|
Bx soft tiss pelvis/hip deep 27041
|
$2,726.09 |
$2,726.09 |
$2,726.09 |
$2,168.40
|
|
Bx spinal cord pq ndl
|
$2,596.29 |
$2,596.29 |
$2,596.29 |
$1,917.33
|
|
Bx thigh/knee soft tiss supf 27323
|
$2,726.09 |
$2,726.09 |
$2,726.09 |
$2,294.00
|
|
Bx thyroid/percutan core needle 60100
|
$1,994.36 |
$1,994.36 |
$1,994.36 |
$963.80
|
|
Bx vag mucos smpl (sep proc)
|
$2,023.38 |
$2,023.38 |
$2,023.38 |
$1,174.00
|
|
Bx vulva or perineum/1 lesion 56605
|
$2,023.38 |
$2,023.38 |
$2,023.38 |
$1,110.40
|
|
Bx vulva or perineum/ea add lesion 56606
|
$403.07 |
$403.07 |
$403.07 |
$461.40
|
|
Bypass temp external fem-fem
|
$20,251.58 |
$20,251.58 |
$20,251.58 |
$1,938.60
|
|
C1 esterase inhibitor func - sendout
|
$43.41 |
$43.41 |
$43.41 |
$96.72
|
|
Cable cath 22-pin diag
|
$1,469.44 |
$1,469.44 |
$1,469.44 |
$4,946.50
|
|
Cable centrimag pressure
|
$9,170.85 |
$9,170.85 |
$9,170.85 |
$9,015.12
|
|
Cabotegravir ER 400 mg/2 ml-rilpivirine ER 600 mg/2ml im suspension,er
|
$71.71 |
$71.71 |
$71.71 |
$13,247.32
|
|
Cacna1a gen detc abnor allel
|
$346.90 |
$346.90 |
$346.90 |
$260.58
|
|
Cacna1a gene full gene seq
|
$1,761.62 |
$1,761.62 |
$1,761.62 |
$846.27
|
|
Cad breast MRI w/r&i
|
$147.03 |
$147.03 |
$147.03 |
$100.80
|
|
Cadd pump refill
|
$50.00 |
$50.00 |
$50.00 |
$386.60
|
|
Calcium 24 hour urine
|
$21.81 |
$21.81 |
$21.81 |
$53.00
|
|
Calcium acetate(phosphate binders) 667 mg tablet
|
$0.02 |
$0.02 |
$0.02 |
$3.00
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$15.75 |
$15.75 |
$15.75 |
$64.49
|
|
Calcium ionized
|
$49.48 |
$49.48 |
$49.48 |
$90.00
|
|
Calcium total
|
$18.67 |
$18.67 |
$18.67 |
$50.00
|
|
Calprotectin fecal
|
$71.06 |
$71.06 |
$71.06 |
$170.00
|
|
Campylobacter antibody
|
$47.49 |
$47.49 |
$47.49 |
$77.83
|
|
Candida dna
|
$72.57 |
$72.57 |
$72.57 |
$61.10
|
|
Cannabinoids synthetic 1-3
|
$65.23 |
$65.23 |
$65.23 |
$57.20
|
|
Cannabinoid synthetic 7/more
|
$42.54 |
$42.54 |
$42.54 |
$78.10
|
|
Cannula ercp contour 5-4-3 tip
|
$6,717.75 |
$6,717.75 |
$6,717.75 |
$44,000.00
|
|
Cantharidin top, applicator
|
$1,352.27 |
$1,352.27 |
$1,352.27 |
$1,113.94
|
|
Canthotomy 67715
|
$5,865.26 |
$5,865.26 |
$5,865.26 |
$3,099.00
|
|
Capsaicin 8% patch
|
$7.03 |
$7.03 |
$7.03 |
$5,668.65
|
|
Cap trach decann 15mm
|
$1,161.89 |
$1,161.89 |
$1,161.89 |
$3,238.70
|
|
Carbamazepine free
|
$47.96 |
$47.96 |
$47.96 |
$60.00
|
|
Carbamazepine free -sendout
|
$49.56 |
$49.56 |
$49.56 |
$49.80
|
|
Carbamazepine total therapeutic drug level
