|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$84.28 |
$84.28 |
$84.28 |
$101.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$202.52 |
$202.52 |
$202.52 |
$132.60
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$128.19 |
$128.19 |
$128.19 |
$97.50
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$128.19 |
$128.19 |
$128.19 |
$60.00
|
|
Infectious agent nucleic acid amplified probe
|
$375.46 |
$375.46 |
$375.46 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$122.82 |
$122.82 |
$122.82 |
$141.48
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$164.06 |
$164.06 |
$164.06 |
$174.06
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$1,458.73 |
$1,458.73 |
$1,458.73 |
$855.45
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$375.46 |
$375.46 |
$375.46 |
$178.00
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$375.46 |
$375.46 |
$375.46 |
$150.15
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$145.88 |
$145.88 |
$145.88 |
$210.00
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$375.46 |
$375.46 |
$375.46 |
$136.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$549.02 |
$549.02 |
$549.02 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$1,526.14 |
$1,526.14 |
$1,526.14 |
$222.60
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$1,526.14 |
$1,526.14 |
$1,526.14 |
$248.15
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$375.46 |
$375.46 |
$375.46 |
$112.45
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$1,560.84 |
$1,560.84 |
$1,560.84 |
$727.50
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$1,372.70 |
$1,372.70 |
$1,372.70 |
$283.20
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$2,813.99 |
$2,813.99 |
$2,813.99 |
$489.50
|
|
Infectious agent nucleic acid quantification bk virus
|
$458.39 |
$458.39 |
$458.39 |
$285.66
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$458.39 |
$458.39 |
$458.39 |
$226.35
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$458.39 |
$458.39 |
$458.39 |
$278.78
|
|
Infectious agent nucleic acid quantification hiv-1
|
$910.57 |
$910.57 |
$910.57 |
$381.55
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$2,086.50 |
$2,086.50 |
$2,086.50 |
$359.64
|
|
Initiation & management bipap/cpap initial day
|
$1,293.89 |
$1,293.89 |
$1,293.89 |
$645.79
|
|
Inj., benralizumab, 1 mg
|
$49,464.95 |
$49,464.95 |
$49,464.95 |
$16,865.48
|
|
Inj, bezlotoxumab, 10 mg
|
$11,093.06 |
$11,093.06 |
$11,093.06 |
$9,702.65
|
|
Inj cefazolin sodium, hikma
|
$139.69 |
$139.69 |
$139.69 |
$56.70
|
|
Inj cntr knee arthro incl ct/mri
|
$1,266.00 |
$1,266.00 |
$1,266.00 |
$464.28
|
|
Inj, durolane 1 mg
|
$5,236.18 |
$5,236.18 |
$5,236.18 |
$3,382.31
|
|
Inj dx for sinogram
|
$1,317.39 |
$1,317.39 |
$1,317.39 |
$436.00
|
|
Injection arthrography hip without anesthesia (both sides)
|
$2,687.95 |
$2,687.95 |
$2,687.95 |
$507.10
|
|
Injection, daratumumab 10 mg
|
$26,409.59 |
$26,409.59 |
$26,409.59 |
$7,107.73
|
|
Injection during cath supravalvular aortography
|
$1,615.11 |
$1,615.11 |
$1,615.11 |
$1,148.80
|
|
Injection epidural blood patch or clot
|
$2,408.15 |
$2,408.15 |
$2,408.15 |
$1,473.12
|
|
Injection for arthrography wrist (both sides)
|
$1,559.97 |
$1,559.97 |
$1,559.97 |
$441.12
|
|
Injection for bladder x-ray
|
$1,628.24 |
$1,628.24 |
$1,628.24 |
$585.00
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$2,386.25 |
$2,386.25 |
$2,386.25 |
$504.00
|
|
Injection for ureter x-ray
|
$2,225.51 |
$2,225.51 |
$2,225.51 |
$444.95
|
|
Injection for ureter x-ray
|
$261.64 |
$261.64 |
$261.64 |
$515.21
|
|
Injection, fulvestrant
|
$17,015.52 |
$17,015.52 |
$17,015.52 |
$2,756.47
|
|
Injection, inclisiran, 1 mg
|
$34,989.88 |
$34,989.88 |
$34,989.88 |
$10,366.61
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$1,547.74 |
$1,547.74 |
$1,547.74 |
$1,471.50
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$1,547.74 |
$1,547.74 |
$1,547.74 |
$1,017.28
|
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
|
$1,558.62 |
$1,558.62 |
$1,558.62 |
$472.76
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$1,558.62 |
$1,558.62 |
$1,558.62 |
$552.60
|
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
|
$1,558.62 |
$1,558.62 |
$1,558.62 |
$670.00
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$393.36 |
$393.36 |
$393.36 |
$168.05
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$393.36 |
$393.36 |
$393.36 |
$154.05
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$393.36 |
