|
Bx of breast open 19101
|
$233.73 |
$652.65 |
$3,815.90 |
|
|
Bx of cervix w/scope leep 57460
|
$310.58 |
$310.58 |
$4,208.80 |
|
|
Bx pancreas pq ndl
|
$1,045.55 |
$1,060.00 |
$3,400.18 |
|
|
Bx perianal mass
|
$1,942.38 |
$1,942.38 |
$2,954.56 |
|
|
Bx pleura pq ndl
|
$378.40 |
$1,270.00 |
$3,400.18 |
|
|
Bx shoulder tissues deep 23066
|
$401.74 |
$401.74 |
$4,605.60 |
|
|
Bx shoulder tissues supf 23065
|
$1,919.20 |
$3,244.45 |
$3,244.45 |
|
|
Bx skin incisnl ea sep/add l les
|
$115.00 |
$148.50 |
$624.80 |
|
|
Bx skin punch ea sep/ addl les
|
$115.00 |
$148.50 |
$394.35 |
|
|
Bx skin tangential ea sep/ addl les
|
$115.00 |
$144.21 |
$394.35 |
|
|
Bx/soft tis/forearm/wrist/superfic 25065
|
$270.83 |
$270.83 |
$1,373.60 |
|
|
Bx soft tiss pelvis+hip area supf 27040
|
$312.17 |
$1,290.00 |
$1,680.00 |
|
|
Bx soft tiss pelvis/hip deep 27041
|
$2,645.94 |
$2,645.94 |
$5,057.60 |
|
|
Bx soft tissue back/flank deep 21925
|
$3,558.72 |
$3,558.72 |
$3,558.72 |
|
|
Bx soft tissue back/flank supf 21920
|
$217.83 |
$217.83 |
$1,343.76 |
|
|
Bx thigh/knee soft tiss supf 27323
|
$202.99 |
$202.99 |
$2,100.80 |
|
|
Bx thyroid/percutan core needle 60100
|
$730.34 |
$869.88 |
$1,795.64 |
|
|
Bx vag mucos smpl (sep proc)
|
$281.58 |
$660.00 |
$1,191.30 |
|
|
Bx vulva or perineum/1 lesion 56605
|
$59.89 |
$266.19 |
$1,818.96 |
|
|
Bx vulva or perineum/ea add lesion 56606
|
$215.00 |
$215.00 |
$313.60 |
|
|
Bypass graft patency/patch
|
$1,158.40 |
$1,158.40 |
$1,158.40 |
|
|
Bypass temp external fem-fem
|
$116.60 |
$3,460.00 |
$5,672.93 |
|
|
C-1 esterase, berinert
|
$137.40 |
$199.24 |
$257.82 |
|
|
C1 esterase inhibitor func - sendout
|
$13.68 |
$123.49 |
$336.02 |
|
|
Cabazitaxel 10 mg/ml (first dilution) intravenous solution
|
$208.29 |
$576.98 |
$10,344.50 |
|
|
Cabergoline, oral 0.25mg
|
$8.02 |
$8.02 |
$8.02 |
|
|
Cabg 2 arterial grafts 33534
|
$19,476.80 |
$19,476.80 |
$19,476.80 |
|
|
Cabg 3 arterial grafts 33535
|
$21,099.20 |
$21,099.20 |
$21,099.20 |
|
|
Cabg arterial four or more 33536
|
$22,316.00 |
$22,316.00 |
$22,316.00 |
|
|
Cabgsingle artery graft 33533
|
$17,408.00 |
$17,408.00 |
$17,408.00 |
|
|
Cabgsingle coronary venous graft 33510
|
$15,907.20 |
$15,907.20 |
$15,907.20 |
|
|
Cabg/valve reop >1 mo p org proced 33530
|
$3,411.20 |
$3,411.20 |
$3,411.20 |
|
|
Cabg vein five
|
$21,099.20 |
$21,099.20 |
$21,099.20 |
|
|
Cabg/vein only/2 cor venous gfts 33511
|
$17,853.60 |
$17,853.60 |
$17,853.60 |
|
|
Cabg/vein only/3 cor venous gfts 33512
|
$19,880.80 |
$19,880.80 |
$19,880.80 |
|
|
Cabg/vein only/4 cor venous gfts 33513
|
$20,288.00 |
$20,288.00 |
$20,288.00 |
|
|
Cabg vein six or more
|
$22,966.40 |
$22,966.40 |
$22,966.40 |
|
|
Cabg venous & art 1 vein graft 33517
|
$1,626.40 |
$1,626.40 |
$1,626.40 |
|
|
Cabg venous & art 2 vein graft 33518
|
$2,681.60 |
$2,681.60 |
$2,681.60 |
|
|
Cabg venous & art 3 vein graft 33519
|
$3,899.20 |
$3,899.20 |
$3,899.20 |
|
|
Cabg venous & art 4 vein graft 33521
|
$5,196.80 |
$5,196.80 |
$5,196.80 |
|
|
Cabg venous & art 5 vein graft 33522
|
$6,493.60 |
$6,493.60 |
$6,493.60 |
|
|
Cabg venous & art 6 vein graft 33523
|
$8,036.00 |
$8,036.00 |
$8,036.00 |
|
|
Cable cath 22-pin diag
|
$172.01 |
$1,101.74 |
$7,280.00 |
|
|
Cabotegravir ER 400 mg/2 ml-rilpivirine ER 600 mg/2ml im suspension,er
|
$73.02 |
$73.02 |
$73.02 |
|
|
Cacna1a gene full gene seq
|
$977.46 |
$977.46 |
$977.46 |
|
|
Cad breast MRI w/r&i
|
$268.95 |
$268.95 |
$785.95 |
|
|
Cadd pump refill
|
$238.70 |
$380.60 |
$790.68 |
|
|
