|
Induced ab 1+ vag sup w/dlv fetus
|
$812.40 |
$1,018.40 |
$1,018.40 |
|
|
Induced abortion d&c
|
$486.60 |
$614.40 |
$614.40 |
|
|
Induced abortion dilat&evac
|
$747.00 |
$1,489.60 |
$1,489.60 |
|
|
Induction of vomiting
|
$53.60 |
$53.60 |
$53.60 |
|
|
Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s)
|
$137.15 |
$140.80 |
$211.00 |
|
|
Infec agen detec ampli probe
|
$12.18 |
$15.84 |
$16.17 |
|
|
Infect ag drug suscept pheno predict
|
$254.15 |
$323.20 |
$737.00 |
|
|
Infect ag eia chlamydia trachomatis
|
$35.20 |
$35.20 |
$116.40 |
|
|
Infect ag eia influenza a or b ea
|
$38.58 |
$38.58 |
$489.00 |
|
|
Infect ag genotype na cytomegalovirus
|
$577.60 |
$577.60 |
$577.60 |
|
|
Infect ag genotype na dna hepatitis b
|
$577.60 |
$577.60 |
$772.00 |
|
|
Infect ag genotype na hiv-1 other region
|
$250.90 |
$286.40 |
$608.00 |
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$249.60 |
$646.40 |
$937.20 |
|
|
Infect ag ia direct hiv-1 antgn
|
$67.15 |
$67.15 |
$120.05 |
|
|
Infect ag ia optc obs chlamydia trach
|
$71.20 |
$71.20 |
$71.20 |
|
|
Infect ag ia optc obs influenza
|
$34.80 |
$38.58 |
$708.00 |
|
|
Infect ag if ea plyvlnt antsrm
|
$30.40 |
$30.40 |
$152.40 |
|
|
Infect ag if hep delta agent
|
$46.40 |
$46.40 |
$46.40 |
|
|
Infect ag if influenza a
|
$35.20 |
$35.20 |
$74.40 |
|
|
Infect ag if influenza b
|
$30.00 |
$31.20 |
$72.00 |
|
|
Infect ag if legionella pneumophila
|
$38.58 |
$38.58 |
$186.06 |
|
|
Infect ag if nos ea
|
$38.58 |
$38.58 |
$96.80 |
|
|
Infect ag if pneumocystis carinii
|
$30.40 |
$30.40 |
$138.00 |
|
|
Infect ag if varicella zoster
|
$38.58 |
$38.58 |
$133.56 |
|
|
Infect ag na chlamydia trachomatis qnt
|
$107.20 |
$107.20 |
$107.20 |
|
|
Infect ag na hep b amp
|
$88.80 |
$88.80 |
$295.20 |
|
|
Infect ag na herpes simplex quant
|
$108.00 |
$108.00 |
$162.00 |
|
|
Infect ag na hpv high-risk types
|
$68.25 |
$77.60 |
$175.20 |
|
|
Infect ag na influenza r/amp 1st 2 types
|
$175.50 |
$206.40 |
$553.00 |
|
|
Infect ag na influenza revr/amp ea type
|
$54.00 |
$124.80 |
$175.80 |
|
|
Infect ag na orthopoxvirus amp prb each
|
$67.15 |
$69.60 |
$145.60 |
|
|
Infect ag na resp virus 12-25 targets
|
$321.75 |
$935.20 |
$2,009.15 |
|
|
Infect ag phenotype na hiv-1 1-10 drugs
|
$1,225.60 |
$1,225.60 |
$1,675.80 |
|
|
Infect ag phenotype na hiv-1 ea addl drg
|
$94.20 |
$127.86 |
$127.86 |
|
|
Infectious agent antigen immunoassay direct optical observation sars-cov-2
|
$33.00 |
$39.73 |
$592.00 |
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$38.58 |
$70.20 |
$12,044.15 |
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$38.58 |
$63.70 |
$333.00 |
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$38.58 |
$80.60 |
$286.00 |
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$38.58 |
$97.60 |
$9,774.25 |
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$38.58 |
$137.15 |
$358.15 |
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$38.58 |
$85.80 |
$3,374.00 |
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$24.36 |
$38.58 |
$273.00 |
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$48.80 |
$113.82 |
$1,950.00 |
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$31.20 |
$53.30 |
$1,719.00 |
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$24.05 |
$88.80 |
$291.00 |
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$38.58 |
$42.00 |
$928.20 |
|
|
Infectious agent nucleic acid amplified probe
|
$88.80 |
$213.85 |
$1,763.00 |
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$88.80 |
$151.20 |
$1,753.00 |
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$89.60 |
$126.10 |
$3,152.30 |
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$587.60 |
$909.60 |
$1,764.00 |
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$83.20 |
$193.70 |
$1,453.00 |
