|
Calaspargase pegol-mknl 750 unit/ml intravenous solution
|
$66,395.29 |
$66,395.29 |
$66,395.29 |
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$1,820.00 |
$1,950.00 |
$1,956.50 |
|
|
Calcium 24 hour urine
|
$43.50 |
$62.40 |
$118.95 |
|
|
Calcium chloride 100 mg/ml (10 %) intravenous syringe
|
$15.87 |
$19.01 |
$65.71 |
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$16.25 |
$16.28 |
$24.13 |
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$119.39 |
$119.39 |
$128.37 |
|
|
Calcium ionized
|
$50.25 |
$94.25 |
$170.30 |
|
|
Calcium total
|
$21.75 |
$59.80 |
$105.30 |
|
|
Calculi urinary-sendout
|
$107.90 |
$117.00 |
$135.20 |
|
|
Calculus analysis qual
|
$85.80 |
$109.85 |
$118.30 |
|
|
Caloric vstblr test w/rec
|
$313.30 |
$313.30 |
$313.30 |
|
|
Calprotectin fecal
|
$59.15 |
$170.95 |
$416.00 |
|
|
Campylobacter antibody
|
$86.45 |
$86.45 |
$120.25 |
|
|
Canakinumab injection
|
$58,594.50 |
$58,594.50 |
$58,594.50 |
|
|
Candida dna
|
$55.25 |
$59.80 |
$91.00 |
|
|
Canthotomy 67715
|
$746.20 |
$746.20 |
$746.20 |
|
|
Carbamazepine free
|
$78.65 |
$78.65 |
$133.25 |
|
|
Carbamazepine total therapeutic drug level
|
$43.50 |
$134.55 |
$275.60 |
|
|
Carbohydrate deficient transf - sendout
|
$91.65 |
$101.40 |
$162.50 |
|
|
Carbohydrate urine - sendout
|
$57.75 |
$57.75 |
$57.75 |
|
|
Carbon dioxide
|
$31.85 |
$54.60 |
$78.65 |
|
|
Carboplatin 10 mg/ml desensitization
|
$103.93 |
$141.69 |
$179.77 |
|
|
Carboprost tromethamine 250 mcg/ml intramuscular solution
|
$105.79 |
$423.15 |
$591.50 |
|
|
Carboxyhemoglobin quantitative
|
$30.75 |
$107.25 |
$181.35 |
|
|
Carcinoembryonic ag (cea)
|
$52.50 |
$146.90 |
$204.10 |
|
|
Cardiac MRI w/stress img
|
$2,286.05 |
$2,286.05 |
$2,286.05 |
|
|
Cardiac perf planar mult/ef/wm
|
$5,094.05 |
$5,094.05 |
$5,094.05 |
|
|
Cardiac perf planar sgl/ef/wm
|
$1,680.25 |
$1,680.25 |
$3,873.35 |
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$451.10 |
$1,350.70 |
$2,185.95 |
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$153.40 |
$208.65 |
$303.55 |
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$53.30 |
$140.40 |
$303.55 |
|
|
Cardiac shunt imaging
|
$1,448.85 |
$1,448.85 |
$1,448.85 |
|
|
Cardiac Stress Test
|
$157.50 |
$157.50 |
$157.50 |
|
|
Cardioassist internal
|
$2,037.75 |
$2,037.75 |
$2,037.75 |
|
|
Cardiolipin antibody iga
|
$105.30 |
$132.60 |
$170.95 |
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$190.50 |
$1,222.65 |
$2,006.55 |
|
|
Cardioversion/elective/internal 92961
|
$1,327.95 |
$1,327.95 |
$1,327.95 |
|
|
Card MRI veloc flow mapping
|
$1,130.35 |
$1,130.35 |
$1,130.35 |
|
|
Caregiver training strategies&tq 1st 30 minutes
|
$77.35 |
$77.35 |
$77.35 |
|
|
Caregiver training strategies&tq ea addl 15 min
|
$52.00 |
$52.00 |
$52.00 |
|
|
Carfilzomib 10 mg intravenous solution
|
$6,158.09 |
$8,249.18 |
$9,896.81 |
|
|
Carotene
|
$35.10 |
$111.80 |
$264.55 |
|
|
Carotid Artery Ultrasound (Duplex)
|
$36.75 |
$813.80 |
$1,204.45 |
|
|
Car outp meas drg cath chd
|
$209.30 |
$209.30 |
$209.30 |
|
|
Carpal Tunnel Release Surgery
|
$912.75 |
$5,927.86 |
$12,735.84 |
|
|
Car seat/bed test 60 minutes
|
$94.25 |
$94.90 |
$160.55 |
|
|
Car seat/bed test additional 30 minutes
|
$52.65 |
$52.65 |
$66.95 |
|
|
Ca screen;flexi sigmoidscope
|
$342.55 |
$342.55 |
$342.55 |
|
|
Cataract Surgery
|
$4,897.75 |
$6,900.39 |
$9,399.23 |
|
|
Cataract surg w/iol 1 stage
|
$14,498.02 |
$14,498.02 |
$14,498.02 |
|
|
Cath combo lt&rt heart w/inj/s
|
$7,826.00 |
$7,826.00 |
$13,191.10 |
