|
Bx/exc xdrl spine lesn crvl
|
$1,122.00 |
$1,122.00 |
$1,122.00 |
$3,948.78
|
|
Bx/exc xdrl spine lesn lmbr
|
$975.04 |
$975.04 |
$975.04 |
$2,420.41
|
|
Bx/exc xdrl spine lesn scrl
|
$997.70 |
$997.70 |
$997.70 |
$3,737.60
|
|
Bx/exc xdrl spine lesn thrc
|
$1,114.74 |
$1,114.74 |
$1,114.74 |
$3,923.70
|
|
Bx leg/ankle soft tissue deep 27614
|
$257.18 |
$257.18 |
$257.18 |
$3,338.50
|
|
Bx liver with other
|
$2,843.88 |
$2,843.88 |
$2,843.88 |
$601.53
|
|
Bx muscle
|
$59.18 |
$59.18 |
$59.18 |
$2,653.97
|
|
Bx nasopharynx/unknown pri lesion 42806
|
$87.12 |
$87.12 |
$87.12 |
$3,213.60
|
|
Bx of breast open 19101
|
$138.60 |
$138.60 |
$138.60 |
$4,531.42
|
|
Bx of cervix w/scope leep 57460
|
$98.78 |
$98.78 |
$98.78 |
$4,010.04
|
|
Bx pancreas pq ndl
|
$3,791.58 |
$3,791.58 |
$3,791.58 |
$1,620.48
|
|
Bx pleura pq ndl
|
$3,791.58 |
$3,791.58 |
$3,791.58 |
$1,608.00
|
|
Bx prst8 ndl sat sampling
|
$232.98 |
$232.98 |
$232.98 |
$4,350.00
|
|
Bx shoulder tissues deep 23066
|
$232.32 |
$232.32 |
$232.32 |
$3,265.60
|
|
Bx shoulder tissues supf 23065
|
$98.56 |
$98.56 |
$98.56 |
$2,040.00
|
|
Bx skin incisnl ea sep/add l les
|
$1,074.06 |
$1,074.06 |
$1,074.06 |
$257.37
|
|
Bx skin punch ea sep/ addl les
|
$701.22 |
$701.22 |
$701.22 |
$230.75
|
|
Bx skin tangential ea sep/ addl les
|
$348.66 |
$348.66 |
$348.66 |
$206.55
|
|
Bx/soft tis/forearm/wrist/superfic 25065
|
$97.46 |
$97.46 |
$97.46 |
$1,917.33
|
|
Bx soft tiss pelvis+hip area supf 27040
|
$3,791.58 |
$3,791.58 |
$3,791.58 |
$1,917.33
|
|
Bx soft tiss pelvis/hip deep 27041
|
$3,791.58 |
$3,791.58 |
$3,791.58 |
$2,168.40
|
|
Bx soft tissue back/flank deep 21925
|
$235.84 |
$235.84 |
$235.84 |
$2,814.35
|
|
Bx soft tissue back/flank supf 21920
|
$95.70 |
$95.70 |
$95.70 |
$1,917.33
|
|
Bx spinal cord pq ndl
|
$159.94 |
$159.94 |
$159.94 |
$1,917.33
|
|
Bx thigh/knee soft tiss supf 27323
|
$108.68 |
$108.68 |
$108.68 |
$2,271.01
|
|
Bx thyroid/percutan core needle 60100
|
$1,646.58 |
$1,646.58 |
$1,646.58 |
$964.62
|
|
Bx vag mucos smpl (sep proc)
|
$40.48 |
$40.48 |
$40.48 |
$1,174.00
|
|
Bx vulva or perineum/1 lesion 56605
|
$36.52 |
$36.52 |
$36.52 |
$1,117.94
|
|
Bx vulva or perineum/ea add lesion 56606
|
$17.82 |
$17.82 |
$17.82 |
$461.40
|
|
Bypass graft/av fist patency
|
$97.24 |
$97.24 |
$97.24 |
$868.40
|
|
Bypass graft patency/patch
|
$119.90 |
$119.90 |
$119.90 |
$1,050.40
|
|
Bypass temp external fem-fem
|
$1,446.90 |
$1,446.90 |
$1,446.90 |
$1,917.17
|
|
C1 esterase inhibitor func - sendout
