|
Capsular contracture release
|
$3,395.20 |
$3,395.20 |
$3,395.20 |
|
|
Capsulotomy; interphalangeal joint, each joint (separate proc)
|
$714.60 |
$1,958.40 |
$4,003.92 |
|
|
Capsulotomy mpj ea joint (sep proc)
|
$890.40 |
$2,464.00 |
$30,687.04 |
|
|
Cap trach decann 15mm
|
$476.51 |
$2,725.38 |
$5,052.00 |
|
|
Carbamazepine free
|
$66.43 |
$66.43 |
$112.80 |
|
|
Carbamazepine free -sendout
|
$66.43 |
$66.43 |
$100.20 |
|
|
Carbamazepine total therapeutic drug level
|
$66.43 |
$109.44 |
$315.00 |
|
|
Carbohydrate deficient transf - sendout
|
$64.28 |
$64.28 |
$234.60 |
|
|
Carbohydrate urine - sendout
|
$33.57 |
$33.57 |
$154.20 |
|
|
Carbon dioxide
|
$29.25 |
$35.75 |
$20,561.95 |
|
|
Carboplatin 10 mg/ml desensitization
|
$7.20 |
$197.57 |
$459.90 |
|
|
Carboprost tromethamine 250 mcg/ml intramuscular solution
|
$159.55 |
$331.15 |
$798.00 |
|
|
Carboxyhemoglobin quantitative
|
$64.28 |
$102.70 |
$182.00 |
|
|
Car-car bp grft/endovas taa
|
$4,699.20 |
$4,699.20 |
$4,699.20 |
|
|
Carcinoembryonic ag (cea)
|
$64.28 |
$102.00 |
$883.00 |
|
|
Cardiac drug stress test
|
$184.38 |
$239.20 |
$239.20 |
|
|
Cardiac MRI w/stress img
|
$955.20 |
$955.20 |
$1,092.84 |
|
|
Cardiac perf planar mult/ef/wm
|
$929.60 |
$1,658.40 |
$2,632.22 |
|
|
Cardiac perf planar sgl/ef/wm
|
$609.60 |
$1,467.00 |
$1,987.38 |
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$736.68 |
$2,143.02 |
$3,348.80 |
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$135.65 |
$229.99 |
$570.70 |
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$36.00 |
$179.54 |
$4,320.00 |
|
|
Cardiac shunt imaging
|
$322.08 |
$403.20 |
$621.00 |
|
|
Cardiac Stress Test
|
$168.00 |
$168.00 |
$625.00 |
|
|
Cardioassist internal
|
$684.18 |
$684.18 |
$684.18 |
|
|
Cardiokymography
|
$43.20 |
$43.20 |
$43.20 |
|
|
Cardiolipin antibody iga
|
$58.50 |
$151.45 |
$343.00 |
|
|
Cardiology hrt trnspl mrna
|
$6,480.00 |
$6,480.00 |
$6,480.00 |
|
|
Cardioversion/elective/internal 92961
|
$489.00 |
$742.80 |
$2,718.55 |
|
|
Cardioversion (Scheduled Heart Rhythm Shock)
|
$650.40 |
$1,431.36 |
$5,630.95 |
|
|
Card MRI veloc flow mapping
|
$132.80 |
$354.71 |
$4,324.00 |
|
|
Caregiver health risk assmt
|
$7.20 |
$7.20 |
$9.00 |
|
|
Caregiver training strategies&tq 1st 30 minutes
|
$74.10 |
$126.40 |
$205.72 |
|
|
Caregiver training strategies&tq ea addl 15 min
|
$37.80 |
$63.20 |
$103.04 |
|
|
Care mgmt svc bhvl hlth cond
|
$100.80 |
$100.80 |
$100.80 |
|
|
Carfilzomib 10 mg intravenous solution
|
$51.20 |
$6,877.19 |
$11,354.40 |
|
|
Carinal reconstruction
|
$4,328.00 |
$4,328.00 |
$4,328.00 |
|
|
Car ion chnnlpath inc 10 gns
|
$1,276.00 |
$1,276.00 |
$1,276.00 |
|
|
Car ion chnnlpath inc 2 gns
|
$1,276.00 |
$1,276.00 |
$1,276.00 |
|
|
Carmustine 100 mg intravenous powder for solution
|
$336.97 |
$3,449.25 |
$3,467.81 |
|
|
Carotene
|
$33.57 |
$40.32 |
$185.00 |
|
|
Carotid Artery Ultrasound (Duplex)
|
$427.20 |
$896.43 |
$2,462.00 |
|
|
Car outp meas drg cath chd
|
$252.85 |
$605.43 |
$605.43 |
|
|
Carpal Tunnel Release Surgery
|
$357.60 |
$2,139.20 |
$23,495.85 |
|
|
Car seat/bed test 60 minutes
|
$55.90 |
$110.40 |
$217.10 |
|
|
Car seat/bed test additional 30 minutes
|
$38.35 |
$79.05 |
$162.57 |
|
|
Car-t admn autologous
|
$523.20 |
$523.20 |
$523.20 |
|
|
Ca screen;flexi sigmoidscope
|
$217.80 |
$427.20 |
$18,014.85 |
|
|
Casiri and imdev repeat