|
$52.71 |
$52.71 |
$52.71 |
$122.85
|
|
Carbohydrate deficient transf - sendout
|
$37.60 |
$37.60 |
$37.60 |
$116.40
|
|
Carbohydrate urine - sendout
|
$15.36 |
$15.36 |
$15.36 |
$66.64
|
|
Carbon dioxide
|
$17.67 |
$17.67 |
$17.67 |
$44.00
|
|
Carboxyhemoglobin quantitative
|
$44.59 |
$44.59 |
$44.59 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$407.82 |
$407.82 |
$407.82 |
$145.20
|
|
Cardiac MRI w/stress img
|
$2,079.66 |
$2,079.66 |
$2,079.66 |
$1,474.98
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$3,133.32 |
$3,133.32 |
$3,133.32 |
$2,917.00
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$365.87 |
$365.87 |
$365.87 |
$249.60
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$365.87 |
$365.87 |
$365.87 |
$204.54
|
|
Cardiolipin antibody iga
|
$92.10 |
$92.10 |
$92.10 |
$107.25
|
|
Cardioversion (Scheduled Heart Rhythm Shock)
|
$1,700.22 |
$1,700.22 |
$1,700.22 |
$1,431.36
|
|
Card MRI veloc flow mapping
|
$148.88 |
$148.88 |
$148.88 |
$633.90
|
|
Caregiver health risk assmt
|
$109.25 |
$109.25 |
$109.25 |
$43.50
|
|
Caregiver training strategies&tq 1st 30 minutes
|
$37.38 |
$37.38 |
$37.38 |
$97.01
|
|
Caregiver training strategies&tq ea addl 15 min
|
$18.64 |
$18.64 |
$18.64 |
$51.52
|
|
Care mgmt svc bhvl hlth cond
|
$109.25 |
$109.25 |
$109.25 |
$55.09
|
|
Carotene
|
$33.39 |
$33.39 |
$33.39 |
$46.20
|
|
Carotid Artery Ultrasound (Duplex)
|
$875.65 |
$875.65 |
$875.65 |
$1,024.32
|
|
Ca screen;flexi sigmoidscope
|
$2,393.41 |
$2,393.41 |
$2,393.41 |
$1,278.72
|
|
Caspofungin acetate
|
$66.28 |
$66.28 |
$66.28 |
$633.91
|
|
Cast sup lng arm splint fbrg
|
$19.93 |
$19.93 |
$19.93 |
$29.40
|
|
Cast sup lng arm splint plst
|
$12.51 |
$12.51 |
$12.51 |
$23.20
|
|
Cast sup lng arm splnt ped f
|
$11.20 |
$11.20 |
$11.20 |
$18.40
|
|
Cast sup lng arm splnt ped p
|
$7.03 |
$7.03 |
$7.03 |
$11.44
|
|
Cast sup lng leg ped fbrgls
|
$58.53 |
$58.53 |
$58.53 |
$87.36
|
|
Cast sup lng leg ped plaster
|
$22.22 |
$22.22 |
$22.22 |
$36.80
|
|
Cast sup lng leg splnt fbrgl
|
$52.52 |
$52.52 |
$52.52 |
$85.60
|
|
Cast sup lng leg splnt ped f
|
$23.45 |
$23.45 |
$23.45 |
$43.16
|
|
Cast sup lng leg splnt ped p
|
$15.40 |
$15.40 |
$15.40 |
$25.60
|
|
Cast sup long arm adult fbrg
|
$44.94 |
$44.94 |
$44.94 |
$58.20
|
|
Cast sup long arm adult plst
|
$17.80 |
$17.80 |
$17.80 |
$32.76
|
|
Cast sup long arm ped fbrgls
|
$22.46 |
$22.46 |
$22.46 |
$36.80
|
|
Cast sup long arm ped plster
|
$9.97 |
$9.97 |
$9.97 |
$15.00
|
|
