|
Incision of windpipe
|
$2,351.20 |
$2,351.20 |
$2,351.20 |
$5,741.00
|
|
Incision of wrist capsule
|
$2,209.60 |
$2,209.60 |
$2,209.60 |
$3,839.54
|
|
Incision secondary cataract
|
$2,120.00 |
$2,120.00 |
$2,120.00 |
$2,524.45
|
|
Incision tendon sheath
|
$1,333.60 |
$1,333.60 |
$10,178.42 |
$3,073.20
|
|
Incisn of toe tndn
|
$584.00 |
$584.00 |
$584.00 |
$2,667.00
|
|
Incisn windpipe
|
$760.80 |
$760.80 |
$760.80 |
$3,819.23
|
|
Incis spine 3 column adl seg
|
$1,416.00 |
$1,416.00 |
$1,416.00 |
$1,416.00
|
|
Incis spine 3 column lumbar
|
$5,801.60 |
$5,801.60 |
$5,801.60 |
$5,801.60
|
|
Incis spine 3 column thorac
|
$5,900.80 |
$5,900.80 |
$5,900.80 |
$5,900.80
|
|
Incobotulinumtoxin a
|
$8.54 |
$8.54 |
$8.54 |
$1,339.57
|
|
Inc&subq plmt crnl bone grf
|
$205.60 |
$205.60 |
$205.60 |
$205.60
|
|
Induced ab 1+vag supp d&c
|
$1,194.40 |
$1,194.40 |
$1,194.40 |
$1,194.40
|
|
Induced ab 1+ vag sup w/dlv fetus
|
$1,018.40 |
$1,018.40 |
$1,018.40 |
$1,997.99
|
|
Induced abortion d&c
|
$614.40 |
$614.40 |
$614.40 |
$3,762.53
|
|
Induced abortion dilat&evac
|
$1,489.60 |
$1,489.60 |
$1,489.60 |
$4,451.18
|
|
Induction of vomiting
|
$53.60 |
$53.60 |
$53.60 |
$126.72
|
|
Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s)
|
$137.15 |
$137.15 |
$140.80 |
$140.80
|
|
Infect ag drug suscept pheno predict
|
$323.20 |
$323.20 |
$685.10 |
$325.00
|
|
Infect ag eia chlamydia trachomatis
|
$35.20 |
$35.20 |
$35.20 |
$67.20
|
|
Infect ag eia influenza a or b ea
|
$38.58 |
$38.58 |
$38.58 |
$71.50
|
|
Infect ag genotype na cytomegalovirus
|
$577.60 |
$577.60 |
$577.60 |
$665.40
|
|
Infect ag genotype na dna hepatitis b
|
$577.60 |
$577.60 |
$577.60 |
$409.27
|
|
Infect ag genotype na hiv-1 other region
|
$286.40 |
$286.40 |
$286.40 |
$361.65
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$646.40 |
$646.40 |
$646.40 |
$603.83
|
|
Infect ag ia direct hiv-1 antgn
|
$67.15 |
$67.15 |
$67.15 |
$95.55
|
|
Infect ag ia optc obs chlamydia trach
|
$71.20 |
$71.20 |
$71.20 |
$96.32
|
|
Infect ag ia optc obs influenza
|
$38.58 |
$38.58 |
$38.58 |
$72.93
|
|
Infect ag if ea plyvlnt antsrm
|
$30.40 |
$30.40 |
$30.40 |
$65.10
|
|
Infect ag if hep delta agent
|
$46.40 |
$46.40 |
$46.40 |
$125.97
|
|
Infect ag if influenza a
|
$35.20 |
$35.20 |
$35.20 |
$41.22
|
|
Infect ag if influenza b
|
$31.20 |
$31.20 |
$31.20 |
$37.95
|
|
Infect ag if legionella pneumophila
|
$38.58 |
$38.58 |
$38.58 |
$73.45
|
|
Infect ag if nos ea
|
$38.58 |
$38.58 |
$38.58 |
$74.88
|
|
Infect ag if pneumocystis carinii
|
$30.40 |
$30.40 |
$30.40 |
$66.60
|
|
Infect ag if varicella zoster
|
$38.58 |
$38.58 |
$38.58 |
$72.00
|
|
Infect ag na chlamydia trachomatis qnt
|
$107.20 |
$107.20 |
$107.20 |
$100.70
|
|
Infect ag na hep b amp
|
$88.80 |
$88.80 |
$88.80 |
$120.50
|
|
Infect ag na herpes simplex quant
|
$108.00 |
$108.00 |
$108.00 |
$178.86
|
|
Infect ag na hpv high-risk types
|
$77.60 |
$77.60 |
$139.75 |
$139.20
|
|
Infect ag na influenza r/amp 1st 2 types
|
$206.40 |
$206.40 |
$206.40 |
$220.00
|
|
Infect ag na influenza revr/amp ea type
|
$124.80 |
$124.80 |
$124.80 |
$156.60
|
|
Infect ag na resp virus 12-25 targets
|
$935.20 |
$935.20 |
$935.20 |
$858.92
|
|
Infect ag phenotype na hiv-1 1-10 drugs
|
$1,225.60 |
$1,225.60 |
$1,225.60 |
$954.00
|
|
Infect ag phenotype na hiv-1 ea addl drg
|
$127.86 |
$127.86 |
$127.86 |
$75.63
|
|
Infectious agent antigen immunoassay direct optical observation sars-cov-2
|
$39.73 |
$39.73 |
$65.00 |
$53.00
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$38.58 |
$38.58 |
$70.20 |
$82.80
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$38.58 |
$38.58 |
$63.70 |
$72.10
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$38.58 |
$38.58 |
$73.45 |
$76.00
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$38.58 |
$38.58 |
$73.45 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$38.58 |
$38.58 |
$358.15 |
$102.82
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$38.58 |
$38.58 |
$240.50 |
$81.20
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$38.58 |
$38.58 |
$167.05 |
$60.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$48.80 |
$48.80 |
