|
Infectious agent nucleic acid quantification hiv-1
|
$512.85 |
$512.85 |
$512.85 |
$375.00
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$266.37 |
$266.37 |
$266.37 |
$304.20
|
|
Influenza dna amp prob addl
|
$225.81 |
$225.81 |
$225.81 |
$64.26
|
|
Infuse radioactive materials
|
$1,240.98 |
$1,240.98 |
$1,240.98 |
$739.50
|
|
Ingest challenge ea addl 60 min
|
$189.54 |
$189.54 |
$189.54 |
$289.64
|
|
Ingest challenge ini 120 min
|
$854.88 |
$854.88 |
$854.88 |
$764.78
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$697.32 |
$697.32 |
$697.32 |
$296.00
|
|
Inj cntr knee arthro incl ct/mri
|
$409.11 |
$409.11 |
$409.11 |
$436.80
|
|
Inj dx for sinogram
|
$697.71 |
$697.71 |
$697.71 |
$436.00
|
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
|
$1,807.65 |
$1,807.65 |
$1,807.65 |
$1,214.78
|
|
Injection arthrography hip without anesthesia (both sides)
|
$764.40 |
$764.40 |
$764.40 |
$503.50
|
|
Injection carpal tunnel therapeutic (both sides)
|
$1,832.61 |
$1,832.61 |
$1,832.61 |
$458.15
|
|
Injection during cath supravalvular aortography
|
$1,783.08 |
$1,783.08 |
$1,783.08 |
$1,027.26
|
|
Injection epidural blood patch or clot
|
$1,987.44 |
$1,987.44 |
$1,987.44 |
$1,182.33
|
|
Injection eye drug
|
$709.80 |
$709.80 |
$709.80 |
$654.00
|
|
Injection for arthrography wrist (both sides)
|
$588.12 |
$588.12 |
$588.12 |
$436.00
|
|
Injection for bladder x-ray
|
$890.37 |
$890.37 |
$890.37 |
$459.20
|
|
Injection for hip x-ray
|
$1,529.58 |
$1,529.58 |
$1,529.58 |
$763.60
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$591.63 |
$591.63 |
$591.63 |
$497.76
|
|
Injection for tear sac x-ray
|
$504.27 |
$504.27 |
$504.27 |
$225.20
|
|
Injection for ureter x-ray
|
$219.18 |
$219.18 |
$219.18 |
$415.80
|
|
Injection for ureter x-ray
|
$742.17 |
$742.17 |
$742.17 |
$515.21
|
|
Injection into brain canal
|
$1,266.72 |
$1,266.72 |
$1,266.72 |
$844.50
|
|
Injection jaw joint x-ray
|
$451.23 |
$451.23 |
$451.23 |
$307.80
|
|
Injection jugular
|
$1,134.12 |
$1,134.12 |
$1,134.12 |
$790.00
|
|
Injection of sinus tract
|
$2,436.33 |
$2,436.33 |
$2,436.33 |
$1,640.99
|
|
Injection,onabotulinumtoxina
|
$131.04 |
$131.04 |
$131.04 |
$2,277.65
|
|
Injection px peyronie ds
|
$471.51 |
$471.51 |
$471.51 |
$409.34
|
|
Injection radioactive tracer sentinel node (both sides)
|
$1,164.93 |
$1,164.93 |
$1,164.93 |
$685.44
|
|
Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides)
|
$1,895.01 |
$1,895.01 |
$1,895.01 |
$1,582.12
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$2,867.67 |
$2,867.67 |
$2,867.67 |
$1,391.40
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$2,049.06 |
$2,049.06 |
$2,049.06 |
$1,043.72
|
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
|
$4,175.73 |
$4,175.73 |
$4,175.73 |
$2,040.36
