|
Imuglucerase injection
|
$4,061.62 |
$4,061.62 |
$4,061.62 |
|
|
In-111 autol wbc diag per dose
|
$1,453.44 |
$1,453.44 |
$1,453.44 |
|
|
In-111 capromab pendet
|
$463.17 |
$463.17 |
$463.17 |
|
|
In-111 oxyquinolin per 0.5 mci
|
$775.36 |
$775.36 |
$9,885.06 |
|
|
In-111 pentetate dtpa / 0.5 mci
|
$6,249.99 |
$6,249.99 |
$6,249.99 |
|
|
In-111 pentetreotide
|
$2,662.72 |
$2,662.72 |
$9,019.35 |
|
|
Inactivated je vacc im
|
$694.24 |
$694.24 |
$694.24 |
|
|
Incise inner ear
|
$99.52 |
$99.52 |
$3,792.00 |
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$97.92 |
$97.92 |
$3,645.00 |
|
|
Incision of breast lesion
|
$257.28 |
$257.28 |
$257.28 |
|
|
Incision of burn scab initi
|
$1,118.25 |
$1,118.25 |
$1,118.25 |
|
|
Incision of eardrum
|
$132.16 |
$132.16 |
$132.16 |
|
|
Incision of eardrum
|
$127.36 |
$127.36 |
$127.36 |
|
|
Incision of rectal abscess
|
$400.00 |
$400.00 |
$400.00 |
|
|
Incision of small bowel 44010
|
$665.28 |
$665.28 |
$665.28 |
|
|
Incision of tendon sheath
|
$243.52 |
$243.52 |
$243.52 |
|
|
Incision of tongue fold
|
$578.88 |
$578.88 |
$3,979.50 |
|
|
Incision tendon sheath
|
$4,028.25 |
$4,028.25 |
$4,028.25 |
|
|
Incisn windpipe
|
$234.56 |
$234.56 |
$5,590.50 |
|
|
Incobotulinumtoxin a
|
$2,395.23 |
$2,395.23 |
$2,395.23 |
|
|
Indigotindisulfonate 8 mg/ml soln 5 ml ampule
|
$939.75 |
$939.75 |
$939.75 |
|
|
Induced ab 1+ vag sup w/dlv fetus
|
$1,119.00 |
$1,119.00 |
$1,119.00 |
|
|
Induced abortion dilat&evac
|
$2,076.00 |
$2,076.00 |
$2,076.00 |
|
|
Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s)
|
$63.68 |
$63.68 |
$176.25 |
|
|
Infect ag drug suscept pheno predict
|
$37.08 |
$37.08 |
$817.50 |
|
|
Infect ag eia chlamydia trachomatis
|
$74.25 |
$74.25 |
$74.25 |
|
|
Infect ag eia influenza a or b ea
|
$72.75 |
$72.75 |
$72.75 |
|
|
Infect ag genotype na cytomegalovirus
|
$1,566.75 |
$1,566.75 |
$1,566.75 |
|
|
Infect ag genotype na dna hepatitis b
|
$189.76 |
$189.76 |
$1,613.25 |
|
|
Infect ag genotype na hiv-1 other region
|
$36.61 |
$36.61 |
$807.00 |
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$285.44 |
$285.44 |
$1,613.25 |
|
|
Infect ag ia direct hiv-1 antgn
|
$166.50 |
$166.50 |
$166.50 |
|
|
Infect ag ia optc obs chlamydia trach
|
$173.25 |
$173.25 |
$173.25 |
|
|
Infect ag ia optc obs influenza
|
$22.08 |
$22.08 |
$105.00 |
|
|
Infect ag if ea plyvlnt antsrm
|
$72.75 |
$72.75 |
$72.75 |
|
|
Infect ag if hep delta agent
|
$19.20 |
$19.20 |
$99.75 |
|
|
Infect ag if influenza a
|
$24.00 |
$24.00 |
$81.00 |
|
|
Infect ag if influenza b
|
$24.00 |
$24.00 |
$75.00 |
|
|
Infect ag if legionella pneumophila
|
$24.00 |
$24.00 |
$100.50 |
|
|
Infect ag if nos ea
|
$14.72 |
$14.72 |
$81.00 |
|
|
Infect ag if pneumocystis carinii
|
$14.72 |
$14.72 |
$75.00 |
|
|
Infect ag if varicella zoster
|
$14.72 |
$14.72 |
$75.00 |
|
|
Infect ag na chlamydia trachomatis qnt
|
$263.25 |
$263.25 |
$263.25 |
|
|
Infect ag na hep b amp
|
$213.00 |
$213.00 |
$213.00 |
|
|
Infect ag na herpes simplex quant
|
$261.00 |
$261.00 |
$261.00 |
|
|
Infect ag na hpv high-risk types
|
$63.68 |
$63.68 |
$197.25 |
|
|
Infect ag na influenza r/amp 1st 2 types
|
$149.76 |
$149.76 |
$705.00 |
|
|
Infect ag na influenza revr/amp ea type
|
$312.75 |
$312.75 |
$312.75 |
|
|
Infect ag na orthopoxvirus amp prb each
|
$27.20 |
$27.20 |
$157.50 |
|
|
Infect ag na resp virus 12-25 targets
|
$566.96 |
$566.96 |
$2,595.75 |
|
|
Infect ag phenotype na hiv-1 1-10 drugs
|
$2,974.50 |
$2,974.50 |
$2,974.50 |
|
|
Infect ag phenotype na hiv-1 ea addl drg
|
$158.25 |
$158.25 |
$158.25 |
|
|
Infectious agent antigen immunoassay direct optical observation sars-cov-2
|
$32.00 |
$32.00 |
$32.00 |
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$22.08 |
$22.08 |
$116.25 |
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$10.88 |
