|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$125.95 |
$125.95 |
$125.95 |
$83.50
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$117.70 |
$117.70 |
$117.70 |
$77.72
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$67.10 |
$67.10 |
$67.10 |
$55.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$223.85 |
$223.85 |
$223.85 |
$101.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$335.50 |
$335.50 |
$335.50 |
$132.60
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$174.90 |
$174.90 |
$174.90 |
$97.50
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$38.50 |
$38.50 |
$38.50 |
$60.00
|
|
Infectious agent nucleic acid amplified probe
|
$1,138.50 |
$1,138.50 |
$1,138.50 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$132.55 |
$132.55 |
$132.55 |
$141.48
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$205.15 |
$205.15 |
$205.15 |
$174.06
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$750.20 |
$750.20 |
$750.20 |
$855.45
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$289.30 |
$289.30 |
$289.30 |
$178.00
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$63.80 |
$63.80 |
$63.80 |
$150.15
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$682.00 |
$682.00 |
$682.00 |
$210.00
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$130.90 |
$130.90 |
$130.90 |
$136.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$188.10 |
$188.10 |
$188.10 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$79.20 |
$79.20 |
$79.20 |
$222.60
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$277.75 |
$277.75 |
$277.75 |
$248.15
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$201.30 |
$201.30 |
$201.30 |
$98.15
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$167.20 |
$167.20 |
$167.20 |
$112.45
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$200.20 |
$200.20 |
$200.20 |
$200.20
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$1,243.00 |
$1,243.00 |
$1,243.00 |
$727.50
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$243.10 |
$243.10 |
$243.10 |
$283.20
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$484.00 |
$484.00 |
$484.00 |
$489.50
|
|
Infectious agent nucleic acid quantification bk virus
|
$611.60 |
$611.60 |
$611.60 |
$285.66
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$256.85 |
$256.85 |
$256.85 |
$226.35
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$237.05 |
$237.05 |
$237.05 |
$278.78
|
|
Infectious agent nucleic acid quantification hiv-1
|
$605.00 |
$605.00 |
$605.00 |
$381.55
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$205.15 |
$205.15 |
$205.15 |
$298.35
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$466.95 |
$466.95 |
$466.95 |
$359.64
|
|
Initiation & management bipap/cpap initial day
|
$370.70 |
$370.70 |
$370.70 |
$645.79
|
|
Inj cntr knee arthro incl ct/mri
|
$351.45 |
$351.45 |
$351.45 |
$464.28
|
|
Inj disk cerv-thor ea lev
|
$303.60 |
$303.60 |
$303.60 |
$869.80
|
|
Inj dx for sinogram
|
$305.80 |
$305.80 |
$305.80 |
$436.00
|
|
Injection arthrography hip without anesthesia (both sides)
|
$264.55 |
$264.55 |
$264.55 |
$507.10
|
|
Injection epidural blood patch or clot
|
$2,549.80 |
$2,549.80 |
$2,549.80 |
$1,473.12
|
|
Injection for arthrography wrist (both sides)
|
$264.55 |
$264.55 |
$264.55 |
$441.12
|
|
Injection for bladder x-ray
|
$264.55 |
$264.55 |
$264.55 |
$585.00
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$273.35 |
$273.35 |
$273.35 |
$504.00
|
|
Injection for ureter x-ray
|
$680.90 |
$680.90 |
$680.90 |
$515.21
|
|
Injection of sinus tract
|
$1,311.75 |
$1,311.75 |
$1,311.75 |
$1,651.20
|
|
Injection radioactive tracer sentinel node (both sides)
|
$804.65 |
$804.65 |
$804.65 |
$717.20
|
|
Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides)
|
$2,620.75 |
$2,620.75 |
$2,620.75 |
$1,160.25
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$1,991.00 |
$1,991.00 |
$1,991.00 |
$1,471.50
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$840.40 |
$840.40 |
$840.40 |
$1,017.28
|
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
|
$3,626.70 |
$3,626.70 |
$3,626.70 |
$2,251.00
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
|
$3,022.80 |
$3,022.80 |
$3,022.80 |
$1,131.41
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
|
$4,030.95 |
$4,030.95 |
$4,030.95 |
$1,961.05