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
|
$1,346.28 |
$1,346.28 |
$1,346.28 |
$1,030.05
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
|
$2,719.08 |
$2,719.08 |
$2,719.08 |
$1,855.36
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
|
$1,346.28 |
$1,346.28 |
$1,346.28 |
$1,043.20
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
|
$3,041.22 |
$3,041.22 |
$3,041.22 |
$2,006.79
|
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
|
$6,020.82 |
$6,020.82 |
$6,020.82 |
$1,817.24
|
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
|
$1,758.12 |
$1,758.12 |
$1,758.12 |
$1,685.00
|
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
|
$1,396.20 |
$1,396.20 |
$1,396.20 |
$475.80
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$1,210.56 |
$1,210.56 |
$1,210.56 |
$548.80
|
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
|
$1,248.00 |
$1,248.00 |
$1,248.00 |
$637.92
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$164.96 |
$164.96 |
$164.96 |
$145.60
|
|
Injection treatment of eye
|
$2,601.69 |
$2,601.69 |
$2,601.69 |
$2,698.92
|
|
Injection treatment of eye
|
$1,022.19 |
$1,022.19 |
$1,022.19 |
$2,685.92
|
|
Injection treatment of nerve
|
$4,535.70 |
$4,535.70 |
$4,535.70 |
$3,219.20
|
|
Injection treatment of nerve
|
$4,535.70 |
$4,535.70 |
$4,535.70 |
$4,446.30
|
|
Inject/treat eye socket
|
$282.36 |
$282.36 |
$282.36 |
$381.13
|
|
Inject/treat eye socket
|
$670.02 |
$670.02 |
$670.02 |
$670.02
|
|
Inj epidural sgl cerv-thor without img
|
$1,895.01 |
$1,895.01 |
$1,895.01 |
$1,329.00
|
|
Inj epidural sgl lumb-sacral without img
|
$1,740.18 |
$1,740.18 |
$1,740.18 |
$1,450.84
|
|
Inj for ext venography
|
$394.29 |
$394.29 |
$394.29 |
$628.80
|
|
Inj for mammo ductogram
|
$1,127.49 |
$1,127.49 |
$1,127.49 |
$397.80
|
|
Inj, gadopiclenol, 1 ml
|
$79.56 |
$79.56 |
$79.56 |
$37.63
|
|
Inj hrt cath w/s&i nonsel p-art angrp
|
$1,646.97 |
$1,646.97 |
$1,646.97 |
$1,492.00
|
|
Inj hrt cath w/s&i sel hrt ang
|
$2,920.32 |
$2,920.32 |
$2,920.32 |
$1,818.15
|
|
Inj hrt cath w/s&i sel hrt art
|
$2,311.53 |
$2,311.53 |
$2,311.53 |
$1,045.80
|
|
Inj hrt cath w/s&i sel left vent
|
$1,250.34 |
$1,250.34 |
$1,250.34 |
$1,250.34
|
|
Inj hrt cath w/s&i sel right vent
|
$1,377.87 |
$1,377.87 |
$1,377.87 |
$999.96
|
|
Inj/inf neurolyt sbst spinal canal lesion 62282
|
$2,028.39 |
$2,028.39 |
$2,028.39 |
$1,938.00
|
|
Inj intralesional <= 7 lsn(s)
|
$136.89 |
$136.89 |
$136.89 |
$235.13
|
|
Inj intralesional > 7 lsns
|
$129.48 |
$129.48 |
$129.48 |
$234.00
|
|
Inj multihance
|
$51.48 |
$51.48 |
$51.48 |
$70.54
|
|
Inj nephrosto/ureterogram w/img exstng access
|
$1,522.56 |
$1,522.56 |
$1,522.56 |
$1,413.35
|
|
Inj non-compmd foam sclrsnt mlt trncl veins same leg
|
$1,343.55 |
$1,343.55 |
$1,343.55 |
$2,881.20
|
|
