|
Implant neuroelectrodes
|
$9,449.50 |
$9,449.50 |
$9,449.50 |
$8,763.11
|
|
Implant power module patient cable cable 14 volt
|
$3,769.00 |
$3,769.00 |
$3,769.00 |
$3,380.00
|
|
Impl neurostim electr perc
|
$12,239.50 |
$12,239.50 |
$12,239.50 |
$7,672.50
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$5,453.50 |
$5,453.50 |
$5,453.50 |
$2,056.93
|
|
Incision of achilles tendon
|
$5,020.00 |
$5,020.00 |
$5,020.00 |
$3,172.80
|
|
Incision of breast lesion
|
$1,946.00 |
$1,946.00 |
$1,946.00 |
$2,560.80
|
|
Incision of thigh tendon
|
$4,491.50 |
$4,491.50 |
$4,491.50 |
$4,491.50
|
|
Incision of thigh tendons
|
$5,614.50 |
$5,614.50 |
$5,614.50 |
$4,844.84
|
|
Incisn of toe tndn
|
$3,818.00 |
$3,818.00 |
$3,818.00 |
$2,627.96
|
|
Induced ab 1+ vag sup w/dlv fetus
|
$2,385.50 |
$2,385.50 |
$2,385.50 |
$1,881.75
|
|
Induced abortion dilat&evac
|
$5,383.00 |
$5,383.00 |
$5,383.00 |
$4,446.00
|
|
Infec agen detec ampli probe
|
$26.00 |
$26.00 |
$26.00 |
$26.00
|
|
Infect ag drug suscept pheno predict
|
$647.50 |
$647.50 |
$647.50 |
$323.20
|
|
Infect ag eia chlamydia trachomatis
|
$33.50 |
$33.50 |
$33.50 |
$67.20
|
|
Infect ag eia influenza a or b ea
|
$131.00 |
$131.00 |
$131.00 |
$71.50
|
|
Infect ag genotype na cytomegalovirus
|
$825.00 |
$825.00 |
$825.00 |
$661.80
|
|
Infect ag genotype na dna hepatitis b
|
$292.00 |
$292.00 |
$292.00 |
$405.30
|
|
Infect ag genotype na hiv-1 other region
|
$420.00 |
$420.00 |
$420.00 |
$386.40
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$360.50 |
$360.50 |
$360.50 |
$603.75
|
|
Infect ag if hep delta agent
|
$125.00 |
$125.00 |
$125.00 |
$125.97
|
|
Infect ag if legionella pneumophila
|
$37.00 |
$37.00 |
$37.00 |
$72.58
|
|
Infect ag if nos ea
|
$291.50 |
$291.50 |
$291.50 |
$74.88
|
|
Infect ag na hep b amp
|
$245.50 |
$245.50 |
$245.50 |
$120.50
|
|
Infect ag na herpes simplex quant
|
$165.00 |
$165.00 |
$165.00 |
$169.65
|
|
Infect ag na hpv high-risk types
|
$179.50 |
$179.50 |
$179.50 |
$139.75
|
|
Infect ag na influenza r/amp 1st 2 types
|
$140.00 |
$140.00 |
$140.00 |
$219.70
|
|
Infect ag na orthopoxvirus amp prb each
|
$85.00 |
$85.00 |
$85.00 |
$99.36
|
|
Infect ag na resp virus 12-25 targets
|
$678.00 |
$678.00 |
$678.00 |
$835.80
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$39.00 |
$39.00 |
$39.00 |
$82.00
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$27.00 |
$27.00 |
$27.00 |
$72.80
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$164.50 |
$164.50 |
$164.50 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$158.50 |
$158.50 |
$158.50 |
$100.02
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$238.00 |
$238.00 |
$238.00 |
$81.20
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$208.00 |
$208.00 |
$208.00 |
$60.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$365.50 |
$365.50 |
$365.50 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$161.50 |
$161.50 |
$161.50 |
$129.00
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$202.50 |
$202.50 |
$202.50 |
$98.02
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$129.00 |
$129.00 |
$129.00 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$340.00 |
$340.00 |
$340.00 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$198.50 |
$198.50 |
$198.50 |
$139.68
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$194.00 |
$194.00 |
$194.00 |
$167.00
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$438.00 |
$438.00 |
$438.00 |
$861.00
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$352.50 |
$352.50 |
$352.50 |
$179.92
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$194.00 |
$194.00 |
$194.00 |
$147.55
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$352.00 |
$352.00 |
$352.00 |
$217.85
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$233.50 |
$233.50 |
$233.50 |
$136.03
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$133.50 |
$133.50 |
$133.50 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$206.00 |
$206.00 |
$206.00 |
$206.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$229.00 |
$229.00 |
$229.00 |
$236.08
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$85.50 |
$85.50 |
$85.50 |
$92.50
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$172.50 |
$172.50 |
$172.50 |
$108.75
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$1,463.00 |
$1,463.00 |
