|
Incision of foot tendon 28234
|
$440.10 |
$440.10 |
$440.10 |
$2,116.27
|
|
Incision of gallbladder 47480
|
$894.30 |
$894.30 |
$894.30 |
$1,650.00
|
|
Incision of heel bone
|
$683.70 |
$683.70 |
$683.70 |
$5,339.00
|
|
Incision of hip tendon
|
$416.40 |
$416.40 |
$416.40 |
$3,460.88
|
|
Incision of hip tendon
|
$569.40 |
$569.40 |
$569.40 |
$3,839.54
|
|
Incision of hip tendons
|
$756.00 |
$756.00 |
$756.00 |
$3,839.54
|
|
Incision of knee joint
|
$850.20 |
$850.20 |
$850.20 |
$3,976.00
|
|
Incision of metatarsal
|
$430.80 |
$430.80 |
$430.80 |
$4,176.43
|
|
Incision of metatarsal
|
$608.40 |
$608.40 |
$608.40 |
$3,591.33
|
|
Incision of midfoot bones
|
$646.80 |
$646.80 |
$646.80 |
$6,839.00
|
|
Incision of neck of femur
|
$1,262.70 |
$1,262.70 |
$1,262.70 |
$4,651.40
|
|
Incision of palm tendon
|
$501.60 |
$501.60 |
$501.60 |
$3,821.05
|
|
Incision of prostate
|
$496.20 |
$496.20 |
$496.20 |
$4,081.37
|
|
Incision of rectal abscess
|
$514.20 |
$514.20 |
$514.20 |
$3,245.23
|
|
Incision of small bowel 44010
|
$863.10 |
$863.10 |
$863.10 |
$1,362.00
|
|
Incision of spinal nerve 64772
|
$584.10 |
$584.10 |
$584.10 |
$2,310.83
|
|
Incision of tendon & muscle
|
$647.70 |
$647.70 |
$647.70 |
$5,624.45
|
|
Incision of tendon sheath
|
$379.20 |
$379.20 |
$379.20 |
$2,211.05
|
|
Incision of thigh
|
$866.70 |
$866.70 |
$866.70 |
$3,016.00
|
|
Incision of thigh
|
$1,046.40 |
$1,046.40 |
$1,046.40 |
$3,798.60
|
|
Incision of thigh tendon
|
$371.10 |
$371.10 |
$371.10 |
$4,491.50
|
|
Incision of thigh tendon
|
$483.30 |
$483.30 |
$483.30 |
$3,839.54
|
|
Incision of thigh tendons
|
$440.70 |
$440.70 |
$440.70 |
$4,844.84
|
|
Incision of tibia
|
$778.50 |
$778.50 |
$778.50 |
$7,907.11
|
|
Incision of toe tendons 28011
|
$339.60 |
$339.60 |
$339.60 |
$2,119.12
|
|
Incision of tongue fold
|
$230.10 |
$230.10 |
$230.10 |
$1,792.50
|
|
Incision of urethra
|
$98.70 |
$98.70 |
$98.70 |
$2,899.60
|
|
Incision tendon sheath
|
$996.60 |
$996.60 |
$996.60 |
$3,073.20
|
|
Incisn of toe tndn
|
$252.60 |
$252.60 |
$252.60 |
$2,627.96
|
|
Incisn windpipe
|
$303.30 |
$303.30 |
$303.30 |
$3,810.50
|
|
Induced ab 1+vag supp d&c
|
$495.90 |
$495.90 |
$495.90 |
$1,194.40
|
|
Induced ab 1+ vag sup w/dlv fetus
|
$425.10 |
$425.10 |
$425.10 |
$1,881.75
|
|
Induced abortion d&c
|
$224.40 |
$224.40 |
$224.40 |
$3,762.53
|
|
Induced abortion dilat&evac
|
$373.20 |
$373.20 |
$373.20 |
$4,446.00
|
|
Infect ag drug suscept pheno predict
|
$69.37 |
$69.37 |
$69.37 |
$323.20
|
|
Infect ag eia influenza a or b ea
|
$33.60 |
$33.60 |
$33.60 |
$71.50
|
|
Infect ag genotype na dna hepatitis b
|
$77.24 |
$77.24 |
$77.24 |
$405.30
|
|
Infect ag genotype na hiv-1 other region
|
$25.55 |
$25.55 |
$25.55 |
$386.40
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$126.96 |
$126.96 |
$126.96 |
$603.75
|
|
Infect ag ia direct hiv-1 antgn
|
$56.70 |
$56.70 |
$56.70 |
$91.70
|
|
Infect ag ia optc obs influenza
|
$19.80 |
$19.80 |
$19.80 |
$72.93
|
|
Infect ag if influenza a
|
$4.82 |
$4.82 |
$4.82 |
$41.30
|
|
Infect ag if influenza b
|
$3.68 |
$3.68 |
$3.68 |
$40.08
|
|
Infect ag if legionella pneumophila
|
$24.90 |
$24.90 |
$24.90 |
$72.58
|
|
Infect ag if nos ea
|
$3.03 |
$3.03 |
$3.03 |
$74.88
|
|
Infect ag if pneumocystis carinii
|
$4.20 |
$4.20 |
$4.20 |
$66.00
|
|
Infect ag if varicella zoster
|
$3.03 |
$3.03 |
$3.03 |
$70.70
|
|
Infect ag na hpv high-risk types
|
$123.00 |
$123.00 |
$123.00 |
$139.75
|
|
Infect ag na influenza r/amp 1st 2 types
|
$353.40 |
$353.40 |
$353.40 |
$219.70
|
|
Infect ag na orthopoxvirus amp prb each
|
$27.00 |
$27.00 |
$27.00 |
$99.36
|
|
Infect ag na resp virus 12-25 targets
|
$1,628.70 |
$1,628.70 |
$1,628.70 |
$835.80
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$140.70 |
$140.70 |
$140.70 |
$82.00
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$3.03 |
$3.03 |
$3.03 |
$72.80
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$36.30 |
$36.30 |
$36.30 |
$76.32
