|
Iaadi respiratory synctial virus
|
$207.13 |
$207.13 |
$207.13 |
$42.48
|
|
Ibandronate 3 mg/3 ml intravenous syringe
|
$2,065.12 |
$2,065.12 |
$2,065.12 |
$839.85
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$1,979.67 |
$1,979.67 |
$1,979.67 |
$891.89
|
|
Igh gene rearrange amp meth
|
$3,055.97 |
$3,055.97 |
$3,055.97 |
$464.25
|
|
Igk rearrangeabn clonal pop
|
$2,666.09 |
$2,666.09 |
$2,666.09 |
$373.16
|
|
Ihc/icc per specimen each additional single antibody stain
|
$969.81 |
$969.81 |
$969.81 |
$191.75
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$1,365.48 |
$1,365.48 |
$1,365.48 |
$339.73
|
|
Ihc/icc per specimen initial single antibody stain
|
$1,031.94 |
$1,031.94 |
$1,031.94 |
$266.76
|
|
Iliac/fem angio cath insert
|
$7,596.71 |
$7,596.71 |
$7,596.71 |
$1,601.66
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$11,783.20 |
$11,783.20 |
$11,783.20 |
$5,617.36
|
|
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution
|
$30,155.79 |
$30,155.79 |
$30,155.79 |
$5,495.02
|
|
Immunoassay tumor antigen quantitative ca 125
|
$321.21 |
$321.21 |
$321.21 |
$123.50
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$321.21 |
$321.21 |
$321.21 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$184.92 |
$184.92 |
$184.92 |
$53.95
|
|
Immunofixation electrophoresis serum
|
$110.91 |
$110.91 |
$110.91 |
$133.38
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$5,186.82 |
$5,186.82 |
$5,186.82 |
$2,261.20
|
|
Infect ag ia direct hiv-1 antgn
|
$122.83 |
$122.83 |
$122.83 |
$95.55
|
|
Infect ag ia optc obs influenza
|
$255.45 |
$255.45 |
$255.45 |
$66.72
|
|
Infect ag if influenza a
|
$248.04 |
$248.04 |
$248.04 |
$40.61
|
|
Infect ag if influenza b
|
$189.08 |
$189.08 |
$189.08 |
$34.67
|
|
Infect ag if nos ea
|
$248.50 |
$248.50 |
$248.50 |
$60.40
|
|
Infect ag na hpv high-risk types
|
$541.61 |
$541.61 |
$541.61 |
$139.75
|
|
Infect ag na influenza r/amp 1st 2 types
|
$821.86 |
$821.86 |
$821.86 |
$227.96
|
|
Infect ag na resp virus 12-25 targets
|
$6,433.00 |
$6,433.00 |
$6,433.00 |
$859.44
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$74.31 |
$74.31 |
$74.31 |
$81.44
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$119.74 |
$119.74 |
$119.74 |
$80.05
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$90.80 |
$90.80 |
$90.80 |
$77.28
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$100.02 |
$100.02 |
$100.02 |
$83.50
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$159.44 |
$159.44 |
$159.44 |
$77.72
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$130.73 |
$130.73 |
$130.73 |
$55.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$119.50 |
$119.50 |
$119.50 |
$101.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$212.46 |
$212.46 |
$212.46 |
$132.60
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$199.78 |
$199.78 |
$199.78 |
$97.50
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$184.92 |
$184.92 |
$184.92 |
$60.00
|
|
Infectious agent nucleic acid amplified probe
|
$541.61 |
$541.61 |
$541.61 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$541.61 |
$541.61 |
$541.61 |
$141.48
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$241.23 |
$241.23 |
$241.23 |
$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
|
$541.61 |
$541.61 |
$541.61 |
$178.00
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$541.61 |
$541.61 |
$541.61 |
$150.15
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$336.53 |
$336.53 |
$336.53 |
$210.00
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$541.61 |
$541.61 |
$541.61 |
$136.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$791.97 |
$791.97 |
$791.97 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$2,201.49 |
$2,201.49 |
$2,201.49 |
$222.60
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$2,201.49 |
$2,201.49 |
$2,201.49 |
$248.15
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$306.84 |
$306.84 |
$306.84 |
$98.15
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$541.61 |
$541.61 |
$541.61 |
$112.45
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$1,608.25 |
$1,608.25 |
$1,608.25 |
$727.50
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$1,980.15 |
$1,980.15 |
$1,980.15 |
$283.20
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$4,059.25 |
$4,059.25 |
$4,059.25 |
$489.50
|
|
