|
Infect ag phenotype na hiv-1 ea addl drg
|
$140.00 |
$140.00 |
$140.00 |
$75.63
|
|
Infectious agent antigen immunoassay direct optical observation sars-cov-2
|
$47.50 |
$47.50 |
$47.50 |
$53.00
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$57.50 |
$57.50 |
$57.50 |
$83.60
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$67.50 |
$67.50 |
$67.50 |
$103.40
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$72.50 |
$72.50 |
$72.50 |
$81.20
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$67.50 |
$67.50 |
$67.50 |
$60.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$112.50 |
$112.50 |
$112.50 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$105.00 |
$105.00 |
$105.00 |
$129.00
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$97.50 |
$97.50 |
$97.50 |
$98.58
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$60.00 |
$60.00 |
$60.00 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$267.50 |
$267.50 |
$267.50 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$180.00 |
$180.00 |
$180.00 |
$141.95
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$187.50 |
$187.50 |
$187.50 |
$167.05
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$1,370.00 |
$1,370.00 |
$1,370.00 |
$864.67
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$190.00 |
$190.00 |
$190.00 |
$181.35
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$177.50 |
$177.50 |
$177.50 |
$149.13
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$210.00 |
$210.00 |
$210.00 |
$212.16
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$180.00 |
$180.00 |
$180.00 |
$137.67
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$87.50 |
$87.50 |
$87.50 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$150.00 |
$150.00 |
$150.00 |
$206.00
|
|
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
|
|
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, bupivacaine liposome
|
$4.09 |
$4.09 |
$4.09 |
$699.38
|
|
Inj cefazolin sodium, hikma
|
$18.71 |
$18.71 |
$18.71 |
$27.38
|
|
Inj ceftolozane tazobactam
|
$507.35 |
$507.35 |
$507.35 |
$364.86
|
|
Inj cntr knee arthro incl ct/mri
|
$332.50 |
$332.50 |
$332.50 |
$436.80
|
|
Inj dx for sinogram
|
$222.50 |
$222.50 |
$222.50 |
$436.00
|
|
Injection arthrography hip without anesthesia (both sides)
|
$332.50 |
$332.50 |
$332.50 |
$503.50
|
|
Injection carpal tunnel therapeutic (both sides)
|
$670.00 |
$670.00 |
$670.00 |
$458.15
|
|
Injection during cath supravalvular aortography
|
$570.00 |
$570.00 |
$570.00 |
$1,027.26
|
|
Injection epidural blood patch or clot
|
$885.00 |
$885.00 |
$885.00 |
$1,182.33
|
|
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 hip x-ray
|
$402.50 |
$402.50 |
$402.50 |
$763.60
|
|
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,onabotulinumtoxina
|
$17.62 |
$17.62 |
$17.62 |
$2,277.65
|
|
Injection radioactive tracer sentinel node (both sides)
|
$710.00 |
$710.00 |
$710.00 |
$685.44
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$1,300.00 |
$1,300.00 |
$1,300.00 |
$1,391.40
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$905.00 |
$905.00 |
$905.00 |
$1,043.72
|
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
|
$1,220.00 |
$1,220.00 |
$1,220.00 |
$2,040.36
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
