|
Infect ag ia optc obs influenza
|
$39.66 |
$39.66 |
$39.66 |
$66.72
|
|
Infect ag if ea plyvlnt antsrm
|
$29.75 |
$29.75 |
$29.75 |
$37.74
|
|
Infect ag if nos ea
|
$29.75 |
$29.75 |
$29.75 |
$60.40
|
|
Infect ag na herpes simplex quant
|
$141.59 |
$141.59 |
$141.59 |
$145.20
|
|
Infect ag na influenza r/amp 1st 2 types
|
$205.65 |
$205.65 |
$205.65 |
$227.96
|
|
Infect ag na orthopoxvirus amp prb each
|
$64.83 |
$64.83 |
$64.83 |
$102.00
|
|
Infect ag na resp virus 12-25 targets
|
$419.43 |
$419.43 |
$419.43 |
$859.44
|
|
Infectious agent antigen immunoassay direct optical observation sars-cov-2
|
$98.13 |
$98.13 |
$98.13 |
$47.50
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$34.58 |
$34.58 |
$34.58 |
$81.44
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$29.75 |
$29.75 |
$29.75 |
$63.60
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$29.75 |
$29.75 |
$29.75 |
$80.05
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$29.75 |
$29.75 |
$29.75 |
$77.28
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$18.56 |
$18.56 |
$18.56 |
$83.50
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$43.98 |
$43.98 |
$43.98 |
$77.72
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$34.32 |
$34.32 |
$34.32 |
$55.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$96.86 |
$96.86 |
$96.86 |
$132.60
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$29.75 |
$29.75 |
$29.75 |
$97.50
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$29.75 |
$29.75 |
$29.75 |
$60.00
|
|
Infectious agent nucleic acid amplified probe
|
$198.28 |
$198.28 |
$198.28 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$111.60 |
$111.60 |
$111.60 |
$141.48
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$107.28 |
$107.28 |
$107.28 |
$174.06
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$218.11 |
$218.11 |
$218.11 |
$855.45
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$186.59 |
$186.59 |
$186.59 |
$178.00
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$110.58 |
$110.58 |
$110.58 |
$150.15
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$47.79 |
$47.79 |
$47.79 |
$210.00
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$111.60 |
$111.60 |
$111.60 |
$136.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$63.30 |
$63.30 |
$63.30 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$100.92 |
$100.92 |
$100.92 |
$248.15
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$11.44 |
$11.44 |
$11.44 |
$98.15
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$32.80 |
$32.80 |
$32.80 |
$112.45
|
|
Infectious agent nucleic acid quantification bk virus
|
$91.26 |
$91.26 |
$91.26 |
$285.66
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$141.59 |
$141.59 |
$141.59 |
$226.35
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$1,142.63 |
$1,142.63 |
$1,142.63 |
$278.78
|
|
Infectious agent nucleic acid quantification hiv-1
|
$415.88 |
$415.88 |
$415.88 |
$381.55
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$289.54 |
$289.54 |
$289.54 |
$298.35
|
|
Infuse radioactive materials
|
$215.82 |
$215.82 |
$215.82 |
$600.89
|
|
Initiation & management bipap/cpap initial day
|
$239.21 |
$239.21 |
$239.21 |
$645.79
|
|
Inj ceftolozane tazobactam
|
$295.83 |
$295.83 |
$295.83 |
$431.36
|
|
Inj cntr knee arthro incl ct/mri
|
$141.34 |
$141.34 |
$141.34 |
$464.28
|
|
Inj disk cerv-thor ea lev
|
$185.57 |
$185.57 |
$185.57 |
$869.80
|
|
Inj dx for sinogram
|
$194.72 |
$194.72 |
$194.72 |
$436.00
|
|
Inject for sacroiliac joint
|
$474.85 |
$474.85 |
$474.85 |
$932.51
|
|
Injection arthrography hip without anesthesia (both sides)
|
$176.93 |
$176.93 |
$176.93 |
$507.10
|
|
Injection during cath supravalvular aortography
|
$92.53 |
$92.53 |
$92.53 |
$1,148.80
|
|
Injection epidural blood patch or clot
|
$582.89 |
$582.89 |
$582.89 |
$1,473.12
|
|
Injection for arthrography wrist (both sides)
|
$153.54 |
$153.54 |
$153.54 |
$441.12
|
|
Injection for bladder x-ray
|
$223.70 |
$223.70 |
$223.70 |
$585.00
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$166.00 |
$166.00 |
$166.00 |
$504.00
|
|
Injection for ureter x-ray
|
$199.81 |
$199.81 |
$199.81 |
$515.21
|
|
