|
Bx vulva or perineum/ea add lesion 56606
|
$17,959.08 |
$17,959.08 |
$17,959.08 |
$465.09
|
|
Bypass temp external fem-fem
|
$10,929.96 |
$10,929.96 |
$10,929.96 |
$2,650.40
|
|
C1 esterase inhibitor func - sendout
|
$241.80 |
$241.80 |
$241.80 |
$123.49
|
|
Cabazitaxel 10 mg/ml (first dilution) intravenous solution
|
$24,695.07 |
$24,695.07 |
$24,695.07 |
$355.02
|
|
Caffeine citrate 20 mg/ml inj for po
|
$36.27 |
$36.27 |
$36.27 |
$47.78
|
|
Calaspargase pegol-mknl 750 unit/ml intravenous solution
|
$66,395.29 |
$66,395.29 |
$66,395.29 |
$103.87
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$1,956.50 |
$1,956.50 |
$1,956.50 |
$4,148.53
|
|
Calcium 24 hour urine
|
$62.40 |
$62.40 |
$62.40 |
$51.63
|
|
Calcium chloride 100 mg/ml (10 %) intravenous syringe
|
$15.87 |
$15.87 |
$15.87 |
$65.71
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$17.26 |
$17.26 |
$17.26 |
$50.14
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$119.39 |
$119.39 |
$119.39 |
$62.87
|
|
Calcium ionized
|
$122.20 |
$122.20 |
$122.20 |
$80.80
|
|
Calcium total
|
$60.45 |
$60.45 |
$60.45 |
$43.20
|
|
Calculi urinary-sendout
|
$107.90 |
$107.90 |
$107.90 |
$114.40
|
|
Calculus analysis qual
|
$85.80 |
$85.80 |
$85.80 |
$88.80
|
|
Calprotectin fecal
|
$148.85 |
$148.85 |
$148.85 |
$170.00
|
|
Candida dna
|
$91.00 |
$91.00 |
$91.00 |
$66.05
|
|
Carbamazepine free
|
$133.25 |
$133.25 |
$133.25 |
$66.43
|
|
Carbamazepine total therapeutic drug level
|
$105.30 |
$105.30 |
$105.30 |
$108.81
|
|
Carbohydrate deficient transf - sendout
|
$102.05 |
$102.05 |
$102.05 |
$123.49
|
|
Carbon dioxide
|
$58.50 |
$58.50 |
$58.50 |
$42.00
|
|
Carboplatin 10 mg/ml desensitization
|
$141.98 |
$141.98 |
$141.98 |
$59.36
|
|
Carboprost tromethamine 250 mcg/ml intramuscular solution
|
$423.15 |
$423.15 |
$423.15 |
$334.92
|
|
Carboxyhemoglobin quantitative
|
$125.45 |
$125.45 |
$125.45 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$133.90 |
$133.90 |
$133.90 |
$125.00
|
|
Cardiac MRI w/stress img
|
$2,286.05 |
$2,286.05 |
$2,286.05 |
$1,456.00
|
|
Cardiac perf planar mult/ef/wm
|
$5,094.05 |
$5,094.05 |
$5,094.05 |
$2,334.46
|
|
Cardiac perf planar sgl/ef/wm
|
$3,873.35 |
$3,873.35 |
$3,873.35 |
$1,780.19
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$1,287.65 |
$1,287.65 |
$1,287.65 |
$2,538.00
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$273.65 |
$273.65 |
$273.65 |
$258.10
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$239.85 |
$239.85 |
$239.85 |
$208.00
|
|
Cardiac shunt imaging
|
$1,448.85 |
$1,448.85 |
$1,448.85 |
$860.63
|
|
Cardioassist internal
|
$2,037.75 |
$2,037.75 |
$2,037.75 |
$1,482.00
|
|
Cardiolipin antibody iga
|
$169.00 |