|
|
Catheterization collection of specimen single patient all places of service
|
$57.20 |
$63.05 |
$105.30 |
|
|
Catheter stripping venous
|
$7,419.88 |
$7,419.88 |
$8,390.92 |
|
|
Cathj umbilical vein dx/ther nb
|
$739.70 |
$739.70 |
$739.70 |
|
|
Cath left heart/lv gram
|
$6,303.70 |
$6,303.70 |
$8,923.85 |
|
|
Cath left heart transseptal punc
|
$4,980.30 |
$4,980.30 |
$4,980.30 |
|
|
Cath lt/rt pulm art
|
$651.95 |
$651.95 |
$651.95 |
|
|
Cath place 1st order venous 36011
|
$10,858.01 |
$10,858.01 |
$28,769.25 |
|
|
Cath place cardio brachytx
|
$4,001.40 |
$4,001.40 |
$4,001.40 |
|
|
Cath plc art ang/grft lt/rt hr
|
$8,312.85 |
$8,312.85 |
$19,136.00 |
|
|
Cath plc art/angio/rt hrt cath
|
$7,218.90 |
$7,218.90 |
$13,044.20 |
|
|
Cath plc art/grft/angio right hrt
|
$15,398.50 |
$15,398.50 |
$15,492.75 |
|
|
Cath right heart w/o2 sat & card
|
$3,877.25 |
$3,877.25 |
$5,807.10 |
|
|
Cath right hrt mnpul art
|
$2,457.65 |
$2,457.65 |
$2,457.65 |
|
|
Cath/saline/contrast/sis/hysteosal 58340
|
$1,411.62 |
$1,411.62 |
$1,411.62 |
|
|
Cath segmntl pulm art
|
$19,415.45 |
$19,415.45 |
$19,415.45 |
|
|
Cath stripping venous s&i
|
$351.65 |
$351.65 |
$638.30 |
|
|
Cauterization chemical granulation tissue
|
$29.90 |
$84.75 |
$343.85 |
|
|
#cbg+cort-cbg
|
$102.05 |
$102.05 |
$102.05 |
|
|
Cdna analysis for variants
|
$529.10 |
$585.00 |
$607.75 |
|
|
Cebpa gene full sequence
|
$443.30 |
$458.90 |
$506.35 |
|
|
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr
|
$8.25 |
$19.01 |
$60.45 |
|
|
Cefepime 1 gram solution for injection
|
$29.62 |
$31.85 |
$41.40 |
|
|
Cefotaxime sodium injection
|
$59.33 |
$59.33 |
$59.33 |
|
|
Cefoxitin 1 gram intravenous solution
|
$18.13 |
$25.35 |
$45.37 |
|
|
Ceftaroline fosamil 600 mg intravenous solution
|
$705.97 |
$817.08 |
$878.59 |
|
|
Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr
|
$21.97 |
$33.25 |
$72.54 |
|
|
Ceftazidime and avibactam
|
$921.34 |
$1,318.21 |
$1,417.44 |
|
|
Ceftriaxone 1 gram solution for injection
|
$3.00 |
$9.41 |
$60.45 |
|
|
Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr
|
$8.84 |
$17.63 |
$38.25 |
|
|
#celiac hla-dq2
|
$217.75 |
$265.85 |
$275.60 |
|
|
Cell count body fluid
|
$27.00 |
$71.50 |
$117.65 |
|
|
Cell count w differential body fluid
|
$40.30 |
$81.25 |
$145.60 |
|
|
Cell cryopreserve/storage
|
$79.95 |
$81.25 |
$89.05 |
|
|
Cell function assay w/stim
|
$230.75 |
$268.45 |
$372.45 |
|
|
Cell marker study
|
$206.05 |
$206.05 |
$206.05 |
|
|
Cemiplimab-rwlc 50 mg/ml intravenous solution
|
$18,426.61 |
$27,636.02 |
$29,624.60 |
|
|
Cerebrospinal fld flw imag
|
$2,132.65 |
$2,132.65 |
$2,132.65 |
|
|
Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit
|
$12,987.71 |
$13,724.74 |
$16,467.48 |
|
|
Cervical or vaginal cancer screening g0101
|
$93.75 |
$93.75 |
$93.75 |
|
|
Cetuximab 100 mg/50 ml intravenous solution
|
$1,856.61 |
$1,856.61 |
$4,444.29 |
|
|
#cf-97variants
|
$339.30 |
$455.00 |
$597.75 |
|
|
Cftr gene dup/delet variants
|
$539.50 |
$750.75 |
$778.05 |
|
|
Change cystostomy tube; complex 51710
|
$10,417.93 |
$10,417.93 |
$10,417.93 |
|
|
Change cystostomy tube simple
|
$204.10 |
$282.10 |
$16,890.06 |
|
|
Change g-tube to g-j perc
|
$2,996.64 |
$2,996.64 |
$2,996.64 |
|
|
Change nephroureteral cath
|
$2,041.00 |
$2,041.00 |
$2,041.00 |
|
|
Change of ureter tube/stent
|
$2,777.09 |
$2,777.09 |
$7,865.65 |
|
|
Change of windpipe airway 31502
|
$217.10 |
$217.10 |
$6,598.15 |
|
|
Change ureter stent percut
|
$3,930.55 |
$3,930.55 |
$3,930.55 |
|
