|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$132.00 |
$132.00 |
$132.00 |
$94.53
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$147.00 |
$147.00 |
$147.00 |
$105.00
|
|
Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae
|
$72.60 |
$72.60 |
$72.60 |
$250.50
|
|
Infectious agent nucleic acid joint space pathogens multiplex amplified probe >= 26 targets
|
$1,717.20 |
$1,717.20 |
$1,717.20 |
$1,325.35
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$1,155.00 |
$1,155.00 |
$1,155.00 |
$711.93
|
|
Infectious agent nucleic acid quantification bk virus
|
$877.20 |
$877.20 |
$877.20 |
$283.00
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$508.20 |
$508.20 |
$508.20 |
$238.80
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$405.60 |
$405.60 |
$405.60 |
$252.60
|
|
Infectious agent nucleic acid quantification hiv-1
|
$330.60 |
$330.60 |
$330.60 |
$374.50
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$275.40 |
$275.40 |
$275.40 |
$303.59
|
|
Influenza dna amp prob addl
|
$96.00 |
$96.00 |
$96.00 |
$64.26
|
|
Infuse radioactive materials
|
$811.80 |
$811.80 |
$811.80 |
$744.00
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$162.60 |
$162.60 |
$162.60 |
$293.04
|
|
Initial hosp neonate 28 d/less than not critically ill 99477
|
$645.00 |
$645.00 |
$645.00 |
$629.60
|
|
Initiation & management bipap/cpap initial day
|
$496.80 |
$496.80 |
$496.80 |
$576.00
|
|
Inj cntr knee arthro incl ct/mri
|
$1,290.00 |
$1,290.00 |
$1,290.00 |
$436.80
|
|
Inj disk cerv-thor ea lev
|
$4,541.40 |
$4,541.40 |
$4,541.40 |
$945.00
|
|
Inj dx for sinogram
|
$1,290.00 |
$1,290.00 |
$1,290.00 |
$413.82
|
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
|
$1,314.00 |
$1,314.00 |
$1,314.00 |
$1,214.78
|
|
Injection arthrography hip without anesthesia (both sides)
|
$1,393.20 |
$1,393.20 |
$1,393.20 |
$500.50
|
|
Injection carpal tunnel therapeutic (both sides)
|
$357.00 |
$357.00 |
$357.00 |
$504.90
|
|
Injection during cath supravalvular aortography
|
$755.40 |
$755.40 |
$755.40 |
$904.17
|
|
Injection epidural blood patch or clot
|
$754.80 |
$754.80 |
$754.80 |
$1,156.80
|
|
Injection for arthrography wrist (both sides)
|
$414.00 |
$414.00 |
$414.00 |
$441.12
|
|
Injection for bladder x-ray
|
$964.80 |
$964.80 |
$964.80 |
$459.20
|
|
Injection for hip x-ray
|
$414.00 |
$414.00 |
$414.00 |
$669.24
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$1,152.60 |
$1,152.60 |
$1,152.60 |
$494.65
|
|
Injection for ureter x-ray
|
$2,062.80 |
$2,062.80 |
$2,062.80 |
$415.80
|
|
Injection for ureter x-ray
|
$1,030.20 |
$1,030.20 |
$1,030.20 |
$515.21
|
|
Injection jugular
|
$1,210.20 |
$1,210.20 |
$1,210.20 |
$790.00
|
|
Injection radioactive tracer sentinel node (both sides)
|
$2,407.80 |
$2,407.80 |
$2,407.80 |
$683.28
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$2,797.80 |
$2,797.80 |
$2,797.80 |
$1,391.40
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$1,917.00 |
$1,917.00 |
$1,917.00 |
$1,045.65
|
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
|
$1,917.00 |
$1,917.00 |
$1,917.00 |
$1,939.60
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
|
$1,781.40 |
$1,781.40 |
$1,781.40 |
$1,777.50
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
|
$2,419.80 |
$2,419.80 |
$2,419.80 |
$1,064.70
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
|
$2,614.80 |
$2,614.80 |
$2,614.80 |
$1,961.05
|
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
|
$2,448.00 |
$2,448.00 |
$2,448.00 |
$1,842.00
|
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
|
$2,448.00 |
$2,448.00 |
$2,448.00 |
$1,704.78
|
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
|
$768.00 |
$768.00 |
$768.00 |
$460.94
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$562.80 |
$562.80 |
$562.80 |
$517.24
|
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
|
$1,026.00 |
$1,026.00 |
$1,026.00 |
$625.00
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$411.60 |
$411.60 |
$411.60 |
$166.38
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$328.80 |
$328.80 |
$328.80 |
$145.60
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$338.40 |
$338.40 |
$338.40 |
$261.00
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$202.20 |
$202.20 |
$202.20 |
$135.20
|
|
Inject sacroiliac joint
|
$1,823.40 |
$1,823.40 |
$1,823.40 |
$963.00
|
|
Inj epidural sgl cerv-thor without img
|
$1,279.20 |
$1,279.20 |
