|
Immunoassay tumor antigen quantitative ca 19-9
|
$159.60 |
$159.60 |
$159.60 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$800.40 |
$800.40 |
$800.40 |
$48.57
|
|
Immunofixation electrophoresis serum
|
$327.00 |
$327.00 |
$327.00 |
$141.60
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$518.40 |
$518.40 |
$518.40 |
$156.00
|
|
Immunofluorescence per specimen initial single antibody stain
|
$609.60 |
$609.60 |
$609.60 |
$232.96
|
|
Immunoglobulin assay
|
$183.60 |
$183.60 |
$183.60 |
$74.15
|
|
Implant 11 volt lithium-ion backup battery for controller pocket
|
$6,455.40 |
$6,455.40 |
$6,455.40 |
$1,754.00
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$1,191.00 |
$1,191.00 |
$1,191.00 |
$2,080.80
|
|
Infect ag drug suscept pheno predict
|
$630.60 |
$630.60 |
$630.60 |
$323.20
|
|
Infect ag genotype na hiv-1 other region
|
$976.80 |
$976.80 |
$976.80 |
$340.00
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$1,017.00 |
$1,017.00 |
$1,017.00 |
$603.75
|
|
Infect ag ia optc obs influenza
|
$132.00 |
$132.00 |
$132.00 |
$72.93
|
|
Infect ag na influenza r/amp 1st 2 types
|
$287.40 |
$287.40 |
$287.40 |
$217.88
|
|
Infect ag na orthopoxvirus amp prb each
|
$220.20 |
$220.20 |
$220.20 |
$100.46
|
|
Infect ag na resp virus 12-25 targets
|
$676.80 |
$676.80 |
$676.80 |
$845.40
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$136.80 |
$136.80 |
$136.80 |
$82.50
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$136.80 |
$136.80 |
$136.80 |
$76.45
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$129.60 |
$129.60 |
$129.60 |
$75.40
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$162.00 |
$162.00 |
$162.00 |
$96.50
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$144.60 |
$144.60 |
$144.60 |
$81.06
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$198.60 |
$198.60 |
$198.60 |
$60.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$134.40 |
$134.40 |
$134.40 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$358.20 |
$358.20 |
$358.20 |
$130.90
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$165.00 |
$165.00 |
$165.00 |
$99.00
|
|
Infectious agent nucleic acid amplified probe
|
$558.00 |
$558.00 |
$558.00 |
$275.00
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$853.80 |
$853.80 |
$853.80 |
$137.67
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$366.60 |
$366.60 |
$366.60 |
$167.05
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$1,170.60 |
$1,170.60 |
$1,170.60 |
$861.00
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$303.00 |
$303.00 |
$303.00 |
$184.50
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$210.00 |
$210.00 |
$210.00 |
$151.25
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$340.80 |
$340.80 |
$340.80 |
$210.00
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$375.00 |
$375.00 |
$375.00 |
$136.03
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$50.40 |
$50.40 |
$50.40 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$262.80 |
$262.80 |
$262.80 |
$236.08
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$55.20 |
$55.20 |
$55.20 |
$92.50
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$153.00 |
$153.00 |
$153.00 |
$110.50
|
|
Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae
|
$72.60 |
$72.60 |
$72.60 |
$220.35
|
|
Infectious agent nucleic acid joint space pathogens multiplex amplified probe >= 26 targets
|
$1,717.20 |
$1,717.20 |
$1,717.20 |
$1,240.55
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$1,110.60 |
$1,110.60 |
$1,110.60 |
$727.50
|
|
Infectious agent nucleic acid quantification bk virus
|
$844.20 |
$844.20 |
$844.20 |
$285.66
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$343.80 |
$343.80 |
$343.80 |
$238.80
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$309.00 |
$309.00 |
$309.00 |
$253.00
|
|
Infectious agent nucleic acid quantification hiv-1
|
$403.20 |
$403.20 |
$403.20 |
$375.00
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$286.80 |
$286.80 |
$286.80 |
$303.59
|
|
Initiation & management bipap/cpap initial day
|
$136.80 |
$136.80 |
$136.80 |
$571.20
|
|
Inj cntr knee arthro incl ct/mri
|
$627.60 |
$627.60 |
$627.60 |
$436.80
|
|
Inj disk cerv-thor ea lev
|
$2,560.20 |
$2,560.20 |
$2,560.20 |
$945.31
|
|
Inj dx for sinogram
|
$1,320.00 |
$1,320.00 |
$1,320.00 |
$416.00
|
|
Injection arthrography hip without anesthesia (both sides)
|
$668.40 |
