|
Ibandronate 3 mg/3 ml intravenous syringe
|
$3,154.53 |
$3,154.53 |
$3,154.53 |
$839.85
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$3,023.96 |
$3,023.96 |
$3,023.96 |
$891.89
|
|
Ihc/icc per specimen each additional single antibody stain
|
$128.28 |
$128.28 |
$128.28 |
$191.75
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$915.98 |
$915.98 |
$915.98 |
$339.73
|
|
Ihc/icc per specimen initial single antibody stain
|
$528.99 |
$528.99 |
$528.99 |
$266.76
|
|
Iliac revasc add-on 37222
|
$9,770.91 |
$9,770.91 |
$9,770.91 |
$6,513.10
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$18,691.03 |
$18,691.03 |
$18,691.03 |
$5,617.36
|
|
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution
|
$47,837.35 |
$47,837.35 |
$47,837.35 |
$5,495.02
|
|
Immunoassay tumor antigen quantitative ca 125
|
$230.23 |
$230.23 |
$230.23 |
$123.50
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$72.27 |
$72.27 |
$72.27 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$40.75 |
$40.75 |
$40.75 |
$53.95
|
|
Immunofixation electrophoresis serum
|
$77.58 |
$77.58 |
$77.58 |
$133.38
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$5,446.16 |
$5,446.16 |
$5,446.16 |
$2,261.20
|
|
Incision of foot tendon 28234
|
$4,459.59 |
$4,459.59 |
$4,459.59 |
$2,116.27
|
|
Incisn of toe tndn
|
$5,688.75 |
$5,688.75 |
$5,688.75 |
$2,298.99
|
|
Infect ag drug suscept pheno predict
|
$452.69 |
$452.69 |
$452.69 |
$325.00
|
|
Infect ag genotype na hiv-1 other region
|
$447.07 |
$447.07 |
$447.07 |
$301.50
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$810.97 |
$810.97 |
$810.97 |
$574.60
|
|
Infect ag ia direct hiv-1 antgn
|
$203.99 |
$203.99 |
$203.99 |
$95.55
|
|
Infect ag ia optc obs influenza
|
$143.54 |
$143.54 |
$143.54 |
$66.72
|
|
Infect ag if influenza a
|
$55.81 |
$55.81 |
$55.81 |
$40.61
|
|
Infect ag if influenza b
|
$42.55 |
$42.55 |
$42.55 |
$34.67
|
|
Infect ag if nos ea
|
$74.55 |
$74.55 |
$74.55 |
$60.40
|
|
Infect ag if pneumocystis carinii
|
$52.28 |
$52.28 |
$52.28 |
$62.29
|
|
Infect ag na herpes simplex quant
|
$2,000.27 |
$2,000.27 |
$2,000.27 |
$145.20
|
|
Infect ag na influenza r/amp 1st 2 types
|
$301.77 |
$301.77 |
$301.77 |
$227.96
|
|
Infect ag na resp virus 12-25 targets
|
$2,894.85 |
$2,894.85 |
$2,894.85 |
$859.44
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$675.31 |
$675.31 |
$675.31 |
$81.44
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$42.27 |
$42.27 |
$42.27 |
$63.60
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$142.54 |
$142.54 |
$142.54 |
$80.05
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$150.73 |
$150.73 |
$150.73 |
$77.28
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$99.88 |
$99.88 |
$99.88 |
$83.50
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$35.88 |
$35.88 |
$35.88 |
$77.72
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$35.88 |
$35.88 |
$35.88 |
$55.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$125.48 |
$125.48 |
$125.48 |
$101.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$630.92 |
$630.92 |
$630.92 |
$132.60
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$415.45 |
$415.45 |
$415.45 |
$97.50
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$402.18 |
$402.18 |
$402.18 |
$60.00
|
|
Infectious agent nucleic acid amplified probe
|
$920.59 |
$920.59 |
$920.59 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$237.69 |
$237.69 |
$237.69 |
$141.48
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$301.25 |
$301.25 |
$301.25 |
$174.06
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$1,312.86 |
$1,312.86 |
$1,312.86 |
$855.45
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$121.86 |
$121.86 |
$121.86 |
$178.00
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$561.11 |
$561.11 |
$561.11 |
$150.15
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$190.93 |
$190.93 |
$190.93 |
$210.00
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$237.26 |
$237.26 |
$237.26 |
$136.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$382.88 |
$382.88 |
$382.88 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$497.26 |
$497.26 |
$497.26 |
$222.60
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$1,072.94 |
$1,072.94 |
$1,072.94 |
$248.15
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$162.49 |
$162.49 |
$162.49 |
$98.15
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$110.53 |
