|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$5.00 |
$5.00 |
$5.00 |
$96.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$45.80 |
$45.80 |
$45.80 |
$81.06
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$13.00 |
$13.00 |
$13.00 |
$57.60
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$65.00 |
$65.00 |
$65.00 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$39.80 |
$39.80 |
$39.80 |
$127.80
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$79.00 |
$79.00 |
$79.00 |
$97.50
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$18.00 |
$18.00 |
$18.00 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$94.40 |
$94.40 |
$94.40 |
$267.50
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$80.60 |
$80.60 |
$80.60 |
$137.67
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$114.00 |
$114.00 |
$114.00 |
$167.05
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$789.40 |
$789.40 |
$789.40 |
$861.00
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$15.33 |
$15.33 |
$15.33 |
$181.35
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$151.80 |
$151.80 |
$151.80 |
$151.25
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$88.40 |
$88.40 |
$88.40 |
$201.60
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$80.60 |
$80.60 |
$80.60 |
$135.80
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$29.60 |
$29.60 |
$29.60 |
$100.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$270.80 |
$270.80 |
$270.80 |
$236.08
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$80.60 |
$80.60 |
$80.60 |
$94.53
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$6.17 |
$6.17 |
$6.17 |
$105.00
|
|
Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae
|
$80.60 |
$80.60 |
$80.60 |
$250.50
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$82.80 |
$82.80 |
$82.80 |
$184.80
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$789.40 |
$789.40 |
$789.40 |
$711.93
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$243.40 |
$243.40 |
$243.40 |
$283.20
|
|
Infectious agent nucleic acid quantification bk virus
|
$23.90 |
$23.90 |
$23.90 |
$283.00
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$11.60 |
$11.60 |
$11.60 |
$238.80
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$11.60 |
$11.60 |
$11.60 |
$252.60
|
|
Infectious agent nucleic acid quantification hiv-1
|
$18.70 |
$18.70 |
$18.70 |
$374.50
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$343.60 |
$343.60 |
$343.60 |
$303.59
|
|
Influenza dna amp prob addl
|
$40.80 |
$40.80 |
$40.80 |
$64.26
|
|
Initiation & management bipap/cpap initial day
|
$53.40 |
$53.40 |
$53.40 |
$576.00
|
|
Init pm e/m new pat 65+ yrs
|
$78.20 |
$78.20 |
$78.20 |
$180.77
|
|
Inj, bupivacaine liposome
|
$266.29 |
$266.29 |
$266.29 |
$699.38
|
|
Inj, clindamycin (baxter)
|
$13.62 |
$13.62 |
$13.62 |
$48.39
|
|
Inj cntr knee arthro incl ct/mri
|
$624.60 |
$624.60 |
$624.60 |
$436.80
|
|
Inj dx for sinogram
|
$420.00 |
$420.00 |
$420.00 |
$413.82
|
|
Injection arthrography hip without anesthesia (both sides)
|
$343.00 |
$343.00 |
$343.00 |
$500.50
|
|
Injection during cath supravalvular aortography
|
$506.80 |
$506.80 |
$506.80 |
$904.17
|
|
Injection for arthrography wrist (both sides)
|
$520.00 |
$520.00 |
$520.00 |
$441.12
|
|
Injection for bladder x-ray
|
$352.00 |
$352.00 |
$352.00 |
$459.20
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$456.40 |
$456.40 |
$456.40 |
$494.65
|
|
Injection of sinus tract
|
$470.60 |
$470.60 |
$470.60 |
$1,627.60
|
|
Injection radioactive tracer sentinel node (both sides)
|
$230.60 |
$230.60 |
$230.60 |
$683.28
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$178.00 |
$178.00 |
$178.00 |
$1,045.65
|
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
|
$1,507.80 |
$1,507.80 |
$1,507.80 |
$1,939.60
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
|
$1,301.60 |
$1,301.60 |
$1,301.60 |
$1,064.70
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
|
$973.80 |
$973.80 |
$973.80 |
$1,961.05
|
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
|
$504.60 |
$504.60 |
$504.60 |
$1,704.78
|
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
|
$109.00 |
$109.00 |
