|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$341.25 |
$341.25 |
$341.25 |
$211.09
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$128.05 |
$128.05 |
$128.05 |
$135.00
|
|
Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae
|
$186.55 |
$186.55 |
$186.55 |
$296.71
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$579.80 |
$579.80 |
$579.80 |
$727.50
|
|
Infectious agent nucleic acid quantification bk virus
|
$403.00 |
$403.00 |
$403.00 |
$300.00
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$183.95 |
$183.95 |
$183.95 |
$242.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$321.75 |
$321.75 |
$321.75 |
$280.20
|
|
Infectious agent nucleic acid quantification hiv-1
|
$258.05 |
$258.05 |
$258.05 |
$381.55
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$304.85 |
$304.85 |
$304.85 |
$303.59
|
|
Infliximab 100 mg intravenous solution
|
$2,550.73 |
$2,550.73 |
$2,550.73 |
$178.95
|
|
Infliximab-axxq 100 mg intravenous solution
|
$1,096.55 |
$1,096.55 |
$1,096.55 |
$89.49
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$2,068.33 |
$2,068.33 |
$2,068.33 |
$157.14
|
|
Initial nursing facility care/day 35 minutes
|
$169.65 |
$169.65 |
$169.65 |
$244.00
|
|
Initial nursing facility care/day 45 minutes
|
$222.30 |
$222.30 |
$222.30 |
$333.60
|
|
Initial nursing facility care/day low severity 99304
|
$128.70 |
$128.70 |
$128.70 |
$162.40
|
|
Initiation & management bipap/cpap initial day
|
$649.35 |
$649.35 |
$649.35 |
$608.40
|
|
Inj cefazolin sodium, hikma
|
$26.53 |
$26.53 |
$26.53 |
$66.38
|
|
Inj cefazolin (wg crit care)
|
$7.15 |
$7.15 |
$7.15 |
$1.00
|
|
Inj. denosumab-bbdz, 1 mg
|
$6,993.79 |
$6,993.79 |
$6,993.79 |
$6,618.42
|
|
Inj, donanemab-azbt, 2 mg
|
$1,556.09 |
$1,556.09 |
$1,556.09 |
$6.20
|
|
Injection epidural blood patch or clot
|
$575.90 |
$575.90 |
$575.90 |
$1,470.60
|
|
Injection, inclisiran, 1 mg
|
$7,300.18 |
$7,300.18 |
$7,300.18 |
$12.72
|
|
Injection, renflexis
|
$1,648.31 |
$1,648.31 |
$1,648.31 |
$632.98
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$6,840.03 |
$6,840.03 |
$6,840.03 |
$1,391.40
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$248.30 |
$248.30 |
$248.30 |
$1,017.28
|
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
|
$137.15 |
$137.15 |
$137.15 |
$460.94
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$150.15 |
$150.15 |
$150.15 |
$517.24
|
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
|
$178.10 |
$178.10 |
$178.10 |
$654.00
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$109.20 |
$109.20 |
$109.20 |
$153.60
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$109.20 |
$109.20 |
$109.20 |
$150.00
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$109.20 |
$109.20 |
$109.20 |
$303.60
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$90.35 |
$90.35 |
$90.35 |
$130.19
|
|
Inj herzuma 10 mg
|
$6,658.11 |
$6,658.11 |
$6,658.11 |
$77.49
|
|
Inj, levothyroxine, freskabi
|
$167.54 |
$167.54 |
$167.54 |
$244.63
|
|
Inj mepivacaine hcl/10 ml
|
$42.62 |
$42.62 |
$42.62 |
$28.41
|
|
Inj meropenem (wg crit care)
|
$90.67 |
$90.67 |
$90.67 |
$20.78
|
|
Inj multihance
|
$79.42 |
$79.42 |
$79.42 |
$86.40
|
|
Inj ogivri 10 mg
|
$2,055.76 |
$2,055.76 |
$2,055.76 |
$91.01
|
|
Inj ontruzant 10 mg
|
$2,892.25 |
$2,892.25 |
$2,892.25 |
$34.96
|
|
Inj pegfilgrastim-bmez 0.5mg
|
$7,680.30 |
$7,680.30 |
$7,680.30 |
$1,695.87
|
|
Inj, releuko 1 mcg
|
$768.92 |
$768.92 |
$768.92 |
$775.12
|
|
Inj testosterone cypionate
|
$100.51 |
$100.51 |
$100.51 |
$78.79
|
|
Inj, tofidence, 1 mg
|
$974.61 |
$974.61 |
$974.61 |
$1,167.32
|
|
Inj, tyenne, 1 mg
|
$860.68 |
$860.68 |
$860.68 |
$12.60
|
|
Insert cath pleura without image
|
$475.80 |
$475.80 |
$475.80 |
$2,157.58
|
|
Insertion catheter bladder non indwelling
|
$215.15 |
$215.15 |
$215.15 |
$230.40
|
|
Insertion catheter bladder temporary simple
|
$226.85 |
$226.85 |
$226.85 |
$245.00
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$599.95 |
$599.95 |
$599.95 |
$2,457.24
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$1,264.90 |
$1,264.90 |
$1,264.90 |
$2,079.43
