|
Bx/exc idrl imed lesn thrc
|
$6,069.60 |
$6,069.60 |
$7,797.00 |
|
|
Bx/exc idrl imed lesn thrlmb
|
$6,440.80 |
$6,440.80 |
$6,440.80 |
|
|
Bx/exc idrl spine lesn crvl
|
$4,980.80 |
$4,980.80 |
$6,391.00 |
|
|
Bx/exc idrl spine lesn scrl
|
$4,463.20 |
$4,463.20 |
$4,463.20 |
|
|
Bx/exc lymph node/open/deep cervic 38510
|
$703.68 |
$2,579.20 |
$51,125.85 |
|
|
Bx/exc lymph node/open/superfic 38500
|
$445.92 |
$1,640.00 |
$27,507.54 |
|
|
Bx/exc xdrl/idrl lsn any lvl
|
$6,551.20 |
$6,551.20 |
$6,551.20 |
|
|
Bx/exc xdrl spine lesn crvl
|
$4,260.80 |
$4,260.80 |
$4,260.80 |
|
|
Bx/exc xdrl spine lesn lmbr
|
$3,712.80 |
$3,712.80 |
$100,896.23 |
|
|
Bx/exc xdrl spine lesn scrl
|
$3,737.60 |
$3,737.60 |
$3,737.60 |
|
|
Bx/exc xdrl spine lesn thrc
|
$4,230.40 |
$4,230.40 |
$34,180.99 |
|
|
Bx leg/ankle soft tissue deep 27614
|
$1,044.00 |
$2,856.00 |
$2,856.00 |
|
|
Bx liver with other
|
$132.00 |
$255.20 |
$60,373.24 |
|
|
Bx muscle
|
$319.00 |
$514.40 |
$5,220.80 |
|
|
Bx nasopharynx/unknown pri lesion 42806
|
$419.40 |
$544.00 |
$544.00 |
|
|
Bx of breast open 19101
|
$637.20 |
$1,630.40 |
$14,342.24 |
|
|
Bx of cervix w/scope leep 57460
|
$475.00 |
$753.60 |
$3,741.40 |
|
|
Bx pancreas pq ndl
|
$771.96 |
$1,336.00 |
$2,477.00 |
|
|
Bx perianal mass
|
$572.00 |
$1,415.32 |
$1,693.85 |
|
|
Bx pleura pq ndl
|
$397.60 |
$1,157.40 |
$2,253.95 |
|
|
Bx prostate trnsrctl u/s guid
|
$7,021.95 |
$7,021.95 |
$7,022.60 |
|
|
Bx prst8 ndl sat sampling
|
$941.60 |
$941.60 |
$8,426.00 |
|
|
Bx shoulder tissues deep 23066
|
$964.80 |
$2,768.00 |
$2,768.00 |
|
|
Bx shoulder tissues supf 23065
|
$417.60 |
$1,100.80 |
$1,903.66 |
|
|
Bx skin incisnl ea sep/add l les
|
$79.80 |
$224.69 |
$701.03 |
|
|
Bx skin punch ea sep/ addl les
|
$70.20 |
$231.10 |
$1,797.40 |
|
|
Bx skin tangential ea sep/ addl les
|
$53.30 |
$130.40 |
$2,284.00 |
|
|
Bx/soft tis/forearm/wrist/superfic 25065
|
$461.40 |
$1,268.80 |
$1,268.80 |
|
|
Bx soft tiss pelvis+hip area supf 27040
|
$616.20 |
$1,697.60 |
$5,909.00 |
|
|
Bx soft tiss pelvis/hip deep 27041
|
$1,231.20 |
$3,444.80 |
$3,444.80 |
|
|
Bx soft tissue back/flank deep 21925
|
$793.80 |
$1,141.60 |
$1,141.60 |
|
|
Bx soft tissue back/flank supf 21920
|
$471.60 |
$1,623.09 |
$3,158.15 |
|
|
Bx spinal cord pq ndl
|
$677.60 |
$677.60 |
$1,148.40 |
|
|
Bx thigh/knee soft tiss supf 27323
|
$489.00 |
$1,358.40 |
$1,903.66 |
|
|
Bx thyroid/percutan core needle 60100
|
$215.40 |
$702.60 |
$1,351.20 |
|
|
Bx vag mucos smpl (sep proc)
|
$162.60 |
$237.60 |
$3,348.97 |
|
|
Bx vulva or perineum/1 lesion 56605
|
$131.00 |
$223.20 |
$12,293.79 |
|
|
Bx vulva or perineum/ea add lesion 56606
|
$61.00 |
$96.00 |
$12,293.79 |
|
|
Bypass graft/av fist patency
|
$392.80 |
$392.80 |
$392.80 |
|
|
Bypass graft patency/patch
|
$484.80 |
$484.80 |
$484.80 |
|
|
Bypass temp external fem-fem
|
$470.40 |
$2,650.40 |
$4,934.80 |
|
|
C-1 esterase, berinert
|
$130.47 |
$8,347.49 |
$11,394.30 |
|
|
C-1 esterase, cinryze
|
$6,025.20 |
$6,885.94 |
$7,029.40 |
|
|
C1 esterase inhibitor func - sendout
|
$40.80 |
$48.57 |
$594.86 |
|
|
Cabazitaxel 10 mg/ml (first dilution) intravenous solution
|
$230.40 |
$25,473.62 |
$44,159.55 |
|
|
Cabergoline, oral 0.25mg
|
$1.91 |
$1.91 |
$1.91 |
|
|
Cabg 2 arterial grafts 33534
|
$4,098.60 |
$5,366.40 |
$7,115.00 |
|
|
Cabg 3 arterial grafts 33535
|
$4,566.60 |
$5,984.80 |
$5,984.80 |
|
|
Cabg arterial four or more 33536
|
$5,422.20 |
$6,450.40 |
$6,450.40 |
|
|
