|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$80.21 |
$80.21 |
$80.21 |
$73.45
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$157.94 |
$157.94 |
$157.94 |
$96.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$55.35 |
$55.35 |
$55.35 |
$75.27
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$111.00 |
$111.00 |
$111.00 |
$107.90
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$375.06 |
$375.06 |
$375.06 |
$132.60
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$162.41 |
$162.41 |
$162.41 |
$98.40
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$10.10 |
$10.10 |
$10.10 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$787.80 |
$787.80 |
$787.80 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$33.48 |
$33.48 |
$33.48 |
$144.00
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$197.91 |
$197.91 |
$197.91 |
$174.06
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$441.47 |
$441.47 |
$441.47 |
$855.45
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$185.78 |
$185.78 |
$185.78 |
$181.35
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$159.98 |
$159.98 |
$159.98 |
$148.80
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$160.97 |
$160.97 |
$160.97 |
$217.10
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$33.48 |
$33.48 |
$33.48 |
$134.55
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$73.83 |
$73.83 |
$73.83 |
$109.18
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$105.90 |
$105.90 |
$105.90 |
$211.09
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$32.58 |
$32.58 |
$32.58 |
$96.00
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$178.68 |
$178.68 |
$178.68 |
$135.00
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$281.19 |
$281.19 |
$281.19 |
$727.50
|
|
Infectious agent nucleic acid quantification bk virus
|
$320.00 |
$320.00 |
$320.00 |
$300.00
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$471.11 |
$471.11 |
$471.11 |
$242.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$280.20 |
$280.20 |
$280.20 |
$280.20
|
|
Infectious agent nucleic acid quantification hiv-1
|
$295.05 |
$295.05 |
$295.05 |
$381.55
|
|
Influenza dna amp prob addl
|
$39.92 |
$39.92 |
$39.92 |
$75.80
|
|
Infuse radioactive materials
|
$772.26 |
$772.26 |
$772.26 |
$624.60
|
|
Initiation & management bipap/cpap initial day
|
$229.20 |
$229.20 |
$229.20 |
$608.40
|
|
Inj, aponvie, 1 mg
|
$3.90 |
$3.90 |
$3.90 |
$1.92
|
|
Inj, bupivacaine liposome
|
$3.68 |
$3.68 |
$3.68 |
$3.22
|
|
Inj, cefiderocol, 10 mg
|
$5.00 |
$5.00 |
$5.00 |
$79.20
|
|
Inj ceftolozane tazobactam
|
$17.06 |
$17.06 |
$17.06 |
$248.93
|
|
Inj crotalidae im f(ab')2 eq
|
$2,836.95 |
$2,836.95 |
$2,836.95 |
$2,388.06
|
|
Injection arthrography hip without anesthesia (both sides)
|
$395.33 |
$395.33 |
$395.33 |
$609.20
|
|
Injection, cangrelor
|
$41.03 |
$41.03 |
$41.03 |
$1,305.72
|
|
Injection, daratumumab 10 mg
|
$158.04 |
$158.04 |
$158.04 |
$85.20
|
|
Injection during cath supravalvular aortography
|
$201.12 |
$201.12 |
$201.12 |
$1,604.20
|
|
Injection epidural blood patch or clot
|
$1,079.42 |
$1,079.42 |
$1,079.42 |
$1,470.60
|
|
Injection for arthrography wrist (both sides)
|
$395.57 |
$395.57 |
$395.57 |
$521.18
|
|
Injection for bladder x-ray
|
$327.38 |
$327.38 |
$327.38 |
$585.00
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$395.57 |
$395.57 |
$395.57 |
$514.36
|
|
Injection, fulvestrant
|
$208.37 |
$208.37 |
$208.37 |
$166.25
|
|
Injection,onabotulinumtoxina
|
$13.88 |
$13.88 |
$13.88 |
$12.88
|
|
Injection radioactive tracer sentinel node (both sides)
|
$347.75 |
$347.75 |
$347.75 |
$787.50
|
|
Injection, renflexis
|
$161.93 |
$161.93 |
$161.93 |
$632.98
|
|
Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides)
|
$775.85 |
$775.85 |
$775.85 |
$1,066.24
|
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
|
$1,258.05 |
$1,258.05 |
$1,258.05 |
$2,251.00
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
|
$758.24 |
$758.24 |
$758.24 |
$1,131.41
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
|
$1,572.59 |
$1,572.59 |
$1,572.59 |
$1,985.61
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
|
$758.24 |
$758.24 |
$758.24 |
$1,119.88
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
|
$1,572.59 |
$1,572.59 |
$1,572.59 |