Injection into brain canal
|
$502.30 |
$502.30 |
$502.30 |
$970.61
|
|
Injection into brain canal
|
$41.69 |
$41.69 |
$41.69 |
$933.60
|
|
Injection into hemorrhoid(s)
|
$835.05 |
$835.05 |
$835.05 |
$1,278.72
|
|
Injection of sinus tract
|
$528.74 |
$528.74 |
$528.74 |
$1,651.20
|
|
Injection radioactive tracer sentinel node (both sides)
|
$304.79 |
$304.79 |
$304.79 |
$717.20
|
|
Injection, renflexis
|
$1,407.33 |
$1,407.33 |
$1,407.33 |
$1,356.10
|
|
Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides)
|
$474.85 |
$474.85 |
$474.85 |
$1,496.00
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$688.89 |
$688.89 |
$688.89 |
$1,471.50
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$606.27 |
$606.27 |
$606.27 |
$1,017.28
|
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
|
$564.84 |
$564.84 |
$564.84 |
$2,251.00
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
|
$291.83 |
$291.83 |
$291.83 |
$1,131.41
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
|
$586.70 |
$586.70 |
$586.70 |
$1,961.05
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
|
$325.89 |
$325.89 |
$325.89 |
$1,119.88
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
|
$638.81 |
$638.81 |
$638.81 |
$2,154.68
|
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
|
$581.61 |
$581.61 |
$581.61 |
$1,829.28
|
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
|
$581.61 |
$581.61 |
$581.61 |
$1,758.12
|
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
|
$181.25 |
$181.25 |
$181.25 |
$472.76
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$183.28 |
$183.28 |
$183.28 |
$552.60
|
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
|
$192.18 |
$192.18 |
$192.18 |
$670.00
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$62.54 |
$62.54 |
$62.54 |
$168.05
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$63.05 |
$63.05 |
$63.05 |
$154.05
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$120.24 |
$120.24 |
$120.24 |
$271.65
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$57.71 |
$57.71 |
$57.71 |
$141.60
|
|
Inj epidural sgl cerv-thor without img
|
$535.10 |
$535.10 |
$535.10 |
$1,366.20
|
|
Inj epidural sgl lumb-sacral without img
|
$511.71 |
$511.71 |
$511.71 |
$1,450.84
|
|
Inj for ext venography
|
$148.46 |
$148.46 |
$148.46 |
$737.55
|
|
Inj for mammo ductogram
|
$107.28 |
$107.28 |
$107.28 |
$433.50
|
|
Inj hrt cath w/s&i nonsel p-art angrp
|
$930.89 |
$930.89 |
$930.89 |
$1,482.00
|
|
Inj hrt cath w/s&i sel left vent
|
$440.03 |
$440.03 |
$440.03 |
$1,214.40
|
|
Inj hrt cath w/s&i sel right vent
|
$861.49 |
$861.49 |
$861.49 |
$947.65
|
|
Inj ivig privigen 500 mg
|
$2,652.55 |
$2,652.55 |
$2,652.55 |
$7,173.90
|
|
Inj nephrosto/ureterogram w/img exstng access
|
$780.40 |
$780.40 |
$780.40 |
$1,522.56
|
|
Inj, pemivibart, 4500 mg
|
$10,787.61 |
$10,787.61 |
$10,787.61 |
$1,295.85
|
|
Inj proc ankle arthr
|
$151.76 |
$151.76 |
$151.76 |
$405.31
|
|
Inj proc elbow arthro
|
$130.41 |
$130.41 |
$130.41 |
$453.60
|
|
Inj proc for lymphang
|
$309.62 |
$309.62 |
$309.62 |
$1,372.00
|
|
Inj proc lumbr disk ea lvl
|
$185.57 |
$185.57 |
$185.57 |
$1,224.30
|
|
Inj prohance multipack
|
$1.16 |
$1.16 |
$1.16 |
$51.48
|
|
Inj retro urethrocysto
|
$205.91 |
$205.91 |
$205.91 |
$551.29
|
|
Inj testosterone cypionate
|
$34.55 |
$34.55 |
$34.55 |
$82.58
|
|
Inj, uzedy, 1 mg
|
$0.01 |
$0.01 |
$0.01 |
$11,643.18
|
|
Inj vancomycin (xellia) 10mg
|
$42.81 |
$42.81 |
$42.81 |
$86.90
|
|
Inj w/fluor eval cv device
|
$263.36 |
$263.36 |
$263.36 |
$588.90
|
|
Ins cath ren art 1st bi
|
$2,130.71 |
$2,130.71 |
$2,130.71 |
$6,033.75
|
|
Ins cath ren art 1st uni
|
$1,383.62 |
$1,383.62 |
$1,383.62 |
$4,667.63
|
|
Ins cath ren art 2nd+ bi
|
$1,854.14 |
$1,854.14 |
$1,854.14 |
$5,408.65
|
|
Ins cath ren art 2nd+ uni
|
$1,854.14 |
$1,854.14 |
$1,854.14 |
$5,528.94
|
|
Insert cath pleura with image
|
$957.32 |
$957.32 |
$957.32 |
$2,239.02
|
|
Insert cath pleura without image
|
$1,264.90 |
$1,264.90 |
$1,264.90 |
$2,212.00
|
|
Insertion catheter bladder non indwelling
|
$48.81 |
$48.81 |
$48.81 |
$237.13
|
|
Insertion catheter bladder temporary simple
|
$69.40 |
$69.40 |
$69.40 |
$273.60
|