|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$63.18 |
$63.18 |
$63.18 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$75.66 |
$75.66 |
$75.66 |
$100.80
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$54.60 |
$54.60 |
$54.60 |
$81.20
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$54.60 |
$54.60 |
$54.60 |
$59.66
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$127.14 |
$127.14 |
$127.14 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$63.18 |
$63.18 |
$63.18 |
$129.00
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$63.18 |
$63.18 |
$63.18 |
$98.02
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$63.18 |
$63.18 |
$63.18 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$184.86 |
$184.86 |
$184.86 |
$267.50
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$184.86 |
$184.86 |
$184.86 |
$141.95
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$195.78 |
$195.78 |
$195.78 |
$167.05
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$275.00 |
$275.00 |
$275.00 |
$866.04
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$184.86 |
$184.86 |
$184.86 |
$182.63
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$184.86 |
$184.86 |
$184.86 |
$149.13
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$27.72 |
$27.72 |
$27.72 |
$210.00
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$184.86 |
$184.86 |
$184.86 |
$137.67
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$270.66 |
$270.66 |
$270.66 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$751.14 |
$751.14 |
$751.14 |
$208.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$751.14 |
$751.14 |
$751.14 |
$236.08
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$184.86 |
$184.86 |
$184.86 |
$97.50
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$184.86 |
$184.86 |
$184.86 |
$113.00
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$404.04 |
$404.04 |
$404.04 |
$191.95
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$275.00 |
$275.00 |
$275.00 |
$727.50
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$84.48 |
$84.48 |
$84.48 |
$289.91
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$173.36 |
$173.36 |
$173.36 |
$432.60
|
|
Infectious agent nucleic acid quantification bk virus
|
$226.20 |
$226.20 |
$226.20 |
$279.40
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$226.20 |
$226.20 |
$226.20 |
$242.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$226.20 |
$226.20 |
$226.20 |
$255.50
|
|
Infectious agent nucleic acid quantification hiv-1
|
$56.32 |
$56.32 |
$56.32 |
$375.00
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$751.14 |
$751.14 |
$751.14 |
$304.20
|
|
Influenza dna amp prob addl
|
$19.36 |
$19.36 |
$19.36 |
$64.26
|
|
Inf lwr xtr fscl pln blk uni w/wo image
|
$1,620.84 |
$1,620.84 |
$1,620.84 |
$762.00
|
|
Infratemporal approach/skull
|
$1,895.96 |
$1,895.96 |
$1,895.96 |
$4,149.01
|
|
Infratemporal approach/skull
|
$1,850.86 |
$1,850.86 |
$1,850.86 |
$3,928.68
|
|
Inf thrc fascial pln blk bi w/wo image
|
$2,430.48 |
$2,430.48 |
$2,430.48 |
$523.25
|
|
Inf thrc fascial pln blk uni w/wo image
|
$1,620.84 |
$1,620.84 |
$1,620.84 |
$780.00
|
|
Infuse radioactive materials
|
$164.12 |
$164.12 |
$164.12 |
$672.42
|
|
Ingest challenge ea addl 60 min
|
$41.80 |
$41.80 |
$41.80 |
$289.64
|
|
Ingest challenge ini 120 min
|
$45.32 |
$45.32 |
$45.32 |
$764.78
|
|
Initial care training 30 m
|
$28.60 |
$28.60 |
$28.60 |
$49.89
|
|
Initial foot exam pt lops
|
$24.20 |
$24.20 |
$24.20 |
$152.50
|
|
Initial hosp neonate 28 d/less than not critically ill 99477
|
$207.24 |
$207.24 |
$207.24 |
$540.80
|
|
Initial nursing facility care/day 35 minutes
|
$81.84 |
$81.84 |
$81.84 |
$184.80
|
|
Initial nursing facility care/day 45 minutes
|
$111.76 |
$111.76 |
$111.76 |
$231.84
|
|
Initial nursing facility care/day low severity 99304
|
$49.50 |
$49.50 |
$49.50 |
$127.63
|
|
Init nb em per day non-fac
|
$37.18 |
$37.18 |
$37.18 |
$97.68
|
|
Init pm e/m new pat 65+ yrs
|
$79.20 |
$79.20 |
$79.20 |
$189.15
|
|
Init/sub psych care m 1st 30
|
$23.54 |
$23.54 |
$23.54 |
$94.34
|
|
Inj, aflibercept-ayyh, 1 mg
|
$525.36 |
$525.36 |
$525.36 |
$2,771.44
|
|
