|
Infect ag na resp virus 12-25 targets
|
$871.20 |
$871.20 |
$871.20 |
$835.80
|
|
Infectious agent antigen immunoassay direct optical observation sars-cov-2
|
$115.50 |
$115.50 |
$115.50 |
$53.00
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$76.56 |
$76.56 |
$76.56 |
$82.00
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$114.18 |
$114.18 |
$114.18 |
$76.32
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$114.18 |
$114.18 |
$114.18 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$112.20 |
$112.20 |
$112.20 |
$100.02
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$61.38 |
$61.38 |
$61.38 |
$81.20
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$6.06 |
$6.06 |
$6.06 |
$60.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$194.04 |
$194.04 |
$194.04 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$75.90 |
$75.90 |
$75.90 |
$129.00
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$5.85 |
$5.85 |
$5.85 |
$98.02
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$57.42 |
$57.42 |
$57.42 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$208.56 |
$208.56 |
$208.56 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$191.40 |
$191.40 |
$191.40 |
$139.68
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$425.04 |
$425.04 |
$425.04 |
$167.00
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$819.06 |
$819.06 |
$819.06 |
$861.00
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$50.60 |
$50.60 |
$50.60 |
$179.92
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$82.50 |
$82.50 |
$82.50 |
$147.55
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$287.76 |
$287.76 |
$287.76 |
$217.85
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$199.98 |
$199.98 |
$199.98 |
$136.03
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$315.48 |
$315.48 |
$315.48 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$439.56 |
$439.56 |
$439.56 |
$236.08
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$209.88 |
$209.88 |
$209.88 |
$92.50
|
|
Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae
|
$199.98 |
$199.98 |
$199.98 |
$211.00
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$49.45 |
$49.45 |
$49.45 |
$185.00
|
|
Infectious agent nucleic acid joint space pathogens multiplex amplified probe >= 26 targets
|
$792.00 |
$792.00 |
$792.00 |
$1,143.75
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$3,086.16 |
$3,086.16 |
$3,086.16 |
$727.50
|
|
Infectious agent nucleic acid quantification bk virus
|
$78.87 |
$78.87 |
$78.87 |
$279.40
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$25.13 |
$25.13 |
$25.13 |
$239.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$159.72 |
$159.72 |
$159.72 |
$252.00
|
|
Infectious agent nucleic acid quantification hiv-1
|
$270.60 |
$270.60 |
$270.60 |
$374.00
|
|
Infliximab 100 mg intravenous solution
|
$814.08 |
$814.08 |
$814.08 |
$2,080.86
|
|
Infliximab-axxq 100 mg intravenous solution
|
$851.40 |
$851.40 |
$851.40 |
$1,062.00
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$1,611.33 |
$1,611.33 |
$1,611.33 |
$1,537.84
|
|
Influenza virus vaccine, inact hemagglutinin tiv pf inj
|
$137.94 |
$137.94 |
$137.94 |
$111.51
|
|
Influenza virus vaccine, live trivalent intranasal
|
$47.52 |
$47.52 |
$47.52 |
$36.50
|
|
Ingest challenge ea addl 60 min
|
$143.22 |
$143.22 |
$143.22 |
$289.64
|
|
Ingest challenge ini 120 min
|
$210.54 |
$210.54 |
$210.54 |
$764.78
|
|
Initial foot exam pt lops
|
$106.92 |
$106.92 |
$106.92 |
$155.50
|
|
Initial hosp neonate 28 d/less than not critically ill 99477
|
$540.54 |
$540.54 |
$540.54 |
$629.60
|
|
Initial nursing facility care/day 35 minutes
|
$216.48 |
$216.48 |
$216.48 |
$188.50
|
|
Initial nursing facility care/day 45 minutes
|
$295.02 |
$295.02 |
$295.02 |
$236.80
|
|
Initial nursing facility care/day low severity 99304
|
$130.02 |
$130.02 |
$130.02 |
$128.00
|
|
Initiation & management bipap/cpap initial day
|
$681.12 |
$681.12 |
$681.12 |
$576.00
|
|
Init nb em per day non-fac
|
$97.68 |
$97.68 |
$97.68 |
$109.15
|
|
Init pm e/m new pat 65+ yrs
|
$229.02 |
$229.02 |
$229.02 |
$185.90
|
|
Inj alymsys 10 mg
|
$461.00 |
$461.00 |
$461.00 |
$1,280.74
|
|
Inj., benralizumab, 1 mg
|
$9,666.37 |
$9,666.37 |
$9,666.37 |
$11,239.97
|
|
Inj bimatoprost itc imp1mcg
