|
Bx/soft tis/forearm/wrist/superfic 25065
|
$191.50 |
$191.50 |
$191.50 |
$1,917.33
|
|
Bx thyroid/percutan core needle 60100
|
$1,436.50 |
$1,436.50 |
$1,436.50 |
$964.62
|
|
Bx vulva or perineum/1 lesion 56605
|
$90.50 |
$90.50 |
$90.50 |
$1,127.00
|
|
C1 esterase inhibitor func - sendout
|
$262.50 |
$262.50 |
$262.50 |
$96.72
|
|
Cable cath 22-pin diag
|
$193.00 |
$193.00 |
$193.00 |
$4,946.50
|
|
Cabotegravir ER 400 mg/2 ml-rilpivirine ER 600 mg/2ml im suspension,er
|
$13,247.32 |
$13,247.32 |
$13,247.32 |
$12,338.18
|
|
Cad breast MRI w/r&i
|
$39.00 |
$39.00 |
$39.00 |
$122.40
|
|
Calcium 24 hour urine
|
$34.00 |
$34.00 |
$34.00 |
$53.00
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$16.54 |
$16.54 |
$16.54 |
$64.49
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$17.67 |
$17.67 |
$17.67 |
$91.60
|
|
Calcium ionized
|
$71.50 |
$71.50 |
$71.50 |
$90.00
|
|
Calcium total
|
$31.00 |
$31.00 |
$31.00 |
$50.00
|
|
Calculi urinary-sendout
|
$60.50 |
$60.50 |
$60.50 |
$68.05
|
|
Calprotectin fecal
|
$108.00 |
$108.00 |
$108.00 |
$169.95
|
|
Cannula ercp contour 5-4-3 tip
|
$318.00 |
$318.00 |
$318.00 |
$34,218.66
|
|
Cantharidin top, applicator
|
$1,416.00 |
$1,416.00 |
$1,416.00 |
$1,113.94
|
|
Capsaicin 8% patch
|
$7.50 |
$7.50 |
$7.50 |
$4,719.65
|
|
Cap trach decann 15mm
|
$455.00 |
$455.00 |
$455.00 |
$2,597.62
|
|
Carbamazepine free
|
$72.50 |
$72.50 |
$72.50 |
$59.15
|
|
Carbamazepine total therapeutic drug level
|
$75.50 |
$75.50 |
$75.50 |
$120.25
|
|
Carbohydrate urine - sendout
|
$364.00 |
$364.00 |
$364.00 |
$66.64
|
|
Carbon dioxide
|
$24.50 |
$24.50 |
$24.50 |
$44.00
|
|
Carboplatin 10 mg/ml desensitization
|
$44.30 |
$44.30 |
$44.30 |
$186.10
|
|
Carboxyhemoglobin quantitative
|
$165.50 |
$165.50 |
$165.50 |
$85.00
|
|
Carcinoembryonic ag (cea)
|
$144.00 |
$144.00 |
$144.00 |
$144.00
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$3,242.00 |
$3,242.00 |
$3,242.00 |
$2,626.88
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$288.00 |
$288.00 |
$288.00 |
$244.00
|
|
Cardiac Stress Test
|
$76.50 |
$76.50 |
$76.50 |
$210.00
|
|
Cardiolipin antibody iga
|
$246.00 |
$246.00 |
$246.00 |
$105.00
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$1,395.00 |
$1,395.00 |
$1,395.00 |
$1,396.00
|
|
Caregiver health risk assmt
|
$43.50 |
$43.50 |
$43.50 |
$43.50
|
|
Carotid Artery Ultrasound (Duplex)
|
$597.00 |
$597.00 |
$597.00 |
$1,018.68
|
|
Carpal Tunnel Release Surgery
|
$8,891.50 |
$8,891.50 |
$8,891.50 |
$3,608.80
|
|
Car seat/bed test 60 minutes
|
