|
Incise flexor carpi radialis
|
$3,958.50 |
$3,958.50 |
$3,958.50 |
$3,839.54
|
|
Incise hand/finger tendon
|
$1,907.64 |
$1,907.64 |
$1,907.64 |
$2,007.15
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$399.84 |
$399.84 |
$399.84 |
$2,261.20
|
|
Incision of breast lesion
|
$1,994.16 |
$1,994.16 |
$1,994.16 |
$3,029.60
|
|
Incision of burn scab initi
|
$496.02 |
$496.02 |
$496.02 |
$501.00
|
|
Incision of eardrum
|
$276.36 |
$276.36 |
$276.36 |
$470.73
|
|
Incision of tendon sheath
|
$1,907.64 |
$1,907.64 |
$1,907.64 |
$2,263.68
|
|
Incision of tongue fold
|
$1,694.28 |
$1,694.28 |
$1,694.28 |
$1,865.58
|
|
Incision of urethra
|
$2,467.08 |
$2,467.08 |
$2,467.08 |
$3,549.60
|
|
Incisn windpipe
|
$3,783.78 |
$3,783.78 |
$3,783.78 |
$3,837.72
|
|
Induced abortion d&c
|
$3,760.68 |
$3,760.68 |
$3,760.68 |
$3,649.80
|
|
Infect ag ia optc obs influenza
|
$100.38 |
$100.38 |
$100.38 |
$66.72
|
|
Infect ag na influenza r/amp 1st 2 types
|
$183.96 |
$183.96 |
$183.96 |
$227.96
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$73.08 |
$73.08 |
$73.08 |
$81.44
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$84.00 |
$84.00 |
$84.00 |
$80.05
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$73.08 |
$73.08 |
$73.08 |
$77.28
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$63.00 |
$63.00 |
$63.00 |
$77.72
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$126.84 |
$126.84 |
$126.84 |
$101.00
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$73.08 |
$73.08 |
$73.08 |
$97.50
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$73.08 |
$73.08 |
$73.08 |
$60.00
|
|
Infectious agent nucleic acid amplified probe
|
$67.20 |
$67.20 |
$67.20 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$81.48 |
$81.48 |
$81.48 |
$141.48
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$226.38 |
$226.38 |
$226.38 |
$174.06
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$840.42 |
$840.42 |
$840.42 |
$855.45
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$58.38 |
$58.38 |
$58.38 |
$150.15
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$81.48 |
$81.48 |
$81.48 |
$136.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$115.92 |
$115.92 |
$115.92 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$119.70 |
$119.70 |
$119.70 |
$222.60
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$119.70 |
$119.70 |
$119.70 |
$248.15
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$67.20 |
$67.20 |
$67.20 |
$98.15
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$213.36 |
$213.36 |
$213.36 |
$112.45
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$1,597.26 |
$1,597.26 |
$1,597.26 |
$489.50
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$168.84 |
$168.84 |
$168.84 |
$359.64
|
|
Initial nursing facility care/day 35 minutes
|
$31.50 |
$31.50 |
$31.50 |
$231.42
|
|
Initial nursing facility care/day 45 minutes
|
$42.00 |
$42.00 |
$42.00 |
$322.20
|
|
Initial nursing facility care/day low severity 99304
|
$21.00 |
$21.00 |
$21.00 |
$162.40
|
|
Initiation & management bipap/cpap initial day
|
$291.90 |
$291.90 |
$291.90 |
$645.79
|
|
Inj, durolane 1 mg
|
$1,169.28 |
$1,169.28 |
$1,169.28 |
$3,382.31
|
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
|
$856.80 |
$856.80 |
$856.80 |
$1,214.78
|
|
Injection arthrography hip without anesthesia (both sides)
|
$170.52 |
$170.52 |
$170.52 |
$507.10
|
|
Injection carpal tunnel therapeutic (both sides)
|
$361.62 |
$361.62 |
$361.62 |
$536.00
|
|
Injection epidural blood patch or clot
|
$1,696.80 |
$1,696.80 |
$1,696.80 |
$1,473.12
|
|
Injection eye drug
|
$512.40 |
$512.40 |
$512.40 |
$648.90
|
|
Injection for bladder x-ray
|
$75.18 |
$75.18 |
$75.18 |
$585.00
|
|
Injection for hip x-ray
|
$80.22 |
$80.22 |
$80.22 |
$567.45
|
|
Injection into hemorrhoid(s)
|
$1,105.02 |
$1,105.02 |
$1,105.02 |
$1,278.72
|
|
Injection,onabotulinumtoxina
|
$4,259.72 |
$4,259.72 |
$4,259.72 |
$2,154.07
|
|
Injection radioactive tracer sentinel node (both sides)
|
$102.90 |
$102.90 |
$102.90 |
$717.20
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$576.24 |
$576.24 |
$576.24 |
$1,471.50
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$404.46 |
$404.46 |
$404.46 |
