|
Bx soft tissue back/flank supf 21920
|
$288.51 |
$348.82 |
$348.82 |
|
|
Bx spinal cord pq ndl
|
$1,416.91 |
$1,416.91 |
$1,416.91 |
|
|
Bx thigh/knee soft tiss supf 27323
|
$1,397.42 |
$1,397.42 |
$1,662.67 |
|
|
Bx thyroid/percutan core needle 60100
|
$295.34 |
$333.14 |
$1,420.00 |
|
|
Bx vulva or perineum/1 lesion 56605
|
$2,200.00 |
$2,200.00 |
$2,200.00 |
|
|
Bypass temp external fem-fem
|
$1,830.64 |
$1,830.64 |
$8,742.00 |
|
|
C-1 esterase, berinert
|
$2,766.00 |
$5,687.05 |
$5,687.05 |
|
|
C1 esterase inhibitor func - sendout
|
$56.80 |
$103.04 |
$138.54 |
|
|
Cabazitaxel 10 mg/ml (first dilution) intravenous solution
|
$4,230.62 |
$19,794.21 |
$23,093.25 |
|
|
Cabergoline, oral 0.25mg
|
$1.20 |
$29.08 |
$29.08 |
|
|
Cable cath 22-pin diag
|
$3,271.41 |
$4,860.24 |
$5,271.60 |
|
|
Cable centrimag pressure
|
$22,799.14 |
$26,598.99 |
$26,598.99 |
|
|
Cad breast MRI w/r&i
|
$45.55 |
$52.47 |
$52.47 |
|
|
Cadd pump refill
|
$261.24 |
$339.20 |
$555.20 |
|
|
Caffeine citrate 20 mg/ml inj for po
|
$32.22 |
$37.59 |
$81.28 |
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$203.00 |
$977.28 |
$3,535.95 |
|
|
Calcium 24 hour urine
|
$28.00 |
$36.19 |
$88.00 |
|
|
Calcium acetate(phosphate binders) 667 mg tablet
|
$1.20 |
$3.81 |
$3.81 |
|
|
Calcium chloride 100 mg/ml (10 %) intravenous syringe
|
$30.64 |
$57.71 |
$67.52 |
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$31.04 |
$67.27 |
$80.73 |
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$60.71 |
$80.32 |
$156.40 |
|
|
Calcium ionized
|
$70.73 |
$88.51 |
$159.20 |
|
|
Calcium total
|
$23.69 |
$25.68 |
$85.60 |
|
|
Calprotectin fecal
|
$66.40 |
$130.61 |
$422.40 |
|
|
Canakinumab injection
|
$25,655.88 |
$25,655.88 |
$25,655.88 |
|
|
Candida dna
|
$29.29 |
$29.29 |
$101.60 |
|
|
Candida skin test
|
$36.00 |
$36.00 |
$36.00 |
|
|
Cannula ercp contour 5-4-3 tip
|
$480.00 |
$37,969.92 |
$46,000.00 |
|
|
Canthotomy 67715
|
$3,488.80 |
$3,488.80 |
$3,488.80 |
|
|
Capecitabine, oral, 50 mg
|
$57.21 |
$57.21 |
$57.21 |
|
|
Cap nerve 2x15mm
|
$5,007.80 |
$9,554.16 |
$9,639.76 |
|
|
Capsaicin 8% patch
|
$5,774.80 |
$5,774.80 |
$5,774.80 |
|
|
Cap trach decann 15mm
|
$384.80 |
$3,271.41 |
$4,857.60 |
|
|
Carbamazepine free
|
$62.50 |
$72.91 |
$78.74 |
|
|
Carbamazepine free -sendout
|
$66.70 |
$71.20 |
$86.46 |
|
|
Carbamazepine total therapeutic drug level
|
$40.90 |
$47.71 |
$144.80 |
|
|
Carbon dioxide
|
$25.60 |
$38.81 |
$64.00 |
|
|
Carbon graphite lamination
|
$206.75 |
$282.46 |
$282.46 |
|
|
Carboplatin 10 mg/ml desensitization
|
$142.02 |
$312.22 |
$484.08 |
|
|
Carboprost tromethamine 250 mcg/ml intramuscular solution
|
$239.04 |
$278.87 |
$278.87 |
|
|
Carboxyhemoglobin quantitative
|
$42.48 |
$81.09 |
$171.20 |
|
|
Carcinoembryonic ag (cea)
|
$33.70 |
$39.31 |
$152.00 |
|
|
Cardiac drug stress test
|
$404.93 |
$404.93 |
$404.93 |
|
|
Cardiac MRI w/stress img
|
$1,327.97 |
$1,327.97 |
$1,327.97 |
|
|
Cardiac perf planar mult/ef/wm
|
$1,653.12 |
$2,695.73 |
$2,695.73 |
|
|
Cardiac perf planar sgl/ef/wm
|
$2,057.89 |
$2,057.89 |
$2,679.15 |
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$1,594.40 |
$2,838.40 |
$3,461.60 |
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$188.06 |
$217.60 |
$319.20 |
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$178.40 |
$203.34 |
$294.40 |
|
|
Cardioassist internal
|
$14,621.62 |
$14,621.62 |
$14,621.62 |
|
|
Cardiolipin antibody iga
|
$43.34 |
$47.42 |
$119.20 |
|
|
Cardiology hrt trnspl mrna
|
$2,652.33 |
$2,652.33 |
$3,439.63 |
|
|
