|
Infect ag if varicella zoster
|
$9.20 |
$9.20 |
$9.20 |
$72.00
|
|
Infect ag na chlamydia trachomatis qnt
|
$36.80 |
$36.80 |
$36.80 |
$100.70
|
|
Infect ag na hep b amp
|
$231.00 |
$231.00 |
$231.00 |
$120.50
|
|
Infect ag na herpes simplex quant
|
$282.59 |
$282.59 |
$282.59 |
$178.86
|
|
Infect ag na hpv high-risk types
|
$231.00 |
$231.00 |
$231.00 |
$139.20
|
|
Infect ag na influenza r/amp 1st 2 types
|
$630.63 |
$630.63 |
$630.63 |
$221.39
|
|
Infect ag na influenza revr/amp ea type
|
$35.42 |
$35.42 |
$35.42 |
$156.60
|
|
Infect ag na orthopoxvirus amp prb each
|
$338.03 |
$338.03 |
$338.03 |
$100.00
|
|
Infect ag na resp virus 12-25 targets
|
$2,743.51 |
$2,743.51 |
$2,743.51 |
$871.20
|
|
Infect ag phenotype na hiv-1 1-10 drugs
|
$337.18 |
$337.18 |
$337.18 |
$954.00
|
|
Infect ag phenotype na hiv-1 ea addl drg
|
$17.94 |
$17.94 |
$17.94 |
$75.63
|
|
Infectious agent antigen immunoassay direct optical observation sars-cov-2
|
$271.81 |
$271.81 |
$271.81 |
$53.00
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$79.31 |
$79.31 |
$79.31 |
$82.50
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$9.20 |
$9.20 |
$9.20 |
$72.10
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$90.86 |
$90.86 |
$90.86 |
$76.00
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$79.31 |
$79.31 |
$79.31 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$94.71 |
$94.71 |
$94.71 |
$100.80
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$67.76 |
$67.76 |
$67.76 |
$81.20
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$67.76 |
$67.76 |
$67.76 |
$59.66
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$158.62 |
$158.62 |
$158.62 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$79.31 |
$79.31 |
$79.31 |
$129.00
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$79.31 |
$79.31 |
$79.31 |
$98.02
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$79.31 |
$79.31 |
$79.31 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$231.00 |
$231.00 |
$231.00 |
$267.50
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$231.00 |
$231.00 |
$231.00 |
$141.95
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$244.86 |
$244.86 |
$244.86 |
$167.05
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$2,743.51 |
$2,743.51 |
$2,743.51 |
$866.04
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$231.00 |
$231.00 |
$231.00 |
$182.63
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$24.38 |
$24.38 |
$24.38 |
$149.13
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$274.12 |
$274.12 |
$274.12 |
$210.00
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$231.00 |
$231.00 |
$231.00 |
$137.67
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$338.03 |
$338.03 |
$338.03 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$939.40 |
$939.40 |
$939.40 |
$208.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$939.40 |
$939.40 |
$939.40 |
$236.08
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$231.00 |
$231.00 |
$231.00 |
$97.50
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$231.00 |
$231.00 |
$231.00 |
$113.00
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$505.12 |
$505.12 |
$505.12 |
$191.95
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$2,743.51 |
$2,743.51 |
$2,743.51 |
$727.50
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$88.32 |
$88.32 |
$88.32 |
$289.91
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$1,885.73 |
$1,885.73 |
$1,885.73 |
$432.60
|
|
Infectious agent nucleic acid quantification bk virus
|
$282.59 |
$282.59 |
$282.59 |
$279.40
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$282.59 |
$282.59 |
$282.59 |
$242.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$282.59 |
$282.59 |
$282.59 |
$255.50
|
|
Infectious agent nucleic acid quantification hiv-1
|
$560.56 |
$560.56 |
$560.56 |
$375.00
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$939.40 |
$939.40 |
$939.40 |
$304.20
|
|
Influenza dna amp prob addl
|
$20.24 |
$20.24 |
$20.24 |
$64.26
|
|
Inf lwr xtr fscl pln blk uni w/wo image
|
$2,026.64 |
$2,026.64 |
$2,026.64 |
$762.00
|
|