$10.88 |
$75.00 |
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$14.08 |
$14.08 |
$75.00 |
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$17.28 |
$17.28 |
$81.75 |
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$34.88 |
$34.88 |
$101.25 |
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$81.92 |
$81.92 |
$130.50 |
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$8.64 |
$8.64 |
$64.50 |
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$22.08 |
$22.08 |
$229.50 |
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$44.80 |
$44.80 |
$133.50 |
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$58.88 |
$58.88 |
$75.00 |
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$11.20 |
$11.20 |
$72.75 |
|
|
Infectious agent nucleic acid amplified probe
|
$225.28 |
$225.28 |
$575.25 |
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$52.80 |
$52.80 |
$260.25 |
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$63.68 |
$63.68 |
$225.75 |
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$610.56 |
$610.56 |
$2,759.25 |
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$261.00 |
$261.00 |
$262.40 |
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$64.00 |
$64.00 |
$286.50 |
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$333.00 |
$333.00 |
$376.64 |
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$52.48 |
$52.48 |
$337.50 |
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$81.60 |
$81.60 |
$127.50 |
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$384.75 |
$384.75 |
$384.75 |
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$154.88 |
$154.88 |
$359.25 |
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$32.00 |
$32.00 |
$377.25 |
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$34.47 |
$34.47 |
$153.00 |
|
|
Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae
|
$52.80 |
$52.80 |
$378.75 |
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$92.16 |
$92.16 |
$92.16 |
|
|
Infectious agent nucleic acid joint space pathogens multiplex amplified probe >= 26 targets
|
$3,670.50 |
$3,670.50 |
$3,670.50 |
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$380.80 |
$380.80 |
$2,537.25 |
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$271.04 |
$271.04 |
$848.25 |
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$196.48 |
$196.48 |
$1,299.00 |
|
|
Infectious agent nucleic acid quantification bk virus
|
$138.88 |
$138.88 |
$310.50 |
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$144.96 |
$144.96 |
$189.00 |
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$101.44 |
$101.44 |
$345.00 |
|
|
Infectious agent nucleic acid quantification hiv-1
|
$173.12 |
$173.12 |
$562.50 |
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$120.64 |
$120.64 |
$441.00 |
|
|
Infliximab 100 mg intravenous solution
|
$964.15 |
$964.15 |
$2,736.45 |
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$750.97 |
$750.97 |
$2,218.05 |
|
|
Influenza dna amp prob addl
|
$144.00 |
$144.00 |
$144.00 |
|
|
Influenza virus vaccine, inact hemagglutinin tiv pf inj
|
$203.78 |
$203.78 |
$203.78 |
|
|
Influenza virus vaccine, live trivalent intranasal
|
$81.60 |
$81.60 |
$81.60 |
|
|
Infuse radioactive materials
|
$1,506.75 |
$1,506.75 |
$1,506.75 |
|
|
Ingest challenge ini 120 min
|
$1,163.25 |
$1,163.25 |
$1,163.25 |
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$192.96 |
$192.96 |
$596.25 |
|
|
Initial hosp neonate 28 d/less than not critically ill 99477
|
$267.20 |
$267.20 |
$267.20 |
|
|
Initial nursing facility care/day 35 minutes
|
$107.20 |
$107.20 |
$107.20 |
|
|
Initial nursing facility care/day 45 minutes
|
$145.92 |
$145.92 |
$145.92 |
|
|
Initiation & management bipap/cpap initial day
|
$402.24 |
$402.24 |
$565.50 |
|
