|
Incise skull/brain surgery
|
$7,181.20 |
$7,181.20 |
$7,181.20 |
$7,181.20
|
|
Incise skull for treatment
|
$7,181.20 |
$7,181.20 |
$7,181.20 |
$7,181.20
|
|
Incise tear duct opening 68440
|
$1,170.00 |
$1,170.00 |
$1,170.00 |
$507.20
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$2,355.60 |
$2,355.60 |
$2,355.60 |
$2,056.93
|
|
Incision of anal sphincter
|
$4,056.00 |
$4,056.00 |
$4,056.00 |
$3,245.23
|
|
Incision of breast lesion
|
$3,385.20 |
$3,385.20 |
$3,385.20 |
$2,560.80
|
|
Incision of eardrum
|
$618.80 |
$618.80 |
$618.80 |
$552.75
|
|
Incision of esophagus
|
$1,851.20 |
$1,851.20 |
$1,851.20 |
$1,851.20
|
|
Incision of eye
|
$1,877.20 |
$1,877.20 |
$1,877.20 |
$3,986.00
|
|
Incision of eyelid
|
$1,835.60 |
$1,835.60 |
$1,835.60 |
$1,488.50
|
|
Incision of finger tendon
|
$754.00 |
$754.00 |
$754.00 |
$1,893.86
|
|
Incision of foot fascia
|
$4,914.00 |
$4,914.00 |
$4,914.00 |
$4,570.33
|
|
Incision of heel bone
|
$3,255.20 |
$3,255.20 |
$3,255.20 |
$5,339.00
|
|
Incision of iris
|
$1,081.60 |
$1,081.60 |
$1,081.60 |
$2,698.92
|
|
Incision of iris
|
$1,081.60 |
$1,081.60 |
$1,081.60 |
$2,698.92
|
|
Incision of lymph channels
|
$4,992.00 |
$4,992.00 |
$4,992.00 |
$4,570.46
|
|
Incision of metatarsal
|
$3,255.20 |
$3,255.20 |
$3,255.20 |
$4,176.43
|
|
Incision of metatarsal
|
$1,471.60 |
$1,471.60 |
$1,471.60 |
$3,591.33
|
|
Incision of prostate
|
$4,466.80 |
$4,466.80 |
$4,466.80 |
$4,081.37
|
|
Incision of tendon sheath
|
$728.00 |
$728.00 |
$728.00 |
$2,211.05
|
|
Incision of tibia
|
$8,590.40 |
$8,590.40 |
$8,590.40 |
$7,907.11
|
|
Incision of toe tendons 28011
|
$1,383.20 |
$1,383.20 |
$1,383.20 |
$2,119.12
|
|
Incision of tongue fold
|
$2,236.00 |
$2,236.00 |
$2,236.00 |
$1,792.50
|
|
Incision of urethra
|
$3,863.60 |
$3,863.60 |
$3,863.60 |
$2,899.60
|
|
Incision of urethra
|
$3,863.60 |
$3,863.60 |
$3,863.60 |
$2,874.36
|
|
Incision of wrist capsule
|
$1,471.60 |
$1,471.60 |
$1,471.60 |
$3,821.05
|
|
Incision tendon sheath
|
$3,073.20 |
$3,073.20 |
$3,073.20 |
$3,073.20
|
|
Incisn of toe tndn
|
$3,296.80 |
$3,296.80 |
$3,296.80 |
$2,627.96
|
|
Incisn windpipe
|
$4,633.20 |
$4,633.20 |
$4,633.20 |
$3,810.50
|
|
Incobotulinumtoxin a
|
$1,660.69 |
$1,660.69 |
$1,660.69 |
$1,339.57
|
|
Indigotindisulfonate 8 mg/ml soln 5 ml ampule
|
$651.56 |
$651.56 |
$651.56 |
$766.66
|
|
Induced abortion d&c
|
$6,349.20 |
$6,349.20 |
$6,349.20 |
$3,762.53
|
|
Induced abortion dilat&evac
|
$4,446.00 |
$4,446.00 |
$4,446.00 |
$4,446.00
|
|
Infect ag eia chlamydia trachomatis
|
$74.88 |
$74.88 |
$74.88 |
$67.20
|
|
Infect ag eia influenza a or b ea
|
$92.56 |
$92.56 |
$92.56 |
$71.50
|
|
Infect ag ia direct hiv-1 antgn
|
$214.76 |
$214.76 |
$214.76 |
$91.70
|
|
Infect ag ia optc obs chlamydia trach
|
$133.12 |
$133.12 |
$133.12 |
$96.32
|
|
Infect ag ia optc obs influenza
|
$75.40 |
$75.40 |
$75.40 |
$72.93
|
|
Infect ag if ea plyvlnt antsrm
|
$74.88 |
$74.88 |
$74.88 |
$62.80
|
|
Infect ag if hep delta agent
|
$146.12 |
$146.12 |
$146.12 |
$125.97
|
|
Infect ag if influenza a
|
$74.88 |
$74.88 |
$74.88 |
$41.30
|
|
Infect ag if influenza b
|
$74.88 |
$74.88 |
$74.88 |
$40.08
|
|
Infect ag if legionella pneumophila
|
$75.92 |
$75.92 |
$75.92 |
$72.58
|
|
Infect ag if nos ea
|
$74.88 |
$74.88 |
$74.88 |
$74.88
|
|
Infect ag if pneumocystis carinii
|
$149.24 |
$149.24 |
$149.24 |
$66.00
|
|
Infect ag if varicella zoster
|
$74.88 |
$74.88 |
$74.88 |
$70.70
|
|
Infect ag na hpv high-risk types
|
$135.20 |
$135.20 |
$135.20 |
$139.75
|
|
Infect ag na influenza r/amp 1st 2 types
|
$217.88 |
$217.88 |
$217.88 |
$219.70
|
|
Infect ag na orthopoxvirus amp prb each
|
$170.04 |
$170.04 |
$170.04 |
$99.36
|
|
Infect ag na resp virus 12-25 targets
|
$736.32 |
$736.32 |
$736.32 |
$835.80
|
|
Infect ag phenotype na hiv-1 ea addl drg
|
$232.96 |
$232.96 |
$232.96 |
$75.63
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$42.12 |
$42.12 |
$42.12 |
$82.00
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$74.88 |
$74.88 |
