|
Calcium ionized
|
$61.10 |
$61.10 |
$61.10 |
$90.00
|
|
Calcium total
|
$23.40 |
$23.40 |
$23.40 |
$50.00
|
|
Caloric vstblr test w/rec
|
$406.90 |
$406.90 |
$406.90 |
$315.28
|
|
Calprotectin fecal
|
$87.75 |
$87.75 |
$87.75 |
$170.00
|
|
Cam cervix uteri drg colp
|
$210.60 |
$210.60 |
$210.60 |
$515.20
|
|
Campylobacter antibody
|
$59.15 |
$59.15 |
$59.15 |
$77.83
|
|
Canakinumab injection
|
$50,039.38 |
$50,039.38 |
$50,039.38 |
$35,959.82
|
|
Candida dna
|
$89.70 |
$89.70 |
$89.70 |
$61.10
|
|
Candida skin test
|
$109.85 |
$109.85 |
$109.85 |
$62.05
|
|
Canthotomy 67715
|
$6,975.80 |
$6,975.80 |
$6,975.80 |
$3,099.00
|
|
Capecitabine, oral, 50 mg
|
$50.86 |
$50.86 |
$50.86 |
$59.42
|
|
Capsaicin 8% patch
|
$5,668.65 |
$5,668.65 |
$5,668.65 |
$5,668.65
|
|
Capsular contracture release
|
$2,433.60 |
$2,433.60 |
$2,433.60 |
$3,839.54
|
|
Capsulectomy/capsulotomy hip
|
$3,738.80 |
$3,738.80 |
$3,738.80 |
$3,738.80
|
|
Capsulotomy mpj ea joint (sep proc)
|
$1,281.80 |
$1,281.80 |
$1,281.80 |
$3,594.44
|
|
Carbamazepine free
|
$59.15 |
$59.15 |
$59.15 |
$60.00
|
|
Carbamazepine free -sendout
|
$83.85 |
$83.85 |
$83.85 |
$49.80
|
|
Carbamazepine total therapeutic drug level
|
$65.65 |
$65.65 |
$65.65 |
$122.85
|
|
Carbohydrate deficient transf - sendout
|
$81.25 |
$81.25 |
$81.25 |
$116.40
|
|
Carbohydrate urine - sendout
|
$24.70 |
$24.70 |
$24.70 |
$66.64
|
|
Carbon dioxide
|
$22.10 |
$22.10 |
$22.10 |
$44.00
|
|
Carboplatin 10 mg/ml desensitization
|
$8.37 |
$8.37 |
$8.37 |
$196.00
|
|
Carboprost tromethamine 250 mcg/ml intramuscular solution
|
$746.44 |
$746.44 |
$746.44 |
$455.11
|
|
Carboxyhemoglobin quantitative
|
$55.25 |
$55.25 |
$55.25 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$85.15 |
$85.15 |
$85.15 |
$145.20
|
|
Cardiac MRI w/stress img
|
$2,458.95 |
$2,458.95 |
$2,458.95 |
$1,474.98
|
|
Cardiac perf planar mult/ef/wm
|
$348.40 |
$348.40 |
$348.40 |
$2,902.20
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$5,855.20 |
$5,855.20 |
$5,855.20 |
$2,917.00
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$470.60 |
$470.60 |
$470.60 |
$249.60
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$470.60 |
$470.60 |
$470.60 |
$204.54
|
|
Cardiac shunt imaging
|
$2,005.25 |
$2,005.25 |
$2,005.25 |
$1,200.00
|
|
Cardiac Stress Test
|
$214.50 |
$214.50 |
$214.50 |
$214.50
|
|
Cardiolipin antibody iga
|
$114.40 |
$114.40 |
$114.40 |
$107.25
|
|
Cardioversion/elective/internal 92961
|
$2,445.95 |
$2,445.95 |
$2,445.95 |
$1,158.00
|
|