$1,017.28
|
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
|
$856.80 |
$856.80 |
$856.80 |
$1,829.28
|
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
|
$856.80 |
$856.80 |
$856.80 |
$1,758.12
|
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
|
$361.62 |
$361.62 |
$361.62 |
$472.76
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$330.54 |
$330.54 |
$330.54 |
$552.60
|
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
|
$361.62 |
$361.62 |
$361.62 |
$670.00
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$70.14 |
$70.14 |
$70.14 |
$168.05
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$148.68 |
$148.68 |
$148.68 |
$154.05
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$166.32 |
$166.32 |
$166.32 |
$271.65
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$148.26 |
$148.26 |
$148.26 |
$141.60
|
|
Injection treatment of eye
|
$2,497.32 |
$2,497.32 |
$2,497.32 |
$2,698.92
|
|
Inject sacroiliac joint
|
$194.04 |
$194.04 |
$194.04 |
$1,090.00
|
|
Inj epidural sgl cerv-thor without img
|
$856.80 |
$856.80 |
$856.80 |
$1,366.20
|
|
Inj epidural sgl lumb-sacral without img
|
$1,133.58 |
$1,133.58 |
$1,133.58 |
$1,450.84
|
|
Inj for ext venography
|
$105.00 |
$105.00 |
$105.00 |
$737.55
|
|
Inj heparin, pfizer, 1000u
|
$56.70 |
$56.70 |
$56.70 |
$24.28
|
|
Inj intralesional <= 7 lsn(s)
|
$240.24 |
$240.24 |
$240.24 |
$241.74
|
|
Inj, nithiodote, 3mg / 125mg
|
$69.30 |
$69.30 |
$69.30 |
$389.50
|
|
Inj progesterone per 50 mg
|
$56.70 |
$56.70 |
$56.70 |
$48.51
|
|
Inj testostero enanthate 1mg
|
$28.56 |
$28.56 |
$28.56 |
$50.85
|
|
Inj testosterone cypionate
|
$57.96 |
$57.96 |
$57.96 |
$77.15
|
|
Ins cerv dilator (sep proc)
|
$388.50 |
$388.50 |
$388.50 |
$544.00
|
|
Insert and remove bone pin
|
$3,958.50 |
$3,958.50 |
$3,958.50 |
$4,335.60
|
|
Insert cath pleura with image
|
$1,979.04 |
$1,979.04 |
$1,979.04 |
$2,239.02
|
|
Insert cath pleura without image
|
$1,979.04 |
$1,979.04 |
$1,979.04 |
$2,212.00
|
|
Insert drug delivery implant
|
$63.00 |
$63.00 |
$63.00 |
$285.80
|
|
Insert intrauterine device iud
|
$105.00 |
$105.00 |
$105.00 |
$378.83
|
|
Insertion catheter bladder non indwelling
|
$443.94 |
$443.94 |
$443.94 |
$237.13
|
|
Insertion catheter bladder temporary simple
|
$401.52 |
$401.52 |
$401.52 |
$273.60
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$6,472.62 |
$6,472.62 |
$6,472.62 |
$4,943.21
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$1,021.44 |
$1,021.44 |
$1,021.44 |
$2,618.40
|
|
Insertion of catheter vein
|
$105.00 |
$105.00 |
$105.00 |
$1,749.80
|
|
Insertion of heart electrode 33211
|
$9,440.34 |
$9,440.34 |
$9,440.34 |
$9,090.00
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$1,395.24 |
$1,395.24 |
$1,395.24 |
$2,079.43
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$1,395.24 |
$1,395.24 |
$1,395.24 |
$2,527.91
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$9,440.34 |
$9,440.34 |
$9,440.34 |
$7,572.47
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$6,124.02 |
$6,124.02 |
$6,124.02 |
$5,470.54
|
|
Insertion ureth cath
|
$2,467.08 |
$2,467.08 |
$2,467.08 |
$2,424.12
|
|
Insert pessary/other device
|
$236.88 |
$236.88 |
$236.88 |
$278.90
|
|
Insert prost urethral stent
|
$2,467.08 |
$2,467.08 |
$2,467.08 |
$2,424.12
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$769.44 |
$769.44 |
$769.44 |
$1,483.95
|
|
Inst fibrinolysis agent ini day
|
$318.36 |
$318.36 |
$318.36 |
$1,095.00
|
|
Ins tun cv cath wo subq prt/pm
|
$6,835.92 |
$6,835.92 |
$6,835.92 |
$5,888.85
|
|
Ins tun cv cath wo subq prt/pm
|
$6,082.02 |
$6,082.02 |
$6,082.02 |
$4,748.00
|
|
Ins tun intraperit dia cath
|
$4,710.72 |
$4,710.72 |
$4,710.72 |
$4,657.46
|
|
Insulin total
|
$61.32 |
$61.32 |
$61.32 |
$67.60
|
|
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm
|
$11,300.99 |
$11,300.99 |
$11,300.99 |
$10,179.63
|
|
Integra meshed bil wound mat
|
$32,600.91 |
$32,600.91 |
$32,600.91 |
$24,354.93
|
|
Integra os putty 2.5cc - cost per 0.5cc
|
$3,516.24 |
$3,516.24 |
$3,516.24 |
$3,160.50
|
|
Interdental fixation
|
$1,845.90 |
$1,845.90 |
$1,845.90 |
$2,133.48
|
|
Int hrhc lig 1 hroid without img
|
$3,417.12 |
$3,417.12 |
$3,417.12 |
$3,245.23
|
