|
Bx vag mucos smpl (sep proc)
|
$1,221.60 |
$1,221.60 |
$1,221.60 |
$1,059.00
|
|
Bx vulva or perineum/1 lesion 56605
|
$18,191.06 |
$18,191.06 |
$18,191.06 |
$1,127.00
|
|
Bypass temp external fem-fem
|
$37,203.57 |
$37,203.57 |
$37,203.57 |
$1,806.00
|
|
C-1 esterase, berinert
|
$68,431.20 |
$68,431.20 |
$68,431.20 |
$7,466.16
|
|
C1 esterase inhibitor func - sendout
|
$121.20 |
$121.20 |
$121.20 |
$96.72
|
|
Cabazitaxel 10 mg/ml (first dilution) intravenous solution
|
$82,780.98 |
$82,780.98 |
$82,780.98 |
$27,723.08
|
|
Cable cath 22-pin diag
|
$41,488.21 |
$41,488.21 |
$41,488.21 |
$4,946.50
|
|
Cable centrimag pressure
|
$1,059.93 |
$1,059.93 |
$1,059.93 |
$7,858.62
|
|
Cabotegravir ER 400 mg/2 ml-rilpivirine ER 600 mg/2ml im suspension,er
|
$61,378.32 |
$61,378.32 |
$61,378.32 |
$12,338.18
|
|
Cacna1a gen detc abnor allel
|
$132.60 |
$132.60 |
$132.60 |
$189.06
|
|
Cacna1a gene full gene seq
|
$777.60 |
$777.60 |
$777.60 |
$846.27
|
|
Cadd pump refill
|
$1,205.40 |
$1,205.40 |
$1,205.40 |
$360.00
|
|
Caffeine citrate 20 mg/ml inj for po
|
$345.60 |
$345.60 |
$345.60 |
$47.78
|
|
Calaspargase pegol-mknl 750 unit/ml intravenous solution
|
$87,108.42 |
$87,108.42 |
$87,108.42 |
$48,025.40
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$4,020.00 |
$4,020.00 |
$4,020.00 |
$2,111.64
|
|
Calcium 24 hour urine
|
$171.00 |
$171.00 |
$171.00 |
$53.00
|
|
Calcium acetate(phosphate binders) 667 mg tablet
|
$6.72 |
$6.72 |
$6.72 |
$2.70
|
|
Calcium chloride 100 mg/ml (10 %) intravenous syringe
|
$183.84 |
$183.84 |
$183.84 |
$45.49
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$90.90 |
$90.90 |
$90.90 |
$64.49
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$718.14 |
$718.14 |
$718.14 |
$91.60
|
|
Calcium ionized
|
$211.80 |
$211.80 |
$211.80 |
$90.00
|
|
Calcium total
|
$146.40 |
$146.40 |
$146.40 |
$50.00
|
|
Calculi urinary-sendout
|
$115.20 |
$115.20 |
$115.20 |
$68.05
|
|
Calprotectin fecal
|
$196.20 |
$196.20 |
$196.20 |
$169.95
|
|
Campylobacter antibody
|
$109.20 |
$109.20 |
$109.20 |
$77.83
|
|
Canakinumab injection
|
$64,153.08 |
$64,153.08 |
$64,153.08 |
$35,959.82
|
|
Candida dna
|
$57.00 |
$57.00 |
$57.00 |
$62.50
|
|
Cannula ercp contour 5-4-3 tip
|
$150,987.00 |
$150,987.00 |
$150,987.00 |
$34,218.66
|
|
Canthotomy 67715
|
$3,834.00 |
$3,834.00 |
$3,834.00 |
$2,956.50
|
|
Cap nerve 2x15mm
|
$139,421.39 |
$139,421.39 |
$139,421.39 |
$18,466.88
|
|
Capsulotomy; interphalangeal joint, each joint (separate proc)
|
$20,112.58 |
$20,112.58 |
$20,112.58 |
$2,211.05
|
|
Capsulotomy mpj ea joint (sep proc)
|
$50,095.84 |
$50,095.84 |
$50,095.84 |
$3,545.97
|
|
Cap trach decann 15mm
|
$2,515.45 |
$2,515.45 |
$2,515.45 |
$2,597.62
|
|
Carbamazepine free
|
$174.60 |
$174.60 |
