|
Implant cartilage 10mm synthetic
|
$2,445.84 |
$2,445.84 |
$2,445.84 |
$10,050.00
|
|
In-111 pentetate dtpa / 0.5 mci
|
$1,800.36 |
$1,800.36 |
$1,800.36 |
$2,550.60
|
|
Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s)
|
$67.32 |
$67.32 |
$67.32 |
$131.20
|
|
Infect ag drug suscept pheno predict
|
$145.87 |
$145.87 |
$145.87 |
$320.00
|
|
Infect ag eia influenza a or b ea
|
$39.60 |
$39.60 |
$39.60 |
$69.03
|
|
Infect ag genotype na cytomegalovirus
|
$92.68 |
$92.68 |
$92.68 |
$636.35
|
|
Infect ag genotype na dna hepatitis b
|
$127.08 |
$127.08 |
$127.08 |
$427.43
|
|
Infect ag genotype na hiv-1 other region
|
$106.80 |
$106.80 |
$106.80 |
$326.20
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$152.36 |
$152.36 |
$152.36 |
$603.75
|
|
Infect ag ia direct hiv-1 antgn
|
$124.92 |
$124.92 |
$124.92 |
$95.55
|
|
Infect ag if hep delta agent
|
$45.00 |
$45.00 |
$45.00 |
$125.97
|
|
Infect ag if influenza a
|
$5.79 |
$5.79 |
$5.79 |
$40.61
|
|
Infect ag if influenza b
|
$4.41 |
$4.41 |
$4.41 |
$37.95
|
|
Infect ag if legionella pneumophila
|
$3.64 |
$3.64 |
$3.64 |
$73.46
|
|
Infect ag if nos ea
|
$3.64 |
$3.64 |
$3.64 |
$74.10
|
|
Infect ag if pneumocystis carinii
|
$5.04 |
$5.04 |
$5.04 |
$67.46
|
|
Infect ag if varicella zoster
|
$3.64 |
$3.64 |
$3.64 |
$72.00
|
|
Infect ag na hpv high-risk types
|
$147.60 |
$147.60 |
$147.60 |
$139.20
|
|
Infect ag na influenza r/amp 1st 2 types
|
$244.80 |
$244.80 |
$244.80 |
$219.70
|
|
Infect ag na orthopoxvirus amp prb each
|
$30.60 |
$30.60 |
$30.60 |
$99.36
|
|
Infect ag na resp virus 12-25 targets
|
$992.88 |
$992.88 |
$992.88 |
$859.44
|
|
Infect ag phenotype na hiv-1 1-10 drugs
|
$211.49 |
$211.49 |
$211.49 |
$855.60
|
|
Infect ag phenotype na hiv-1 ea addl drg
|
$15.49 |
$15.49 |
$15.49 |
$77.00
|
|
Infectious agent antigen immunoassay direct optical observation sars-cov-2
|
$78.84 |
$78.84 |
$78.84 |
$51.31
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$72.72 |
$72.72 |
$72.72 |
$82.00
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$3.64 |
$3.64 |
$3.64 |
$69.44
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$42.48 |
$42.48 |
$42.48 |
$76.50
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$49.32 |
$49.32 |
$49.32 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$42.84 |
$42.84 |
$42.84 |
$96.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$60.84 |
$60.84 |
$60.84 |
$81.06
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$24.84 |
$24.84 |
$24.84 |
$57.60
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$107.64 |
$107.64 |
$107.64 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$45.72 |
$45.72 |
$45.72 |
$127.80
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$3.19 |
$3.19 |
$3.19 |
$97.50
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$40.32 |
$40.32 |
$40.32 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$112.32 |
$112.32 |
$112.32 |
$267.50
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$160.92 |
$160.92 |
$160.92 |
$137.67
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$297.72 |
$297.72 |
$297.72 |
$167.05
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$1,988.28 |
$1,988.28 |
$1,988.28 |
$861.00
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$27.60 |
$27.60 |
$27.60 |
$181.35
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$160.92 |
$160.92 |
$160.92 |
$151.25
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$12.00 |
$12.00 |
$12.00 |
$201.60
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$160.92 |
$160.92 |
$160.92 |
$135.80
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$48.96 |
$48.96 |
$48.96 |
$100.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$308.16 |
$308.16 |
$308.16 |
$236.08
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$160.92 |
$160.92 |
$160.92 |
$94.53
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$145.80 |
$145.80 |
$145.80 |
$105.00
|
|
Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae
|
$160.92 |
$160.92 |
$160.92 |
$250.50
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$26.97 |
$26.97 |
$26.97 |
$184.80
|
|
Infectious agent nucleic acid joint space pathogens multiplex amplified probe >= 26 targets