$169.00 |
$169.00 |
$126.14
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$1,955.20 |
$1,955.20 |
$1,955.20 |
$1,461.75
|
|
Cardioversion/elective/internal 92961
|
$1,327.95 |
$1,327.95 |
$1,327.95 |
$1,501.11
|
|
Card MRI veloc flow mapping
|
$1,130.35 |
$1,130.35 |
$1,130.35 |
$490.39
|
|
Caregiver training strategies&tq 1st 30 minutes
|
$77.35 |
$77.35 |
$77.35 |
$131.70
|
|
Caregiver training strategies&tq ea addl 15 min
|
$52.00 |
$52.00 |
$52.00 |
$66.39
|
|
Carfilzomib 10 mg intravenous solution
|
$8,249.18 |
$8,249.18 |
$8,249.18 |
$91.43
|
|
Carotene
|
$264.55 |
$264.55 |
$264.55 |
$66.00
|
|
Carotid Artery Ultrasound (Duplex)
|
$1,093.30 |
$1,093.30 |
$1,093.30 |
$1,037.60
|
|
Car outp meas drg cath chd
|
$209.30 |
$209.30 |
$209.30 |
$528.93
|
|
Carpal Tunnel Release Surgery
|
$8,481.76 |
$8,481.76 |
$8,481.76 |
$3,503.75
|
|
Car seat/bed test 60 minutes
|
$121.55 |
$121.55 |
$121.55 |
$137.65
|
|
Car seat/bed test additional 30 minutes
|
$66.95 |
$66.95 |
$66.95 |
$83.46
|
|
Cataract Surgery
|
$9,399.23 |
$9,399.23 |
$9,399.23 |
$2,715.20
|
|
Cataract surg w/iol 1 stage
|
$14,498.02 |
$14,498.02 |
$14,498.02 |
$4,068.80
|
|
Cath combo lt&rt heart w/inj/s
|
$7,826.00 |
$7,826.00 |
$7,826.00 |
$10,029.00
|
|
Catheterization collection of specimen single patient all places of service
|
$57.20 |
$57.20 |
$57.20 |
$58.50
|
|
Catheter stripping venous
|
$8,390.92 |
$8,390.92 |
$8,390.92 |
$3,414.00
|
|
Cathj umbilical vein dx/ther nb
|
$739.70 |
$739.70 |
$739.70 |
$275.20
|
|
Cath left heart/lv gram
|
$6,303.70 |
$6,303.70 |
$6,303.70 |
$8,923.85
|
|
Cath left heart transseptal punc
|
$4,980.30 |
$4,980.30 |
$4,980.30 |
$6,169.00
|
|
Cath lt/rt pulm art
|
$651.95 |
$651.95 |
$651.95 |
$1,963.80
|
|
Cath place 1st order venous 36011
|
$28,769.25 |
$28,769.25 |
$28,769.25 |
$2,240.12
|
|
Cath place cardio brachytx
|
$4,001.40 |
$4,001.40 |
$4,001.40 |
$4,526.23
|
|
Cath plc art ang/grft lt/rt hr
|
$8,312.85 |
$8,312.85 |
$8,312.85 |
$11,903.70
|
|
Cath plc art/angio/rt hrt cath
|
$7,218.90 |
$7,218.90 |
$7,218.90 |
$11,927.25
|
|
Cath plc art/grft/angio right hrt
|
$15,492.75 |
$15,492.75 |
$15,492.75 |
$11,222.25
|
|
Cath right heart w/o2 sat & card
|
$5,807.10 |
$5,807.10 |
$5,807.10 |
$6,790.00
|
|
Cath right hrt mnpul art
|
$2,457.65 |
$2,457.65 |
$2,457.65 |
$1,417.44
|
|
Cath/saline/contrast/sis/hysteosal 58340
|
$1,411.62 |
$1,411.62 |
$1,411.62 |
$505.90
|
|
Cath segmntl pulm art
|
$19,415.45 |
$19,415.45 |
$19,415.45 |
$1,707.42
|
|
Cath stripping venous s&i
|
$638.30 |
$638.30 |
$638.30 |
$572.69
|
|
Cauterization chemical granulation tissue
|
$343.85 |
$343.85 |
$343.85 |
$374.60
|
|
Cdna analysis for variants