$393.36 |
$393.36 |
$271.65
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$254.15 |
$254.15 |
$254.15 |
$141.60
|
|
Inj efgart-alfa 2mg hya-qvfc
|
$159,918.09 |
$159,918.09 |
$159,918.09 |
$66,229.74
|
|
Inj for ext venography
|
$1,946.04 |
$1,946.04 |
$1,946.04 |
$737.55
|
|
Inj, fulvestrant (fresenius)
|
$3,404.05 |
$3,404.05 |
$3,404.05 |
$1,713.99
|
|
Inj glycopyrrolate fres kabi
|
$96.70 |
$96.70 |
$96.70 |
$96.70
|
|
Inj/inf neurolyt sbst spinal canal lesion 62282
|
$2,782.37 |
$2,782.37 |
$2,782.37 |
$1,901.25
|
|
Inj ivig privigen 500 mg
|
$38,583.14 |
$38,583.14 |
$38,583.14 |
$7,298.71
|
|
Inj mepivacaine hcl/10 ml
|
$20.43 |
$20.43 |
$20.43 |
$28.41
|
|
Inj multihance
|
$161.25 |
$161.25 |
$161.25 |
$119.25
|
|
Inj proc elbow arthro
|
$2,386.25 |
$2,386.25 |
$2,386.25 |
$453.60
|
|
Inj proc myelogram lumbar
|
$898.48 |
$898.48 |
$898.48 |
$922.80
|
|
Inj retro urethrocysto
|
$1,500.08 |
$1,500.08 |
$1,500.08 |
$551.29
|
|
Inj secukinumab intrav 1mg
|
$21,889.76 |
$21,889.76 |
$21,889.76 |
$9,077.39
|
|
Inj, spesolimab-sbzo, 1 mg
|
$528,751.02 |
$528,751.02 |
$528,751.02 |
$253,022.14
|
|
Inj testosterone cypionate
|
$214.25 |
$214.25 |
$214.25 |
$77.15
|
|
Inj, tislelizumab-jsgr
|
$93,401.00 |
$93,401.00 |
$93,401.00 |
$45,250.97
|
|
Inj, vancomycin hcl (mylan)
|
$73.52 |
$73.52 |
$73.52 |
$63.82
|
|
Inj, vegzelma, 10 mg
|
$26,294.37 |
$26,294.37 |
$26,294.37 |
$10,892.59
|
|
Inj w/fluor eval cv device
|
$1,123.44 |
$1,123.44 |
$1,123.44 |
$588.90
|
|
Ins cath ren art 1st bi
|
$10,171.39 |
$10,171.39 |
$10,171.39 |
$6,033.75
|
|
Ins cath ren art 1st uni
|
$30,801.75 |
$30,801.75 |
$30,801.75 |
$4,667.63
|
|
Insert cath pleura with image
|
$3,994.42 |
$3,994.42 |
$3,994.42 |
$2,239.02
|
|
Insertion catheter bladder non indwelling
|
$1,436.07 |
$1,436.07 |
$1,436.07 |
$237.13
|
|
Insertion catheter bladder temporary simple
|
$389.59 |
$389.59 |
$389.59 |
$273.60
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$36,778.04 |
$36,778.04 |
$36,778.04 |
$4,943.21
|
|
Insertion intra aortic balloon assist device percutaneous
|
$4,849.27 |
$4,849.27 |
$4,849.27 |
$2,549.95
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$14,552.47 |
$14,552.47 |
$14,552.47 |
$7,088.54
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$8,333.83 |
$8,333.83 |
$8,333.83 |
$2,618.40
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$54,048.84 |
$54,048.84 |
$54,048.84 |
$14,158.20
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$24,126.82 |
$24,126.82 |
$24,126.82 |
$12,813.28
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$27,343.72 |
$27,343.72 |
$27,343.72 |
$9,855.00
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$14,882.87 |
$14,882.87 |
$14,882.87 |
$2,527.91
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$31,506.32 |
$31,506.32 |
$31,506.32 |
$29,997.52
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$9,025.40 |
$9,025.40 |
$9,025.40 |
$7,572.47
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$32,371.77 |
$32,371.77 |
$32,371.77 |
$7,673.12
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$10,142.05 |
$10,142.05 |
$10,142.05 |
$9,793.46
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$11,050.92 |
$11,050.92 |
$11,050.92 |
$5,470.54
|
|
Insert tunneled cv 2cath 2sits without port/pmp 36565
|
$30,801.75 |
$30,801.75 |
$30,801.75 |
$4,705.13
|
|
Insert vad art access left hrt arterial access
|
$17,881.66 |
$17,881.66 |
$17,881.66 |
$5,062.80
|
|
In situ hybridization per specimen each additional single probe stain
|
$1,182.03 |
$1,182.03 |
$1,182.03 |
$251.55
|
|
In situ hybridization per specimen initial single probe stain
|
$1,911.37 |
$1,911.37 |
$1,911.37 |
$338.40
|
|
Insj perq vad r hrt venous
|
$18,387.00 |
$18,387.00 |
$18,387.00 |
$4,981.60
|
|
Ins lv lead exist pm/icd
|
$54,048.84 |
$54,048.84 |
$54,048.84 |
$12,384.25
|
|
Ins pq tunnld ip cath w/img
|
$9,906.19 |
$9,906.19 |
$9,906.19 |
$5,593.60
|
|
Ins/rpl ldless pm right vent w img & eval
|
$59,188.03 |
$59,188.03 |
$59,188.03 |
$24,135.54
|
|
Instill, bupivac and meloxic
|
$1,415.56 |
$1,415.56 |
$1,415.56 |
$1,127.61
|
|
Ins tun cv cath wo subq prt/pm
|
$11,299.88 |
$11,299.88 |
$11,299.88 |
$4,748.00
|
|
Insulin total
|
$40.01 |
$40.01 |
$40.01 |
$67.60
|
|
Interdiscal perq aspir dx
|
$2,207.14 |
$2,207.14 |
$2,207.14 |
$1,222.26
|
|
Intracard echo interv w/s&i
|
$7,823.15 |
$7,823.15 |
$7,823.15 |
$3,982.59
|