|
$432.00 |
$432.00 |
$432.00 |
$1,325.35
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$2,162.88 |
$2,162.88 |
$2,162.88 |
$711.93
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$41.05 |
$41.05 |
$41.05 |
$283.20
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$75.74 |
$75.74 |
$75.74 |
$429.50
|
|
Infectious agent nucleic acid quantification bk virus
|
$43.02 |
$43.02 |
$43.02 |
$283.00
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$13.71 |
$13.71 |
$13.71 |
$238.80
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$34.85 |
$34.85 |
$34.85 |
$252.60
|
|
Infectious agent nucleic acid quantification hiv-1
|
$153.36 |
$153.36 |
$153.36 |
$374.50
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$51.35 |
$51.35 |
$51.35 |
$303.59
|
|
Influenza virus vaccine, live trivalent intranasal
|
$12.24 |
$12.24 |
$12.24 |
$37.80
|
|
Initiation & management bipap/cpap initial day
|
$1,203.84 |
$1,203.84 |
$1,203.84 |
$576.00
|
|
Init pm e/m new pat 65+ yrs
|
$69.48 |
$69.48 |
$69.48 |
$180.77
|
|
Inj cefazolin sodium, baxter
|
$27.18 |
$27.18 |
$27.18 |
$27.38
|
|
Inj, cefepime hcl (b braun)
|
$72.21 |
$72.21 |
$72.21 |
$69.85
|
|
Injection epidural blood patch or clot
|
$1,036.80 |
$1,036.80 |
$1,036.80 |
$1,156.80
|
|
Injection for bladder x-ray
|
$142.56 |
$142.56 |
$142.56 |
$459.20
|
|
Injection,onabotulinumtoxina
|
$6.12 |
$6.12 |
$6.12 |
$2,241.61
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$477.00 |
$477.00 |
$477.00 |
$1,045.65
|
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
|
$1,585.44 |
$1,585.44 |
$1,585.44 |
$1,704.78
|
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
|
$265.68 |
$265.68 |
$265.68 |
$460.94
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$265.68 |
$265.68 |
$265.68 |
$517.24
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$151.20 |
$151.20 |
$151.20 |
$166.38
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$140.04 |
$140.04 |
$140.04 |
$145.60
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$254.52 |
$254.52 |
$254.52 |
$261.00
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$64.08 |
$64.08 |
$64.08 |
$135.20
|
|
Inj, immphentiv, 20 mcg
|
$27.72 |
$27.72 |
$27.72 |
$18.44
|
|
Inj ivig privigen 500 mg
|
$6,506.96 |
$6,506.96 |
$6,506.96 |
$6,967.29
|
|
Inj, lidocaine w epinephrine
|
$37.21 |
$37.21 |
$37.21 |
$44.96
|
|
Inj multihance
|
$2.16 |
$2.16 |
$2.16 |
$79.42
|
|
Inj testosterone cypionate
|
$0.38 |
$0.38 |
$0.38 |
$62.80
|
|
Inj triamcinolone ace X-ray 1mg
|
$6.12 |
$6.12 |
$6.12 |
$1,132.35
|
|
Ins cerv dilator (sep proc)
|
$367.92 |
$367.92 |
$367.92 |
$488.35
|
|
Insert cath pleura with image
|
$1,398.24 |
$1,398.24 |
$1,398.24 |
$2,194.40
|
|
Insert drug delivery implant
|
$221.76 |
$221.76 |
$221.76 |
$280.00
|
|
Insert intrauterine device iud
|
$72.00 |
$72.00 |
$72.00 |
$366.65
|
|
Insertion catheter bladder non indwelling
|
$115.92 |
$115.92 |
$115.92 |
$205.20
|
|
Insertion catheter bladder temporary simple
|
$247.32 |
$247.32 |
$247.32 |
$229.32
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$3,603.24 |
$3,603.24 |
$3,603.24 |
$2,511.00
|
|
Insertion of catheter vein
|
$114.48 |
$114.48 |
$114.48 |
$1,657.32
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$2,215.80 |
$2,215.80 |
$2,215.80 |
$2,079.43
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$14,533.92 |
$14,533.92 |
$14,533.92 |
$9,397.50
|
|
Insert pessary/other device
|
$181.08 |
$181.08 |
$181.08 |
$273.54
|
|
Insitu hybridization auto
|
$46.80 |
$46.80 |
$46.80 |
$371.00
|
|
Insitu hybridization (fish)
|
$178.20 |
$178.20 |
$178.20 |
$481.60
|
|
Insitu hybridization manual
|
$122.40 |
$122.40 |
$122.40 |
$388.20
|
|
In situ hybridization per specimen each additional single probe stain
|
$66.60 |
$66.60 |
$66.60 |
$243.60
|
|
In situ hybridization per specimen initial single probe stain
|
$65.52 |
$65.52 |
$65.52 |
$326.04
|
|
Ins pq tunnld ip cath w/img
|
$4,313.52 |
$4,313.52 |
$4,313.52 |
$5,377.00
|
|
Instillation anticarcinogenic agent bladder
|
$466.92 |
$466.92 |
$466.92 |
$621.40
|
|
Insulin total
|
$52.20 |
$52.20 |
$52.20 |
$66.64
|
|
Interrog dev eval icpms ip
|
$33.12 |
$33.12 |
$33.12 |
$104.00
|