|
$500.00 |
$500.00 |
$500.00 |
$1,030.05
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
|
$1,220.00 |
$1,220.00 |
$1,220.00 |
$1,855.36
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
|
$370.00 |
$370.00 |
$370.00 |
$1,043.20
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
|
$1,245.00 |
$1,245.00 |
$1,245.00 |
$2,006.79
|
|
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
|
$255.00 |
$255.00 |
$255.00 |
$145.60
|
|
Inject sacroiliac joint
|
$1,090.00 |
$1,090.00 |
$1,090.00 |
$1,029.04
|
|
Inj for ext venography
|
$815.00 |
$815.00 |
$815.00 |
$628.80
|
|
Inj for mammo ductogram
|
$282.50 |
$282.50 |
$282.50 |
$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 hrt ang
|
$2,575.00 |
$2,575.00 |
$2,575.00 |
$1,818.15
|
|
Inj hrt cath w/s&i sel hrt art
|
$1,005.00 |
$1,005.00 |
$1,005.00 |
$1,045.80
|
|
Inj hrt cath w/s&i sel left vent
|
$740.00 |
$740.00 |
$740.00 |
$1,250.34
|
|
Inj hrt cath w/s&i sel right vent
|
$745.00 |
$745.00 |
$745.00 |
$999.96
|
|
Inj, levothyroxine, freskabi
|
$24.06 |
$24.06 |
$24.06 |
$308.21
|
|
Inj lwr xtr fscl pln blk uni w/wo image
|
$625.00 |
$625.00 |
$625.00 |
$794.70
|
|
Inj mepivacaine hcl/10 ml
|
$60.78 |
$60.78 |
$60.78 |
$34.34
|
|
Inj multihance
|
$5.05 |
$5.05 |
$5.05 |
$70.54
|
|
Inj nephrosto/ureterogram w/img exstng access
|
$1,050.00 |
$1,050.00 |
$1,050.00 |
$1,413.35
|
|
Inj proc ankle arthr
|
$332.50 |
$332.50 |
$332.50 |
$405.31
|
|
Inj proc elbow arthro
|
$332.50 |
$332.50 |
$332.50 |
$432.00
|
|
Inj proc lumbr disk ea lvl
|
$1,055.00 |
$1,055.00 |
$1,055.00 |
$1,106.93
|
|
Inj proc myelogram lumbar
|
$620.00 |
$620.00 |
$620.00 |
$838.30
|
|
Inj retro urethrocysto
|
$347.50 |
$347.50 |
$347.50 |
$447.74
|
|
Inj scleros sol mult veins
|
$870.00 |
$870.00 |
$870.00 |
$692.90
|
|
Inj scleros sol sgl vein
|
$477.50 |
$477.50 |
$477.50 |
$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 w/fluor eval cv device
|
$500.00 |
$500.00 |
$500.00 |
$504.40
|
|
Ins cath ren art 1st bi
|
$4,610.00 |
$4,610.00 |
$4,610.00 |
$5,974.80
|
|
Ins cath ren art 1st uni
|
$5,120.00 |
$5,120.00 |
$5,120.00 |
$4,667.63
|
|
Ins cath ren art 2nd+ bi
|
$4,045.00 |
$4,045.00 |
$4,045.00 |
$5,663.98
|
|
Ins cath ren art 2nd+ uni
|
$3,555.00 |
$3,555.00 |
$3,555.00 |
$5,395.20
|
|
Insert cath pleura with image
|
$1,215.00 |
$1,215.00 |
$1,215.00 |
$2,194.40
|
|
Insert cath pleura without image
|
$3,490.00 |
$3,490.00 |
$3,490.00 |
$2,099.70
|
|
Insert drug delivery implant
|
$270.00 |
$270.00 |
$270.00 |
$280.00
|
|
Insert hepatic shunt (tips)
|
$5,510.00 |
$5,510.00 |
$5,510.00 |
$7,571.20
|
|
Insertion catheter bladder non indwelling
|
$220.00 |
$220.00 |
$220.00 |
$208.01
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$4,980.00 |
$4,980.00 |
$4,980.00 |
$4,897.20
|
|
Insertion intra aortic balloon assist device percutaneous
|
$2,705.00 |
$2,705.00 |
$2,705.00 |
$2,447.63
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$5,190.00 |
$5,190.00 |
$5,190.00 |
$7,210.78
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$1,460.00 |
$1,460.00 |
$1,460.00 |
$2,585.25
|
|
Insertion of catheter vein
|
$1,320.00 |
$1,320.00 |
$1,320.00 |
$1,525.80
|
|
Insertion of catheter vein
|
$380.00 |
$380.00 |
$380.00 |
$870.59
|
