|
Inactivated je vacc im
|
$531.50 |
$531.50 |
$531.50 |
$481.34
|
|
Incise/drain eyelid lining
|
$103.00 |
$103.00 |
$103.00 |
$1,271.00
|
|
Incise perq finger tendon 26060
|
$266.00 |
$266.00 |
$266.00 |
$1,893.86
|
|
Incise tear duct opening 68440
|
$97.00 |
$97.00 |
$97.00 |
$507.20
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$1,582.00 |
$1,582.00 |
$1,582.00 |
$2,080.80
|
|
Incision of breast lesion
|
$352.50 |
$352.50 |
$352.50 |
$2,577.85
|
|
Incision of eyelid
|
$93.50 |
$93.50 |
$93.50 |
$1,488.50
|
|
Incision of foot tendon 28234
|
$1,540.00 |
$1,540.00 |
$1,540.00 |
$2,116.27
|
|
Incision of toe tendons 28011
|
$293.00 |
$293.00 |
$293.00 |
$2,068.30
|
|
Incision of tongue fold
|
$111.00 |
$111.00 |
$111.00 |
$1,792.50
|
|
Incisn of toe tndn
|
$217.00 |
$217.00 |
$217.00 |
$2,493.15
|
|
Incisn windpipe
|
$3,175.50 |
$3,175.50 |
$3,175.50 |
$3,819.23
|
|
Incobotulinumtoxin a
|
$8.50 |
$8.50 |
$8.50 |
$1,359.43
|
|
Infect ag drug suscept pheno predict
|
$63.50 |
$63.50 |
$63.50 |
$320.00
|
|
Infect ag eia influenza a or b ea
|
$23.00 |
$23.00 |
$23.00 |
$69.03
|
|
Infect ag genotype na hiv-1 other region
|
$62.50 |
$62.50 |
$62.50 |
$326.20
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$125.00 |
$125.00 |
$125.00 |
$603.75
|
|
Infect ag if varicella zoster
|
$77.00 |
$77.00 |
$77.00 |
$72.00
|
|
Infect ag na hpv high-risk types
|
$50.00 |
$50.00 |
$50.00 |
$139.20
|
|
Infect ag na orthopoxvirus amp prb each
|
$90.00 |
$90.00 |
$90.00 |
$99.36
|
|
Infect ag na resp virus 12-25 targets
|
$1,451.50 |
$1,451.50 |
$1,451.50 |
$859.44
|
|
Infectious agent antigen immunoassay direct optical observation sars-cov-2
|
$67.00 |
$67.00 |
$67.00 |
$51.31
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$98.50 |
$98.50 |
$98.50 |
$82.00
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$74.50 |
$74.50 |
$74.50 |
$76.50
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$93.00 |
$93.00 |
$93.00 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$32.50 |
$32.50 |
$32.50 |
$96.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$79.00 |
$79.00 |
$79.00 |
$81.06
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$98.00 |
$98.00 |
$98.00 |
$127.80
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$56.00 |
$56.00 |
$56.00 |
$97.50
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$101.00 |
$101.00 |
$101.00 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$435.00 |
$435.00 |
$435.00 |
$267.50
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$76.00 |
$76.00 |
$76.00 |
$137.67
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$158.50 |
$158.50 |
$158.50 |
$167.05
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$557.00 |
$557.00 |
$557.00 |
$861.00
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$269.00 |
$269.00 |
$269.00 |
$181.35
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$68.00 |
$68.00 |
$68.00 |
$151.25
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$76.00 |
$76.00 |
$76.00 |
$135.80
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$71.50 |
$71.50 |
$71.50 |
$217.70
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$350.50 |
$350.50 |
$350.50 |
$236.08
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$119.00 |
$119.00 |
$119.00 |
$94.53
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$276.00 |
$276.00 |
$276.00 |
$105.00
|
|
Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae
|
$113.50 |
$113.50 |
$113.50 |
$250.50
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$293.00 |
$293.00 |
$293.00 |
$184.80
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$666.50 |
$666.50 |
$666.50 |
$711.93
|
|
Infectious agent nucleic acid quantification bk virus
|
$190.00 |
$190.00 |
$190.00 |
$283.00
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$179.00 |
$179.00 |
$179.00 |
$238.80
