|
Bx skin incisnl ea sep/add l les
|
$29.00 |
$301.00 |
$687.00 |
|
|
Bx skin punch ea sep/ addl les
|
$25.00 |
$220.00 |
$2,448.50 |
|
|
Bx skin tangential ea sep/ addl les
|
$22.50 |
$221.00 |
$582.00 |
|
|
Bx/soft tis/forearm/wrist/superfic 25065
|
$161.00 |
$257.60 |
$2,834.50 |
|
|
Bx soft tissue back/flank supf 21920
|
$1,825.00 |
$1,898.50 |
$2,190.00 |
|
|
Bx thigh/knee soft tiss supf 27323
|
$1,898.50 |
$2,188.50 |
$2,834.50 |
|
|
Bx thyroid/percutan core needle 60100
|
$814.00 |
$986.40 |
$2,750.33 |
|
|
Bx vag mucos smpl (sep proc)
|
$68.50 |
$1,042.00 |
$3,745.50 |
|
|
Bx vulva or perineum/1 lesion 56605
|
$90.50 |
$1,127.00 |
$5,262.00 |
|
|
Bx vulva or perineum/ea add lesion 56606
|
$30.00 |
$151.50 |
$1,699.50 |
|
|
Bypass graft/av fist patency
|
$173.50 |
$178.50 |
$374.40 |
|
|
Bypass graft patency/patch
|
$213.50 |
$219.50 |
$351.20 |
|
|
Bypass temp external fem-fem
|
$638.50 |
$943.50 |
$11,710.50 |
|
|
C-1 esterase, berinert
|
$6,338.88 |
$6,338.88 |
$21,912.12 |
|
|
C1 esterase inhibitor func - sendout
|
$262.50 |
$262.50 |
$438.00 |
|
|
Cabazitaxel 10 mg/ml (first dilution) intravenous solution
|
$14,358.73 |
$21,059.48 |
$22,495.35 |
|
|
Cabgsingle artery graft 33533
|
$1,994.00 |
$2,088.00 |
$3,340.80 |
|
|
Cabg/vein only/2 cor venous gfts 33511
|
$22,599.00 |
$22,599.00 |
$22,599.00 |
|
|
Cabg venous & art 1 vein graft 33517
|
$199.50 |
$206.00 |
$329.60 |
|
|
Cabg venous & art 2 vein graft 33518
|
$439.50 |
$451.50 |
$722.40 |
|
|
Cabg venous & art 3 vein graft 33519
|
$579.50 |
$597.00 |
$955.20 |
|
|
Cable cath 22-pin diag
|
$166.01 |
$525.00 |
$4,530.75 |
|
|
Cable centrimag pressure
|
$12.00 |
$12.00 |
$12.00 |
|
|
Cabotegravir ER 400 mg/2 ml-rilpivirine ER 600 mg/2ml im suspension,er
|
$13,247.32 |
$13,247.32 |
$13,247.32 |
|
|
Cacna1a gene full gene seq
|
$1,602.50 |
$1,602.50 |
$1,602.50 |
|
|
Cad breast MRI w/r&i
|
$39.00 |
$46.00 |
$52.50 |
|
|
Cadd pump refill
|
$229.50 |
$392.50 |
$458.00 |
|
|
Caffeine citrate 20 mg/ml inj for po
|
$10.40 |
$10.40 |
$10.40 |
|
|
Calaspargase pegol-mknl 750 unit/ml intravenous solution
|
$47,378.31 |
$47,378.31 |
$47,378.31 |
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$847.50 |
$1,564.79 |
$3,343.73 |
|
|
Calcium 24 hour urine
|
$22.50 |
$35.00 |
$159.00 |
|
|
Calcium acetate(phosphate binders) 667 mg tablet
|
$1.57 |
$7.11 |
$24.78 |
|
|
Calcium chloride 100 mg/ml (10 %) intravenous syringe
|
$16.20 |
$30.90 |
$80.70 |
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$16.54 |
$33.08 |
$49.62 |
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$11.78 |
$33.75 |
$153.00 |
|
|
Calcium ionized
|
$35.50 |
$71.50 |
$218.40 |
|
|
Calcium total
|
$15.00 |
$30.50 |
$87.00 |
|
|
Calculi urinary-sendout
|
$60.50 |
$61.80 |
$96.50 |
|
|
Caloric vstblr test w/rec
|
$208.50 |
$208.50 |
$717.00 |
|
|
Calprotectin fecal
|
$30.00 |
$30.00 |
$542.40 |
|
|
Campylobacter antibody
|
$149.00 |
$149.00 |
$149.00 |
|
|
Canakinumab injection
|
$42,768.70 |
$42,768.70 |
$42,768.70 |
|
|
Candida dna
|
$36.50 |
$37.20 |
$118.00 |
|
|
Candida skin test
|
$10.50 |
$10.50 |
$42.00 |
|
|
Cannabinoid synthetic 7/more
|
$20.38 |
$20.38 |
$75.00 |
|
|
Cannula declotting 36861
|
$148.50 |
$149.50 |
$5,039.50 |
|
|
Cannula ercp contour 5-4-3 tip
|
$189.50 |
$891.50 |
$23,484.13 |
|
|
Cannula nasal
|
$10.00 |
$10.00 |
$10.50 |
|
|
Cantharidin top, applicator
|
$944.00 |
$1,416.00 |
$1,510.40 |
|
|
Canthotomy 67715
|
$112.00 |
