|
Bx soft tissue back/flank supf 21920
|
$1,898.50 |
$2,802.60 |
$3,505.20 |
|
|
Bx spinal cord pq ndl
|
$2,080.80 |
$2,080.80 |
$2,080.80 |
|
|
Bx thigh/knee soft tiss supf 27323
|
$1,439.40 |
$1,439.40 |
$3,009.60 |
|
|
Bx thyroid/percutan core needle 60100
|
$93.60 |
$924.60 |
$1,352.80 |
|
|
Bx vag mucos smpl (sep proc)
|
$711.00 |
$966.60 |
$1,452.00 |
|
|
Bx vulva or perineum/1 lesion 56605
|
$33.00 |
$1,452.00 |
$4,291.20 |
|
|
Bx vulva or perineum/ea add lesion 56606
|
$61.80 |
$312.00 |
$753.00 |
|
|
Bypass temp external fem-fem
|
$74.40 |
$2,304.60 |
$12,069.00 |
|
|
C-1 esterase, berinert
|
$128.80 |
$2,302.20 |
$13,986.60 |
|
|
C-1 esterase, cinryze
|
$141.60 |
$5,831.40 |
$12,877.20 |
|
|
C1 esterase inhibitor func - sendout
|
$44.40 |
$143.20 |
$358.60 |
|
|
Cabazitaxel 10 mg/ml (first dilution) intravenous solution
|
$334.20 |
$808.20 |
$45,908.45 |
|
|
Cabergoline, oral 0.25mg
|
$70.80 |
$136.00 |
$289.80 |
|
|
Cable cath 22-pin diag
|
$109.80 |
$2,526.60 |
$11,776.20 |
|
|
Cable centrimag pressure
|
$405,171.00 |
$405,171.00 |
$405,171.00 |
|
|
Cacna1a gen detc abnor allel
|
$569.60 |
$909.00 |
$2,408.40 |
|
|
Cacna1a gene full gene seq
|
$3,384.80 |
$3,384.80 |
$3,384.80 |
|
|
Cad breast MRI w/r&i
|
$140.80 |
$150.60 |
$540.00 |
|
|
Cadd pump refill
|
$229.50 |
$501.60 |
$501.60 |
|
|
Caffeine citrate 20 mg/ml inj for po
|
$6.60 |
$15.60 |
$276.00 |
|
|
Calaspargase pegol-mknl 750 unit/ml intravenous solution
|
$279.00 |
$279.00 |
$287.40 |
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$939.60 |
$9,039.20 |
$20,030.40 |
|
|
Calcium 24 hour urine
|
$24.80 |
$44.40 |
$287.40 |
|
|
Calcium acetate(phosphate binders) 667 mg tablet
|
$2.23 |
$2.23 |
$2.23 |
|
|
Calcium chloride 100 mg/ml (10 %) intravenous syringe
|
$34.20 |
$46.35 |
$137.20 |
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$0.60 |
$0.80 |
$123.80 |
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$0.60 |
$0.80 |
$222.80 |
|
|
Calcium ionized
|
$35.50 |
$75.00 |
$502.20 |
|
|
Calcium total
|
$21.60 |
$32.40 |
$159.00 |
|
|
Calculi urinary-sendout
|
$124.20 |
$124.20 |
$124.20 |
|
|
Calculus analysis qual
|
$138.60 |
$138.60 |
$138.60 |
|
|
Caloric vestibular test
|
$181.20 |
$181.20 |
$181.20 |
|
|
Caloric vstblr test w/rec
|
$13.80 |
$18.00 |
$753.60 |
|
|
Calprotectin fecal
|
$52.80 |
$175.20 |
$545.20 |
|
|
Campylobacter antibody
|
$80.40 |
$136.20 |
$1,114.80 |
|
|
Canakinumab injection
|
$257.40 |
$10,902.60 |
$10,902.60 |
|
|
Candida dna
|
$104.40 |
$186.60 |
$370.20 |
|
|
Candida skin test
|
$39.00 |
$39.00 |
$39.00 |
|
|
Cannula ercp contour 5-4-3 tip
|
$13.80 |
$2,565.60 |
$21,652.20 |
|
|
Cannula nasal
|
$40.80 |
$40.80 |
$232.80 |
|
|
Cantharidin top, applicator
|
$1,416.00 |
$1,416.00 |
$1,416.00 |
|
|
Canthotomy 67715
|
$2,630.40 |
$3,228.00 |
$4,180.80 |
|
|
Capecitabine, oral, 50 mg
|
$7.80 |
$8.40 |
$45.80 |
|
|
Cap nerve 2x15mm
|
$706.20 |
$3,405.60 |
$18,384.00 |
|
|
Capsaicin 8% patch
|
$6.00 |
$9.75 |
$19.20 |
|
|
Capsulectomy/capsulotomy hip
|
$1,843.80 |
$1,843.80 |
$1,843.80 |
|
|
Capsulotomy; interphalangeal joint, each joint (separate proc)
|
$381.75 |
$381.75 |
$507.00 |
|
|
Capsulotomy mpj ea joint (sep proc)
|
$754.20 |
$754.20 |
$2,554.00 |
|
|
Cap trach decann 15mm
|
$405.00 |
$1,444.80 |
$9,624.00 |
|
|
Carbamazepine free
|
$55.20 |
$94.80 |
$415.80 |
|
|
Carbamazepine free -sendout
|
$40.20 |
$85.20 |
$645.60 |
|
|
