|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$806.31 |
$806.31 |
$806.31 |
$298.35
|
|
Initiation & management bipap/cpap initial day
|
$3,532.77 |
$3,532.77 |
$3,532.77 |
$645.79
|
|
Inj calcitriol per 0.1 mcg
|
$84.15 |
$84.15 |
$84.15 |
$31.69
|
|
Inj cefazolin sodium, hikma
|
$84.15 |
$84.15 |
$84.15 |
$34.59
|
|
Inj cefazolin (wg crit care)
|
$84.15 |
$84.15 |
$84.15 |
$25.00
|
|
Inj cntr knee arthro incl ct/mri
|
$278.46 |
$278.46 |
$278.46 |
$464.28
|
|
Inj crotalidae im f(ab')2 eq
|
$2,859.84 |
$2,859.84 |
$2,859.84 |
$2,735.85
|
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
|
$1,305.09 |
$1,305.09 |
$1,305.09 |
$1,214.78
|
|
Injection arthrography hip without anesthesia (both sides)
|
$756.84 |
$756.84 |
$756.84 |
$507.10
|
|
Injection carpal tunnel therapeutic (both sides)
|
$550.80 |
$550.80 |
$550.80 |
$536.00
|
|
Injection epidural blood patch or clot
|
$2,916.18 |
$2,916.18 |
$2,916.18 |
$1,473.12
|
|
Injection eye drug
|
$643.11 |
$643.11 |
$643.11 |
$648.90
|
|
Injection for arthrography wrist (both sides)
|
$991.95 |
$991.95 |
$991.95 |
$441.12
|
|
Injection for bladder x-ray
|
$563.55 |
$563.55 |
$563.55 |
$585.00
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$497.76 |
$497.76 |
$497.76 |
$504.00
|
|
Injection into hemorrhoid(s)
|
$1,682.49 |
$1,682.49 |
$1,682.49 |
$1,278.72
|
|
Injection,onabotulinumtoxina
|
$1,771.49 |
$1,771.49 |
$1,771.49 |
$2,154.07
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$1,362.21 |
$1,362.21 |
$1,362.21 |
$1,471.50
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$1,084.77 |
$1,084.77 |
$1,084.77 |
$1,017.28
|
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
|
$3,363.96 |
$3,363.96 |
$3,363.96 |
$2,251.00
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
|
$3,615.90 |
$3,615.90 |
$3,615.90 |
$1,119.88
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
|
$3,615.90 |
$3,615.90 |
$3,615.90 |
$2,154.68
|
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
|
$1,305.09 |
$1,305.09 |
$1,305.09 |
$1,829.28
|
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
|
$1,305.09 |
$1,305.09 |
$1,305.09 |
$1,758.12
|
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
|
$559.98 |
$559.98 |
$559.98 |
$472.76
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$818.04 |
$818.04 |
$818.04 |
$552.60
|
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
|
$1,256.13 |
$1,256.13 |
$1,256.13 |
$670.00
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$157.59 |
$157.59 |
$157.59 |
$168.05
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$148.41 |
$148.41 |
$148.41 |
$154.05
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$442.68 |
$442.68 |
$442.68 |
$271.65
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$87.72 |
$87.72 |
$87.72 |
$141.60
|
|
Injection treatment of eye
|
$4,173.33 |
$4,173.33 |
$4,173.33 |
$2,698.92
|
|
Inject sacroiliac joint
|
$3,232.89 |
$3,232.89 |
$3,232.89 |
$1,090.00
|
|
Inj epidural sgl cerv-thor without img
|
$1,305.09 |
$1,305.09 |
$1,305.09 |
$1,366.20
|
|
Inj epidural sgl lumb-sacral without img
|
$1,725.84 |
$1,725.84 |
$1,725.84 |
$1,450.84
|
|
Inj for ext venography
|
$2,861.10 |
$2,861.10 |
$2,861.10 |
$737.55
|
|
Inj, immphentiv, 20 mcg
|
$84.15 |
$84.15 |
$84.15 |
$38.40
|
|
Inj intralesional <= 7 lsn(s)
|
$365.67 |
$365.67 |
$365.67 |
$241.74
|
|
Inj, levothyroxine, freskabi
|
$250.28 |
$250.28 |
$250.28 |
$303.45
|
|
Inj., perseris, 0.5 mg
|
$2,698.44 |
$2,698.44 |
$2,698.44 |
$5,372.48
|
|
Inj proc elbow arthro
|
$610.98 |
$610.98 |
$610.98 |
$453.60
|
|
Inj proc myelogram lumbar
|
$1,088.34 |
$1,088.34 |
$1,088.34 |
$922.80
|
|
Inj retro urethrocysto
|
$512.04 |
$512.04 |
$512.04 |
$551.29
|
|
Ins cath ren art 1st uni
|
$9,612.99 |
$9,612.99 |
$9,612.99 |
$4,667.63
|
|
Ins cerv dilator (sep proc)
|
$591.09 |
$591.09 |
$591.09 |
$544.00
|
|
Insert and remove bone pin
|
$6,026.16 |
$6,026.16 |
$6,026.16 |
$4,335.60
|
|
Insert cath pleura with image
|
$3,012.57 |
$3,012.57 |
$3,012.57 |
$2,239.02
|
|
Insert cath pleura without image
|
$2,397.51 |
$2,397.51 |
$2,397.51 |
$2,212.00
|
|
Insert intrauterine device iud
|
$2,344.98 |
$2,344.98 |
$2,344.98 |
$378.83
|
|
Insertion catheter bladder non indwelling
|
$343.23 |
$343.23 |
$343.23 |
$237.13
