|
Incisn of toe tndn
|
$2,519.20 |
$2,519.20 |
$2,519.20 |
$2,627.96
|
|
Indigotindisulfonate 8 mg/ml soln 5 ml ampule
|
$2,447.20 |
$2,447.20 |
$2,447.20 |
$766.66
|
|
Infect ag drug suscept pheno predict
|
$542.40 |
$542.40 |
$542.40 |
$323.20
|
|
Infect ag genotype na hiv-1 other region
|
$536.00 |
$536.00 |
$536.00 |
$386.40
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$1,070.40 |
$1,070.40 |
$1,070.40 |
$603.75
|
|
Infect ag na herpes simplex quant
|
$178.40 |
$178.40 |
$178.40 |
$169.65
|
|
Infect ag na orthopoxvirus amp prb each
|
$52.00 |
$52.00 |
$52.00 |
$99.36
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$49.60 |
$49.60 |
$49.60 |
$82.00
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$57.60 |
$57.60 |
$57.60 |
$76.32
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$49.60 |
$49.60 |
$49.60 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$60.00 |
$60.00 |
$60.00 |
$100.02
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$43.20 |
$43.20 |
$43.20 |
$81.20
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$43.20 |
$43.20 |
$43.20 |
$60.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$100.00 |
$100.00 |
$100.00 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$49.60 |
$49.60 |
$49.60 |
$129.00
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$60.00 |
$60.00 |
$60.00 |
$98.02
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$49.60 |
$49.60 |
$49.60 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$145.60 |
$145.60 |
$145.60 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$145.60 |
$145.60 |
$145.60 |
$139.68
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$154.40 |
$154.40 |
$154.40 |
$167.00
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$1,214.40 |
$1,214.40 |
$1,214.40 |
$861.00
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$145.60 |
$145.60 |
$145.60 |
$179.92
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$140.00 |
$140.00 |
$140.00 |
$147.55
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$145.60 |
$145.60 |
$145.60 |
$136.03
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$100.00 |
$100.00 |
$100.00 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$100.00 |
$100.00 |
$100.00 |
$236.08
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$122.40 |
$122.40 |
$122.40 |
$92.50
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$175.20 |
$175.20 |
$175.20 |
$108.75
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$307.20 |
$307.20 |
$307.20 |
$185.00
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$515.20 |
$515.20 |
$515.20 |
$727.50
|
|
Infectious agent nucleic acid quantification bk virus
|
$178.40 |
$178.40 |
$178.40 |
$279.40
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$178.40 |
$178.40 |
$178.40 |
$239.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$178.40 |
$178.40 |
$178.40 |
$252.00
|
|
Infectious agent nucleic acid quantification hiv-1
|
$354.40 |
$354.40 |
$354.40 |
$374.00
|
|
Initiation & management bipap/cpap initial day
|
$1,038.40 |
$1,038.40 |
$1,038.40 |
$576.00
|
|
Inj acetaminophen -fresenius
|
$106.20 |
$106.20 |
$106.20 |
$36.60
|
|
Inj, acetaminophen (hikma)
|
$58.80 |
$58.80 |
$58.80 |
$58.50
|
|
Inj, bupivacaine liposome
|
$2,421.60 |
$2,421.60 |
$2,421.60 |
$699.38
|
|
Inj cefazolin sodium, hikma
|
$149.80 |
$149.80 |
$149.80 |
$28.08
|
|
Inj cefazolin (wg crit care)
|
$76.80 |
$76.80 |
$76.80 |
$18.05
|
|
Inj, cefiderocol, 10 mg
|
$1,675.80 |
$1,675.80 |
$1,675.80 |
$544.85
|
|
Inj ceftolozane tazobactam
|
$1,255.00 |
$1,255.00 |
$1,255.00 |
$380.80
|
|
Inj cntr knee arthro incl ct/mri
|
$660.80 |
$660.80 |
$660.80 |
$436.80
|
|
Inj dx for sinogram
|
$124.00 |
$124.00 |
$124.00 |
$422.59
|
|
Injection arthrography hip without anesthesia (both sides)
|
$164.80 |
$164.80 |
$164.80 |
$495.84
|
|
Injection, cangrelor
|
$7,191.60 |
$7,191.60 |
$7,191.60 |
$1,889.78
|
|
Injection for arthrography wrist (both sides)
|
$164.80 |
$164.80 |
$164.80 |
$428.40
|
|
Injection for bladder x-ray
|
$1,326.40 |
$1,326.40 |
$1,326.40 |
$459.20
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$164.80 |
$164.80 |
$164.80 |
$494.65
|
|
Injection for ureter x-ray
|
$963.20 |
$963.20 |
$963.20 |
$515.21
|
|
Injection,onabotulinumtoxina
|
$4,942.40 |
$4,942.40 |
