|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$38.35 |
$38.35 |
$38.35 |
$97.50
|
|
Infectious agent nucleic acid amplified probe
|
$444.72 |
$444.72 |
$444.72 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$470.73 |
$470.73 |
$470.73 |
$141.48
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$951.15 |
$951.15 |
$951.15 |
$174.06
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$672.18 |
$672.18 |
$672.18 |
$855.45
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$72.68 |
$72.68 |
$72.68 |
$178.00
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$475.32 |
$475.32 |
$475.32 |
$150.15
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$353.43 |
$353.43 |
$353.43 |
$210.00
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$470.73 |
$470.73 |
$470.73 |
$136.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$72.42 |
$72.42 |
$72.42 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$1,139.85 |
$1,139.85 |
$1,139.85 |
$222.60
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$218.28 |
$218.28 |
$218.28 |
$248.15
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$289.68 |
$289.68 |
$289.68 |
$98.15
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$83.39 |
$83.39 |
$83.39 |
$112.45
|
|
Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae
|
$104.04 |
$104.04 |
$104.04 |
$282.10
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$940.95 |
$940.95 |
$940.95 |
$489.50
|
|
Infectious agent nucleic acid quantification bk virus
|
$190.74 |
$190.74 |
$190.74 |
$285.66
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$165.75 |
$165.75 |
$165.75 |
$226.35
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$215.22 |
$215.22 |
$215.22 |
$278.78
|
|
Infectious agent nucleic acid quantification hiv-1
|
$150.45 |
$150.45 |
$150.45 |
$381.55
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$1,253.07 |
$1,253.07 |
$1,253.07 |
$298.35
|
|
Initial nursing facility care/day 35 minutes
|
$109.65 |
$109.65 |
$109.65 |
$231.42
|
|
Initiation & management bipap/cpap initial day
|
$510.51 |
$510.51 |
$510.51 |
$645.79
|
|
Inj cefazolin sodium, hikma
|
$84.15 |
$84.15 |
$84.15 |
$34.59
|
|
Inj, cefepime hcl (b braun)
|
$145.35 |
$145.35 |
$145.35 |
$81.41
|
|
Inj cntr knee arthro incl ct/mri
|
$4,539.00 |
$4,539.00 |
$4,539.00 |
$464.28
|
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
|
$861.90 |
$861.90 |
$861.90 |
$1,214.78
|
|
Injection arthrography hip without anesthesia (both sides)
|
$4,673.13 |
$4,673.13 |
$4,673.13 |
$507.10
|
|
Injection carpal tunnel therapeutic (both sides)
|
$363.63 |
$363.63 |
$363.63 |
$536.00
|
|
Injection epidural blood patch or clot
|
$2,514.81 |
$2,514.81 |
$2,514.81 |
$1,473.12
|
|
Injection eye drug
|
$424.32 |
$424.32 |
$424.32 |
$648.90
|
|
Injection for bladder x-ray
|
$4,674.66 |
$4,674.66 |
$4,674.66 |
$585.00
|
|
Injection into hemorrhoid(s)
|
$1,111.80 |
$1,111.80 |
$1,111.80 |
$1,278.72
|
|
Injection,onabotulinumtoxina
|
$1,771.49 |
$1,771.49 |
$1,771.49 |
$2,034.90
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$861.90 |
$861.90 |
$861.90 |
$1,471.50
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$7,610.73 |
$7,610.73 |
$7,610.73 |
$1,017.28
|
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
|
$861.90 |
$861.90 |
$861.90 |
$1,829.28
|
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
|
$1,155.66 |
$1,155.66 |
$1,155.66 |
$1,758.12
|
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
|
$819.06 |
$819.06 |
$819.06 |
$472.76
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$2,076.21 |
$2,076.21 |
$2,076.21 |
$552.60
|
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
|
$2,507.67 |
$2,507.67 |
$2,507.67 |
$670.00
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$113.73 |
$113.73 |
$113.73 |
$168.05
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$68.34 |
$68.34 |
$68.34 |
$154.05
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$309.57 |
$309.57 |
$309.57 |
$271.65
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$186.15 |
$186.15 |
$186.15 |
$141.60
|
|
Injection treatment of eye
|
$2,753.49 |
$2,753.49 |
$2,753.49 |
$2,698.92
|
|
Inject sacroiliac joint
|
$5,765.04 |
$5,765.04 |
$5,765.04 |
$1,090.00
|
|
Inj epidural sgl cerv-thor without img
|
$861.90 |
$861.90 |
$861.90 |
$1,366.20
|
|
Inj epidural sgl lumb-sacral without img
