|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$28.21 |
$28.21 |
$28.21 |
$92.50
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$2.46 |
$2.46 |
$2.46 |
$108.75
|
|
Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae
|
$28.21 |
$28.21 |
$28.21 |
$211.00
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$28.98 |
$28.98 |
$28.98 |
$185.00
|
|
Infectious agent nucleic acid joint space pathogens multiplex amplified probe >= 26 targets
|
$86.73 |
$86.73 |
$86.73 |
$1,143.75
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$276.29 |
$276.29 |
$276.29 |
$727.50
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$85.19 |
$85.19 |
$85.19 |
$286.06
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$18.41 |
$18.41 |
$18.41 |
$423.53
|
|
Infectious agent nucleic acid quantification bk virus
|
$8.37 |
$8.37 |
$8.37 |
$279.40
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$3.00 |
$3.00 |
$3.00 |
$239.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$3.00 |
$3.00 |
$3.00 |
$252.00
|
|
Infectious agent nucleic acid quantification hiv-1
|
$6.55 |
$6.55 |
$6.55 |
$374.00
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$120.26 |
$120.26 |
$120.26 |
$303.59
|
|
Infliximab 100 mg intravenous solution
|
$1,045.55 |
$1,045.55 |
$1,045.55 |
$2,080.86
|
|
Influenza dna amp prob addl
|
$14.28 |
$14.28 |
$14.28 |
$64.26
|
|
Influenza virus vaccine, inact hemagglutinin tiv pf inj
|
$14.63 |
$14.63 |
$14.63 |
$111.51
|
|
Influenza virus vaccine, live trivalent intranasal
|
$5.46 |
$5.46 |
$5.46 |
$36.50
|
|
Ingest challenge ea addl 60 min
|
$15.19 |
$15.19 |
$15.19 |
$289.64
|
|
Ingest challenge ini 120 min
|
$22.33 |
$22.33 |
$22.33 |
$764.78
|
|
Initial foot exam pt lops
|
$11.34 |
$11.34 |
$11.34 |
$155.50
|
|
Initial hosp neonate 28 d/less than not critically ill 99477
|
$59.15 |
$59.15 |
$59.15 |
$629.60
|
|
Initial nursing facility care/day 35 minutes
|
$23.59 |
$23.59 |
$23.59 |
$188.50
|
|
Initial nursing facility care/day 45 minutes
|
$32.20 |
$32.20 |
$32.20 |
$236.80
|
|
Initial nursing facility care/day low severity 99304
|
$14.21 |
$14.21 |
$14.21 |
$128.00
|
|
Initiation & management bipap/cpap initial day
|
$295.68 |
$295.68 |
$295.68 |
$576.00
|
|
Init nb em per day non-fac
|
$10.64 |
$10.64 |
$10.64 |
$109.15
|
|
Init pm e/m new pat 65+ yrs
|
$24.43 |
$24.43 |
$24.43 |
$185.90
|
|
Inj bimatoprost itc imp1mcg
|
$40.95 |
$40.95 |
$40.95 |
$3,287.96
|
|
Inj cefazolin sodium, baxter
|
$13.57 |
$13.57 |
$13.57 |
$27.38
|
|
Inj, clindamycin (baxter)
|
$24.24 |
$24.24 |
$24.24 |
$48.96
|
|
Inj cntr knee arthro incl ct/mri
|
$218.61 |
$218.61 |
$218.61 |
$436.80
|
|
Inj, donanemab-azbt, 2 mg
|
$272.05 |
$272.05 |
$272.05 |
$1,233.44
|
|
Inj dupuytren cord w/enzyme
|
$21.63 |
$21.63 |
$21.63 |
$416.00
|
|
Inj, durolane 1 mg
|
$74.62 |
$74.62 |
$74.62 |
$1,950.93
|
|
Inj dx for sinogram
|
$147.00 |
$147.00 |
$147.00 |
$422.59
|
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
|
$19.81 |
$19.81 |
$19.81 |
$1,214.78
|
|
Injection arthrography hip without anesthesia (both sides)
|
$120.05 |
$120.05 |
$120.05 |
$495.84
|
|
Injection carpal tunnel therapeutic (both sides)
|
$68.18 |
$68.18 |
$68.18 |
$450.72
|
|
Injection during cath supravalvular aortography
|
$219.94 |
$219.94 |
$219.94 |
$952.66
|
|
Injection epidural blood patch or clot
|
$271.11 |
$271.11 |
$271.11 |
$1,156.80
|
|
Injection eye drug
|
$27.79 |
$27.79 |
$27.79 |
$644.50
|
|
Injection for arthrography wrist (both sides)
|
$182.00 |
$182.00 |
$182.00 |
$428.40
|
|
Injection for bladder x-ray
|
$123.20 |
$123.20 |
$123.20 |
$459.20
|
|
Injection for hip x-ray
|
$19.25 |
$19.25 |
$19.25 |
$710.00
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$159.74 |
$159.74 |
$159.74 |
$494.65
|
|
Injection for ureter x-ray
|
$17.01 |
$17.01 |
$17.01 |
$515.21
|
|
Injection, inclisiran, 1 mg
|
$2,351.94 |
$2,351.94 |
$2,351.94 |
$6,679.35
|
|
Injection into brain canal
|
$27.44 |
$27.44 |
$27.44 |
$836.40
|
|
Injection into hemorrhoid(s)
|
$46.20 |
$46.20 |
$46.20 |
