|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$153.60 |
$153.60 |
$153.60 |
$200.20
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$919.20 |
$919.20 |
$919.20 |
$727.50
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$283.20 |
$283.20 |
$283.20 |
$289.91
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$526.40 |
$526.40 |
$526.40 |
$432.63
|
|
Infectious agent nucleic acid quantification bk virus
|
$108.00 |
$108.00 |
$108.00 |
$280.00
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$108.00 |
$108.00 |
$108.00 |
$242.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$108.00 |
$108.00 |
$108.00 |
$253.00
|
|
Infectious agent nucleic acid quantification hiv-1
|
$213.60 |
$213.60 |
$213.60 |
$375.00
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$288.00 |
$288.00 |
$288.00 |
$304.20
|
|
Infliximab 100 mg intravenous solution
|
$188.32 |
$188.32 |
$188.32 |
$2,043.22
|
|
Infliximab-axxq 100 mg intravenous solution
|
$82.05 |
$82.05 |
$82.05 |
$1,062.00
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$153.17 |
$153.17 |
$153.17 |
$1,537.84
|
|
Influenza dna amp prob addl
|
$59.20 |
$59.20 |
$59.20 |
$64.26
|
|
Influenza virus vaccine, inact hemagglutinin tiv pf inj
|
$76.00 |
$76.00 |
$76.00 |
$111.51
|
|
Influenza virus vaccine, live trivalent intranasal
|
$29.60 |
$29.60 |
$29.60 |
$36.50
|
|
Inf lwr xtr fscl pln blk uni w/wo image
|
$811.20 |
$811.20 |
$811.20 |
$762.00
|
|
Inf thrc fascial pln blk bi w/wo image
|
$2,114.71 |
$2,114.71 |
$2,114.71 |
$523.25
|
|
Inf thrc fascial pln blk uni w/wo image
|
$820.80 |
$820.80 |
$820.80 |
$780.00
|
|
Infuse radioactive materials
|
$744.00 |
$744.00 |
$744.00 |
$672.42
|
|
Ingest challenge ea addl 60 min
|
$294.24 |
$294.24 |
$294.24 |
$289.64
|
|
Ingest challenge ini 120 min
|
$882.71 |
$882.71 |
$882.71 |
$764.78
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$233.92 |
$233.92 |
$233.92 |
$299.65
|
|
Initial foot exam pt lops
|
$117.60 |
$117.60 |
$117.60 |
$152.50
|
|
Initial hosp neonate 28 d/less than not critically ill 99477
|
$629.60 |
$629.60 |
$629.60 |
$540.80
|
|
Initial nursing facility care/day 35 minutes
|
$244.00 |
$244.00 |
$244.00 |
$184.80
|
|
Initial nursing facility care/day 45 minutes
|
$333.60 |
$333.60 |
$333.60 |
$231.84
|
|
Initial nursing facility care/day low severity 99304
|
$162.40 |
$162.40 |
$162.40 |
$127.63
|
|
Init nb em per day non-fac
|
$167.20 |
$167.20 |
$167.20 |
$97.68
|
|
Init pm e/m new pat 65+ yrs
|
$296.00 |
$296.00 |
$296.00 |
$189.15
|
|
Inj, abilify maintena, 1 mg
|
$8.00 |
$8.00 |
$8.00 |
$5,355.30
|
|
Inj acetaminophen -fresenius
|
$0.86 |
$0.86 |
$0.86 |
$36.60
|
|
Inj, acetaminophen (hikma)
|
$4.15 |
$4.15 |
$4.15 |
$56.70
|
|
Inj andexxa, 10 mg
|
$201.76 |
$201.76 |
$201.76 |
$4,370.80
|
|
Inj., benralizumab, 1 mg
|
$307.37 |
$307.37 |
$307.37 |
$11,310.00
|
|
Inj, biorphen, 20 micrograms
|
$14.32 |
$14.32 |
$14.32 |
$17.12
|
|
Inj, bupivacaine liposome
|
$3.44 |
$3.44 |
$3.44 |
$699.38
|
|
Inj cefazolin sodium, baxter
|
$39.20 |
$39.20 |
$39.20 |
$27.38
|
|
Inj cefazolin sodium, hikma
|
$25.60 |
$25.60 |
$25.60 |
$27.38
|
|
Inj, clevidipine butyrate
|
$8.44 |
$8.44 |
$8.44 |
$4.86
|
|
Inj, clindamycin (baxter)
|
$77.40 |
$77.40 |
$77.40 |
$48.30
|
|
Inj cntr knee arthro incl ct/mri
|
$769.60 |
$769.60 |
$769.60 |
$441.88
|
|
Inj cyclophosphamd (ingenus)
|
$7.26 |
$7.26 |
$7.26 |
$742.72
|
|
Inj daptomycin (xellia)
|
$0.33 |
$0.33 |
$0.33 |
$56.04
|
|
Inj disk cerv-thor ea lev
|
$828.00 |
$828.00 |
$828.00 |
$875.28
|
|
Inj dupuytren cord w/enzyme
|
$416.00 |
$416.00 |
$416.00 |
$416.00
|
|
Inj, durolane 1 mg
|
$16.00 |
$16.00 |
$16.00 |
$1,950.93
|
|
Inj dx for sinogram
|
$358.68 |
$358.68 |
$358.68 |
$447.50
|
|
Inject for sacroiliac joint
|
$1,897.52 |
$1,897.52 |
$1,897.52 |
$1,025.77
|
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
|
$1,473.20 |
$1,473.20 |
$1,473.20 |
$1,214.78
|
|
Injection arthrography hip without anesthesia (both sides)
|
$1,072.00 |
$1,072.00 |
$1,072.00 |
$504.00
|
|
Injection carpal tunnel therapeutic (both sides)
|