$1,463.00 |
$727.50
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$389.50 |
$389.50 |
$389.50 |
$286.06
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$621.00 |
$621.00 |
$621.00 |
$423.53
|
|
Infectious agent nucleic acid quantification bk virus
|
$476.00 |
$476.00 |
$476.00 |
$279.40
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$317.00 |
$317.00 |
$317.00 |
$239.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$419.00 |
$419.00 |
$419.00 |
$252.00
|
|
Infectious agent nucleic acid quantification hiv-1
|
$395.00 |
$395.00 |
$395.00 |
$374.00
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$225.50 |
$225.50 |
$225.50 |
$303.59
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$351.50 |
$351.50 |
$351.50 |
$293.25
|
|
Initiation & management bipap/cpap initial day
|
$1,647.00 |
$1,647.00 |
$1,647.00 |
$576.00
|
|
Inj cntr knee arthro incl ct/mri
|
$451.00 |
$451.00 |
$451.00 |
$436.80
|
|
Inj disk cerv-thor ea lev
|
$3,511.00 |
$3,511.00 |
$3,511.00 |
$875.28
|
|
Inj dx for sinogram
|
$447.50 |
$447.50 |
$447.50 |
$422.59
|
|
Inject for sacroiliac joint
|
$314.00 |
$314.00 |
$314.00 |
$1,025.77
|
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
|
$2,551.50 |
$2,551.50 |
$2,551.50 |
$1,214.78
|
|
Injection arthrography hip without anesthesia (both sides)
|
$729.00 |
$729.00 |
$729.00 |
$495.84
|
|
Injection during cath supravalvular aortography
|
$2,924.00 |
$2,924.00 |
$2,924.00 |
$952.66
|
|
Injection epidural blood patch or clot
|
$1,814.50 |
$1,814.50 |
$1,814.50 |
$1,156.80
|
|
Injection for arthrography wrist (both sides)
|
$653.00 |
$653.00 |
$653.00 |
$428.40
|
|
Injection for bladder x-ray
|
$672.00 |
$672.00 |
$672.00 |
$459.20
|
|
Injection for hip x-ray
|
$2,217.00 |
$2,217.00 |
$2,217.00 |
$710.00
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$900.50 |
$900.50 |
$900.50 |
$494.65
|
|
Injection for ureter x-ray
|
$1,217.50 |
$1,217.50 |
$1,217.50 |
$427.70
|
|
Injection for ureter x-ray
|
$1,495.00 |
$1,495.00 |
$1,495.00 |
$515.21
|
|
Injection into hemorrhoid(s)
|
$2,102.00 |
$2,102.00 |
$2,102.00 |
$1,432.81
|
|
Injection radioactive tracer sentinel node (both sides)
|
$2,253.00 |
$2,253.00 |
$2,253.00 |
$670.64
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$2,845.50 |
$2,845.50 |
$2,845.50 |
$1,348.56
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$985.00 |
$985.00 |
$985.00 |
$1,023.50
|
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
|
$4,482.00 |
$4,482.00 |
$4,482.00 |
$1,952.40
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
|
$1,641.50 |
$1,641.50 |
$1,641.50 |
$1,029.45
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
|
$2,618.50 |
$2,618.50 |
$2,618.50 |
$1,814.40
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
|
$735.00 |
$735.00 |
$735.00 |
$1,017.90
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
|
$3,207.00 |
$3,207.00 |
$3,207.00 |
$1,995.00
|
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
|
$886.00 |
$886.00 |
$886.00 |
$1,817.24
|
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
|
$1,675.50 |
$1,675.50 |
$1,675.50 |
$1,681.24
|
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
|
$597.00 |
$597.00 |
$597.00 |
$472.76
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$1,325.00 |
$1,325.00 |
$1,325.00 |
$548.80
|
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
|
$1,103.50 |
$1,103.50 |
$1,103.50 |
$632.00
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$244.00 |
$244.00 |
$244.00 |
$166.38
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$410.50 |
$410.50 |
$410.50 |
$145.60
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$228.50 |
$228.50 |
$228.50 |
$249.32
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$223.50 |
$223.50 |
$223.50 |
$135.60
|
|
Injection treatment of eye
|
$3,368.00 |
$3,368.00 |
$3,368.00 |
$2,665.60
|
|
Injection treatment of nerve
|
$1,173.00 |
$1,173.00 |
$1,173.00 |
$2,025.45
|
|
Inject sacroiliac joint
|
$2,869.50 |
$2,869.50 |
$2,869.50 |
$1,028.95
|
|
Inj epidural sgl cerv-thor without img
|
$1,149.00 |
$1,149.00 |
$1,149.00 |
$1,318.80
|
|
Inj epidural sgl lumb-sacral without img
|
$3,031.50 |
$3,031.50 |
$3,031.50 |
$1,415.50
|
|
Inj for ext venography
|
$1,411.50 |
$1,411.50 |
$1,411.50 |
$649.95
|
|
Inj for mammo ductogram
|
$238.00 |
$238.00 |
$238.00 |
$399.60
|