Cardioversion (Scheduled Heart Rhythm Shock)
|
$2,445.95 |
$2,445.95 |
$2,445.95 |
$1,431.36
|
|
Card MRI veloc flow mapping
|
$439.40 |
$439.40 |
$439.40 |
$633.90
|
|
Caregiver health risk assmt
|
$57.85 |
$57.85 |
$57.85 |
$43.50
|
|
Caregiver training strategies&tq 1st 30 minutes
|
$576.55 |
$576.55 |
$576.55 |
$97.01
|
|
Caregiver training strategies&tq ea addl 15 min
|
$576.55 |
$576.55 |
$576.55 |
$51.52
|
|
Care mgmt svc bhvl hlth cond
|
$241.80 |
$241.80 |
$241.80 |
$55.09
|
|
Carfilzomib 10 mg intravenous solution
|
$11,036.04 |
$11,036.04 |
$11,036.04 |
$6,306.47
|
|
Carmustine 100 mg intravenous powder for solution
|
$12,264.04 |
$12,264.04 |
$12,264.04 |
$1,854.00
|
|
Carotene
|
$41.60 |
$41.60 |
$41.60 |
$46.20
|
|
Carotid Artery Ultrasound (Duplex)
|
$1,132.30 |
$1,132.30 |
$1,132.30 |
$1,024.32
|
|
Car outp meas drg cath chd
|
$412.10 |
$412.10 |
$412.10 |
$482.30
|
|
Carpal Tunnel Release Surgery
|
$1,292.20 |
$1,292.20 |
$1,292.20 |
$3,867.50
|
|
Car seat/bed test 60 minutes
|
$117.65 |
$117.65 |
$117.65 |
$111.15
|
|
Car seat/bed test additional 30 minutes
|
$91.65 |
$91.65 |
$91.65 |
$65.00
|
|
Car-t admn autologous
|
$858.00 |
$858.00 |
$858.00 |
$722.40
|
|
Car-t therapy hrvg bld-drv t lymphcyt pr day
|
$555.10 |
$555.10 |
$555.10 |
$3,685.48
|
|
Car-t therapy prepj bld-drv t lymphcyt f/trns
|
$226.20 |
$226.20 |
$226.20 |
$1,296.10
|
|
Car-t therapy receipt & prepj car-t cells f/admn
|
$228.80 |
$228.80 |
$228.80 |
$2,840.75
|
|
Ca screen;flexi sigmoidscope
|
$240.50 |
$240.50 |
$240.50 |
$1,278.72
|
|
Caspofungin acetate
|
$788.58 |
$788.58 |
$788.58 |
$633.91
|
|
Cast sup lng arm splint fbrg
|
$33.80 |
$33.80 |
$33.80 |
$29.40
|
|
Cast sup lng arm splint plst
|
$50.05 |
$50.05 |
$50.05 |
$23.20
|
|
Cast sup lng arm splnt ped f
|
$35.75 |
$35.75 |
$35.75 |
$18.40
|
|
Cast sup lng arm splnt ped p
|
$6.11 |
$6.11 |
$6.11 |
$11.44
|
|
Cast sup lng leg ped fbrgls
|
$35.75 |
$35.75 |
$35.75 |
$87.36
|
|
Cast sup lng leg splnt fbrgl
|
$33.80 |
$33.80 |
$33.80 |
$85.60
|
|
Cast sup lng leg splnt ped f
|
$35.75 |
$35.75 |
$35.75 |
$43.16
|
|
Cast sup lng leg splnt ped p
|
$28.60 |
$28.60 |
$28.60 |
$25.60
|
|
Cast sup long arm adult fbrg
|
$33.80 |
$33.80 |
$33.80 |
$58.20
|
|
Cast sup long arm adult plst
|
$17.34 |
$17.34 |
$17.34 |
$32.76
|
|
Cast sup long arm ped fbrgls
|
$33.80 |
$33.80 |
$33.80 |
$36.80
|
|
Cast sup long arm ped plster
|
$8.67 |
$8.67 |
$8.67 |
$15.00
|
|
Cast sup long leg fiberglass
|
$61.10 |
$61.10 |
$61.10 |
$157.80
|
|
