|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$125.00 |
$125.00 |
$125.00 |
$217.80
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$150.00 |
$150.00 |
$150.00 |
$236.08
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$45.50 |
$45.50 |
$45.50 |
$92.50
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$135.50 |
$135.50 |
$135.50 |
$108.21
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$350.00 |
$350.00 |
$350.00 |
$727.50
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$116.50 |
$116.50 |
$116.50 |
$432.63
|
|
Infectious agent nucleic acid quantification bk virus
|
$176.00 |
$176.00 |
$176.00 |
$285.60
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$159.50 |
$159.50 |
$159.50 |
$237.70
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$167.00 |
$167.00 |
$167.00 |
$252.00
|
|
Infectious agent nucleic acid quantification hiv-1
|
$349.50 |
$349.50 |
$349.50 |
$373.60
|
|
Infuse radioactive materials
|
$303.00 |
$303.00 |
$303.00 |
$744.00
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$99.50 |
$99.50 |
$99.50 |
$293.25
|
|
Initial foot exam pt lops
|
$155.50 |
$155.50 |
$155.50 |
$155.50
|
|
Initiation & management bipap/cpap initial day
|
$251.50 |
$251.50 |
$251.50 |
$570.00
|
|
Inj bulking agent anal canal
|
$851.29 |
$851.29 |
$851.29 |
$9,525.70
|
|
Inj cntr knee arthro incl ct/mri
|
$83.50 |
$83.50 |
$83.50 |
$436.80
|
|
Inj disk cerv-thor ea lev
|
$1,768.00 |
$1,768.00 |
$1,768.00 |
$957.60
|
|
Inj dupuytren cord w/enzyme
|
$155.00 |
$155.00 |
$155.00 |
$416.00
|
|
Inj dx for sinogram
|
$232.00 |
$232.00 |
$232.00 |
$413.82
|
|
Inject for sacroiliac joint
|
$428.00 |
$428.00 |
$428.00 |
$1,025.77
|
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
|
$1,084.00 |
$1,084.00 |
$1,084.00 |
$1,214.78
|
|
Injection arthrography hip without anesthesia (both sides)
|
$323.00 |
$323.00 |
$323.00 |
$498.50
|
|
Injection carpal tunnel therapeutic (both sides)
|
$282.50 |
$282.50 |
$282.50 |
$504.90
|
|
Injection during cath supravalvular aortography
|
$197.50 |
$197.50 |
$197.50 |
$1,027.26
|
|
Injection epidural blood patch or clot
|
$705.00 |
$705.00 |
$705.00 |
$1,153.03
|
|
Injection eye drug
|
$807.00 |
$807.00 |
$807.00 |
$648.96
|
|
Injection for arthrography wrist (both sides)
|
$358.00 |
$358.00 |
$358.00 |
$438.00
|
|
Injection for bladder x-ray
|
$694.50 |
$694.50 |
$694.50 |
$459.20
|
|
Injection for hip x-ray
|
$208.00 |
$208.00 |
$208.00 |
$662.40
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$250.50 |
$250.50 |
$250.50 |
$494.65
|
|
Injection for spleen x-ray
|
$2,359.50 |
$2,359.50 |
$2,359.50 |
$471.19
|
|
Injection for tear sac x-ray
|
$977.00 |
$977.00 |
$977.00 |
$212.55
|
|
Injection for ureter x-ray
|
$1,789.50 |
$1,789.50 |
$1,789.50 |
$415.80
|
|
Injection for ureter x-ray
|
$1,320.00 |
$1,320.00 |
$1,320.00 |
$515.21
|
|
Injection into brain canal
|
$825.50 |
$825.50 |
$825.50 |
$844.50
|
|
Injection into hemorrhoid(s)
|
$1,339.50 |
$1,339.50 |
$1,339.50 |
$1,432.81
|
|
Injection of sinus tract
|
$1,128.00 |
$1,128.00 |
$1,128.00 |
$1,640.99
|
|
Injection radioactive tracer sentinel node (both sides)
|
$425.00 |
$425.00 |
$425.00 |
$699.68
|
|
Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides)
|
$1,231.00 |
$1,231.00 |
$1,231.00 |
$1,582.12
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$357.00 |
$357.00 |
$357.00 |
$1,391.40
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$602.00 |
$602.00 |
$602.00 |
$1,045.65
|
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
|
$779.00 |
$779.00 |
$779.00 |
$2,031.18
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
|
$667.50 |
$667.50 |
$667.50 |
$1,007.19
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
|
$1,331.00 |
$1,331.00 |
$1,331.00 |
$1,781.40
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
|
$667.50 |
$667.50 |
$667.50 |
$984.48
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
|
$1,160.00 |
$1,160.00 |
$1,160.00 |
$1,961.05
|
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
|
$1,144.50 |
$1,144.50 |
$1,144.50 |
$1,783.60
|
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
|
$1,157.50 |
$1,157.50 |
$1,157.50 |
$1,685.00
|
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