$668.40 |
$668.40 |
$504.00
|
|
Injection carpal tunnel therapeutic (both sides)
|
$366.00 |
$366.00 |
$366.00 |
$504.90
|
|
Injection during cath supravalvular aortography
|
$3,316.80 |
$3,316.80 |
$3,316.80 |
$1,028.88
|
|
Injection epidural blood patch or clot
|
$1,538.40 |
$1,538.40 |
$1,538.40 |
$1,153.03
|
|
Injection for arthrography wrist (both sides)
|
$482.40 |
$482.40 |
$482.40 |
$441.12
|
|
Injection for bladder x-ray
|
$699.00 |
$699.00 |
$699.00 |
$459.20
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$568.80 |
$568.80 |
$568.80 |
$494.65
|
|
Injection jaw joint x-ray
|
$984.60 |
$984.60 |
$984.60 |
$340.00
|
|
Injection radioactive tracer sentinel node (both sides)
|
$1,942.20 |
$1,942.20 |
$1,942.20 |
$699.68
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$886.20 |
$886.20 |
$886.20 |
$1,391.40
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$927.60 |
$927.60 |
$927.60 |
$1,045.65
|
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
|
$1,804.80 |
$1,804.80 |
$1,804.80 |
$1,939.97
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
|
$964.80 |
$964.80 |
$964.80 |
$1,029.45
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
|
$2,704.80 |
$2,704.80 |
$2,704.80 |
$1,777.50
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
|
$1,098.00 |
$1,098.00 |
$1,098.00 |
$1,011.89
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
|
$2,978.40 |
$2,978.40 |
$2,978.40 |
$1,951.80
|
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
|
$2,627.40 |
$2,627.40 |
$2,627.40 |
$1,808.64
|
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
|
$3,276.00 |
$3,276.00 |
$3,276.00 |
$1,685.00
|
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
|
$475.80 |
$475.80 |
$475.80 |
$475.80
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$878.40 |
$878.40 |
$878.40 |
$541.00
|
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
|
$987.00 |
$987.00 |
$987.00 |
$637.92
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$238.80 |
$238.80 |
$238.80 |
$166.60
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$230.40 |
$230.40 |
$230.40 |
$145.60
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$268.80 |
$268.80 |
$268.80 |
$257.24
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$163.80 |
$163.80 |
$163.80 |
$136.00
|
|
Inject sacroiliac joint
|
$1,479.60 |
$1,479.60 |
$1,479.60 |
$990.00
|
|
Inj epidural sgl cerv-thor without img
|
$1,727.40 |
$1,727.40 |
$1,727.40 |
$1,311.74
|
|
Inj epidural sgl lumb-sacral without img
|
$2,074.20 |
$2,074.20 |
$2,074.20 |
$1,415.50
|
|
Inj for ext venography
|
$649.80 |
$649.80 |
$649.80 |
$654.00
|
|
Inj for mammo ductogram
|
$1,197.00 |
$1,197.00 |
$1,197.00 |
$397.80
|
|
Inj multihance
|
$9.00 |
$9.00 |
$9.00 |
$72.00
|
|
Inj multihance multipack
|
$9.00 |
$9.00 |
$9.00 |
$2.80
|
|
Inj nephrosto/ureterogram w/img exstng access
|
$1,225.20 |
$1,225.20 |
$1,225.20 |
$1,413.35
|
|
Inj proc ankle arthr
|
$617.40 |
$617.40 |
$617.40 |
$405.60
|
|
Inj proc elbow arthro
|
$573.00 |
$573.00 |
$573.00 |
$438.00
|
|
Inj proc lumbr disk ea lvl
|
$1,979.40 |
$1,979.40 |
$1,979.40 |
$1,136.00
|
|
Inj proc myelogram lumbar
|
$832.80 |
$832.80 |
$832.80 |
$859.98
|
|
Inj proc sialogram
|
$778.20 |
$778.20 |
$778.20 |
$380.80
|
|
Inj prohance multipack
|
$9.00 |
$9.00 |
$9.00 |
$9.60
|
|
Inj retro urethrocysto
|
$654.60 |
$654.60 |
$654.60 |
$450.00
|
|
Inj scleros sol mult veins
|
$633.00 |
$633.00 |
$633.00 |
$643.65
|
|
Inj w/fluor eval cv device
|
$1,237.20 |
$1,237.20 |
$1,237.20 |
$504.40
|
|
Ins cath ren art 1st bi
|
$4,794.00 |
$4,794.00 |
$4,794.00 |
$5,820.00
|
|
Ins cath ren art 1st uni
|
$4,270.20 |
$4,270.20 |
$4,270.20 |
$4,667.63
|
|
Ins cerv dilator (sep proc)
|
$441.60 |
$441.60 |
$441.60 |
$473.90
|
|
Insert cath pleura with image
|
$4,236.60 |
$4,236.60 |
$4,236.60 |
$2,164.52
|
|
Insert cath pleura without image
|
$1,792.80 |
$1,792.80 |
$1,792.80 |
$2,026.58
|
|
Insertion catheter bladder non indwelling
|
$172.80 |
$172.80 |
$172.80 |
$207.00
|
|
Insertion catheter bladder temporary simple
|
$288.60 |
$288.60 |
$288.60 |
$234.40
|
|
Insertion intra aortic balloon assist device percutaneous
|
$4,580.40 |
$4,580.40 |
$4,580.40 |
$2,565.36
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$7,930.20 |
$7,930.20 |
$7,930.20 |
$7,088.54
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$2,247.00 |
$2,247.00 |
$2,247.00 |
$2,523.30
|