|
Immunodiff gel qual ea antigen/ab
|
$74.17 |
$74.17 |
$74.17 |
$53.95
|
|
Immunofixation electrophoresis serum
|
$53.94 |
$53.94 |
$53.94 |
$133.38
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$138.92 |
$138.92 |
$138.92 |
$156.00
|
|
Immunofluorescence per specimen initial single antibody stain
|
$735.09 |
$735.09 |
$735.09 |
$250.00
|
|
Immunoglobulin assay
|
$84.67 |
$84.67 |
$84.67 |
$74.00
|
|
Immunology procedure
|
$172.84 |
$172.84 |
$172.84 |
$281.45
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$1,547.71 |
$1,547.71 |
$1,547.71 |
$2,261.20
|
|
Infect ag drug suscept pheno predict
|
$452.69 |
$452.69 |
$452.69 |
$325.00
|
|
Infect ag genotype na dna hepatitis b
|
$860.30 |
$860.30 |
$860.30 |
$500.40
|
|
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
|
$538.63 |
$538.63 |
$538.63 |
$574.60
|
|
Infect ag ia direct hiv-1 antgn
|
$335.14 |
$335.14 |
$335.14 |
$95.55
|
|
Infect ag if pneumocystis carinii
|
$44.98 |
$44.98 |
$44.98 |
$62.29
|
|
Infect ag if varicella zoster
|
$46.60 |
$46.60 |
$46.60 |
$66.00
|
|
Infect ag na hep b amp
|
$121.86 |
$121.86 |
$121.86 |
$108.44
|
|
Infect ag na herpes simplex quant
|
$962.28 |
$962.28 |
$962.28 |
$145.20
|
|
Infect ag na influenza r/amp 1st 2 types
|
$221.39 |
$221.39 |
$221.39 |
$227.96
|
|
Infect ag na resp virus 12-25 targets
|
$766.17 |
$766.17 |
$766.17 |
$859.44
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$140.58 |
$140.58 |
$140.58 |
$81.44
|
|
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
|
$240.78 |
$240.78 |
$240.78 |
$83.50
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$35.00 |
$35.00 |
$35.00 |
$77.72
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$24.82 |
$24.82 |
$24.82 |
$55.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$139.38 |
$139.38 |
$139.38 |
$101.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$277.73 |
$277.73 |
$277.73 |
$132.60
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$24.45 |
$24.45 |
$24.45 |
$97.50
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$34.67 |
$34.67 |
$34.67 |
$60.00
|
|
Infectious agent nucleic acid amplified probe
|
$442.98 |
$442.98 |
$442.98 |
$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)
|
$101.00 |
$101.00 |
$101.00 |
$174.06
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$1,051.92 |
$1,051.92 |
$1,051.92 |
$855.45
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$77.57 |
$77.57 |
$77.57 |
$178.00
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$269.93 |
$269.93 |
$269.93 |
$150.15
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$281.93 |
$281.93 |
$281.93 |
$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
|
$638.14 |
$638.14 |
$638.14 |
$222.60
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$516.31 |
$516.31 |
$516.31 |
$248.15
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$101.57 |
$101.57 |
$101.57 |
$98.15
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$442.00 |
$442.00 |
$442.00 |
$112.45
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$1,300.59 |
$1,300.59 |
$1,300.59 |
$727.50
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$371.29 |
$371.29 |
$371.29 |
$283.20
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$335.02 |
$335.02 |
$335.02 |
$489.50
|
|
Infectious agent nucleic acid quantification bk virus
|
$155.14 |
$155.14 |
$155.14 |
$285.66
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$190.01 |
$190.01 |
$190.01 |
$226.35
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$193.94 |
$193.94 |
$193.94 |
$278.78
|
|
Infectious agent nucleic acid quantification hiv-1
|
$1,083.66 |
$1,083.66 |
$1,083.66 |
$381.55
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$630.02 |
$630.02 |
$630.02 |
$359.64
|
|
Initiation & management bipap/cpap initial day
|
$1,461.32 |
$1,461.32 |
$1,461.32 |
$645.79
|
|
Inj., benralizumab, 1 mg
|
$11,604.71 |
$11,604.71 |
$11,604.71 |
$16,865.48
|
|
Inj, bezlotoxumab, 10 mg
|
$2,611.30 |
$2,611.30 |
$2,611.30 |
$9,702.65
|
|
Inj cefazolin sodium, hikma
|
$44.24 |
$44.24 |
$44.24 |
$56.70