|
$386.10 |
$386.10 |
$386.10 |
$3,287.96
|
|
Inj, cefepime hcl (b braun)
|
$80.38 |
$80.38 |
$80.38 |
$69.85
|
|
Inj cntr knee arthro incl ct/mri
|
$276.54 |
$276.54 |
$276.54 |
$436.80
|
|
Inj dupuytren cord w/enzyme
|
$203.94 |
$203.94 |
$203.94 |
$416.00
|
|
Inj, durolane 1 mg
|
$703.56 |
$703.56 |
$703.56 |
$1,950.93
|
|
Inj dx for sinogram
|
$80.52 |
$80.52 |
$80.52 |
$422.59
|
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
|
$186.78 |
$186.78 |
$186.78 |
$1,214.78
|
|
Injection arthrography hip without anesthesia (both sides)
|
$371.58 |
$371.58 |
$371.58 |
$495.84
|
|
Injection carpal tunnel therapeutic (both sides)
|
$192.06 |
$192.06 |
$192.06 |
$450.72
|
|
Injection, daratumumab 10 mg
|
$4,791.47 |
$4,791.47 |
$4,791.47 |
$5,239.24
|
|
Injection during cath supravalvular aortography
|
$56.76 |
$56.76 |
$56.76 |
$952.66
|
|
Injection epidural blood patch or clot
|
$256.08 |
$256.08 |
$256.08 |
$1,156.80
|
|
Injection eye drug
|
$262.02 |
$262.02 |
$262.02 |
$644.50
|
|
Injection for arthrography wrist (both sides)
|
$242.88 |
$242.88 |
$242.88 |
$428.40
|
|
Injection for bladder x-ray
|
$429.00 |
$429.00 |
$429.00 |
$459.20
|
|
Injection for hip x-ray
|
$181.50 |
$181.50 |
$181.50 |
$710.00
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$480.48 |
$480.48 |
$480.48 |
$494.65
|
|
Injection for ureter x-ray
|
$160.38 |
$160.38 |
$160.38 |
$515.21
|
|
Injection, fulvestrant
|
$1,104.31 |
$1,104.31 |
$1,104.31 |
$1,817.65
|
|
Injection into brain canal
|
$258.72 |
$258.72 |
$258.72 |
$836.40
|
|
Injection into hemorrhoid(s)
|
$435.60 |
$435.60 |
$435.60 |
$1,432.81
|
|
Injection into vocal cord
|
$297.66 |
$297.66 |
$297.66 |
$499.50
|
|
Injection of sinus tract
|
$209.88 |
$209.88 |
$209.88 |
$1,627.60
|
|
Injection,onabotulinumtoxina
|
$8.58 |
$8.58 |
$8.58 |
$2,277.65
|
|
Injection radioactive tracer sentinel node (both sides)
|
$71.28 |
$71.28 |
$71.28 |
$670.64
|
|
Injection, renflexis
|
$1,282.88 |
$1,282.88 |
$1,282.88 |
$1,341.52
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$271.26 |
$271.26 |
$271.26 |
$1,348.56
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$174.24 |
$174.24 |
$174.24 |
$1,023.50
|
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
|
$578.82 |
$578.82 |
$578.82 |
$1,952.40
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
|
$227.04 |
$227.04 |
$227.04 |
$1,029.45
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
|
$361.02 |
$361.02 |
$361.02 |
$1,814.40
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
|
$171.60 |
$171.60 |
$171.60 |
$1,017.90
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
|
$311.52 |
$311.52 |
$311.52 |
$1,995.00
|
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
|
$243.54 |
$243.54 |
$243.54 |
$1,817.24
|
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
|
$1,696.20 |
$1,696.20 |
$1,696.20 |
$1,681.24
|
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
|
$623.04 |
$623.04 |
$623.04 |
$472.76
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$663.96 |
$663.96 |
$663.96 |
$548.80
|
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
|
$139.92 |
$139.92 |
$139.92 |
$632.00
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$102.30 |
$102.30 |
$102.30 |
$166.38
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$110.88 |
$110.88 |
$110.88 |
$145.60
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$160.38 |
$160.38 |
$160.38 |
$249.32
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$90.42 |
$90.42 |
$90.42 |
$135.60
|
|
Injection treatment of eye
|
$259.38 |
$259.38 |
$259.38 |
$2,665.60
|
|
Injection treatment of nerve
|
$2,065.14 |
$2,065.14 |
$2,065.14 |
$3,219.20
|
|
Injection treatment of nerve
|
$1,736.46 |
$1,736.46 |
$1,736.46 |
$4,350.00
|
|
Injection treatment of nerve
|
$1,067.88 |
$1,067.88 |
$1,067.88 |
$2,025.45
|
|
Injection treatment of nose
|
$258.72 |
$258.72 |
$258.72 |
$859.59
|
|
Inject sacroiliac joint
|
$387.42 |
$387.42 |
$387.42 |
$1,028.95
|
|
Inject/treat eye socket
|
$106.92 |
$106.92 |
$106.92 |
$670.02
|
|
Inj epidural sgl cerv-thor without img
|
$221.10 |
$221.10 |
$221.10 |
$1,318.80
|
|
Inj epidural sgl lumb-sacral without img
|
$175.56 |
$175.56 |
$175.56 |
$1,415.50
|
|
Inj for ext venography
|
$102.30 |
$102.30 |
$102.30 |
$649.95
|