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$5,409.01 |
$5,409.01 |
$5,409.01 |
$5,423.04
|
|
In situ hybridization per specimen each additional single probe stain
|
$234.65 |
$234.65 |
$234.65 |
$291.00
|
|
In situ hybridization per specimen initial single probe stain
|
$234.65 |
$234.65 |
$234.65 |
$364.00
|
|
Insulin total
|
$89.05 |
$89.05 |
$89.05 |
$72.15
|
|
Intrinsic factor antibody
|
$61.75 |
$61.75 |
$61.75 |
$76.77
|
|
Intubation endotracheal emergency procedure
|
$602.55 |
$602.55 |
$602.55 |
$565.00
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$76.77 |
$76.77 |
$76.77 |
$145.52
|
|
Iron
|
$74.75 |
$74.75 |
$74.75 |
$67.50
|
|
Iron binding capacity
|
$77.35 |
$77.35 |
$77.35 |
$55.00
|
|
Iron dextran 50 mg/ml injection solution
|
$29.58 |
$29.58 |
$29.58 |
$38.16
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$196.31 |
$196.31 |
$196.31 |
$211.09
|
|
Irradiation of blood product each unit reference
|
$84.50 |
$84.50 |
$84.50 |
$127.49
|
|
Irrigation implantable venous access device for drug delivery systems
|
$128.05 |
$128.05 |
$128.05 |
$149.00
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$190.45 |
$190.45 |
$190.45 |
$186.55
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$206.70 |
$206.70 |
$206.70 |
$170.94
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$190.45 |
$190.45 |
$190.45 |
$153.40
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$190.45 |
$190.45 |
$190.45 |
$476.50
|
|
Ivp w/nephrotomography
|
$885.95 |
$885.95 |
$885.95 |
$673.90
|
|
John cunningham antibody
|
$1,005.55 |
$1,005.55 |
$1,005.55 |
$39.65
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$75.40 |
$75.40 |
$75.40 |
$52.50
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$8.62 |
$8.62 |
$8.62 |
$17.11
|
|
Kidney imag w/bld flow multi
|
$1,264.25 |
$1,264.25 |
$1,264.25 |
$1,319.61
|
|
Kidney img w/bldflw sgl without rx
|
$1,132.95 |
$1,132.95 |
$1,132.95 |
$1,425.00
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$627.90 |
$627.90 |
$627.90 |
$618.54
|
|
Knee MRI (with and without contrast)
|
$4,697.55 |
$4,697.55 |
$4,697.55 |
$2,703.85
|
|
Knee MRI (with contrast)
|
$2,106.00 |
$2,106.00 |
$2,106.00 |
$2,315.95
|
|
Knee MRI (without contrast)
|
$3,174.60 |
$3,174.60 |
$3,174.60 |
$2,120.00
|
|
Knee X-ray
|
$561.60 |
$561.60 |
$561.60 |
$387.20
|
|
Kras gene addl variants
|
$320.45 |
$320.45 |
$320.45 |
$366.56
|
|
Kras gene variants exon 2
|
$536.90 |
$536.90 |
$536.90 |
$495.00
|
|
Lab draw < 3 yrs fem/jugular 36400
|
$42.25 |
$42.25 |
$42.25 |
$102.70
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$12.09 |
$12.09 |
$12.09 |
$13.00
|
|
Lactate dehydrogenase (ldh)
|
$55.25 |
$55.25 |
$55.25 |
$50.55
|
|
Lactated ringers intravenous solution
|
$68.25 |
$68.25 |
$68.25 |
$46.35
|
|
Lactic acid
|
$170.30 |
$170.30 |
$170.30 |
$85.20
|
|
Lactoferrin fecal qualitative
|
$96.20 |
$96.20 |
$96.20 |
$88.40
|
|
Laparo cholecystectomy/graph
|
$10,625.96 |
$10,625.96 |
$10,625.96 |
$6,870.89
|
|
Lap ing hernia repair init
|
$13,190.81 |
$13,190.81 |
$13,190.81 |
$6,457.82
|
|
Lead capillary
|
$80.60 |
$80.60 |
$80.60 |
$66.32
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$917.80 |
$917.80 |
$917.80 |
$1,053.00
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$260.51 |
$260.51 |
$260.51 |
$115.27
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$169.26 |
$169.26 |
$169.26 |
$45.50
|
|
Levetiracetam therapeutic drug level
|
$113.75 |
$113.75 |
$113.75 |
$99.45
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$19.04 |
$19.04 |
$19.04 |
$43.61
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$319.12 |
$319.12 |
$319.12 |
$343.13
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$21.16 |
$21.16 |
$21.16 |
$25.89
|
|
Lidocaine therapeutic drug level
|
$88.40 |
$88.40 |
$88.40 |
$82.50
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$57.13 |
$57.13 |
$57.13 |
$84.28
|
|
Lipase
|
$106.60 |
$106.60 |
$106.60 |
$67.68
|
|
Lipoprotein blood high res frac & quant
|
$90.35 |
$90.35 |
$90.35 |
$90.60
|
|
Lipoprotein direct measurement hdl
|
$66.30 |
$66.30 |
$66.30 |
$54.60
|