Inj non-compmd foam sclrsnt sgl trncl vein
|
$1,165.71 |
$1,165.71 |
$1,165.71 |
$2,726.90
|
|
Inj octafluoropropane mic,ml
|
$756.76 |
$756.76 |
$756.76 |
$211.40
|
|
Inj peritoneal venous shunt
|
$541.71 |
$541.71 |
$541.71 |
$406.80
|
|
Inj proc ankle arthr
|
$567.45 |
$567.45 |
$567.45 |
$405.31
|
|
Inj proc elbow arthro
|
$645.84 |
$645.84 |
$645.84 |
$432.00
|
|
Inj proc for lymphang
|
$1,718.73 |
$1,718.73 |
$1,718.73 |
$742.40
|
|
Inj proc lumbr disk ea lvl
|
$894.27 |
$894.27 |
$894.27 |
$1,106.93
|
|
Inj proc myelogram lumbar
|
$2,359.50 |
$2,359.50 |
$2,359.50 |
$838.30
|
|
Inj proc sialogram
|
$420.42 |
$420.42 |
$420.42 |
$373.00
|
|
Inj prohance multipack
|
$51.48 |
$51.48 |
$51.48 |
$10.40
|
|
Inj retro urethrocysto
|
$685.23 |
$685.23 |
$685.23 |
$447.74
|
|
Inj scleros sol mult veins
|
$1,343.55 |
$1,343.55 |
$1,343.55 |
$692.90
|
|
Inj scleros sol sgl vein
|
$695.37 |
$695.37 |
$695.37 |
$561.88
|
|
Inj w/fluor eval cv device
|
$422.37 |
$422.37 |
$422.37 |
$504.40
|
|
Ins cath ren art 1st bi
|
$4,017.78 |
$4,017.78 |
$4,017.78 |
$5,974.80
|
|
Ins cath ren art 1st uni
|
$4,525.95 |
$4,525.95 |
$4,525.95 |
$4,667.63
|
|
Ins cath ren art 2nd+ bi
|
$4,778.67 |
$4,778.67 |
$4,778.67 |
$5,663.98
|
|
Ins cath ren art 2nd+ uni
|
$4,525.95 |
$4,525.95 |
$4,525.95 |
$5,395.20
|
|
Ins cerv dilator (sep proc)
|
$1,263.60 |
$1,263.60 |
$1,263.60 |
$490.73
|
|
Insert and remove bone pin
|
$6,879.60 |
$6,879.60 |
$6,879.60 |
$4,433.36
|
|
Insert cath pleura with image
|
$3,542.37 |
$3,542.37 |
$3,542.37 |
$2,194.40
|
|
Insert cath pleura without image
|
$3,381.30 |
$3,381.30 |
$3,381.30 |
$2,099.70
|
|
Insert drug delivery implant
|
$3,895.32 |
$3,895.32 |
$3,895.32 |
$280.00
|
|
Insert hepatic shunt (tips)
|
$30,645.03 |
$30,645.03 |
$30,645.03 |
$7,571.20
|
|
Insert intrauterine device iud
|
$850.59 |
$850.59 |
$850.59 |
$347.10
|
|
Insertion catheter artery nfs ther chemotx 36640
|
$3,483.09 |
$3,483.09 |
$3,483.09 |
$3,594.47
|
|
Insertion catheter bladder non indwelling
|
$368.55 |
$368.55 |
$368.55 |
$208.01
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$7,394.40 |
$7,394.40 |
$7,394.40 |
$4,897.20
|
|
Insertion intra aortic balloon assist device percutaneous
|
$3,836.04 |
$3,836.04 |
$3,836.04 |
$2,447.63
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$9,627.15 |
$9,627.15 |
$9,627.15 |
$7,210.78
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$6,195.93 |
$6,195.93 |
$6,195.93 |
$2,585.25
|
|
Insertion of catheter vein
|
$2,664.48 |
$2,664.48 |
$2,664.48 |
$1,525.80
|
|
Insertion of catheter vein
|
$1,220.70 |
$1,220.70 |
$1,220.70 |
$870.59
|
|
Insertion of heart electrode 33211
|
$3,483.48 |
$3,483.48 |
$3,483.48 |
$6,820.50
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$11,476.53 |
$11,476.53 |
$11,476.53 |
$12,384.25
|