|
Incision of heel bone
|
$690.50 |
$690.50 |
$690.50 |
$5,339.00
|
|
Incision of metatarsal
|
$431.00 |
$431.00 |
$431.00 |
$4,176.43
|
|
Incision of metatarsal
|
$555.50 |
$555.50 |
$555.50 |
$6,839.00
|
|
Incision of metatarsal
|
$411.50 |
$411.50 |
$411.50 |
$3,591.33
|
|
Incision of rectal abscess
|
$546.00 |
$546.00 |
$546.00 |
$3,245.23
|
|
Incision of spinal nerve 64772
|
$583.00 |
$583.00 |
$583.00 |
$2,310.83
|
|
Incision of tendon & muscle
|
$646.50 |
$646.50 |
$646.50 |
$5,624.45
|
|
Incision of tendon sheath
|
$370.50 |
$370.50 |
$370.50 |
$2,211.05
|
|
Incision of thigh
|
$1,058.00 |
$1,058.00 |
$1,058.00 |
$3,798.60
|
|
Incision of thigh tendon
|
$468.50 |
$468.50 |
$468.50 |
$3,839.54
|
|
Incision of tibia
|
$784.50 |
$784.50 |
$784.50 |
$7,907.11
|
|
Incision of toe tendons 28011
|
$293.00 |
$293.00 |
$293.00 |
$2,119.12
|
|
Incision of tongue fold
|
$111.00 |
$111.00 |
$111.00 |
$1,792.50
|
|
Incision of urethra
|
$314.00 |
$314.00 |
$314.00 |
$5,626.86
|
|
Incision of urethra
|
$99.00 |
$99.00 |
$99.00 |
$2,899.60
|
|
Incision tendon sheath
|
$314.00 |
$314.00 |
$314.00 |
$3,073.20
|
|
Incisn of toe tndn
|
$217.00 |
$217.00 |
$217.00 |
$2,627.96
|
|
Incisn windpipe
|
$3,175.50 |
$3,175.50 |
$3,175.50 |
$3,810.50
|
|
Incobotulinumtoxin a
|
$8.50 |
$8.50 |
$8.50 |
$1,339.57
|
|
Infect ag eia influenza a or b ea
|
$31.00 |
$31.00 |
$31.00 |
$71.50
|
|
Infect ag ia optc obs influenza
|
$28.50 |
$28.50 |
$28.50 |
$72.93
|
|
Infect ag if varicella zoster
|
$77.00 |
$77.00 |
$77.00 |
$70.70
|
|
Infect ag na hpv high-risk types
|
$50.00 |
$50.00 |
$50.00 |
$139.75
|
|
Infect ag na orthopoxvirus amp prb each
|
$90.00 |
$90.00 |
$90.00 |
$99.36
|
|
Infectious agent antigen immunoassay direct optical observation sars-cov-2
|
$67.00 |
$67.00 |
$67.00 |
$53.00
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$36.50 |
$36.50 |
$36.50 |
$82.00
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$40.00 |
$40.00 |
$40.00 |
$76.32
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$38.50 |
$38.50 |
$38.50 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$32.50 |
$32.50 |
$32.50 |
$100.02
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$31.00 |
$31.00 |
$31.00 |
$81.20
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$60.00 |
$60.00 |
$60.00 |
$129.00
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$56.00 |
$56.00 |
$56.00 |
$98.02
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$28.00 |
$28.00 |
$28.00 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$435.00 |
$435.00 |
$435.00 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$81.50 |
$81.50 |
$81.50 |
$139.68
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$49.50 |
$49.50 |
$49.50 |
$167.00
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$519.50 |
$519.50 |
$519.50 |
$861.00
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$32.50 |
$32.50 |
$32.50 |
$179.92
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$196.00 |
$196.00 |
$196.00 |
$147.55
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$106.00 |
$106.00 |
$106.00 |
$217.85
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$81.50 |
$81.50 |
$81.50 |
$136.03
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$71.50 |
$71.50 |
$71.50 |
$206.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$331.50 |
$331.50 |
$331.50 |
$236.08
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$114.00 |
$114.00 |
$114.00 |
$92.50
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$149.00 |
$149.00 |
$149.00 |
$108.75
|
|
Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae
|
$113.50 |
$113.50 |
$113.50 |
$211.00
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$293.00 |
$293.00 |
$293.00 |
$185.00
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$657.50 |
$657.50 |
$657.50 |
$727.50
|
|
Infectious agent nucleic acid quantification bk virus
|
$318.50 |
$318.50 |
$318.50 |
$279.40
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$195.50 |
$195.50 |
$195.50 |
