|
Bypass graft/av fist patency
|
$178.50 |
$178.50 |
$178.50 |
$868.40
|
|
Bypass graft patency/patch
|
$219.50 |
$219.50 |
$219.50 |
$1,050.40
|
|
Bypass temp external fem-fem
|
$654.50 |
$654.50 |
$654.50 |
$1,806.00
|
|
C1 esterase inhibitor func - sendout
|
$262.50 |
$262.50 |
$262.50 |
$96.72
|
|
Cabgsingle artery graft 33533
|
$2,088.00 |
$2,088.00 |
$2,088.00 |
$4,567.20
|
|
Cabg venous & art 1 vein graft 33517
|
$206.00 |
$206.00 |
$206.00 |
$602.00
|
|
Cabg venous & art 2 vein graft 33518
|
$451.50 |
$451.50 |
$451.50 |
$1,764.80
|
|
Cabg venous & art 3 vein graft 33519
|
$597.00 |
$597.00 |
$597.00 |
$1,071.60
|
|
Cable cath 22-pin diag
|
$540.00 |
$540.00 |
$540.00 |
$4,946.50
|
|
Calcium 24 hour urine
|
$22.50 |
$22.50 |
$22.50 |
$53.00
|
|
Calcium acetate(phosphate binders) 667 mg tablet
|
$1.84 |
$1.84 |
$1.84 |
$2.70
|
|
Calcium chloride 100 mg/ml (10 %) intravenous syringe
|
$20.52 |
$20.52 |
$20.52 |
$45.49
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$22.05 |
$22.05 |
$22.05 |
$64.49
|
|
Calcium ionized
|
$151.50 |
$151.50 |
$151.50 |
$90.00
|
|
Calcium total
|
$19.00 |
$19.00 |
$19.00 |
$50.00
|
|
Calprotectin fecal
|
$30.00 |
$30.00 |
$30.00 |
$169.95
|
|
Cannula declotting 36861
|
$149.50 |
$149.50 |
$149.50 |
$5,855.00
|
|
Cannula ercp contour 5-4-3 tip
|
$189.50 |
$189.50 |
$189.50 |
$34,218.66
|
|
Cantharidin top, applicator
|
$944.00 |
$944.00 |
$944.00 |
$1,113.94
|
|
Canthotomy 67715
|
$112.00 |
$112.00 |
$112.00 |
$2,956.50
|
|
Capsaicin 8% patch
|
$5.00 |
$5.00 |
$5.00 |
$4,719.65
|
|
Capsulotomy mpj ea joint (sep proc)
|
$4,550.00 |
$4,550.00 |
$4,550.00 |
$3,545.97
|
|
Carbamazepine free
|
$72.50 |
$72.50 |
$72.50 |
$59.15
|
|
Carbamazepine total therapeutic drug level
|
$92.50 |
$92.50 |
$92.50 |
$120.25
|
|
Carbohydrate deficient transf - sendout
|
$40.50 |
$40.50 |
$40.50 |
$139.00
|
|
Carbohydrate urine - sendout
|
$364.00 |
$364.00 |
$364.00 |
$66.64
|
|
Carbon dioxide
|
$26.00 |
$26.00 |
$26.00 |
$44.00
|
|
Carboplatin 10 mg/ml desensitization
|
$101.82 |
$101.82 |
$101.82 |
$186.10
|
|
Carboxyhemoglobin quantitative
|
$35.50 |
$35.50 |
$35.50 |
$85.00
|
|
Carcinoembryonic ag (cea)
|
$144.00 |
$144.00 |
$144.00 |
$144.00
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$214.00 |
$214.00 |
$214.00 |
$244.00
|
|
Cardiac Stress Test
|
$77.50 |
$77.50 |
$77.50 |
$210.00
|
|
Cardiolipin antibody iga
|
$156.00 |
$156.00 |
$156.00 |
$105.00
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$1,092.00 |
$1,092.00 |
$1,092.00 |
$1,396.00
|
|
