|
Infectious agent nucleic acid amplified probe hsv-1
|
$33.50 |
$33.50 |
$33.50 |
$178.00
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$194.57 |
$194.57 |
$194.57 |
$150.15
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$194.57 |
$194.57 |
$194.57 |
$210.00
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$126.44 |
$126.44 |
$126.44 |
$136.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$52.32 |
$52.32 |
$52.32 |
$103.20
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$48.51 |
$48.51 |
$48.51 |
$112.45
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$68.13 |
$68.13 |
$68.13 |
$200.20
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$528.11 |
$528.11 |
$528.11 |
$489.50
|
|
Infectious agent nucleic acid quantification bk virus
|
$21.73 |
$21.73 |
$21.73 |
$285.66
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$20.89 |
$20.89 |
$20.89 |
$226.35
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$21.23 |
$21.23 |
$21.23 |
$278.78
|
|
Infectious agent nucleic acid quantification hiv-1
|
$32.70 |
$32.70 |
$32.70 |
$381.55
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$432.73 |
$432.73 |
$432.73 |
$298.35
|
|
Infliximab 100 mg intravenous solution
|
$2,902.67 |
$2,902.67 |
$2,902.67 |
$2,791.24
|
|
Infliximab-axxq 100 mg intravenous solution
|
$1,242.60 |
$1,242.60 |
$1,242.60 |
$1,144.00
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$2,352.22 |
$2,352.22 |
$2,352.22 |
$1,654.83
|
|
Initiation & management bipap/cpap initial day
|
$1,742.37 |
$1,742.37 |
$1,742.37 |
$645.79
|
|
Inj allopurinol sodium 1 mg
|
$9,125.48 |
$9,125.48 |
$9,125.48 |
$5,948.29
|
|
Inj alymsys 10 mg
|
$7,143.86 |
$7,143.86 |
$7,143.86 |
$928.80
|
|
Inj aval alfa-nqpt 4mg
|
$3,925.64 |
$3,925.64 |
$3,925.64 |
$77.75
|
|
Inj., benralizumab, 1 mg
|
$11,041.16 |
$11,041.16 |
$11,041.16 |
$16,865.48
|
|
Inj, bezlotoxumab, 10 mg
|
$8,698.20 |
$8,698.20 |
$8,698.20 |
$9,702.65
|
|
Inj, bupivacaine liposome
|
$721.04 |
$721.04 |
$721.04 |
$816.31
|
|
Inj calcitriol per 0.1 mcg
|
$35.43 |
$35.43 |
$35.43 |
$33.36
|
|
Inj cntr knee arthro incl ct/mri
|
$304.11 |
$304.11 |
$304.11 |
$464.28
|
|
Inj crotalidae im f(ab')2 eq
|
$3,021.48 |
$3,021.48 |
$3,021.48 |
$2,836.95
|
|
Inj cyclophosphamd (ingenus)
|
$12.54 |
$12.54 |
$12.54 |
$1,040.94
|
|
Injection arthrography hip without anesthesia (both sides)
|
$320.46 |
$320.46 |
$320.46 |
$507.10
|
|
Injection, daratumumab 10 mg
|
$5,266.34 |
$5,266.34 |
$5,266.34 |
$7,107.73
|
|
Injection epidural blood patch or clot
|
$794.61 |
$794.61 |
$794.61 |
$1,473.12
|
|
Injection for arthrography wrist (both sides)
|
$323.19 |
$323.19 |
$323.19 |
$441.12
|
|
Injection for bladder x-ray
|
$323.19 |
$323.19 |
$323.19 |
$585.00
|
|
Injection for hip x-ray
|
$275.23 |
$275.23 |
$275.23 |
$567.45
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$336.27 |
$336.27 |
$336.27 |
$504.00
|
|
Injection, fulvestrant
|
$4,337.11 |
$4,337.11 |
$4,337.11 |
$2,756.47
|
|
Injection, inclisiran, 1 mg
|
$7,439.25 |
$7,439.25 |
$7,439.25 |
$10,366.61
|
|
Injection,onabotulinumtoxina
|
$1,325.44 |
$1,325.44 |
$1,325.44 |
$2,154.07
|
|
Injection radioactive tracer sentinel node (both sides)
|
$759.73 |
$759.73 |
$759.73 |
$717.20
|
|
Injection, renflexis
|
$1,872.62 |
$1,872.62 |
$1,872.62 |
$1,457.42
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$1,222.98 |
$1,222.98 |
$1,222.98 |
$1,471.50
|
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
|
$535.74 |
$535.74 |
$535.74 |
$472.76
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$496.50 |
$496.50 |
$496.50 |
$552.60
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$281.77 |
$281.77 |
$281.77 |
$168.05
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$264.87 |
$264.87 |
$264.87 |
$154.05
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$328.09 |
$328.09 |
$328.09 |
$271.65
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$281.77 |
$281.77 |
$281.77 |
$141.60
|
|
Inj efgart-alfa 2mg hya-qvfc
|
$36,104.62 |
$36,104.62 |
$36,104.62 |
$66,229.74
|
|
Inj., guselkumab, 1 mg
|
$26,075.53 |
$26,075.53 |
$26,075.53 |
$74.86
|
|
Inj hydroxocobalamin IV 25mg
|
$2,284.64 |