$174.60 |
$59.15
|
|
Carbamazepine free -sendout
|
$49.80 |
$49.80 |
$49.80 |
$47.94
|
|
Carbamazepine total therapeutic drug level
|
$250.80 |
$250.80 |
$250.80 |
$120.25
|
|
Carbohydrate deficient transf - sendout
|
$221.40 |
$221.40 |
$221.40 |
$139.00
|
|
Carbohydrate urine - sendout
|
$207.00 |
$207.00 |
$207.00 |
$66.64
|
|
Carbon dioxide
|
$139.80 |
$139.80 |
$139.80 |
$44.00
|
|
Carbon graphite lamination
|
$323.57 |
$323.57 |
$323.57 |
$228.52
|
|
Carboplatin 10 mg/ml desensitization
|
$404.88 |
$404.88 |
$404.88 |
$186.10
|
|
Carboprost tromethamine 250 mcg/ml intramuscular solution
|
$2,545.20 |
$2,545.20 |
$2,545.20 |
$513.08
|
|
Carboxyhemoglobin quantitative
|
$171.00 |
$171.00 |
$171.00 |
$85.00
|
|
Carcinoembryonic ag (cea)
|
$174.60 |
$174.60 |
$174.60 |
$144.00
|
|
Cardiac perf planar mult/ef/wm
|
$4,574.40 |
$4,574.40 |
$4,574.40 |
$2,768.80
|
|
Cardiac perf planar sgl/ef/wm
|
$4,574.40 |
$4,574.40 |
$4,574.40 |
$2,063.70
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$3,475.20 |
$3,475.20 |
$3,475.20 |
$2,626.88
|
|
Cardiac shunt imaging
|
$3,389.40 |
$3,389.40 |
$3,389.40 |
$890.00
|
|
Cardiolipin antibody iga
|
$183.60 |
$183.60 |
$183.60 |
$105.00
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$2,274.60 |
$2,274.60 |
$2,274.60 |
$1,396.00
|
|
Cardioversion/elective/internal 92961
|
$1,791.00 |
$1,791.00 |
$1,791.00 |
$1,114.00
|
|
Caregiver training strategies&tq 1st 30 minutes
|
$82.80 |
$82.80 |
$82.80 |
$99.60
|
|
Caregiver training strategies&tq ea addl 15 min
|
$38.40 |
$38.40 |
$38.40 |
$51.50
|
|
Carfilzomib 10 mg intravenous solution
|
$30,136.86 |
$30,136.86 |
$30,136.86 |
$6,877.19
|
|
Car ion chnnlpath inc 10 gns
|
$6,648.60 |
$6,648.60 |
$6,648.60 |
$1,038.57
|
|
Car ion chnnlpath inc 2 gns
|
$330.60 |
$330.60 |
$330.60 |
$1,091.81
|
|
Carmustine 100 mg intravenous powder for solution
|
$6,390.00 |
$6,390.00 |
$6,390.00 |
$1,731.00
|
|
Carotene
|
$41.40 |
$41.40 |
$41.40 |
$45.24
|
|
Car outp meas drg cath chd
|
$90.60 |
$90.60 |
$90.60 |
$331.56
|
|
Carpal Tunnel Release Surgery
|
$45,983.32 |
$45,983.32 |
$45,983.32 |
$3,608.80
|
|
Car seat/bed test 60 minutes
|
$87.00 |
$87.00 |
$87.00 |
$111.28
|
|
Car seat/bed test additional 30 minutes
|
$39.00 |
$39.00 |
$39.00 |
$65.00
|
|
Ca screen;flexi sigmoidscope
|
$8,892.54 |
$8,892.54 |
$8,892.54 |
$1,206.00
|
|
Cataract Surgery
|
$19,711.44 |
$19,711.44 |
$19,711.44 |
$4,881.00
|
|
Cath 2lum 14.5frx43cm maxid kt mahurkar
|
$4,529.61 |
$4,529.61 |
$4,529.61 |
$830.58
|
|
Cath ablat bi-d d-d 8fr 115cm
|
$11,927.98 |
$11,927.98 |
$11,927.98 |
$6,545.59
|
|
Cath ablt clsfast 7fx100cmx
|
$8,902.19 |
$8,902.19 |
$8,902.19 |
$2,808.00
|
|
Cath ablt rx lasr 2.0mm turbo
|
$10,612.88 |
$10,612.88 |
$10,612.88 |
