|
Carbamazepine free
|
$169.00 |
$169.00 |
$169.00 |
$59.15
|
|
Carbamazepine total therapeutic drug level
|
$105.50 |
$105.50 |
$105.50 |
$120.25
|
|
Carbohydrate deficient transf - sendout
|
$306.50 |
$306.50 |
$306.50 |
$139.00
|
|
Carbohydrate urine - sendout
|
$364.00 |
$364.00 |
$364.00 |
$66.64
|
|
Carbon dioxide
|
$85.00 |
$85.00 |
$85.00 |
$44.00
|
|
Carboplatin 10 mg/ml desensitization
|
$154.61 |
$154.61 |
$154.61 |
$186.10
|
|
Carboxyhemoglobin quantitative
|
$45.00 |
$45.00 |
$45.00 |
$85.00
|
|
Carcinoembryonic ag (cea)
|
$174.50 |
$174.50 |
$174.50 |
$144.00
|
|
Cardiac MRI seg dys strain
|
$737.00 |
$737.00 |
$737.00 |
$648.84
|
|
Cardiac MRI seg dys stress
|
$737.00 |
$737.00 |
$737.00 |
$648.84
|
|
Cardiac MRI w/stress img
|
$1,284.50 |
$1,284.50 |
$1,284.50 |
$1,474.98
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$2,175.00 |
$2,175.00 |
$2,175.00 |
$2,626.88
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$423.50 |
$423.50 |
$423.50 |
$244.00
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$168.50 |
$168.50 |
$168.50 |
$196.50
|
|
Cardioassist external
|
$419.00 |
$419.00 |
$419.00 |
$397.60
|
|
Cardioassist internal
|
$7,917.50 |
$7,917.50 |
$7,917.50 |
$912.60
|
|
Cardiolipin antibody iga
|
$264.00 |
$264.00 |
$264.00 |
$105.00
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$16,829.50 |
$16,829.50 |
$16,829.50 |
$1,396.00
|
|
Cardioversion/elective/internal 92961
|
$1,074.00 |
$1,074.00 |
$1,074.00 |
$1,114.00
|
|
Card MRI veloc flow mapping
|
$1,124.00 |
$1,124.00 |
$1,124.00 |
$600.50
|
|
Caregiver health risk assmt
|
$48.00 |
$48.00 |
$48.00 |
$43.50
|
|
Caregiver training strategies&tq 1st 30 minutes
|
$55.00 |
$55.00 |
$55.00 |
$99.60
|
|
Caregiver training strategies&tq ea addl 15 min
|
$27.50 |
$27.50 |
$27.50 |
$51.50
|
|
Care manage beh svs 20mins
|
$38.00 |
$38.00 |
$38.00 |
$51.52
|
|
Care mgmt svc bhvl hlth cond
|
$48.00 |
$48.00 |
$48.00 |
$55.09
|
|
Carfilzomib 10 mg intravenous solution
|
$13,099.40 |
$13,099.40 |
$13,099.40 |
$6,877.19
|
|
Carmustine 100 mg intravenous powder for solution
|
$3,217.81 |
$3,217.81 |
$3,217.81 |
$1,731.00
|
|
Carotene
|
$35.00 |
$35.00 |
$35.00 |
$45.24
|
|
Carotid Artery Ultrasound (Duplex)
|
$697.50 |
$697.50 |
$697.50 |
$1,018.68
|
|
Car outp meas drg cath chd
|
$2,781.50 |
$2,781.50 |
$2,781.50 |
$331.56
|
|
Carpal Tunnel Release Surgery
|
$12,235.33 |
$12,235.33 |
$12,235.33 |
$3,608.80
|
|
Car seat/bed test 60 minutes
|
$47.00 |
$47.00 |
$47.00 |
$111.28
|
|
Car seat/bed test additional 30 minutes
|
$9.50 |
$9.50 |
$9.50 |
$65.00
|
|
