|
Induced ab 1+vag supp d&c
|
$314.07 |
$314.07 |
$314.07 |
$1,194.40
|
|
Induced ab 1+ vag sup w/dlv fetus
|
$269.23 |
$269.23 |
$269.23 |
$1,881.75
|
|
Induced abortion d&c
|
$142.12 |
$142.12 |
$142.12 |
$3,762.53
|
|
Induced abortion dilat&evac
|
$236.36 |
$236.36 |
$236.36 |
$4,446.00
|
|
Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s)
|
$132.43 |
$132.43 |
$132.43 |
$137.15
|
|
Infect ag drug suscept pheno predict
|
$46.97 |
$46.97 |
$46.97 |
$323.20
|
|
Infect ag eia influenza a or b ea
|
$41.80 |
$41.80 |
$41.80 |
$71.50
|
|
Infect ag genotype na cytomegalovirus
|
$48.92 |
$48.92 |
$48.92 |
$661.80
|
|
Infect ag genotype na dna hepatitis b
|
$67.07 |
$67.07 |
$67.07 |
$405.30
|
|
Infect ag genotype na hiv-1 other region
|
$29.62 |
$29.62 |
$29.62 |
$386.40
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$82.55 |
$82.55 |
$82.55 |
$603.75
|
|
Infect ag ia optc obs influenza
|
$57.76 |
$57.76 |
$57.76 |
$72.93
|
|
Infect ag if hep delta agent
|
$23.75 |
$23.75 |
$23.75 |
$125.97
|
|
Infect ag if influenza a
|
$3.05 |
$3.05 |
$3.05 |
$41.30
|
|
Infect ag if influenza b
|
$2.33 |
$2.33 |
$2.33 |
$40.08
|
|
Infect ag if legionella pneumophila
|
$1.92 |
$1.92 |
$1.92 |
$72.58
|
|
Infect ag if nos ea
|
$1.92 |
$1.92 |
$1.92 |
$74.88
|
|
Infect ag if pneumocystis carinii
|
$70.30 |
$70.30 |
$70.30 |
$66.00
|
|
Infect ag if varicella zoster
|
$1.92 |
$1.92 |
$1.92 |
$70.70
|
|
Infect ag na hpv high-risk types
|
$132.43 |
$132.43 |
$132.43 |
$139.75
|
|
Infect ag na influenza r/amp 1st 2 types
|
$142.50 |
$142.50 |
$142.50 |
$219.70
|
|
Infect ag na orthopoxvirus amp prb each
|
$16.15 |
$16.15 |
$16.15 |
$99.36
|
|
Infect ag na resp virus 12-25 targets
|
$422.94 |
$422.94 |
$422.94 |
$835.80
|
|
Infect ag phenotype na hiv-1 1-10 drugs
|
$111.62 |
$111.62 |
$111.62 |
$943.80
|
|
Infect ag phenotype na hiv-1 ea addl drg
|
$8.17 |
$8.17 |
$8.17 |
$75.63
|
|
Infectious agent antigen immunoassay direct optical observation sars-cov-2
|
$23.75 |
$23.75 |
$23.75 |
$53.00
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$53.96 |
$53.96 |
$53.96 |
$82.00
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$42.18 |
$42.18 |
$42.18 |
$72.80
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$62.51 |
$62.51 |
$62.51 |
$76.32
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$40.47 |
$40.47 |
$40.47 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$29.07 |
$29.07 |
$29.07 |
$100.02
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$48.45 |
$48.45 |
$48.45 |
$81.20
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$59.66 |
$59.66 |
$59.66 |
$60.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$94.81 |
$94.81 |
$94.81 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$38.00 |
$38.00 |
$38.00 |
$129.00
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$44.08 |
$44.08 |
$44.08 |
$98.02
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$8.55 |
$8.55 |
$8.55 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$135.85 |
$135.85 |
$135.85 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$147.63 |
$147.63 |
$147.63 |
$139.68
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$139.46 |
$139.46 |
$139.46 |
$167.00
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$555.94 |
$555.94 |
$555.94 |
$861.00
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$31.73 |
$31.73 |
$31.73 |
$179.92
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$121.79 |
$121.79 |
$121.79 |
$147.55
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$135.85 |
$135.85 |
$135.85 |
$217.85
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$147.63 |
$147.63 |
$147.63 |
$136.03
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$76.19 |
$76.19 |
$76.19 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$112.10 |
$112.10 |
$112.10 |
$236.08
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$130.15 |
$130.15 |
$130.15 |
$92.50
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$5.87 |
$5.87 |
$5.87 |
$108.75
|
|
Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae
|
$147.63 |
$147.63 |
$147.63 |
$211.00
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$135.85 |
$135.85 |
$135.85 |
$185.00
|
|