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
|
$3,022.80 |
$3,022.80 |
$3,022.80 |
$1,119.88
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
|
$2,417.25 |
$2,417.25 |
$2,417.25 |
$2,154.68
|
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
|
$1,670.90 |
$1,670.90 |
$1,670.90 |
$1,829.28
|
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
|
$1,646.70 |
$1,646.70 |
$1,646.70 |
$1,758.12
|
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
|
$400.95 |
$400.95 |
$400.95 |
$472.76
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$539.55 |
$539.55 |
$539.55 |
$552.60
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$188.65 |
$188.65 |
$188.65 |
$168.05
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$188.65 |
$188.65 |
$188.65 |
$154.05
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$221.10 |
$221.10 |
$221.10 |
$271.65
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$160.60 |
$160.60 |
$160.60 |
$141.60
|
|
Inj for ext venography
|
$154.00 |
$154.00 |
$154.00 |
$737.55
|
|
Inj for mammo ductogram
|
$508.75 |
$508.75 |
$508.75 |
$433.50
|
|
Inj nephrosto/ureterogram w/img exstng access
|
$905.30 |
$905.30 |
$905.30 |
$1,522.56
|
|
Inj proc ankle arthr
|
$264.55 |
$264.55 |
$264.55 |
$405.31
|
|
Inj proc elbow arthro
|
$264.55 |
$264.55 |
$264.55 |
$453.60
|
|
Inj proc lumbr disk ea lvl
|
$372.35 |
$372.35 |
$372.35 |
$1,224.30
|
|
Inj proc myelogram lumbar
|
$264.55 |
$264.55 |
$264.55 |
$922.80
|
|
Inj retro urethrocysto
|
$567.05 |
$567.05 |
$567.05 |
$551.29
|
|
Inj w/fluor eval cv device
|
$947.65 |
$947.65 |
$947.65 |
$588.90
|
|
Ins cath ren art 1st bi
|
$7,311.70 |
$7,311.70 |
$7,311.70 |
$6,033.75
|
|
Ins cath ren art 1st uni
|
$4,642.55 |
$4,642.55 |
$4,642.55 |
$4,667.63
|
|
Ins cath ren art 2nd+ bi
|
$9,947.30 |
$9,947.30 |
$9,947.30 |
$5,408.65
|
|
Ins cath ren art 2nd+ uni
|
$4,973.65 |
$4,973.65 |
$4,973.65 |
$5,528.94
|
|
Ins cerv dilator (sep proc)
|
$1,090.10 |
$1,090.10 |
$1,090.10 |
$544.00
|
|
Insert cath pleura with image
|
$3,320.90 |
$3,320.90 |
$3,320.90 |
$2,239.02
|
|
Insert cath pleura without image
|
$1,925.00 |
$1,925.00 |
$1,925.00 |
$2,212.00
|
|
Insertion catheter bladder non indwelling
|
$145.20 |
$145.20 |
$145.20 |
$237.13
|
|
Insertion catheter bladder temporary simple
|
$273.35 |
$273.35 |
$273.35 |
$273.60
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$3,121.25 |
$3,121.25 |
$3,121.25 |
$4,943.21
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$8,300.60 |
$8,300.60 |
$8,300.60 |
$7,088.54
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$1,489.95 |
$1,489.95 |
$1,489.95 |
$2,618.40
|
|
Insertion of catheter vein
|
$811.25 |
$811.25 |
$811.25 |
$858.05
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$3,082.20 |
$3,082.20 |
$3,082.20 |
$2,079.43
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$4,092.00 |
$4,092.00 |
$4,092.00 |
$2,527.91
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$4,342.80 |
$4,342.80 |
$4,342.80 |
$7,572.47
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$2,927.65 |
$2,927.65 |
$2,927.65 |
$5,470.54
|
|
Insitu hybridization auto
|
$1,474.00 |
$1,474.00 |
$1,474.00 |
$398.16
|
|
Insitu hybridization (fish)
|
$1,591.70 |
$1,591.70 |
$1,591.70 |
$481.60
|
|
Insitu hybridization manual
|
$897.60 |
$897.60 |
$897.60 |
$407.11
|
|
In situ hybridization per specimen each additional single probe stain
|
$558.25 |
$558.25 |
$558.25 |
$251.55
|
|
In situ hybridization per specimen initial single probe stain
|
$832.70 |
$832.70 |
$832.70 |
$338.40
|
|
Ins pq tunnld ip cath w/img
|
$3,695.45 |
$3,695.45 |
$3,695.45 |
$5,593.60
|
|
Ins tun cv cath wo subq prt/pm
|
$2,255.55 |
$2,255.55 |
$2,255.55 |
$5,888.85
|
|
Ins tun cv cath wo subq prt/pm
|
$2,377.65 |
$2,377.65 |
$2,377.65 |
$4,748.00
|
|
Ins tun intraperit dia cath
|
$2,513.50 |
$2,513.50 |
$2,513.50 |
$4,657.46
|
|
Inst via cath agent pleurds
|
$885.50 |
$885.50 |
$885.50 |
$1,074.68
|
|
Insulin total
|
$16.50 |
$16.50 |
$16.50 |
$67.60
|
|
Interdiscal perq aspir dx
|
$1,783.65 |
$1,783.65 |
$1,783.65 |
$1,222.26
|
|
Interrog evl pm/ldls pm ip
|
$77.00 |
$77.00 |
$77.00 |
$127.20
|
|
Intracranial angioplasty
|
$12,262.80 |
$12,262.80 |
$12,262.80 |
$7,149.60
|
|
Intracranial limited study
|
$314.60 |
$314.60 |
$314.60 |
$423.52
|
|
Intrinsic factor antibody
|
$43.45 |
$43.45 |
$43.45 |
$59.95
|