|
Cabg/vein only/2 cor venous gfts 33511
|
$5,184.00 |
$5,184.00 |
$5,184.00 |
$5,184.00
|
|
Cabg/vein only/3 cor venous gfts 33512
|
$5,904.80 |
$5,904.80 |
$5,904.80 |
$5,904.80
|
|
Cabg/vein only/4 cor venous gfts 33513
|
$6,062.40 |
$6,062.40 |
$6,062.40 |
$6,062.40
|
|
Cabg venous & art 1 vein graft 33517
|
$1,726.40 |
$1,726.40 |
$1,726.40 |
$602.00
|
|
Cabg venous & art 2 vein graft 33518
|
$1,764.80 |
$1,764.80 |
$1,764.80 |
$1,764.80
|
|
Cabg venous & art 3 vein graft 33519
|
$1,803.20 |
$1,803.20 |
$1,803.20 |
$1,071.60
|
|
Cabg venous & art 4 vein graft 33521
|
$1,841.60 |
$1,841.60 |
$1,841.60 |
$1,841.60
|
|
Cabg venous & art 5 vein graft 33522
|
$1,918.40 |
$1,918.40 |
$1,918.40 |
$1,918.40
|
|
Cable cath 22-pin diag
|
$1,486.80 |
$1,486.80 |
$1,486.80 |
$4,946.50
|
|
Cacna1a gen detc abnor allel
|
$153.56 |
$153.56 |
$153.56 |
$260.58
|
|
Cad breast MRI w/r&i
|
$50.63 |
$50.63 |
$50.63 |
$100.80
|
|
Cadd pump refill
|
$396.11 |
$396.11 |
$396.11 |
$386.60
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$2,537.60 |
$2,537.60 |
$2,537.60 |
$2,210.98
|
|
Calcitonin stimul panel
|
$201.60 |
$201.60 |
$201.60 |
$110.91
|
|
Calcium 24 hour urine
|
$33.57 |
$33.57 |
$33.57 |
$53.00
|
|
Calcium chloride 100 mg/ml (10 %) intravenous syringe
|
$0.19 |
$0.19 |
$0.19 |
$48.00
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$1.02 |
$1.02 |
$1.02 |
$64.49
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$1.02 |
$1.02 |
$1.02 |
$91.60
|
|
Calcium infusion test
|
$27.20 |
$27.20 |
$27.20 |
$18.41
|
|
Calcium ionized
|
$64.28 |
$64.28 |
$64.28 |
$90.00
|
|
Calcium total
|
$33.57 |
$33.57 |
$33.57 |
$50.00
|
|
Calculi urinary-sendout
|
$64.28 |
$64.28 |
$64.28 |
$66.00
|
|
Calculus analysis qual
|
$29.60 |
$29.60 |
$29.60 |
$81.90
|
|
Caloric vestibular test
|
$60.00 |
$60.00 |
$60.00 |
$110.88
|
|
Caloric vstblr test w/rec
|
$50.40 |
$50.40 |
$50.40 |
$315.28
|
|
Calprotectin fecal
|
$64.28 |
$64.28 |
$64.28 |
$170.00
|
|
Campylobacter antibody
|
$48.57 |
$48.57 |
$48.57 |
$77.83
|
|
Candida dna
|
$50.40 |
$50.40 |
$50.40 |
$61.10
|
|
Candida dna quant
|
$120.80 |
$120.80 |
$120.80 |
$76.92
|
|
Candida skin test
|
$24.00 |
$24.00 |
$24.00 |
$62.05
|
|
Cannabinoids synthetic 1-3
|
$36.00 |
$36.00 |
$36.00 |
$57.20
|
|
Cannabinoids synthetic 4-6
|
$18.40 |
$18.40 |
$18.40 |
$16.24
|
|
Cannabinoid synthetic 7/more
|
$72.14 |
$72.14 |
$72.14 |
$78.10
|
|
Cannula declotting 36861
|
$339.20 |
$339.20 |
$339.20 |
$5,741.00
|
|
Cannula ercp contour 5-4-3 tip
|
$9,172.80 |
$9,172.80 |
$9,172.80 |
$44,000.00
|
|
Canthotomy 67715
|
$3,855.39 |
$3,855.39 |
$3,855.39 |
$3,099.00
|
|
Cap nerve 2x15mm
|
$6,845.84 |
$6,845.84 |
$6,845.84 |
$18,466.88
|
|
Capsaicin 8% patch
|
$4.80 |
$4.80 |
$4.80 |
$5,668.65
|
|
Capsular contracture release
|
$3,395.20 |
$3,395.20 |
$3,395.20 |
$3,839.54
|
|
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
|
|
Cap trach decann 15mm
|
$951.43 |
$951.43 |
$951.43 |
$3,238.70
|
|
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
|
$7.20 |
$7.20 |
$7.20 |
$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
|
$1,464.20 |
$1,464.20 |
$1,464.20 |
$2,902.20
|
|
Cardiac perf planar sgl/ef/wm
|
$1,615.57 |
$1,615.57 |
$1,615.57 |
$2,130.60
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$1,464.20 |
$1,464.20 |
$1,464.20 |
$2,917.00
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$250.42 |
$250.42 |
$250.42 |
$249.60
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$250.42 |
$250.42 |
$250.42 |
$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
|
$883.51 |
$883.51 |
$883.51 |
$1,158.00
|
|
Cardioversion (Scheduled Heart Rhythm Shock)
|
$1,644.82 |
$1,644.82 |
$1,644.82 |
$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)
|
$1,059.82 |
$1,059.82 |
$1,059.82 |
$1,024.32
|
|
Car outp meas drg cath chd
|
$605.43 |
$605.43 |
$605.43 |
$482.30
|
|
Carpal Tunnel Release Surgery
|
$2,139.20 |
$2,139.20 |
$2,139.20 |
$3,867.50
|
|
Car seat/bed test 60 minutes
|
$158.21 |
$158.21 |
$158.21 |
$111.15
|
|
Car seat/bed test additional 30 minutes
|
$79.05 |
$79.05 |
$79.05 |
$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
|
