|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$56.55 |
$56.55 |
$56.55 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$124.80 |
$124.80 |
$124.80 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$170.95 |
$170.95 |
$170.95 |
$141.95
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$175.50 |
$175.50 |
$175.50 |
$167.05
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$749.45 |
$749.45 |
$749.45 |
$864.67
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$124.80 |
$124.80 |
$124.80 |
$181.35
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$156.00 |
$156.00 |
$156.00 |
$149.13
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$389.35 |
$389.35 |
$389.35 |
$212.16
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$170.95 |
$170.95 |
$170.95 |
$137.67
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$152.75 |
$152.75 |
$152.75 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$361.40 |
$361.40 |
$361.40 |
$206.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$361.40 |
$361.40 |
$361.40 |
$236.08
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$67.60 |
$67.60 |
$67.60 |
$96.00
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$170.95 |
$170.95 |
$170.95 |
$112.45
|
|
Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae
|
$137.15 |
$137.15 |
$137.15 |
$217.60
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$97.50 |
$97.50 |
$97.50 |
$195.60
|
|
Infectious agent nucleic acid joint space pathogens multiplex amplified probe >= 26 targets
|
$1,325.35 |
$1,325.35 |
$1,325.35 |
$1,143.75
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$964.00 |
$964.00 |
$964.00 |
$727.50
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$191.75 |
$191.75 |
$191.75 |
$289.91
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$357.50 |
$357.50 |
$357.50 |
$432.63
|
|
Infectious agent nucleic acid quantification bk virus
|
$206.70 |
$206.70 |
$206.70 |
$283.00
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$317.20 |
$317.20 |
$317.20 |
$242.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$373.75 |
$373.75 |
$373.75 |
$253.00
|
|
Infectious agent nucleic acid quantification hiv-1
|
$706.55 |
$706.55 |
$706.55 |
$375.00
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$309.40 |
$309.40 |
$309.40 |
$304.20
|
|
Infliximab 100 mg intravenous solution
|
$3,222.55 |
$3,222.55 |
$3,222.55 |
$2,047.13
|
|
Infliximab-axxq 100 mg intravenous solution
|
$1,379.70 |
$1,379.70 |
$1,379.70 |
$1,062.00
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$2,739.55 |
$2,739.55 |
$2,739.55 |
$1,537.84
|
|
Inj, abilify maintena, 1 mg
|
$13,357.55 |
$13,357.55 |
$13,357.55 |
$5,355.30
|
|
Inj., benralizumab, 1 mg
|
$18,067.45 |
$18,067.45 |
$18,067.45 |
$11,310.00
|
|
Inj cntr knee arthro incl ct/mri
|
$614.25 |
$614.25 |
$614.25 |
$436.80
|
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
|
$2,860.65 |
$2,860.65 |
$2,860.65 |
$1,214.78
|
|
Injection arthrography hip without anesthesia (both sides)
|
$13,468.60 |
$13,468.60 |
$13,468.60 |
$503.50
|
|
Injection for arthrography wrist (both sides)
|
$503.10 |
$503.10 |
$503.10 |
$436.00
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$788.45 |
$788.45 |
$788.45 |
$497.76
|
|
Injection, renflexis
|
$1,933.40 |
$1,933.40 |
$1,933.40 |
$1,341.52
|
|
Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides)
|
$1,877.85 |
$1,877.85 |
$1,877.85 |
$1,582.12
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$59,313.89 |
$59,313.89 |
$59,313.89 |
$1,391.40
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$19,539.20 |
$19,539.20 |
$19,539.20 |
$1,043.72
|
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
|
$6,747.35 |
$6,747.35 |
$6,747.35 |
$2,040.36
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
|
$1,296.10 |
$1,296.10 |
$1,296.10 |
$1,030.05
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
|
$4,316.00 |
$4,316.00 |
$4,316.00 |
$1,855.36
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
|
$23,498.50 |
$23,498.50 |
$23,498.50 |
$1,043.20
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
|
$4,316.00 |
$4,316.00 |
$4,316.00 |
$2,006.79
|
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
|
$2,325.70 |
$2,325.70 |
$2,325.70 |
$1,817.24
|
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
|
$2,325.70 |
$2,325.70 |
$2,325.70 |
$1,685.00
|
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
|
$136.00 |
$136.00 |
$136.00 |
$475.80
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$1,014.50 |
$1,014.50 |
$1,014.50 |
$548.80
