|
Infect ag na orthopoxvirus amp prb each
|
$188.50 |
$188.50 |
$188.50 |
$99.36
|
|
Infect ag na resp virus 12-25 targets
|
$1,560.50 |
$1,560.50 |
$1,560.50 |
$835.80
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$197.00 |
$197.00 |
$197.00 |
$82.00
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$218.00 |
$218.00 |
$218.00 |
$100.02
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$110.00 |
$110.00 |
$110.00 |
$81.20
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$98.00 |
$98.00 |
$98.00 |
$60.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$207.00 |
$207.00 |
$207.00 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$388.00 |
$388.00 |
$388.00 |
$129.00
|
|
Infectious agent nucleic acid amplified probe
|
$318.50 |
$318.50 |
$318.50 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$192.00 |
$192.00 |
$192.00 |
$139.68
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$211.00 |
$211.00 |
$211.00 |
$167.00
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$722.00 |
$722.00 |
$722.00 |
$861.00
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$261.00 |
$261.00 |
$261.00 |
$179.92
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$197.00 |
$197.00 |
$197.00 |
$147.55
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$352.50 |
$352.50 |
$352.50 |
$217.85
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$192.00 |
$192.00 |
$192.00 |
$136.03
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$156.00 |
$156.00 |
$156.00 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$346.00 |
$346.00 |
$346.00 |
$236.08
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$83.00 |
$83.00 |
$83.00 |
$92.50
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$99.00 |
$99.00 |
$99.00 |
$108.75
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$352.50 |
$352.50 |
$352.50 |
$185.00
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$1,165.50 |
$1,165.50 |
$1,165.50 |
$727.50
|
|
Infectious agent nucleic acid quantification bk virus
|
$779.00 |
$779.00 |
$779.00 |
$279.40
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$362.50 |
$362.50 |
$362.50 |
$239.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$501.50 |
$501.50 |
$501.50 |
$252.00
|
|
Infectious agent nucleic acid quantification hiv-1
|
$538.00 |
$538.00 |
$538.00 |
$374.00
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$250.50 |
$250.50 |
$250.50 |
$293.25
|
|
Initiation & management bipap/cpap initial day
|
$297.00 |
$297.00 |
$297.00 |
$576.00
|
|
Inj cntr knee arthro incl ct/mri
|
$267.00 |
$267.00 |
$267.00 |
$436.80
|
|
Injection arthrography hip without anesthesia (both sides)
|
$344.00 |
$344.00 |
$344.00 |
$495.84
|
|
Injection during cath supravalvular aortography
|
$497.00 |
$497.00 |
$497.00 |
$952.66
|
|
Injection epidural blood patch or clot
|
$891.00 |
$891.00 |
$891.00 |
$1,156.80
|
|
Injection for arthrography wrist (both sides)
|
$319.50 |
$319.50 |
$319.50 |
$428.40
|
|
Injection for bladder x-ray
|
$372.50 |
$372.50 |
$372.50 |
$459.20
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$390.50 |
$390.50 |
$390.50 |
$494.65
|
|
Injection into brain canal
|
$1,128.00 |
$1,128.00 |
$1,128.00 |
$836.40
|
|
Injection radioactive tracer sentinel node (both sides)
|
$641.00 |
$641.00 |
$641.00 |
$670.64
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$603.50 |
$603.50 |
$603.50 |
$1,348.56
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$604.00 |
$604.00 |
$604.00 |
$1,023.50
|
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
|
$386.50 |
$386.50 |
$386.50 |
$472.76
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$468.50 |
$468.50 |
$468.50 |
$548.80
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$207.00 |
$207.00 |
$207.00 |
$166.38
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$179.50 |
$179.50 |
$179.50 |
$145.60
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$212.00 |
$212.00 |
$212.00 |
$249.32
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$117.50 |
$117.50 |
$117.50 |
$135.60
|
|
Inj for ext venography
|
$328.00 |
$328.00 |
$328.00 |
$649.95
|
|
Inj for mammo ductogram
|
$358.00 |
$358.00 |
$358.00 |
$399.60
|
|
Inj intralesional <= 7 lsn(s)
|
$131.00 |
$131.00 |