Cabgsingle artery graft 33533
|
$3,948.60 |
$4,567.20 |
$6,060.00 |
|
|
Cabgsingle coronary venous graft 33510
|
$3,606.60 |
$4,723.20 |
$6,261.00 |
|
|
Cabg/valve reop >1 mo p org proced 33530
|
$974.40 |
$1,285.60 |
$1,690.00 |
|
|
Cabg vein five
|
$6,372.80 |
$6,372.80 |
$8,441.00 |
|
|
Cabg/vein only/2 cor venous gfts 33511
|
$3,959.40 |
$5,184.00 |
$6,872.00 |
|
|
Cabg/vein only/3 cor venous gfts 33512
|
$4,494.00 |
$5,904.80 |
$5,904.80 |
|
|
Cabg/vein only/4 cor venous gfts 33513
|
$4,612.80 |
$6,062.40 |
$6,062.40 |
|
|
Cabg venous & art 1 vein graft 33517
|
$348.00 |
$1,726.40 |
$1,726.40 |
|
|
Cabg venous & art 2 vein graft 33518
|
$763.20 |
$1,764.80 |
$1,764.80 |
|
|
Cabg venous & art 3 vein graft 33519
|
$1,011.00 |
$1,803.20 |
$1,803.20 |
|
|
Cabg venous & art 4 vein graft 33521
|
$1,215.60 |
$1,841.60 |
$2,099.00 |
|
|
Cabg venous & art 5 vein graft 33522
|
$1,870.80 |
$1,918.40 |
$2,357.00 |
|
|
Cabg venous & art 6 vein graft 33523
|
$2,245.80 |
$2,358.00 |
$2,358.00 |
|
|
Cable cath 22-pin diag
|
$456.41 |
$3,142.13 |
$12,524.75 |
|
|
Cable centrimag pressure
|
$123,355.44 |
$123,355.44 |
$189,777.60 |
|
|
Cabotegravir ER 400 mg/2 ml-rilpivirine ER 600 mg/2ml im suspension,er
|
$12,338.18 |
$21,398.90 |
$21,398.90 |
|
|
Cacna1a gen detc abnor allel
|
$153.56 |
$153.56 |
$153.56 |
|
|
Cad breast MRI w/r&i
|
$50.02 |
$50.63 |
$360.75 |
|
|
Cadd pump refill
|
$225.60 |
$370.20 |
$674.92 |
|
|
Caffeine citrate 20 mg/ml inj for po
|
$2.35 |
$46.00 |
$92.00 |
|
|
Calaspargase pegol-mknl 750 unit/ml intravenous solution
|
$124.15 |
$77,352.35 |
$77,352.35 |
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$2,177.05 |
$2,902.00 |
$11,696.30 |
|
|
Calcitonin stimul panel
|
$201.60 |
$201.60 |
$201.60 |
|
|
Calcium 24 hour urine
|
$33.57 |
$44.20 |
$107.00 |
|
|
Calcium acetate(phosphate binders) 667 mg tablet
|
$1.00 |
$1.00 |
$1.00 |
|
|
Calcium chloride 100 mg/ml (10 %) intravenous syringe
|
$0.16 |
$36.80 |
$89.35 |
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$0.59 |
$52.50 |
$1,356.08 |
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$1.02 |
$83.00 |
$101.31 |
|
|
Calcium infusion test
|
$27.20 |
$27.20 |
$27.20 |
|
|
Calcium ionized
|
$64.28 |
$89.88 |
$271.00 |
|
|
Calcium total
|
$31.20 |
$45.57 |
$38,680.91 |
|
|
Calculi urinary-sendout
|
$34.80 |
$64.28 |
$64.28 |
|
|
Calculus analysis qual
|
$29.60 |
$29.60 |
$96.60 |
|
|
Caloric vestibular test
|
$60.00 |
$60.00 |
$60.00 |
|
|
Caloric vstblr test w/rec
|
$50.40 |
$50.40 |
$50.40 |
|
|
Calprotectin fecal
|
$64.28 |
$160.55 |
$432.60 |
|
|
Camisole mastectomy wht/l post-surg gental touch
|
$78.94 |
$78.94 |
$121.45 |
|
|
Campylobacter antibody
|
$48.57 |
$48.57 |
$171.60 |
|
|
Canakinumab injection
|
$35,959.82 |
$41,096.93 |
$41,953.12 |
|
|
Candida dna
|
$49.80 |
$50.40 |
$74.40 |
|
|
Candida dna quant
|
$120.80 |
$120.80 |
$120.80 |
|
|
Candida skin test
|
$24.00 |
$24.00 |
$60.00 |
|
|
Cannabinoids synthetic 1-3
|
$36.00 |
$36.00 |
$36.00 |
|
|
Cannabinoids synthetic 4-6
|
$18.40 |
$18.40 |
$18.40 |
|
|
Cannabinoid synthetic 7/more
|
$72.14 |
$72.14 |
$72.14 |
|
|
Cannula declotting 36861
|
$339.20 |
$339.20 |
$3,328.92 |
|
|
Cannula ercp contour 5-4-3 tip
|
$403.33 |
$9,172.80 |
$55,867.50 |
|
|
Canthotomy 67715
|
$415.80 |
$2,558.12 |
$4,106.69 |
|
|
Capecitabine, oral, 50 mg
|
$59.42 |
$59.42 |
$59.42 |
|
|
Cap nerve 2x15mm
|
$1,967.58 |
$15,836.52 |
$37,166.76 |
|
|
Capsaicin 8% patch
|
$4.80 |
$4.80 |
$18,623.00 |
|
