|
Infect ag drug suscept pheno predict
|
$215.59 |
$215.59 |
$215.59 |
$325.00
|
|
Infect ag genotype na dna hepatitis b
|
$171.07 |
$171.07 |
$171.07 |
$500.40
|
|
Infect ag genotype na hiv-1 other region
|
$184.49 |
$184.49 |
$184.49 |
$301.50
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$184.49 |
$184.49 |
$184.49 |
$574.60
|
|
Infect ag ia optc obs influenza
|
$94.58 |
$94.58 |
$94.58 |
$66.72
|
|
Infect ag if pneumocystis carinii
|
$9.99 |
$9.99 |
$9.99 |
$62.29
|
|
Infect ag if varicella zoster
|
$40.15 |
$40.15 |
$40.15 |
$66.00
|
|
Infect ag na influenza r/amp 1st 2 types
|
$205.80 |
$205.80 |
$205.80 |
$227.96
|
|
Infect ag na orthopoxvirus amp prb each
|
$56.61 |
$56.61 |
$56.61 |
$102.00
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$109.23 |
$109.23 |
$109.23 |
$81.44
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$88.58 |
$88.58 |
$88.58 |
$63.60
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$9.99 |
$9.99 |
$9.99 |
$80.05
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$120.55 |
$120.55 |
$120.55 |
$77.28
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$23.95 |
$23.95 |
$23.95 |
$83.50
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$87.92 |
$87.92 |
$87.92 |
$77.72
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$20.46 |
$20.46 |
$20.46 |
$55.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$122.55 |
$122.55 |
$122.55 |
$101.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$79.92 |
$79.92 |
$79.92 |
$132.60
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$337.00 |
$337.00 |
$337.00 |
$97.50
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$88.58 |
$88.58 |
$88.58 |
$60.00
|
|
Infectious agent nucleic acid amplified probe
|
$261.08 |
$261.08 |
$261.08 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$131.21 |
$131.21 |
$131.21 |
$141.48
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$271.73 |
$271.73 |
$271.73 |
$174.06
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$190.48 |
$190.48 |
$190.48 |
$855.45
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$58.43 |
$58.43 |
$58.43 |
$178.00
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$335.00 |
$335.00 |
$335.00 |
$150.15
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$69.40 |
$69.40 |
$69.40 |
$210.00
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$131.21 |
$131.21 |
$131.21 |
$136.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$102.57 |
$102.57 |
$102.57 |
$103.20
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$27.48 |
$27.48 |
$27.48 |
$112.45
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$323.01 |
$323.01 |
$323.01 |
$727.50
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$126.01 |
$126.01 |
$126.01 |
$283.20
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$437.89 |
$437.89 |
$437.89 |
$489.50
|
|
Infectious agent nucleic acid quantification bk virus
|
$424.25 |
$424.25 |
$424.25 |
$285.66
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$71.33 |
$71.33 |
$71.33 |
$226.35
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$71.33 |
$71.33 |
$71.33 |
$278.78
|
|
Infectious agent nucleic acid quantification hiv-1
|
$141.70 |
$141.70 |
$141.70 |
$381.55
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$99.90 |
$99.90 |
$99.90 |
$298.35
|
|
Infuse radioactive materials
|
$1,977.36 |
$1,977.36 |
$1,977.36 |
$600.89
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$147.19 |
$147.19 |
$147.19 |
$359.64
|
|
Initial nursing facility care/day 35 minutes
|
$57.28 |
$57.28 |
$57.28 |
$231.42
|
|
Initial nursing facility care/day 45 minutes
|
$67.27 |
$67.27 |
$67.27 |
$322.20
|
|
Initial nursing facility care/day low severity 99304
|
$43.96 |
$43.96 |
$43.96 |
$162.40
|
|
Initiation & management bipap/cpap initial day
|
$3,244.09 |
$3,244.09 |
$3,244.09 |
$645.79
|
|
Inj, abilify maintena, 1 mg
|
$9,478.36 |
$9,478.36 |
$9,478.36 |
$6,324.82
|
|
Inj cntr knee arthro incl ct/mri
|
$1,269.40 |
$1,269.40 |
$1,269.40 |
$464.28
|
|
Inj dx for sinogram
|
$1,220.78 |
$1,220.78 |
$1,220.78 |
$436.00
|
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
|
$1,489.85 |
$1,489.85 |
$1,489.85 |
$1,214.78
|
|
Injection arthrography hip without anesthesia (both sides)
|
$1,677.66 |
$1,677.66 |
$1,677.66 |
$507.10
|
|
Injection carpal tunnel therapeutic (both sides)
|
$78.59 |
