|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$829.28 |
$829.28 |
$829.28 |
$727.50
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$110.50 |
$110.50 |
$110.50 |
$283.20
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$609.70 |
$609.70 |
$609.70 |
$489.50
|
|
Infectious agent nucleic acid quantification bk virus
|
$119.14 |
$119.14 |
$119.14 |
$285.66
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$51.40 |
$51.40 |
$51.40 |
$226.35
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$22.59 |
$22.59 |
$22.59 |
$278.78
|
|
Infectious agent nucleic acid quantification hiv-1
|
$35.04 |
$35.04 |
$35.04 |
$381.55
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$396.54 |
$396.54 |
$396.54 |
$298.35
|
|
Infliximab 100 mg intravenous solution
|
$3,358.00 |
$3,358.00 |
$3,358.00 |
$2,791.24
|
|
Infliximab-axxq 100 mg intravenous solution
|
$2,014.80 |
$2,014.80 |
$2,014.80 |
$1,144.00
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$3,358.00 |
$3,358.00 |
$3,358.00 |
$1,654.83
|
|
Influenza dna amp prob addl
|
$60.74 |
$60.74 |
$60.74 |
$69.60
|
|
Initiation & management bipap/cpap initial day
|
$3,451.44 |
$3,451.44 |
$3,451.44 |
$645.79
|
|
Inj alymsys 10 mg
|
$3,358.00 |
$3,358.00 |
$3,358.00 |
$928.80
|
|
Inj., benralizumab, 1 mg
|
$5,070.88 |
$5,070.88 |
$5,070.88 |
$16,865.48
|
|
Inj, bupivacaine liposome
|
$1,269.62 |
$1,269.62 |
$1,269.62 |
$816.31
|
|
Inj calcitriol per 0.1 mcg
|
$40.30 |
$40.30 |
$40.30 |
$33.36
|
|
Inj cefazolin sodium, hikma
|
$43.22 |
$43.22 |
$43.22 |
$56.70
|
|
Inj cntr knee arthro incl ct/mri
|
$627.80 |
$627.80 |
$627.80 |
$464.28
|
|
Inj crotalidae im f(ab')2 eq
|
$3,358.00 |
$3,358.00 |
$3,358.00 |
$2,836.95
|
|
Inj cyclophosphamd (ingenus)
|
$25.70 |
$25.70 |
$25.70 |
$1,040.94
|
|
Inj dx for sinogram
|
$554.80 |
$554.80 |
$554.80 |
$436.00
|
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
|
$1,097.34 |
$1,097.34 |
$1,097.34 |
$1,214.78
|
|
Injection arthrography hip without anesthesia (both sides)
|
$485.31 |
$485.31 |
$485.31 |
$507.10
|
|
Injection, belinostat, 10mg
|
$3,358.00 |
$3,358.00 |
$3,358.00 |
$5,341.40
|
|
Injection carpal tunnel therapeutic (both sides)
|
$708.98 |
$708.98 |
$708.98 |
$536.00
|
|
Injection, daratumumab 10 mg
|
$3,358.00 |
$3,358.00 |
$3,358.00 |
$7,107.73
|
|
Injection epidural blood patch or clot
|
$1,141.72 |
$1,141.72 |
$1,141.72 |
$1,473.12
|
|
Injection for arthrography wrist (both sides)
|
$597.44 |
$597.44 |
$597.44 |
$441.12
|
|
Injection for bladder x-ray
|
$406.47 |
$406.47 |
$406.47 |
$585.00
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$646.49 |
$646.49 |
$646.49 |
$504.00
|
|
Injection, fulvestrant
|
$3,358.00 |
$3,358.00 |
$3,358.00 |
$2,756.47
|
|
Injection,onabotulinumtoxina
|
$2,333.67 |
$2,333.67 |
$2,333.67 |
$2,154.07
|
|
Injection radioactive tracer sentinel node (both sides)
|
$205.57 |
$205.57 |
$205.57 |
$717.20
|
|
Injection, renflexis
|
$3,036.22 |
$3,036.22 |
$3,036.22 |
$1,457.42
|
|
Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides)
|
$1,015.00 |
$1,015.00 |
$1,015.00 |
$1,160.25
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$1,337.95 |
$1,337.95 |
$1,337.95 |
$1,471.50
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$1,334.44 |
$1,334.44 |
$1,334.44 |
$1,017.28
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
|
$341.06 |
$341.06 |
$341.06 |
$1,131.41
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
|
$650.00 |
$650.00 |
$650.00 |
$1,961.05
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
|
$1,453.00 |
$1,453.00 |
$1,453.00 |
$1,119.88
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
|
$1,757.26 |
$1,757.26 |
$1,757.26 |
$2,154.68
|
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
|
$1,304.08 |
$1,304.08 |
$1,304.08 |
$1,758.12
|
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
|
$560.06 |
$560.06 |
$560.06 |
$472.76
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$560.06 |
$560.06 |
$560.06 |
$552.60
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$279.74 |
$279.74 |
$279.74 |
$168.05
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$273.32 |
$273.32 |
$273.32 |
$154.05
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$279.74 |
