|
Implant neuroelectrodes
|
$21,594.00 |
$21,594.00 |
$21,594.00 |
$7,728.86
|
|
Implant tcat pulm vlv perq
|
$15,777.00 |
$15,777.00 |
$15,777.00 |
$13,678.00
|
|
Impl neurostim electr perc
|
$20,270.00 |
$20,270.00 |
$20,270.00 |
$7,672.50
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$5,678.00 |
$5,678.00 |
$5,678.00 |
$2,111.40
|
|
Incision of breast lesion
|
$6,170.00 |
$6,170.00 |
$6,170.00 |
$2,577.85
|
|
Incision of hip tendon
|
$1,762.00 |
$1,762.00 |
$1,762.00 |
$2,861.60
|
|
Incision of tongue fold
|
$5,227.00 |
$5,227.00 |
$5,227.00 |
$1,792.50
|
|
Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s)
|
$100.00 |
$100.00 |
$100.00 |
$139.20
|
|
Infect ag drug suscept pheno predict
|
$35.46 |
$35.46 |
$35.46 |
$325.00
|
|
Infect ag genotype na cytomegalovirus
|
$689.38 |
$689.38 |
$689.38 |
$665.40
|
|
Infect ag genotype na hiv-1 other region
|
$35.03 |
$35.03 |
$35.03 |
$347.04
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$70.31 |
$70.31 |
$70.31 |
$603.83
|
|
Infect ag ia optc obs influenza
|
$56.00 |
$56.00 |
$56.00 |
$72.93
|
|
Infect ag if hep delta agent
|
$132.00 |
$132.00 |
$132.00 |
$125.97
|
|
Infect ag if pneumocystis carinii
|
$92.00 |
$92.00 |
$92.00 |
$68.40
|
|
Infect ag na hpv high-risk types
|
$74.00 |
$74.00 |
$74.00 |
$139.20
|
|
Infect ag na influenza r/amp 1st 2 types
|
$393.00 |
$393.00 |
$393.00 |
$221.39
|
|
Infect ag na resp virus 12-25 targets
|
$1,380.00 |
$1,380.00 |
$1,380.00 |
$871.20
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$76.00 |
$76.00 |
$76.00 |
$82.50
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$76.00 |
$76.00 |
$76.00 |
$76.00
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$76.00 |
$76.00 |
$76.00 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$37.00 |
$37.00 |
$37.00 |
$100.80
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$110.00 |
$110.00 |
$110.00 |
$81.20
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$27.00 |
$27.00 |
$27.00 |
$59.66
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$258.00 |
$258.00 |
$258.00 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$107.00 |
$107.00 |
$107.00 |
$129.00
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$50.00 |
$50.00 |
$50.00 |
$98.02
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$25.00 |
$25.00 |
$25.00 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$259.70 |
$259.70 |
$259.70 |
$267.50
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$74.00 |
$74.00 |
$74.00 |
$141.95
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$206.00 |
$206.00 |
$206.00 |
$167.05
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$1,082.00 |
$1,082.00 |
$1,082.00 |
$866.04
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$279.00 |
$279.00 |
$279.00 |
$182.63
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$159.00 |
$159.00 |
$159.00 |
$149.13
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$125.00 |
$125.00 |
$125.00 |
$210.00
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$74.00 |
$74.00 |
$74.00 |
$137.67
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$226.00 |
$226.00 |
$226.00 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$305.00 |
$305.00 |
$305.00 |
$236.08
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$127.00 |
$127.00 |
$127.00 |
$97.50
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$226.00 |
$226.00 |
$226.00 |
$113.00
|
|
Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae
|
$175.00 |
$175.00 |
$175.00 |
$210.54
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$88.00 |
$88.00 |
$88.00 |
$191.95
|
|
Infectious agent nucleic acid quantification bk virus
|
$137.00 |
$137.00 |
$137.00 |
$279.40
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$460.00 |
$460.00 |
$460.00 |
$242.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$390.00 |
$390.00 |
$390.00 |
$255.50
|
|
Infectious agent nucleic acid quantification hiv-1
|
$564.00 |
$564.00 |
$564.00 |
$375.00
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$297.00 |
$297.00 |
$297.00 |
$304.20
|
|
Ingest challenge ea addl 60 min
|
$297.00 |
$297.00 |
$297.00 |
$289.64
|
|
Ingest challenge ini 120 min
|
$1,849.00 |
$1,849.00 |
$1,849.00 |
$764.78
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$958.00 |
$958.00 |
$958.00 |
$302.94
|
|
Init pm e/m new pat 65+ yrs