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$294.00 |
$294.00 |
$294.00 |
$252.60
|
|
Infectious agent nucleic acid quantification hiv-1
|
$538.50 |
$538.50 |
$538.50 |
$374.50
|
|
Influenza virus vaccine, live trivalent intranasal
|
$36.50 |
$36.50 |
$36.50 |
$37.80
|
|
Inf thrc fascial pln blk bi w/wo image
|
$266.50 |
$266.50 |
$266.50 |
$523.25
|
|
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
|
$135.50 |
$135.50 |
$135.50 |
$188.50
|
|
Initial nursing facility care/day 45 minutes
|
$185.00 |
$185.00 |
$185.00 |
$236.80
|
|
Initial nursing facility care/day low severity 99304
|
$80.00 |
$80.00 |
$80.00 |
$128.00
|
|
Initiation & management bipap/cpap initial day
|
$344.50 |
$344.50 |
$344.50 |
$576.00
|
|
Init pm e/m new pat 65+ yrs
|
$122.50 |
$122.50 |
$122.50 |
$180.77
|
|
Init/sub psych care m 1st 30
|
$38.50 |
$38.50 |
$38.50 |
$101.09
|
|
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 |
$4,433.46
|
|
Inj anifrolumab-fnia 1mg
|
$27.50 |
$27.50 |
$27.50 |
$10,052.58
|
|
Inj avacincaptad pegol 0.1mg
|
$157.50 |
$157.50 |
$157.50 |
$3,409.64
|
|
Inj., benralizumab, 1 mg
|
$292.50 |
$292.50 |
$292.50 |
$11,604.71
|
|
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 ceftolozane tazobactam
|
$12.50 |
$12.50 |
$12.50 |
$408.00
|
|
Inj cntr knee arthro incl ct/mri
|
$822.50 |
$822.50 |
$822.50 |
$436.80
|
|
Inj disk cerv-thor ea lev
|
$230.50 |
$230.50 |
$230.50 |
$945.00
|
|
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
|
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
|
$676.50 |
$676.50 |
$676.50 |
$1,214.78
|
|
Injection arthrography hip without anesthesia (both sides)
|
$1,093.50 |
$1,093.50 |
$1,093.50 |
$500.50
|
|
Injection carpal tunnel therapeutic (both sides)
|
$294.00 |
$294.00 |
$294.00 |
$504.90
|
|
Injection, casimersen, 10 mg
|
$181.00 |
$181.00 |
$181.00 |
$2,598.44
|
|
Injection epidural blood patch or clot
|
$676.50 |
$676.50 |
$676.50 |
$1,156.80
|
|
Injection eye drug
|
$84.50 |
$84.50 |
$84.50 |
$644.50
|
|
Injection for arthrography wrist (both sides)
|
$1,231.00 |
$1,231.00 |
$1,231.00 |
$441.12
|
|
Injection for bladder x-ray
|
$43.50 |
$43.50 |
$43.50 |
$459.20
|
|
Injection for hip x-ray
|
$572.50 |
$572.50 |
$572.50 |
$669.24
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$849.50 |
$849.50 |
$849.50 |
$494.65
|
|
Injection, inclisiran, 1 mg
|
$18.00 |
$18.00 |
$18.00 |
$6,679.35
|
|
Injection,onabotulinumtoxina
|
$10.00 |
$10.00 |
$10.00 |
$2,241.61
|
|
Injection px peyronie ds
|
$91.50 |
$91.50 |
$91.50 |
$409.34
|
|
Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides)
|
$676.50 |
$676.50 |
$676.50 |
$1,582.12
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$1,226.50 |
$1,226.50 |
$1,226.50 |
$1,391.40
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$1,226.50 |
$1,226.50 |
$1,226.50 |
$1,045.65
|
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
|
$885.00 |
$885.00 |
$885.00 |
$1,939.60
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
|
$438.50 |
$438.50 |
$438.50 |
$1,029.45
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
|
$847.50 |
$847.50 |
$847.50 |
$1,777.50
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
|
$438.50 |
$438.50 |
$438.50 |
$1,064.70
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
|
$847.50 |
$847.50 |
$847.50 |
$1,961.05
|
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
|
$676.50 |
$676.50 |
$676.50 |
$1,842.00
|
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
|
$688.00 |
$688.00 |
$688.00 |
$1,704.78
|
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
|
$294.00 |
$294.00 |
$294.00 |
$460.94
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$294.00 |
$294.00 |
$294.00 |
$517.24
|
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
|
$294.00 |
$294.00 |
$294.00 |
$625.00
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$84.50 |
$84.50 |
$84.50 |
$166.38
|
