|
Implant neuroelectrodes
|
$97,969.79 |
$97,969.79 |
$97,969.79 |
$18,334.40
|
|
Implant neuroelectrodes
|
$8,836.80 |
$8,836.80 |
$8,836.80 |
$8,763.11
|
|
Implant neuroelectrodes
|
$73,550.83 |
$73,550.83 |
$73,550.83 |
$7,766.27
|
|
Implant neurostim arrays
|
$60,455.70 |
$60,455.70 |
$60,455.70 |
$23,262.40
|
|
Implant tcat pulm vlv perq
|
$8,855.00 |
$8,855.00 |
$8,855.00 |
$9,812.40
|
|
Implant ureth bulk agent
|
$1,883.15 |
$1,883.15 |
$1,883.15 |
$2,168.00
|
|
Impl neurostim electr perc
|
$106,434.39 |
$106,434.39 |
$106,434.39 |
$7,672.50
|
|
Implt neurostim elctr each
|
$107.61 |
$107.61 |
$107.61 |
$4,579.99
|
|
In-111 autol wbc diag per dose
|
$6,117.30 |
$6,117.30 |
$6,117.30 |
$3,523.65
|
|
In-111 pentetate dtpa / 0.5 mci
|
$7,731.50 |
$7,731.50 |
$7,731.50 |
$2,598.17
|
|
In-111 pentetreotide
|
$10,985.80 |
$10,985.80 |
$10,985.80 |
$5,201.00
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$3,927.00 |
$3,927.00 |
$3,927.00 |
$2,056.93
|
|
Incision of spinal nerve 64772
|
$25,572.78 |
$25,572.78 |
$25,572.78 |
$2,310.83
|
|
Incision of tendon & muscle
|
$6,385.40 |
$6,385.40 |
$6,385.40 |
$5,624.45
|
|
Incision of tongue fold
|
$2,961.70 |
$2,961.70 |
$2,961.70 |
$1,792.50
|
|
Incision of urethra
|
$12,141.70 |
$12,141.70 |
$12,141.70 |
$2,899.60
|
|
Incisn of toe tndn
|
$3,136.70 |
$3,136.70 |
$3,136.70 |
$2,627.96
|
|
Incisn windpipe
|
$4,725.00 |
$4,725.00 |
$4,725.00 |
$3,810.50
|
|
Induced abortion d&c
|
$6,291.60 |
$6,291.60 |
$6,291.60 |
$3,762.53
|
|
Infect ag drug suscept pheno predict
|
$453.60 |
$453.60 |
$453.60 |
$323.20
|
|
Infect ag genotype na cytomegalovirus
|
$1,247.40 |
$1,247.40 |
$1,247.40 |
$661.80
|
|
Infect ag genotype na dna hepatitis b
|
$482.30 |
$482.30 |
$482.30 |
$405.30
|
|
Infect ag genotype na hiv-1 other region
|
$525.00 |
$525.00 |
$525.00 |
$386.40
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$821.80 |
$821.80 |
$821.80 |
$603.75
|
|
Infect ag if nos ea
|
$135.80 |
$135.80 |
$135.80 |
$74.88
|
|
Infect ag na hep b amp
|
$173.60 |
$173.60 |
$173.60 |
$120.50
|
|
Infect ag na herpes simplex quant
|
$254.10 |
$254.10 |
$254.10 |
$169.65
|
|
Infect ag na hpv high-risk types
|
$184.10 |
$184.10 |
$184.10 |
$139.75
|
|
Infect ag na influenza r/amp 1st 2 types
|
$283.50 |
$283.50 |
$283.50 |
$219.70
|
|
Infect ag na orthopoxvirus amp prb each
|
$155.40 |
$155.40 |
$155.40 |
$99.36
|
|
Infect ag na resp virus 12-25 targets
|
$1,032.50 |
$1,032.50 |
$1,032.50 |
$835.80
|
|
Infect ag phenotype na hiv-1 1-10 drugs
|
$1,685.60 |
$1,685.60 |
$1,685.60 |
$943.80
|
|
Infect ag phenotype na hiv-1 ea addl drg
|
$158.90 |
$158.90 |
$158.90 |
$75.63
|
|
Infectious agent antigen immunoassay direct optical observation sars-cov-2
|
$42.00 |
$42.00 |
$42.00 |
$53.00
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$129.50 |
$129.50 |
$129.50 |
$82.00
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$72.80 |
$72.80 |
$72.80 |
$72.80
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$100.10 |
$100.10 |
$100.10 |
$76.32
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$116.90 |
$116.90 |
$116.90 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$170.10 |
$170.10 |
$170.10 |
$100.02
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$145.60 |
$145.60 |
$145.60 |
$81.20
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$77.70 |
$77.70 |
$77.70 |
$60.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$116.90 |
$116.90 |
$116.90 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$198.10 |
$198.10 |
$198.10 |
$129.00
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$136.50 |
$136.50 |
$136.50 |
$98.02
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$85.40 |
$85.40 |
$85.40 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$464.80 |
$464.80 |
$464.80 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$151.90 |
$151.90 |
$151.90 |
$139.68
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$186.90 |
$186.90 |
$186.90 |
$167.00
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$1,138.90 |
$1,138.90 |
$1,138.90 |
$861.00
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$200.20 |
$200.20 |
$200.20 |
$179.92
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$282.80 |