Car-t admn autologous
|
$363.00 |
$363.00 |
$363.00 |
$722.40
|
|
Car-t therapy receipt & prepj car-t cells f/admn
|
$435.50 |
$435.50 |
$435.50 |
$2,840.75
|
|
Ca screen;flexi sigmoidscope
|
$1,569.00 |
$1,569.00 |
$1,569.00 |
$1,206.00
|
|
Cast sup lng arm splint fbrg
|
$22.50 |
$22.50 |
$22.50 |
$34.00
|
|
Cast sup lng arm splnt ped f
|
$11.00 |
$11.00 |
$11.00 |
$18.72
|
|
Cast sup lng arm splnt ped p
|
$10.50 |
$10.50 |
$10.50 |
$11.44
|
|
Cast sup lng leg ped fbrgls
|
$57.50 |
$57.50 |
$57.50 |
$87.36
|
|
Cast sup lng leg ped plaster
|
$22.50 |
$22.50 |
$22.50 |
$36.80
|
|
Cast sup lng leg splnt fbrgl
|
$51.50 |
$51.50 |
$51.50 |
$85.60
|
|
Cast sup lng leg splnt ped f
|
$25.00 |
$25.00 |
$25.00 |
$43.20
|
|
Cast sup long arm adult fbrg
|
$45.50 |
$45.50 |
$45.50 |
$73.60
|
|
Cast sup long arm adult plst
|
$19.50 |
$19.50 |
$19.50 |
$32.80
|
|
Cast sup long arm ped fbrgls
|
$22.50 |
$22.50 |
$22.50 |
$36.80
|
|
Cast sup long arm ped plster
|
$10.00 |
$10.00 |
$10.00 |
$29.68
|
|
Cast sup long leg fiberglass
|
$115.50 |
$115.50 |
$115.50 |
$174.16
|
|
Cast sup shrt leg ped fbrgls
|
$39.00 |
$39.00 |
$39.00 |
$52.00
|
|
Cast sup shrt leg ped plster
|
$13.50 |
$13.50 |
$13.50 |
$20.80
|
|
Cast sup shrt leg plaster
|
$24.50 |
$24.50 |
$24.50 |
$41.60
|
|
Cast sup sht arm adult fbrgl
|
$30.50 |
$30.50 |
$30.50 |
$40.26
|
|
Cast sup sht arm adult plstr
|
$13.50 |
$13.50 |
$13.50 |
$22.40
|
|
Cast sup sht arm ped fbrglas
|
$28.00 |
$28.00 |
$28.00 |
$24.96
|
|
Cast sup sht arm ped plaster
|
$28.00 |
$28.00 |
$28.00 |
$11.20
|
|
Cast sup sht arm splint fbrg
|
$19.00 |
$19.00 |
$19.00 |
$30.40
|
|
Cast sup sht arm splint plst
|
$11.00 |
$11.00 |
$11.00 |
$17.16
|
|
Cast sup sht arm splnt ped f
|
$10.50 |
$10.50 |
$10.50 |
$16.00
|
|
Cast sup sht arm splnt ped p
|
$5.00 |
$5.00 |
$5.00 |
$8.84
|
|
Cast sup sht leg splnt fbrgl
|
$29.50 |
$29.50 |
$29.50 |
$47.20
|
|
Cast sup sht leg splnt ped f
|
$14.00 |
$14.00 |
$14.00 |
$24.00
|
|
Cast sup sht leg splnt plstr
|
$19.00 |
$19.00 |
$19.00 |
$29.64
|
|
Cataract Surgery
|
$6,603.00 |
$6,603.00 |
$6,603.00 |
$4,881.00
|
|
Cath 2lum 14.5frx43cm maxid kt mahurkar
|
$216.40 |
$216.40 |
$216.40 |
$830.58
|
|
Cath ablat bi-d d-d 8fr 115cm
|
$5,949.50 |
$5,949.50 |
$5,949.50 |
$6,545.59
|
|
Cath ablt clsfast 7fx100cmx
|
$494.00 |
$494.00 |
$494.00 |
$2,808.00
|
|
Cath ablt rx lasr 2.0mm turbo
|
$6,036.75 |
$6,036.75 |
$6,036.75 |
$6,463.80
|
|
Cath access del ds spyscop 2.0
|
$5,002.00 |
$5,002.00 |
$5,002.00 |
$5,212.99
|
|
Cath acuity innr ic130 6f 63cm
|
$3,801.00 |
$3,801.00 |
$3,801.00 |
