|
Incision of thigh tendon
|
$2,365.00 |
$2,365.00 |
$2,365.00 |
$4,030.00
|
|
Incision of thigh tendons
|
$3,785.00 |
$3,785.00 |
$3,785.00 |
$4,542.20
|
|
Infect ag drug suscept pheno predict
|
$320.00 |
$320.00 |
$320.00 |
$320.00
|
|
Infect ag genotype na hiv-1 other region
|
$475.00 |
$475.00 |
$475.00 |
$326.20
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$715.00 |
$715.00 |
$715.00 |
$603.75
|
|
Infect ag ia direct hiv-1 antgn
|
$75.00 |
$75.00 |
$75.00 |
$95.55
|
|
Infect ag ia optc obs influenza
|
$85.00 |
$85.00 |
$85.00 |
$72.93
|
|
Infect ag if pneumocystis carinii
|
$137.50 |
$137.50 |
$137.50 |
$67.46
|
|
Infect ag na hep b amp
|
$180.00 |
$180.00 |
$180.00 |
$108.44
|
|
Infect ag na hpv high-risk types
|
$137.50 |
$137.50 |
$137.50 |
$139.20
|
|
Infect ag na influenza r/amp 1st 2 types
|
$227.50 |
$227.50 |
$227.50 |
$219.70
|
|
Infect ag na orthopoxvirus amp prb each
|
$147.50 |
$147.50 |
$147.50 |
$99.36
|
|
Infect ag na resp virus 12-25 targets
|
$715.00 |
$715.00 |
$715.00 |
$859.44
|
|
Infect ag phenotype na hiv-1 1-10 drugs
|
$1,135.00 |
$1,135.00 |
$1,135.00 |
$855.60
|
|
Infect ag phenotype na hiv-1 ea addl drg
|
$85.00 |
$85.00 |
$85.00 |
$77.00
|
|
Infectious agent antigen immunoassay direct optical observation sars-cov-2
|
$47.50 |
$47.50 |
$47.50 |
$51.31
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$62.50 |
$62.50 |
$62.50 |
$82.00
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$40.00 |
$40.00 |
$40.00 |
$76.50
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$125.00 |
$125.00 |
$125.00 |
$96.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$85.00 |
$85.00 |
$85.00 |
$81.06
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$60.00 |
$60.00 |
$60.00 |
$57.60
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$100.00 |
$100.00 |
$100.00 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$115.00 |
$115.00 |
$115.00 |
$127.80
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$72.50 |
$72.50 |
$72.50 |
$97.50
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$57.50 |
$57.50 |
$57.50 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$540.00 |
$540.00 |
$540.00 |
$267.50
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$112.50 |
$112.50 |
$112.50 |
$137.67
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$115.00 |
$115.00 |
$115.00 |
$167.05
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$860.00 |
$860.00 |
$860.00 |
$861.00
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$145.00 |
$145.00 |
$145.00 |
$181.35
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$97.50 |
$97.50 |
$97.50 |
$151.25
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$250.00 |
$250.00 |
$250.00 |
$201.60
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$105.00 |
$105.00 |
$105.00 |
$135.80
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$87.50 |
$87.50 |
$87.50 |
$100.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$155.00 |
$155.00 |
$155.00 |
$217.70
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$165.00 |
$165.00 |
$165.00 |
$236.08
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$92.50 |
$92.50 |
$92.50 |
$94.53
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$117.50 |
$117.50 |
$117.50 |
$105.00
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$117.50 |
$117.50 |
$117.50 |
$184.80
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$530.00 |
$530.00 |
$530.00 |
$711.93
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$252.50 |
$252.50 |
$252.50 |
$283.20
|
|
Infectious agent nucleic acid quantification bk virus
|
$337.50 |
$337.50 |
$337.50 |
$283.00
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$180.00 |
$180.00 |
$180.00 |
$238.80
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$195.00 |
$195.00 |
$195.00 |
$252.60
|
|
Infectious agent nucleic acid quantification hiv-1
|
$375.00 |
$375.00 |
$375.00 |
$374.50
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$220.00 |
$220.00 |
$220.00 |
$303.59
|
|
Inf lwr xtr fscl pln blk uni w/wo image
|
$1,060.00 |
$1,060.00 |
$1,060.00 |
$780.00
|
|
Inf thrc fascial pln blk bi w/wo image
|
$1,060.00 |
$1,060.00 |