Cast sup shrt leg ped fbrgls
|
$30.55 |
$30.55 |
$30.55 |
$52.00
|
|
Cast sup sht arm adult fbrgl
|
$30.55 |
$30.55 |
$30.55 |
$36.00
|
|
Cast sup sht arm adult plstr
|
$53.95 |
$53.95 |
$53.95 |
$22.40
|
|
Cast sup sht arm ped fbrglas
|
$30.55 |
$30.55 |
$30.55 |
$24.96
|
|
Cast sup sht arm ped plaster
|
$18.85 |
$18.85 |
$18.85 |
$11.20
|
|
Cast sup sht arm splint fbrg
|
$30.55 |
$30.55 |
$30.55 |
$26.98
|
|
Cast sup sht arm splint plst
|
$18.85 |
$18.85 |
$18.85 |
$17.16
|
|
Cast sup sht arm splnt ped f
|
$29.90 |
$29.90 |
$29.90 |
$15.60
|
|
Cast sup sht arm splnt ped p
|
$4.54 |
$4.54 |
$4.54 |
$8.80
|
|
Cast sup sht leg splnt fbrgl
|
$30.55 |
$30.55 |
$30.55 |
$40.63
|
|
Cast sup sht leg splnt ped f
|
$30.55 |
$30.55 |
$30.55 |
$23.92
|
|
Cast sup sht leg splnt ped p
|
$4.55 |
$4.55 |
$4.55 |
$14.56
|
|
Cast sup sht leg splnt plstr
|
$55.25 |
$55.25 |
$55.25 |
$29.60
|
|
Cataract Surgery
|
$2,102.10 |
$2,102.10 |
$2,102.10 |
$5,044.00
|
|
Cath ablt rx lasr 2.0mm turbo
|
$6,849.05 |
$6,849.05 |
$6,849.05 |
$6,540.75
|
|
Cath acuity innr ic130 6f 63cm
|
$8,479.25 |
$8,479.25 |
$8,479.25 |
$9,931.73
|
|
Cath acunav ge 10frx90cm
|
$11,306.10 |
$11,306.10 |
$11,306.10 |
$6,475.07
|
|
Cath adherent clot 10mm 6f 10
|
$4,602.65 |
$4,602.65 |
$4,602.65 |
$19,800.55
|
|
Cath baloon occl urnry 34f 7x2x65
|
$4,353.70 |
$4,353.70 |
$4,353.70 |
$6,882.20
|
|
Cath bi-dir df smarttouch
|
$11,245.00 |
$11,245.00 |
$11,245.00 |
$8,461.48
|
|
Cath combo lt&rt heart w/inj/s
|
$13,734.50 |
$13,734.50 |
$13,734.50 |
$9,316.35
|
|
Cath cv dl inj 7fx16cm
|
$8,890.70 |
$8,890.70 |
$8,890.70 |
$4,488.99
|
|
Catheter declot mechanical
|
$5,805.80 |
$5,805.80 |
$5,805.80 |
$1,929.15
|
|
Catheter insert artery
|
$967.85 |
$967.85 |
$967.85 |
$388.85
|
|
Catheterization collection of specimen single patient all places of service
|
$40.95 |
$40.95 |
$40.95 |
$40.95
|
|
Catheter stripping venous
|
$11,763.70 |
$11,763.70 |
$11,763.70 |
$3,193.94
|
|
Cath groshong MRI 8fr plstc port
|
$943.15 |
$943.15 |
$943.15 |
$1,690.71
|
|
Cath imag ivus pv 8.5fx90 .035
|
$4,160.00 |
$4,160.00 |
$4,160.00 |
$4,680.00
|
|
Cathj rmvl dev ischmc rmdlg
|
$727.35 |
$727.35 |
$727.35 |
$599.20
|
|
Cathj umbilical vein dx/ther nb
|
$283.40 |
$283.40 |
$283.40 |
$246.00
|
|
Cath left heart/lv gram
|
$12,021.10 |
$12,021.10 |
$12,021.10 |
$8,035.50
|
|
Cath left heart transseptal punc
|
$6,170.45 |
$6,170.45 |
$6,170.45 |
$5,921.76
|
|
Cath lt/rt pulm art
|
$1,803.75 |
$1,803.75 |
$1,803.75 |
$1,273.15
|
