|
Cabgsingle artery graft 33533
|
$4,146.00 |
$4,146.00 |
$4,146.00 |
$4,567.20
|
|
Cabgsingle coronary venous graft 33510
|
$3,787.20 |
$3,787.20 |
$3,787.20 |
$4,723.20
|
|
Cabg/valve reop >1 mo p org proced 33530
|
$1,023.00 |
$1,023.00 |
$1,023.00 |
$1,285.60
|
|
Cabg/vein only/2 cor venous gfts 33511
|
$4,157.40 |
$4,157.40 |
$4,157.40 |
$5,184.00
|
|
Cabg/vein only/3 cor venous gfts 33512
|
$4,719.00 |
$4,719.00 |
$4,719.00 |
$5,904.80
|
|
Cabg/vein only/4 cor venous gfts 33513
|
$4,843.20 |
$4,843.20 |
$4,843.20 |
$6,062.40
|
|
Cabg venous & art 1 vein graft 33517
|
$365.40 |
$365.40 |
$365.40 |
$602.00
|
|
Cabg venous & art 2 vein graft 33518
|
$801.60 |
$801.60 |
$801.60 |
$1,764.80
|
|
Cabg venous & art 3 vein graft 33519
|
$1,061.40 |
$1,061.40 |
$1,061.40 |
$1,071.60
|
|
Cabg venous & art 4 vein graft 33521
|
$1,276.20 |
$1,276.20 |
$1,276.20 |
$1,841.60
|
|
Cabg venous & art 5 vein graft 33522
|
$1,964.40 |
$1,964.40 |
$1,964.40 |
$1,918.40
|
|
Cabg venous & art 6 vein graft 33523
|
$2,358.00 |
$2,358.00 |
$2,358.00 |
$2,358.00
|
|
Cable cath 22-pin diag
|
$2,704.80 |
$2,704.80 |
$2,704.80 |
$4,946.50
|
|
Cabotegravir ER 400 mg/2 ml-rilpivirine ER 600 mg/2ml im suspension,er
|
$12,338.18 |
$12,338.18 |
$12,338.18 |
$13,247.32
|
|
Cadd pump refill
|
$370.20 |
$370.20 |
$370.20 |
$386.60
|
|
Caffeine citrate 20 mg/ml inj for po
|
$88.08 |
$88.08 |
$88.08 |
$46.09
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$4,056.94 |
$4,056.94 |
$4,056.94 |
$2,210.98
|
|
Calcium 24 hour urine
|
$64.20 |
$64.20 |
$64.20 |
$53.00
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$30.17 |
$30.17 |
$30.17 |
$64.49
|
|
Calcium ionized
|
$80.40 |
$80.40 |
$80.40 |
$90.00
|
|
Calcium total
|
$36.60 |
$36.60 |
$36.60 |
$50.00
|
|
Calculi urinary-sendout
|
$35.40 |
$35.40 |
$35.40 |
$66.00
|
|
Calprotectin fecal
|
$142.20 |
$142.20 |
$142.20 |
$170.00
|
|
Candida dna
|
$74.40 |
$74.40 |
$74.40 |
$61.10
|
|
Candida skin test
|
$47.40 |
$47.40 |
$47.40 |
$62.05
|
|
Cannula declotting 36861
|
$468.00 |
$468.00 |
$468.00 |
$5,741.00
|
|
Cannula ercp contour 5-4-3 tip
|
$9,000.00 |
$9,000.00 |
$9,000.00 |
$44,000.00
|
|
Canthotomy 67715
|
$436.80 |
$436.80 |
$436.80 |
$3,099.00
|
|
Capecitabine, oral, 50 mg
|
$59.42 |
$59.42 |
$59.42 |
$59.42
|
|
Cap nerve 2x15mm
|
$6,246.00 |
$6,246.00 |
$6,246.00 |
$18,466.88
|
|
Capsulotomy; interphalangeal joint, each joint (separate proc)
|
$750.60 |
$750.60 |
$750.60 |
$2,211.05
|
|
Capsulotomy mpj ea joint (sep proc)
|
$934.80 |
$934.80 |
$934.80 |
$3,594.44
|
|
Cap trach decann 15mm
|
$870.00 |
$870.00 |
$870.00 |
$3,238.70
|
|
Carbamazepine free
|
$112.80 |
$112.80 |
$112.80 |
$60.00
|
|
Carbamazepine free -sendout
|
$100.20 |
$100.20 |
$100.20 |
$49.80
|
|
Carbamazepine total therapeutic drug level
|
$132.60 |
$132.60 |
$132.60 |
$122.85
|
|
Carbohydrate deficient transf - sendout