$1,060.00 |
$523.25
|
|
Inf thrc fascial pln blk uni w/wo image
|
$1,060.00 |
$1,060.00 |
$1,060.00 |
$780.00
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$140.00 |
$140.00 |
$140.00 |
$293.04
|
|
Initiation & management bipap/cpap initial day
|
$170.00 |
$170.00 |
$170.00 |
$576.00
|
|
Inj, bupivacaine liposome
|
$4.26 |
$4.26 |
$4.26 |
$699.38
|
|
Inj cefazolin sodium, hikma
|
$9.37 |
$9.37 |
$9.37 |
$29.10
|
|
Inj ceftolozane tazobactam
|
$541.67 |
$541.67 |
$541.67 |
$408.00
|
|
Inj cntr knee arthro incl ct/mri
|
$460.00 |
$460.00 |
$460.00 |
$436.80
|
|
Inj dx for sinogram
|
$380.00 |
$380.00 |
$380.00 |
$413.82
|
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
|
$1,060.00 |
$1,060.00 |
$1,060.00 |
$1,214.78
|
|
Injection arthrography hip without anesthesia (both sides)
|
$460.00 |
$460.00 |
$460.00 |
$500.50
|
|
Injection epidural blood patch or clot
|
$1,000.00 |
$1,000.00 |
$1,000.00 |
$1,156.80
|
|
Injection for arthrography wrist (both sides)
|
$460.00 |
$460.00 |
$460.00 |
$441.12
|
|
Injection for bladder x-ray
|
$380.00 |
$380.00 |
$380.00 |
$459.20
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$460.00 |
$460.00 |
$460.00 |
$494.65
|
|
Injection for ureter x-ray
|
$640.00 |
$640.00 |
$640.00 |
$515.21
|
|
Injection jugular
|
$790.00 |
$790.00 |
$790.00 |
$790.00
|
|
Injection of sinus tract
|
$500.00 |
$500.00 |
$500.00 |
$1,627.60
|
|
Injection radioactive tracer sentinel node (both sides)
|
$257.50 |
$257.50 |
$257.50 |
$683.28
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$515.00 |
$515.00 |
$515.00 |
$1,045.65
|
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
|
$580.00 |
$580.00 |
$580.00 |
$460.94
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$895.00 |
$895.00 |
$895.00 |
$517.24
|
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
|
$1,120.00 |
$1,120.00 |
$1,120.00 |
$625.00
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$112.50 |
$112.50 |
$112.50 |
$166.38
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$112.50 |
$112.50 |
$112.50 |
$145.60
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$112.50 |
$112.50 |
$112.50 |
$261.00
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$55.00 |
$55.00 |
$55.00 |
$135.20
|
|
Inject sacroiliac joint
|
$2,250.00 |
$2,250.00 |
$2,250.00 |
$963.00
|
|
Inj, epinephrine (belcher)
|
$4.60 |
$4.60 |
$4.60 |
$6.24
|
|
Inj for ext venography
|
$610.00 |
$610.00 |
$610.00 |
$654.00
|
|
Inj for mammo ductogram
|
$172.50 |
$172.50 |
$172.50 |
$433.50
|
|
Inj hydroxocobalamin IV 25mg
|
$15.03 |
$15.03 |
$15.03 |
$2,452.32
|
|
Inj, kovaltry, 1 i.u
|
$4.87 |
$4.87 |
$4.87 |
$5.10
|
|
Inj lwr xtr fscl pln blk uni w/wo image
|
$650.00 |
$650.00 |
$650.00 |
$783.50
|
|
Inj, moxifloxacin 100 mg
|
$48.40 |
$48.40 |
$48.40 |
$107.25
|
|
Inj nephrosto/ureterogram w/img exstng access
|
$925.00 |
$925.00 |
$925.00 |
$1,414.40
|
|
Inj non-compmd foam sclrsnt mlt trncl veins same leg
|
$975.00 |
$975.00 |
$975.00 |
$2,485.20
|
|
Inj non-compmd foam sclrsnt sgl trncl vein
|
$885.00 |
$885.00 |
$885.00 |
$2,431.74
|
|
Inj octafluoropropane mic,ml
|
$160.00 |
$160.00 |
$160.00 |
$211.40
|
|
Inj peritoneal venous shunt
|
$485.00 |
$485.00 |
$485.00 |
$406.80
|
|
Inj proc ankle arthr
|
$460.00 |
$460.00 |
$460.00 |
$405.31
|
|
Inj proc elbow arthro
|
$460.00 |
$460.00 |
$460.00 |
$432.00
|
|
Inj proc for lymphang
|
$195.00 |
$195.00 |
$195.00 |
$805.80
|
|
Inj proc myelogram lumbar
|
$580.00 |
$580.00 |
$580.00 |
$856.00
|
|
Inj retro urethrocysto
|
$450.00 |
$450.00 |
$450.00 |
$450.00
|
|
Inj scleros sol mult veins
|
$425.00 |
$425.00 |
$425.00 |
$602.50
|
|
Inj scleros sol sgl vein
|
$142.50 |
$142.50 |
$142.50 |
$534.40
|
|
Inj thrc fascial pln blk bi w/wo image
|
$775.00 |
$775.00 |
$775.00 |
$1,025.00
|
|
Inj thrc fascial pln blk uni w/wo image
|
$650.00 |
$650.00 |
$650.00 |
$818.00
|
|
Inj w/fluor eval cv device
|
$377.50 |
$377.50 |
$377.50 |
$463.40
|
|
Ins cath ren art 1st bi
|
$3,740.00 |
$3,740.00 |
$3,740.00 |
$5,741.00
|
|
Ins cath ren art 1st uni
|
$2,995.00 |
$2,995.00 |
$2,995.00 |
$4,692.00
|
|
Ins cath ren art 2nd+ bi
|
$3,740.00 |
$3,740.00 |
$3,740.00 |
$5,408.65
|