Carbamazepine total therapeutic drug level
|
$39.50 |
$103.80 |
$645.60 |
|
|
Carbohydrate deficient transf - sendout
|
$61.80 |
$72.60 |
$468.00 |
|
|
Carbohydrate urine - sendout
|
$21.00 |
$30.60 |
$364.00 |
|
|
Carbon dioxide
|
$18.60 |
$32.40 |
$150.60 |
|
|
Carboplatin 10 mg/ml desensitization
|
$0.60 |
$500.40 |
$1,990.40 |
|
|
Carboprost tromethamine 250 mcg/ml intramuscular solution
|
$708.80 |
$1,573.60 |
$1,921.80 |
|
|
Carboxyhemoglobin quantitative
|
$30.00 |
$63.00 |
$279.20 |
|
|
Carcinoembryonic ag (cea)
|
$65.00 |
$103.20 |
$532.20 |
|
|
Cardiac MRI w/stress img
|
$1,190.40 |
$3,422.40 |
$6,214.20 |
|
|
Cardiac perf planar mult/ef/wm
|
$1,140.00 |
$2,792.40 |
$4,242.60 |
|
|
Cardiac perf planar sgl/ef/wm
|
$1,237.20 |
$3,868.00 |
$4,242.60 |
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$937.80 |
$3,772.20 |
$4,720.00 |
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$110.40 |
$209.40 |
$405.60 |
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$48.00 |
$166.00 |
$304.00 |
|
|
Cardiac shunt imaging
|
$405.00 |
$1,228.80 |
$2,004.80 |
|
|
Cardiac Stress Test
|
$233.40 |
$414.00 |
$414.00 |
|
|
Cardiolipin antibody iga
|
$89.40 |
$142.20 |
$1,204.20 |
|
|
Cardioversion/elective/internal 92961
|
$865.20 |
$865.20 |
$876.50 |
|
|
Cardioversion (Scheduled Heart Rhythm Shock)
|
$793.20 |
$1,621.20 |
$3,696.60 |
|
|
Card MRI veloc flow mapping
|
$200.00 |
$321.60 |
$3,804.60 |
|
|
Caregiver health risk assmt
|
$43.50 |
$43.50 |
$68.80 |
|
|
Caregiver training strategies&tq 1st 30 minutes
|
$102.00 |
$105.00 |
$139.80 |
|
|
Caregiver training strategies&tq ea addl 15 min
|
$26.50 |
$52.20 |
$69.60 |
|
|
Care manage beh svs 20mins
|
$37.00 |
$37.00 |
$37.00 |
|
|
Carfilzomib 10 mg intravenous solution
|
$102.00 |
$149.40 |
$10,440.00 |
|
|
Car ion chnnlpath inc 10 gns
|
$594.00 |
$594.00 |
$6,945.00 |
|
|
Car ion chnnlpath inc 2 gns
|
$6,945.00 |
$6,945.00 |
$6,945.00 |
|
|
Carmustine 100 mg intravenous powder for solution
|
$287.40 |
$1,582.20 |
$21,846.60 |
|
|
Carotene
|
$9.50 |
$63.00 |
$1,543.20 |
|
|
Carotid Artery Ultrasound (Duplex)
|
$481.20 |
$1,007.40 |
$3,028.80 |
|
|
Car outp meas drg cath chd
|
$1,960.50 |
$1,960.50 |
$1,960.50 |
|
|
Carpal Tunnel Release Surgery
|
$763.80 |
$3,572.40 |
$4,530.60 |
|
|
Car seat/bed test 60 minutes
|
$43.00 |
$87.00 |
$219.20 |
|
|
Car seat/bed test additional 30 minutes
|
$21.50 |
$147.20 |
$166.20 |
|
|
Car-t admn autologous
|
$363.00 |
$781.80 |
$828.60 |
|
|
Car-t therapy hrvg bld-drv t lymphcyt pr day
|
$3,685.80 |
$3,685.80 |
$3,685.80 |
|
|
Car-t therapy prepj bld-drv t lymphcyt f/trns
|
$3,546.60 |
$3,546.60 |
$3,546.60 |
|
|
Car-t therapy receipt & prepj car-t cells f/admn
|
$1,045.20 |
$1,045.20 |
$1,045.20 |
|
|
Ca screen;flexi sigmoidscope
|
$598.20 |
$598.20 |
$720.00 |
|
|
Casiri and imdev repeat
|
$1,020.00 |
$1,020.00 |
$1,360.00 |
|
|
Caspofungin acetate
|
$240.00 |
$2,155.20 |
$5,805.00 |
|
|
Cast sup lng arm splint fbrg
|
$19.80 |
$19.80 |
$21.50 |
|
|
Cast sup lng arm splnt ped f
|
$16.80 |
$16.80 |
$16.80 |
|
|
Cast sup lng arm splnt ped p
|
$11.00 |
$11.00 |
$11.00 |
|
|
Cast sup lng leg ped fbrgls
|
$40.80 |
$40.80 |
$40.80 |
|
|
Cast sup lng leg splnt fbrgl
|
$36.60 |
$36.60 |
$36.60 |
|
|
Cast sup lng leg splnt ped f
|
$21.00 |
$21.00 |
$21.00 |
|
|
Cast sup long arm adult fbrg
|
$33.00 |
$33.00 |
$33.00 |
|
|
Cast sup long arm adult plst
|
$34.20 |
$34.20 |
$34.20 |
|
