|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$297.00 |
$297.00 |
$297.00 |
$81.20
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$27.00 |
$27.00 |
$27.00 |
$60.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$110.00 |
$110.00 |
$110.00 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$433.00 |
$433.00 |
$433.00 |
$129.00
|
|
Infectious agent nucleic acid amplified probe
|
$567.50 |
$567.50 |
$567.50 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$156.00 |
$156.00 |
$156.00 |
$139.68
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$150.50 |
$150.50 |
$150.50 |
$167.00
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$656.50 |
$656.50 |
$656.50 |
$861.00
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$1,288.50 |
$1,288.50 |
$1,288.50 |
$179.92
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$52.00 |
$52.00 |
$52.00 |
$147.55
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$297.00 |
$297.00 |
$297.00 |
$217.85
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$149.50 |
$149.50 |
$149.50 |
$136.03
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$25.00 |
$25.00 |
$25.00 |
$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
|
$92.50 |
$92.50 |
$92.50 |
$92.50
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$149.50 |
$149.50 |
$149.50 |
$108.75
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$815.00 |
$815.00 |
$815.00 |
$185.00
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$757.00 |
$757.00 |
$757.00 |
$727.50
|
|
Infectious agent nucleic acid quantification bk virus
|
$779.00 |
$779.00 |
$779.00 |
$279.40
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$613.00 |
$613.00 |
$613.00 |
$239.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$1,329.00 |
$1,329.00 |
$1,329.00 |
$252.00
|
|
Infectious agent nucleic acid quantification hiv-1
|
$1,049.00 |
$1,049.00 |
$1,049.00 |
$374.00
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$497.50 |
$497.50 |
$497.50 |
$293.25
|
|
Initiation & management bipap/cpap initial day
|
$432.00 |
$432.00 |
$432.00 |
$576.00
|
|
Inj cntr knee arthro incl ct/mri
|
$467.50 |
$467.50 |
$467.50 |
$436.80
|
|
Inj dx for sinogram
|
$461.00 |
$461.00 |
$461.00 |
$422.59
|
|
Injection arthrography hip without anesthesia (both sides)
|
$358.50 |
$358.50 |
$358.50 |
$495.84
|
|
Injection during cath supravalvular aortography
|
$3,592.50 |
$3,592.50 |
$3,592.50 |
$952.66
|
|
Injection epidural blood patch or clot
|
$1,813.00 |
$1,813.00 |
$1,813.00 |
$1,156.80
|
|
Injection for arthrography wrist (both sides)
|
$177.00 |
$177.00 |
$177.00 |
$428.40
|
|
Injection for bladder x-ray
|
$324.00 |
$324.00 |
$324.00 |
$459.20
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$369.00 |
$369.00 |
$369.00 |
$494.65
|
|
Injection radioactive tracer sentinel node (both sides)
|
$316.50 |
$316.50 |
$316.50 |
$670.64
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$512.50 |
$512.50 |
$512.50 |
$1,348.56
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$557.50 |
$557.50 |
$557.50 |
$1,023.50
|
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
|
$2,202.00 |
$2,202.00 |
$2,202.00 |
$1,952.40
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
|
$620.00 |
$620.00 |
$620.00 |
$1,029.45
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
|
$1,749.50 |
$1,749.50 |
$1,749.50 |
$1,814.40
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
|
$620.00 |
$620.00 |
$620.00 |
$1,017.90
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
|
$1,749.50 |
$1,749.50 |
$1,749.50 |
$1,995.00
|
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
|
$2,014.50 |
$2,014.50 |
$2,014.50 |
$1,817.24
|
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
|
$2,014.50 |
$2,014.50 |
$2,014.50 |
$1,681.24
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$248.00 |
$248.00 |
$248.00 |
$548.80
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$229.00 |
$229.00 |
$229.00 |
$166.38
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$114.50 |
$114.50 |
$114.50 |
$145.60
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$229.00 |
$229.00 |
$229.00 |
$249.32
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$436.00 |
$436.00 |
$436.00 |
$135.60
|
|
Inject sacroiliac joint
|
$762.00 |
$762.00 |
$762.00 |
$1,028.95
|
|
Inj epidural sgl lumb-sacral without img
|
$2,014.50 |
$2,014.50 |
$2,014.50 |
$1,415.50
