|
Capsulotomy; interphalangeal joint, each joint (separate proc)
|
$1,958.40 |
$1,958.40 |
$1,958.40 |
$2,211.05
|
|
Capsulotomy mpj ea joint (sep proc)
|
$2,464.00 |
$2,464.00 |
$2,464.00 |
$3,594.44
|
|
Carbamazepine free
|
$66.43 |
$66.43 |
$66.43 |
$60.00
|
|
Carbamazepine free -sendout
|
$66.43 |
$66.43 |
$66.43 |
$49.80
|
|
Carbamazepine total therapeutic drug level
|
$66.43 |
$66.43 |
$66.43 |
$122.85
|
|
Carbohydrate deficient transf - sendout
|
$64.28 |
$64.28 |
$64.28 |
$116.40
|
|
Carbohydrate urine - sendout
|
$33.57 |
$33.57 |
$33.57 |
$66.64
|
|
Carbon dioxide
|
$33.57 |
$33.57 |
$33.57 |
$44.00
|
|
Carboplatin 10 mg/ml desensitization
|
$13.82 |
$13.82 |
$13.82 |
$196.00
|
|
Carboxyhemoglobin quantitative
|
$64.28 |
$64.28 |
$64.28 |
$84.73
|
|
Car-car bp grft/endovas taa
|
$4,699.20 |
$4,699.20 |
$4,699.20 |
$4,699.20
|
|
Carcinoembryonic ag (cea)
|
$64.28 |
$64.28 |
$64.28 |
$145.20
|
|
Cardiac drug stress test
|
$239.20 |
$239.20 |
$239.20 |
$558.56
|
|
Cardiac MRI w/stress img
|
$955.20 |
$955.20 |
$955.20 |
$1,474.98
|
|
Cardiac perf planar mult/ef/wm
|
$929.60 |
$929.60 |
$929.60 |
$2,902.20
|
|
Cardiac perf planar sgl/ef/wm
|
$648.00 |
$648.00 |
$648.00 |
$2,130.60
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$2,501.08 |
$2,501.08 |
$2,501.08 |
$2,917.00
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$214.43 |
$214.43 |
$214.43 |
$249.60
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$216.44 |
$216.44 |
$216.44 |
$204.54
|
|
Cardiac shunt imaging
|
$403.20 |
$403.20 |
$403.20 |
$1,200.00
|
|
Cardiac Stress Test
|
$168.00 |
$168.00 |
$168.00 |
$214.50
|
|
Cardiokymography
|
$43.20 |
$43.20 |
$43.20 |
$43.48
|
|
Cardiolipin antibody iga
|
$64.00 |
$64.00 |
$64.00 |
$107.25
|
|
Cardiology hrt trnspl mrna
|
$6,480.00 |
$6,480.00 |
$6,480.00 |
$3,564.00
|
|
Cardioversion/elective/internal 92961
|
$535.20 |
$535.20 |
$535.20 |
$1,158.00
|
|
Cardioversion (Scheduled Heart Rhythm Shock)
|
$1,379.17 |
$1,379.17 |
$1,379.17 |
$1,431.36
|
|
Card MRI veloc flow mapping
|
$132.80 |
$132.80 |
$132.80 |
$633.90
|
|
Caregiver health risk assmt
|
$7.20 |
$7.20 |
$7.20 |
$43.50
|
|
Caregiver training strategies&tq 1st 30 minutes
|
$205.72 |
$205.72 |
$205.72 |
$97.01
|
|
Caregiver training strategies&tq ea addl 15 min
|
$103.04 |
$103.04 |
$103.04 |
$51.52
|
|
Care mgmt svc bhvl hlth cond
|
$100.80 |
$100.80 |
$100.80 |
$55.09
|
|
Carfilzomib 10 mg intravenous solution
|
$51.20 |
$51.20 |
$51.20 |
$6,306.47
|
|
