|
Infectious agent nucleic acid quantification hepatitis c
|
$10.28 |
$10.28 |
$10.28 |
$252.00
|
|
Infectious agent nucleic acid quantification hiv-1
|
$25.25 |
$25.25 |
$25.25 |
$374.00
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$38.51 |
$38.51 |
$38.51 |
$303.59
|
|
Influenza virus vaccine, inact hemagglutinin tiv pf inj
|
$56.43 |
$56.43 |
$56.43 |
$111.51
|
|
Influenza virus vaccine, live trivalent intranasal
|
$19.44 |
$19.44 |
$19.44 |
$36.50
|
|
Ingest challenge ea addl 60 min
|
$58.59 |
$58.59 |
$58.59 |
$289.64
|
|
Ingest challenge ini 120 min
|
$86.13 |
$86.13 |
$86.13 |
$764.78
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$124.74 |
$124.74 |
$124.74 |
$293.25
|
|
Initial foot exam pt lops
|
$43.74 |
$43.74 |
$43.74 |
$155.50
|
|
Initial hosp neonate 28 d/less than not critically ill 99477
|
$221.13 |
$221.13 |
$221.13 |
$629.60
|
|
Initial nursing facility care/day 35 minutes
|
$88.56 |
$88.56 |
$88.56 |
$188.50
|
|
Initial nursing facility care/day 45 minutes
|
$120.69 |
$120.69 |
$120.69 |
$236.80
|
|
Initial nursing facility care/day low severity 99304
|
$53.19 |
$53.19 |
$53.19 |
$128.00
|
|
Initiation & management bipap/cpap initial day
|
$322.11 |
$322.11 |
$322.11 |
$576.00
|
|
Init nb em per day non-fac
|
$39.96 |
$39.96 |
$39.96 |
$109.15
|
|
Init pm e/m new pat 65+ yrs
|
$93.69 |
$93.69 |
$93.69 |
$185.90
|
|
Inj bimatoprost itc imp1mcg
|
$157.95 |
$157.95 |
$157.95 |
$3,287.96
|
|
Inj, bupivacaine liposome
|
$802.79 |
$802.79 |
$802.79 |
$699.38
|
|
Inj cntr knee arthro incl ct/mri
|
$54.81 |
$54.81 |
$54.81 |
$436.80
|
|
Inj dupuytren cord w/enzyme
|
$83.43 |
$83.43 |
$83.43 |
$416.00
|
|
Inj, durolane 1 mg
|
$287.82 |
$287.82 |
$287.82 |
$1,950.93
|
|
Inj dx for sinogram
|
$32.94 |
$32.94 |
$32.94 |
$422.59
|
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
|
$76.41 |
$76.41 |
$76.41 |
$1,214.78
|
|
Injection arthrography hip without anesthesia (both sides)
|
$93.15 |
$93.15 |
$93.15 |
$495.84
|
|
Injection carpal tunnel therapeutic (both sides)
|
$78.57 |
$78.57 |
$78.57 |
$450.72
|
|
Injection during cath supravalvular aortography
|
$23.22 |
$23.22 |
$23.22 |
$952.66
|
|
Injection epidural blood patch or clot
|
$104.76 |
$104.76 |
$104.76 |
$1,156.80
|
|
Injection eye drug
|
$107.19 |
$107.19 |
$107.19 |
$644.50
|
|
Injection for arthrography wrist (both sides)
|
$99.36 |
$99.36 |
$99.36 |
$428.40
|
|
Injection for bladder x-ray
|
$221.40 |
$221.40 |
$221.40 |
$459.20
|
|
Injection for hip x-ray
|
$74.25 |
$74.25 |
$74.25 |
$710.00
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$68.04 |
$68.04 |
$68.04 |
$494.65
|
|
Injection for ureter x-ray
|
$65.61 |
$65.61 |
$65.61 |
$515.21
|
|
Injection into brain canal
|
$105.84 |
$105.84 |
$105.84 |
$836.40
|
|
Injection into hemorrhoid(s)
|
$178.20 |
$178.20 |
$178.20 |
$1,432.81
|
|
Injection into vocal cord
|
$121.77 |
$121.77 |
$121.77 |
$499.50
|
|
Injection of sinus tract
|
$85.86 |
$85.86 |
$85.86 |
$1,627.60
|
|
Injection,onabotulinumtoxina
|
$3.51 |
$3.51 |
$3.51 |
$2,277.65
|
|
Injection radioactive tracer sentinel node (both sides)
|
$29.16 |
$29.16 |
$29.16 |
$670.64
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$110.97 |
$110.97 |
$110.97 |
$1,348.56
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$71.28 |
$71.28 |
$71.28 |
$1,023.50
|
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
|
$236.79 |
$236.79 |
$236.79 |
$1,952.40
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
|
$92.88 |
$92.88 |
$92.88 |
$1,029.45
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
|
$147.69 |
$147.69 |
$147.69 |
$1,814.40
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
|
$70.20 |
$70.20 |
$70.20 |
$1,017.90
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
|
$127.44 |
$127.44 |
$127.44 |
$1,995.00
|
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
|
$99.63 |
$99.63 |
$99.63 |
$1,817.24
|
