|
Incision of breast lesion
|
$163.62 |
$163.62 |
$163.62 |
|
|
Incision of foot fascia
|
$3,888.60 |
$3,888.60 |
$3,888.60 |
|
|
Incision of toe tendons 28011
|
$4,353.00 |
$4,353.00 |
$4,353.00 |
|
|
Incisn of toe tndn
|
$3,164.40 |
$5,721.00 |
$5,893.80 |
|
|
Incisn windpipe
|
$1,722.60 |
$1,722.60 |
$2,040.00 |
|
|
Incobotulinumtoxin a
|
$10.72 |
$2,578.00 |
$2,578.00 |
|
|
Indigotindisulfonate 8 mg/ml soln 5 ml ampule
|
$3,299.81 |
$3,299.81 |
$3,299.81 |
|
|
Infect ag drug suscept pheno predict
|
$153.38 |
$298.00 |
$1,525.47 |
|
|
Infect ag eia chlamydia trachomatis
|
$361.20 |
$361.20 |
$361.20 |
|
|
Infect ag eia influenza a or b ea
|
$111.60 |
$111.60 |
$186.60 |
|
|
Infect ag genotype na cytomegalovirus
|
$367.80 |
$385.80 |
$388.20 |
|
|
Infect ag genotype na dna hepatitis b
|
$1,011.55 |
$1,011.55 |
$1,011.55 |
|
|
Infect ag genotype na hiv-1 other region
|
$340.00 |
$529.80 |
$963.00 |
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$514.00 |
$1,171.20 |
$3,025.18 |
|
|
Infect ag ia direct hiv-1 antgn
|
$70.80 |
$172.20 |
$554.67 |
|
|
Infect ag ia optc obs chlamydia trach
|
$132.81 |
$132.81 |
$132.81 |
|
|
Infect ag ia optc obs influenza
|
$41.40 |
$66.00 |
$258.60 |
|
|
Infect ag if ea plyvlnt antsrm
|
$36.00 |
$79.50 |
$135.17 |
|
|
Infect ag if hep delta agent
|
$314.69 |
$314.69 |
$314.69 |
|
|
Infect ag if influenza a
|
$45.00 |
$46.00 |
$144.53 |
|
|
Infect ag if influenza b
|
$48.50 |
$49.50 |
$144.53 |
|
|
Infect ag if legionella pneumophila
|
$67.80 |
$234.60 |
$266.40 |
|
|
Infect ag if nos ea
|
$102.00 |
$122.40 |
$151.20 |
|
|
Infect ag if pneumocystis carinii
|
$42.00 |
$144.53 |
$244.80 |
|
|
Infect ag if varicella zoster
|
$144.53 |
$144.53 |
$144.53 |
|
|
Infect ag na hep b amp
|
$229.20 |
$277.80 |
$474.00 |
|
|
Infect ag na herpes simplex quant
|
$77.40 |
$230.50 |
$424.20 |
|
|
Infect ag na hpv high-risk types
|
$78.00 |
$151.20 |
$323.40 |
|
|
Infect ag na influenza r/amp 1st 2 types
|
$210.60 |
$364.80 |
$703.89 |
|
|
Infect ag na influenza revr/amp ea type
|
$139.80 |
$158.40 |
$398.56 |
|
|
Infect ag na orthopoxvirus amp prb each
|
$116.00 |
$143.00 |
$436.49 |
|
|
Infect ag na resp virus 12-25 targets
|
$870.00 |
$1,505.40 |
$2,527.60 |
|
|
Infect ag phenotype na hiv-1 1-10 drugs
|
$816.00 |
$877.20 |
$2,291.07 |
|
|
Infect ag phenotype na hiv-1 ea addl drg
|
$51.60 |
$58.80 |
$122.39 |
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$21.00 |
$144.53 |
$339.60 |
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$63.60 |
$135.17 |
$208.80 |
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$44.38 |
$118.20 |
$180.00 |
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$54.88 |
$127.80 |
$288.60 |
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$88.75 |
$150.00 |
$320.40 |
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$58.00 |
$152.40 |
$232.20 |
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$44.40 |
$122.40 |
$150.00 |
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$57.50 |
$172.80 |
$241.26 |
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$78.38 |
$238.20 |
$1,133.72 |
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$109.80 |
$181.80 |
$303.60 |
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$39.00 |
$68.50 |
$147.60 |
|
|
Infectious agent nucleic acid amplified probe
|
$96.88 |
$267.00 |
$3,174.75 |
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$78.50 |
$161.40 |
$441.65 |
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$102.25 |
$194.40 |
$441.65 |
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$865.50 |
$881.50 |
$1,664.35 |
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$120.60 |
$195.00 |
$562.88 |
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$60.00 |