$74.88 |
$72.80
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$74.88 |
$74.88 |
$74.88 |
$76.32
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$74.88 |
$74.88 |
$74.88 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$105.56 |
$105.56 |
$105.56 |
$100.02
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$71.76 |
$71.76 |
$71.76 |
$81.20
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$80.60 |
$80.60 |
$80.60 |
$60.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$87.36 |
$87.36 |
$87.36 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$45.24 |
$45.24 |
$45.24 |
$129.00
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$121.16 |
$121.16 |
$121.16 |
$98.02
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$78.00 |
$78.00 |
$78.00 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$141.96 |
$141.96 |
$141.96 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$54.60 |
$54.60 |
$54.60 |
$139.68
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$152.88 |
$152.88 |
$152.88 |
$167.00
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$995.28 |
$995.28 |
$995.28 |
$861.00
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$204.88 |
$204.88 |
$204.88 |
$179.92
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$202.28 |
$202.28 |
$202.28 |
$147.55
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$66.04 |
$66.04 |
$66.04 |
$136.03
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$95.68 |
$95.68 |
$95.68 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$239.20 |
$239.20 |
$239.20 |
$206.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$236.08 |
$236.08 |
$236.08 |
$236.08
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$281.32 |
$281.32 |
$281.32 |
$108.75
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$751.92 |
$751.92 |
$751.92 |
$286.06
|
|
Infectious agent nucleic acid quantification bk virus
|
$76.96 |
$76.96 |
$76.96 |
$279.40
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$286.00 |
$286.00 |
$286.00 |
$239.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$87.88 |
$87.88 |
$87.88 |
$252.00
|
|
Infectious agent nucleic acid quantification hiv-1
|
$378.56 |
$378.56 |
$378.56 |
$374.00
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$354.12 |
$354.12 |
$354.12 |
$303.59
|
|
Infliximab 100 mg intravenous solution
|
$1,897.27 |
$1,897.27 |
$1,897.27 |
$2,080.86
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$1,537.84 |
$1,537.84 |
$1,537.84 |
$1,537.84
|
|
Influenza dna amp prob addl
|
$92.56 |
$92.56 |
$92.56 |
$64.26
|
|
Influenza virus vaccine, inact hemagglutinin tiv pf inj
|
$141.28 |
$141.28 |
$141.28 |
$111.51
|
|
Influenza virus vaccine, live trivalent intranasal
|
$56.58 |
$56.58 |
$56.58 |
$36.50
|
|
Ingest challenge ea addl 60 min
|
$289.64 |
$289.64 |
$289.64 |
$289.64
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$247.52 |
$247.52 |
$247.52 |
$293.25
|
|
Initial foot exam pt lops
|
$292.24 |
$292.24 |
$292.24 |
$155.50
|
|
Initiation & management bipap/cpap initial day
|
$1,585.48 |
$1,585.48 |
$1,585.48 |
$576.00
|
|
Inj, abilify asimtufii, 1 mg
|
$9,426.91 |
$9,426.91 |
$9,426.91 |
$9,426.91
|
|
Inj, abilify maintena, 1 mg
|
$4,714.76 |
$4,714.76 |
$4,714.76 |
$5,355.30
|
|
Inj, acetaminophen (b braun)
|
$15.59 |
$15.59 |
$15.59 |
$33.31
|
|
Inj. acthar gel to 40 units
|
$7,352.72 |
$7,352.72 |
$7,352.72 |
$7,918.32
|
|
Inj, adalimumab, 1 mg
|
$11,233.90 |
$11,233.90 |
$11,233.90 |
$12,098.05
|
|
Inj, adstiladrin, per tx dos
|
$22,803.56 |
$22,803.56 |
$22,803.56 |
$63,354.77
|
|
Inj, aflibercept-ayyh, 1 mg
|
$2,771.44 |
$2,771.44 |
$2,771.44 |
$2,771.44
|
|
Inj, aflibercept hd, 1 mg
|
$4,433.46 |
$4,433.46 |
$4,433.46 |
$2,794.18
|
|
Inj, afstyla, 1 i.u
|
$6.76 |
$6.76 |
$6.76 |
$6.76
|
|
Inj, alfentanil hcl, 500mcg
|
$35.94 |
$35.94 |
$35.94 |
$35.94
|
|
Inj allopurinol sodium 1 mg
|
$6,471.20 |
$6,471.20 |
$6,471.20 |
$6,968.99
|
|
Inj alymsys 10 mg
|
$1,189.26 |
$1,189.26 |
$1,189.26 |
$1,280.74
|
