|
Incision of spinal nerve 64772
|
$3,684.32 |
$3,684.32 |
$3,684.32 |
$2,310.83
|
|
Incision of tendon & muscle
|
$5,886.74 |
$5,886.74 |
$5,886.74 |
$5,784.00
|
|
Incision of tendon sheath
|
$2,750.60 |
$2,750.60 |
$2,750.60 |
$2,211.05
|
|
Incision of thigh tendon
|
$3,899.36 |
$3,899.36 |
$3,899.36 |
$4,491.50
|
|
Incision of thigh tendons
|
$10,290.72 |
$10,290.72 |
$10,290.72 |
$5,278.00
|
|
Incision of thigh tendons
|
$3,206.33 |
$3,206.33 |
$3,206.33 |
$3,839.54
|
|
Incision of thigh tendons
|
$4,755.67 |
$4,755.67 |
$4,755.67 |
$4,499.12
|
|
Incision of tibia
|
$5,886.74 |
$5,886.74 |
$5,886.74 |
$5,886.74
|
|
Incision of tibia & fibula
|
$10,629.07 |
$10,629.07 |
$10,629.07 |
$11,971.85
|
|
Incision of toe tendons 28011
|
$2,459.09 |
$2,459.09 |
$2,459.09 |
$2,068.30
|
|
Incision of tongue fold
|
$1,616.55 |
$1,616.55 |
$1,616.55 |
$1,792.50
|
|
Incision of urethra
|
$3,344.14 |
$3,344.14 |
$3,344.14 |
$3,344.14
|
|
Incision of urethra
|
$5,283.79 |
$5,283.79 |
$5,283.79 |
$5,626.86
|
|
Incision of urethra
|
$3,914.85 |
$3,914.85 |
$3,914.85 |
$3,198.58
|
|
Incision of urethra
|
$2,484.76 |
$2,484.76 |
$2,484.76 |
$2,874.36
|
|
Incision of windpipe
|
$4,338.79 |
$4,338.79 |
$4,338.79 |
$6,465.11
|
|
Incision of windpipe
|
$5,014.64 |
$5,014.64 |
$5,014.64 |
$5,741.00
|
|
Incision of wrist capsule
|
$2,777.50 |
$2,777.50 |
$2,777.50 |
$3,839.54
|
|
Incision secondary cataract
|
$2,017.15 |
$2,017.15 |
$2,017.15 |
$2,524.45
|
|
Incision tendon sheath
|
$3,379.60 |
$3,379.60 |
$3,379.60 |
$3,073.20
|
|
Incisn of toe tndn
|
$2,981.79 |
$2,981.79 |
$2,981.79 |
$2,667.00
|
|
Incisn windpipe
|
$4,245.51 |
$4,245.51 |
$4,245.51 |
$3,819.23
|
|
Indigotindisulfonate 8 mg/ml soln 5 ml ampule
|
$1,080.00 |
$1,080.00 |
$1,080.00 |
$766.66
|
|
Induced ab 1+ vag sup w/dlv fetus
|
$2,307.69 |
$2,307.69 |
$2,307.69 |
$1,997.99
|
|
Induced abortion d&c
|
$2,847.98 |
$2,847.98 |
$2,847.98 |
$3,762.53
|
|
Induced abortion dilat&evac
|
$3,001.32 |
$3,001.32 |
$3,001.32 |
$4,451.18
|
|
Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s)
|
$76.90 |
$76.90 |
$76.90 |
$140.80
|
|
Infec agen detec ampli probe
|
$32.40 |
$32.40 |
$32.40 |
$28.05
|
|
Infect ag drug suscept pheno predict
|
$1,208.07 |
$1,208.07 |
$1,208.07 |
$325.00
|
|
Infect ag eia influenza a or b ea
|
$118.27 |
$118.27 |
$118.27 |
$71.50
|
|
Infect ag genotype na cytomegalovirus
|
$957.90 |
$957.90 |
$957.90 |
$665.40
|
|
Infect ag genotype na dna hepatitis b
|
$771.58 |
$771.58 |
$771.58 |
$409.27
|
|
Infect ag genotype na hiv-1 other region
|
$669.30 |
$669.30 |
$669.30 |
$361.65
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$499.13 |
$499.13 |
$499.13 |
$603.83
|
|
Infect ag ia optc obs influenza
|
$114.50 |
$114.50 |
$114.50 |
$72.93
|
|
Infect ag if ea plyvlnt antsrm
|
$112.12 |
$112.12 |
$112.12 |
$65.10
|
|
Infect ag if hep delta agent
|
$179.77 |
$179.77 |
$179.77 |
$125.97
|
|
Infect ag if influenza a
|
$86.30 |
$86.30 |
$86.30 |
$41.22
|
|
Infect ag if legionella pneumophila
|
$115.30 |
$115.30 |
$115.30 |
$73.45
|
|
Infect ag if pneumocystis carinii
|
$121.20 |
$121.20 |
$121.20 |
$66.60
|
|
Infect ag if varicella zoster
|
$92.78 |
$92.78 |
$92.78 |
$72.00
|
|
Infect ag na hep b amp
|
$175.44 |
$175.44 |
$175.44 |
$120.50
|
|
Infect ag na herpes simplex quant
|
$284.06 |
$284.06 |
$284.06 |
$178.86
|
|
Infect ag na hpv high-risk types
|
$615.00 |
$615.00 |
$615.00 |
$139.20
|
|
Infect ag na influenza r/amp 1st 2 types
|
$137.07 |
$137.07 |
$137.07 |
$220.00
|
|
Infect ag na influenza revr/amp ea type
|
$241.20 |
$241.20 |
$241.20 |
$156.60
|
|
Infect ag na orthopoxvirus amp prb each
|
$127.50 |
$127.50 |
$127.50 |
$100.46
|
|
Infect ag na resp virus 12-25 targets
|
$1,100.20 |
$1,100.20 |
$1,100.20 |
$858.92
|
|
Infect ag phenotype na hiv-1 1-10 drugs
|
$2,085.79 |
$2,085.79 |
$2,085.79 |
$954.00
|
|
Infect ag phenotype na hiv-1 ea addl drg
|
$199.73 |
$199.73 |
$199.73 |
$75.63
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$147.65 |
$147.65 |
$147.65 |
$82.80
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$91.90 |
$91.90 |
$91.90 |
$72.10
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$83.28 |