$282.80 |
$282.80 |
$147.55
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$282.10 |
$282.10 |
$282.10 |
$217.85
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$151.20 |
$151.20 |
$151.20 |
$136.03
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$125.30 |
$125.30 |
$125.30 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$140.00 |
$140.00 |
$140.00 |
$206.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$290.50 |
$290.50 |
$290.50 |
$236.08
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$122.50 |
$122.50 |
$122.50 |
$92.50
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$130.90 |
$130.90 |
$130.90 |
$108.75
|
|
Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae
|
$303.10 |
$303.10 |
$303.10 |
$211.00
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$261.80 |
$261.80 |
$261.80 |
$185.00
|
|
Infectious agent nucleic acid joint space pathogens multiplex amplified probe >= 26 targets
|
$490.70 |
$490.70 |
$490.70 |
$1,143.75
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$833.70 |
$833.70 |
$833.70 |
$727.50
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$310.80 |
$310.80 |
$310.80 |
$286.06
|
|
Infectious agent nucleic acid quantification bk virus
|
$781.90 |
$781.90 |
$781.90 |
$279.40
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$1,099.70 |
$1,099.70 |
$1,099.70 |
$239.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$415.80 |
$415.80 |
$415.80 |
$252.00
|
|
Infectious agent nucleic acid quantification hiv-1
|
$480.90 |
$480.90 |
$480.90 |
$374.00
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$716.80 |
$716.80 |
$716.80 |
$303.59
|
|
Infliximab 100 mg intravenous solution
|
$4,699.10 |
$4,699.10 |
$4,699.10 |
$2,080.86
|
|
Infliximab-axxq 100 mg intravenous solution
|
$1,972.77 |
$1,972.77 |
$1,972.77 |
$1,062.00
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$1,912.40 |
$1,912.40 |
$1,912.40 |
$1,537.84
|
|
Infuse radioactive materials
|
$544.60 |
$544.60 |
$544.60 |
$640.50
|
|
Ingest challenge ea addl 60 min
|
$313.60 |
$313.60 |
$313.60 |
$289.64
|
|
Ingest challenge ini 120 min
|
$822.50 |
$822.50 |
$822.50 |
$764.78
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$449.40 |
$449.40 |
$449.40 |
$293.25
|
|
Initiation & management bipap/cpap initial day
|
$574.70 |
$574.70 |
$574.70 |
$576.00
|
|
Inj, abilify maintena, 1 mg
|
$10,659.60 |
$10,659.60 |
$10,659.60 |
$5,355.30
|
|
Inj, acetaminophen (b braun)
|
$16.10 |
$16.10 |
$16.10 |
$33.31
|
|
Inj acetaminophen -fresenius
|
$16.27 |
$16.27 |
$16.27 |
$36.60
|
|
Inj, acetaminophen (hikma)
|
$19.95 |
$19.95 |
$19.95 |
$58.50
|
|
Inj anifrolumab-fnia 1mg
|
$22,447.25 |
$22,447.25 |
$22,447.25 |
$9,878.82
|
|
Inj., benralizumab, 1 mg
|
$24,124.10 |
$24,124.10 |
$24,124.10 |
$11,239.97
|
|
Inj, bezlotoxumab, 10 mg
|
$15,852.72 |
$15,852.72 |
$15,852.72 |
$7,612.43
|
|
Inj, bupivacaine liposome
|
$724.85 |
$724.85 |
$724.85 |
$699.38
|
|
Inj calcitriol per 0.1 mcg
|
$25.02 |
$25.02 |
$25.02 |
$23.28
|
|
Inj cefazolin sodium, hikma
|
$18.37 |
$18.37 |
$18.37 |
$28.08
|
|
Inj, cefiderocol, 10 mg
|
$890.22 |
$890.22 |
$890.22 |
$544.85
|
|
Inj ceftolozane tazobactam
|
$666.57 |
$666.57 |
$666.57 |
$380.80
|
|
Inj cntr knee arthro incl ct/mri
|
$88.20 |
$88.20 |
$88.20 |
$436.80
|
|
Inj cyclophosphamd auromedic
|
$1,070.47 |
$1,070.47 |
$1,070.47 |
$249.68
|
|
Inj daptomycin (xellia)
|
$42.87 |
$42.87 |
$42.87 |
$56.04
|
|
Inj, donanemab-azbt, 2 mg
|
$2,906.22 |
$2,906.22 |
$2,906.22 |
$1,233.44
|
|
Inj dx for sinogram
|
$604.80 |
$604.80 |
$604.80 |
$422.59
|
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
|
$3,426.21 |
$3,426.21 |
$3,426.21 |
$1,214.78
|
|
Injection arthrography hip without anesthesia (both sides)
|
$459.20 |
$459.20 |
$459.20 |
$495.84
|
|
Injection, cangrelor
|
$3,820.07 |
$3,820.07 |
$3,820.07 |
$1,889.78
|
|
Injection carpal tunnel therapeutic (both sides)
|
$423.50 |
$423.50 |
$423.50 |
$450.72
|
|
Injection during cath supravalvular aortography
|
$1,568.00 |
$1,568.00 |
$1,568.00 |
$952.66
|
|
Injection epidural blood patch or clot
|
$2,622.90 |
$2,622.90 |
$2,622.90 |
$1,156.80
|
|
Injection eye drug
|
$3,068.80 |
$3,068.80 |
$3,068.80 |
$644.50
|