Inj atezolizumb 5mg hya-tqjs
|
$20.46 |
$20.46 |
$20.46 |
$18,716.52
|
|
Inj cntr knee arthro incl ct/mri
|
$668.46 |
$668.46 |
$668.46 |
$441.88
|
|
Inj disk cerv-thor ea lev
|
$2,130.96 |
$2,130.96 |
$2,130.96 |
$875.28
|
|
Inj dupuytren cord w/enzyme
|
$40.70 |
$40.70 |
$40.70 |
$416.00
|
|
Inj dx for sinogram
|
$2,599.74 |
$2,599.74 |
$2,599.74 |
$447.50
|
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
|
$50.82 |
$50.82 |
$50.82 |
$1,231.28
|
|
Injection arthrography hip without anesthesia (both sides)
|
$712.92 |
$712.92 |
$712.92 |
$504.00
|
|
Injection carpal tunnel therapeutic (both sides)
|
$34.98 |
$34.98 |
$34.98 |
$463.20
|
|
Injection during cath supravalvular aortography
|
$24.86 |
$24.86 |
$24.86 |
$1,030.00
|
|
Injection epidural blood patch or clot
|
$1,620.84 |
$1,620.84 |
$1,620.84 |
$1,192.80
|
|
Injection eye drug
|
$56.10 |
$56.10 |
$56.10 |
$654.00
|
|
Injection for arthrography wrist (both sides)
|
$584.22 |
$584.22 |
$584.22 |
$439.50
|
|
Injection for bladder x-ray
|
$1,708.98 |
$1,708.98 |
$1,708.98 |
$462.90
|
|
Injection for hip x-ray
|
$50.16 |
$50.16 |
$50.16 |
$750.00
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$1,040.52 |
$1,040.52 |
$1,040.52 |
$503.30
|
|
Injection for spleen x-ray
|
$79.42 |
$79.42 |
$79.42 |
$595.50
|
|
Injection for tear sac x-ray
|
$31.46 |
$31.46 |
$31.46 |
$225.20
|
|
Injection for ureter x-ray
|
$1,197.30 |
$1,197.30 |
$1,197.30 |
$427.70
|
|
Injection for ureter x-ray
|
$1,479.66 |
$1,479.66 |
$1,479.66 |
$527.70
|
|
Injection into brain canal
|
$69.96 |
$69.96 |
$69.96 |
$1,261.40
|
|
Injection into brain canal
|
$71.28 |
$71.28 |
$71.28 |
$844.50
|
|
Injection into hemorrhoid(s)
|
$112.86 |
$112.86 |
$112.86 |
$1,433.00
|
|
Injection into spinal artery
|
$598.62 |
$598.62 |
$598.62 |
$1,710.80
|
|
Injection into vocal cord
|
$80.74 |
$80.74 |
$80.74 |
$459.51
|
|
Injection intraop add-on
|
$65.56 |
$65.56 |
$65.56 |
$214.48
|
|
Injection jaw joint x-ray
|
$378.30 |
$378.30 |
$378.30 |
$340.00
|
|
Injection of sinus tract
|
$55.88 |
$55.88 |
$55.88 |
$1,651.20
|
|
Injection px peyronie ds
|
$54.56 |
$54.56 |
$54.56 |
$409.34
|
|
Injection radioactive tracer sentinel node (both sides)
|
$19.58 |
$19.58 |
$19.58 |
$699.68
|
|
Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides)
|
$75.24 |
$75.24 |
$75.24 |
$1,582.12
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$1,620.84 |
$1,620.84 |
$1,620.84 |
$1,391.40
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$1,620.84 |
$1,620.84 |
$1,620.84 |
$1,045.65
|
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
|
$2,083.38 |
$2,083.38 |
$2,083.38 |
$2,092.00
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
|
$1,562.34 |
$1,562.34 |
$1,562.34 |
$1,030.05
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
|
$2,083.38 |
$2,083.38 |
$2,083.38 |
$1,890.90
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
|
$1,562.34 |
$1,562.34 |
$1,562.34 |
$1,048.20
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
|
$2,083.38 |
$2,083.38 |
$2,083.38 |
$2,035.20
|
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
|
$2,025.66 |
$2,025.66 |
$2,025.66 |
$1,829.28
|
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
|
$61.16 |
$61.16 |
$61.16 |
$1,685.00
|
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
|
$691.08 |
$691.08 |
$691.08 |
$504.00
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$863.46 |
$863.46 |
$863.46 |
$554.40
|
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
|
$863.46 |
$863.46 |
$863.46 |
$652.00
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$108.42 |
$108.42 |
$108.42 |
$145.60
|
|
Injection treatment of eye
|
$79.64 |
$79.64 |
$79.64 |
$2,822.40
|
|
Injection treatment of eye
|
$67.32 |
$67.32 |
$67.32 |
$2,698.92
|
|
Injection treatment of nerve
|
$264.44 |
$264.44 |
$264.44 |
$3,219.20
|
|
Injection treatment of nerve
|
$298.10 |
$298.10 |
$298.10 |
$4,446.30
|
|
Injection treatment of nerve
|
$136.40 |
$136.40 |
$136.40 |
$2,050.30
|
|
Injection treatment of nose
|
$37.18 |
$37.18 |
$37.18 |
$859.59
|
|
Inject sacroiliac joint
|
$2,149.68 |
$2,149.68 |
$2,149.68 |
$1,029.04
|
|
Inject/treat eye socket
|
$39.82 |
$39.82 |
$39.82 |
$381.13
|