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$7,079.60 |
$7,079.60 |
$7,079.60 |
$145.60
|
|
Inj hydroxocobalamin IV 25mg
|
$4,819.80 |
$4,819.80 |
$4,819.80 |
$2,452.32
|
|
Inj ivig privigen 500 mg
|
$7,010.40 |
$7,010.40 |
$7,010.40 |
$6,967.29
|
|
Inj lwr xtr fscl pln blk uni w/wo image
|
$326.00 |
$326.00 |
$326.00 |
$794.70
|
|
Inj, nithiodote, 3mg / 125mg
|
$984.90 |
$984.90 |
$984.90 |
$468.10
|
|
Inotuzumab ozogamicin 0.9 mg(0.25 mg/ml initial concentration) IV soln
|
$73,182.85 |
$73,182.85 |
$73,182.85 |
$41,083.73
|
|
Insert ant drainage device
|
$26,871.86 |
$26,871.86 |
$26,871.86 |
$5,108.80
|
|
Insertion catheter bladder non indwelling
|
$321.10 |
$321.10 |
$321.10 |
$208.01
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$176.00 |
$176.00 |
$176.00 |
$2,585.25
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$1,618.50 |
$1,618.50 |
$1,618.50 |
$2,103.75
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$2,733.90 |
$2,733.90 |
$2,733.90 |
$2,453.83
|
|
In situ hybridization per specimen each additional single probe stain
|
$191.75 |
$191.75 |
$191.75 |
$243.50
|
|
In situ hybridization per specimen initial single probe stain
|
$209.30 |
$209.30 |
$209.30 |
$338.40
|
|
Insole orthotic freedom sz6 6816
|
$44.30 |
$44.30 |
$44.30 |
$84.00
|
|
Insulin total
|
$105.30 |
$105.30 |
$105.30 |
$66.64
|
|
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm
|
$2,333.79 |
$2,333.79 |
$2,333.79 |
$8,617.32
|
|
Integra os putty 2.5cc - cost per 0.5cc
|
$146.76 |
$146.76 |
$146.76 |
$3,803.11
|
|
Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper)
|
$10,427.90 |
$10,427.90 |
$10,427.90 |
$10,427.90
|
|
Intrinsic factor antibody
|
$92.30 |
$92.30 |
$92.30 |
$65.00
|
|
Intubation endotracheal emergency procedure
|
$299.00 |
$299.00 |
$299.00 |
$601.28
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$192.00 |
$192.00 |
$192.00 |
$165.67
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$227.50 |
$227.50 |
$227.50 |
$279.10
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$110,829.85 |
$110,829.85 |
$110,829.85 |
$62,692.46
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$522.90 |
$522.90 |
$522.90 |
$173.98
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$9,268.95 |
$9,268.95 |
$9,268.95 |
$5,517.12
|
|
Iron
|
$694.00 |
$694.00 |
$694.00 |
$75.00
|
|
Iron binding capacity
|
$39.65 |
$39.65 |
$39.65 |
$63.91
|
|
Iron dextran 50 mg/ml injection solution
|
$185.90 |
$185.90 |
$185.90 |
$80.67
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$158.45 |
$158.45 |
$158.45 |
$187.06
|
|
Irradiation of blood product each unit reference
|
$32.50 |
$32.50 |
$32.50 |
$115.20
|
|
Irrigation implantable venous access device for drug delivery systems
|
$171.60 |
$171.60 |
$171.60 |
$146.11
|
|
Isatuximab-irfc 20 mg/ml intravenous solution
|
$2,779.35 |
$2,779.35 |
$2,779.35 |
$8,273.35
|
|
IV Fluids (each additional hour)
|
$1,443.75 |
$1,443.75 |
$1,443.75 |
$133.90
|
|
IV Fluids (first hour)
|
$1,195.50 |
$1,195.50 |
$1,195.50 |
$390.00
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$154.05 |
$154.05 |
$154.05 |
$162.68
|
|
IV Medicine Infusion (additional drug)
|
$136.50 |
$136.50 |
$136.50 |
$191.75
|
|
IV Medicine Infusion (each additional hour)
|
$3,633.00 |
$3,633.00 |
$3,633.00 |
$154.00
|
|
IV Medicine Infusion (first hour)
|
$1,209.85 |
$1,209.85 |
$1,209.85 |
$439.56
|
|
IV Push Injection (each additional drug)
|
$18,046.00 |
$18,046.00 |
$18,046.00 |
$167.50
|
|
IV Push Injection (first drug)
|
$4,054.70 |
$4,054.70 |
$4,054.70 |
$252.76
|
|
Ixabepilone 15 mg intravenous solution
|
$18,131.05 |
$18,131.05 |
$18,131.05 |
$10,695.32
|
|
Jaw (Mandible) X-ray (complete)
|
$323.70 |
$323.70 |
$323.70 |
$362.05
|
|
Jkt lso inter
|
$41.27 |
$41.27 |
$41.27 |
$41.27
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$120.25 |
$120.25 |
$120.25 |
$58.56
|
|
Ketorolac (Toradol) Pain Shot, 15 mg
|
$37,868.60 |
$37,868.60 |
$37,868.60 |
$23.52
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$534.95 |
$534.95 |
$534.95 |
$673.36
|
|
Kidney (Retroperitoneal) Ultrasound (limited)
|
$471.25 |
$471.25 |
$471.25 |
$490.75
|
|
Kit case 4.2mm spinejack
|
$5,937.40 |
$5,937.40 |
$5,937.40 |
$7,177.60
|
|
Kit cast tcc 3in w/2reg boots total contact cast
|
$257.21 |
$257.21 |
$257.21 |
$174.00
|
|
Kit cath f 8f w/glv + wipe ster
|
$1.31 |
$1.31 |
$1.31 |
$9.49
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$6,430.77 |
$6,430.77 |
$6,430.77 |
$9,423.50
|
|
Kit hfx iq ipg bundle
|
$29,051.10 |
$29,051.10 |
$29,051.10 |
$33,859.00
|