Infectious agent nucleic acid joint space pathogens multiplex amplified probe >= 26 targets
|
$237.50 |
$237.50 |
$237.50 |
$1,143.75
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$522.69 |
$522.69 |
$522.69 |
$727.50
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$21.67 |
$21.67 |
$21.67 |
$286.06
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$158.84 |
$158.84 |
$158.84 |
$423.53
|
|
Infectious agent nucleic acid quantification bk virus
|
$102.41 |
$102.41 |
$102.41 |
$279.40
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$7.24 |
$7.24 |
$7.24 |
$239.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$115.71 |
$115.71 |
$115.71 |
$252.00
|
|
Infectious agent nucleic acid quantification hiv-1
|
$17.77 |
$17.77 |
$17.77 |
$374.00
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$209.38 |
$209.38 |
$209.38 |
$303.59
|
|
Influenza dna amp prob addl
|
$18.24 |
$18.24 |
$18.24 |
$64.26
|
|
Initial foot exam pt lops
|
$18.24 |
$18.24 |
$18.24 |
$155.50
|
|
Initial hosp neonate 28 d/less than not critically ill 99477
|
$155.61 |
$155.61 |
$155.61 |
$629.60
|
|
Initial nursing facility care/day 35 minutes
|
$62.32 |
$62.32 |
$62.32 |
$188.50
|
|
Initial nursing facility care/day 45 minutes
|
$84.93 |
$84.93 |
$84.93 |
$236.80
|
|
Initial nursing facility care/day low severity 99304
|
$37.43 |
$37.43 |
$37.43 |
$128.00
|
|
Initiation & management bipap/cpap initial day
|
$127.68 |
$127.68 |
$127.68 |
$576.00
|
|
Init nb em per day non-fac
|
$28.12 |
$28.12 |
$28.12 |
$109.15
|
|
Init pm e/m new pat 65+ yrs
|
$55.67 |
$55.67 |
$55.67 |
$185.90
|
|
Inj cntr knee arthro incl ct/mri
|
$168.53 |
$168.53 |
$168.53 |
$436.80
|
|
Inj dupuytren cord w/enzyme
|
$42.94 |
$42.94 |
$42.94 |
$416.00
|
|
Inj dx for sinogram
|
$100.89 |
$100.89 |
$100.89 |
$422.59
|
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
|
$53.77 |
$53.77 |
$53.77 |
$1,214.78
|
|
Injection arthrography hip without anesthesia (both sides)
|
$181.64 |
$181.64 |
$181.64 |
$495.84
|
|
Injection carpal tunnel therapeutic (both sides)
|
$36.86 |
$36.86 |
$36.86 |
$450.72
|
|
Injection during cath supravalvular aortography
|
$416.67 |
$416.67 |
$416.67 |
$952.66
|
|
Injection epidural blood patch or clot
|
$671.84 |
$671.84 |
$671.84 |
$1,156.80
|
|
Injection eye drug
|
$60.61 |
$60.61 |
$60.61 |
$644.50
|
|
Injection for arthrography wrist (both sides)
|
$239.59 |
$239.59 |
$239.59 |
$428.40
|
|
Injection for bladder x-ray
|
$246.24 |
$246.24 |
$246.24 |
$459.20
|
|
Injection for hip x-ray
|
$348.65 |
$348.65 |
$348.65 |
$710.00
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$222.30 |
$222.30 |
$222.30 |
$494.65
|
|
Injection for ureter x-ray
|
$46.17 |
$46.17 |
$46.17 |
$515.21
|
|
Injection into brain canal
|
$74.48 |
$74.48 |
$74.48 |
$836.40
|
|
Injection into hemorrhoid(s)
|
$125.40 |
$125.40 |
$125.40 |
$1,432.81
|
|
Injection into vocal cord
|
$85.69 |
$85.69 |
$85.69 |
$499.50
|
|
Injection jugular
|
$321.10 |
$321.10 |
$321.10 |
$790.00
|
|
Injection of sinus tract
|
$60.42 |
$60.42 |
$60.42 |
$1,627.60
|
|
Injection radioactive tracer sentinel node (both sides)
|
$223.25 |
$223.25 |
$223.25 |
$670.64
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$40.85 |
$40.85 |
$40.85 |
$1,348.56
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$27.17 |
$27.17 |
$27.17 |
$1,023.50
|
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
|
$1,025.43 |
$1,025.43 |
$1,025.43 |
$1,952.40
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
|
$57.57 |
$57.57 |
$57.57 |
$1,029.45
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
|
$103.93 |
$103.93 |
$103.93 |
$1,814.40
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
|
$49.40 |
$49.40 |
$49.40 |
$1,017.90
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
|
$89.68 |
$89.68 |
$89.68 |
$1,995.00
|
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
|
$732.07 |
$732.07 |
$732.07 |
$1,817.24
|
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
|
$848.35 |
$848.35 |
$848.35 |
$1,681.24
|
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
|
$25.08 |
$25.08 |
$25.08 |
$472.76
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$231.42 |
$231.42 |
$231.42 |
$548.80
|