|
|
Inj for ext venography
|
$219.00 |
$219.00 |
$219.00 |
$649.95
|
|
Inj for mammo ductogram
|
$241.00 |
$241.00 |
$241.00 |
$399.60
|
|
Inj hrt cath w/s&i sel left vent
|
$2,223.50 |
$2,223.50 |
$2,223.50 |
$1,239.00
|
|
Inj nephrosto/ureterogram w/img exstng access
|
$676.50 |
$676.50 |
$676.50 |
$1,413.35
|
|
Inj non-compmd foam sclrsnt sgl trncl vein
|
$2,821.00 |
$2,821.00 |
$2,821.00 |
$2,609.38
|
|
Inj proc elbow arthro
|
$310.50 |
$310.50 |
$310.50 |
$419.60
|
|
Inj retro urethrocysto
|
$112.50 |
$112.50 |
$112.50 |
$443.50
|
|
Inj, susvimo 0.1 mg
|
$12,080.00 |
$12,080.00 |
$12,080.00 |
$2,598.44
|
|
Inj vocal cord bulking agent
|
$1,579.00 |
$1,579.00 |
$1,579.00 |
$1,480.00
|
|
Inj w/fluor eval cv device
|
$761.50 |
$761.50 |
$761.50 |
$503.92
|
|
Ins cath ren art 1st bi
|
$4,222.00 |
$4,222.00 |
$4,222.00 |
$5,753.10
|
|
Ins cath ren art 1st uni
|
$4,222.00 |
$4,222.00 |
$4,222.00 |
$4,660.00
|
|
Ins cath ren art 2nd+ uni
|
$2,595.00 |
$2,595.00 |
$2,595.00 |
$5,395.20
|
|
Ins cerv dilator (sep proc)
|
$505.50 |
$505.50 |
$505.50 |
$480.28
|
|
Insert cath pleura with image
|
$775.50 |
$775.50 |
$775.50 |
$2,194.40
|
|
Insert epicardial lead open 33202
|
$17,054.50 |
$17,054.50 |
$17,054.50 |
$3,775.20
|
|
Insert intrauterine device iud
|
$451.50 |
$451.50 |
$451.50 |
$347.10
|
|
Insertion catheter bladder non indwelling
|
$214.00 |
$214.00 |
$214.00 |
$205.40
|
|
Insertion catheter bladder temporary simple
|
$214.00 |
$214.00 |
$214.00 |
$232.25
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$5,313.50 |
$5,313.50 |
$5,313.50 |
$4,782.00
|
|
Insertion intra aortic balloon assist device percutaneous
|
$1,811.50 |
$1,811.50 |
$1,811.50 |
$2,529.45
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$886.50 |
$886.50 |
$886.50 |
$7,210.78
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$2,254.00 |
$2,254.00 |
$2,254.00 |
$2,505.60
|
|
Insertion of catheter vein
|
$657.50 |
$657.50 |
$657.50 |
$1,477.00
|
|
Insertion of catheter vein
|
$2,731.50 |
$2,731.50 |
$2,731.50 |
$836.25
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$20,706.50 |
$20,706.50 |
$20,706.50 |
$12,384.25
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$16,872.00 |
$16,872.00 |
$16,872.00 |
$12,384.25
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$34,408.50 |
$34,408.50 |
$34,408.50 |
$10,100.35
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$3,249.50 |
$3,249.50 |
$3,249.50 |
$2,079.50
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$1,170.50 |
$1,170.50 |
$1,170.50 |
$2,419.65
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$70,629.00 |
$70,629.00 |
$70,629.00 |
$29,042.52
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$1,315.50 |
$1,315.50 |
$1,315.50 |
$7,200.05
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$8,150.50 |
$8,150.50 |
$8,150.50 |
$7,312.80
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$16,573.50 |
$16,573.50 |
$16,573.50 |
$9,332.50
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$3,249.50 |
$3,249.50 |
$3,249.50 |
$5,223.20
|
|
Insert pm/icd lead dual
|
$2,440.00 |
$2,440.00 |
$2,440.00 |
$7,115.20
|
|
Insert/repl sq defib w/eltrd
|
$70,629.00 |
$70,629.00 |
$70,629.00 |
$32,800.04
|
|
Insert swan-ganz cath
|
$6,189.50 |
$6,189.50 |
$6,189.50 |
$2,210.50
|
|
Ins icd gen exist sgl lead
|
$5,545.00 |
$5,545.00 |
$5,545.00 |
$23,230.50
|
|
In situ hybridization per specimen each additional single probe stain
|
$236.00 |
$236.00 |
$236.00 |
$241.15
|
|
In situ hybridization per specimen initial single probe stain
|
$315.50 |
$315.50 |
$315.50 |
$331.69
|
|
Insj perq vad r hrt venous
|
$2,877.50 |
$2,877.50 |
$2,877.50 |
$3,796.00
|
|
Ins lv lead exist pm/icd
|
$34,040.50 |
$34,040.50 |
$34,040.50 |
$12,384.25
|
|
Ins picad w subq port 5yr>
|
$2,143.50 |
$2,143.50 |
$2,143.50 |
$3,985.20
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$835.00 |
$835.00 |
$835.00 |
$1,690.00
|
|
Ins pq tunnld ip cath w/img
|
$4,511.00 |
$4,511.00 |
$4,511.00 |
$5,377.00
|
|
Ins/rpl pm w/tv ld atrl
|
$16,872.00 |
$16,872.00 |
$16,872.00 |
$11,583.66
|
|
Inst fibrinolysis agent ini day
|
$619.50 |
$619.50 |
$619.50 |
$1,036.05
|
|
Ins tun cv cath wo subq prt/pm
|
$3,716.50 |
$3,716.50 |
$3,716.50 |
$5,324.80
|
|
Ins tun cv cath wo subq prt/pm
|
$2,116.50 |
$2,116.50 |
$2,116.50 |
$4,202.70
|
|
Insulin total
|
$357.50 |
$357.50 |
$357.50 |
$66.64
|
