|
Bx vulva or perineum/1 lesion 56605
|
$2,129.34 |
$2,129.34 |
$2,129.34 |
$1,127.00
|
|
Bx vulva or perineum/ea add lesion 56606
|
$1,064.67 |
$1,064.67 |
$1,064.67 |
$465.09
|
|
Bypass temp external fem-fem
|
$5,294.33 |
$5,294.33 |
$5,294.33 |
$1,806.00
|
|
C-1 esterase, berinert
|
$6,338.88 |
$6,338.88 |
$6,338.88 |
$7,466.16
|
|
C1 esterase inhibitor func - sendout
|
$283.38 |
$283.38 |
$283.38 |
$96.72
|
|
Cabazitaxel 10 mg/ml (first dilution) intravenous solution
|
$21,059.48 |
$21,059.48 |
$21,059.48 |
$27,723.08
|
|
Cable cath 22-pin diag
|
$1,477.15 |
$1,477.15 |
$1,477.15 |
$4,946.50
|
|
Cadd pump refill
|
$421.50 |
$421.50 |
$421.50 |
$360.00
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$1,810.35 |
$1,810.35 |
$1,810.35 |
$2,111.64
|
|
Calcium 24 hour urine
|
$36.00 |
$36.00 |
$36.00 |
$53.00
|
|
Calcium acetate(phosphate binders) 667 mg tablet
|
$13.37 |
$13.37 |
$13.37 |
$2.70
|
|
Calcium chloride 100 mg/ml (10 %) intravenous syringe
|
$39.29 |
$39.29 |
$39.29 |
$45.49
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$31.41 |
$31.41 |
$31.41 |
$64.49
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$37.35 |
$37.35 |
$37.35 |
$91.60
|
|
Calcium ionized
|
$98.50 |
$98.50 |
$98.50 |
$90.00
|
|
Calcium total
|
$34.50 |
$34.50 |
$34.50 |
$50.00
|
|
Caloric vstblr test w/rec
|
$208.50 |
$208.50 |
$208.50 |
$310.00
|
|
Calprotectin fecal
|
$30.00 |
$30.00 |
$30.00 |
$169.95
|
|
Candida skin test
|
$10.50 |
$10.50 |
$10.50 |
$58.76
|
|
Cannula ercp contour 5-4-3 tip
|
$2,008.00 |
$2,008.00 |
$2,008.00 |
$34,218.66
|
|
Cannula nasal
|
$10.00 |
$10.00 |
$10.00 |
$5.70
|
|
Cantharidin top, applicator
|
$1,416.00 |
$1,416.00 |
$1,416.00 |
$1,113.94
|
|
Canthotomy 67715
|
$3,434.00 |
$3,434.00 |
$3,434.00 |
$2,956.50
|
|
Cap nerve 2x15mm
|
$3,886.20 |
$3,886.20 |
$3,886.20 |
$18,466.88
|
|
Capsaicin 8% patch
|
$8,175.96 |
$8,175.96 |
$8,175.96 |
$4,719.65
|
|
Capsulotomy; interphalangeal joint, each joint (separate proc)
|
$1,967.44 |
$1,967.44 |
$1,967.44 |
$2,211.05
|
|
Capsulotomy mpj ea joint (sep proc)
|
$6,985.00 |
$6,985.00 |
$6,985.00 |
$3,545.97
|
|
Cap trach decann 15mm
|
$1,933.00 |
$1,933.00 |
$1,933.00 |
$2,597.62
|
|
Carbamazepine free
|
$177.50 |
$177.50 |
$177.50 |
$59.15
|
|
Carbamazepine total therapeutic drug level
|
$125.50 |
$125.50 |
$125.50 |
$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
|
$71.00 |
$71.00 |
$71.00 |
$44.00
|
|
Carboplatin 10 mg/ml desensitization
|
$142.09 |
$142.09 |
$142.09 |
$186.10
|
|