|
$585.00 |
$585.00 |
$585.00 |
$609.80
|
|
Cebpa gene full sequence
|
$506.35 |
$506.35 |
$506.35 |
$484.90
|
|
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr
|
$60.45 |
$60.45 |
$60.45 |
$27.86
|
|
Cefepime 1 gram solution for injection
|
$29.62 |
$29.62 |
$29.62 |
$39.95
|
|
Cefotaxime sodium injection
|
$59.33 |
$59.33 |
$59.33 |
$43.10
|
|
Ceftaroline fosamil 600 mg intravenous solution
|
$705.97 |
$705.97 |
$705.97 |
$660.79
|
|
Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr
|
$72.54 |
$72.54 |
$72.54 |
$46.57
|
|
Ceftazidime and avibactam
|
$1,318.21 |
$1,318.21 |
$1,318.21 |
$824.61
|
|
Ceftriaxone 1 gram solution for injection
|
$60.45 |
$60.45 |
$60.45 |
$51.80
|
|
#celiac hla-dq2
|
$275.60 |
$275.60 |
$275.60 |
$226.87
|
|
Cell count body fluid
|
$117.65 |
$117.65 |
$117.65 |
$56.44
|
|
Cell count w differential body fluid
|
$145.60 |
$145.60 |
$145.60 |
$83.71
|
|
Cell cryopreserve/storage
|
$81.25 |
$81.25 |
$81.25 |
$58.50
|
|
Cell function assay w/stim
|
$268.45 |
$268.45 |
$268.45 |
$369.45
|
|
Cerebrospinal fld flw imag
|
$2,132.65 |
$2,132.65 |
$2,132.65 |
$884.00
|
|
Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit
|
$13,724.74 |
$13,724.74 |
$13,724.74 |
$5,262.00
|
|
Cetuximab 100 mg/50 ml intravenous solution
|
$1,856.61 |
$1,856.61 |
$1,856.61 |
$120.37
|
|
#cf-97variants
|
$367.25 |
$367.25 |
$367.25 |
$748.16
|
|
Cftr gene dup/delet variants
|
$778.05 |
$778.05 |
$778.05 |
$870.40
|
|
Change cystostomy tube; complex 51710
|
$10,417.93 |
$10,417.93 |
$10,417.93 |
$1,368.46
|
|
Change cystostomy tube simple
|
$678.60 |
$678.60 |
$678.60 |
$426.63
|
|
Change g-tube to g-j perc
|
$2,996.64 |
$2,996.64 |
$2,996.64 |
$2,198.40
|
|
Change nephroureteral cath
|
$2,041.00 |
$2,041.00 |
$2,041.00 |
$2,760.00
|
|
Change of ureter tube/stent
|
$2,777.09 |
$2,777.09 |
$2,777.09 |
$2,513.80
|
|
Change of windpipe airway 31502
|
$6,598.15 |
$6,598.15 |
$6,598.15 |
$412.00
|
|
Change ureter stent percut
|
$3,930.55 |
$3,930.55 |
$3,930.55 |
$4,099.50
|
|
Chemo adm cns w/lmbr punct
|
$586.30 |
$586.30 |
$586.30 |
$749.01
|
|
Chemodener muscle larynx emg
|
$958.10 |
$958.10 |
$958.10 |
$674.98
|
|
Chemodenerv 1 extrem 1-4 ea 64643
|
$6,401.39 |
$6,401.39 |
$6,401.39 |
$465.35
|
|
Chemodenerv 1 extrem 5/> ea 64645
|
$7,719.08 |
$7,719.08 |
$7,719.08 |
$463.84
|
|
Chemodenerv 1 extrem 5/> mus 64644
|
$6,413.95 |
$6,413.95 |
$6,413.95 |
$987.55
|
|
Chemodenerv 1 extremity 1-4 64642
|
$3,528.73 |
$3,528.73 |
$3,528.73 |
$970.61
|
|
Chemodenervation/face muscl/unilat 64612
|
$1,701.92 |
$1,701.92 |
$1,701.92 |
$672.49
|
|
Chemodenervation nerve of eye muscle 67345
|
$323.70 |
$323.70 |
$323.70 |
$436.44
|
