|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$112.32 |
$112.32 |
$112.32 |
$221.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$112.32 |
$112.32 |
$112.32 |
$248.15
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$56.94 |
$56.94 |
$56.94 |
$97.50
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$74.10 |
$74.10 |
$74.10 |
$112.45
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$347.88 |
$347.88 |
$347.88 |
$727.50
|
|
Infectious agent nucleic acid quantification bk virus
|
$332.28 |
$332.28 |
$332.28 |
$300.00
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$93.60 |
$93.60 |
$93.60 |
$228.38
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$350.22 |
$350.22 |
$350.22 |
$278.78
|
|
Infectious agent nucleic acid quantification hiv-1
|
$314.34 |
$314.34 |
$314.34 |
$381.55
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$134.94 |
$134.94 |
$134.94 |
$297.01
|
|
Infliximab 100 mg intravenous solution
|
$5,217.42 |
$5,217.42 |
$5,217.42 |
$1,702.78
|
|
Initial nursing facility care/day 35 minutes
|
$358.02 |
$358.02 |
$358.02 |
$244.00
|
|
Initial nursing facility care/day 45 minutes
|
$435.24 |
$435.24 |
$435.24 |
$322.20
|
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
|
$1,256.58 |
$1,256.58 |
$1,256.58 |
$1,214.78
|
|
Injection carpal tunnel therapeutic (both sides)
|
$597.48 |
$597.48 |
$597.48 |
$541.96
|
|
Injection epidural blood patch or clot
|
$3,319.68 |
$3,319.68 |
$3,319.68 |
$1,447.86
|
|
Injection eye drug
|
$746.46 |
$746.46 |
$746.46 |
$709.80
|
|
Injection into hemorrhoid(s)
|
$1,620.84 |
$1,620.84 |
$1,620.84 |
$1,133.20
|
|
Injection, renflexis
|
$1,650.09 |
$1,650.09 |
$1,650.09 |
$1,407.02
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$1,256.58 |
$1,256.58 |
$1,256.58 |
$1,471.50
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$1,824.42 |
$1,824.42 |
$1,824.42 |
$999.81
|
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
|
$1,256.58 |
$1,256.58 |
$1,256.58 |
$1,871.25
|
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
|
$1,256.58 |
$1,256.58 |
$1,256.58 |
$1,771.20
|
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
|
$344.76 |
$344.76 |
$344.76 |
$460.94
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$365.04 |
$365.04 |
$365.04 |
$539.55
|
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
|
$429.78 |
$429.78 |
$429.78 |
$670.00
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$196.56 |
$196.56 |
$196.56 |
$168.17
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$195.78 |
$195.78 |
$195.78 |
$154.05
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$630.24 |
$630.24 |
$630.24 |
$270.60
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$310.44 |
$310.44 |
$310.44 |
$140.29
|
|
Injection treatment of eye
|
$4,843.02 |
$4,843.02 |
$4,843.02 |
$2,685.92
|
|
Inject sacroiliac joint
|
$2,902.38 |
$2,902.38 |
$2,902.38 |
$1,071.68
|
|
Inj epidural sgl cerv-thor without img
|
$1,256.58 |
$1,256.58 |
$1,256.58 |
$1,429.80
|
|
Inj epidural sgl lumb-sacral without img
|
$1,661.40 |
$1,661.40 |
$1,661.40 |
$1,415.50
|
|
Inj for ext venography
|
$1,297.14 |
$1,297.14 |
$1,297.14 |
$699.06
|
|
Inj heparin, pfizer, 1000u
|
$50.70 |
$50.70 |
$50.70 |
$19.04
|
|
Inj intralesional <= 7 lsn(s)
|
$351.78 |
$351.78 |
$351.78 |
$235.13
|
|
Inj, levothyroxine, freskabi
|
$495.88 |
$495.88 |
$495.88 |
$244.63
|
|
Inj pantoprazole(hikma) 40mg
|
$50.70 |
$50.70 |
$50.70 |
$30.47
|
|
Inj, vasopressin (baxter)
|
$234.70 |
$234.70 |
$234.70 |
$3.77
|
|
Ins cerv dilator (sep proc)
|
$569.40 |
$569.40 |
$569.40 |
$529.00
|
|
Insert and remove bone pin
|
$5,804.76 |
$5,804.76 |
$5,804.76 |
$3,966.00
|
|
Insert cath pleura with image
|
$3,735.42 |
$3,735.42 |
$3,735.42 |
$2,239.02
|
|
Insert cath pleura without image
|
$3,396.12 |
$3,396.12 |
$3,396.12 |
$2,168.17
|
|
Insert intrauterine device iud
|
$512.46 |
$512.46 |
$512.46 |
$378.83
|
|
Insertion catheter bladder non indwelling
|
$608.40 |
$608.40 |
$608.40 |
$237.13
|
|
Insertion catheter bladder temporary simple
|
$625.56 |
$625.56 |
$625.56 |
$250.80
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$6,906.90 |
$6,906.90 |
$6,906.90 |
$4,782.00
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$4,097.34 |
$4,097.34 |
$4,097.34 |