$258.60 |
$521.48 |
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$197.50 |
$316.80 |
$504.60 |
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$94.00 |
$141.00 |
$282.60 |
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$75.00 |
$406.20 |
$430.80 |
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$124.80 |
$144.62 |
$219.18 |
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$178.29 |
$221.00 |
$230.50 |
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$43.86 |
$90.50 |
$236.27 |
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$56.75 |
$163.80 |
$404.40 |
|
|
Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae
|
$250.50 |
$255.00 |
$937.50 |
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$595.10 |
$595.10 |
$595.10 |
|
|
Infectious agent nucleic acid joint space pathogens multiplex amplified probe >= 26 targets
|
$1,143.75 |
$1,143.75 |
$1,143.75 |
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$599.50 |
$1,041.00 |
$1,824.95 |
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$51.50 |
$52.50 |
$1,784.09 |
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$409.00 |
$416.50 |
$674.73 |
|
|
Infectious agent nucleic acid quantification bk virus
|
$110.12 |
$454.80 |
$1,587.11 |
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$117.88 |
$513.60 |
$1,158.00 |
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$187.25 |
$613.20 |
$1,015.20 |
|
|
Infectious agent nucleic acid quantification hiv-1
|
$166.25 |
$417.00 |
$1,239.93 |
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$216.25 |
$241.50 |
$2,092.40 |
|
|
Infliximab 100 mg intravenous solution
|
$23.58 |
$23.58 |
$1,986.92 |
|
|
Infliximab-axxq 100 mg intravenous solution
|
$495.91 |
$1,226.50 |
$1,226.50 |
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$20.66 |
$20.66 |
$1,128.50 |
|
|
Influenza dna amp prob addl
|
$61.80 |
$78.00 |
$222.54 |
|
|
Infuse radioactive materials
|
$1,332.60 |
$1,332.60 |
$2,381.32 |
|
|
Ingest challenge ea addl 60 min
|
$30.28 |
$97.00 |
$166.20 |
|
|
Ingest challenge ini 120 min
|
$40.25 |
$129.00 |
$368.40 |
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$230.50 |
$242.00 |
$513.00 |
|
|
Initial nursing facility care/day 35 minutes
|
$80.00 |
$80.00 |
$80.00 |
|
|
Initial nursing facility care/day 45 minutes
|
$103.00 |
$103.00 |
$103.00 |
|
|
Initial nursing facility care/day low severity 99304
|
$57.50 |
$57.50 |
$57.50 |
|
|
Inj, abilify asimtufii, 1 mg
|
$12,633.78 |
$12,633.78 |
$12,633.78 |
|
|
Inj, abilify maintena, 1 mg
|
$4,761.56 |
$4,761.56 |
$27,060.87 |
|
|
Inj, acetaminophen (hikma)
|
$0.77 |
$81.30 |
$81.30 |
|
|
Inj. acthar gel to 40 units
|
$0.01 |
$0.01 |
$59,796.00 |
|
|
Inj, adalimumab, 1 mg
|
$125.25 |
$125.25 |
$49,791.96 |
|
|
Inj, alfentanil hcl, 500mcg
|
$44.05 |
$73.85 |
$109.20 |
|
|
Inj allopurinol sodium 1 mg
|
$3,419.02 |
$3,419.02 |
$16,629.80 |
|
|
Inj alymsys 10 mg
|
$163.42 |
$5,026.08 |
$5,026.08 |
|
|
Inj, amisulpride, 1 mg
|
$90.74 |
$313.65 |
$313.65 |
|
|
Inj andexxa, 10 mg
|
$3,875.00 |
$3,875.00 |
$3,875.00 |
|
|
Inj anifrolumab-fnia 1mg
|
$26.38 |
$13,099.42 |
$13,099.42 |
|
|
Inj., aristada initio, 1 mg
|
$5,530.00 |
$5,530.00 |
$5,530.00 |
|
|
Inj, aspara, rylaze, 0.1 mg
|
$790.20 |
$12,851.00 |
$12,851.00 |
|
|
Inj atezolizumb 5mg hya-tqjs
|
$325.21 |
$325.21 |
$325.21 |
|
|
Inj aval alfa-nqpt 4mg
|
$21,034.66 |
$21,034.66 |
$21,034.66 |
|
|
Inj., benralizumab, 1 mg
|
$2,036.57 |
$8,674.10 |
$14,217.88 |
|
|
Inj beta interferon sq 1 mcg
|
$960.20 |
$2,016.70 |
$2,016.70 |
|
|
Inj, bezlotoxumab, 10 mg
|
$9,526.00 |
$9,526.00 |
$39,443.59 |
|
|
Inj bimatoprost itc imp1mcg
|
$11,754.76 |
$11,754.76 |
$11,754.76 |
|
|
Inj, biorphen, 20 micrograms
|
$134.16 |
$134.16 |
$134.16 |
|