|
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
|
$297.00 |
$297.00 |
$297.00 |
$206.00
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$127.00 |
$127.00 |
$127.00 |
$96.00
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$226.00 |
$226.00 |
$226.00 |
$112.45
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$88.00 |
$88.00 |
$88.00 |
$195.60
|
|
Infectious agent nucleic acid quantification bk virus
|
$137.00 |
$137.00 |
$137.00 |
$283.00
|
|
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 |
$253.00
|
|
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 |
$296.00
|
|
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 |
$436.80
|
|
Inj dx for sinogram
|
$2,489.00 |
$2,489.00 |
$2,489.00 |
$436.00
|
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
|
$2,703.00 |
$2,703.00 |
$2,703.00 |
$1,214.78
|
|
Injection arthrography hip without anesthesia (both sides)
|
$3,146.00 |
$3,146.00 |
$3,146.00 |
$503.50
|
|
Injection carpal tunnel therapeutic (both sides)
|
$1,084.00 |
$1,084.00 |
$1,084.00 |
$458.15
|
|
Injection during cath supravalvular aortography
|
$1,030.00 |
$1,030.00 |
$1,030.00 |
$1,027.26
|
|
Injection epidural blood patch or clot
|
$2,585.00 |
$2,585.00 |
$2,585.00 |
$1,182.33
|
|
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 |
$436.00
|
|
Injection for bladder x-ray
|
$3,175.00 |
$3,175.00 |
$3,175.00 |
$459.20
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$2,208.00 |
$2,208.00 |
$2,208.00 |
$497.76
|
|
Injection for tear sac x-ray
|
$386.00 |
$386.00 |
$386.00 |
$225.20
|
|
Injection for ureter x-ray
|
$1,109.00 |
$1,109.00 |
$1,109.00 |
$515.21
|
|
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 |
$1,640.99
|
|
Injection radioactive tracer sentinel node (both sides)
|
$1,240.00 |
$1,240.00 |
$1,240.00 |
$685.44
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$2,585.00 |
$2,585.00 |
$2,585.00 |
$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 |
$1,043.72
|
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
|
$3,564.00 |
$3,564.00 |
$3,564.00 |
$2,040.36
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
|
$1,029.45 |
$1,029.45 |
$1,029.45 |
$1,030.05
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
|
$3,358.54 |
$3,358.54 |
$3,358.54 |
$1,855.36
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
|
$1,136.24 |
$1,136.24 |
$1,136.24 |
$1,043.20
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
|
$3,358.54 |
$3,358.54 |
$3,358.54 |
$2,006.79
|
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
|
$2,585.00 |
$2,585.00 |
$2,585.00 |
$1,817.24
|
|
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 |
$475.80
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$1,084.00 |
$1,084.00 |
$1,084.00 |
$548.80
|
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
|
$1,084.00 |
$1,084.00 |
$1,084.00 |
$637.92
|
|
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 |
$2,698.92
|
|
Inject sacroiliac joint
|
$2,307.00 |
$2,307.00 |
$2,307.00 |
$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 |
$628.80
|
|
Inj for mammo ductogram
|
$1,972.00 |
$1,972.00 |
$1,972.00 |
$397.80
|
|
Inj intralesional <= 7 lsn(s)
|
$724.03 |
$724.03 |
$724.03 |
$235.13
|
|
Inj intralesional > 7 lsns
|
$833.00 |
$833.00 |
$833.00 |
$234.00
|
|
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
|
$6,711.73 |
$6,711.73 |
$6,711.73 |
$2,881.20
|
|
Inj non-compmd foam sclrsnt sgl trncl vein
|
$5,727.00 |
$5,727.00 |
$5,727.00 |
$2,726.90
|
|
Inj proc ankle arthr
|
$1,071.00 |
$1,071.00 |
$1,071.00 |
$405.31
|
|
Inj proc elbow arthro
|
$2,093.00 |
$2,093.00 |
$2,093.00 |
$432.00
|
|
Inj proc for lymphang
|
$839.00 |
$839.00 |
$839.00 |
$742.40
|
|
Inj proc lumbr disk ea lvl
|
$4,163.00 |
$4,163.00 |