$2,643.50 |
$3,996.50 |
|
|
Cap nerve 2x15mm
|
$412.51 |
$2,967.50 |
$3,886.20 |
|
|
Capsaicin 8% patch
|
$5.00 |
$7.50 |
$14,219.40 |
|
|
Capsular contracture release
|
$4,015.75 |
$4,015.75 |
$4,015.75 |
|
|
Capsulotomy; interphalangeal joint, each joint (separate proc)
|
$1,423.20 |
$1,967.44 |
$8,606.00 |
|
|
Capsulotomy mpj ea joint (sep proc)
|
$347.50 |
$351.50 |
$14,051.00 |
|
|
Cap trach decann 15mm
|
$455.00 |
$769.50 |
$2,406.98 |
|
|
Carbamazepine free
|
$72.00 |
$72.50 |
$219.50 |
|
|
Carbamazepine free -sendout
|
$214.20 |
$214.20 |
$218.40 |
|
|
Carbamazepine total therapeutic drug level
|
$25.60 |
$93.00 |
$386.50 |
|
|
Carbohydrate deficient transf - sendout
|
$40.50 |
$306.50 |
$588.50 |
|
|
Carbohydrate urine - sendout
|
$364.00 |
$364.00 |
$582.40 |
|
|
Carbon dioxide
|
$9.60 |
$31.50 |
$85.00 |
|
|
Carboplatin 10 mg/ml desensitization
|
$44.30 |
$134.06 |
$221.40 |
|
|
Carboxyhemoglobin quantitative
|
$30.00 |
$47.00 |
$366.60 |
|
|
Carcinoembryonic ag (cea)
|
$144.00 |
$144.00 |
$512.40 |
|
|
Cardiac MRI seg dys strain
|
$737.00 |
$737.00 |
$737.00 |
|
|
Cardiac MRI seg dys stress
|
$737.00 |
$737.00 |
$737.00 |
|
|
Cardiac MRI w/stress img
|
$1,284.50 |
$1,284.50 |
$1,284.50 |
|
|
Cardiac perf planar mult/ef/wm
|
$2,688.50 |
$2,688.50 |
$4,385.50 |
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$910.00 |
$2,175.00 |
$4,545.50 |
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$105.50 |
$183.50 |
$423.50 |
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$7.00 |
$141.50 |
$277.50 |
|
|
Cardiac Stress Test
|
$72.00 |
$77.50 |
$1,077.00 |
|
|
Cardioassist external
|
$419.00 |
$419.00 |
$419.00 |
|
|
Cardioassist internal
|
$7,917.50 |
$7,917.50 |
$7,917.50 |
|
|
Cardiolipin antibody iga
|
$39.00 |
$156.00 |
$379.00 |
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$684.50 |
$1,176.80 |
$16,829.50 |
|
|
Cardioversion/elective/internal 92961
|
$256.50 |
$270.50 |
$1,114.00 |
|
|
Card MRI veloc flow mapping
|
$1,124.00 |
$1,124.00 |
$1,124.00 |
|
|
Caregiver health risk assmt
|
$36.00 |
$43.50 |
$57.60 |
|
|
Caregiver training strategies&tq 1st 30 minutes
|
$41.50 |
$49.50 |
$66.40 |
|
|
Caregiver training strategies&tq ea addl 15 min
|
$20.50 |
$25.00 |
$32.80 |
|
|
Care manage beh svs 20mins
|
$37.00 |
$43.00 |
$79.00 |
|
|
Care mgmt svc bhvl hlth cond
|
$43.50 |
$44.50 |
$71.20 |
|
|
Carfilzomib 10 mg intravenous solution
|
$5,763.74 |
$13,099.40 |
$16,155.93 |
|
|
Carmustine 100 mg intravenous powder for solution
|
$3,217.81 |
$3,217.81 |
$3,217.81 |
|
|
Carotene
|
$9.50 |
$9.50 |
$47.50 |
|
|
Carotid Artery Ultrasound (Duplex)
|
$272.50 |
$655.50 |
$781.50 |
|
|
Car outp meas drg cath chd
|
$2,371.00 |
$2,371.00 |
$2,781.50 |
|
|
Carpal Tunnel Release Surgery
|
$466.50 |
$3,398.00 |
$12,235.33 |
|
|
Car seat/bed test 60 minutes
|
$47.00 |
$69.50 |
$112.50 |
|
|
Car seat/bed test additional 30 minutes
|
$9.50 |
$30.50 |
$57.50 |
|
|
Car-t admn autologous
|
$363.00 |
$363.00 |
$416.00 |
|
|
Car-t therapy receipt & prepj car-t cells f/admn
|
$435.50 |
$435.50 |
$435.50 |
|
|
Ca screen;flexi sigmoidscope
|
$59.50 |
$470.40 |
$1,774.00 |
|
|
Cast sup lng arm splint fbrg
|
$21.50 |
$22.50 |
$22.50 |
|
|
Cast sup lng arm splnt ped f
|
$11.00 |
$11.00 |
$11.00 |
|
|
Cast sup lng arm splnt ped p
|
$10.50 |
$10.50 |
$11.50 |
|
|
Cast sup lng leg ped fbrgls
|
$55.50 |
$57.50 |
$57.50 |
|
|
Cast sup lng leg ped plaster
|
$22.50 |
$22.50 |
$22.50 |
|