Infectious agent nucleic acid quantification bk virus
|
$661.24 |
$661.24 |
$661.24 |
$285.66
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$661.24 |
$661.24 |
$661.24 |
$226.35
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$661.24 |
$661.24 |
$661.24 |
$278.78
|
|
Infectious agent nucleic acid quantification hiv-1
|
$1,313.52 |
$1,313.52 |
$1,313.52 |
$381.55
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$2,201.49 |
$2,201.49 |
$2,201.49 |
$298.35
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$1,819.13 |
$1,819.13 |
$1,819.13 |
$359.64
|
|
Initiation & management bipap/cpap initial day
|
$1,785.80 |
$1,785.80 |
$1,785.80 |
$645.79
|
|
Inj., benralizumab, 1 mg
|
$74,089.77 |
$74,089.77 |
$74,089.77 |
$16,865.48
|
|
Inj, bezlotoxumab, 10 mg
|
$16,606.88 |
$16,606.88 |
$16,606.88 |
$9,702.65
|
|
Inj cefazolin sodium, hikma
|
$189.04 |
$189.04 |
$189.04 |
$56.70
|
|
Inj, durolane 1 mg
|
$7,833.01 |
$7,833.01 |
$7,833.01 |
$3,382.31
|
|
Injection arthrography hip without anesthesia (both sides)
|
$2,822.35 |
$2,822.35 |
$2,822.35 |
$507.10
|
|
Injection, daratumumab 10 mg
|
$18,092.59 |
$18,092.59 |
$18,092.59 |
$7,107.73
|
|
Injection during cath supravalvular aortography
|
$3,449.01 |
$3,449.01 |
$3,449.01 |
$1,148.80
|
|
Injection epidural blood patch or clot
|
$2,170.13 |
$2,170.13 |
$2,170.13 |
$1,473.12
|
|
Injection for bladder x-ray
|
$1,709.65 |
$1,709.65 |
$1,709.65 |
$585.00
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$2,505.56 |
$2,505.56 |
$2,505.56 |
$504.00
|
|
Injection, fulvestrant
|
$11,679.27 |
$11,679.27 |
$11,679.27 |
$2,756.47
|
|
Injection, inclisiran, 1 mg
|
$52,405.45 |
$52,405.45 |
$52,405.45 |
$10,366.61
|
|
Injection px peyronie ds
|
$1,824.22 |
$1,824.22 |
$1,824.22 |
$343.55
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$1,876.88 |
$1,876.88 |
$1,876.88 |
$1,471.50
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$1,876.88 |
$1,876.88 |
$1,876.88 |
$1,017.28
|
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
|
$2,962.67 |
$2,962.67 |
$2,962.67 |
$2,251.00
|
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
|
$5,410.92 |
$5,410.92 |
$5,410.92 |
$1,829.28
|
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
|
$2,269.59 |
$2,269.59 |
$2,269.59 |
$1,758.12
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$1,358.89 |
$1,358.89 |
$1,358.89 |
$552.60
|
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
|
$1,358.89 |
$1,358.89 |
$1,358.89 |
$670.00
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$368.30 |
$368.30 |
$368.30 |
$168.05
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$335.85 |
$335.85 |
$335.85 |
$154.05
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$479.72 |
$479.72 |
$479.72 |
$271.65
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$270.10 |
$270.10 |
$270.10 |
$141.60
|
|
Inj efgart-alfa 2mg hya-qvfc
|
$239,553.76 |
$239,553.76 |
$239,553.76 |
$66,229.74
|
|
Inj epidural sgl lumb-sacral without img
|
$5,410.92 |
$5,410.92 |
$5,410.92 |
$1,450.84
|
|
Inj for ext venography
|
$1,610.19 |
$1,610.19 |
$1,610.19 |
$737.55
|
|
Inj, fulvestrant (fresenius)
|
$2,965.41 |
$2,965.41 |
$2,965.41 |
$1,713.99
|
|
Inj glycopyrrolate fres kabi
|
$129.18 |
$129.18 |
$129.18 |
$96.70
|
|
Inj hrt cath w/s&i nonsel p-art angrp
|
$3,067.42 |
$3,067.42 |
$3,067.42 |
$1,482.00
|
|
Inj ivig privigen 500 mg
|
$31,922.20 |
$31,922.20 |
$31,922.20 |
$7,298.71
|
|
Inj mepivacaine hcl/10 ml
|
$19.22 |
$19.22 |
$19.22 |
$28.41
|
|
Inj multihance
|
$410.96 |
$410.96 |
$410.96 |
$119.25
|
|
Inj nephrosto/ureterogram w/img exstng access
|
$2,685.71 |
$2,685.71 |
$2,685.71 |
$1,522.56
|
|
Inj retro urethrocysto
|
$1,514.73 |
$1,514.73 |
$1,514.73 |
$551.29
|
|
Inj secukinumab intrav 1mg
|
$32,780.84 |
$32,780.84 |
$32,780.84 |
$9,077.39
|
|
Inj, spesolimab-sbzo, 1 mg
|
$792,082.77 |
$792,082.77 |
$792,082.77 |
$253,022.14
|
|
Inj testosterone cypionate
|
$293.98 |
$293.98 |
$293.98 |
$77.15
|
|
Inj, tislelizumab-jsgr
|
$63,969.68 |
$63,969.68 |
$63,969.68 |
$45,250.97
|
|
Inj, vancomycin hcl (mylan)
|
$92.01 |
$92.01 |
$92.01 |
$63.82
|
|
Inj, vegzelma, 10 mg
|
$18,044.50 |
$18,044.50 |
$18,044.50 |
$10,892.59
|
|
Inj w/fluor eval cv device
|
$1,179.61 |
$1,179.61 |
$1,179.61 |
$588.90
|
|
Ins cath ren art 1st bi
|
$11,623.82 |
$11,623.82 |
$11,623.82 |
$6,033.75
|