$83.28 |
$83.28 |
$76.00
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$81.71 |
$81.71 |
$81.71 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$128.15 |
$128.15 |
$128.15 |
$102.82
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$113.81 |
$113.81 |
$113.81 |
$81.20
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$94.22 |
$94.22 |
$94.22 |
$60.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$140.83 |
$140.83 |
$140.83 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$309.00 |
$309.00 |
$309.00 |
$129.00
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$127.10 |
$127.10 |
$127.10 |
$98.40
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$55.31 |
$55.31 |
$55.31 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$849.00 |
$849.00 |
$849.00 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$125.96 |
$125.96 |
$125.96 |
$141.95
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$209.30 |
$209.30 |
$209.30 |
$167.05
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$926.47 |
$926.47 |
$926.47 |
$865.50
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$235.64 |
$235.64 |
$235.64 |
$181.80
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$185.20 |
$185.20 |
$185.20 |
$149.13
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$328.73 |
$328.73 |
$328.73 |
$212.01
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$170.75 |
$170.75 |
$170.75 |
$137.67
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$103.50 |
$103.50 |
$103.50 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$61.45 |
$61.45 |
$61.45 |
$208.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$104.93 |
$104.93 |
$104.93 |
$236.08
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$127.01 |
$127.01 |
$127.01 |
$96.00
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$154.42 |
$154.42 |
$154.42 |
$112.50
|
|
Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae
|
$296.71 |
$296.71 |
$296.71 |
$217.60
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$273.58 |
$273.58 |
$273.58 |
$200.20
|
|
Infectious agent nucleic acid joint space pathogens multiplex amplified probe >= 26 targets
|
$1,091.46 |
$1,091.46 |
$1,091.46 |
$1,143.75
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$727.50 |
$727.50 |
$727.50 |
$727.50
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$375.00 |
$375.00 |
$375.00 |
$289.91
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$556.63 |
$556.63 |
$556.63 |
$432.63
|
|
Infectious agent nucleic acid quantification bk virus
|
$1,105.50 |
$1,105.50 |
$1,105.50 |
$280.00
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$266.96 |
$266.96 |
$266.96 |
$242.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$325.45 |
$325.45 |
$325.45 |
$253.00
|
|
Infectious agent nucleic acid quantification hiv-1
|
$426.38 |
$426.38 |
$426.38 |
$375.00
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$363.10 |
$363.10 |
$363.10 |
$304.20
|
|
Infliximab 100 mg intravenous solution
|
$2,102.08 |
$2,102.08 |
$2,102.08 |
$2,043.22
|
|
Influenza dna amp prob addl
|
$32.29 |
$32.29 |
$32.29 |
$64.26
|
|
Inf thrc fascial pln blk uni w/wo image
|
$1,321.38 |
$1,321.38 |
$1,321.38 |
$780.00
|
|
Ingest challenge ea addl 60 min
|
$322.34 |
$322.34 |
$322.34 |
$289.64
|
|
Ingest challenge ini 120 min
|
$709.16 |
$709.16 |
$709.16 |
$764.78
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$357.05 |
$357.05 |
$357.05 |
$299.65
|
|
Initial foot exam pt lops
|
$193.85 |
$193.85 |
$193.85 |
$152.50
|
|
Initial nursing facility care/day 35 minutes
|
$169.81 |
$169.81 |
$169.81 |
$184.80
|
|
Initial nursing facility care/day 45 minutes
|
$215.57 |
$215.57 |
$215.57 |
$231.84
|
|
Initial nursing facility care/day low severity 99304
|
$120.07 |
$120.07 |
$120.07 |
$127.63
|
|
Init/sub psych care m 1st 30
|
$94.34 |
$94.34 |
$94.34 |
$94.34
|
|
Inj acetaminophen -fresenius
|
$34.56 |
$34.56 |
$34.56 |
$36.60
|
|
Inj, alfentanil hcl, 500mcg
|
$16.63 |
$16.63 |
$16.63 |
$35.94
|
|
Inj allopurinol sodium 1 mg
|
$7,176.71 |
$7,176.71 |
$7,176.71 |
$6,968.99
|
|
Inj alymsys 10 mg
|
$676.74 |
$676.74 |
$676.74 |
$1,280.74
|