|
$1,523.37 |
$1,523.37 |
$1,523.37 |
$1,450.84
|
|
Inj for ext venography
|
$7,802.49 |
$7,802.49 |
$7,802.49 |
$737.55
|
|
Inj intralesional <= 7 lsn(s)
|
$241.74 |
$241.74 |
$241.74 |
$241.74
|
|
Inj levocarnitine per 1 gm
|
$182.65 |
$182.65 |
$182.65 |
$136.62
|
|
Inj mepivacaine hcl/10 ml
|
$84.15 |
$84.15 |
$84.15 |
$30.04
|
|
Inj., perseris, 0.5 mg
|
$2,262.24 |
$2,262.24 |
$2,262.24 |
$5,372.48
|
|
Inj proc elbow arthro
|
$5,192.82 |
$5,192.82 |
$5,192.82 |
$453.60
|
|
Inj proc myelogram lumbar
|
$3,158.94 |
$3,158.94 |
$3,158.94 |
$922.80
|
|
Inj, releuko 1 mcg
|
$519.53 |
$519.53 |
$519.53 |
$461.20
|
|
Inj retro urethrocysto
|
$5,373.87 |
$5,373.87 |
$5,373.87 |
$551.29
|
|
Inj testosterone cypionate
|
$85.68 |
$85.68 |
$85.68 |
$77.15
|
|
Ins cath ren art 1st uni
|
$3,685.26 |
$3,685.26 |
$3,685.26 |
$4,667.63
|
|
Ins cerv dilator (sep proc)
|
$536.01 |
$536.01 |
$536.01 |
$544.00
|
|
Insert and remove bone pin
|
$3,981.06 |
$3,981.06 |
$3,981.06 |
$4,335.60
|
|
Insert cath pleura with image
|
$2,874.87 |
$2,874.87 |
$2,874.87 |
$2,239.02
|
|
Insert cath pleura without image
|
$2,874.87 |
$2,874.87 |
$2,874.87 |
$2,212.00
|
|
Insert intrauterine device iud
|
$5,589.60 |
$5,589.60 |
$5,589.60 |
$378.83
|
|
Insertion catheter bladder non indwelling
|
$259.59 |
$259.59 |
$259.59 |
$237.13
|
|
Insertion catheter bladder temporary simple
|
$642.60 |
$642.60 |
$642.60 |
$273.60
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$10,764.06 |
$10,764.06 |
$10,764.06 |
$4,943.21
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$3,268.59 |
$3,268.59 |
$3,268.59 |
$2,618.40
|
|
Insertion of catheter vein
|
$6,745.26 |
$6,745.26 |
$6,745.26 |
$1,749.80
|
|
Insertion of heart electrode 33211
|
$12,488.88 |
$12,488.88 |
$12,488.88 |
$9,090.00
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$18,866.94 |
$18,866.94 |
$18,866.94 |
$14,158.20
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$18,866.94 |
$18,866.94 |
$18,866.94 |
$12,813.28
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$5,396.31 |
$5,396.31 |
$5,396.31 |
$2,079.43
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$6,305.64 |
$6,305.64 |
$6,305.64 |
$2,527.91
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$59,601.66 |
$59,601.66 |
$59,601.66 |
$29,997.52
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$12,488.88 |
$12,488.88 |
$12,488.88 |
$7,572.47
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$14,804.28 |
$14,804.28 |
$14,804.28 |
$9,793.46
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$3,984.63 |
$3,984.63 |
$3,984.63 |
$5,470.54
|
|
Insertion ureth cath
|
$2,365.38 |
$2,365.38 |
$2,365.38 |
$2,424.12
|
|
Insert pessary/other device
|
$238.68 |
$238.68 |
$238.68 |
$278.90
|
|
Insert prost urethral stent
|
$2,481.15 |
$2,481.15 |
$2,481.15 |
$2,424.12
|
|
Insitu hybridization auto
|
$305.49 |
$305.49 |
$305.49 |
$398.16
|
|
Insitu hybridization manual
|
$587.01 |
$587.01 |
$587.01 |
$407.11
|
|
In situ hybridization per specimen each additional single probe stain
|
$101.49 |
$101.49 |
$101.49 |
$251.55
|
|
In situ hybridization per specimen initial single probe stain
|
$215.22 |
$215.22 |
$215.22 |
$338.40
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$1,608.54 |
$1,608.54 |
$1,608.54 |
$1,483.95
|
|
Ins/rpl pm w/tv ld atrl
|
$18,866.94 |
$18,866.94 |
$18,866.94 |
$12,384.25
|
|
Ins tun cv cath wo subq prt/pm
|
$7,563.30 |
$7,563.30 |
$7,563.30 |
$5,888.85
|
|
Ins tun intraperit dia cath
|
$4,516.05 |
$4,516.05 |
$4,516.05 |
$4,657.46
|
|
Insulin total
|
$13.80 |
$13.80 |
$13.80 |
$67.60
|
|
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm
|
$7,264.92 |
$7,264.92 |
$7,264.92 |
$9,970.16
|
|
Integra meshed bil wound mat
|
$20,463.61 |
$20,463.61 |
$20,463.61 |
$24,354.93
|
|
Integra os putty 2.5cc - cost per 0.5cc
|
$3,198.72 |
$3,198.72 |
$3,198.72 |
$3,057.60
|
|
Interdental fixation
|
$1,856.91 |
$1,856.91 |
$1,856.91 |
$2,133.48
|
|
Int hrhc lig 1 hroid without img
|
$3,436.38 |
$3,436.38 |
$3,436.38 |
$3,245.23
|
|
Intranasal biopsy 30100
|
$1,856.91 |
$1,856.91 |
$1,856.91 |
$1,850.94
|
|
Intraoral i+d tongue/floor lingual 41000
|
$611.49 |
$611.49 |
$611.49 |
$1,182.15
|
|
Intrinsic factor antibody
|
$48.20 |
$48.20 |
$48.20 |
$59.95
|
|
Intro long gi tube
|
$1,515.21 |
$1,515.21 |
$1,515.21 |
$1,036.00
|