|
$63.18 |
$63.18 |
$63.18 |
$96.72
|
|
Cabg 2 arterial grafts 33534
|
$1,337.38 |
$1,337.38 |
$1,337.38 |
$5,366.40
|
|
Cabg 3 arterial grafts 33535
|
$1,486.10 |
$1,486.10 |
$1,486.10 |
$5,984.80
|
|
Cabg arterial four or more 33536
|
$1,601.16 |
$1,601.16 |
$1,601.16 |
$6,450.40
|
|
Cabgsingle artery graft 33533
|
$1,138.28 |
$1,138.28 |
$1,138.28 |
$4,567.20
|
|
Cabgsingle coronary venous graft 33510
|
$1,175.02 |
$1,175.02 |
$1,175.02 |
$4,723.20
|
|
Cabg/valve reop >1 mo p org proced 33530
|
$317.02 |
$317.02 |
$317.02 |
$1,285.60
|
|
Cabg vein five
|
$1,580.04 |
$1,580.04 |
$1,580.04 |
$6,372.80
|
|
Cabg/vein only/2 cor venous gfts 33511
|
$1,290.74 |
$1,290.74 |
$1,290.74 |
$5,184.00
|
|
Cabg/vein only/3 cor venous gfts 33512
|
$1,468.94 |
$1,468.94 |
$1,468.94 |
$5,904.80
|
|
Cabg/vein only/4 cor venous gfts 33513
|
$1,501.28 |
$1,501.28 |
$1,501.28 |
$6,062.40
|
|
Cabg vein six or more
|
$1,635.48 |
$1,635.48 |
$1,635.48 |
$22,966.40
|
|
Cabg venous & art 1 vein graft 33517
|
$113.08 |
$113.08 |
$113.08 |
$365.40
|
|
Cabg venous & art 2 vein graft 33518
|
$248.82 |
$248.82 |
$248.82 |
$1,324.00
|
|
Cabg venous & art 3 vein graft 33519
|
$328.46 |
$328.46 |
$328.46 |
$1,061.40
|
|
Cabg venous & art 4 vein graft 33521
|
$394.24 |
$394.24 |
$394.24 |
$1,841.60
|
|
Cabg venous & art 5 vein graft 33522
|
$442.86 |
$442.86 |
$442.86 |
$1,918.40
|
|
Cabg venous & art 6 vein graft 33523
|
$498.74 |
$498.74 |
$498.74 |
$1,642.20
|
|
Cacna1a gen detc abnor allel
|
$90.64 |
$90.64 |
$90.64 |
$260.58
|
|
Cacna1a gene full gene seq
|
$558.36 |
$558.36 |
$558.36 |
$846.27
|
|
Cacna1a gen known famil vrnt
|
$122.32 |
$122.32 |
$122.32 |
$304.59
|
|
Caffeine citrate 20 mg/ml inj for po
|
$26.95 |
$26.95 |
$26.95 |
$46.00
|
|
Calcitonin stimul panel
|
$53.24 |
$53.24 |
$53.24 |
$110.91
|
|
Calcium 24 hour urine
|
$31.98 |
$31.98 |
$31.98 |
$53.00
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$7.72 |
$7.72 |
$7.72 |
$64.49
|
|
Calcium infusion test
|
$8.80 |
$8.80 |
$8.80 |
$18.41
|
|
Calcium ionized
|
$71.76 |
$71.76 |
$71.76 |
$90.00
|
|
Calcium total
|
$27.30 |
$27.30 |
$27.30 |
$50.00
|
|
Calculi urinary-sendout
|
$8.36 |
$8.36 |
$8.36 |
$66.00
|
|
Calculus analysis qual
|
$7.48 |
$7.48 |
$7.48 |
$74.73
|
|
Caloric vstblr test w/rec
|
$9.68 |
$9.68 |
$9.68 |
$315.28
|
|
Calprotectin fecal
|
$103.74 |
$103.74 |
$103.74 |
$170.00
|
|
Cam cervix uteri drg colp
|
$26.40 |
$26.40 |
$26.40 |
$515.20
|
|
Campylobacter antibody
|
$8.80 |