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$35.10 |
$35.10 |
$35.10 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$99.30 |
$99.30 |
$99.30 |
$100.02
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$53.10 |
$53.10 |
$53.10 |
$81.20
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$104.70 |
$104.70 |
$104.70 |
$60.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$103.80 |
$103.80 |
$103.80 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$38.10 |
$38.10 |
$38.10 |
$129.00
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$36.00 |
$36.00 |
$36.00 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$146.10 |
$146.10 |
$146.10 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$225.00 |
$225.00 |
$225.00 |
$139.68
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$225.60 |
$225.60 |
$225.60 |
$167.00
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$1,354.50 |
$1,354.50 |
$1,354.50 |
$861.00
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$159.60 |
$159.60 |
$159.60 |
$179.92
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$189.30 |
$189.30 |
$189.30 |
$147.55
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$175.50 |
$175.50 |
$175.50 |
$217.85
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$225.00 |
$225.00 |
$225.00 |
$136.03
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$189.00 |
$189.00 |
$189.00 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$233.40 |
$233.40 |
$233.40 |
$236.08
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$136.20 |
$136.20 |
$136.20 |
$92.50
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$10.53 |
$10.53 |
$10.53 |
$108.75
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$175.50 |
$175.50 |
$175.50 |
$185.00
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$1,680.90 |
$1,680.90 |
$1,680.90 |
$727.50
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$34.21 |
$34.21 |
$34.21 |
$286.06
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$63.12 |
$63.12 |
$63.12 |
$423.53
|
|
Infectious agent nucleic acid quantification bk virus
|
$35.85 |
$35.85 |
$35.85 |
$279.40
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$11.42 |
$11.42 |
$11.42 |
$239.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$70.80 |
$70.80 |
$70.80 |
$252.00
|
|
Infectious agent nucleic acid quantification hiv-1
|
$28.05 |
$28.05 |
$28.05 |
$374.00
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$488.40 |
$488.40 |
$488.40 |
$303.59
|
|
Infliximab 100 mg intravenous solution
|
$649.80 |
$649.80 |
$649.80 |
$2,080.86
|
|
Influenza dna amp prob addl
|
$48.90 |
$48.90 |
$48.90 |
$64.26
|
|
Influenza virus vaccine, inact hemagglutinin tiv pf inj
|
$62.70 |
$62.70 |
$62.70 |
$111.51
|
|
Influenza virus vaccine, live trivalent intranasal
|
$21.60 |
$21.60 |
$21.60 |
$36.50
|
|
Ingest challenge ea addl 60 min
|
$65.10 |
$65.10 |
$65.10 |
$289.64
|
|
Ingest challenge ini 120 min
|
$95.70 |
$95.70 |
$95.70 |
$764.78
|
|
Initial foot exam pt lops
|
$48.60 |
$48.60 |
$48.60 |
$155.50
|
|
Initial hosp neonate 28 d/less than not critically ill 99477
|
$245.70 |
$245.70 |
$245.70 |
$629.60
|
|
Initial nursing facility care/day 35 minutes
|
$98.40 |
$98.40 |
$98.40 |
$188.50
|
|
Initial nursing facility care/day 45 minutes
|
$134.10 |
$134.10 |
$134.10 |
$236.80
|
|
Initial nursing facility care/day low severity 99304
|
$59.10 |
$59.10 |
$59.10 |
$128.00
|
|
Initiation & management bipap/cpap initial day
|
$802.50 |
$802.50 |
$802.50 |
$576.00
|
|
Init nb em per day non-fac
|
$44.40 |
$44.40 |
$44.40 |
$109.15
|
|
Init pm e/m new pat 65+ yrs
|
$124.80 |
$124.80 |
$124.80 |
$185.90
|
|
Inj anifrolumab-fnia 1mg
|
$7,442.80 |
$7,442.80 |
$7,442.80 |
$9,878.82
|
|
Inj bimatoprost itc imp1mcg
|
$175.50 |
$175.50 |
$175.50 |
$3,287.96
|
|
Inj, bupivacaine liposome
|
$739.16 |
$739.16 |
$739.16 |
$699.38
|
|
Inj cntr knee arthro incl ct/mri
|
$523.50 |
$523.50 |
$523.50 |
$436.80
|