Infratemporal approach/skull
|
$1,982.14 |
$1,982.14 |
$1,982.14 |
$4,149.01
|
|
Infratemporal approach/skull
|
$1,934.99 |
$1,934.99 |
$1,934.99 |
$3,928.68
|
|
Inf thrc fascial pln blk bi w/wo image
|
$3,039.19 |
$3,039.19 |
$3,039.19 |
$523.25
|
|
Inf thrc fascial pln blk uni w/wo image
|
$2,026.64 |
$2,026.64 |
$2,026.64 |
$780.00
|
|
Infuse radioactive materials
|
$171.58 |
$171.58 |
$171.58 |
$672.42
|
|
Ingest challenge ea addl 60 min
|
$43.70 |
$43.70 |
$43.70 |
$289.64
|
|
Ingest challenge ini 120 min
|
$47.38 |
$47.38 |
$47.38 |
$764.78
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$483.56 |
$483.56 |
$483.56 |
$302.94
|
|
Initial care training 30 m
|
$29.90 |
$29.90 |
$29.90 |
$49.89
|
|
Initial foot exam pt lops
|
$25.30 |
$25.30 |
$25.30 |
$152.50
|
|
Initial hosp neonate 28 d/less than not critically ill 99477
|
$216.66 |
$216.66 |
$216.66 |
$540.80
|
|
Initial nursing facility care/day 35 minutes
|
$85.56 |
$85.56 |
$85.56 |
$184.80
|
|
Initial nursing facility care/day 45 minutes
|
$116.84 |
$116.84 |
$116.84 |
$231.84
|
|
Initial nursing facility care/day low severity 99304
|
$51.75 |
$51.75 |
$51.75 |
$127.63
|
|
Init nb em per day non-fac
|
$38.87 |
$38.87 |
$38.87 |
$97.68
|
|
Init pm e/m new pat 65+ yrs
|
$82.80 |
$82.80 |
$82.80 |
$189.15
|
|
Init/sub psych care m 1st 30
|
$24.61 |
$24.61 |
$24.61 |
$94.34
|
|
Inj, aflibercept-ayyh, 1 mg
|
$549.24 |
$549.24 |
$549.24 |
$2,771.44
|
|
Inj atezolizumb 5mg hya-tqjs
|
$21.39 |
$21.39 |
$21.39 |
$18,716.52
|
|
Inj cefazolin sodium, hikma
|
$1.61 |
$1.61 |
$1.61 |
$28.08
|
|
Inj ceftolozane tazobactam
|
$210.54 |
$210.54 |
$210.54 |
$358.56
|
|
Inj cntr knee arthro incl ct/mri
|
$836.22 |
$836.22 |
$836.22 |
$441.88
|
|
Inj daptomycin (xellia)
|
$48.30 |
$48.30 |
$48.30 |
$56.04
|
|
Inj disk cerv-thor ea lev
|
$2,664.97 |
$2,664.97 |
$2,664.97 |
$875.28
|
|
Inj dupuytren cord w/enzyme
|
$42.55 |
$42.55 |
$42.55 |
$416.00
|
|
Inj dx for sinogram
|
$3,250.94 |
$3,250.94 |
$3,250.94 |
$447.50
|
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
|
$2,026.64 |
$2,026.64 |
$2,026.64 |
$1,231.28
|
|
Injection arthrography hip without anesthesia (both sides)
|
$891.66 |
$891.66 |
$891.66 |
$504.00
|
|
Injection carpal tunnel therapeutic (both sides)
|
$36.57 |
$36.57 |
$36.57 |
$463.20
|
|
Injection, doxercalciferol
|
$3.62 |
$3.62 |
$3.62 |
$23.86
|
|
Injection during cath supravalvular aortography
|
$7,058.59 |
$7,058.59 |
$7,058.59 |
$1,030.00
|
|
Injection epidural blood patch or clot
|
$2,026.64 |
$2,026.64 |
$2,026.64 |
$1,192.80
|
|
Injection eye drug
|
$58.65 |
$58.65 |
$58.65 |
$654.00
|
|
Injection for arthrography wrist (both sides)
|
$729.96 |
$729.96 |
$729.96 |
$439.50
|
|
Injection for bladder x-ray
|
$2,136.75 |
$2,136.75 |
$2,136.75 |
$462.90
|
|
Injection for hip x-ray
|
$52.44 |
$52.44 |
$52.44 |
$750.00
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$1,300.53 |
$1,300.53 |
$1,300.53 |
$503.30
|
|
Injection for spleen x-ray
|
$83.03 |
$83.03 |
$83.03 |
$595.50
|
|
Injection for tear sac x-ray
|
$32.89 |
$32.89 |
$32.89 |
$225.20
|
|
Injection for ureter x-ray
|
$1,496.88 |
$1,496.88 |
$1,496.88 |
$427.70
|
|
Injection for ureter x-ray
|
$1,850.31 |
$1,850.31 |
$1,850.31 |
$527.70
|
|
Injection into brain canal
|
$73.14 |
$73.14 |
$73.14 |
$1,261.40
|
|
Injection into brain canal
|
$863.94 |
$863.94 |
$863.94 |
$844.50
|
|
Injection into hemorrhoid(s)
|
$117.99 |
$117.99 |
$117.99 |
$1,433.00
|
|
Injection into spinal artery
|
$625.83 |
$625.83 |
$625.83 |
$1,710.80
|
|
Injection into vocal cord
|
$84.41 |
$84.41 |
$84.41 |
$459.51
|
|
Injection intraop add-on
|
$68.54 |
$68.54 |
$68.54 |
$214.48
|
|
Injection jaw joint x-ray
|
$473.55 |
$473.55 |
$473.55 |
$340.00
|
|
Injection of sinus tract
|
$58.42 |
$58.42 |
$58.42 |
$1,651.20
|
|
Injection,onabotulinumtoxina
|
$524.05 |
$524.05 |
$524.05 |
$2,277.65
|
|
Injection, pentamidine iseth
|
$134.35 |
$134.35 |
$134.35 |
$321.94
|
|
Injection px peyronie ds
|
$57.04 |
$57.04 |
$57.04 |
$409.34
|
|
Injection radioactive tracer sentinel node (both sides)
|
$1,175.79 |
$1,175.79 |
$1,175.79 |
$699.68
|