$2,284.64 |
$2,284.64 |
$3,180.35
|
|
Inj mepivacaine hcl/10 ml
|
$35.43 |
$35.43 |
$35.43 |
$28.41
|
|
Inj mogamulizumab-kpkc, 1 mg
|
$9,419.24 |
$9,419.24 |
$9,419.24 |
$788.73
|
|
Inj multihance
|
$240.89 |
$240.89 |
$240.89 |
$119.25
|
|
Inj. mycophenolate mofetil
|
$247.43 |
$247.43 |
$247.43 |
$344.84
|
|
Inj nephrosto/ureterogram w/img exstng access
|
$4,259.18 |
$4,259.18 |
$4,259.18 |
$1,522.56
|
|
Inj ogivri 10 mg
|
$3,292.35 |
$3,292.35 |
$3,292.35 |
$3,968.67
|
|
Inj pegfilgrastim-bmez 0.5mg
|
$8,985.96 |
$8,985.96 |
$8,985.96 |
$6,403.59
|
|
Inj proc myelogram lumbar
|
$323.19 |
$323.19 |
$323.19 |
$922.80
|
|
Inj progesterone per 50 mg
|
$95.92 |
$95.92 |
$95.92 |
$48.51
|
|
Inj prohance multipack
|
$35.43 |
$35.43 |
$35.43 |
$51.48
|
|
Inj, releuko 1 mcg
|
$582.61 |
$582.61 |
$582.61 |
$557.11
|
|
Inj retacrit esrd on dialysi
|
$252.88 |
$252.88 |
$252.88 |
$307.40
|
|
Inj retro urethrocysto
|
$182.58 |
$182.58 |
$182.58 |
$551.29
|
|
Inj secretin synthetic human
|
$620.21 |
$620.21 |
$620.21 |
$741.75
|
|
Inj. teprotumumab-trbw 10 mg
|
$37,029.48 |
$37,029.48 |
$37,029.48 |
$47,971.67
|
|
Inj testosterone cypionate
|
$55.05 |
$55.05 |
$55.05 |
$77.15
|
|
Inj., tildrakizumab, 1 mg
|
$30,343.42 |
$30,343.42 |
$30,343.42 |
$24,563.40
|
|
Inj, tofidence, 1 mg
|
$5,081.58 |
$5,081.58 |
$5,081.58 |
$5.72
|
|
Inj, vancomycin hcl (mylan)
|
$953.75 |
$953.75 |
$953.75 |
$63.82
|
|
Inj w/fluor eval cv device
|
$527.56 |
$527.56 |
$527.56 |
$588.90
|
|
Ins cerv dilator (sep proc)
|
$422.92 |
$422.92 |
$422.92 |
$544.00
|
|
Insert cath pleura with image
|
$1,274.21 |
$1,274.21 |
$1,274.21 |
$2,239.02
|
|
Insert cath pleura without image
|
$3,267.28 |
$3,267.28 |
$3,267.28 |
$2,212.00
|
|
Insertion catheter bladder non indwelling
|
$465.43 |
$465.43 |
$465.43 |
$237.13
|
|
Insertion catheter bladder temporary simple
|
$447.45 |
$447.45 |
$447.45 |
$273.60
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$6,194.47 |
$6,194.47 |
$6,194.47 |
$4,943.21
|
|
Insertion intra aortic balloon assist device percutaneous
|
$5,729.59 |
$5,729.59 |
$5,729.59 |
$2,549.95
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$3,116.31 |
$3,116.31 |
$3,116.31 |
$7,088.54
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$5,874.56 |
$5,874.56 |
$5,874.56 |
$2,618.40
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$1,392.48 |
$1,392.48 |
$1,392.48 |
$2,079.43
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$2,141.85 |
$2,141.85 |
$2,141.85 |
$2,527.91
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$16,265.53 |
$16,265.53 |
$16,265.53 |
$9,793.46
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$5,635.30 |
$5,635.30 |
$5,635.30 |
$5,470.54
|
|
Insert swan-ganz cath
|
$2,933.74 |
$2,933.74 |
$2,933.74 |
$2,164.52
|
|
Insitu hybridization auto
|
$76.30 |
$76.30 |
$76.30 |
$398.16
|
|
Insitu hybridization manual
|
$149.33 |
$149.33 |
$149.33 |
$407.11
|
|
In situ hybridization per specimen each additional single probe stain
|
$65.40 |
$65.40 |
$65.40 |
$251.55
|
|
In situ hybridization per specimen initial single probe stain
|
$198.49 |
$198.49 |
$198.49 |
$338.40
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$1,392.48 |
$1,392.48 |
$1,392.48 |
$1,483.95
|
|
Ins pq tunnld ip cath w/img
|
$4,014.47 |
$4,014.47 |
$4,014.47 |
$5,593.60
|
|
Ins tun cv cath wo subq prt/pm
|
$282.31 |
$282.31 |
$282.31 |
$4,748.00
|
|
Insulin total
|
$5.61 |
$5.61 |
$5.61 |
$67.60
|
|
Integra meshed bil wound mat
|
$11,724.59 |
$11,724.59 |
$11,724.59 |
$24,354.93
|
|
Integra os putty 2.5cc - cost per 0.5cc
|
$4,101.67 |
$4,101.67 |
$4,101.67 |
$3,160.50
|
|
Interrog dev eval icpms ip
|
$68.67 |
$68.67 |
$68.67 |
$106.80
|
|
Intracranial complete study
|
$1,486.22 |
$1,486.22 |
$1,486.22 |
$883.30
|
|
Intracranial limited study
|
$997.35 |
$997.35 |
$997.35 |
$423.52
|
|
Intrinsic factor antibody
|
$10.90 |
$10.90 |
$10.90 |
$59.95
|
|
Intro long gi tube w/mult fluo
|
$785.35 |
$785.35 |
$785.35 |
$477.85
|
|
Intubation endotracheal emergency procedure
|
$409.84 |
$409.84 |
$409.84 |
$617.60
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$141.16 |
$141.16 |
$141.16 |
$149.13
|