$1,432.81
|
|
Injection into vocal cord
|
$31.57 |
$31.57 |
$31.57 |
$499.50
|
|
Injection of sinus tract
|
$22.26 |
$22.26 |
$22.26 |
$1,627.60
|
|
Injection,onabotulinumtoxina
|
$212.17 |
$212.17 |
$212.17 |
$2,277.65
|
|
Injection radioactive tracer sentinel node (both sides)
|
$7.56 |
$7.56 |
$7.56 |
$670.64
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$79.94 |
$79.94 |
$79.94 |
$1,348.56
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$18.48 |
$18.48 |
$18.48 |
$1,023.50
|
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
|
$527.73 |
$527.73 |
$527.73 |
$1,952.40
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
|
$24.08 |
$24.08 |
$24.08 |
$1,029.45
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
|
$38.29 |
$38.29 |
$38.29 |
$1,814.40
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
|
$455.56 |
$455.56 |
$455.56 |
$1,017.90
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
|
$340.83 |
$340.83 |
$340.83 |
$1,995.00
|
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
|
$25.83 |
$25.83 |
$25.83 |
$1,817.24
|
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
|
$168.77 |
$168.77 |
$168.77 |
$1,681.24
|
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
|
$68.18 |
$68.18 |
$68.18 |
$472.76
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$141.33 |
$141.33 |
$141.33 |
$548.80
|
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
|
$68.18 |
$68.18 |
$68.18 |
$632.00
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$55.30 |
$55.30 |
$55.30 |
$166.38
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$49.21 |
$49.21 |
$49.21 |
$145.60
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$56.91 |
$56.91 |
$56.91 |
$249.32
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$45.43 |
$45.43 |
$45.43 |
$135.60
|
|
Injection treatment of eye
|
$27.51 |
$27.51 |
$27.51 |
$2,665.60
|
|
Injection treatment of nerve
|
$219.03 |
$219.03 |
$219.03 |
$3,219.20
|
|
Injection treatment of nerve
|
$184.17 |
$184.17 |
$184.17 |
$4,350.00
|
|
Injection treatment of nerve
|
$113.26 |
$113.26 |
$113.26 |
$2,025.45
|
|
Injection treatment of nose
|
$27.44 |
$27.44 |
$27.44 |
$859.59
|
|
Inject sacroiliac joint
|
$402.50 |
$402.50 |
$402.50 |
$1,028.95
|
|
Inject/treat eye socket
|
$11.34 |
$11.34 |
$11.34 |
$670.02
|
|
Inj epidural sgl cerv-thor without img
|
$23.45 |
$23.45 |
$23.45 |
$1,318.80
|
|
Inj epidural sgl lumb-sacral without img
|
$18.62 |
$18.62 |
$18.62 |
$1,415.50
|
|
Inj for ext venography
|
$369.46 |
$369.46 |
$369.46 |
$649.95
|
|
Inj for mammo ductogram
|
$17.78 |
$17.78 |
$17.78 |
$399.60
|
|
Inj, gadopiclenol, 1 ml
|
$1.26 |
$1.26 |
$1.26 |
$37.63
|
|
Inj hrt cath w/s&i nonsel p-art angrp
|
$323.33 |
$323.33 |
$323.33 |
$1,439.90
|
|
Inj hrt cath w/s&i sel hrt ang
|
$8.40 |
$8.40 |
$8.40 |
$1,827.74
|
|
Inj hrt cath w/s&i sel hrt art
|
$8.89 |
$8.89 |
$8.89 |
$1,045.80
|
|
Inj hrt cath w/s&i sel left vent
|
$5.04 |
$5.04 |
$5.04 |
$1,239.00
|
|
Inj hrt cath w/s&i sel right vent
|
$5.04 |
$5.04 |
$5.04 |
$965.33
|
|
Inj/inf neurolyt sbst spinal canal lesion 62282
|
$34.58 |
$34.58 |
$34.58 |
$1,928.00
|
|
Inj intralesional <= 7 lsn(s)
|
$23.03 |
$23.03 |
$23.03 |
$235.13
|
|
Inj intralesional > 7 lsns
|
$17.36 |
$17.36 |
$17.36 |
$234.00
|
|
Inj ivig privigen 500 mg
|
$4,602.32 |
$4,602.32 |
$4,602.32 |
$6,967.29
|
|
Inj, lecanemab-irmb, 1 mg
|
$594.75 |
$594.75 |
$594.75 |
$1,174.88
|
|
Inj, lidocaine w epinephrine
|
$29.22 |
$29.22 |
$29.22 |
$47.52
|
|
Inj naloxone hydrochloride
|
$12.18 |
$12.18 |
$12.18 |
$83.16
|
|
Inj nephrosto/ureterogram w/img exstng access
|
$286.30 |
$286.30 |
$286.30 |
$1,413.35
|
|
Inj proc ankle arthr
|
$18.13 |
$18.13 |
$18.13 |
$405.31
|
|
Inj proc elbow arthro
|
$187.67 |
$187.67 |
$187.67 |
$419.60
|
|
Inj proc for lymphang
|
$19.74 |
$19.74 |
$19.74 |
$682.00
|
|
Inj proc lumbr disk ea lvl
|
$37.45 |
$37.45 |
$37.45 |
$1,106.93
|
|
Inj proc myelogram lumbar
|
$19.74 |
$19.74 |
$19.74 |
$830.50
|
|
Inj proc sialogram
|
$172.41 |
$172.41 |
$172.41 |
$373.00
|