|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$181.35 |
$181.35 |
$181.35 |
$149.13
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$109.20 |
$109.20 |
$109.20 |
$212.16
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$193.05 |
$193.05 |
$193.05 |
$137.67
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$187.20 |
$187.20 |
$187.20 |
$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
|
$298.35 |
$298.35 |
$298.35 |
$236.08
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$100.10 |
$100.10 |
$100.10 |
$96.00
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$202.15 |
$202.15 |
$202.15 |
$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 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
|
$579.80 |
$579.80 |
$579.80 |
$727.50
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$313.95 |
$313.95 |
$313.95 |
$289.91
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$414.05 |
$414.05 |
$414.05 |
$432.63
|
|
Infectious agent nucleic acid quantification bk virus
|
$231.40 |
$231.40 |
$231.40 |
$283.00
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$310.70 |
$310.70 |
$310.70 |
$242.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$308.10 |
$308.10 |
$308.10 |
$253.00
|
|
Infectious agent nucleic acid quantification hiv-1
|
$219.05 |
$219.05 |
$219.05 |
$375.00
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$287.30 |
$287.30 |
$287.30 |
$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
|
|
Initial nursing facility care/day 35 minutes
|
$310.00 |
$310.00 |
$310.00 |
$188.50
|
|
Initial nursing facility care/day 45 minutes
|
$403.88 |
$403.88 |
$403.88 |
$236.80
|
|
Initial nursing facility care/day low severity 99304
|
$127.40 |
$127.40 |
$127.40 |
$128.00
|
|
Inj, abilify maintena, 1 mg
|
$10,183.70 |
$10,183.70 |
$10,183.70 |
$5,355.30
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$286.65 |
$286.65 |
$286.65 |
$1,043.72
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$649.35 |
$649.35 |
$649.35 |
$548.80
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$145.60 |
$145.60 |
$145.60 |
$145.60
|
|
Inj labetalol hcl hikma, 5mg
|
$32.20 |
$32.20 |
$32.20 |
$41.79
|
|
Inj, nithiodote, 3mg / 125mg
|
$984.90 |
$984.90 |
$984.90 |
$468.10
|
|
Inj, uzedy, 1 mg
|
$31,407.80 |
$31,407.80 |
$31,407.80 |
$11,475.96
|
|
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
|
|
Insertion catheter bladder non indwelling
|
$250.90 |
$250.90 |
$250.90 |
$208.01
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$2,022.15 |
$2,022.15 |
$2,022.15 |
$2,103.75
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$2,737.80 |
$2,737.80 |
$2,737.80 |
$2,453.83
|
|
In situ hybridization per specimen each additional single probe stain
|
$158.60 |
$158.60 |
$158.60 |
$243.50
|
|
In situ hybridization per specimen initial single probe stain
|
$280.15 |
$280.15 |
$280.15 |
$338.40
|
|
Insole orthotic freedom sz6 6816
|
$44.30 |
$44.30 |
$44.30 |
$84.00
|
|
Insulin total
|
$85.80 |
$85.80 |
$85.80 |
$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
|
|
Intens cardiac rehab w/exerc
|
$191.75 |
$191.75 |
$191.75 |
$238.40
|
|
Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper)
|
$10,427.90 |
$10,427.90 |
$10,427.90 |
$10,427.90
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$431.50 |
$431.50 |
$431.50 |
$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
|
$53.30 |
$53.30 |
$53.30 |
$75.00
|
|
Iron binding capacity
|
$63.05 |
$63.05 |
$63.05 |
$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
|
$202.15 |
$202.15 |
$202.15 |
$115.20
