|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$165.00 |
$165.00 |
$165.00 |
$236.08
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$75.00 |
$75.00 |
$75.00 |
$96.00
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$135.00 |
$135.00 |
$135.00 |
$112.45
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$185.00 |
$185.00 |
$185.00 |
$195.60
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$530.00 |
$530.00 |
$530.00 |
$727.50
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$197.50 |
$197.50 |
$197.50 |
$289.91
|
|
Infectious agent nucleic acid quantification bk virus
|
$225.00 |
$225.00 |
$225.00 |
$283.00
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$242.50 |
$242.50 |
$242.50 |
$242.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$250.00 |
$250.00 |
$250.00 |
$253.00
|
|
Infectious agent nucleic acid quantification hiv-1
|
$480.00 |
$480.00 |
$480.00 |
$375.00
|
|
Infliximab 100 mg intravenous solution
|
$113.72 |
$113.72 |
$113.72 |
$2,047.13
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$113.50 |
$113.50 |
$113.50 |
$1,537.84
|
|
Inf lwr xtr fscl pln blk uni w/wo image
|
$780.00 |
$780.00 |
$780.00 |
$762.00
|
|
Inf thrc fascial pln blk bi w/wo image
|
$780.00 |
$780.00 |
$780.00 |
$523.25
|
|
Inf thrc fascial pln blk uni w/wo image
|
$780.00 |
$780.00 |
$780.00 |
$770.00
|
|
Inj, abilify maintena, 1 mg
|
$15.77 |
$15.77 |
$15.77 |
$5,355.30
|
|
Inj anifrolumab-fnia 1mg
|
$43.56 |
$43.56 |
$43.56 |
$10,052.58
|
|
Inj, bupivacaine liposome
|
$4.27 |
$4.27 |
$4.27 |
$699.38
|
|
Inj cntr knee arthro incl ct/mri
|
$332.50 |
$332.50 |
$332.50 |
$436.80
|
|
Inj dx for sinogram
|
$135.00 |
$135.00 |
$135.00 |
$436.00
|
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
|
$1,135.00 |
$1,135.00 |
$1,135.00 |
$1,214.78
|
|
Injection arthrography hip without anesthesia (both sides)
|
$332.50 |
$332.50 |
$332.50 |
$503.50
|
|
Injection during cath supravalvular aortography
|
$570.00 |
$570.00 |
$570.00 |
$1,027.26
|
|
Injection epidural blood patch or clot
|
$820.00 |
$820.00 |
$820.00 |
$1,182.33
|
|
Injection eye drug
|
$660.00 |
$660.00 |
$660.00 |
$654.00
|
|
Injection for arthrography wrist (both sides)
|
$332.50 |
$332.50 |
$332.50 |
$436.00
|
|
Injection for bladder x-ray
|
$380.00 |
$380.00 |
$380.00 |
$459.20
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$332.50 |
$332.50 |
$332.50 |
$497.76
|
|
Injection for ureter x-ray
|
$390.00 |
$390.00 |
$390.00 |
$515.21
|
|
Injection, fulvestrant
|
$26.20 |
$26.20 |
$26.20 |
$1,719.16
|
|
Injection, inclisiran, 1 mg
|
$29.17 |
$29.17 |
$29.17 |
$6,679.35
|
|
Injection radioactive tracer sentinel node (both sides)
|
$335.00 |
$335.00 |
$335.00 |
$685.44
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$1,870.00 |
$1,870.00 |
$1,870.00 |
$1,391.40
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$735.00 |
$735.00 |
$735.00 |
$1,043.72
|
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
|
$1,510.00 |
$1,510.00 |
$1,510.00 |
$2,040.36
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
|
$770.00 |
$770.00 |
$770.00 |
$1,030.05
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
|
$1,540.00 |
$1,540.00 |
$1,540.00 |
$1,855.36
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
|
$940.00 |
$940.00 |
$940.00 |
$1,043.20
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
|
$1,820.00 |
$1,820.00 |
$1,820.00 |
$2,006.79
|
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
|
$1,145.00 |
$1,145.00 |
$1,145.00 |
$1,817.24
|
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
|
$1,145.00 |
$1,145.00 |
$1,145.00 |
$1,685.00
|
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
|
$412.50 |
$412.50 |
$412.50 |
$475.80
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$500.00 |
$500.00 |
$500.00 |
$548.80
|
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
|
$625.00 |
$625.00 |
$625.00 |
$637.92
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$162.50 |
$162.50 |
$162.50 |
$145.60
|
|
Inject sacroiliac joint
|
$990.00 |
$990.00 |
$990.00 |
$1,029.04
|
|
Inj epidural sgl cerv-thor without img
|
$895.00 |
$895.00 |
$895.00 |
$1,329.00
|
|
Inj epidural sgl lumb-sacral without img
|
$895.00 |
$895.00 |
$895.00 |
$1,450.84
|
|
Inj for ext venography
|
$530.00 |
$530.00 |
$530.00 |
$628.80
|
|