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
|
$92.07 |
$92.07 |
$92.07 |
$1,681.24
|
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
|
$55.08 |
$55.08 |
$55.08 |
$472.76
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$276.48 |
$276.48 |
$276.48 |
$548.80
|
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
|
$57.24 |
$57.24 |
$57.24 |
$632.00
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$119.34 |
$119.34 |
$119.34 |
$166.38
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$89.37 |
$89.37 |
$89.37 |
$145.60
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$201.42 |
$201.42 |
$201.42 |
$249.32
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$90.18 |
$90.18 |
$90.18 |
$135.60
|
|
Injection treatment of eye
|
$106.11 |
$106.11 |
$106.11 |
$2,665.60
|
|
Injection treatment of nerve
|
$844.83 |
$844.83 |
$844.83 |
$3,219.20
|
|
Injection treatment of nerve
|
$710.37 |
$710.37 |
$710.37 |
$4,350.00
|
|
Injection treatment of nerve
|
$436.86 |
$436.86 |
$436.86 |
$2,025.45
|
|
Injection treatment of nose
|
$105.84 |
$105.84 |
$105.84 |
$859.59
|
|
Inject sacroiliac joint
|
$158.49 |
$158.49 |
$158.49 |
$1,028.95
|
|
Inject/treat eye socket
|
$43.74 |
$43.74 |
$43.74 |
$670.02
|
|
Inj epidural sgl cerv-thor without img
|
$90.45 |
$90.45 |
$90.45 |
$1,318.80
|
|
Inj epidural sgl lumb-sacral without img
|
$71.82 |
$71.82 |
$71.82 |
$1,415.50
|
|
Inj for ext venography
|
$41.85 |
$41.85 |
$41.85 |
$649.95
|
|
Inj for mammo ductogram
|
$103.68 |
$103.68 |
$103.68 |
$399.60
|
|
Inj, gadopiclenol, 1 ml
|
$2.92 |
$2.92 |
$2.92 |
$37.63
|
|
Inj hrt cath w/s&i nonsel p-art angrp
|
$29.16 |
$29.16 |
$29.16 |
$1,439.90
|
|
Inj hrt cath w/s&i sel hrt ang
|
$32.40 |
$32.40 |
$32.40 |
$1,827.74
|
|
Inj hrt cath w/s&i sel hrt art
|
$34.29 |
$34.29 |
$34.29 |
$1,045.80
|
|
Inj hrt cath w/s&i sel left vent
|
$19.44 |
$19.44 |
$19.44 |
$1,239.00
|
|
Inj hrt cath w/s&i sel right vent
|
$19.44 |
$19.44 |
$19.44 |
$965.33
|
|
Inj/inf neurolyt sbst spinal canal lesion 62282
|
$133.38 |
$133.38 |
$133.38 |
$1,928.00
|
|
Inj intralesional <= 7 lsn(s)
|
$55.35 |
$55.35 |
$55.35 |
$235.13
|
|
Inj intralesional > 7 lsns
|
$66.96 |
$66.96 |
$66.96 |
$234.00
|
|
Inj, lidocaine w epinephrine
|
$32.40 |
$32.40 |
$32.40 |
$47.52
|
|
Inj naloxone hydrochloride
|
$6.48 |
$6.48 |
$6.48 |
$83.16
|
|
Inj nephrosto/ureterogram w/img exstng access
|
$119.61 |
$119.61 |
$119.61 |
$1,413.35
|
|
Inj proc ankle arthr
|
$69.93 |
$69.93 |
$69.93 |
$405.31
|
|
Inj proc elbow arthro
|
$90.72 |
$90.72 |
$90.72 |
$419.60
|
|
Inj proc for lymphang
|
$76.14 |
$76.14 |
$76.14 |
$682.00
|
|
Inj proc lumbr disk ea lvl
|
$144.45 |
$144.45 |
$144.45 |
$1,106.93
|
|
Inj proc myelogram lumbar
|
$76.14 |
$76.14 |
$76.14 |
$830.50
|
|
Inj proc sialogram
|
$56.16 |
$56.16 |
$56.16 |
$373.00
|
|
Inj progesterone per 50 mg
|
$6.48 |
$6.48 |
$6.48 |
$15.00
|
|
Inj retro urethrocysto
|
$474.12 |
$474.12 |
$474.12 |
$443.50
|
|
Inj scleros sol mult veins
|
$189.81 |
$189.81 |
$189.81 |
$675.00
|
|
Inj scleros sol sgl vein
|
$33.75 |
$33.75 |
$33.75 |
$558.97
|
|
Inj(s) sclerosant spider veins limb/trunk
|
$59.13 |
$59.13 |
$59.13 |
$436.80
|
|
Inj triamcinolone ace X-ray 1mg
|
$11.61 |
$11.61 |
$11.61 |
$1,090.75
|
|
Inj w/fluor eval cv device
|
$31.86 |
$31.86 |
$31.86 |
$503.92
|
|
Inpt/ed teleconsult30
|
$60.21 |
$60.21 |
$60.21 |
$164.40
|
|
Inpt/ed teleconsult50
|
$85.86 |
$85.86 |
$85.86 |
$223.80
|
|
Inpt/ed teleconsult70
|
$122.04 |
$122.04 |
$122.04 |
$330.60
|
|
Inpt/tele follow up 15
|
$27.00 |
$27.00 |
$27.00 |
$64.80
|
|
Inpt/tele follow up 25
|
$47.52 |
$47.52 |
$47.52 |
$118.80
|
|
Inpt/tele follow up 35
|
$69.12 |
$69.12 |
$69.12 |
$171.60
|
|
Ins cath ren art 1st bi
|
$308.88 |
$308.88 |
$308.88 |
$5,753.10
|
|
Ins cath ren art 1st uni
|
$222.21 |
$222.21 |
$222.21 |
$4,660.00
|
|
Ins cath ren art 2nd+ bi
|
$361.26 |
$361.26 |
$361.26 |
$5,500.86
|