$109.00 |
$460.94
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$20.40 |
$20.40 |
$20.40 |
$166.38
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$10.60 |
$10.60 |
$10.60 |
$145.60
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$59.60 |
$59.60 |
$59.60 |
$261.00
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$48.00 |
$48.00 |
$48.00 |
$135.20
|
|
Inject sacroiliac joint
|
$1,150.00 |
$1,150.00 |
$1,150.00 |
$963.00
|
|
Inj for ext venography
|
$1,055.60 |
$1,055.60 |
$1,055.60 |
$654.00
|
|
Inj, gadopiclenol, 1 ml
|
$2.16 |
$2.16 |
$2.16 |
$66.94
|
|
Inj ivig privigen 500 mg
|
$7,178.35 |
$7,178.35 |
$7,178.35 |
$6,967.29
|
|
Inj, lidocaine w epinephrine
|
$11.15 |
$11.15 |
$11.15 |
$44.96
|
|
Inj nephrosto/ureterogram w/img exstng access
|
$657.20 |
$657.20 |
$657.20 |
$1,414.40
|
|
Inj proc elbow arthro
|
$536.20 |
$536.20 |
$536.20 |
$432.00
|
|
Inj proc sialogram
|
$492.60 |
$492.60 |
$492.60 |
$373.00
|
|
Inj, releuko 1 mcg
|
$112.57 |
$112.57 |
$112.57 |
$461.20
|
|
Inj scleros sol mult veins
|
$127.00 |
$127.00 |
$127.00 |
$602.50
|
|
Inj w/fluor eval cv device
|
$300.20 |
$300.20 |
$300.20 |
$463.40
|
|
Insert cath pleura with image
|
$570.60 |
$570.60 |
$570.60 |
$2,194.40
|
|
Insert drug delivery implant
|
$132.40 |
$132.40 |
$132.40 |
$280.00
|
|
Insert hepatic shunt (tips)
|
$3,544.20 |
$3,544.20 |
$3,544.20 |
$8,367.70
|
|
Insertion catheter bladder non indwelling
|
$68.00 |
$68.00 |
$68.00 |
$205.20
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$2,415.80 |
$2,415.80 |
$2,415.80 |
$4,731.80
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$3,957.40 |
$3,957.40 |
$3,957.40 |
$7,034.50
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$2,054.61 |
$2,054.61 |
$2,054.61 |
$2,511.00
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$826.60 |
$826.60 |
$826.60 |
$2,079.43
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$510.00 |
$510.00 |
$510.00 |
$2,414.10
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$2,186.60 |
$2,186.60 |
$2,186.60 |
$7,513.67
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$4,559.00 |
$4,559.00 |
$4,559.00 |
$9,397.50
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$3,052.80 |
$3,052.80 |
$3,052.80 |
$5,236.80
|
|
Insitu hybridization (fish)
|
$89.40 |
$89.40 |
$89.40 |
$481.60
|
|
Insitu hybridization manual
|
$114.20 |
$114.20 |
$114.20 |
$388.20
|
|
In situ hybridization per specimen each additional single probe stain
|
$18.80 |
$18.80 |
$18.80 |
$243.60
|
|
In situ hybridization per specimen initial single probe stain
|
$79.00 |
$79.00 |
$79.00 |
$326.04
|
|
Ins pq tunnld ip cath w/img
|
$2,976.00 |
$2,976.00 |
$2,976.00 |
$5,377.00
|
|
Ins tun cv cath wo subq prt/pm
|
$2,317.20 |
$2,317.20 |
$2,317.20 |
$4,202.70
|
|
Insulin total
|
$32.80 |
$32.80 |
$32.80 |
$66.64
|
|
Interrog device eval heart
|
$74.20 |
$74.20 |
$74.20 |
$162.40
|
|
Intracranial complete study
|
$150.00 |
$150.00 |
$150.00 |
$900.50
|
|
Intracranial limited study
|
$133.40 |
$133.40 |
$133.40 |
$444.66
|
|
Intrapul surf admin endo tube
|
$132.20 |
$132.20 |
$132.20 |
$220.80
|
|
Intrinsic factor antibody
|
$2.68 |
$2.68 |
$2.68 |
$66.60
|
|
Intro cath dialysis circuit
|
$1,463.60 |
$1,463.60 |
$1,463.60 |
$2,035.00
|
|
Intro cath dialysis circuit w/pta
|
$5,730.20 |
$5,730.20 |
$5,730.20 |
$8,761.00
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$9,001.60 |
$9,001.60 |
$9,001.60 |
$15,805.00
|
|
Intro catheter aorta
|
$1,130.00 |
$1,130.00 |
$1,130.00 |
$1,654.05
|
|
Intro cath svc/ivc
|
$1,506.60 |
$1,506.60 |
$1,506.60 |
$1,329.90
|
|
Intro long gi tube
|
$359.80 |
$359.80 |
$359.80 |
$990.00
|
|
Intro long gi tube w/mult fluo
|
$291.60 |
$291.60 |
$291.60 |
$449.40
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$174.00 |
$174.00 |
$174.00 |
$3,303.76
|
|
Intubation endotracheal emergency procedure
|
$67.80 |
$67.80 |
$67.80 |
$589.60
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$1.70 |
$1.70 |
$1.70 |
$172.98
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$3.20 |
$3.20 |
$3.20 |
$279.10
|
|
Iron
|
$128.60 |
$128.60 |
$128.60 |
$74.40
|
|
Iron binding capacity
|
$15.80 |
$15.80 |
$15.80 |
$63.79
|