|
$118.80 |
$118.80 |
$118.80 |
$116.40
|
|
Carbohydrate urine - sendout
|
$154.20 |
$154.20 |
$154.20 |
$66.64
|
|
Carbon dioxide
|
$82.80 |
$82.80 |
$82.80 |
$44.00
|
|
Carboplatin 10 mg/ml desensitization
|
$156.53 |
$156.53 |
$156.53 |
$196.00
|
|
Carboxyhemoglobin quantitative
|
$113.40 |
$113.40 |
$113.40 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$102.00 |
$102.00 |
$102.00 |
$145.20
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$154.80 |
$154.80 |
$154.80 |
$249.60
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$141.00 |
$141.00 |
$141.00 |
$204.54
|
|
Cardiac Stress Test
|
$196.20 |
$196.20 |
$196.20 |
$214.50
|
|
Cardiolipin antibody iga
|
$239.40 |
$239.40 |
$239.40 |
$107.25
|
|
Cardioversion/elective/internal 92961
|
$489.00 |
$489.00 |
$489.00 |
$1,158.00
|
|
Cardioversion (Scheduled Heart Rhythm Shock)
|
$724.20 |
$724.20 |
$724.20 |
$1,431.36
|
|
Card MRI veloc flow mapping
|
$782.40 |
$782.40 |
$782.40 |
$633.90
|
|
Caregiver health risk assmt
|
$9.00 |
$9.00 |
$9.00 |
$43.50
|
|
Caregiver training strategies&tq 1st 30 minutes
|
$79.20 |
$79.20 |
$79.20 |
$97.01
|
|
Caregiver training strategies&tq ea addl 15 min
|
$40.20 |
$40.20 |
$40.20 |
$51.52
|
|
Carfilzomib 10 mg intravenous solution
|
$6,306.47 |
$6,306.47 |
$6,306.47 |
$6,306.47
|
|
Carmustine 100 mg intravenous powder for solution
|
$336.97 |
$336.97 |
$336.97 |
$1,854.00
|
|
Carotene
|
$107.40 |
$107.40 |
$107.40 |
$46.20
|
|
Carotid Artery Ultrasound (Duplex)
|
$606.60 |
$606.60 |
$606.60 |
$1,024.32
|
|
Carpal Tunnel Release Surgery
|
$808.80 |
$808.80 |
$808.80 |
$3,867.50
|
|
Ca screen;flexi sigmoidscope
|
$228.60 |
$228.60 |
$228.60 |
$1,278.72
|
|
Caspofungin acetate
|
$633.91 |
$633.91 |
$633.91 |
$633.91
|
|
Cast sup lng arm splint fbrg
|
$29.40 |
$29.40 |
$29.40 |
$29.40
|
|
Cast sup lng arm splint plst
|
$19.80 |
$19.80 |
$19.80 |
$23.20
|
|
Cast sup lng arm splnt ped f
|
$16.20 |
$16.20 |
$16.20 |
$18.40
|
|
Cast sup lng arm splnt ped p
|
$8.40 |
$8.40 |
$8.40 |
$11.44
|
|
Cast sup lng leg ped fbrgls
|
$78.60 |
$78.60 |
$78.60 |
$87.36
|
|
Cast sup lng leg ped plaster
|
$28.80 |
$28.80 |
$28.80 |
$36.80
|
|
Cast sup lng leg splnt fbrgl
|
$70.80 |
$70.80 |
$70.80 |
$85.60
|
|
Cast sup lng leg splnt ped f
|
$36.60 |
$36.60 |
$36.60 |
$43.16
|
|
Cast sup lng leg splnt ped p
|
$21.60 |
$21.60 |
$21.60 |
$25.60
|
|
Cast sup long arm adult fbrg
|
$61.20 |
$61.20 |
$61.20 |
$58.20
|
|
Cast sup long arm adult plst
|
$26.40 |
$26.40 |
$26.40 |
$32.76
|
|
Cast sup long arm ped fbrgls
|
$29.40 |
$29.40 |
$29.40 |
$36.80
|
|
Cast sup long arm ped plster
|
$15.00 |
$15.00 |
$15.00 |
$15.00
|
|
Cast sup long leg fiberglass
|
$157.80 |
$157.80 |
$157.80 |
$157.80
|
|
Cast sup shrt leg ped fbrgls
|
$43.20 |
$43.20 |
$43.20 |
$52.00
|
|
Cast sup shrt leg ped plster
|
$18.00 |
$18.00 |
$18.00 |
$20.80
|