|
$320.88 |
$356.64 |
$364.07 |
|
|
Caspofungin acetate
|
$16.40 |
$134.41 |
$633.91 |
|
|
Cassette provox xtraflow hme
|
$2.67 |
$2.67 |
$10.69 |
|
|
Cast sup lng arm splint fbrg
|
$28.20 |
$36.80 |
$36.80 |
|
|
Cast sup lng arm splint plst
|
$18.60 |
$23.20 |
$23.20 |
|
|
Cast sup lng arm splnt ped f
|
$15.60 |
$18.40 |
$18.40 |
|
|
Cast sup lng arm splnt ped p
|
$7.80 |
$12.00 |
$12.00 |
|
|
Cast sup lng leg ped fbrgls
|
$75.00 |
$95.20 |
$95.20 |
|
|
Cast sup lng leg ped plaster
|
$27.60 |
$36.80 |
$36.80 |
|
|
Cast sup lng leg splnt fbrgl
|
$67.20 |
$85.60 |
$85.60 |
|
|
Cast sup lng leg splnt ped f
|
$34.80 |
$43.20 |
$43.20 |
|
|
Cast sup lng leg splnt ped p
|
$20.40 |
$25.60 |
$25.60 |
|
|
Cast sup long arm adult fbrg
|
$58.20 |
$73.60 |
$73.60 |
|
|
Cast sup long arm adult plst
|
$25.20 |
$32.80 |
$32.80 |
|
|
Cast sup long arm ped fbrgls
|
$28.20 |
$36.80 |
$36.80 |
|
|
Cast sup long arm ped plster
|
$14.40 |
$15.00 |
$15.00 |
|
|
Cast sup long leg fiberglass
|
$150.00 |
$190.40 |
$190.40 |
|
|
Cast sup shrt leg ped fbrgls
|
$41.40 |
$52.00 |
$52.00 |
|
|
Cast sup shrt leg ped plster
|
$17.40 |
$20.80 |
$20.80 |
|
|
Cast sup shrt leg plaster
|
$32.40 |
$41.60 |
$41.60 |
|
|
Cast sup sht arm adult fbrgl
|
$39.60 |
$48.80 |
$48.80 |
|
|
Cast sup sht arm adult plstr
|
$18.00 |
$22.40 |
$22.40 |
|
|
Cast sup sht arm ped fbrglas
|
$19.80 |
$24.80 |
$24.80 |
|
|
Cast sup sht arm ped plaster
|
$7.80 |
$11.20 |
$11.20 |
|
|
Cast sup sht arm splint fbrg
|
$24.00 |
$30.40 |
$30.40 |
|
|
Cast sup sht arm splint plst
|
$15.00 |
$17.60 |
$17.60 |
|
|
Cast sup sht arm splnt ped f
|
$13.80 |
$16.00 |
$16.00 |
|
|
Cast sup sht arm splnt ped p
|
$6.00 |
$8.80 |
$8.80 |
|
|
Cast sup sht leg splnt fbrgl
|
$37.80 |
$47.20 |
$47.20 |
|
|
Cast sup sht leg splnt ped f
|
$19.20 |
$24.00 |
$24.00 |
|
|
Cast sup sht leg splnt ped p
|
$13.20 |
$15.20 |
$15.20 |
|
|
Cast sup sht leg splnt plstr
|
$22.80 |
$29.60 |
$29.60 |
|
|
Cataract Surgery
|
$2,715.20 |
$2,715.20 |
$17,563.65 |
|
|
Cataract surg w/iol 1 stage
|
$4,068.80 |
$4,068.80 |
$4,068.80 |
|
|
Catecholamines,fractionated, urine
|
$55.20 |
$55.20 |
$175.80 |
|
|
Cath 2lum 14.5frx43cm maxid kt mahurkar
|
$215.40 |
$1,555.72 |
$2,505.14 |
|
|
Cath ablat bi-d d-d 8fr 115cm
|
$1,539.00 |
$4,378.40 |
$12,644.01 |
|
|
Cath ablt clsfast 7fx100cmx
|
$1,247.40 |
$1,894.35 |
$5,266.90 |
|
|
Cath ablt rx lasr 2.0mm turbo
|
$3,231.90 |
$4,679.08 |
$7,639.20 |
|
|
Cath access del ds spyscop 2.0
|
$2,768.85 |
$4,008.97 |
$6,167.65 |
|
|
Cath acuity innr ic130 6f 63cm
|
$80.52 |
$7,301.40 |
$64,462.50 |
|
|
Cath acunav ge 10frx90cm
|
$3,843.00 |
$5,014.47 |
$9,816.36 |
|
|
Cath adherent clot 10mm 6f 10
|
$1,627.91 |
$13,681.13 |
$27,877.20 |
|
|
Cath baloon occl urnry 34f 7x2x65
|
$143.20 |
$4,313.11 |
$6,983.93 |
|
|
Cath bi-dir df smarttouch
|
$3,554.00 |
$4,909.47 |
$91,707.56 |
|
|
Cath blazer dx/20 2-10-2 space
|
$1,552.20 |
$2,737.87 |
$4,731.84 |
|
|
Cath combo lt&rt heart w/inj/s
|
$2,508.00 |
$7,923.88 |
$29,762.85 |
|
|
Cath council tip 16fr 5cc
|
$15.36 |
$41.78 |
$61.65 |
|
|
Cath cv dl inj 7fx16cm
|
$401.16 |
$10,287.03 |
$20,250.00 |
|
|
Cath del ampltz 12f 45d 80cm
|
$510.32 |
$1,762.57 |
$3,588.05 |
|
|
Cath entrl fd nutri 5fr 40cm
|
$18.40 |
$35.54 |
$68.35 |
|
|
Cath epdrl brevi-stf 12in .043
|
$1,068.36 |
$1,561.66 |
$2,407.80 |
|
