|
Bx skin tangential ea sep/ addl les
|
$25.50 |
$127.12 |
$449.60 |
|
|
Bx/soft tis/forearm/wrist/superfic 25065
|
$2,271.01 |
$2,271.01 |
$2,271.01 |
|
|
Bx soft tiss pelvis+hip area supf 27040
|
$2,271.01 |
$2,271.01 |
$2,271.01 |
|
|
Bx soft tiss pelvis/hip deep 27041
|
$1,766.40 |
$2,271.01 |
$2,271.01 |
|
|
Bx soft tissue back/flank deep 21925
|
$2,271.01 |
$2,271.01 |
$2,271.01 |
|
|
Bx soft tissue back/flank supf 21920
|
$2,007.60 |
$2,271.01 |
$2,271.01 |
|
|
Bx spinal cord pq ndl
|
$1,570.80 |
$2,271.01 |
$2,271.01 |
|
|
Bx thigh/knee soft tiss supf 27323
|
$1,174.88 |
$2,271.01 |
$2,271.01 |
|
|
Bx thyroid/percutan core needle 60100
|
$436.24 |
$1,241.00 |
$1,723.00 |
|
|
Bx vag mucos smpl (sep proc)
|
$789.00 |
$1,266.48 |
$2,641.00 |
|
|
Bx vulva or perineum/1 lesion 56605
|
$882.00 |
$1,266.48 |
$2,641.00 |
|
|
Bx vulva or perineum/ea add lesion 56606
|
$37.66 |
$66.00 |
$599.00 |
|
|
Bypass graft/av fist patency
|
$226.33 |
$226.33 |
$226.33 |
|
|
Bypass graft patency/patch
|
$278.22 |
$278.22 |
$278.22 |
|
|
Bypass temp external fem-fem
|
$758.58 |
$3,873.52 |
$24,705.00 |
|
|
C-1 esterase, berinert
|
$55.06 |
$104.69 |
$104.69 |
|
|
C-1 esterase, cinryze
|
$90.57 |
$90.57 |
$90.57 |
|
|
C1 esterase inhibitor func - sendout
|
$7.08 |
$58.52 |
$528.80 |
|
|
Cabazitaxel 10 mg/ml (first dilution) intravenous solution
|
$318.50 |
$318.50 |
$318.50 |
|
|
Cabergoline, oral 0.25mg
|
$12.37 |
$12.37 |
$12.37 |
|
|
Cabg 2 arterial grafts 33534
|
$3,126.96 |
$3,126.96 |
$3,126.96 |
|
|
Cabg 3 arterial grafts 33535
|
$3,470.41 |
$3,470.41 |
$3,470.41 |
|
|
Cabg arterial four or more 33536
|
$3,740.19 |
$3,740.19 |
$3,740.19 |
|
|
Cabgsingle artery graft 33533
|
$2,664.26 |
$2,664.26 |
$2,664.26 |
|
|
Cabgsingle coronary venous graft 33510
|
$2,749.79 |
$2,749.79 |
$2,749.79 |
|
|
Cabg/valve reop >1 mo p org proced 33530
|
$731.98 |
$731.98 |
$731.98 |
|
|
Cabg vein five
|
$3,715.88 |
$3,715.88 |
$3,715.88 |
|
|
Cabg/vein only/2 cor venous gfts 33511
|
$3,024.56 |
$3,024.56 |
$3,024.56 |
|
|
Cabg/vein only/3 cor venous gfts 33512
|
$3,426.08 |
$3,426.08 |
$3,426.08 |
|
|
Cabg/vein only/4 cor venous gfts 33513
|
$3,496.74 |
$3,496.74 |
$3,496.74 |
|
|
Cabg vein six or more
|
$3,848.03 |
$3,848.03 |
$3,848.03 |
|
|
Cabg venous & art 1 vein graft 33517
|
$261.44 |
$261.44 |
$261.44 |
|
|
Cabg venous & art 2 vein graft 33518
|
$573.68 |
$573.68 |
$573.68 |
|
|
Cabg venous & art 3 vein graft 33519
|
$758.12 |
$758.12 |
$758.12 |
|
|
Cabg venous & art 4 vein graft 33521
|
$910.47 |
$910.47 |
$910.47 |
|
|
Cabg venous & art 5 vein graft 33522
|
$1,020.95 |
$1,020.95 |
$1,020.95 |
|
|
Cabg venous & art 6 vein graft 33523
|
$1,157.39 |
$1,157.39 |
$1,157.39 |
|
|
Cable cath 22-pin diag
|
$385.84 |
$1,947.68 |
$3,621.35 |
|
|
Cabotegravir ER 400 mg/2 ml-rilpivirine ER 600 mg/2ml im suspension,er
|
$33.35 |
$33.35 |
$33.35 |
|
|
Cacna1a gen detc abnor allel
|
$189.06 |
$189.06 |
$189.06 |
|
|
Cacna1a gene full gene seq
|
$1,167.85 |
$1,167.85 |
$1,167.85 |
|
|
Cacna1a gen known famil vrnt
|
$255.58 |
$255.58 |
$255.58 |
|
|
Cad breast MRI w/r&i
|
$0.01 |
$563.00 |
$902.00 |
|
|
Cadd pump refill
|
$292.48 |
$360.00 |
$987.00 |
|
|
Caffeine citrate 20 mg/ml inj for po
|
$4.56 |
$4.56 |
$20.95 |
|
|
Calaspargase pegol-mknl 750 unit/ml intravenous solution
|
$113.26 |
$113.26 |
$113.26 |
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$774.13 |
$833.44 |
$1,371.26 |
|
|
Calcitonin stimul panel