|
|
Inj cntr knee arthro incl ct/mri
|
$394.21 |
$394.21 |
$394.21 |
$464.28
|
|
Inj, durolane 1 mg
|
$1,238.59 |
$1,238.59 |
$1,238.59 |
$3,382.31
|
|
Inj dx for sinogram
|
$499.89 |
$499.89 |
$499.89 |
$436.00
|
|
Injection arthrography hip without anesthesia (both sides)
|
$752.56 |
$752.56 |
$752.56 |
$507.10
|
|
Injection, daratumumab 10 mg
|
$6,968.39 |
$6,968.39 |
$6,968.39 |
$7,107.73
|
|
Injection during cath supravalvular aortography
|
$1,834.17 |
$1,834.17 |
$1,834.17 |
$1,148.80
|
|
Injection epidural blood patch or clot
|
$527.56 |
$527.56 |
$527.56 |
$1,473.12
|
|
Injection for arthrography wrist (both sides)
|
$385.23 |
$385.23 |
$385.23 |
$441.12
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$410.50 |
$410.50 |
$410.50 |
$504.00
|
|
Injection, fulvestrant
|
$4,646.86 |
$4,646.86 |
$4,646.86 |
$2,756.47
|
|
Injection, inclisiran, 1 mg
|
$8,212.12 |
$8,212.12 |
$8,212.12 |
$10,366.61
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$2,252.23 |
$2,252.23 |
$2,252.23 |
$1,471.50
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$1,209.31 |
$1,209.31 |
$1,209.31 |
$1,017.28
|
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
|
$2,530.89 |
$2,530.89 |
$2,530.89 |
$2,251.00
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
|
$4,084.76 |
$4,084.76 |
$4,084.76 |
$1,131.41
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
|
$2,530.89 |
$2,530.89 |
$2,530.89 |
$1,961.05
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
|
$884.44 |
$884.44 |
$884.44 |
$1,119.88
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
|
$2,530.89 |
$2,530.89 |
$2,530.89 |
$2,154.68
|
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
|
$2,530.89 |
$2,530.89 |
$2,530.89 |
$1,829.28
|
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
|
$2,643.17 |
$2,643.17 |
$2,643.17 |
$1,758.12
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$884.44 |
$884.44 |
$884.44 |
$552.60
|
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
|
$802.21 |
$802.21 |
$802.21 |
$670.00
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$259.49 |
$259.49 |
$259.49 |
$168.05
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$259.49 |
$259.49 |
$259.49 |
$154.05
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$259.49 |
$259.49 |
$259.49 |
$271.65
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$213.69 |
$213.69 |
$213.69 |
$141.60
|
|
Inject sacroiliac joint
|
$949.38 |
$949.38 |
$949.38 |
$1,090.00
|
|
Inj efgart-alfa 2mg hya-qvfc
|
$37,492.17 |
$37,492.17 |
$37,492.17 |
$66,229.74
|
|
Inj epidural sgl cerv-thor without img
|
$2,248.05 |
$2,248.05 |
$2,248.05 |
$1,366.20
|
|
Inj, fulvestrant (fresenius)
|
$961.54 |
$961.54 |
$961.54 |
$1,713.99
|
|
Inj glycopyrrolate fres kabi
|
$34.55 |
$34.55 |
$34.55 |
$96.70
|
|
Inj ivig privigen 500 mg
|
$17,006.86 |
$17,006.86 |
$17,006.86 |
$7,298.71
|
|
Inj mepivacaine hcl/10 ml
|
$16.21 |
$16.21 |
$16.21 |
$28.41
|
|
Inj multihance
|
$154.11 |
$154.11 |
$154.11 |
$119.25
|
|
Inj nephrosto/ureterogram w/img exstng access
|
$2,324.70 |
$2,324.70 |
$2,324.70 |
$1,522.56
|
|
Inj proc elbow arthro
|
$332.77 |
$332.77 |
$332.77 |
$453.60
|
|
Inj proc myelogram lumbar
|
$1,184.61 |
$1,184.61 |
$1,184.61 |
$922.80
|
|
Inj secukinumab intrav 1mg
|
$5,141.78 |
$5,141.78 |
$5,141.78 |
$9,077.39
|
|
Inj, spesolimab-sbzo, 1 mg
|
$123,937.38 |
$123,937.38 |
$123,937.38 |
$253,022.14
|
|
Inj testosterone cypionate
|
$62.80 |
$62.80 |
$62.80 |
$77.15
|
|
Inj, tislelizumab-jsgr
|
$24,589.53 |
$24,589.53 |
$24,589.53 |
$45,250.97
|
|
Inj, vancomycin hcl (mylan)
|
$29.70 |
$29.70 |
$29.70 |
$63.82
|
|
Inj, vegzelma, 10 mg
|
$7,169.19 |
$7,169.19 |
$7,169.19 |
$10,892.59
|
|
Inj w/fluor eval cv device
|
$908.08 |
$908.08 |
$908.08 |
$588.90
|
|
Ins cath ren art 1st bi
|
$11,911.49 |
$11,911.49 |
$11,911.49 |
$6,033.75
|
|
Ins cath ren art 1st uni
|
$11,911.49 |
$11,911.49 |
$11,911.49 |
$4,667.63
|
|
Ins cerv dilator (sep proc)
|
$855.35 |
$855.35 |
$855.35 |
$544.00
|
|
Insert cath pleura with image
|
$2,483.89 |
$2,483.89 |
$2,483.89 |
$2,239.02
|