$1,012.93 |
$1,012.93 |
$1,012.93 |
$458.15
|
|
Injection during cath supravalvular aortography
|
$904.17 |
$904.17 |
$904.17 |
$1,028.00
|
|
Injection epidural blood patch or clot
|
$1,712.36 |
$1,712.36 |
$1,712.36 |
$1,192.80
|
|
Injection estrone per 1 mg
|
$0.80 |
$0.80 |
$0.80 |
$0.80
|
|
Injection eye drug
|
$504.00 |
$504.00 |
$504.00 |
$648.96
|
|
Injection, famotidine, 20 mg
|
$71.44 |
$71.44 |
$71.44 |
$24.14
|
|
Injection for arthrography wrist (both sides)
|
$910.40 |
$910.40 |
$910.40 |
$438.00
|
|
Injection for bladder x-ray
|
$520.35 |
$520.35 |
$520.35 |
$460.00
|
|
Injection for hip x-ray
|
$1,432.00 |
$1,432.00 |
$1,432.00 |
$750.00
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$752.00 |
$752.00 |
$752.00 |
$503.30
|
|
Injection for spleen x-ray
|
$341.60 |
$341.60 |
$341.60 |
$595.50
|
|
Injection for tear sac x-ray
|
$392.00 |
$392.00 |
$392.00 |
$212.55
|
|
Injection for ureter x-ray
|
$576.00 |
$576.00 |
$576.00 |
$415.80
|
|
Injection for ureter x-ray
|
$576.38 |
$576.38 |
$576.38 |
$527.70
|
|
Injection, fosphenytoin sodi
|
$326.12 |
$326.12 |
$326.12 |
$165.20
|
|
Injection, fulvestrant
|
$119.20 |
$119.20 |
$119.20 |
$1,719.16
|
|
Injection, inclisiran, 1 mg
|
$19.49 |
$19.49 |
$19.49 |
$6,679.35
|
|
Injection into brain canal
|
$261.60 |
$261.60 |
$261.60 |
$1,261.40
|
|
Injection into brain canal
|
$1,083.49 |
$1,083.49 |
$1,083.49 |
$844.50
|
|
Injection into hemorrhoid(s)
|
$731.20 |
$731.20 |
$731.20 |
$1,433.00
|
|
Injection into spinal artery
|
$2,231.20 |
$2,231.20 |
$2,231.20 |
$1,710.80
|
|
Injection into vocal cord
|
$323.20 |
$323.20 |
$323.20 |
$459.51
|
|
Injection, isavuconazonium
|
$0.59 |
$0.59 |
$0.59 |
$787.67
|
|
Injection jaw joint x-ray
|
$964.80 |
$964.80 |
$964.80 |
$340.00
|
|
Injection of HIV prep drug
|
$33.60 |
$33.60 |
$33.60 |
$78.84
|
|
Injection of sinus tract
|
$895.65 |
$895.65 |
$895.65 |
$1,640.99
|
|
Injection,onabotulinumtoxina
|
$10.73 |
$10.73 |
$10.73 |
$2,277.65
|
|
Injection px peyronie ds
|
$275.20 |
$275.20 |
$275.20 |
$409.34
|
|
Injection radioactive tracer sentinel node (both sides)
|
$934.62 |
$934.62 |
$934.62 |
$694.20
|
|
Injection, renflexis
|
$122.02 |
$122.02 |
$122.02 |
$1,341.52
|
|
Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides)
|
$3,795.04 |
$3,795.04 |
$3,795.04 |
$1,582.12
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$4,550.66 |
$4,550.66 |
$4,550.66 |
$1,391.40
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$1,489.03 |
$1,489.03 |
$1,489.03 |
$1,045.65
|
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
|
$6,026.07 |
$6,026.07 |
$6,026.07 |
$2,071.80
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
|
$5,805.94 |
$5,805.94 |
$5,805.94 |
$1,030.05
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
|
$5,805.94 |
$5,805.94 |
$5,805.94 |
$1,888.80
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
|
$5,805.94 |
$5,805.94 |
$5,805.94 |
$1,048.20
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
|
$5,805.94 |
$5,805.94 |
$5,805.94 |
$2,006.79
|
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
|
$3,570.36 |
$3,570.36 |
$3,570.36 |
$1,826.80
|
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
|
$3,300.25 |
$3,300.25 |
$3,300.25 |
$1,685.00
|
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
|
$2,256.37 |
$2,256.37 |
$2,256.37 |
$485.28
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$677.86 |
$677.86 |
$677.86 |
$552.60
|
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
|
$677.86 |
$677.86 |
$677.86 |
$638.95
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$96.81 |
$96.81 |
$96.81 |
$145.60
|
|
Injection torsemide 10 mg/ml
|
$4.00 |
$4.00 |
$4.00 |
$16.02
|
|
Injection treatment of eye
|
$955.20 |
$955.20 |
$955.20 |
$2,698.92
|
|
Injection treatment of eye
|
$852.80 |
$852.80 |
$852.80 |
$2,685.92
|
|
Injection treatment of nerve
|
$3,219.20 |
$3,219.20 |
$3,219.20 |
$3,219.20
|
|
Injection treatment of nerve
|
$3,731.20 |
$3,731.20 |
$3,731.20 |
$4,446.30
|
|
Injection treatment of nerve
|
$1,368.00 |
$1,368.00 |
$1,368.00 |
$2,050.30
|