$4,163.00 |
$1,106.93
|
|
Inj proc sialogram
|
$2,070.00 |
$2,070.00 |
$2,070.00 |
$373.00
|
|
Inj retro urethrocysto
|
$2,260.00 |
$2,260.00 |
$2,260.00 |
$447.74
|
|
Inj scleros sol mult veins
|
$1,322.06 |
$1,322.06 |
$1,322.06 |
$692.90
|
|
Inj scleros sol sgl vein
|
$1,322.06 |
$1,322.06 |
$1,322.06 |
$561.88
|
|
Inj(s) sclerosant spider veins limb/trunk
|
$1,362.64 |
$1,362.64 |
$1,362.64 |
$436.80
|
|
Inj w/fluor eval cv device
|
$420.00 |
$420.00 |
$420.00 |
$504.40
|
|
Ins cath ren art 1st bi
|
$9,334.00 |
$9,334.00 |
$9,334.00 |
$5,974.80
|
|
Ins cath ren art 1st uni
|
$9,334.00 |
$9,334.00 |
$9,334.00 |
$4,667.63
|
|
Ins cath ren art 2nd+ uni
|
$6,675.00 |
$6,675.00 |
$6,675.00 |
$5,395.20
|
|
Ins cerv dilator (sep proc)
|
$3,176.00 |
$3,176.00 |
$3,176.00 |
$490.73
|
|
Insert cath pleura with image
|
$6,746.00 |
$6,746.00 |
$6,746.00 |
$2,194.40
|
|
Insert cath pleura without image
|
$6,442.00 |
$6,442.00 |
$6,442.00 |
$2,099.70
|
|
Insert drug delivery implant
|
$451.00 |
$451.00 |
$451.00 |
$280.00
|
|
Insert hepatic shunt (tips)
|
$39,559.00 |
$39,559.00 |
$39,559.00 |
$7,571.20
|
|
Insert intrauterine device iud
|
$434.00 |
$434.00 |
$434.00 |
$347.10
|
|
Insertion catheter bladder non indwelling
|
$451.00 |
$451.00 |
$451.00 |
$208.01
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$12,861.00 |
$12,861.00 |
$12,861.00 |
$4,897.20
|
|
Insertion intra aortic balloon assist device percutaneous
|
$4,257.00 |
$4,257.00 |
$4,257.00 |
$2,447.63
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$16,254.00 |
$16,254.00 |
$16,254.00 |
$7,210.78
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$6,746.00 |
$6,746.00 |
$6,746.00 |
$2,585.25
|
|
Insertion of catheter vein
|
$9,458.00 |
$9,458.00 |
$9,458.00 |
$1,525.80
|
|
Insertion of catheter vein
|
$1,210.00 |
$1,210.00 |
$1,210.00 |
$870.59
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$36,253.00 |
$36,253.00 |
$36,253.00 |
$12,384.25
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$36,253.00 |
$36,253.00 |
$36,253.00 |
$12,324.60
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$50,803.00 |
$50,803.00 |
$50,803.00 |
$9,884.16
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$6,746.00 |
$6,746.00 |
$6,746.00 |
$2,103.75
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$6,746.00 |
$6,746.00 |
$6,746.00 |
$2,453.83
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$114,158.00 |
$114,158.00 |
$114,158.00 |
$29,180.00
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$27,835.00 |
$27,835.00 |
$27,835.00 |
$7,183.68
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$27,024.00 |
$27,024.00 |
$27,024.00 |
$7,267.20
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$28,733.00 |
$28,733.00 |
$28,733.00 |
$9,332.50
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$11,463.00 |
$11,463.00 |
$11,463.00 |
$5,236.80
|
|
Insert pessary/other device
|
$688.00 |
$688.00 |
$688.00 |
$278.90
|
|
Insert pm/icd lead dual
|
$27,024.00 |
$27,024.00 |
$27,024.00 |
$7,115.90
|
|
Insert/repl sq defib w/eltrd
|
$114,158.00 |
$114,158.00 |
$114,158.00 |
$33,593.55
|
|
Insert swan-ganz cath
|
$5,768.00 |
$5,768.00 |
$5,768.00 |
$2,164.52
|
|
Insert tunneled cv 2cath 2sits without port/pmp 36565
|
$6,844.00 |
$6,844.00 |
$6,844.00 |
$4,997.60
|
|
Insert tunneled cv cath
|
$8,441.00 |
$8,441.00 |
$8,441.00 |
$4,520.00
|
|
Insert uteri tandem/ovoids
|
$14,818.00 |
$14,818.00 |
$14,818.00 |
$3,940.41
|
|
Insert vad art access left hrt arterial access
|
$5,375.00 |
$5,375.00 |
$5,375.00 |
$4,276.00
|
|
Insitu hybridization (fish)
|
$297.00 |
$297.00 |
$297.00 |
$481.00
|
|
In situ hybridization per specimen each additional single probe stain
|
$335.00 |
$335.00 |
$335.00 |
$243.50
|