$9,236.50
|
|
Cath acunav ge 10frx90cm
|
$4,088.00 |
$4,088.00 |
$4,088.00 |
$6,433.20
|
|
Cath adherent clot 10mm 6f 10
|
$7,317.00 |
$7,317.00 |
$7,317.00 |
$18,560.00
|
|
Cath baloon occl urnry 34f 7x2x65
|
$2,326.50 |
$2,326.50 |
$2,326.50 |
$6,552.00
|
|
Cath bi-dir df smarttouch
|
$4,625.00 |
$4,625.00 |
$4,625.00 |
$8,282.05
|
|
Cath blazer dx/20 2-10-2 space
|
$3,364.50 |
$3,364.50 |
$3,364.50 |
$4,012.78
|
|
Cath combo lt&rt heart w/inj/s
|
$7,994.50 |
$7,994.50 |
$7,994.50 |
$8,899.15
|
|
Cath cv dl inj 7fx16cm
|
$1,174.00 |
$1,174.00 |
$1,174.00 |
$3,889.06
|
|
Cath del ampltz 12f 45d 80cm
|
$1,691.00 |
$1,691.00 |
$1,691.00 |
$2,337.00
|
|
Cath epdrl brevi-stf 12in .043
|
$998.38 |
$998.38 |
$998.38 |
$1,911.42
|
|
Catheter declot mechanical
|
$2,003.00 |
$2,003.00 |
$2,003.00 |
$1,838.28
|
|
Catheterization collection of specimen single patient all places of service
|
$21.50 |
$21.50 |
$21.50 |
$40.95
|
|
Catheter stripping venous
|
$3,348.50 |
$3,348.50 |
$3,348.50 |
$3,193.94
|
|
Cath groshong MRI 8fr plstc port
|
$443.50 |
$443.50 |
$443.50 |
$1,653.00
|
|
Cath hawkone s directional
|
$7,451.00 |
$7,451.00 |
$7,451.00 |
$6,996.60
|
|
Cath imag ivus pv 8.5fx90 .035
|
$3,681.96 |
$3,681.96 |
$3,681.96 |
$4,160.00
|
|
Cathj umbilical vein dx/ther nb
|
$224.00 |
$224.00 |
$224.00 |
$254.80
|
|
Cath left heart/lv gram
|
$7,464.50 |
$7,464.50 |
$7,464.50 |
$7,685.82
|
|
Cath left heart transseptal punc
|
$4,988.00 |
$4,988.00 |
$4,988.00 |
$6,009.00
|
|
Cath lt/rt pulm art
|
$2,206.00 |
$2,206.00 |
$2,206.00 |
$1,281.93
|
|
Cath malecot 28fr 4-wing ltx
|
$1,086.00 |
$1,086.00 |
$1,086.00 |
$2,173.58
|
|
Cath occl flo-rester 2.25x12mm cor internal vessel occluder
|
$10,682.00 |
$10,682.00 |
$10,682.00 |
$19,384.20
|
|
Cath place 1st order venous 36011
|
$10,450.00 |
$10,450.00 |
$10,450.00 |
$1,377.75
|
|
Cath plc art ang/grft lt/rt hr
|
$11,393.50 |
$11,393.50 |
$11,393.50 |
$11,645.40
|
|
Cath plc art/angio/rt hrt cath
|
$7,246.50 |
$7,246.50 |
$7,246.50 |
$9,954.00
|
|
Cath plc art/grft/angio right hrt
|
$8,007.50 |
$8,007.50 |
$8,007.50 |
$10,389.60
|
|
Cath ptca pcltxl agent 3x20mm
|
$5,733.00 |
$5,733.00 |
$5,733.00 |
$11,356.50
|
|
Cath right heart w/o2 sat & card
|
$6,961.00 |
$6,961.00 |
$6,961.00 |
$6,406.86
|
|
Cath right hrt mnpul art
|
$675.50 |
$675.50 |
$675.50 |
$1,015.96
|
|
Cath/saline/contrast/sis/hysteosal 58340
|
$937.50 |
$937.50 |
$937.50 |
$469.09
|
|
Cath segmntl pulm art
|
$1,533.00 |
$1,533.00 |
$1,533.00 |
$1,458.34
|
|
Cath steerable flex adv 12f
|
$2,826.63 |
$2,826.63 |
$2,826.63 |
$2,925.00
|