Carinal reconstruction
|
$4,328.00 |
$4,328.00 |
$4,328.00 |
$4,328.00
|
|
Car ion chnnlpath inc 10 gns
|
$1,276.00 |
$1,276.00 |
$1,276.00 |
$1,038.57
|
|
Car ion chnnlpath inc 2 gns
|
$1,276.00 |
$1,276.00 |
$1,276.00 |
$1,091.81
|
|
Carotene
|
$33.57 |
$33.57 |
$33.57 |
$46.20
|
|
Carotid Artery Ultrasound (Duplex)
|
$896.43 |
$896.43 |
$896.43 |
$1,024.32
|
|
Carpal Tunnel Release Surgery
|
$2,139.20 |
$2,139.20 |
$2,139.20 |
$3,867.50
|
|
Car seat/bed test 60 minutes
|
$141.00 |
$141.00 |
$141.00 |
$111.15
|
|
Car seat/bed test additional 30 minutes
|
$97.62 |
$97.62 |
$97.62 |
$65.00
|
|
Car-t admn autologous
|
$523.20 |
$523.20 |
$523.20 |
$722.40
|
|
Ca screen;flexi sigmoidscope
|
$427.20 |
$427.20 |
$427.20 |
$1,278.72
|
|
Cast sup lng arm splint fbrg
|
$36.80 |
$36.80 |
$36.80 |
$29.40
|
|
Cast sup lng arm splint plst
|
$23.20 |
$23.20 |
$23.20 |
$23.20
|
|
Cast sup lng arm splnt ped f
|
$18.40 |
$18.40 |
$18.40 |
$18.40
|
|
Cast sup lng arm splnt ped p
|
$12.00 |
$12.00 |
$12.00 |
$11.44
|
|
Cast sup lng leg ped fbrgls
|
$95.20 |
$95.20 |
$95.20 |
$87.36
|
|
Cast sup lng leg ped plaster
|
$36.80 |
$36.80 |
$36.80 |
$36.80
|
|
Cast sup lng leg splnt fbrgl
|
$85.60 |
$85.60 |
$85.60 |
$85.60
|
|
Cast sup lng leg splnt ped f
|
$43.20 |
$43.20 |
$43.20 |
$43.16
|
|
Cast sup lng leg splnt ped p
|
$25.60 |
$25.60 |
$25.60 |
$25.60
|
|
Cast sup long arm adult fbrg
|
$73.60 |
$73.60 |
$73.60 |
$58.20
|
|
Cast sup long arm adult plst
|
$32.80 |
$32.80 |
$32.80 |
$32.76
|
|
Cast sup long arm ped fbrgls
|
$36.80 |
$36.80 |
$36.80 |
$36.80
|
|
Cast sup long leg fiberglass
|
$190.40 |
$190.40 |
$190.40 |
$157.80
|
|
Cast sup shrt leg ped fbrgls
|
$52.00 |
$52.00 |
$52.00 |
$52.00
|
|
Cast sup shrt leg ped plster
|
$20.80 |
$20.80 |
$20.80 |
$20.80
|
|
Cast sup shrt leg plaster
|
$41.60 |
$41.60 |
$41.60 |
$41.60
|
|
Cast sup sht arm adult fbrgl
|
$48.80 |
$48.80 |
$48.80 |
$36.00
|
|
Cast sup sht arm adult plstr
|
$22.40 |
$22.40 |
$22.40 |
$22.40
|
|
Cast sup sht arm ped fbrglas
|
$24.80 |
$24.80 |
$24.80 |
$24.96
|
|
Cast sup sht arm ped plaster
|
$11.20 |
$11.20 |
$11.20 |
$11.20
|
|
Cast sup sht arm splint fbrg
|
$30.40 |
$30.40 |
$30.40 |
$26.98
|
|
Cast sup sht arm splint plst
|
$17.60 |
$17.60 |
$17.60 |
$17.16
|
|
Cast sup sht arm splnt ped f
|
$16.00 |
$16.00 |
$16.00 |
$15.60
|
|
Cast sup sht arm splnt ped p
|
$8.80 |
$8.80 |
$8.80 |
$8.80
|
|
Cast sup sht leg splnt fbrgl
|
$47.20 |
$47.20 |
$47.20 |
$40.63
|
|
Cast sup sht leg splnt ped f
|