|
$218.00 |
$218.00 |
$218.00 |
$189.15
|
|
Inj cntr knee arthro incl ct/mri
|
$2,408.00 |
$2,408.00 |
$2,408.00 |
$441.88
|
|
Inj dx for sinogram
|
$2,489.00 |
$2,489.00 |
$2,489.00 |
$447.50
|
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
|
$2,703.00 |
$2,703.00 |
$2,703.00 |
$1,231.00
|
|
Injection arthrography hip without anesthesia (both sides)
|
$3,146.00 |
$3,146.00 |
$3,146.00 |
$504.00
|
|
Injection carpal tunnel therapeutic (both sides)
|
$1,084.00 |
$1,084.00 |
$1,084.00 |
$463.20
|
|
Injection during cath supravalvular aortography
|
$1,030.00 |
$1,030.00 |
$1,030.00 |
$1,030.00
|
|
Injection epidural blood patch or clot
|
$2,585.00 |
$2,585.00 |
$2,585.00 |
$1,192.80
|
|
Injection eye drug
|
$1,479.00 |
$1,479.00 |
$1,479.00 |
$654.00
|
|
Injection for arthrography wrist (both sides)
|
$2,434.00 |
$2,434.00 |
$2,434.00 |
$439.50
|
|
Injection for bladder x-ray
|
$3,175.00 |
$3,175.00 |
$3,175.00 |
$462.90
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$2,208.00 |
$2,208.00 |
$2,208.00 |
$503.30
|
|
Injection for tear sac x-ray
|
$386.00 |
$386.00 |
$386.00 |
$225.20
|
|
Injection for ureter x-ray
|
$1,051.00 |
$1,051.00 |
$1,051.00 |
$427.70
|
|
Injection for ureter x-ray
|
$1,109.00 |
$1,109.00 |
$1,109.00 |
$527.70
|
|
Injection jugular
|
$9,134.00 |
$9,134.00 |
$9,134.00 |
$790.00
|
|
Injection of sinus tract
|
$4,746.00 |
$4,746.00 |
$4,746.00 |
$1,656.00
|
|
Injection radioactive tracer sentinel node (both sides)
|
$1,240.00 |
$1,240.00 |
$1,240.00 |
$699.68
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$2,518.00 |
$2,518.00 |
$2,518.00 |
$1,391.40
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$2,585.00 |
$2,585.00 |
$2,585.00 |
$1,045.65
|
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
|
$3,564.00 |
$3,564.00 |
$3,564.00 |
$2,092.00
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
|
$1,030.00 |
$1,030.00 |
$1,030.00 |
$1,030.05
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
|
$3,359.00 |
$3,359.00 |
$3,359.00 |
$1,890.90
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
|
$1,137.00 |
$1,137.00 |
$1,137.00 |
$1,048.20
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
|
$3,359.00 |
$3,359.00 |
$3,359.00 |
$2,035.20
|
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
|
$2,585.00 |
$2,585.00 |
$2,585.00 |
$1,829.28
|
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
|
$2,585.00 |
$2,585.00 |
$2,585.00 |
$1,685.00
|
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
|
$1,084.00 |
$1,084.00 |
$1,084.00 |
$504.00
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$1,084.00 |
$1,084.00 |
$1,084.00 |
$554.40
|
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
|
$1,084.00 |
$1,084.00 |
$1,084.00 |
$652.00
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$432.00 |
$432.00 |
$432.00 |
$145.60
|
|
Injection treatment of eye
|
$7,609.00 |
$7,609.00 |
$7,609.00 |
$2,822.40
|
|
Injection treatment of eye
|
$7,082.00 |
$7,082.00 |
$7,082.00 |
$2,698.92
|
|
Inject sacroiliac joint
|
$2,376.00 |
$2,376.00 |
$2,376.00 |
$1,029.04
|
|
Inject/treat eye socket
|
$1,018.00 |
$1,018.00 |
$1,018.00 |
$670.02
|
|
Inj epidural sgl lumb-sacral without img
|
$2,183.00 |
$2,183.00 |
$2,183.00 |
$1,450.84
|
|
Inj for ext venography
|
$3,975.00 |
$3,975.00 |
$3,975.00 |
$649.80
|
|
Inj for mammo ductogram
|
$1,972.00 |
$1,972.00 |
$1,972.00 |
$397.80
|
|
Inj hrt cath w/s&i nonsel p-art angrp
|
$1,222.00 |
$1,222.00 |
$1,222.00 |
$1,492.00
|
|
Inj hrt cath w/s&i sel left vent
|
$583.00 |
$583.00 |
$583.00 |
$1,239.00
|
|
Inj hrt cath w/s&i sel right vent
|
$583.00 |
$583.00 |
$583.00 |
$982.40
|
|
Inj intralesional <= 7 lsn(s)
|
$698.00 |
$698.00 |
$698.00 |
$235.13
|
|
Inj nephrosto/ureterogram w/img exstng access
|
$1,726.00 |
$1,726.00 |
$1,726.00 |
$1,413.35
|
|
Inj non-compmd foam sclrsnt mlt trncl veins same leg
|
$6,712.00 |
$6,712.00 |
$6,712.00 |
$2,881.20
|
|
Inj proc ankle arthr
|
$1,071.00 |
$1,071.00 |
$1,071.00 |
$405.60
|
|
Inj proc elbow arthro
|
$2,093.00 |
$2,093.00 |
$2,093.00 |
$438.00
|
|
Inj proc for lymphang
|
$839.00 |
$839.00 |
$839.00 |
$767.40
|
|
Inj proc lumbr disk ea lvl
|
$4,163.00 |
$4,163.00 |
$4,163.00 |
$1,106.93
|
|
Inj proc myelogram lumbar
|
$2,975.00 |
$2,975.00 |
$2,975.00 |
$856.00
|
|
Inj proc sialogram
|
$2,070.00 |
$2,070.00 |
$2,070.00 |
$373.00
|