|
|
Insertion catheter bladder temporary simple
|
$241.74 |
$241.74 |
$241.74 |
$273.60
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$7,170.60 |
$7,170.60 |
$7,170.60 |
$4,943.21
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$5,535.54 |
$5,535.54 |
$5,535.54 |
$2,618.40
|
|
Insertion of catheter vein
|
$2,473.50 |
$2,473.50 |
$2,473.50 |
$1,749.80
|
|
Insertion of heart electrode 33211
|
$16,525.53 |
$16,525.53 |
$16,525.53 |
$9,090.00
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$25,457.16 |
$25,457.16 |
$25,457.16 |
$12,813.28
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$4,790.94 |
$4,790.94 |
$4,790.94 |
$2,079.43
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$4,013.19 |
$4,013.19 |
$4,013.19 |
$2,527.91
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$16,525.53 |
$16,525.53 |
$16,525.53 |
$7,572.47
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$6,031.26 |
$6,031.26 |
$6,031.26 |
$5,470.54
|
|
Insertion ureth cath
|
$3,776.04 |
$3,776.04 |
$3,776.04 |
$2,424.12
|
|
Insert pessary/other device
|
$360.57 |
$360.57 |
$360.57 |
$278.90
|
|
Insert prost urethral stent
|
$3,755.13 |
$3,755.13 |
$3,755.13 |
$2,424.12
|
|
Insitu hybridization auto
|
$436.56 |
$436.56 |
$436.56 |
$398.16
|
|
Insitu hybridization manual
|
$756.84 |
$756.84 |
$756.84 |
$407.11
|
|
In situ hybridization per specimen each additional single probe stain
|
$129.03 |
$129.03 |
$129.03 |
$251.55
|
|
In situ hybridization per specimen initial single probe stain
|
$307.53 |
$307.53 |
$307.53 |
$338.40
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$2,208.81 |
$2,208.81 |
$2,208.81 |
$1,483.95
|
|
Ins tun cv cath wo subq prt/pm
|
$10,405.53 |
$10,405.53 |
$10,405.53 |
$5,888.85
|
|
Ins tun cv cath wo subq prt/pm
|
$6,031.26 |
$6,031.26 |
$6,031.26 |
$4,748.00
|
|
Ins tun intraperit dia cath
|
$7,210.38 |
$7,210.38 |
$7,210.38 |
$4,657.46
|
|
Insulin total
|
$13.80 |
$13.80 |
$13.80 |
$67.60
|
|
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm
|
$18,177.26 |
$18,177.26 |
$18,177.26 |
$9,970.16
|
|
Integra meshed bil wound mat
|
$53,973.90 |
$53,973.90 |
$53,973.90 |
$25,450.30
|
|
Integra os putty 2.5cc - cost per 0.5cc
|
$4,469.64 |
$4,469.64 |
$4,469.64 |
$2,908.50
|
|
Interdental fixation
|
$2,810.61 |
$2,810.61 |
$2,810.61 |
$2,133.48
|
|
Int hrhc lig 1 hroid without img
|
$5,202.00 |
$5,202.00 |
$5,202.00 |
$3,245.23
|
|
Intranasal biopsy 30100
|
$2,810.61 |
$2,810.61 |
$2,810.61 |
$1,850.94
|
|
Intraoral i+d tongue/floor lingual 41000
|
$669.63 |
$669.63 |
$669.63 |
$1,182.15
|
|
Intrinsic factor antibody
|
$48.20 |
$48.20 |
$48.20 |
$59.95
|
|
Intro long gi tube
|
$1,671.27 |
$1,671.27 |
$1,671.27 |
$1,036.00
|
|
Intro long gi tube w/mult fluo
|
$1,105.17 |
$1,105.17 |
$1,105.17 |
$477.85
|
|
Intro windpipe wire/tube
|
$3,254.31 |
$3,254.31 |
$3,254.31 |
$2,316.30
|
|
Intubation endotracheal emergency procedure
|
$590.07 |
$590.07 |
$590.07 |
$617.60
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$180.03 |
$180.03 |
$180.03 |
$165.67
|
|
Ipratropium bromide non-comp
|
$5.61 |
$5.61 |
$5.61 |
$4.77
|
|
Iron
|
$220.32 |
$220.32 |
$220.32 |
$70.72
|
|
Iron binding capacity
|
$217.77 |
$217.77 |
$217.77 |
$63.00
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$100.45 |
$100.45 |
$100.45 |
$169.30
|
|
Irrigation implantable venous access device for drug delivery systems
|
$123.93 |
$123.93 |
$123.93 |
$154.50
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$134.64 |
$134.64 |
$134.64 |
$191.75
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$63.75 |
$63.75 |
$63.75 |
$174.40
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$642.60 |
$642.60 |
$642.60 |
$155.00
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$1,505.52 |
$1,505.52 |
$1,505.52 |
$460.85
|
|
Ivp w/wo kub w/wo tomography
|
$1,890.06 |
$1,890.06 |
$1,890.06 |
$713.05
|
|
Jak2 targeted sequence analysis
|
$199.92 |
$199.92 |
$199.92 |
$378.30
|
|
John cunningham antibody
|
$770.65 |
$770.65 |
$770.65 |
$48.57
|
|
Ketamine and metabolite screen - quest
|
$5.56 |
$5.56 |
$5.56 |
$68.15
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$52.02 |
$52.02 |
$52.02 |
$56.61
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$84.15 |
$84.15 |
$84.15 |
$29.52
|