Cardioversion/elective/internal 92961
|
$457.34 |
$595.28 |
$595.28 |
|
|
Cardioversion (Scheduled Heart Rhythm Shock)
|
$1,174.40 |
$1,792.00 |
$2,289.17 |
|
|
Card MRI veloc flow mapping
|
$88.80 |
$170.97 |
$170.97 |
|
|
Caregiver training strategies&tq 1st 30 minutes
|
$97.01 |
$120.00 |
$140.80 |
|
|
Caregiver training strategies&tq ea addl 15 min
|
$47.04 |
$61.60 |
$70.40 |
|
|
Carfilzomib 10 mg intravenous solution
|
$2,939.29 |
$3,236.95 |
$5,608.01 |
|
|
Carmustine 100 mg intravenous powder for solution
|
$3,681.24 |
$4,065.13 |
$4,065.13 |
|
|
Carotid Artery Ultrasound (Duplex)
|
$443.95 |
$981.60 |
$1,245.60 |
|
|
Car outp meas drg cath chd
|
$129.12 |
$129.12 |
$129.12 |
|
|
Carpal Tunnel Release Surgery
|
$4,132.00 |
$4,132.00 |
$4,132.00 |
|
|
Car seat/bed test 60 minutes
|
$70.40 |
$1,019.18 |
$1,348.09 |
|
|
Car seat/bed test additional 30 minutes
|
$32.80 |
$528.19 |
$674.18 |
|
|
Caspofungin acetate
|
$87.03 |
$395.81 |
$595.60 |
|
|
Cath 2lum 14.5frx43cm maxid kt mahurkar
|
$745.30 |
$753.48 |
$869.51 |
|
|
Cath ablat bi-d d-d 8fr 115cm
|
$5,007.80 |
$7,501.68 |
$7,613.76 |
|
|
Cath ablt clsfast 7fx100cmx
|
$1,205.60 |
$1,602.38 |
$3,588.00 |
|
|
Cath ablt rx lasr 2.0mm turbo
|
$4,396.22 |
$5,128.93 |
$5,518.16 |
|
|
Cath access del ds spyscop 2.0
|
$931.54 |
$1,086.79 |
$5,759.20 |
|
|
Cath acuity innr ic130 6f 63cm
|
$320.00 |
$15,871.68 |
$18,516.96 |
|
|
Cath acunav ge 10frx90cm
|
$4,311.10 |
$6,227.76 |
$7,314.00 |
|
|
Cath adherent clot 10mm 6f 10
|
$100.00 |
$16,849.92 |
$21,417.60 |
|
|
Cath baloon occl urnry 34f 7x2x65
|
$2,061.47 |
$4,713.80 |
$5,796.00 |
|
|
Cath bi-dir df smarttouch
|
$8,648.00 |
$16,849.92 |
$19,658.24 |
|
|
Cath blazer dx/20 2-10-2 space
|
$2,891.68 |
$4,165.92 |
$4,860.24 |
|
|
Cath combo lt&rt heart w/inj/s
|
$6,396.86 |
$6,396.86 |
$15,120.80 |
|
|
Cath cv dl inj 7fx16cm
|
$414.40 |
$4,600.00 |
$7,490.67 |
|
|
Cath del ampltz 12f 45d 80cm
|
$2,966.93 |
$3,461.42 |
$3,498.00 |
|
|
Cath epdrl brevi-stf 12in .043
|
$1,568.35 |
$1,829.74 |
$2,311.20 |
|
|
Catheter declot mechanical
|
$2,862.53 |
$2,862.53 |
$2,862.53 |
|
|
Catheterization collection of specimen single patient all places of service
|
$76.16 |
$148.06 |
$148.06 |
|
|
Catheter stripping venous
|
$1,345.12 |
$1,345.12 |
$4,591.20 |
|
|
Cath groshong MRI 8fr plstc port
|
$420.00 |
$2,055.41 |
$2,397.98 |
|
|
Cath hawkone s directional
|
$5,173.39 |
$6,016.80 |
$6,035.62 |
|
|
Cath hemodial 55cm 15.5fr dual lumen straight stacked adlt
|
$469.20 |
$547.40 |
$547.40 |
|
|
Cath imag ivus pv 8.5fx90 .035
|
$5,016.34 |
$5,852.39 |
$6,256.00 |
|
|
Cath intrdsc spnecth 8 pin
|
$1,876.70 |
$2,189.49 |
$2,189.49 |
|
|
Cathj umbilical vein dx/ther nb
|
$152.88 |
$152.88 |
$275.20 |
|
|
Cath left heart/lv gram
|
$3,655.39 |
$3,655.39 |
$12,337.60 |
|
|
Cath left heart transseptal punc
|
$3,655.39 |
$3,655.39 |
$8,319.20 |
|
|
Cath lt/rt pulm art
|
$813.34 |
$813.34 |
$2,261.60 |
|
|
Cath malecot 28fr 4-wing ltx
|
$237.60 |
$2,616.00 |
$8,814.96 |
|
|
Cath occl flo-rester 2.25x12mm cor internal vessel occluder
|
$15,361.15 |
$17,921.34 |
$33,120.00 |
|
|
Cath place 1st order venous 36011
|
$760.99 |
$760.99 |
$787.20 |
|
|
Cath place cardio brachytx
|
$2,479.01 |
$2,479.01 |
$2,479.01 |
|
|
Cath plc art ang/grft lt/rt hr
|
$9,443.18 |
$9,443.18 |
$24,120.80 |
|
|
Cath plc art/angio/rt hrt cath
|
$8,681.47 |
$8,681.47 |
$14,715.20 |
|
|
Cath plc art/grft/angio right hrt
|
$9,595.39 |
$9,595.39 |
$17,324.80 |
|
|
Cath ptca pcltxl agent 3x20mm
|
$10,396.00 |
$13,605.20 |
$13,605.20 |
|
