|
Infectious agent nucleic acid quantification hiv-1
|
$272.00 |
$272.00 |
$272.00 |
$374.50
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$273.28 |
$273.28 |
$273.28 |
$303.59
|
|
Infliximab 100 mg intravenous solution
|
$1,451.90 |
$1,451.90 |
$1,451.90 |
$2,080.86
|
|
Initial nursing facility care/day 35 minutes
|
$112.00 |
$112.00 |
$112.00 |
$188.50
|
|
Initial nursing facility care/day 45 minutes
|
$142.40 |
$142.40 |
$142.40 |
$236.80
|
|
Initial nursing facility care/day low severity 99304
|
$79.20 |
$79.20 |
$79.20 |
$128.00
|
|
Initial observation care
|
$80.80 |
$80.80 |
$80.80 |
$156.00
|
|
Initial observation care
|
$109.60 |
$109.60 |
$109.60 |
$268.20
|
|
Initial observation care
|
$151.20 |
$151.20 |
$151.20 |
$369.00
|
|
Initiation & management bipap/cpap initial day
|
$476.80 |
$476.80 |
$476.80 |
$576.00
|
|
Init pm e/m new pat 65+ yrs
|
$133.76 |
$133.76 |
$133.76 |
$180.77
|
|
Inj., benralizumab, 1 mg
|
$14,169.17 |
$14,169.17 |
$14,169.17 |
$11,604.71
|
|
Inj, durolane 1 mg
|
$3,863.81 |
$3,863.81 |
$3,863.81 |
$1,950.93
|
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
|
$800.00 |
$800.00 |
$800.00 |
$1,214.78
|
|
Injection carpal tunnel therapeutic (both sides)
|
$374.40 |
$374.40 |
$374.40 |
$504.90
|
|
Injection epidural blood patch or clot
|
$1,002.88 |
$1,002.88 |
$1,002.88 |
$1,156.80
|
|
Injection, inclisiran, 1 mg
|
$8,420.03 |
$8,420.03 |
$8,420.03 |
$6,679.35
|
|
Injection,onabotulinumtoxina
|
$2,620.80 |
$2,620.80 |
$2,620.80 |
$2,241.61
|
|
Injection radioactive tracer sentinel node (both sides)
|
$306.08 |
$306.08 |
$306.08 |
$683.28
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$111.36 |
$111.36 |
$111.36 |
$1,391.40
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$1,002.88 |
$1,002.88 |
$1,002.88 |
$1,045.65
|
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
|
$1,180.16 |
$1,180.16 |
$1,180.16 |
$1,939.60
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
|
$1,180.16 |
$1,180.16 |
$1,180.16 |
$1,777.50
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
|
$1,180.16 |
$1,180.16 |
$1,180.16 |
$1,961.05
|
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
|
$1,180.16 |
$1,180.16 |
$1,180.16 |
$1,842.00
|
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
|
$1,180.16 |
$1,180.16 |
$1,180.16 |
$1,704.78
|
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
|
$352.00 |
$352.00 |
$352.00 |
$460.94
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$381.44 |
$381.44 |
$381.44 |
$517.24
|
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
|
$414.72 |
$414.72 |
$414.72 |
$625.00
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$63.36 |
$63.36 |
$63.36 |
$166.38
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$313.60 |
$313.60 |
$313.60 |
$261.00
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$102.40 |
$102.40 |
$102.40 |
$135.20
|
|
Inject sacroiliac joint
|
$689.28 |
$689.28 |
$689.28 |
$963.00
|
|
Inj intralesional <= 7 lsn(s)
|
$64.00 |
$64.00 |
$64.00 |
$235.13
|
|
Inj ivig privigen 500 mg
|
$4,391.46 |
$4,391.46 |
$4,391.46 |
$6,967.29
|
|
Inj triamcinolone ace X-ray 1mg
|
$1,918.30 |
$1,918.30 |
$1,918.30 |
$1,132.35
|
|
Insert cath pleura without image
|
$229.60 |
$229.60 |
$229.60 |
$2,019.00
|
|
Insertion catheter bladder non indwelling
|
$178.56 |
$178.56 |
$178.56 |
$205.20
|
|
Insertion catheter bladder temporary simple
|
$178.56 |
$178.56 |
$178.56 |
$229.32
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$2,880.00 |
$2,880.00 |
$2,880.00 |
$7,034.50
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$1,831.68 |
$1,831.68 |
$1,831.68 |
$2,511.00
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$444.80 |
$444.80 |
$444.80 |
$2,079.43
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$1,264.32 |
$1,264.32 |
$1,264.32 |
$2,414.10
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$1,557.76 |
$1,557.76 |
$1,557.76 |
$5,236.80
|
|
Insulin total
|
$34.56 |
$34.56 |
$34.56 |
$66.64
|
|
Intubation endotracheal emergency procedure
|
$521.60 |
$521.60 |
$521.60 |
$589.60
|
|
Ip/obs cnsltj new/est low 45
|
$97.60 |
$97.60 |
$97.60 |
$174.20
|
|
Ip/obs consltj new/est sf 35
