|
Incisn windpipe
|
$6,999.67 |
$6,999.67 |
$6,999.67 |
$3,837.72
|
|
Incobotulinumtoxin a
|
$5,446.00 |
$5,446.00 |
$5,446.00 |
$1,195.74
|
|
Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s)
|
$37.66 |
$37.66 |
$37.66 |
$137.15
|
|
Infect ag drug suscept pheno predict
|
$320.93 |
$320.93 |
$320.93 |
$325.00
|
|
Infect ag genotype na cytomegalovirus
|
$320.93 |
$320.93 |
$320.93 |
$603.41
|
|
Infect ag genotype na dna hepatitis b
|
$199.83 |
$199.83 |
$199.83 |
$500.40
|
|
Infect ag genotype na hiv-1 other region
|
$108.92 |
$108.92 |
$108.92 |
$301.50
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$108.92 |
$108.92 |
$108.92 |
$574.60
|
|
Infect ag ia optc obs influenza
|
$168.05 |
$168.05 |
$168.05 |
$66.72
|
|
Infect ag if influenza a
|
$6.65 |
$6.65 |
$6.65 |
$40.61
|
|
Infect ag if influenza b
|
$6.65 |
$6.65 |
$6.65 |
$34.67
|
|
Infect ag if legionella pneumophila
|
$23.34 |
$23.34 |
$23.34 |
$75.79
|
|
Infect ag if nos ea
|
$6.65 |
$6.65 |
$6.65 |
$60.40
|
|
Infect ag if pneumocystis carinii
|
$11.67 |
$11.67 |
$11.67 |
$62.29
|
|
Infect ag if varicella zoster
|
$46.90 |
$46.90 |
$46.90 |
$66.00
|
|
Infect ag na influenza r/amp 1st 2 types
|
$300.31 |
$300.31 |
$300.31 |
$227.96
|
|
Infect ag na orthopoxvirus amp prb each
|
$66.13 |
$66.13 |
$66.13 |
$102.00
|
|
Infect ag na resp virus 12-25 targets
|
$1,215.24 |
$1,215.24 |
$1,215.24 |
$859.44
|
|
Infect ag phenotype na hiv-1 1-10 drugs
|
$89.79 |
$89.79 |
$89.79 |
$714.67
|
|
Infect ag phenotype na hiv-1 ea addl drg
|
$89.79 |
$89.79 |
$89.79 |
$77.00
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$147.82 |
$147.82 |
$147.82 |
$81.44
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$17.12 |
$17.12 |
$17.12 |
$63.60
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$93.36 |
$93.36 |
$93.36 |
$80.05
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$75.47 |
$75.47 |
$75.47 |
$77.28
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$90.25 |
$90.25 |
$90.25 |
$83.50
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$160.27 |
$160.27 |
$160.27 |
$77.72
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$23.90 |
$23.90 |
$23.90 |
$55.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$259.86 |
$259.86 |
$259.86 |
$101.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$178.17 |
$178.17 |
$178.17 |
$132.60
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$9.83 |
$9.83 |
$9.83 |
$97.50
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$12.81 |
$12.81 |
$12.81 |
$60.00
|
|
Infectious agent nucleic acid amplified probe
|
$385.11 |
$385.11 |
$385.11 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$358.66 |
$358.66 |
$358.66 |
$141.48
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$163.38 |
$163.38 |
$163.38 |
$174.06
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$3,589.70 |
$3,589.70 |
$3,589.70 |
$855.45
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$38.90 |
$38.90 |
$38.90 |
$178.00
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$256.74 |
$256.74 |
$256.74 |
$150.15
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$140.04 |
$140.04 |
$140.04 |
$210.00
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$394.45 |
$394.45 |
$394.45 |
$136.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$169.61 |
$169.61 |
$169.61 |
$103.20
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$247.57 |
$247.57 |
$247.57 |
$112.45
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$97.25 |
$97.25 |
$97.25 |
$200.20
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$1,068.20 |
$1,068.20 |
$1,068.20 |
$727.50
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$147.20 |
$147.20 |
$147.20 |
$283.20
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$950.72 |
$950.72 |
$950.72 |
$489.50
|
|
Infectious agent nucleic acid quantification bk virus
|
$158.72 |
$158.72 |
$158.72 |
$285.66
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$68.47 |
$68.47 |
$68.47 |
$226.35
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$30.10 |
$30.10 |
$30.10 |
$278.78
|
|
Infectious agent nucleic acid quantification hiv-1
|
$46.68 |
$46.68 |
$46.68 |
$381.55
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$417.01 |
$417.01 |
$417.01 |
$298.35
|
|