$279.74 |
$279.74 |
$271.65
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$279.74 |
$279.74 |
$279.74 |
$141.60
|
|
Inj epidural sgl lumb-sacral without img
|
$845.05 |
$845.05 |
$845.05 |
$1,450.84
|
|
Inj hydroxocobalamin IV 25mg
|
$3,358.00 |
$3,358.00 |
$3,358.00 |
$3,180.35
|
|
Inj mepivacaine hcl/10 ml
|
$39.13 |
$39.13 |
$39.13 |
$28.41
|
|
Inj mogamulizumab-kpkc, 1 mg
|
$3,984.05 |
$3,984.05 |
$3,984.05 |
$788.73
|
|
Inj multihance
|
$60.74 |
$60.74 |
$60.74 |
$119.25
|
|
Inj. mycophenolate mofetil
|
$435.67 |
$435.67 |
$435.67 |
$344.84
|
|
Inj, nithiodote, 3mg / 125mg
|
$765.63 |
$765.63 |
$765.63 |
$389.50
|
|
Inj ogivri 10 mg
|
$3,358.00 |
$3,358.00 |
$3,358.00 |
$3,968.67
|
|
Inj pegfilgrastim-bmez 0.5mg
|
$4,126.55 |
$4,126.55 |
$4,126.55 |
$6,403.59
|
|
Inj proc ankle arthr
|
$31.54 |
$31.54 |
$31.54 |
$405.31
|
|
Inj proc elbow arthro
|
$31.54 |
$31.54 |
$31.54 |
$453.60
|
|
Inj progesterone per 50 mg
|
$168.78 |
$168.78 |
$168.78 |
$48.51
|
|
Inj, releuko 1 mcg
|
$1,025.51 |
$1,025.51 |
$1,025.51 |
$557.11
|
|
Inj retacrit esrd on dialysi
|
$889.44 |
$889.44 |
$889.44 |
$307.40
|
|
Inj retro urethrocysto
|
$1,169.17 |
$1,169.17 |
$1,169.17 |
$551.29
|
|
Inj secretin synthetic human
|
$1,091.50 |
$1,091.50 |
$1,091.50 |
$741.75
|
|
Inj sulf hexa lipid microsph
|
$585.76 |
$585.76 |
$585.76 |
$315.78
|
|
Inj, tyenne, 1 mg
|
$3,358.00 |
$3,358.00 |
$3,358.00 |
$860.68
|
|
Inj, vancomycin hcl (mylan)
|
$1,679.00 |
$1,679.00 |
$1,679.00 |
$63.82
|
|
Ins cerv dilator (sep proc)
|
$329.38 |
$329.38 |
$329.38 |
$544.00
|
|
Insert cath pleura with image
|
$373.18 |
$373.18 |
$373.18 |
$2,239.02
|
|
Insert cath pleura without image
|
$373.18 |
$373.18 |
$373.18 |
$2,212.00
|
|
Insertion catheter bladder non indwelling
|
$299.60 |
$299.60 |
$299.60 |
$237.13
|
|
Insertion catheter bladder temporary simple
|
$298.43 |
$298.43 |
$298.43 |
$273.60
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$6,558.32 |
$6,558.32 |
$6,558.32 |
$4,943.21
|
|
Insertion intra aortic balloon assist device percutaneous
|
$2,469.74 |
$2,469.74 |
$2,469.74 |
$2,549.95
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$5,515.88 |
$5,515.88 |
$5,515.88 |
$2,618.40
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$434.50 |
$434.50 |
$434.50 |
$2,079.43
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$434.50 |
$434.50 |
$434.50 |
$2,527.91
|
|
Insert swan-ganz cath
|
$2,738.96 |
$2,738.96 |
$2,738.96 |
$2,164.52
|
|
Insitu hybridization auto
|
$75.92 |
$75.92 |
$75.92 |
$398.16
|
|
Insitu hybridization manual
|
$148.92 |
$148.92 |
$148.92 |
$407.11
|
|
In situ hybridization per specimen each additional single probe stain
|
$64.24 |
$64.24 |
$64.24 |
$251.55
|
|
In situ hybridization per specimen initial single probe stain
|
$154.18 |
$154.18 |
$154.18 |
$338.40
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$434.50 |
$434.50 |
$434.50 |
$1,483.95
|
|
Ins tun cv cath wo subq prt/pm
|
$4,312.26 |
$4,312.26 |
$4,312.26 |
$4,748.00
|
|
Insulin total
|
$10.61 |
$10.61 |
$10.61 |
$67.60
|
|
Integra os putty 2.5cc - cost per 0.5cc
|
$2,901.32 |
$2,901.32 |
$2,901.32 |
$3,160.50
|
|
Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper)
|
$4,777.71 |
$4,777.71 |
$4,777.71 |
$3,853.81
|
|
Interrog dev eval icpms ip
|
$64.83 |
$64.83 |
$64.83 |
$106.80
|
|
Intracranial complete study
|
$254.63 |
$254.63 |
$254.63 |
$883.30
|
|
Intracranial limited study
|
$124.40 |
$124.40 |
$124.40 |
$423.52
|
|
Intrinsic factor antibody
|
$11.68 |
$11.68 |
$11.68 |
$59.95
|
|
Intro long gi tube w/mult fluo
|
$393.62 |
$393.62 |
$393.62 |
$477.85
|
|
Intubation endotracheal emergency procedure
|
$1,487.45 |
$1,487.45 |
$1,487.45 |
$617.60
|
|
Ionm in operatng room 15 min
|
$82.35 |
$82.35 |
$82.35 |
$200.78
|
|
Ionm remote/>1 pt or per hr
|
$492.32 |
$492.32 |
$492.32 |
$622.70
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$426.91 |
$426.91 |
$426.91 |
$149.13
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$651.75 |
$651.75 |
$651.75 |
$153.98
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$30,164.19 |
$30,164.19 |
$30,164.19 |
$52,615.16
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$252.29 |
$252.29 |
$252.29 |
$227.39
|