|
#hypersens-actinomyces ab
|
$85.40 |
$85.40 |
$85.40 |
$31.74
|
|
Hysterosalpingography s&i
|
$1,209.60 |
$1,209.60 |
$1,209.60 |
$651.85
|
|
Igh gene rearrange amp meth
|
$1,159.90 |
$1,159.90 |
$1,159.90 |
$456.54
|
|
Igh@ var region somatic mutation analy
|
$1,793.40 |
$1,793.40 |
$1,793.40 |
$660.80
|
|
Igk rearrangeabn clonal pop
|
$968.80 |
$968.80 |
$968.80 |
$396.00
|
|
Ihc/icc per specimen each additional single antibody stain
|
$513.10 |
$513.10 |
$513.10 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$1,348.20 |
$1,348.20 |
$1,348.20 |
$328.79
|
|
Ihc/icc per specimen initial single antibody stain
|
$861.70 |
$861.70 |
$861.70 |
$274.86
|
|
Immunoassay tumor antigen quantitative ca 125
|
$190.40 |
$190.40 |
$190.40 |
$130.00
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$226.10 |
$226.10 |
$226.10 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$158.20 |
$158.20 |
$158.20 |
$48.50
|
|
Immunofixation electrophoresis serum
|
$248.50 |
$248.50 |
$248.50 |
$138.60
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$335.30 |
$335.30 |
$335.30 |
$156.00
|
|
Immunofluorescence per specimen initial single antibody stain
|
$709.10 |
$709.10 |
$709.10 |
$232.05
|
|
Implant biventricular device 33976
|
$534.10 |
$534.10 |
$534.10 |
$5,053.23
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$4,162.90 |
$4,162.90 |
$4,162.90 |
$2,080.80
|
|
Incisn of toe tndn
|
$3,573.50 |
$3,573.50 |
$3,573.50 |
$2,493.15
|
|
Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s)
|
$172.20 |
$172.20 |
$172.20 |
$131.20
|
|
Infect ag drug suscept pheno predict
|
$884.10 |
$884.10 |
$884.10 |
$320.00
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$1,610.70 |
$1,610.70 |
$1,610.70 |
$603.75
|
|
Infect ag ia direct hiv-1 antgn
|
$275.10 |
$275.10 |
$275.10 |
$95.55
|
|
Infect ag ia optc obs influenza
|
$143.50 |
$143.50 |
$143.50 |
$72.93
|
|
Infect ag na hpv high-risk types
|
$324.10 |
$324.10 |
$324.10 |
$139.20
|
|
Infect ag na influenza r/amp 1st 2 types
|
$554.40 |
$554.40 |
$554.40 |
$219.70
|
|
Infect ag na orthopoxvirus amp prb each
|
$137.90 |
$137.90 |
$137.90 |
$99.36
|
|
Infect ag na resp virus 12-25 targets
|
$2,045.40 |
$2,045.40 |
$2,045.40 |
$859.44
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$87.50 |
$87.50 |
$87.50 |
$82.00
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$217.00 |
$217.00 |
$217.00 |
$69.44
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$112.70 |
$112.70 |
$112.70 |
$76.50
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$62.30 |
$62.30 |
$62.30 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$142.80 |
$142.80 |
$142.80 |
$96.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$136.50 |
$136.50 |
$136.50 |
$81.06
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$200.90 |
$200.90 |
$200.90 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$207.90 |
$207.90 |
$207.90 |
$127.80
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$100.80 |
$100.80 |
$100.80 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$254.80 |
$254.80 |
$254.80 |
$267.50
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$284.90 |
$284.90 |
$284.90 |
$137.67
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$254.80 |
$254.80 |
$254.80 |
$167.05
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$226.10 |
$226.10 |
$226.10 |
$181.35
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$222.60 |
$222.60 |
$222.60 |
$151.25
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$345.10 |
$345.10 |
$345.10 |
$201.60
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$228.20 |
$228.20 |
$228.20 |
$135.80
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$107.10 |
$107.10 |
$107.10 |
$100.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$201.60 |
$201.60 |
$201.60 |
$236.08
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$197.40 |
$197.40 |
$197.40 |
$94.53
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$207.20 |
$207.20 |
$207.20 |
$105.00
|
|
Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae
|
$83.30 |
$83.30 |
$83.30 |
$250.50
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$2,209.20 |
$2,209.20 |
$2,209.20 |
$429.50
|
|
Infectious agent nucleic acid quantification bk virus
|
$447.30 |
$447.30 |
$447.30 |
$283.00
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$385.00 |
$385.00 |
$385.00 |
$238.80
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$439.60 |
$439.60 |
$439.60 |
$252.60
|