Cardioversion/elective/internal 92961
|
$256.50 |
$256.50 |
$256.50 |
$1,114.00
|
|
Caregiver health risk assmt
|
$36.00 |
$36.00 |
$36.00 |
$43.50
|
|
Caregiver training strategies&tq 1st 30 minutes
|
$43.50 |
$43.50 |
$43.50 |
$99.60
|
|
Caregiver training strategies&tq ea addl 15 min
|
$21.50 |
$21.50 |
$21.50 |
$51.50
|
|
Care manage beh svs 20mins
|
$73.00 |
$73.00 |
$73.00 |
$51.52
|
|
Care mgmt svc bhvl hlth cond
|
$44.50 |
$44.50 |
$44.50 |
$55.09
|
|
Carfilzomib 10 mg intravenous solution
|
$9,824.55 |
$9,824.55 |
$9,824.55 |
$6,877.19
|
|
Carotene
|
$9.50 |
$9.50 |
$9.50 |
$45.24
|
|
Carotid Artery Ultrasound (Duplex)
|
$781.50 |
$781.50 |
$781.50 |
$1,018.68
|
|
Carpal Tunnel Release Surgery
|
$466.50 |
$466.50 |
$466.50 |
$3,608.80
|
|
Ca screen;flexi sigmoidscope
|
$61.00 |
$61.00 |
$61.00 |
$1,206.00
|
|
Cast sup lng arm splint fbrg
|
$21.50 |
$21.50 |
$21.50 |
$34.00
|
|
Cast sup lng arm splnt ped p
|
$11.50 |
$11.50 |
$11.50 |
$11.44
|
|
Cast sup lng leg ped fbrgls
|
$57.50 |
$57.50 |
$57.50 |
$87.36
|
|
Cast sup long arm adult fbrg
|
$45.00 |
$45.00 |
$45.00 |
$73.60
|
|
Cast sup long arm ped fbrgls
|
$16.00 |
$16.00 |
$16.00 |
$36.80
|
|
Cast sup shrt leg ped fbrgls
|
$20.00 |
$20.00 |
$20.00 |
$52.00
|
|
Cast sup sht arm adult fbrgl
|
$29.50 |
$29.50 |
$29.50 |
$40.26
|
|
Cast sup sht arm ped fbrglas
|
$14.50 |
$14.50 |
$14.50 |
$24.96
|
|
Cast sup sht arm splint fbrg
|
$17.50 |
$17.50 |
$17.50 |
$30.40
|
|
Cast sup sht arm splnt ped f
|
$13.00 |
$13.00 |
$13.00 |
$16.00
|
|
Cataract Surgery
|
$2,457.00 |
$2,457.00 |
$2,457.00 |
$4,881.00
|
|
Cath cv dl inj 7fx16cm
|
$615.50 |
$615.50 |
$615.50 |
$3,889.06
|
|
Cath epdrl brevi-stf 12in .043
|
$32.50 |
$32.50 |
$32.50 |
$1,911.42
|
|
Catheter declot mechanical
|
$47.00 |
$47.00 |
$47.00 |
$1,838.28
|
|
Catheter insert artery
|
$112.50 |
$112.50 |
$112.50 |
$388.85
|
|
Catheterization collection of specimen single patient all places of service
|
$24.00 |
$24.00 |
$24.00 |
$40.95
|
|
Cath groshong MRI 8fr plstc port
|
$481.00 |
$481.00 |
$481.00 |
$1,653.00
|
|
Cath lt/rt pulm art
|
$155.00 |
$155.00 |
$155.00 |
$1,281.93
|
|
Cath malecot 28fr 4-wing ltx
|
$1,915.00 |
$1,915.00 |
$1,915.00 |
$2,173.58
|
|
Cath place 1st order venous 36011
|
$163.00 |
$163.00 |
$163.00 |
$1,377.75
|
|
Cath right hrt mnpul art
|
$132.50 |
$132.50 |
$132.50 |
$1,015.96
|
|
Cath/saline/contrast/sis/hysteosal 58340
|
$267.00 |
$267.00 |
$267.00 |
$469.09
|
|
Cath uret open tp 6fx70cm
|
$19.50 |
$19.50 |
$19.50 |
$554.52
|
|