$98.00 |
$98.00 |
$98.00 |
$111.28
|
|
Car seat/bed test additional 30 minutes
|
$30.50 |
$30.50 |
$30.50 |
$65.00
|
|
Cath 2lum 14.5frx43cm maxid kt mahurkar
|
$100.50 |
$100.50 |
$100.50 |
$830.58
|
|
Cath acuity innr ic130 6f 63cm
|
$183.54 |
$183.54 |
$183.54 |
$9,236.50
|
|
Cath adherent clot 10mm 6f 10
|
$1,411.50 |
$1,411.50 |
$1,411.50 |
$18,560.00
|
|
Cath combo lt&rt heart w/inj/s
|
$3,076.00 |
$3,076.00 |
$3,076.00 |
$8,899.15
|
|
Cath cv dl inj 7fx16cm
|
$530.44 |
$530.44 |
$530.44 |
$3,889.06
|
|
Cath del ampltz 12f 45d 80cm
|
$626.50 |
$626.50 |
$626.50 |
$2,337.00
|
|
Cath epdrl brevi-stf 12in .043
|
$31.42 |
$31.42 |
$31.42 |
$1,911.42
|
|
Catheter declot mechanical
|
$3,887.00 |
$3,887.00 |
$3,887.00 |
$1,838.28
|
|
Catheterization collection of specimen single patient all places of service
|
$15.50 |
$15.50 |
$15.50 |
$40.95
|
|
Cath groshong MRI 8fr plstc port
|
$390.00 |
$390.00 |
$390.00 |
$1,653.00
|
|
Cath hawkone s directional
|
$6,892.32 |
$6,892.32 |
$6,892.32 |
$6,996.60
|
|
Cath imag ivus pv 8.5fx90 .035
|
$3,453.30 |
$3,453.30 |
$3,453.30 |
$4,160.00
|
|
Cath malecot 28fr 4-wing ltx
|
$1,054.00 |
$1,054.00 |
$1,054.00 |
$2,173.58
|
|
Cath plc art ang/grft lt/rt hr
|
$6,695.00 |
$6,695.00 |
$6,695.00 |
$11,645.40
|
|
Cath plc art/angio/rt hrt cath
|
$7,197.00 |
$7,197.00 |
$7,197.00 |
$9,954.00
|
|
Cath plc art/grft/angio right hrt
|
$3,076.00 |
$3,076.00 |
$3,076.00 |
$10,389.60
|
|
Cath right heart w/o2 sat & card
|
$5,534.00 |
$5,534.00 |
$5,534.00 |
$6,406.86
|
|
Cath/saline/contrast/sis/hysteosal 58340
|
$558.50 |
$558.50 |
$558.50 |
$469.09
|
|
Cath uret open tp 6fx70cm
|
$172.06 |
$172.06 |
$172.06 |
$554.52
|
|
Cauterization chemical granulation tissue
|
$414.50 |
$414.50 |
$414.50 |
$340.90
|
|
Cciiv4 vac no prsv 0.5 ml im
|
$26.00 |
$26.00 |
$26.00 |
$34.80
|
|
Cdna analysis for variants
|
$299.00 |
$299.00 |
$299.00 |
$525.00
|
|
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr
|
$9.24 |
$9.24 |
$9.24 |
$37.70
|
|
Cefepime 1 gram solution for injection
|
$9.79 |
$9.79 |
$9.79 |
$44.03
|
|
Ceftaroline fosamil 600 mg intravenous solution
|
$11.00 |
$11.00 |
$11.00 |
$606.21
|
|
Ceftriaxone 1 gram solution for injection
|
$86.50 |
$86.50 |
$86.50 |
$84.18
|
|
#celiac hla-dq8
|
$304.50 |
$304.50 |
$304.50 |
$246.88
|
|
Cell count body fluid
|
$18.50 |
$18.50 |
$18.50 |
$63.63
|
|
Cell count w differential body fluid
|
$68.00 |
$68.00 |
$68.00 |
$93.23
|
|
Cell function assay w/stim
|
$392.00 |
$392.00 |
$392.00 |
$314.25
|
|