Caffeine citrate 20 mg/ml inj for po
|
$1.59 |
$5.23 |
$20.78 |
|
|
Calaspargase pegol-mknl 750 unit/ml intravenous solution
|
$145.75 |
$145.75 |
$145.75 |
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$742.30 |
$1,798.56 |
$5,605.83 |
|
|
Calcium 24 hour urine
|
$18.81 |
$58.85 |
$97.72 |
|
|
Calcium chloride 100 mg/ml (10 %) intravenous syringe
|
$0.11 |
$0.12 |
$0.21 |
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$0.29 |
$6.84 |
$621.90 |
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$0.47 |
$0.93 |
$384.07 |
|
|
Calcium ionized
|
$33.63 |
$47.50 |
$273.99 |
|
|
Calcium total
|
$17.10 |
$43.45 |
$83.62 |
|
|
Calculi urinary-sendout
|
$85.14 |
$85.14 |
$153.60 |
|
|
Calculus analysis qual
|
$46.11 |
$46.11 |
$98.40 |
|
|
Caloric vstblr test w/rec
|
$365.00 |
$365.00 |
$365.00 |
|
|
Calprotectin fecal
|
$36.85 |
$149.46 |
$704.37 |
|
|
Camisole mastectomy wht/l post-surg gental touch
|
$52.02 |
$90.00 |
$90.00 |
|
|
Campylobacter antibody
|
$22.26 |
$30.00 |
$42.93 |
|
|
Canakinumab injection
|
$209.06 |
$209.06 |
$306.18 |
|
|
Candida dna
|
$28.05 |
$62.50 |
$138.60 |
|
|
Candida skin test
|
$17.50 |
$18.55 |
$80.30 |
|
|
Cannabinoids synthetic 1-3
|
$128.15 |
$128.15 |
$156.00 |
|
|
Cannabinoids synthetic 4-6
|
$156.00 |
$156.00 |
$156.00 |
|
|
Cannabinoid synthetic 7/more
|
$75.00 |
$75.00 |
$1,391.50 |
|
|
Cannula ercp contour 5-4-3 tip
|
$801.70 |
$6,015.54 |
$69,375.00 |
|
|
Canthotomy 67715
|
$1,775.40 |
$3,741.65 |
$6,584.61 |
|
|
Cap nerve 2x15mm
|
$1,057.64 |
$3,125.50 |
$10,322.94 |
|
|
Capsaicin 8% patch
|
$5.13 |
$5.13 |
$11.01 |
|
|
Capsular contracture release
|
$11,503.20 |
$11,503.20 |
$11,503.20 |
|
|
Capsulotomy; interphalangeal joint, each joint (separate proc)
|
$285.67 |
$285.67 |
$285.67 |
|
|
Capsulotomy mpj ea joint (sep proc)
|
$315.35 |
$315.35 |
$454.86 |
|
|
Cap trach decann 15mm
|
$360.67 |
$716.59 |
$8,822.00 |
|
|
Carbamazepine free
|
$13.75 |
$50.00 |
$99.66 |
|
|
Carbamazepine free -sendout
|
$26.95 |
$45.00 |
$106.92 |
|
|
Carbamazepine total therapeutic drug level
|
$37.62 |
$105.00 |
$300.30 |
|
|
Carbohydrate deficient transf - sendout
|
$56.65 |
$167.50 |
$692.71 |
|
|
Carbon dioxide
|
$13.11 |
$47.50 |
$81.18 |
|
|
Carboplatin 10 mg/ml desensitization
|
$10.06 |
$27.16 |
$311.89 |
|
|
Carboprost tromethamine 250 mcg/ml intramuscular solution
|
$332.65 |
$332.65 |
$332.65 |
|
|
Carboxyhemoglobin quantitative
|
$27.83 |
$39.75 |
$182.60 |
|
|
Car-car bp grft/endovas taa
|
$9,150.40 |
$9,150.40 |
$9,150.40 |
|
|
Carcinoembryonic ag (cea)
|
$73.67 |
$142.50 |
$328.52 |
|
|
Cardiac MRI w/stress img
|
$2,510.00 |
$2,510.00 |
$2,510.00 |
|
|
Cardiac perf planar mult/ef/wm
|
$1,016.95 |
$3,050.00 |
$5,040.51 |
|
|
Cardiac perf planar sgl/ef/wm
|
$2,180.00 |
$2,180.00 |
$3,868.38 |
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$1,573.00 |
$2,335.86 |
$5,040.51 |
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$153.45 |
$240.00 |
$458.10 |
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$121.00 |
$237.50 |
$305.28 |
|
|
Cardiac shunt imaging
|
$933.86 |
$933.86 |
$1,285.00 |
|
|
Cardiac Stress Test
|
$438.84 |
$438.84 |
$1,032.00 |
|
|
Cardiolipin antibody iga
|
$18.15 |
$68.64 |
$311.81 |
|
|
Cardioversion/elective/internal 92961
|
$755.70 |
$1,519.51 |
$2,291.19 |
|
|
Cardioversion (Scheduled Heart Rhythm Shock)
|
$725.57 |
$1,330.00 |
$4,022.17 |
|
|
Card MRI veloc flow mapping
|
$520.12 |
$2,095.00 |
$2,602.60 |
|
|
Caregiver health risk assmt
|
$10.07 |
$10.07 |
$10.40 |
|