$8.80 |
$8.80 |
$77.83
|
|
Candida dna
|
$105.30 |
$105.30 |
$105.30 |
$61.80
|
|
Candida dna quant
|
$36.96 |
$36.96 |
$36.96 |
$76.92
|
|
Cannula declotting 36861
|
$84.48 |
$84.48 |
$84.48 |
$5,741.00
|
|
Canthotomy 67715
|
$5,459.22 |
$5,459.22 |
$5,459.22 |
$3,131.60
|
|
Cap nerve 2x15mm
|
$288.29 |
$288.29 |
$288.29 |
$18,466.88
|
|
Capsular contracture release
|
$432.08 |
$432.08 |
$432.08 |
$3,839.54
|
|
Capsulectomy/capsulotomy hip
|
$633.38 |
$633.38 |
$633.38 |
$3,738.80
|
|
Capsulotomy; interphalangeal joint, each joint (separate proc)
|
$156.64 |
$156.64 |
$156.64 |
$2,211.05
|
|
Capsulotomy mpj ea joint (sep proc)
|
$209.00 |
$209.00 |
$209.00 |
$3,594.44
|
|
Carbamazepine free
|
$8.80 |
$8.80 |
$8.80 |
$60.45
|
|
Carbamazepine free -sendout
|
$98.28 |
$98.28 |
$98.28 |
$49.80
|
|
Carbamazepine total therapeutic drug level
|
$76.44 |
$76.44 |
$76.44 |
$122.85
|
|
Carbohydrate deficient transf - sendout
|
$11.88 |
$11.88 |
$11.88 |
$116.40
|
|
Carbohydrate urine - sendout
|
$3.52 |
$3.52 |
$3.52 |
$66.64
|
|
Carbon dioxide
|
$25.74 |
$25.74 |
$25.74 |
$43.20
|
|
Carboxyhemoglobin quantitative
|
$64.74 |
$64.74 |
$64.74 |
$84.73
|
|
Car-car bp grft/endovas taa
|
$582.78 |
$582.78 |
$582.78 |
$4,699.20
|
|
Carcinoembryonic ag (cea)
|
$99.84 |
$99.84 |
$99.84 |
$144.75
|
|
Cardiac drug stress test
|
$33.66 |
$33.66 |
$33.66 |
$558.56
|
|
Cardiac MRI w/stress img
|
$84.04 |
$84.04 |
$84.04 |
$1,474.98
|
|
Cardiac perf planar mult/ef/wm
|
$38.94 |
$38.94 |
$38.94 |
$2,902.20
|
|
Cardiac perf planar sgl/ef/wm
|
$28.38 |
$28.38 |
$28.38 |
$2,130.60
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$2,673.06 |
$2,673.06 |
$2,673.06 |
$2,917.00
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$294.84 |
$294.84 |
$294.84 |
$250.00
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$294.84 |
$294.84 |
$294.84 |
$204.54
|
|
Cardiac shunt imaging
|
$22.22 |
$22.22 |
$22.22 |
$1,208.55
|
|
Cardiac Stress Test
|
$44.22 |
$44.22 |
$44.22 |
$214.50
|
|
Cardioassist external
|
$60.50 |
$60.50 |
$60.50 |
$397.60
|
|
Cardioassist internal
|
$113.96 |
$113.96 |
$113.96 |
$931.11
|
|
Cardiokymography
|
$5.06 |
$5.06 |
$5.06 |
$43.44
|
|
Cardiolipin antibody iga
|
$134.16 |
$134.16 |
$134.16 |
$107.25
|
|
Cardioversion/elective/internal 92961
|
$147.40 |
$147.40 |
$147.40 |
$1,158.00
|
|
Cardioversion (Scheduled Heart Rhythm Shock)
|
$1,531.92 |
$1,531.92 |
$1,531.92 |
$1,431.36
|
|
Card MRI veloc flow mapping
|
$7.26 |
$7.26 |
$7.26 |
$642.45
|