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$82.08 |
$130.00 |
$1,606.00 |
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$79.80 |
$109.20 |
$389.35 |
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$54.60 |
$119.40 |
$342.00 |
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$0.65 |
$123.00 |
$807.00 |
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$176.40 |
$285.60 |
$556.00 |
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$173.04 |
$285.60 |
$5,847.00 |
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$67.60 |
$88.80 |
$483.00 |
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$53.00 |
$79.20 |
$3,339.00 |
|
|
Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae
|
$137.15 |
$137.15 |
$366.40 |
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$97.50 |
$153.60 |
$323.00 |
|
|
Infectious agent nucleic acid joint space pathogens multiplex amplified probe >= 26 targets
|
$1,325.35 |
$1,325.35 |
$2,039.00 |
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$579.80 |
$919.20 |
$4,739.00 |
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$130.65 |
$283.20 |
$699.00 |
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$311.00 |
$526.40 |
$852.00 |
|
|
Infectious agent nucleic acid quantification bk virus
|
$103.20 |
$231.40 |
$5,338.00 |
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$100.00 |
$171.60 |
$478.00 |
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$108.00 |
$308.10 |
$549.00 |
|
|
Infectious agent nucleic acid quantification hiv-1
|
$213.60 |
$219.05 |
$1,983.00 |
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$254.80 |
$288.00 |
$442.00 |
|
|
Infliximab 100 mg intravenous solution
|
$109.60 |
$2,080.86 |
$3,222.55 |
|
|
Infliximab-axxq 100 mg intravenous solution
|
$10.82 |
$1,099.56 |
$1,379.70 |
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$152.57 |
$1,688.48 |
$2,739.55 |
|
|
Influenza dna amp prob addl
|
$57.12 |
$59.20 |
$64.26 |
|
|
Influenza virus vaccine, inact hemagglutinin tiv pf inj
|
$73.99 |
$76.00 |
$431.15 |
|
|
Influenza virus vaccine, live trivalent intranasal
|
$18.90 |
$29.60 |
$63.28 |
|
|
Inf lwr xtr fscl pln blk uni w/wo image
|
$811.20 |
$811.20 |
$811.20 |
|
|
Inf thrc fascial pln blk bi w/wo image
|
$624.00 |
$624.00 |
$2,114.71 |
|
|
Inf thrc fascial pln blk uni w/wo image
|
$820.80 |
$820.80 |
$820.80 |
|
|
Infuse radioactive materials
|
$334.80 |
$744.00 |
$2,288.16 |
|
|
Ingest challenge ea addl 60 min
|
$239.00 |
$264.80 |
$333.80 |
|
|
Ingest challenge ini 120 min
|
$259.00 |
$367.20 |
$882.71 |
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$104.64 |
$226.11 |
$497.00 |
|
|
Initial foot exam pt lops
|
$114.00 |
$117.60 |
$127.20 |
|
|
Initial hosp neonate 28 d/less than not critically ill 99477
|
$629.60 |
$629.60 |
$878.00 |
|
|
Initial nursing facility care/day 35 minutes
|
$194.35 |
$244.00 |
$310.00 |
|
|
Initial nursing facility care/day 45 minutes
|
$306.60 |
$333.60 |
$403.92 |
|
|
Initial nursing facility care/day low severity 99304
|
$127.40 |
$162.40 |
$216.00 |
|
|
Initial observation care
|
$131.04 |
$186.60 |
$196.20 |
|
|
Initial observation care
|
$178.56 |
$255.60 |
$268.20 |
|
|
Initial observation care
|
$241.92 |
$351.60 |
$369.00 |
|
|
Init nb em per day non-fac
|
$167.20 |
$167.20 |
$167.20 |
|
|
Init pm e/m new pat 65+ yrs
|
$236.40 |
$296.00 |
$309.00 |
|
|
Inj, abilify asimtufii, 1 mg
|
$10,710.62 |
$12,240.71 |
$12,495.72 |
|
|
Inj, abilify maintena, 1 mg
|
$8.00 |
$11.52 |
$13,758.25 |
|
|
Inj, acetaminophen (b braun)
|
$0.84 |
$41.79 |
$76.83 |
|
|
Inj acetaminophen -fresenius
|
$0.86 |
$1.11 |
$97.51 |
|
|
Inj, acetaminophen (hikma)
|
$0.90 |
$0.90 |
$48.76 |
|
|
Inj, adalimumab, 1 mg
|
$6,143.09 |
$6,143.09 |
$6,143.09 |
|
|
Inj, adstiladrin, per tx dos
|
$41.79 |
$47.76 |
$48.76 |
|