Infliximab-axxq 100 mg intravenous solution
|
$3,267.60 |
$3,267.60 |
$3,267.60 |
$1,200.75
|
|
Initiation & management bipap/cpap initial day
|
$1,776.18 |
$1,776.18 |
$1,776.18 |
$645.79
|
|
Inj cntr knee arthro incl ct/mri
|
$613.85 |
$613.85 |
$613.85 |
$464.28
|
|
Inj crotalidae im f(ab')2 eq
|
$5,446.00 |
$5,446.00 |
$5,446.00 |
$2,735.85
|
|
Inj dx for sinogram
|
$778.00 |
$778.00 |
$778.00 |
$436.00
|
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
|
$1,290.71 |
$1,290.71 |
$1,290.71 |
$1,214.78
|
|
Injection arthrography hip without anesthesia (both sides)
|
$146.27 |
$146.27 |
$146.27 |
$507.10
|
|
Injection carpal tunnel therapeutic (both sides)
|
$453.58 |
$453.58 |
$453.58 |
$536.00
|
|
Injection epidural blood patch or clot
|
$1,651.70 |
$1,651.70 |
$1,651.70 |
$1,473.12
|
|
Injection for arthrography wrist (both sides)
|
$214.73 |
$214.73 |
$214.73 |
$441.12
|
|
Injection for bladder x-ray
|
$507.26 |
$507.26 |
$507.26 |
$585.00
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$642.63 |
$642.63 |
$642.63 |
$504.00
|
|
Injection,onabotulinumtoxina
|
$3,784.20 |
$3,784.20 |
$3,784.20 |
$2,085.72
|
|
Injection radioactive tracer sentinel node (both sides)
|
$168.83 |
$168.83 |
$168.83 |
$717.20
|
|
Injection, renflexis
|
$4,923.97 |
$4,923.97 |
$4,923.97 |
$1,356.10
|
|
Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides)
|
$1,314.05 |
$1,314.05 |
$1,314.05 |
$1,501.60
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$1,035.52 |
$1,035.52 |
$1,035.52 |
$1,471.50
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$1,675.82 |
$1,675.82 |
$1,675.82 |
$1,017.28
|
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
|
$1,931.00 |
$1,931.00 |
$1,931.00 |
$2,251.00
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
|
$348.55 |
$348.55 |
$348.55 |
$1,131.41
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
|
$691.65 |
$691.65 |
$691.65 |
$1,961.05
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
|
$1,790.96 |
$1,790.96 |
$1,790.96 |
$1,119.88
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
|
$1,790.96 |
$1,790.96 |
$1,790.96 |
$2,154.68
|
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
|
$1,458.75 |
$1,458.75 |
$1,458.75 |
$1,758.12
|
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
|
$455.13 |
$455.13 |
$455.13 |
$472.76
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$454.36 |
$454.36 |
$454.36 |
$552.60
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$254.41 |
$254.41 |
$254.41 |
$168.05
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$248.96 |
$248.96 |
$248.96 |
$154.05
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$307.31 |
$307.31 |
$307.31 |
$271.65
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$254.41 |
$254.41 |
$254.41 |
$141.60
|
|
Inj epidural sgl lumb-sacral without img
|
$1,093.87 |
$1,093.87 |
$1,093.87 |
$1,450.84
|
|
Inj for ext venography
|
$654.30 |
$654.30 |
$654.30 |
$737.55
|
|
Inj mepivacaine hcl/10 ml
|
$63.02 |
$63.02 |
$63.02 |
$30.04
|
|
Inj multihance
|
$686.98 |
$686.98 |
$686.98 |
$119.25
|
|
Inj nephrosto/ureterogram w/img exstng access
|
$3,126.01 |
$3,126.01 |
$3,126.01 |
$1,522.56
|
|
Inj, nithiodote, 3mg / 125mg
|
$1,241.69 |
$1,241.69 |
$1,241.69 |
$476.75
|
|
Inj proc ankle arthr
|
$214.73 |
$214.73 |
$214.73 |
$405.31
|
|
Inj proc elbow arthro
|
$214.73 |
$214.73 |
$214.73 |
$453.60
|
|
Inj, releuko 1 mcg
|
$1,662.59 |
$1,662.59 |
$1,662.59 |
$503.56
|
|
Inj retro urethrocysto
|
$215.51 |
$215.51 |
$215.51 |
$551.29
|
|
Inj, vancomycin hcl (mylan)
|
$2,723.00 |
$2,723.00 |
$2,723.00 |
$89.83
|
|
Inj w/fluor eval cv device
|
$290.20 |
$290.20 |
$290.20 |
$588.90
|
|
Ins cath ren art 1st bi
|
$5,556.48 |
$5,556.48 |
$5,556.48 |
$6,033.75
|
|
Ins cath ren art 1st uni
|
$4,166.97 |
$4,166.97 |
$4,166.97 |
$4,667.63
|
|
Ins cath ren art 2nd+ uni
|
$5,667.73 |
$5,667.73 |
$5,667.73 |
$5,528.94
|
|
Ins cerv dilator (sep proc)
|
$501.04 |
$501.04 |
$501.04 |
$544.00
|
|
Insert cath pleura with image
|
$931.27 |
$931.27 |
$931.27 |
$2,239.02
|
|
Insert cath pleura without image
|
$483.14 |
$483.14 |
$483.14 |
$2,212.00
|
|
Insert hepatic shunt (tips)
|
$29,135.33 |
$29,135.33 |
$29,135.33 |
$9,754.48
|
|
Insertion catheter bladder non indwelling
|
$150.16 |
$150.16 |
$150.16 |
$237.13
|