|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$19.29 |
$19.29 |
$19.29 |
$149.13
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$22.93 |
$22.93 |
$22.93 |
$212.16
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$19.29 |
$19.29 |
$19.29 |
$137.67
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$28.03 |
$28.03 |
$28.03 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$17.47 |
$17.47 |
$17.47 |
$206.00
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$19.29 |
$19.29 |
$19.29 |
$96.00
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$20.20 |
$20.20 |
$20.20 |
$112.45
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$227.68 |
$227.68 |
$227.68 |
$727.50
|
|
Infectious agent nucleic acid quantification bk virus
|
$50.05 |
$50.05 |
$50.05 |
$283.00
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$23.48 |
$23.48 |
$23.48 |
$242.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$26.75 |
$26.75 |
$26.75 |
$253.00
|
|
Infectious agent nucleic acid quantification hiv-1
|
$46.59 |
$46.59 |
$46.59 |
$375.00
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$77.90 |
$77.90 |
$77.90 |
$304.20
|
|
Inj cntr knee arthro incl ct/mri
|
$134.38 |
$134.38 |
$134.38 |
$436.80
|
|
Inj dx for sinogram
|
$78.90 |
$78.90 |
$78.90 |
$436.00
|
|
Injection arthrography hip without anesthesia (both sides)
|
$184.67 |
$184.67 |
$184.67 |
$503.50
|
|
Injection during cath supravalvular aortography
|
$295.30 |
$295.30 |
$295.30 |
$1,027.26
|
|
Injection epidural blood patch or clot
|
$410.96 |
$410.96 |
$410.96 |
$1,182.33
|
|
Injection for arthrography wrist (both sides)
|
$207.21 |
$207.21 |
$207.21 |
$436.00
|
|
Injection for bladder x-ray
|
$147.39 |
$147.39 |
$147.39 |
$459.20
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$201.14 |
$201.14 |
$201.14 |
$497.76
|
|
Injection for ureter x-ray
|
$67.63 |
$67.63 |
$67.63 |
$515.21
|
|
Injection into brain canal
|
$296.51 |
$296.51 |
$296.51 |
$1,289.60
|
|
Injection jugular
|
$423.96 |
$423.96 |
$423.96 |
$790.00
|
|
Injection radioactive tracer sentinel node (both sides)
|
$429.74 |
$429.74 |
$429.74 |
$685.44
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
|
$1,284.61 |
$1,284.61 |
$1,284.61 |
$2,006.79
|
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
|
$830.01 |
$830.01 |
$830.01 |
$1,817.24
|
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
|
$830.01 |
$830.01 |
$830.01 |
$1,685.00
|
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
|
$190.74 |
$190.74 |
$190.74 |
$475.80
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$127.16 |
$127.16 |
$127.16 |
$548.80
|
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
|
$144.50 |
$144.50 |
$144.50 |
$637.92
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$60.23 |
$60.23 |
$60.23 |
$145.60
|
|
Inject sacroiliac joint
|
$388.99 |
$388.99 |
$388.99 |
$1,029.04
|
|
Inj for ext venography
|
$210.39 |
$210.39 |
$210.39 |
$628.80
|
|
Inj hrt cath w/s&i nonsel p-art angrp
|
$323.87 |
$323.87 |
$323.87 |
$1,492.00
|
|
Inj hrt cath w/s&i sel left vent
|
$250.98 |
$250.98 |
$250.98 |
$1,250.34
|
|
Inj hrt cath w/s&i sel right vent
|
$269.89 |
$269.89 |
$269.89 |
$999.96
|
|
Inj intralesional <= 7 lsn(s)
|
$50.40 |
$50.40 |
$50.40 |
$235.13
|
|
Inj nephrosto/ureterogram w/img exstng access
|
$569.62 |
$569.62 |
$569.62 |
$1,413.35
|
|
Inj proc ankle arthr
|
$241.89 |
$241.89 |
$241.89 |
$405.31
|
|
Inj proc elbow arthro
|
$224.55 |
$224.55 |
$224.55 |
$432.00
|
|
Inj proc lumbr disk ea lvl
|
$272.82 |
$272.82 |
$272.82 |
$1,106.93
|
|
Inj proc myelogram lumbar
|
$293.34 |
$293.34 |
$293.34 |
$838.30
|
|
Inj proc sialogram
|
$137.56 |
$137.56 |
$137.56 |
$373.00
|
|
Inj retacrit esrd on dialysi
|
$4.11 |
$4.11 |
$4.11 |
$349.45
|
|
Inj retro urethrocysto
|
$74.85 |
$74.85 |
$74.85 |
$447.74
|
|
Inj w/fluor eval cv device
|
$200.57 |
$200.57 |
$200.57 |
$504.40
|
|
Ins cath ren art 1st bi
|
$2,284.26 |
$2,284.26 |
$2,284.26 |
$5,974.80
|
|
Ins cath ren art 1st uni
|
$1,759.43 |
$1,759.43 |
$1,759.43 |
$4,667.63
|
|
Ins cath ren art 2nd+ bi
|
$2,940.29 |
$2,940.29 |
$2,940.29 |
$5,663.98
|
|
Ins cath ren art 2nd+ uni
|
$2,253.62 |
$2,253.62 |
$2,253.62 |
$5,395.20
|
|
Insert cath pleura with image