Cervical or vaginal cancer screening g0101
|
$31.00 |
$31.00 |
$31.00 |
$109.46
|
|
#cf-97variants
|
$1,931.50 |
$1,931.50 |
$1,931.50 |
$622.20
|
|
Change cystostomy tube simple
|
$628.50 |
$628.50 |
$628.50 |
$451.00
|
|
Change nephroureteral cath
|
$2,417.00 |
$2,417.00 |
$2,417.00 |
$2,969.25
|
|
Chemo adm cns w/lmbr punct
|
$686.50 |
$686.50 |
$686.50 |
$665.40
|
|
Chemodenerv eccrine glands 64650
|
$70.00 |
$70.00 |
$70.00 |
$521.82
|
|
Chemodenerv musc migraine 64615
|
$127.00 |
$127.00 |
$127.00 |
$540.80
|
|
Chemo extend IV infus w/pump
|
$786.50 |
$786.50 |
$786.50 |
$737.10
|
|
Chest 2 vws w oblique
|
$289.00 |
$289.00 |
$289.00 |
$377.06
|
|
Chest apical lordotic proj
|
$187.00 |
$187.00 |
$187.00 |
$310.80
|
|
Chest CT scan (with and without contrast)
|
$639.50 |
$639.50 |
$639.50 |
$1,975.00
|
|
Chest CT scan (with contrast)
|
$639.50 |
$639.50 |
$639.50 |
$1,689.00
|
|
Chest CT scan (without contrast)
|
$296.00 |
$296.00 |
$296.00 |
$1,350.03
|
|
Chest X-ray
|
$202.50 |
$202.50 |
$202.50 |
$294.06
|
|
Chest X-ray (single view)
|
$393.00 |
$393.00 |
$393.00 |
$239.04
|
|
Chg pr pul rehab for copd patients
|
$149.50 |
$149.50 |
$149.50 |
$147.95
|
|
Chg radiologic exam esophagus double contrast
|
$625.00 |
$625.00 |
$625.00 |
$511.59
|
|
Chloride
|
$24.50 |
$24.50 |
$24.50 |
$40.95
|
|
Chloride 24 hour urine
|
$27.00 |
$27.00 |
$27.00 |
$49.50
|
|
Chloroprocaine hcl injection
|
$13.57 |
$13.57 |
$13.57 |
$61.51
|
|
Cholecystostomy complete w/supervision & interpretation
|
$3,295.50 |
$3,295.50 |
$3,295.50 |
$3,690.60
|
|
Cholesterol
|
$23.50 |
$23.50 |
$23.50 |
$45.76
|
|
Cholesterol body fluid
|
$998.00 |
$998.00 |
$998.00 |
$77.55
|
|
Cholesterol (Lipid) Test
|
$74.50 |
$74.50 |
$74.50 |
$115.80
|
|
Chromatography
|
$159.50 |
$159.50 |
$159.50 |
$81.25
|
|
Chromosome analysis 15-20 cell count
|
$729.00 |
$729.00 |
$729.00 |
$512.20
|
|
Chromosome banding study
|
$74.00 |
$74.00 |
$74.00 |
$184.24
|
|
Chromosome count additional
|
$62.50 |
$62.50 |
$62.50 |
$92.45
|
|
Chronic urticaria - sendout
|
$75.00 |
$75.00 |
$75.00 |
$75.00
|
|
Chylomicron screen, bf - sendout
|
$88.00 |
$88.00 |
$88.00 |
$124.15
|
|
Cilastatin sodium injection
|
$44.02 |
$44.02 |
$44.02 |
$77.40
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$6.30 |
$6.30 |
$6.30 |
$34.88
|
|
Circumcise/surg/28 days or < 54160
|
$4,141.00 |
$4,141.00 |
$4,141.00 |
$1,219.20
|
|
Circumcision (newborn)
|
$4,141.00 |
$4,141.00 |
$4,141.00 |
$1,395.20
|
|
Clean out mastoid cavity
|
$156.00 |
$156.00 |
$156.00 |
$1,033.60
|