|
|
Irrigation implantable venous access device for drug delivery systems
|
$163.15 |
$163.15 |
$163.15 |
$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)
|
$541.00 |
$541.00 |
$541.00 |
$133.90
|
|
IV Fluids (first hour)
|
$239.85 |
$239.85 |
$239.85 |
$390.00
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$113.10 |
$113.10 |
$113.10 |
$162.68
|
|
IV Medicine Infusion (additional drug)
|
$191.10 |
$191.10 |
$191.10 |
$191.75
|
|
IV Medicine Infusion (each additional hour)
|
$9,494.10 |
$9,494.10 |
$9,494.10 |
$154.00
|
|
IV Medicine Infusion (first hour)
|
$1,260.50 |
$1,260.50 |
$1,260.50 |
$439.56
|
|
IV Push Injection (each additional drug)
|
$17,636.50 |
$17,636.50 |
$17,636.50 |
$167.50
|
|
IV Push Injection (first drug)
|
$9,494.10 |
$9,494.10 |
$9,494.10 |
$252.76
|
|
Ixabepilone 15 mg intravenous solution
|
$18,131.05 |
$18,131.05 |
$18,131.05 |
$10,695.32
|
|
Jaw (Mandible) X-ray (complete)
|
$234.00 |
$234.00 |
$234.00 |
$362.05
|
|
Jkt lso inter
|
$41.27 |
$41.27 |
$41.27 |
$41.27
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$72.80 |
$72.80 |
$72.80 |
$58.56
|
|
Ketorolac (Toradol) Pain Shot, 15 mg
|
$17.25 |
$17.25 |
$17.25 |
$23.52
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$603.85 |
$603.85 |
$603.85 |
$673.36
|
|
Kidney (Retroperitoneal) Ultrasound (limited)
|
$443.95 |
$443.95 |
$443.95 |
$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
|
$26,541.53 |
$26,541.53 |
$26,541.53 |
$33,859.00
|
|
Kit ipg optimizer smart
|
$29,051.10 |
$29,051.10 |
$29,051.10 |
$49,011.18
|
|
Kit irrigator stoma cone 7721
|
$2.05 |
$2.05 |
$2.05 |
$7.20
|
|
Kit lead specify 5-6-5
|
$13,454.45 |
$13,454.45 |
$13,454.45 |
$16,672.10
|
|
Kit monitr cath camino icp w/integratd licox bolt fitting
|
$1,313.77 |
$1,313.77 |
$1,313.77 |
$1,313.77
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$1,391.79 |
$1,391.79 |
$1,391.79 |
$1,635.87
|
|
Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm
|
$234.08 |
$234.08 |
$234.08 |
$360.12
|
|
Kit sound processor cochlear osia 2
|
$6,106.28 |
$6,106.28 |
$6,106.28 |
$8,425.00
|
|
Kit trach suct cls 30.5cm
|
$3,140.14 |
$3,140.14 |
$3,140.14 |
$35.26
|
|
Knee MRI (without contrast)
|
$3,903.25 |
$3,903.25 |
$3,903.25 |
$2,130.88
|
|
Knee X-ray
|
$483.60 |
$483.60 |
$483.60 |
$432.18
|
|
Knee X-ray (3 views, both knees)
|
$319.15 |
$319.15 |
$319.15 |
$363.60
|
|
Lactate dehydrogenase (ldh)
|
$48.75 |
$48.75 |
$48.75 |
$55.50
|
|
Lactated ringers intravenous solution
|
$20.00 |
$20.00 |
$20.00 |
$43.74
|
|
Lactic acid
|
$81.90 |
$81.90 |
$81.90 |
$107.10
|
|
Lactoferrin fecal qualitative
|
$126.75 |
$126.75 |
$126.75 |
$82.16
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$29,832.00 |
$29,832.00 |
$29,832.00 |
$19,124.00
|
|
Large Joint Injection or Fluid Draw (both sides)
|
$861.90 |
$861.90 |
$861.90 |
$740.40
|
|
Lead acuity x4 spiral l 86cm
|
$2,873.32 |
$2,873.32 |
$2,873.32 |
$5,460.00
|
|
Lead capillary
|
$90.35 |
$90.35 |
$90.35 |
$57.50
|
|
Lead ingevity 45cm pfret MRI
|
$4,159.75 |
$4,159.75 |
$4,159.75 |
$2,928.00
|
|
Lead tachy durata sj4 58cm
|
$8,202.66 |
$8,202.66 |
$8,202.66 |
$8,202.66
|
|
Leg CT Scan (without contrast, both legs)
|
$2,120.95 |
$2,120.95 |
$2,120.95 |
$1,372.50
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$987.35 |
$987.35 |
$987.35 |
$1,092.58
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$419.25 |
$419.25 |
$419.25 |
$955.30
|
|
Lens iol ant bicnvx 24.0 multi
|
$692.25 |
$692.25 |
$692.25 |
$1,065.00
|
|
Lens iol ant chamb 10.5
|
$354.25 |
$354.25 |
$354.25 |
$377.71
|