|
$399.50 |
$399.50 |
$399.50 |
$478.20
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$234.00 |
$234.00 |
$234.00 |
$546.40
|
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
|
$245.50 |
$245.50 |
$245.50 |
$634.40
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$120.00 |
$120.00 |
$120.00 |
$163.83
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$138.50 |
$138.50 |
$138.50 |
$145.60
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$228.50 |
$228.50 |
$228.50 |
$259.49
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$75.00 |
$75.00 |
$75.00 |
$136.00
|
|
Injection treatment of eye
|
$1,556.50 |
$1,556.50 |
$1,556.50 |
$2,665.60
|
|
Inj epidural sgl cerv-thor without img
|
$1,122.00 |
$1,122.00 |
$1,122.00 |
$1,311.74
|
|
Inj epidural sgl lumb-sacral without img
|
$1,144.50 |
$1,144.50 |
$1,144.50 |
$1,415.50
|
|
Inj for ext venography
|
$170.00 |
$170.00 |
$170.00 |
$654.00
|
|
Inj for mammo ductogram
|
$1,460.00 |
$1,460.00 |
$1,460.00 |
$397.80
|
|
Inj hrt cath w/s&i nonsel p-art angrp
|
$196.00 |
$196.00 |
$196.00 |
$1,439.90
|
|
Inj hrt cath w/s&i sel hrt ang
|
$1,757.00 |
$1,757.00 |
$1,757.00 |
$1,818.15
|
|
Inj hrt cath w/s&i sel left vent
|
$191.00 |
$191.00 |
$191.00 |
$1,146.36
|
|
Inj hrt cath w/s&i sel right vent
|
$189.50 |
$189.50 |
$189.50 |
$947.65
|
|
Inj intralesional <= 7 lsn(s)
|
$208.50 |
$208.50 |
$208.50 |
$235.13
|
|
Inj intralesional > 7 lsns
|
$327.00 |
$327.00 |
$327.00 |
$235.13
|
|
Inj nephrosto/ureterogram w/img exstng access
|
$1,172.50 |
$1,172.50 |
$1,172.50 |
$1,413.35
|
|
Inj non-compmd foam sclrsnt mlt trncl veins same leg
|
$3,902.00 |
$3,902.00 |
$3,902.00 |
$2,484.00
|
|
Inj non-compmd foam sclrsnt sgl trncl vein
|
$3,902.00 |
$3,902.00 |
$3,902.00 |
$2,373.55
|
|
Inj peritoneal venous shunt
|
$622.50 |
$622.50 |
$622.50 |
$413.70
|
|
Inj proc ankle arthr
|
$87.50 |
$87.50 |
$87.50 |
$405.60
|
|
Inj proc elbow arthro
|
$358.00 |
$358.00 |
$358.00 |
$434.00
|
|
Inj proc for lymphang
|
$497.50 |
$497.50 |
$497.50 |
$742.40
|
|
Inj proc lumbr disk ea lvl
|
$1,136.00 |
$1,136.00 |
$1,136.00 |
$1,106.93
|
|
Inj proc myelogram lumbar
|
$1,237.00 |
$1,237.00 |
$1,237.00 |
$854.00
|
|
Inj proc sialogram
|
$373.00 |
$373.00 |
$373.00 |
$380.00
|
|
Inj retro urethrocysto
|
$1,174.00 |
$1,174.00 |
$1,174.00 |
$450.00
|
|
Inj scleros sol mult veins
|
$296.50 |
$296.50 |
$296.50 |
$676.00
|
|
Inj scleros sol sgl vein
|
$574.00 |
$574.00 |
$574.00 |
$561.88
|
|
Inj(s) sclerosant spider veins limb/trunk
|
$578.50 |
$578.50 |
$578.50 |
$436.80
|
|
Inj w/fluor eval cv device
|
$106.50 |
$106.50 |
$106.50 |
$504.40
|
|
Ins cath ren art 1st bi
|
$4,866.50 |
$4,866.50 |
$4,866.50 |
$5,820.00
|
|
Ins cath ren art 1st uni
|
$5,588.00 |
$5,588.00 |
$5,588.00 |
$4,667.63
|
|
Ins cath ren art 2nd+ bi
|
$5,588.00 |
$5,588.00 |
$5,588.00 |
$5,475.60
|
|
Ins cath ren art 2nd+ uni
|
$5,588.00 |
$5,588.00 |
$5,588.00 |
$5,395.20
|
|
Ins cerv dilator (sep proc)
|
$625.00 |
$625.00 |
$625.00 |
$484.90
|
|
Insert abdomen-venous drain
|
$2,039.50 |
$2,039.50 |
$2,039.50 |
$3,699.70
|
|
Insert and remove bone pin
|
$2,400.50 |
$2,400.50 |
$2,400.50 |
$4,421.00
|
|
Insert cath pleura with image
|
$2,209.00 |
$2,209.00 |
$2,209.00 |
$2,194.40
|
|
Insert cath pleura without image
|
$1,213.00 |
$1,213.00 |
$1,213.00 |
$2,048.67
|
|
Insert drug delivery implant
|
$988.00 |
$988.00 |
$988.00 |
$283.20
|
|
Insert hepatic shunt (tips)
|
$3,117.50 |
$3,117.50 |
$3,117.50 |
$7,571.20
|
|
Insert intrauterine device iud
|
$167.00 |
$167.00 |
$167.00 |
$366.65
|
|
Insertion catheter bladder non indwelling
|
$87.00 |
$87.00 |
$87.00 |
$205.80
|
|
Insertion catheter bladder temporary simple
|
$368.00 |
$368.00 |
$368.00 |
$235.20
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$3,320.00 |
$3,320.00 |
$3,320.00 |
$4,782.00
|
|
Insertion intra aortic balloon assist device percutaneous
|
$3,176.50 |
$3,176.50 |
$3,176.50 |
$2,565.36
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$7,944.50 |
$7,944.50 |
$7,944.50 |
$7,210.78
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$2,303.50 |
$2,303.50 |
$2,303.50 |
$2,510.50
|
|
Insertion of catheter vein
|
$1,423.50 |
$1,423.50 |
$1,423.50 |
$1,657.32
|