$1,279.20 |
$1,329.00
|
|
Inj epidural sgl lumb-sacral without img
|
$1,279.20 |
$1,279.20 |
$1,279.20 |
$1,415.50
|
|
Inj for ext venography
|
$1,212.60 |
$1,212.60 |
$1,212.60 |
$654.00
|
|
Inj for mammo ductogram
|
$368.40 |
$368.40 |
$368.40 |
$433.50
|
|
Inj hrt cath w/s&i nonsel p-art angrp
|
$3,033.60 |
$3,033.60 |
$3,033.60 |
$1,237.50
|
|
Inj hrt cath w/s&i sel hrt ang
|
$803.40 |
$803.40 |
$803.40 |
$1,757.00
|
|
Inj hrt cath w/s&i sel left vent
|
$3,033.60 |
$3,033.60 |
$3,033.60 |
$1,071.00
|
|
Inj hrt cath w/s&i sel right vent
|
$3,033.60 |
$3,033.60 |
$3,033.60 |
$947.05
|
|
Inj multihance
|
$7.80 |
$7.80 |
$7.80 |
$79.42
|
|
Inj nephrosto/ureterogram w/img exstng access
|
$2,664.00 |
$2,664.00 |
$2,664.00 |
$1,414.40
|
|
Inj proc ankle arthr
|
$414.00 |
$414.00 |
$414.00 |
$405.31
|
|
Inj proc elbow arthro
|
$971.40 |
$971.40 |
$971.40 |
$432.00
|
|
Inj proc lumbr disk ea lvl
|
$4,541.40 |
$4,541.40 |
$4,541.40 |
$1,139.40
|
|
Inj proc myelogram lumbar
|
$1,188.60 |
$1,188.60 |
$1,188.60 |
$856.00
|
|
Inj proc sialogram
|
$1,457.40 |
$1,457.40 |
$1,457.40 |
$373.00
|
|
Inj prohance multipack
|
$14.40 |
$14.40 |
$14.40 |
$9.60
|
|
Inj retro urethrocysto
|
$880.20 |
$880.20 |
$880.20 |
$450.00
|
|
Inj w/fluor eval cv device
|
$858.60 |
$858.60 |
$858.60 |
$463.40
|
|
Ins cath ren art 1st bi
|
$7,094.40 |
$7,094.40 |
$7,094.40 |
$5,741.00
|
|
Ins cath ren art 1st uni
|
$5,271.60 |
$5,271.60 |
$5,271.60 |
$4,692.00
|
|
Ins cath ren art 2nd+ bi
|
$7,614.00 |
$7,614.00 |
$7,614.00 |
$5,408.65
|
|
Ins cath ren art 2nd+ uni
|
$5,595.00 |
$5,595.00 |
$5,595.00 |
$5,419.00
|
|
Ins cerv dilator (sep proc)
|
$662.40 |
$662.40 |
$662.40 |
$488.35
|
|
Insert cath pleura with image
|
$4,177.20 |
$4,177.20 |
$4,177.20 |
$2,194.40
|
|
Insert cath pleura without image
|
$3,474.00 |
$3,474.00 |
$3,474.00 |
$2,019.00
|
|
Insert intrauterine device iud
|
$111.60 |
$111.60 |
$111.60 |
$366.65
|
|
Insertion catheter bladder non indwelling
|
$196.80 |
$196.80 |
$196.80 |
$205.20
|
|
Insertion catheter bladder temporary simple
|
$324.00 |
$324.00 |
$324.00 |
$229.32
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$7,542.00 |
$7,542.00 |
$7,542.00 |
$4,731.80
|
|
Insertion intra aortic balloon assist device percutaneous
|
$4,912.20 |
$4,912.20 |
$4,912.20 |
$2,529.45
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$10,459.80 |
$10,459.80 |
$10,459.80 |
$7,034.50
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$2,644.20 |
$2,644.20 |
$2,644.20 |
$2,511.00
|
|
Insertion of catheter vein
|
$1,125.00 |
$1,125.00 |
$1,125.00 |
$1,657.32
|
|
Insertion of catheter vein
|
$1,320.60 |
$1,320.60 |
$1,320.60 |
$836.25
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$9,772.80 |
$9,772.80 |
$9,772.80 |
$12,508.08
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$10,211.40 |
$10,211.40 |
$10,211.40 |
$12,384.25
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$9,226.20 |
$9,226.20 |
$9,226.20 |
$10,100.35
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$2,590.20 |
$2,590.20 |
$2,590.20 |
$2,079.43
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$3,441.60 |
$3,441.60 |
$3,441.60 |
$2,414.10
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$20,248.80 |
$20,248.80 |
$20,248.80 |
$29,146.96
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$5,241.00 |
$5,241.00 |
$5,241.00 |
$7,513.67
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$7,450.20 |
$7,450.20 |
$7,450.20 |
$7,342.20
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$6,777.00 |
$6,777.00 |
$6,777.00 |
$9,397.50
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$6,558.60 |
$6,558.60 |
$6,558.60 |
$5,236.80
|
|
Insert pessary/other device
|
$337.20 |
$337.20 |
$337.20 |
$273.54
|
|
Insert pm/icd lead dual
|
$5,026.80 |
$5,026.80 |
$5,026.80 |
$7,388.80
|
|
Insert swan-ganz cath
|
$1,524.60 |
$1,524.60 |
$1,524.60 |
$2,210.50
|
|
Insert vad art access left hrt arterial access
|
$6,072.60 |
$6,072.60 |
$6,072.60 |
$4,221.97
|
|
Insert vad art access left hrt art & vein access
|
$5,071.80 |
$5,071.80 |
$5,071.80 |
$2,889.60
|
|
Ins icd gen exist mlt leads
|
$9,313.80 |
$9,313.80 |
$9,313.80 |
$31,286.77
|
|
Ins icd gen exist sgl lead
|
$14,140.20 |
$14,140.20 |
$14,140.20 |
$23,742.75
|
|
Insitu hybridization auto
|
$595.20 |
$595.20 |
$595.20 |
$371.00
|
|
Insitu hybridization (fish)
|
$731.40 |
$731.40 |
$731.40 |
$481.60
|