Inj for mammo ductogram
|
$167.50 |
$167.50 |
$167.50 |
$397.80
|
|
Inj hrt cath w/s&i nonsel p-art angrp
|
$555.00 |
$555.00 |
$555.00 |
$1,492.00
|
|
Inj hrt cath w/s&i sel right vent
|
$745.00 |
$745.00 |
$745.00 |
$999.96
|
|
Inj/inf neurolyt sbst spinal canal lesion 62282
|
$780.00 |
$780.00 |
$780.00 |
$1,938.00
|
|
Inj lwr xtr fscl pln blk uni w/wo image
|
$625.00 |
$625.00 |
$625.00 |
$794.70
|
|
Inj nephrosto/ureterogram w/img exstng access
|
$875.00 |
$875.00 |
$875.00 |
$1,413.35
|
|
Inj non-compmd foam sclrsnt mlt trncl veins same leg
|
$1,920.00 |
$1,920.00 |
$1,920.00 |
$2,881.20
|
|
Inj non-compmd foam sclrsnt sgl trncl vein
|
$1,920.00 |
$1,920.00 |
$1,920.00 |
$2,726.90
|
|
Inj pemetrexed, hospira 10mg
|
$14.20 |
$14.20 |
$14.20 |
$64.35
|
|
Inj proc elbow arthro
|
$332.50 |
$332.50 |
$332.50 |
$432.00
|
|
Inj proc for lymphang
|
$335.00 |
$335.00 |
$335.00 |
$742.40
|
|
Inj proc myelogram lumbar
|
$447.50 |
$447.50 |
$447.50 |
$838.30
|
|
Inj proc sialogram
|
$175.00 |
$175.00 |
$175.00 |
$373.00
|
|
Inj retro urethrocysto
|
$360.00 |
$360.00 |
$360.00 |
$447.74
|
|
Inj scleros sol mult veins
|
$580.00 |
$580.00 |
$580.00 |
$692.90
|
|
Inj scleros sol sgl vein
|
$427.50 |
$427.50 |
$427.50 |
$561.88
|
|
Inj(s) sclerosant spider veins limb/trunk
|
$302.50 |
$302.50 |
$302.50 |
$436.80
|
|
Inj thrc fascial pln blk bi w/wo image
|
$740.00 |
$740.00 |
$740.00 |
$1,049.50
|
|
Inj thrc fascial pln blk uni w/wo image
|
$625.00 |
$625.00 |
$625.00 |
$818.00
|
|
Inj, tyenne, 1 mg
|
$11.38 |
$11.38 |
$11.38 |
$3,525.12
|
|
Inj w/fluor eval cv device
|
$317.50 |
$317.50 |
$317.50 |
$504.40
|
|
Ins cath ren art 1st bi
|
$4,790.00 |
$4,790.00 |
$4,790.00 |
$5,974.80
|
|
Ins cath ren art 1st uni
|
$3,830.00 |
$3,830.00 |
$3,830.00 |
$4,667.63
|
|
Ins cath ren art 2nd+ bi
|
$4,790.00 |
$4,790.00 |
$4,790.00 |
$5,663.98
|
|
Ins cath ren art 2nd+ uni
|
$3,830.00 |
$3,830.00 |
$3,830.00 |
$5,395.20
|
|
Insert abdomen-venous drain
|
$770.00 |
$770.00 |
$770.00 |
$4,039.47
|
|
Insert cath pleura with image
|
$1,765.00 |
$1,765.00 |
$1,765.00 |
$2,194.40
|
|
Insert cath pleura without image
|
$1,415.00 |
$1,415.00 |
$1,415.00 |
$2,099.70
|
|
Insert hepatic shunt (tips)
|
$4,340.00 |
$4,340.00 |
$4,340.00 |
$7,571.20
|
|
Insertion catheter bladder non indwelling
|
$220.00 |
$220.00 |
$220.00 |
$208.01
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$3,900.00 |
$3,900.00 |
$3,900.00 |
$4,897.20
|
|
Insertion intra aortic balloon assist device percutaneous
|
$1,900.00 |
$1,900.00 |
$1,900.00 |
$2,447.63
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$4,870.00 |
$4,870.00 |
$4,870.00 |
$7,210.78
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$1,590.00 |
$1,590.00 |
$1,590.00 |
$2,585.25
|
|
Insertion of catheter vein
|
$630.00 |
$630.00 |
$630.00 |
$1,525.80
|
|
Insertion of heart electrode 33211
|
$3,375.00 |
$3,375.00 |
$3,375.00 |
$6,820.50
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$10,020.00 |
$10,020.00 |
$10,020.00 |
$12,384.25
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$9,280.00 |
$9,280.00 |
$9,280.00 |
$12,324.60
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$9,285.00 |
$9,285.00 |
$9,285.00 |
$9,884.16
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$1,470.00 |
$1,470.00 |
$1,470.00 |
$2,103.75
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$1,820.00 |
$1,820.00 |
$1,820.00 |
$2,453.83
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$29,180.00 |
$29,180.00 |
$29,180.00 |
$29,180.00
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$6,895.00 |
$6,895.00 |
$6,895.00 |
$7,183.68
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$6,915.00 |
$6,915.00 |
$6,915.00 |
$7,267.20
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$10,635.00 |
$10,635.00 |
$10,635.00 |
$9,332.50
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$4,490.00 |
$4,490.00 |
$4,490.00 |
$5,236.80
|
|
Insert picvad cath
|
$4,490.00 |
$4,490.00 |
$4,490.00 |
$4,195.00
|
|
Insert pm/icd lead dual
|
$6,915.00 |
$6,915.00 |
$6,915.00 |
$7,115.90
|
|
Insert/repl sq defib w/eltrd
|
$29,215.00 |
$29,215.00 |
$29,215.00 |
$33,593.55
|
|
Insert swan-ganz cath
|
$1,390.00 |
$1,390.00 |
$1,390.00 |
$2,164.52
|
|
Insert tunneled cv cath
|
$3,770.00 |
$3,770.00 |
$3,770.00 |
$4,520.00
|