Cauterization chemical granulation tissue
|
$293.00 |
$293.00 |
$293.00 |
$340.90
|
|
Cdna analysis for variants
|
$299.00 |
$299.00 |
$299.00 |
$525.00
|
|
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr
|
$11.35 |
$11.35 |
$11.35 |
$37.70
|
|
Cefepime 1 gram solution for injection
|
$11.49 |
$11.49 |
$11.49 |
$44.03
|
|
Cefoxitin 1 gram intravenous solution
|
$58.43 |
$58.43 |
$58.43 |
$74.82
|
|
Ceftaroline fosamil 600 mg intravenous solution
|
$7.50 |
$7.50 |
$7.50 |
$606.21
|
|
Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr
|
$12.40 |
$12.40 |
$12.40 |
$63.05
|
|
Ceftriaxone 1 gram solution for injection
|
$22.70 |
$22.70 |
$22.70 |
$84.18
|
|
Cell count body fluid
|
$48.50 |
$48.50 |
$48.50 |
$63.63
|
|
Cell count w differential body fluid
|
$50.00 |
$50.00 |
$50.00 |
$93.23
|
|
Cell cryopreserve/storage
|
$19.00 |
$19.00 |
$19.00 |
$62.72
|
|
Cell function assay w/stim
|
$270.00 |
$270.00 |
$270.00 |
$314.25
|
|
Cell marker study
|
$153.50 |
$153.50 |
$153.50 |
$247.20
|
|
Cemiplimab-rwlc 50 mg/ml intravenous solution
|
$17,001.98 |
$17,001.98 |
$17,001.98 |
$21,238.53
|
|
Cervical or vaginal cancer screening g0101
|
$97.50 |
$97.50 |
$97.50 |
$109.46
|
|
Cesarean section delivery only 59514
|
$1,007.00 |
$1,007.00 |
$1,007.00 |
$2,194.65
|
|
#cf-97variants
|
$1,920.50 |
$1,920.50 |
$1,920.50 |
$622.20
|
|
Change cystostomy tube; complex 51710
|
$83.00 |
$83.00 |
$83.00 |
$1,470.75
|
|
Change cystostomy tube simple
|
$249.50 |
$249.50 |
$249.50 |
$451.00
|
|
Change of windpipe airway 31502
|
$38.50 |
$38.50 |
$38.50 |
$388.00
|
|
Chemodenerv 1 extremity 1-4 64642
|
$112.00 |
$112.00 |
$112.00 |
$932.40
|
|
Chemodenervation anal musc
|
$272.50 |
$272.50 |
$272.50 |
$2,462.82
|
|
Chemodenervation/face muscl/unilat 64612
|
$775.00 |
$775.00 |
$775.00 |
$569.00
|
|
Chemodenervation nerve of eye muscle 67345
|
$216.00 |
$216.00 |
$216.00 |
$436.44
|
|
Chemodenerv eccrine glands 64650
|
$39.00 |
$39.00 |
$39.00 |
$521.82
|
|
Chemodenerv musc migraine 64615
|
$131.00 |
$131.00 |
$131.00 |
$540.80
|
|
Chemodenerv musc neck dyston 64616
|
$117.00 |
$117.00 |
$117.00 |
$698.60
|
|
Chemodenerv trunk musc 1-5 64646
|
$122.50 |
$122.50 |
$122.50 |
$1,064.00
|
|
Chemo extend IV infus w/pump
|
$447.00 |
$447.00 |
$447.00 |
$737.10
|
|
Chest CT scan (with and without contrast)
|
$1,699.50 |
$1,699.50 |
$1,699.50 |
$1,975.00
|
|
Chest CT scan (with contrast)
|
$1,450.00 |
$1,450.00 |
$1,450.00 |
$1,689.00
|
|
Chest CT scan (without contrast)
|
$1,325.00 |
$1,325.00 |
$1,325.00 |
$1,350.03
|