|
$893.01 |
$893.01 |
$893.01 |
$2,194.40
|
|
Insert cath pleura without image
|
$747.93 |
$747.93 |
$747.93 |
$2,099.70
|
|
Insert hepatic shunt (tips)
|
$2,419.51 |
$2,419.51 |
$2,419.51 |
$7,571.20
|
|
Insertion catheter bladder non indwelling
|
$54.91 |
$54.91 |
$54.91 |
$208.01
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$1,329.40 |
$1,329.40 |
$1,329.40 |
$4,897.20
|
|
Insertion intra aortic balloon assist device percutaneous
|
$1,786.89 |
$1,786.89 |
$1,786.89 |
$2,447.63
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$1,992.08 |
$1,992.08 |
$1,992.08 |
$7,210.78
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$1,138.08 |
$1,138.08 |
$1,138.08 |
$2,585.25
|
|
Insertion of catheter vein
|
$492.46 |
$492.46 |
$492.46 |
$1,525.80
|
|
Insertion of catheter vein
|
$307.78 |
$307.78 |
$307.78 |
$870.59
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$6,070.44 |
$6,070.44 |
$6,070.44 |
$12,384.25
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$4,188.77 |
$4,188.77 |
$4,188.77 |
$12,324.60
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$4,500.89 |
$4,500.89 |
$4,500.89 |
$9,884.16
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$791.57 |
$791.57 |
$791.57 |
$2,103.75
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$825.09 |
$825.09 |
$825.09 |
$2,453.83
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$6,355.40 |
$6,355.40 |
$6,355.40 |
$29,180.00
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$2,070.40 |
$2,070.40 |
$2,070.40 |
$7,183.68
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$2,305.64 |
$2,305.64 |
$2,305.64 |
$7,267.20
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$3,223.79 |
$3,223.79 |
$3,223.79 |
$9,332.50
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$4,349.27 |
$4,349.27 |
$4,349.27 |
$5,236.80
|
|
Insert pm/icd lead dual
|
$2,658.22 |
$2,658.22 |
$2,658.22 |
$7,115.90
|
|
Insert/repl sq defib w/eltrd
|
$4,259.86 |
$4,259.86 |
$4,259.86 |
$33,593.55
|
|
Insert swan-ganz cath
|
$1,013.74 |
$1,013.74 |
$1,013.74 |
$2,164.52
|
|
Insert tissue expander(s)
|
$1,313.36 |
$1,313.36 |
$1,313.36 |
$4,332.25
|
|
Insert uteri tandem/ovoids
|
$433.79 |
$433.79 |
$433.79 |
$3,940.41
|
|
Insert vad art access left hrt arterial access
|
$844.75 |
$844.75 |
$844.75 |
$4,276.00
|
|
Ins icd gen exist mlt leads
|
$4,906.35 |
$4,906.35 |
$4,906.35 |
$31,286.77
|
|
Ins icd gen exist sgl lead
|
$4,508.40 |
$4,508.40 |
$4,508.40 |
$23,230.50
|
|
Insitu hybridization auto
|
$166.88 |
$166.88 |
$166.88 |
$377.37
|
|
Insitu hybridization (fish)
|
$113.22 |
$113.22 |
$113.22 |
$481.00
|
|
Insitu hybridization manual
|
$166.88 |
$166.88 |
$166.88 |
$401.28
|
|
In situ hybridization per specimen each additional single probe stain
|
$101.83 |
$101.83 |
$101.83 |
$243.50
|
|
In situ hybridization per specimen initial single probe stain
|
$133.81 |
$133.81 |
$133.81 |
$338.40
|
|
Insj perq vad r hrt venous
|
$844.75 |
$844.75 |
$844.75 |
$3,796.00
|
|
Ins lv lead exist pm/icd
|
$4,492.50 |
$4,492.50 |
$4,492.50 |
$12,384.25
|
|
Ins mark abd/pel for right perq
|
$645.92 |
$645.92 |
$645.92 |
$2,477.24
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$799.95 |
$799.95 |
$799.95 |
$1,690.00
|
|
Ins pm gen exist dual lead
|
$4,578.92 |
$4,578.92 |
$4,578.92 |
$24,159.72
|
|
Ins pm gen w/exist mlt leads
|
$4,646.25 |
$4,646.25 |
$4,646.25 |
$14,804.40
|
|
Ins pq tunnld ip cath w/img
|
$2,242.06 |
$2,242.06 |
$2,242.06 |
$5,486.00
|
|
Ins/rplc spi npg/rcvr pocket
|
$1,460.61 |
$1,460.61 |
$1,460.61 |
$24,061.80
|
|
Ins/rpl ldless pm right vent w img & eval
|
$6,470.71 |
$6,470.71 |
$6,470.71 |
$24,135.54
|
|
Ins/rpl pm gen exist dual lead
|
$3,258.48 |
$3,258.48 |
$3,258.48 |
$11,005.50
|
|
Ins/rpl pm gen exist sgl lead
|
$3,111.95 |
$3,111.95 |
$3,111.95 |
$9,428.64
|
|
Ins/rpl pm w/tv ld atrl
|
$3,961.03 |
$3,961.03 |
$3,961.03 |
$11,583.66
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$14,890.25 |
$14,890.25 |
$14,890.25 |
$27,318.11
|
|
Inst fibrinolysis agent ini day
|
$617.02 |
$617.02 |
$617.02 |
$1,043.35
|
|
Inst fibrinolysis agent sbsq d
|
$551.70 |
$551.70 |
$551.70 |
$997.05
|
|
Ins tun cv cath wo subq prt/pm
|
$1,366.68 |
$1,366.68 |
$1,366.68 |
$4,218.00
|