$131.00 |
$235.13
|
|
Inj nephrosto/ureterogram w/img exstng access
|
$1,357.50 |
$1,357.50 |
$1,357.50 |
$1,413.35
|
|
Inj proc ankle arthr
|
$334.00 |
$334.00 |
$334.00 |
$405.31
|
|
Inj proc elbow arthro
|
$376.00 |
$376.00 |
$376.00 |
$419.60
|
|
Inj proc sialogram
|
$426.00 |
$426.00 |
$426.00 |
$373.00
|
|
Inj retro urethrocysto
|
$305.00 |
$305.00 |
$305.00 |
$443.50
|
|
Inj, susvimo 0.1 mg
|
$9,360.00 |
$9,360.00 |
$9,360.00 |
$2,598.44
|
|
Inj vocal cord bulking agent
|
$1,632.00 |
$1,632.00 |
$1,632.00 |
$1,480.00
|
|
Inj w/fluor eval cv device
|
$454.50 |
$454.50 |
$454.50 |
$503.92
|
|
Ins cath ren art 1st bi
|
$4,608.50 |
$4,608.50 |
$4,608.50 |
$5,753.10
|
|
Ins cath ren art 1st uni
|
$4,261.50 |
$4,261.50 |
$4,261.50 |
$4,660.00
|
|
Insert cath pleura with image
|
$1,510.00 |
$1,510.00 |
$1,510.00 |
$2,194.40
|
|
Insert cath pleura without image
|
$1,586.50 |
$1,586.50 |
$1,586.50 |
$2,073.18
|
|
Insertion catheter bladder non indwelling
|
$150.50 |
$150.50 |
$150.50 |
$205.40
|
|
Insertion catheter bladder temporary simple
|
$169.00 |
$169.00 |
$169.00 |
$232.25
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$4,610.00 |
$4,610.00 |
$4,610.00 |
$4,782.00
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$6,950.50 |
$6,950.50 |
$6,950.50 |
$7,210.78
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$1,865.50 |
$1,865.50 |
$1,865.50 |
$2,505.60
|
|
Insertion of catheter vein
|
$151.00 |
$151.00 |
$151.00 |
$1,477.00
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$1,865.50 |
$1,865.50 |
$1,865.50 |
$2,079.50
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$1,865.50 |
$1,865.50 |
$1,865.50 |
$2,419.65
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$5,603.50 |
$5,603.50 |
$5,603.50 |
$7,200.05
|
|
Insert swan-ganz cath
|
$2,185.50 |
$2,185.50 |
$2,185.50 |
$2,210.50
|
|
In situ hybridization per specimen each additional single probe stain
|
$71.00 |
$71.00 |
$71.00 |
$241.15
|
|
In situ hybridization per specimen initial single probe stain
|
$242.00 |
$242.00 |
$242.00 |
$331.69
|
|
Insj perq vad r hrt venous
|
$2,091.00 |
$2,091.00 |
$2,091.00 |
$3,796.00
|
|
Ins picad w subq port 5yr>
|
$3,835.00 |
$3,835.00 |
$3,835.00 |
$3,985.20
|
|
Ins tun cv cath wo subq prt/pm
|
$3,781.00 |
$3,781.00 |
$3,781.00 |
$5,324.80
|
|
Ins tun cv cath wo subq prt/pm
|
$3,710.00 |
$3,710.00 |
$3,710.00 |
$4,202.70
|
|
Insulin total
|
$108.00 |
$108.00 |
$108.00 |
$66.64
|
|
Integra meshed bil wound mat
|
$240.50 |
$240.50 |
$240.50 |
$9,924.16
|
|
Integra os putty 2.5cc - cost per 0.5cc
|
$3,185.00 |
$3,185.00 |
$3,185.00 |
$3,803.11
|
|
Intens cardiac rehab no exer
|
$137.50 |
$137.50 |
$137.50 |
$238.40
|
|
Intens cardiac rehab w/exerc
|
$137.50 |
$137.50 |
$137.50 |
$238.40
|
|
Interdiscal perq aspir dx
|
$534.50 |
$534.50 |
$534.50 |
$1,222.26
|
|
Interfyl, 1 mg
|
$17.50 |
$17.50 |
$17.50 |
$4,656.80
|
|
Intrinsic factor antibody
|
$134.00 |
$134.00 |
$134.00 |
$63.15
|
|
Intro catheter aorta
|
$1,130.50 |
$1,130.50 |
$1,130.50 |
$1,654.05
|
|
Intro cath svc/ivc
|
$1,003.00 |
$1,003.00 |
$1,003.00 |
$1,323.27
|
|
Intro long gi tube
|
$998.00 |
$998.00 |
$998.00 |
$957.18
|
|
Intro long gi tube w/mult fluo
|
$484.50 |
$484.50 |
$484.50 |
$466.00
|
|
Intubation endotracheal emergency procedure
|
$470.00 |
$470.00 |
$470.00 |
$598.80
|
|
Iron
|
$103.50 |
$103.50 |
$103.50 |
$72.29
|
|
Iron binding capacity
|
$36.50 |
$36.50 |
$36.50 |
$63.60
|
|
Irrigation implantable venous access device for drug delivery systems
|
$137.50 |
$137.50 |
$137.50 |
$144.62
|
|
Ivc venogram s&i
|
$4,409.50 |
$4,409.50 |
$4,409.50 |
$3,316.95
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$192.00 |
$192.00 |
$192.00 |
$190.56
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$168.00 |
$168.00 |
$168.00 |
$159.00
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$162.00 |
$162.00 |
$162.00 |
$153.60
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$518.00 |
$518.00 |
$518.00 |
$437.45
|
|
Ivp w/wo kub w/wo tomography
|
$744.00 |
$744.00 |
$744.00 |
$692.18
|
|
Kafo femoral fx cast rigid
|
$2,925.00 |
$2,925.00 |
$2,925.00 |
$2,162.01
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$98.00 |
$98.00 |
$98.00 |
$58.50
|