$1,961.05
|
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
|
$1,191.69 |
$1,191.69 |
$1,191.69 |
$1,842.00
|
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
|
$1,002.87 |
$1,002.87 |
$1,002.87 |
$1,758.12
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$422.87 |
$422.87 |
$422.87 |
$517.24
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$55.98 |
$55.98 |
$55.98 |
$153.60
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$56.00 |
$56.00 |
$56.00 |
$150.00
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$127.74 |
$127.74 |
$127.74 |
$303.60
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$55.98 |
$55.98 |
$55.98 |
$130.19
|
|
Inj for ext venography
|
$1,330.34 |
$1,330.34 |
$1,330.34 |
$946.64
|
|
Inj for mammo ductogram
|
$327.03 |
$327.03 |
$327.03 |
$469.16
|
|
Inj hrt cath w/s&i nonsel p-art angrp
|
$410.82 |
$410.82 |
$410.82 |
$1,646.97
|
|
Inj hrt cath w/s&i sel right vent
|
$201.12 |
$201.12 |
$201.12 |
$1,352.65
|
|
Inj levocarnitine per 1 gm
|
$81.56 |
$81.56 |
$81.56 |
$87.51
|
|
Inj mepivacaine hcl/10 ml
|
$11.66 |
$11.66 |
$11.66 |
$28.41
|
|
Inj. mycophenolate mofetil
|
$3.12 |
$3.12 |
$3.12 |
$387.27
|
|
Inj nephrosto/ureterogram w/img exstng access
|
$1,333.28 |
$1,333.28 |
$1,333.28 |
$1,522.56
|
|
Inj proc ankle arthr
|
$395.57 |
$395.57 |
$395.57 |
$405.60
|
|
Inj proc elbow arthro
|
$395.57 |
$395.57 |
$395.57 |
$483.15
|
|
Inj proc lumbr disk ea lvl
|
$1,356.77 |
$1,356.77 |
$1,356.77 |
$1,218.51
|
|
Inj progesterone per 50 mg
|
$7.31 |
$7.31 |
$7.31 |
$35.00
|
|
Inj testosterone cypionate
|
$0.24 |
$0.24 |
$0.24 |
$78.79
|
|
Inj w/fluor eval cv device
|
$1,228.01 |
$1,228.01 |
$1,228.01 |
$573.00
|
|
Ins cath ren art 1st bi
|
$9,064.91 |
$9,064.91 |
$9,064.91 |
$6,012.50
|
|
Ins cath ren art 1st uni
|
$5,641.92 |
$5,641.92 |
$5,641.92 |
$4,628.00
|
|
Ins cath ren art 2nd+ bi
|
$11,134.17 |
$11,134.17 |
$11,134.17 |
$5,251.20
|
|
Ins cath ren art 2nd+ uni
|
$6,583.25 |
$6,583.25 |
$6,583.25 |
$5,528.94
|
|
Insert cath pleura with image
|
$1,808.99 |
$1,808.99 |
$1,808.99 |
$2,239.02
|
|
Insert cath pleura without image
|
$1,364.58 |
$1,364.58 |
$1,364.58 |
$2,157.58
|
|
Insert hepatic shunt (tips)
|
$10,352.70 |
$10,352.70 |
$10,352.70 |
$9,754.48
|
|
Insertion catheter bladder non indwelling
|
$131.54 |
$131.54 |
$131.54 |
$230.40
|
|
Insertion catheter bladder temporary simple
|
$131.54 |
$131.54 |
$131.54 |
$245.00
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$1,792.47 |
$1,792.47 |
$1,792.47 |
$4,923.19
|
|
Insertion intra aortic balloon assist device percutaneous
|
$3,184.52 |
$3,184.52 |
$3,184.52 |
$2,346.00
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$5,914.86 |
$5,914.86 |
$5,914.86 |
$7,210.78
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$2,419.55 |
$2,419.55 |
$2,419.55 |
$2,457.24
|
|
Insertion of catheter vein
|
$1,002.95 |
$1,002.95 |
$1,002.95 |
$2,214.00
|
|
Insertion of catheter vein
|
$736.16 |
$736.16 |
$736.16 |
$1,079.00
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$5,107.53 |
$5,107.53 |
$5,107.53 |
$14,777.24
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$4,659.54 |
$4,659.54 |
$4,659.54 |
$13,806.24
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$7,557.30 |
$7,557.30 |
$7,557.30 |
$9,855.00
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$1,417.76 |
$1,417.76 |
$1,417.76 |
$2,079.43
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$1,714.17 |
$1,714.17 |
$1,714.17 |
$2,367.00
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$14,799.87 |
$14,799.87 |
$14,799.87 |
$32,608.80
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$4,069.53 |
$4,069.53 |
$4,069.53 |
$7,513.67
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$4,069.52 |
$4,069.52 |
$4,069.52 |
$8,460.40
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$3,523.34 |
$3,523.34 |
$3,523.34 |
$9,824.59
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$1,790.03 |
$1,790.03 |
$1,790.03 |
$5,423.04
|
|
Insert pm/icd lead dual
|
$4,069.52 |
$4,069.52 |
$4,069.52 |
$7,885.34
|
|
Insert/repl sq defib w/eltrd
|
$14,799.87 |
$14,799.87 |
$14,799.87 |
$33,948.20
|
|
Insert sq defib electrode
|
$4,069.53 |
$4,069.53 |
$4,069.53 |
$8,366.80
|
|
Insert swan-ganz cath
|
$1,880.60 |
$1,880.60 |
$1,880.60 |
$2,269.00
|