Carboxyhemoglobin quantitative
|
$49.50 |
$49.50 |
$49.50 |
$85.00
|
|
Carcinoembryonic ag (cea)
|
$144.00 |
$144.00 |
$144.00 |
$144.00
|
|
Cardiac perf planar mult/ef/wm
|
$2,688.50 |
$2,688.50 |
$2,688.50 |
$2,768.80
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$2,688.50 |
$2,688.50 |
$2,688.50 |
$2,626.88
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$183.50 |
$183.50 |
$183.50 |
$244.00
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$141.50 |
$141.50 |
$141.50 |
$196.50
|
|
Cardiac Stress Test
|
$1,077.00 |
$1,077.00 |
$1,077.00 |
$210.00
|
|
Cardiolipin antibody iga
|
$234.00 |
$234.00 |
$234.00 |
$105.00
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$1,572.00 |
$1,572.00 |
$1,572.00 |
$1,396.00
|
|
Caregiver health risk assmt
|
$43.50 |
$43.50 |
$43.50 |
$43.50
|
|
Caregiver training strategies&tq 1st 30 minutes
|
$49.50 |
$49.50 |
$49.50 |
$99.60
|
|
Caregiver training strategies&tq ea addl 15 min
|
$25.00 |
$25.00 |
$25.00 |
$51.50
|
|
Care manage beh svs 20mins
|
$40.00 |
$40.00 |
$40.00 |
$51.52
|
|
Care mgmt svc bhvl hlth cond
|
$43.50 |
$43.50 |
$43.50 |
$55.09
|
|
Carfilzomib 10 mg intravenous solution
|
$13,099.40 |
$13,099.40 |
$13,099.40 |
$6,877.19
|
|
Carotene
|
$9.50 |
$9.50 |
$9.50 |
$45.24
|
|
Carotid Artery Ultrasound (Duplex)
|
$693.50 |
$693.50 |
$693.50 |
$1,018.68
|
|
Car outp meas drg cath chd
|
$2,371.00 |
$2,371.00 |
$2,371.00 |
$331.56
|
|
Carpal Tunnel Release Surgery
|
$4,438.50 |
$4,438.50 |
$4,438.50 |
$3,608.80
|
|
Car-t admn autologous
|
$416.00 |
$416.00 |
$416.00 |
$722.40
|
|
Ca screen;flexi sigmoidscope
|
$1,049.00 |
$1,049.00 |
$1,049.00 |
$1,206.00
|
|
Cast sup lng arm splint fbrg
|
$22.50 |
$22.50 |
$22.50 |
$34.00
|
|
Cast sup lng arm splnt ped p
|
$11.00 |
$11.00 |
$11.00 |
$11.44
|
|
Cast sup long arm adult fbrg
|
$44.00 |
$44.00 |
$44.00 |
$73.60
|
|
Cast sup long arm adult plst
|
$19.00 |
$19.00 |
$19.00 |
$32.80
|
|
Cast sup long arm ped fbrgls
|
$22.00 |
$22.00 |
$22.00 |
$36.80
|
|
Cast sup long leg fiberglass
|
$110.00 |
$110.00 |
$110.00 |
$174.16
|
|
Cast sup shrt leg ped fbrgls
|
$20.50 |
$20.50 |
$20.50 |
$52.00
|
|
Cast sup sht arm adult fbrgl
|
$29.00 |
$29.00 |
$29.00 |
$40.26
|
|
Cast sup sht arm ped fbrglas
|
$14.50 |
$14.50 |
$14.50 |
$24.96
|
|
Cast sup sht arm splint fbrg
|
$17.00 |
$17.00 |
$17.00 |
$30.40
|
|
Cast sup sht arm splint plst
|
$10.50 |
$10.50 |
$10.50 |
$17.16
|
|
Cast sup sht leg splnt fbrgl
|
$26.50 |
$26.50 |
$26.50 |
$47.20
|
|
Cataract Surgery