|
$110.91 |
$110.91 |
$110.91 |
|
|
Calcium 24 hour urine
|
$7.05 |
$24.00 |
$115.20 |
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$0.04 |
$0.04 |
$29.40 |
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$0.12 |
$0.12 |
$0.12 |
|
|
Calcium infusion test
|
$6.11 |
$18.41 |
$18.41 |
|
|
Calcium ionized
|
$18.88 |
$67.00 |
$174.40 |
|
|
Calcium total
|
$6.58 |
$19.00 |
$109.60 |
|
|
Calculi urinary-sendout
|
$8.96 |
$17.76 |
$17.76 |
|
|
Calculus analysis qual
|
$15.98 |
$15.98 |
$23.03 |
|
|
Caloric vstblr test w/rec
|
$296.91 |
$919.00 |
$1,164.00 |
|
|
Calprotectin fecal
|
$22.96 |
$61.00 |
$843.20 |
|
|
Cam cervix uteri drg colp
|
$54.86 |
$54.86 |
$54.86 |
|
|
Camisole mastectomy wht/l post-surg gental touch
|
$101.86 |
$101.86 |
$101.86 |
|
|
Campylobacter antibody
|
$18.11 |
$18.11 |
$35.39 |
|
|
Canakinumab injection
|
$203.88 |
$203.88 |
$203.88 |
|
|
Candida dna
|
$15.04 |
$43.00 |
$74.48 |
|
|
Candida dna quant
|
$76.92 |
$76.92 |
$76.92 |
|
|
Candida skin test
|
$29.72 |
$39.77 |
$39.77 |
|
|
Cannula declotting 36861
|
$7,651.38 |
$7,651.38 |
$7,651.38 |
|
|
Cannula ercp contour 5-4-3 tip
|
$9,296.00 |
$13,440.00 |
$47,000.00 |
|
|
Cannula nasal
|
$1.44 |
$1.44 |
$1.44 |
|
|
Cantharidin top, applicator
|
$905.97 |
$905.97 |
$905.97 |
|
|
Canthotomy 67715
|
$3,269.14 |
$3,269.14 |
$3,269.14 |
|
|
Capecitabine, oral, 50 mg
|
$0.05 |
$0.05 |
$0.05 |
|
|
Cap nerve 2x15mm
|
$10,080.00 |
$10,080.00 |
$10,080.00 |
|
|
Capsaicin 8% patch
|
$4.72 |
$4.72 |
$4.72 |
|
|
Capsular contracture release
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
|
|
Capsulectomy/capsulotomy hip
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
|
|
Capsulotomy; interphalangeal joint, each joint (separate proc)
|
$2,211.05 |
$2,211.05 |
$2,211.05 |
|
|
Capsulotomy mpj ea joint (sep proc)
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
|
|
Cap trach decann 15mm
|
$1,062.32 |
$1,062.32 |
$2,156.56 |
|
|
Carbamazepine free
|
$6.77 |
$18.29 |
$28.00 |
|
|
Carbamazepine free -sendout
|
$25.72 |
$25.72 |
$75.20 |
|
|
Carbamazepine total therapeutic drug level
|
$20.11 |
$112.00 |
$301.60 |
|
|
Carbidopa levodopa ent 100ml
|
$336.42 |
$336.42 |
$336.42 |
|
|
Carbohydrate deficient transf - sendout
|
$9.40 |
$48.48 |
$211.20 |
|
|
Carbohydrate urine - sendout
|
$7.59 |
$7.59 |
$39.41 |
|
|
Carbon dioxide
|
$6.73 |
$17.36 |
$56.80 |
|
|
Carbon graphite lamination
|
$221.60 |
$221.60 |
$221.60 |
|
|
Carboplatin 10 mg/ml desensitization
|
$4.04 |
$4.04 |
$38.98 |
|
|
Carboprost tromethamine 250 mcg/ml intramuscular solution
|
$18.91 |
$18.91 |
$18.91 |
|
|
Carboxyhemoglobin quantitative
|
$16.45 |
$122.00 |
$143.20 |
|
|
Carcinoembryonic ag (cea)
|
$26.16 |
$75.00 |
$934.40 |
|
|
Cardiac drug stress test
|
$614.27 |
$614.27 |
$614.27 |
|
|
Cardiac MRI seg dys strain
|
$751.34 |
$751.34 |
$751.34 |
|
|
Cardiac MRI seg dys stress
|
$751.34 |
$751.34 |
$751.34 |
|
|
Cardiac MRI w/stress img
|
$751.34 |
$4,114.00 |
$4,402.00 |
|
|
Cardiac perf planar mult/ef/wm
|
$1,057.03 |
$1,780.19 |
$6,755.00 |
|
|
Cardiac perf planar sgl/ef/wm
|
$980.56 |
$1,780.19 |
$1,780.19 |
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$1,057.03 |
$1,780.19 |
$4,928.00 |
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$103.60 |
$265.00 |
$597.00 |
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$33.37 |
$265.00 |
$554.00 |
|
|
Cardiac shunt imaging
|
$290.08 |
$549.70 |
$549.70 |
|