$24.00 |
$24.00 |
$24.00 |
$23.92
|
|
Cast sup sht leg splnt ped p
|
$15.20 |
$15.20 |
$15.20 |
$14.56
|
|
Cast sup sht leg splnt plstr
|
$29.60 |
$29.60 |
$29.60 |
$29.60
|
|
Cataract Surgery
|
$2,715.20 |
$2,715.20 |
$2,715.20 |
$5,044.00
|
|
Cataract surg w/iol 1 stage
|
$4,068.80 |
$4,068.80 |
$4,068.80 |
$4,538.46
|
|
Catecholamines,fractionated, urine
|
$55.20 |
$55.20 |
$55.20 |
$133.70
|
|
Cath combo lt&rt heart w/inj/s
|
$2,508.00 |
$2,508.00 |
$2,508.00 |
$9,316.35
|
|
Cath council tip 16fr 5cc
|
$44.80 |
$44.80 |
$44.80 |
$40.96
|
|
Cath cv dl inj 7fx16cm
|
$401.16 |
$401.16 |
$401.16 |
$4,488.99
|
|
Cath entrl fd nutri 5fr 40cm
|
$18.40 |
$18.40 |
$18.40 |
$18.40
|
|
Catheter declot mechanical
|
$298.40 |
$298.40 |
$298.40 |
$1,929.15
|
|
Catheter insert artery
|
$264.80 |
$264.80 |
$264.80 |
$388.85
|
|
Catheterization collection of specimen single patient all places of service
|
$33.00 |
$33.00 |
$33.00 |
$40.95
|
|
Catheter stripping venous
|
$1,540.00 |
$1,540.00 |
$1,540.00 |
$3,193.94
|
|
Cath groshong MRI 8fr plstc port
|
$1,480.48 |
$1,480.48 |
$1,480.48 |
$1,690.71
|
|
Cath indw foley 3 way
|
$55.20 |
$55.20 |
$55.20 |
$41.20
|
|
Cath infuse micro 150cm rapidtransit
|
$5.60 |
$5.60 |
$5.60 |
$13.23
|
|
Cathj rmvl dev ischmc rmdlg
|
$253.60 |
$253.60 |
$253.60 |
$599.20
|
|
Cathj umbilical vein dx/ther nb
|
$207.20 |
$207.20 |
$207.20 |
$246.00
|
|
Cath left heart/lv gram
|
$1,947.20 |
$1,947.20 |
$1,947.20 |
$8,035.50
|
|
Cath left heart transseptal punc
|
$454.40 |
$454.40 |
$454.40 |
$5,921.76
|
|
Cath lt/rt pulm art
|
$4,060.80 |
$4,060.80 |
$4,060.80 |
$1,273.15
|
|
Cath malecot 28fr 4-wing ltx
|
$62.09 |
$62.09 |
$62.09 |
$2,549.50
|
|
Cath place 1st order venous 36011
|
$4,217.60 |
$4,217.60 |
$4,217.60 |
$1,313.25
|
|
Cath place cardio brachytx
|
$349.60 |
$349.60 |
$349.60 |
$3,320.80
|
|
Cath plc art ang/grft lt/rt hr
|
$3,080.00 |
$3,080.00 |
$3,080.00 |
$11,645.40
|
|
Cath plc art/angio/rt hrt cath
|
$2,469.60 |
$2,469.60 |
$2,469.60 |
$10,086.05
|
|
Cath plc art/grft/angio right hrt
|
$2,733.60 |
$2,733.60 |
$2,733.60 |
$10,429.27
|
|
Cath right heart w/o2 sat & card
|
$1,798.40 |
$1,798.40 |
$1,798.40 |
$6,406.86
|
|
Cath right hrt mnpul art
|
$1,951.20 |
$1,951.20 |
$1,951.20 |
$841.50
|
|
Cath/saline/contrast/sis/hysteosal 58340
|
$474.40 |
$474.40 |
$474.40 |
$462.80
|
|
Cath segmntl pulm art
|
$4,411.20 |
$4,411.20 |
$4,411.20 |
$1,294.19
|
|
Cath stripping venous s&i
|
$405.60 |
$405.60 |
$405.60 |
$682.34
|