|
$5,465.00 |
$5,465.00 |
$5,465.00 |
$4,881.00
|
|
Cath 2lum 14.5frx43cm maxid kt mahurkar
|
$885.60 |
$885.60 |
$885.60 |
$830.58
|
|
Cath ablt clsfast 7fx100cmx
|
$654.00 |
$654.00 |
$654.00 |
$2,808.00
|
|
Cath acuity innr ic130 6f 63cm
|
$4,831.00 |
$4,831.00 |
$4,831.00 |
$9,236.50
|
|
Cath acunav ge 10frx90cm
|
$2,631.73 |
$2,631.73 |
$2,631.73 |
$6,433.20
|
|
Cath adherent clot 10mm 6f 10
|
$7,069.50 |
$7,069.50 |
$7,069.50 |
$18,560.00
|
|
Cath baloon occl urnry 34f 7x2x65
|
$2,495.75 |
$2,495.75 |
$2,495.75 |
$6,552.00
|
|
Cath blazer dx/20 2-10-2 space
|
$2,066.50 |
$2,066.50 |
$2,066.50 |
$4,012.78
|
|
Cath combo lt&rt heart w/inj/s
|
$6,460.00 |
$6,460.00 |
$6,460.00 |
$8,899.15
|
|
Cath cv dl inj 7fx16cm
|
$608.00 |
$608.00 |
$608.00 |
$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
|
$275.20 |
$275.20 |
$275.20 |
$1,911.42
|
|
Catheterization collection of specimen single patient all places of service
|
$34.00 |
$34.00 |
$34.00 |
$40.95
|
|
Cath groshong MRI 8fr plstc port
|
$1,653.00 |
$1,653.00 |
$1,653.00 |
$1,653.00
|
|
Cath hawkone s directional
|
$4,133.00 |
$4,133.00 |
$4,133.00 |
$6,996.60
|
|
Cath imag ivus pv 8.5fx90 .035
|
$1,503.75 |
$1,503.75 |
$1,503.75 |
$4,160.00
|
|
Cathj umbilical vein dx/ther nb
|
$295.50 |
$295.50 |
$295.50 |
$254.80
|
|
Cath left heart/lv gram
|
$5,990.50 |
$5,990.50 |
$5,990.50 |
$7,685.82
|
|
Cath lt/rt pulm art
|
$1,153.00 |
$1,153.00 |
$1,153.00 |
$1,281.93
|
|
Cath malecot 28fr 4-wing ltx
|
$1,086.00 |
$1,086.00 |
$1,086.00 |
$2,173.58
|
|
Cath place 1st order venous 36011
|
$1,185.92 |
$1,185.92 |
$1,185.92 |
$1,377.75
|
|
Cath plc art ang/grft lt/rt hr
|
$5,990.50 |
$5,990.50 |
$5,990.50 |
$11,645.40
|
|
Cath plc art/angio/rt hrt cath
|
$7,268.00 |
$7,268.00 |
$7,268.00 |
$9,954.00
|
|
Cath plc art/grft/angio right hrt
|
$5,990.50 |
$5,990.50 |
$5,990.50 |
$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
|
$5,990.50 |
$5,990.50 |
$5,990.50 |
$6,406.86
|
|
Cath right hrt mnpul art
|
$1,022.50 |
$1,022.50 |
$1,022.50 |
$1,015.96
|
|
Cath/saline/contrast/sis/hysteosal 58340
|
$327.00 |
$327.00 |
$327.00 |
$469.09
|
|
Cath segmntl pulm art
|
$1,350.50 |
$1,350.50 |
$1,350.50 |
$1,458.34
|
|
Cath steerable flex adv 12f
|
$1,765.00 |
$1,765.00 |
$1,765.00 |
$2,925.00
|
|
Cath stripping venous s&i
|
$828.00 |
$828.00 |
$828.00 |
$682.34
|
|
Cath temp pace flo bipol 5fr electrd
|
$1,881.00 |
$1,881.00 |
$1,881.00 |
$1,518.52
|
|
Cath uret open tp 6fx70cm
|
$45.00 |
$45.00 |
$45.00 |
$554.52
|