|
Infectious agent nucleic acid quantification hiv-1
|
$548.10 |
$548.10 |
$548.10 |
$374.50
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$731.50 |
$731.50 |
$731.50 |
$303.59
|
|
Initiation & management bipap/cpap initial day
|
$213.50 |
$213.50 |
$213.50 |
$576.00
|
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
|
$1,599.50 |
$1,599.50 |
$1,599.50 |
$1,214.78
|
|
Injection during cath supravalvular aortography
|
$85.40 |
$85.40 |
$85.40 |
$904.17
|
|
Injection epidural blood patch or clot
|
$1,546.30 |
$1,546.30 |
$1,546.30 |
$1,156.80
|
|
Injection for arthrography wrist (both sides)
|
$389.20 |
$389.20 |
$389.20 |
$441.12
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$1,454.60 |
$1,454.60 |
$1,454.60 |
$1,391.40
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$1,580.60 |
$1,580.60 |
$1,580.60 |
$1,045.65
|
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
|
$1,869.70 |
$1,869.70 |
$1,869.70 |
$1,939.60
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
|
$212.10 |
$212.10 |
$212.10 |
$1,029.45
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
|
$2,056.60 |
$2,056.60 |
$2,056.60 |
$1,777.50
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
|
$177.80 |
$177.80 |
$177.80 |
$1,064.70
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
|
$1,869.70 |
$1,869.70 |
$1,869.70 |
$1,961.05
|
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
|
$3,150.70 |
$3,150.70 |
$3,150.70 |
$1,842.00
|
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
|
$1,405.60 |
$1,405.60 |
$1,405.60 |
$1,704.78
|
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
|
$115.50 |
$115.50 |
$115.50 |
$460.94
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$620.20 |
$620.20 |
$620.20 |
$517.24
|
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
|
$620.20 |
$620.20 |
$620.20 |
$625.00
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$145.60 |
$145.60 |
$145.60 |
$166.38
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$270.20 |
$270.20 |
$270.20 |
$145.60
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$663.60 |
$663.60 |
$663.60 |
$261.00
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$149.80 |
$149.80 |
$149.80 |
$135.20
|
|
Inj for ext venography
|
$457.80 |
$457.80 |
$457.80 |
$654.00
|
|
Inj hrt cath w/s&i nonsel p-art angrp
|
$95.90 |
$95.90 |
$95.90 |
$1,237.50
|
|
Inj hrt cath w/s&i sel right vent
|
$52.50 |
$52.50 |
$52.50 |
$947.05
|
|
Inj non-compmd foam sclrsnt sgl trncl vein
|
$2,958.90 |
$2,958.90 |
$2,958.90 |
$2,431.74
|
|
Inj proc elbow arthro
|
$854.00 |
$854.00 |
$854.00 |
$432.00
|
|
Inj proc myelogram lumbar
|
$769.30 |
$769.30 |
$769.30 |
$856.00
|
|
Ins cath ren art 1st bi
|
$6,610.10 |
$6,610.10 |
$6,610.10 |
$5,741.00
|
|
Ins cath ren art 1st uni
|
$6,610.10 |
$6,610.10 |
$6,610.10 |
$4,692.00
|
|
Insert cath pleura without image
|
$4,328.80 |
$4,328.80 |
$4,328.80 |
$2,019.00
|
|
Insert intrauterine device iud
|
$161.00 |
$161.00 |
$161.00 |
$366.65
|
|
Insertion catheter bladder non indwelling
|
$294.00 |
$294.00 |
$294.00 |
$205.20
|
|
Insertion catheter bladder temporary simple
|
$294.00 |
$294.00 |
$294.00 |
$229.32
|
|
Insertion intra aortic balloon assist device percutaneous
|
$534.10 |
$534.10 |
$534.10 |
$2,529.45
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$17,973.90 |
$17,973.90 |
$17,973.90 |
$7,034.50
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$7,182.70 |
$7,182.70 |
$7,182.70 |
$2,511.00
|
|
Insertion of heart electrode 33211
|
$17,379.60 |
$17,379.60 |
$17,379.60 |
$7,392.84
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$949.90 |
$949.90 |
$949.90 |
$10,100.35
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$3,153.50 |
$3,153.50 |
$3,153.50 |
$2,079.43
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$67,329.50 |
$67,329.50 |
$67,329.50 |
$29,146.96
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$16,800.00 |
$16,800.00 |
$16,800.00 |
$7,513.67
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$17,379.60 |
$17,379.60 |
$17,379.60 |
$7,342.20
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$17,379.60 |
$17,379.60 |
$17,379.60 |
$9,397.50
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$7,182.70 |
$7,182.70 |
$7,182.70 |
$5,236.80
|
|
Insert pessary/other device
|
$150.50 |
$150.50 |
$150.50 |
$273.54
|
|
Insert pm/icd lead dual
|
$17,379.60 |
$17,379.60 |
$17,379.60 |
$7,388.80
|
|
Insert swan-ganz cath
|
$3,262.00 |
$3,262.00 |
$3,262.00 |
$2,210.50
|