$2,505.60
|
|
Insertion of catheter vein
|
$11,525.28 |
$11,525.28 |
$11,525.28 |
$1,907.40
|
|
Insertion of heart electrode 33211
|
$18,305.04 |
$18,305.04 |
$18,305.04 |
$8,513.49
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$2,901.60 |
$2,901.60 |
$2,901.60 |
$2,079.43
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$3,385.98 |
$3,385.98 |
$3,385.98 |
$2,367.00
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$18,305.04 |
$18,305.04 |
$18,305.04 |
$7,216.00
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$5,808.66 |
$5,808.66 |
$5,808.66 |
$5,423.04
|
|
Insertion ureth cath
|
$4,159.74 |
$4,159.74 |
$4,159.74 |
$2,238.78
|
|
Insert pessary/other device
|
$347.10 |
$347.10 |
$347.10 |
$277.99
|
|
Insert prost urethral stent
|
$3,616.86 |
$3,616.86 |
$3,616.86 |
$2,269.38
|
|
In situ hybridization per specimen each additional single probe stain
|
$163.80 |
$163.80 |
$163.80 |
$264.00
|
|
In situ hybridization per specimen initial single probe stain
|
$163.80 |
$163.80 |
$163.80 |
$341.90
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$1,127.88 |
$1,127.88 |
$1,127.88 |
$1,483.95
|
|
Inst fibrinolysis agent ini day
|
$3,303.30 |
$3,303.30 |
$3,303.30 |
$948.00
|
|
Ins tun cv cath wo subq prt/pm
|
$10,022.22 |
$10,022.22 |
$10,022.22 |
$5,339.00
|
|
Ins tun cv cath wo subq prt/pm
|
$5,808.66 |
$5,808.66 |
$5,808.66 |
$4,341.66
|
|
Ins tun intraperit dia cath
|
$7,942.74 |
$7,942.74 |
$7,942.74 |
$4,520.40
|
|
Insulin total
|
$174.72 |
$174.72 |
$174.72 |
$67.50
|
|
Interdental fixation
|
$2,706.60 |
$2,706.60 |
$2,706.60 |
$2,052.18
|
|
Int hrhc lig 1 hroid without img
|
$5,010.72 |
$5,010.72 |
$5,010.72 |
$3,038.07
|
|
Intranasal biopsy 30100
|
$2,706.60 |
$2,706.60 |
$2,706.60 |
$1,752.89
|
|
Intraoral i+d tongue/floor lingual 41000
|
$890.76 |
$890.76 |
$890.76 |
$1,291.20
|
|
Intro long gi tube
|
$1,609.92 |
$1,609.92 |
$1,609.92 |
$930.31
|
|
Intro windpipe wire/tube
|
$3,584.10 |
$3,584.10 |
$3,584.10 |
$2,040.67
|
|
Intubation endotracheal emergency procedure
|
$946.92 |
$946.92 |
$946.92 |
$592.80
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$70.20 |
$70.20 |
$70.20 |
$222.75
|
|
Iron
|
$101.40 |
$101.40 |
$101.40 |
$72.15
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$67.85 |
$67.85 |
$67.85 |
$255.91
|
|
Irrigation implantable venous access device for drug delivery systems
|
$129.48 |
$129.48 |
$129.48 |
$153.75
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$356.46 |
$356.46 |
$356.46 |
$191.75
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$255.84 |
$255.84 |
$255.84 |
$181.26
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$247.26 |
$247.26 |
$247.26 |
$154.00
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$746.46 |
$746.46 |
$746.46 |
$460.85
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$74.10 |
$74.10 |
$74.10 |
$52.80
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$50.70 |
$50.70 |
$50.70 |
$24.33
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$1,018.68 |
$1,018.68 |
$1,018.68 |
$668.25
|
|
Knee X-ray
|
$822.90 |
$822.90 |
$822.90 |
$440.00
|
|
Kras gene addl variants
|
$167.70 |
$167.70 |
$167.70 |
$346.45
|
|
Kras gene variants exon 2
|
$167.70 |
$167.70 |
$167.70 |
$495.00
|
|
Lab draw < 3 yrs fem/jugular 36400
|
$1,127.88 |
$1,127.88 |
$1,127.88 |
$77.89
|
|
Lab draw <3 yrs scalp vein 36405
|
$1,127.88 |
$1,127.88 |
$1,127.88 |
$52.80
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$50.70 |
$50.70 |
$50.70 |
$29.35
|
|
Lactate dehydrogenase (ldh)
|
$186.42 |
$186.42 |
$186.42 |
$52.80
|
|
Lactated ringers intravenous solution
|
$214.50 |
$214.50 |
$214.50 |
$47.66
|
|
Lactic acid
|
$156.00 |
$156.00 |
$156.00 |
$100.65
|
|
Lactoferrin fecal qualitative
|
$102.96 |
$102.96 |
$102.96 |
$85.83
|
|
Lactoferrin fecal quant
|
$53.04 |
$53.04 |
$53.04 |
$106.10
|
|
Laparo cholecystectomy/graph
|
$11,687.52 |
$11,687.52 |
$11,687.52 |
$6,904.15
|
|
Largsc w/removal lesion
|
$6,500.52 |
$6,500.52 |
$6,500.52 |
$4,341.97
|
|
Largsc w/rmvl foreign bdy(s)
|
$735.54 |
$735.54 |
$735.54 |
$765.97
|
|
Laryngoscopy direct w/wo tracheoscopy dx exc newborn
|
$3,116.88 |
$3,116.88 |
$3,116.88 |
$2,342.89
|
|
Laryngoscopy w/fb removal
|
$3,116.88 |
$3,116.88 |
$3,116.88 |
$3,654.33
|