$4,942.40 |
$2,277.65
|
|
Injection radioactive tracer sentinel node (both sides)
|
$940.00 |
$940.00 |
$940.00 |
$670.64
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$1,635.20 |
$1,635.20 |
$1,635.20 |
$1,023.50
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$548.80 |
$548.80 |
$548.80 |
$548.80
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$330.40 |
$330.40 |
$330.40 |
$166.38
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$420.80 |
$420.80 |
$420.80 |
$249.32
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$216.00 |
$216.00 |
$216.00 |
$135.60
|
|
Injection treatment of nerve
|
$2,692.80 |
$2,692.80 |
$2,692.80 |
$2,025.45
|
|
Inj fluphenazine hcl 1.25 mg
|
$1,112.80 |
$1,112.80 |
$1,112.80 |
$39.54
|
|
Inj for ext venography
|
$443.20 |
$443.20 |
$443.20 |
$649.95
|
|
Inj hydroxocobalamin IV 25mg
|
$3,902.60 |
$3,902.60 |
$3,902.60 |
$2,452.32
|
|
Inj mepivacaine hcl/10 ml
|
$94.20 |
$94.20 |
$94.20 |
$33.86
|
|
Inj multihance
|
$4.00 |
$4.00 |
$4.00 |
$73.49
|
|
Inj nephrosto/ureterogram w/img exstng access
|
$1,516.80 |
$1,516.80 |
$1,516.80 |
$1,413.35
|
|
Inj proc elbow arthro
|
$962.40 |
$962.40 |
$962.40 |
$419.60
|
|
Inj proc myelogram lumbar
|
$5,222.40 |
$5,222.40 |
$5,222.40 |
$830.50
|
|
Inj retro urethrocysto
|
$285.60 |
$285.60 |
$285.60 |
$443.50
|
|
Inj w/fluor eval cv device
|
$595.20 |
$595.20 |
$595.20 |
$503.92
|
|
Ins cath ren art 1st bi
|
$5,274.40 |
$5,274.40 |
$5,274.40 |
$5,753.10
|
|
Ins cath ren art 2nd+ uni
|
$5,274.40 |
$5,274.40 |
$5,274.40 |
$5,395.20
|
|
Ins cerv dilator (sep proc)
|
$476.80 |
$476.80 |
$476.80 |
$480.28
|
|
Insert cath pleura with image
|
$1,232.00 |
$1,232.00 |
$1,232.00 |
$2,194.40
|
|
Insert cath pleura without image
|
$1,231.20 |
$1,231.20 |
$1,231.20 |
$2,073.18
|
|
Insert drug delivery implant
|
$192.80 |
$192.80 |
$192.80 |
$280.00
|
|
Insertion catheter bladder non indwelling
|
$481.60 |
$481.60 |
$481.60 |
$205.40
|
|
Insertion catheter bladder temporary simple
|
$481.60 |
$481.60 |
$481.60 |
$232.25
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$6,028.00 |
$6,028.00 |
$6,028.00 |
$4,782.00
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$8,252.80 |
$8,252.80 |
$8,252.80 |
$7,210.78
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$2,099.20 |
$2,099.20 |
$2,099.20 |
$2,505.60
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$37,080.80 |
$37,080.80 |
$37,080.80 |
$12,384.25
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$47,248.80 |
$47,248.80 |
$47,248.80 |
$12,384.25
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$72,056.00 |
$72,056.00 |
$72,056.00 |
$10,100.35
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$605.60 |
$605.60 |
$605.60 |
$2,079.50
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$1,962.40 |
$1,962.40 |
$1,962.40 |
$2,419.65
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$71,448.80 |
$71,448.80 |
$71,448.80 |
$29,042.52
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$21,556.00 |
$21,556.00 |
$21,556.00 |
$7,200.05
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$12,016.00 |
$12,016.00 |
$12,016.00 |
$7,312.80
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$25,711.20 |
$25,711.20 |
$25,711.20 |
$9,332.50
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$5,223.20 |
$5,223.20 |
$5,223.20 |
$5,223.20
|
|
Insert/repl sq defib w/eltrd
|
$72,809.60 |
$72,809.60 |
$72,809.60 |
$32,800.04
|
|
Insert swan-ganz cath
|
$12,335.20 |
$12,335.20 |
$12,335.20 |
$2,210.50
|
|
In situ hybridization per specimen each additional single probe stain
|
$235.20 |
$235.20 |
$235.20 |
$241.15
|
|
In situ hybridization per specimen initial single probe stain
|
$333.60 |
$333.60 |
$333.60 |
$331.69
|
|
Ins pq tunnld ip cath w/img
|
$2,670.40 |
$2,670.40 |
$2,670.40 |
$5,377.00
|
|
Ins/rpl ldless pm right vent w img & eval
|
$5,923.20 |
$5,923.20 |
$5,923.20 |
$24,135.54
|
|
Ins/rpl pm w/tv ld atrl
|
$37,716.80 |
$37,716.80 |
$37,716.80 |
$11,583.66
|
|
Instillation anticarcinogenic agent bladder
|
$638.40 |
$638.40 |
$638.40 |
$621.40
|
|
Ins tun cv cath wo subq prt/pm
|
$2,836.00 |
$2,836.00 |
$2,836.00 |
$4,202.70
|
|
Insulin total
|
$47.20 |
$47.20 |
$47.20 |
$66.64
|
|
Interdiscal perq aspir dx
|
$1,187.20 |
$1,187.20 |
$1,187.20 |
$1,222.26
|