$6,463.80
|
|
Cath access del ds spyscop 2.0
|
$42,261.26 |
$42,261.26 |
$42,261.26 |
$5,212.99
|
|
Cath acuity innr ic130 6f 63cm
|
$90,592.20 |
$90,592.20 |
$90,592.20 |
$9,236.50
|
|
Cath acunav ge 10frx90cm
|
$10,318.45 |
$10,318.45 |
$10,318.45 |
$6,433.20
|
|
Cath adherent clot 10mm 6f 10
|
$75,493.50 |
$75,493.50 |
$75,493.50 |
$18,560.00
|
|
Cath baloon occl urnry 34f 7x2x65
|
$19,628.31 |
$19,628.31 |
$19,628.31 |
$6,552.00
|
|
Cath bi-dir df smarttouch
|
$25,516.81 |
$25,516.81 |
$25,516.81 |
$8,282.05
|
|
Cath blazer dx/20 2-10-2 space
|
$10,061.77 |
$10,061.77 |
$10,061.77 |
$4,012.78
|
|
Cath combo lt&rt heart w/inj/s
|
$8,673.00 |
$8,673.00 |
$8,673.00 |
$8,899.15
|
|
Cath cv dl inj 7fx16cm
|
$12,312.81 |
$12,312.81 |
$12,312.81 |
$3,889.06
|
|
Cath del ampltz 12f 45d 80cm
|
$6,628.33 |
$6,628.33 |
$6,628.33 |
$2,337.00
|
|
Cath epdrl brevi-stf 12in .043
|
$2,717.77 |
$2,717.77 |
$2,717.77 |
$1,911.42
|
|
Catheter declot mechanical
|
$3,638.40 |
$3,638.40 |
$3,638.40 |
$1,838.28
|
|
Catheterization collection of specimen single patient all places of service
|
$28.20 |
$28.20 |
$28.20 |
$40.95
|
|
Catheter stripping venous
|
$9,394.20 |
$9,394.20 |
$9,394.20 |
$3,193.94
|
|
Cath groshong MRI 8fr plstc port
|
$11,386.38 |
$11,386.38 |
$11,386.38 |
$1,653.00
|
|
Cath hawkone s directional
|
$12,063.86 |
$12,063.86 |
$12,063.86 |
$6,996.60
|
|
Cath hemodial 55cm 15.5fr dual lumen straight stacked adlt
|
$2,090.35 |
$2,090.35 |
$2,090.35 |
$1,768.00
|
|
Cath imag ivus pv 8.5fx90 .035
|
$10,553.99 |
$10,553.99 |
$10,553.99 |
$4,160.00
|
|
Cath intrdsc spnecth 8 pin
|
$246.32 |
$246.32 |
$246.32 |
$1,994.50
|
|
Cathj umbilical vein dx/ther nb
|
$140.40 |
$140.40 |
$140.40 |
$254.80
|
|
Cath left heart/lv gram
|
$12,617.40 |
$12,617.40 |
$12,617.40 |
$7,685.82
|
|
Cath left heart transseptal punc
|
$4,911.60 |
$4,911.60 |
$4,911.60 |
$6,009.00
|
|
Cath lt/rt pulm art
|
$841.20 |
$841.20 |
$841.20 |
$1,281.93
|
|
Cath malecot 28fr 4-wing ltx
|
$20,975.60 |
$20,975.60 |
$20,975.60 |
$2,173.58
|
|
Cath occl flo-rester 2.25x12mm cor internal vessel occluder
|
$36,236.88 |
$36,236.88 |
$36,236.88 |
$19,384.20
|
|
Cath place 1st order venous 36011
|
$677.40 |
$677.40 |
$677.40 |
$1,377.75
|
|
Cath place cardio brachytx
|
$17,380.80 |
$17,380.80 |
$17,380.80 |
$3,320.80
|
|
Cath plc art ang/grft lt/rt hr
|
$3,001.80 |
$3,001.80 |
$3,001.80 |
$11,645.40
|
|
Cath plc art/angio/rt hrt cath
|
$16,048.80 |
$16,048.80 |
$16,048.80 |
$9,954.00
|
|
Cath plc art/grft/angio right hrt
|
$16,048.80 |
$16,048.80 |
$16,048.80 |
$10,389.60
|
|
Cath ptca pcltxl agent 3x20mm
|
$17,061.53 |
$17,061.53 |
$17,061.53 |
$11,356.50
|
|
Cath right heart w/o2 sat & card
|
$10,743.60 |
$10,743.60 |
$10,743.60 |
$6,406.86
|