$110.53 |
$110.53 |
$112.45
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$2,323.64 |
$2,323.64 |
$2,323.64 |
$727.50
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$594.05 |
$594.05 |
$594.05 |
$283.20
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$1,579.44 |
$1,579.44 |
$1,579.44 |
$489.50
|
|
Infectious agent nucleic acid quantification bk virus
|
$613.91 |
$613.91 |
$613.91 |
$285.66
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$394.84 |
$394.84 |
$394.84 |
$226.35
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$134.95 |
$134.95 |
$134.95 |
$278.78
|
|
Infectious agent nucleic acid quantification hiv-1
|
$1,083.66 |
$1,083.66 |
$1,083.66 |
$381.55
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$1,029.04 |
$1,029.04 |
$1,029.04 |
$298.35
|
|
Initiation & management bipap/cpap initial day
|
$1,629.08 |
$1,629.08 |
$1,629.08 |
$645.79
|
|
Inj., benralizumab, 1 mg
|
$112,534.02 |
$112,534.02 |
$112,534.02 |
$16,865.48
|
|
Inj, bezlotoxumab, 10 mg
|
$25,222.98 |
$25,222.98 |
$25,222.98 |
$9,702.65
|
|
Inj cefazolin sodium, hikma
|
$268.22 |
$268.22 |
$268.22 |
$56.70
|
|
Inj, durolane 1 mg
|
$11,896.30 |
$11,896.30 |
$11,896.30 |
$3,382.31
|
|
Injection, daratumumab 10 mg
|
$30,788.94 |
$30,788.94 |
$30,788.94 |
$7,107.73
|
|
Injection during cath supravalvular aortography
|
$17,203.73 |
$17,203.73 |
$17,203.73 |
$1,148.80
|
|
Injection epidural blood patch or clot
|
$2,909.76 |
$2,909.76 |
$2,909.76 |
$1,473.12
|
|
Injection, fulvestrant
|
$18,776.35 |
$18,776.35 |
$18,776.35 |
$2,756.47
|
|
Injection, inclisiran, 1 mg
|
$79,597.59 |
$79,597.59 |
$79,597.59 |
$10,366.61
|
|
Injection radioactive tracer sentinel node (both sides)
|
$1,674.74 |
$1,674.74 |
$1,674.74 |
$717.20
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$1,876.86 |
$1,876.86 |
$1,876.86 |
$1,471.50
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$1,876.86 |
$1,876.86 |
$1,876.86 |
$1,017.28
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
|
$3,083.91 |
$3,083.91 |
$3,083.91 |
$1,119.88
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
|
$5,321.89 |
$5,321.89 |
$5,321.89 |
$2,154.68
|
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
|
$364.59 |
$364.59 |
$364.59 |
$670.00
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$567.96 |
$567.96 |
$567.96 |
$168.05
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$551.41 |
$551.41 |
$551.41 |
$154.05
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$1,563.84 |
$1,563.84 |
$1,563.84 |
$271.65
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$551.41 |
$551.41 |
$551.41 |
$141.60
|
|
Inj efgart-alfa 2mg hya-qvfc
|
$363,858.06 |
$363,858.06 |
$363,858.06 |
$66,229.74
|
|
Inj for ext venography
|
$2,567.67 |
$2,567.67 |
$2,567.67 |
$737.55
|
|
Inj, fulvestrant (fresenius)
|
$3,651.91 |
$3,651.91 |
$3,651.91 |
$1,713.99
|
|
Inj glycopyrrolate fres kabi
|
$185.99 |
$185.99 |
$185.99 |
$96.70
|
|
Inj ivig privigen 500 mg
|
$50,639.59 |
$50,639.59 |
$50,639.59 |
$7,298.71
|
|
Inj mepivacaine hcl/10 ml
|
$27.41 |
$27.41 |
$27.41 |
$28.41
|
|
Inj multihance
|
$154.11 |
$154.11 |
$154.11 |
$119.25
|
|
Inj secukinumab intrav 1mg
|
$49,789.68 |
$49,789.68 |
$49,789.68 |
$9,077.39
|
|
Inj, spesolimab-sbzo, 1 mg
|
$1,203,097.04 |
$1,203,097.04 |
$1,203,097.04 |
$253,022.14
|
|
Inj testosterone cypionate
|
$447.82 |
$447.82 |
$447.82 |
$77.15
|
|
Inj, tislelizumab-jsgr
|
$108,880.89 |
$108,880.89 |
$108,880.89 |
$45,250.97
|
|
Inj, vancomycin hcl (mylan)
|
$128.13 |
$128.13 |
$128.13 |
$63.82
|
|
Inj, vegzelma, 10 mg
|
$29,012.43 |
$29,012.43 |
$29,012.43 |
$10,892.59
|
|
Insertion catheter bladder non indwelling
|
$447.59 |
$447.59 |
$447.59 |
$237.13
|
|
Insertion catheter bladder temporary simple
|
$787.77 |
$787.77 |
$787.77 |
$273.60
|
|
Insertion intra aortic balloon assist device percutaneous
|
$7,090.90 |
$7,090.90 |
$7,090.90 |
$2,549.95
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$20,194.34 |
$20,194.34 |
$20,194.34 |
$7,088.54
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$7,221.44 |
$7,221.44 |
$7,221.44 |
$2,618.40
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$4,793.05 |
$4,793.05 |
$4,793.05 |
$2,079.43
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$5,868.00 |
$5,868.00 |
$5,868.00 |
$2,527.91
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$28,937.29 |
$28,937.29 |
$28,937.29 |
$7,572.47
|