$78.59 |
$78.59 |
$536.00
|
|
Injection epidural blood patch or clot
|
$188.48 |
$188.48 |
$188.48 |
$1,473.12
|
|
Injection for arthrography wrist (both sides)
|
$1,741.59 |
$1,741.59 |
$1,741.59 |
$441.12
|
|
Injection for bladder x-ray
|
$1,037.63 |
$1,037.63 |
$1,037.63 |
$585.00
|
|
Injection for hip x-ray
|
$1,965.37 |
$1,965.37 |
$1,965.37 |
$567.45
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$1,057.61 |
$1,057.61 |
$1,057.61 |
$504.00
|
|
Injection for ureter x-ray
|
$1,158.84 |
$1,158.84 |
$1,158.84 |
$444.95
|
|
Injection, fulvestrant
|
$2,744.26 |
$2,744.26 |
$2,744.26 |
$2,756.47
|
|
Injection, inclisiran, 1 mg
|
$11,257.89 |
$11,257.89 |
$11,257.89 |
$10,366.61
|
|
Injection of sinus tract
|
$1,995.34 |
$1,995.34 |
$1,995.34 |
$1,651.20
|
|
Injection radioactive tracer sentinel node (both sides)
|
$951.72 |
$951.72 |
$951.72 |
$717.20
|
|
Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides)
|
$2,622.71 |
$2,622.71 |
$2,622.71 |
$1,160.25
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$1,431.90 |
$1,431.90 |
$1,431.90 |
$1,017.28
|
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
|
$1,625.71 |
$1,625.71 |
$1,625.71 |
$2,251.00
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
|
$2,358.98 |
$2,358.98 |
$2,358.98 |
$1,131.41
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
|
$2,749.92 |
$2,749.92 |
$2,749.92 |
$1,961.05
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
|
$1,833.50 |
$1,833.50 |
$1,833.50 |
$1,119.88
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
|
$1,984.02 |
$1,984.02 |
$1,984.02 |
$2,154.68
|
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
|
$2,164.50 |
$2,164.50 |
$2,164.50 |
$1,829.28
|
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
|
$2,839.83 |
$2,839.83 |
$2,839.83 |
$1,758.12
|
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
|
$586.08 |
$586.08 |
$586.08 |
$472.76
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$295.04 |
$295.04 |
$295.04 |
$552.60
|
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
|
$492.84 |
$492.84 |
$492.84 |
$670.00
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$230.44 |
$230.44 |
$230.44 |
$168.05
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$231.11 |
$231.11 |
$231.11 |
$154.05
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$339.00 |
$339.00 |
$339.00 |
$271.65
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$132.54 |
$132.54 |
$132.54 |
$141.60
|
|
Inject sacroiliac joint
|
$299.04 |
$299.04 |
$299.04 |
$1,090.00
|
|
Inj epidural sgl cerv-thor without img
|
$1,686.32 |
$1,686.32 |
$1,686.32 |
$1,366.20
|
|
Inj epidural sgl lumb-sacral without img
|
$2,609.39 |
$2,609.39 |
$2,609.39 |
$1,450.84
|
|
Inj for ext venography
|
$1,150.19 |
$1,150.19 |
$1,150.19 |
$737.55
|
|
Inj multihance
|
$45.96 |
$45.96 |
$45.96 |
$119.25
|
|
Inj proc ankle arthr
|
$1,253.42 |
$1,253.42 |
$1,253.42 |
$405.31
|
|
Inj proc elbow arthro
|
$1,597.74 |
$1,597.74 |
$1,597.74 |
$453.60
|
|
Inj proc myelogram lumbar
|
$2,349.65 |
$2,349.65 |
$2,349.65 |
$922.80
|
|
Inj proc sialogram
|
$1,461.87 |
$1,461.87 |
$1,461.87 |
$380.80
|
|
Inj, releuko 1 mcg
|
$996.25 |
$996.25 |
$996.25 |
$557.11
|
|
Inj retacrit esrd on dialysi
|
$1,439.82 |
$1,439.82 |
$1,439.82 |
$307.40
|
|
Inj retro urethrocysto
|
$117.22 |
$117.22 |
$117.22 |
$551.29
|
|
Insert drug delivery implant
|
$210.46 |
$210.46 |
$210.46 |
$285.80
|
|
Insert intrauterine device iud
|
$306.36 |
$306.36 |
$306.36 |
$378.83
|
|
Insertion catheter bladder non indwelling
|
$333.00 |
$333.00 |
$333.00 |
$237.13
|
|
Insertion catheter bladder temporary simple
|
$89.91 |
$89.91 |
$89.91 |
$273.60
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$5,358.64 |
$5,358.64 |
$5,358.64 |
$4,943.21
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$217.12 |
$217.12 |
$217.12 |
$2,618.40
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$2,615.39 |
$2,615.39 |
$2,615.39 |
$2,079.43
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$634.04 |
$634.04 |
$634.04 |
$5,470.54
|
|
Insert multi-comp penis pros
|
$1,469.87 |
$1,469.87 |
$1,469.87 |
$16,482.71
|
|
Insert pessary/other device
|
$83.25 |
$83.25 |
$83.25 |
$278.90
|
|
Insert prost urethral stent
|
$1,042.29 |
$1,042.29 |
$1,042.29 |
$2,424.12
|
|
Insert self-contd prosthesis
|
$1,198.14 |
$1,198.14 |
$1,198.14 |
$9,754.56
|