|
$82.56 |
$82.56 |
$82.56 |
$134.46
|
|
Ipratropium bromide non-comp
|
$14.98 |
$14.98 |
$14.98 |
$3.75
|
|
Iron
|
$28.80 |
$28.80 |
$28.80 |
$74.40
|
|
Iron binding capacity
|
$32.00 |
$32.00 |
$32.00 |
$63.79
|
|
Iron dextran 50 mg/ml injection solution
|
$138.53 |
$138.53 |
$138.53 |
$80.95
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$239.24 |
$239.24 |
$239.24 |
$187.06
|
|
Irrigation implantable venous access device for drug delivery systems
|
$93.44 |
$93.44 |
$93.44 |
$142.20
|
|
Ivc venogram s&i
|
$865.44 |
$865.44 |
$865.44 |
$3,316.95
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$68.48 |
$68.48 |
$68.48 |
$191.75
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$63.36 |
$63.36 |
$63.36 |
$151.80
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$313.60 |
$313.60 |
$313.60 |
$439.56
|
|
Ivp w/wo kub w/wo tomography
|
$297.28 |
$297.28 |
$297.28 |
$692.18
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$13.44 |
$13.44 |
$13.44 |
$60.20
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$33.88 |
$33.88 |
$33.88 |
$23.50
|
|
Kidney imag w/bld flow multi
|
$490.43 |
$490.43 |
$490.43 |
$1,570.65
|
|
Kidney img w/bldflw sgl without rx
|
$608.00 |
$608.00 |
$608.00 |
$1,427.40
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$266.88 |
$266.88 |
$266.88 |
$666.00
|
|
Knee Arthroscopy (Cartilage Repair)
|
$1,132.80 |
$1,132.80 |
$1,132.80 |
$4,304.96
|
|
Knee arthroscopy dx
|
$680.96 |
$680.96 |
$680.96 |
$3,839.54
|
|
Knee Arthroscopy (Meniscus Repair)
|
$1,168.00 |
$1,168.00 |
$1,168.00 |
$5,148.00
|
|
Knee arthroscopy/surgery
|
$1,574.40 |
$1,574.40 |
$1,574.40 |
$2,974.01
|
|
Knee arthroscopy/surgery
|
$702.72 |
$702.72 |
$702.72 |
$4,183.50
|
|
Knee arthroscopy/surgery
|
$1,022.40 |
$1,022.40 |
$1,022.40 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$1,070.40 |
$1,070.40 |
$1,070.40 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$1,272.32 |
$1,272.32 |
$1,272.32 |
$4,499.12
|
|
Knee arthroscopy/surgery
|
$1,237.12 |
$1,237.12 |
$1,237.12 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$1,184.00 |
$1,184.00 |
$1,184.00 |
$3,986.00
|
|
Knee arthroscopy/surgery
|
$957.60 |
$957.60 |
$957.60 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$1,842.56 |
$1,842.56 |
$1,842.56 |
$8,453.60
|
|
Knee MRI (with and without contrast)
|
$1,145.92 |
$1,145.92 |
$1,145.92 |
$3,034.80
|
|
Knee MRI (with contrast)
|
$904.64 |
$904.64 |
$904.64 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$876.16 |
$876.16 |
$876.16 |
$2,169.60
|
|
Knee X-ray
|
$174.72 |
$174.72 |
$174.72 |
$425.55
|
|
Lactate dehydrogenase (ldh)
|
$25.60 |
$25.60 |
$25.60 |
$55.50
|
|
Lactic acid
|
$32.00 |
$32.00 |
$32.00 |
$107.00
|
|
Laparo cholecystectomy/graph
|
$1,379.20 |
$1,379.20 |
$1,379.20 |
$8,346.00
|
|
Laparo partial colectomy 44204
|
$2,111.36 |
$2,111.36 |
$2,111.36 |
$2,917.80
|
|
Lap enterectomy 44202
|
$1,955.20 |
$1,955.20 |
$1,955.20 |
$2,142.00
|
|
Lap enterolysis
|
$1,297.28 |
$1,297.28 |
$1,297.28 |
$6,161.68
|
|
Lap inc hernia repair 49654
|
$1,203.20 |
$1,203.20 |
$1,203.20 |
$1,932.05
|
|
Lap inc hernia repair recurr 49656
|
$1,208.00 |
$1,208.00 |
$1,208.00 |
$2,072.28
|
|
Lap inc hern repair comp 49655
|
$1,448.96 |
$1,448.96 |
$1,448.96 |
$1,926.00
|
|
Lap ing hernia repair init
|
$707.20 |
$707.20 |
$707.20 |
$6,904.15
|
|
Lap ing hernia repair recur
|
$409.60 |
$409.60 |
$409.60 |
$6,376.26
|
|
Lap vent/abd hernia repair 49652
|
$1,046.40 |
$1,046.40 |
$1,046.40 |
$7,349.98
|
|
Lap vent/abd hern proc comp 49653
|
$1,307.52 |
$1,307.52 |
$1,307.52 |
$2,441.40
|
|
Lead capillary
|
$51.20 |
$51.20 |
$51.20 |
$57.50
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$313.28 |
$313.28 |
$313.28 |
$1,088.26
|
|
Levalbuterol non-comp unit
|
$14.98 |
$14.98 |
$14.98 |
$6.00
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$212.46 |
$212.46 |
$212.46 |
$95.68
|
|
Levetiracetam therapeutic drug level
|
$34.69 |
$34.69 |
$34.69 |
$88.92
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$73.17 |
$73.17 |
$73.17 |
$39.37
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$247.01 |
$247.01 |
$247.01 |
$125.66
|