$239.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$265.50 |
$265.50 |
$265.50 |
$252.00
|
|
Infectious agent nucleic acid quantification hiv-1
|
$131.00 |
$131.00 |
$131.00 |
$374.00
|
|
Influenza virus vaccine, live trivalent intranasal
|
$36.50 |
$36.50 |
$36.50 |
$36.50
|
|
Inf thrc fascial pln blk bi w/wo image
|
$266.50 |
$266.50 |
$266.50 |
$593.50
|
|
Inf thrc fascial pln blk uni w/wo image
|
$156.50 |
$156.50 |
$156.50 |
$780.00
|
|
Initial hosp neonate 28 d/less than not critically ill 99477
|
$338.00 |
$338.00 |
$338.00 |
$629.60
|
|
Initial nursing facility care/day 35 minutes
|
$144.00 |
$144.00 |
$144.00 |
$188.50
|
|
Initial nursing facility care/day 45 minutes
|
$197.00 |
$197.00 |
$197.00 |
$236.80
|
|
Initial nursing facility care/day low severity 99304
|
$87.00 |
$87.00 |
$87.00 |
$128.00
|
|
Initiation & management bipap/cpap initial day
|
$210.00 |
$210.00 |
$210.00 |
$576.00
|
|
Init pm e/m new pat 65+ yrs
|
$132.50 |
$132.50 |
$132.50 |
$185.90
|
|
Init/sub psych care m 1st 30
|
$38.50 |
$38.50 |
$38.50 |
$94.34
|
|
Inj, abilify asimtufii, 1 mg
|
$8.50 |
$8.50 |
$8.50 |
$9,426.91
|
|
Inj, abilify maintena, 1 mg
|
$10.00 |
$10.00 |
$10.00 |
$5,355.30
|
|
Inj, adstiladrin, per tx dos
|
$69,210.00 |
$69,210.00 |
$69,210.00 |
$63,354.77
|
|
Inj, aflibercept hd, 1 mg
|
$344.00 |
$344.00 |
$344.00 |
$2,794.18
|
|
Inj anifrolumab-fnia 1mg
|
$27.50 |
$27.50 |
$27.50 |
$9,878.82
|
|
Inj avacincaptad pegol 0.1mg
|
$157.50 |
$157.50 |
$157.50 |
$3,409.64
|
|
Inj., benralizumab, 1 mg
|
$292.50 |
$292.50 |
$292.50 |
$11,239.97
|
|
Inj, bezlotoxumab, 10 mg
|
$68.50 |
$68.50 |
$68.50 |
$7,612.43
|
|
Inj bimatoprost itc imp1mcg
|
$304.00 |
$304.00 |
$304.00 |
$3,287.96
|
|
Inj, bupivacaine liposome
|
$2.00 |
$2.00 |
$2.00 |
$699.38
|
|
Inj, cefepime hcl (b braun)
|
$103.24 |
$103.24 |
$103.24 |
$69.85
|
|
Inj ceftolozane tazobactam
|
$12.50 |
$12.50 |
$12.50 |
$380.80
|
|
Inj disk cerv-thor ea lev
|
$219.50 |
$219.50 |
$219.50 |
$875.28
|
|
Inj dupuytren cord w/enzyme
|
$67.00 |
$67.00 |
$67.00 |
$416.00
|
|
Inj, durolane 1 mg
|
$28.00 |
$28.00 |
$28.00 |
$1,950.93
|
|
Inj dx for sinogram
|
$36.00 |
$36.00 |
$36.00 |
$422.59
|
|
Inject for sacroiliac joint
|
$885.50 |
$885.50 |
$885.50 |
$1,025.77
|
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
|
$83.00 |
$83.00 |
$83.00 |
$1,214.78
|
|
Injection arthrography hip without anesthesia (both sides)
|
$361.50 |
$361.50 |
$361.50 |
$495.84
|
|
Injection carpal tunnel therapeutic (both sides)
|
$57.50 |
$57.50 |
$57.50 |
$450.72
|
|
Injection, casimersen, 10 mg
|
$181.00 |
$181.00 |
$181.00 |
$2,598.44
|
|
Injection epidural blood patch or clot
|
$676.00 |
$676.00 |
$676.00 |
$1,156.80
|
|
Injection eye drug
|
$84.50 |
$84.50 |
$84.50 |
$644.50
|
|
Injection for bladder x-ray
|
$43.50 |
$43.50 |
$43.50 |
$459.20
|
|
Injection for hip x-ray
|
$81.50 |
$81.50 |
$81.50 |
$710.00
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$48.50 |
$48.50 |
$48.50 |
$494.65
|
|
Injection, inclisiran, 1 mg
|
$18.00 |
$18.00 |
$18.00 |
$6,679.35
|
|
Injection into hemorrhoid(s)
|
$208.00 |
$208.00 |
$208.00 |
$1,432.81
|
|
Injection jugular
|
$118.50 |
$118.50 |
$118.50 |
$790.00
|
|
Injection,onabotulinumtoxina
|
$10.00 |
$10.00 |
$10.00 |
$2,277.65
|
|
Injection px peyronie ds
|
$91.50 |
$91.50 |
$91.50 |
$409.34
|
|
Injection radioactive tracer sentinel node (both sides)
|
$32.00 |
$32.00 |
$32.00 |
$670.64
|
|
Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides)
|
$713.50 |
$713.50 |
$713.50 |
$1,582.12
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$681.50 |
$681.50 |
$681.50 |
$1,348.56
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$1,023.50 |
$1,023.50 |
$1,023.50 |
$1,023.50
|
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
|
$112.00 |
$112.00 |
$112.00 |
$1,952.40
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
|
$1,798.00 |
$1,798.00 |
$1,798.00 |
$1,029.45
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
|
$1,715.50 |
$1,715.50 |
$1,715.50 |
$1,814.40
|