Cast sup long leg fiberglass
|
$155.43 |
$155.43 |
$155.43 |
$157.80
|
|
Cast sup shrt leg ped fbrgls
|
$31.69 |
$31.69 |
$31.69 |
$52.00
|
|
Cast sup shrt leg ped plster
|
$11.32 |
$11.32 |
$11.32 |
$20.80
|
|
Cast sup shrt leg plaster
|
$35.02 |
$35.02 |
$35.02 |
$41.60
|
|
Cast sup sht arm adult fbrgl
|
$26.74 |
$26.74 |
$26.74 |
$36.00
|
|
Cast sup sht arm adult plstr
|
$11.89 |
$11.89 |
$11.89 |
$22.40
|
|
Cast sup sht arm ped fbrglas
|
$15.01 |
$15.01 |
$15.01 |
$24.96
|
|
Cast sup sht arm ped plaster
|
$6.64 |
$6.64 |
$6.64 |
$11.20
|
|
Cast sup sht arm splint fbrg
|
$16.69 |
$16.69 |
$16.69 |
$26.98
|
|
Cast sup sht arm splint plst
|
$10.37 |
$10.37 |
$10.37 |
$17.16
|
|
Cast sup sht arm splnt ped f
|
$9.37 |
$9.37 |
$9.37 |
$15.60
|
|
Cast sup sht arm splnt ped p
|
$4.65 |
$4.65 |
$4.65 |
$8.80
|
|
Cast sup sht leg splnt fbrgl
|
$38.12 |
$38.12 |
$38.12 |
$40.63
|
|
Cast sup sht leg splnt ped f
|
$12.82 |
$12.82 |
$12.82 |
$23.92
|
|
Cast sup sht leg splnt ped p
|
$8.90 |
$8.90 |
$8.90 |
$14.56
|
|
Cast sup sht leg splnt plstr
|
$17.87 |
$17.87 |
$17.87 |
$29.60
|
|
Cataract Surgery
|
$4,946.91 |
$4,946.91 |
$4,946.91 |
$5,044.00
|
|
Cath 2lum 14.5frx43cm maxid kt mahurkar
|
$871.14 |
$871.14 |
$871.14 |
$830.58
|
|
Cath ablat bi-d d-d 8fr 115cm
|
$3,905.66 |
$3,905.66 |
$3,905.66 |
$6,606.72
|
|
Cath acuity innr ic130 6f 63cm
|
$9,516.00 |
$9,516.00 |
$9,516.00 |
$9,931.73
|
|
Cath acunav ge 10frx90cm
|
$7,279.65 |
$7,279.65 |
$7,279.65 |
$6,475.07
|
|
Cath adherent clot 10mm 6f 10
|
$23,400.00 |
$23,400.00 |
$23,400.00 |
$19,800.55
|
|
Cath baloon occl urnry 34f 7x2x65
|
$6,825.00 |
$6,825.00 |
$6,825.00 |
$6,882.20
|
|
Cath bi-dir df smarttouch
|
$11,252.06 |
$11,252.06 |
$11,252.06 |
$8,461.48
|
|
Cath blazer dx/20 2-10-2 space
|
$4,679.78 |
$4,679.78 |
$4,679.78 |
$4,212.11
|
|
Cath combo lt&rt heart w/inj/s
|
$8,273.02 |
$8,273.02 |
$8,273.02 |
$9,316.35
|
|
Cath cv dl inj 7fx16cm
|
$5,913.40 |
$5,913.40 |
$5,913.40 |
$4,488.99
|
|
Cath del ampltz 12f 45d 80cm
|
$2,053.35 |
$2,053.35 |
$2,053.35 |
$2,393.00
|
|
Catheter declot mechanical
|
$2,535.44 |
$2,535.44 |
$2,535.44 |
$1,929.15
|
|
Catheter insert artery
|
$528.57 |
$528.57 |
$528.57 |
$388.85
|
|
Catheterization collection of specimen single patient all places of service
|
$8.79 |
$8.79 |
$8.79 |
$40.95
|
|
Catheter stripping venous
|
$6,509.50 |
$6,509.50 |
$6,509.50 |
$3,193.94
|
|
Cath groshong MRI 8fr plstc port
|
$1,215.36 |
$1,215.36 |
$1,215.36 |
$1,690.71
|