$1,496.30 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$38.58 |
$38.58 |
$105.95 |
$129.00
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$38.58 |
$38.58 |
$143.00 |
$98.40
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$38.58 |
$38.58 |
$62.40 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$88.80 |
$88.80 |
$184.60 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$88.80 |
$88.80 |
$176.80 |
$141.95
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$89.60 |
$89.60 |
$3,152.30 |
$167.05
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$627.90 |
$627.90 |
$909.60 |
$865.50
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$83.20 |
$83.20 |
$88.80 |
$181.80
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$87.20 |
$87.20 |
$171.60 |
$149.13
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$101.60 |
$101.60 |
$181.35 |
$212.01
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$88.80 |
$88.80 |
$176.80 |
$137.67
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$0.65 |
$0.65 |
$103.20 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$285.60 |
$285.60 |
$361.40 |
$208.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$285.60 |
$285.60 |
$361.40 |
$236.08
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$67.60 |
$67.60 |
$88.80 |
$96.00
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$67.60 |
$67.60 |
$79.20 |
$112.50
|
|
Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae
|
$137.15 |
$137.15 |
$137.15 |
$217.60
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$153.60 |
$153.60 |
$181.35 |
$200.20
|
|
Infectious agent nucleic acid joint space pathogens multiplex amplified probe >= 26 targets
|
$1,325.35 |
$1,325.35 |
$1,325.35 |
$1,143.75
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$919.20 |
$919.20 |
$1,010.10 |
$727.50
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$191.75 |
$191.75 |
$283.20 |
$289.91
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$357.50 |
$357.50 |
$526.40 |
$432.63
|
|
Infectious agent nucleic acid quantification bk virus
|
$108.00 |
$108.00 |
$168.35 |
$280.00
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$108.00 |
$108.00 |
$317.20 |
$242.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$108.00 |
$108.00 |
$263.90 |
$253.00
|
|
Infectious agent nucleic acid quantification hiv-1
|
$213.60 |
$213.60 |
$390.00 |
$375.00
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$288.00 |
$288.00 |
$309.40 |
$304.20
|
|
Infliximab 100 mg intravenous solution
|
$109.60 |
$109.60 |
$3,222.55 |
$2,043.22
|
|
Infliximab-axxq 100 mg intravenous solution
|
$1,379.70 |
$1,379.70 |
$1,379.70 |
$1,062.00
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$2,739.55 |
$2,739.55 |
$2,739.55 |
$1,537.84
|
|
Influenza dna amp prob addl
|
$59.20 |
$59.20 |
$59.20 |
$64.26
|
|
Influenza virus vaccine, inact hemagglutinin tiv pf inj
|
$76.00 |
$76.00 |
$76.00 |
$111.51
|
|
Influenza virus vaccine, live trivalent intranasal
|
$29.60 |
$29.60 |
$29.60 |
$36.50
|
|
Inf lwr xtr fscl pln blk uni w/wo image
|
$811.20 |
$811.20 |
$811.20 |
$762.00
|
|
Inf thrc fascial pln blk bi w/wo image
|
$624.00 |
$624.00 |
$624.00 |
$523.25
|
|
Inf thrc fascial pln blk uni w/wo image
|
$820.80 |
$820.80 |
$820.80 |
$780.00
|
|
Infuse radioactive materials
|
$744.00 |
$744.00 |
$744.00 |
$672.42
|
|
Ingest challenge ea addl 60 min
|
$264.80 |
$264.80 |
$264.80 |
$289.64
|
|
Ingest challenge ini 120 min
|
$367.20 |
$367.20 |
$367.20 |
$764.78
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$217.75 |
$217.75 |
$336.45 |
$299.65
|
|
Initial foot exam pt lops
|
$117.60 |
$117.60 |
$117.60 |
$152.50
|
|
Initial hosp neonate 28 d/less than not critically ill 99477
|
$629.60 |
$629.60 |
$878.00 |
$540.80
|
|
Initial nursing facility care/day 35 minutes
|
$244.00 |
$244.00 |
$244.00 |
$184.80
|
|
Initial nursing facility care/day 45 minutes
|
$333.60 |
$333.60 |
$333.60 |
$231.84
|
|
Initial nursing facility care/day low severity 99304
|
$162.40 |
$162.40 |
$162.40 |
$127.63
|
|
Init nb em per day non-fac
|
$167.20 |
$167.20 |
$167.20 |
$97.68
|
|
Init pm e/m new pat 65+ yrs
|
$296.00 |
$296.00 |
$296.00 |
$189.15
|