|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$496.84 |
$496.84 |
$496.84 |
$855.45
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$55.16 |
$55.16 |
$55.16 |
$173.60
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$22.07 |
$22.07 |
$22.07 |
$149.13
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$55.16 |
$55.16 |
$55.16 |
$208.00
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$83.59 |
$83.59 |
$83.59 |
$136.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$64.07 |
$64.07 |
$64.07 |
$100.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$151.47 |
$151.47 |
$151.47 |
$221.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$151.47 |
$151.47 |
$151.47 |
$248.15
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$32.25 |
$32.25 |
$32.25 |
$97.50
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$55.59 |
$55.59 |
$55.59 |
$112.45
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$503.20 |
$503.20 |
$503.20 |
$727.50
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$322.03 |
$322.03 |
$322.03 |
$283.20
|
|
Infectious agent nucleic acid quantification bk virus
|
$109.05 |
$109.05 |
$109.05 |
$300.00
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$234.21 |
$234.21 |
$234.21 |
$228.38
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$212.15 |
$212.15 |
$212.15 |
$278.78
|
|
Infectious agent nucleic acid quantification hiv-1
|
$252.45 |
$252.45 |
$252.45 |
$381.55
|
|
Infliximab 100 mg intravenous solution
|
$3,231.46 |
$3,231.46 |
$3,231.46 |
$1,702.78
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$1,337.72 |
$1,337.72 |
$1,337.72 |
$1,654.83
|
|
Inf lwr xtr fscl pln blk uni w/wo image
|
$562.18 |
$562.18 |
$562.18 |
$780.00
|
|
Inf thrc fascial pln blk bi w/wo image
|
$410.28 |
$410.28 |
$410.28 |
$624.00
|
|
Inf thrc fascial pln blk uni w/wo image
|
$411.56 |
$411.56 |
$411.56 |
$820.80
|
|
Infuse radioactive materials
|
$641.09 |
$641.09 |
$641.09 |
$600.89
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$81.04 |
$81.04 |
$81.04 |
$357.05
|
|
Initiation & management bipap/cpap initial day
|
$1,380.19 |
$1,380.19 |
$1,380.19 |
$627.00
|
|
Inj., benralizumab, 1 mg
|
$13,097.25 |
$13,097.25 |
$13,097.25 |
$18,984.78
|
|
Inj calcitriol per 0.1 mcg
|
$31.89 |
$31.89 |
$31.89 |
$29.35
|
|
Inj, cefepime hcl (b braun)
|
$49.31 |
$49.31 |
$49.31 |
$81.41
|
|
Inj, cefiderocol, 10 mg
|
$323.73 |
$323.73 |
$323.73 |
$718.84
|
|
Inj ceftolozane tazobactam
|
$220.58 |
$220.58 |
$220.58 |
$333.00
|
|
Inj cntr knee arthro incl ct/mri
|
$75.10 |
$75.10 |
$75.10 |
$461.25
|
|
Inj dupuytren cord w/enzyme
|
$274.51 |
$274.51 |
$274.51 |
$416.00
|
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
|
$1,000.88 |
$1,000.88 |
$1,000.88 |
$1,214.78
|
|
Injection arthrography hip without anesthesia (both sides)
|
$250.33 |
$250.33 |
$250.33 |
$562.20
|
|
Injection, cangrelor
|
$1,284.49 |
$1,284.49 |
$1,284.49 |
$2,161.85
|
|
Injection carpal tunnel therapeutic (both sides)
|
$627.94 |
$627.94 |
$627.94 |
$541.96
|
|
Injection, daratumumab 10 mg
|
$7,107.73 |
$7,107.73 |
$7,107.73 |
$4,017.00
|
|
Injection, doxercalciferol
|
$30.77 |
$30.77 |
$30.77 |
$28.25
|
|
Injection epidural blood patch or clot
|
$771.35 |
$771.35 |
$771.35 |
$1,447.86
|
|
Injection for hip x-ray
|
$280.03 |
$280.03 |
$280.03 |
$669.24
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$566.42 |
$566.42 |
$566.42 |
$504.55
|
|
Injection for ureter x-ray
|
$355.13 |
$355.13 |
$355.13 |
$515.21
|
|
Injection, fulvestrant
|
$2,766.34 |
$2,766.34 |
$2,766.34 |
$2,618.94
|
|
Injection, isavuconazonium
|
$542.93 |
$542.93 |
$542.93 |
$634.28
|
|
Injection,onabotulinumtoxina
|
$1,834.49 |
$1,834.49 |
$1,834.49 |
$2,154.07
|
|
Injection radioactive tracer sentinel node (both sides)
|
$3,303.46 |
$3,303.46 |
$3,303.46 |
$773.19
|
|
Injection, renflexis
|
$1,307.24 |
$1,307.24 |
$1,307.24 |
$1,407.02
|
|
Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides)
|
$764.98 |
$764.98 |
$764.98 |
$1,160.25
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$978.40 |
$978.40 |
$978.40 |
$1,471.50
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$245.66 |
$245.66 |
$245.66 |
$999.81
|
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
|
$1,431.53 |
$1,431.53 |
$1,431.53 |
$2,251.00
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
|
$554.54 |
$554.54 |
$554.54 |
$1,131.41
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
|
$1,155.32 |
$1,155.32 |
$1,155.32 |
$1,957.80
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
|
$529.51 |
$529.51 |
$529.51 |
$1,119.88
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
|
$1,358.13 |
$1,358.13 |
$1,358.13 |
$2,005.52
|
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
|
$897.36 |
$897.36 |
$897.36 |
$1,871.25
|
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
|
$1,180.35 |
$1,180.35 |
$1,180.35 |
$1,771.20
|
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
|
$373.80 |
$373.80 |
$373.80 |
$460.94
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$606.73 |
$606.73 |
$606.73 |
$539.55
|
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
|
$572.36 |
$572.36 |
$572.36 |
$670.00
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$68.74 |
$68.74 |
$68.74 |
$168.17
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$38.19 |
$38.19 |
$38.19 |
$154.05
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$159.53 |
$159.53 |
$159.53 |
$270.60
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$84.86 |
$84.86 |
$84.86 |
$140.29
|
|
Inject sacroiliac joint
|
$504.90 |
$504.90 |
$504.90 |
$1,071.68
|
|
Inject/treat eye socket
|
$311.43 |
$311.43 |
$311.43 |
$366.40
|
|
Inj epidural sgl lumb-sacral without img
|
$413.25 |
$413.25 |
$413.25 |
$1,415.50
|
|
Inj heparin, pfizer, 1000u
|
$26.85 |
$26.85 |
$26.85 |
$19.04
|
|
Inj levocarnitine per 1 gm
|
$66.31 |
$66.31 |
$66.31 |
$122.28
|
|
Inj lwr xtr fscl pln blk uni w/wo image
|
$572.78 |
$572.78 |
$572.78 |
$625.00
|
|
Inj mepivacaine hcl/10 ml
|
$33.64 |
$33.64 |
$33.64 |
$22.38
|
|
Inj., meropenem, vaborbactam
|
$8,239.07 |
$8,239.07 |
$8,239.07 |
$618.43
|
|
Inj nephrosto/ureterogram w/img exstng access
|
$619.03 |
$619.03 |
$619.03 |
$1,522.56
|
|
Inj., omadacycline, 1 mg
|
$684.96 |
$684.96 |
$684.96 |
$3.80
|
|
Inj pegfilgrastim-bmez 0.5mg
|
$8,305.87 |
$8,305.87 |
$8,305.87 |
$2,572.03
|
|
Inj proc elbow arthro
|
$137.47 |
$137.47 |
$137.47 |
$456.17
|
|
Inj proc myelogram lumbar
|
$890.15 |
$890.15 |
$890.15 |
$960.30
|
|
Inj retacrit esrd on dialysi
|
$296.73 |
$296.73 |
$296.73 |
$307.40
|
|
Inj scleros sol mult veins
|
$393.31 |
$393.31 |
$393.31 |
$648.45
|
|
Inj testosterone cypionate
|
$81.11 |
$81.11 |
$81.11 |
$82.58
|
|
Inj thrc fascial pln blk bi w/wo image
|
$421.32 |
$421.32 |
$421.32 |
$1,483.20
|
|
Inj thrc fascial pln blk uni w/wo image
|
$418.77 |
$418.77 |
$418.77 |
$1,252.02
|
|
Inj w/fluor eval cv device
|
$106.08 |
$106.08 |
$106.08 |
$593.60
|
|
Ins cerv dilator (sep proc)
|
$198.14 |
$198.14 |
$198.14 |
$529.00
|
|
Insert cath pleura with image
|
$1,118.83 |
$1,118.83 |
$1,118.83 |
$2,239.02
|
|
Insert cath pleura without image
|
$1,777.74 |
$1,777.74 |
$1,777.74 |
$2,168.17
|
|
Insertion catheter bladder non indwelling
|
$288.09 |
$288.09 |
$288.09 |
$237.13
|
|
Insertion catheter bladder temporary simple
|
$86.56 |
$86.56 |
$86.56 |
$250.80
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$2,280.94 |
$2,280.94 |
$2,280.94 |
$4,782.00
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$1,463.77 |
$1,463.77 |
$1,463.77 |
$2,505.60
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$1,373.83 |
$1,373.83 |
$1,373.83 |
$2,079.43
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$742.07 |
$742.07 |
$742.07 |
$2,367.00
|
|
Insert swan-ganz cath
|
$896.09 |
$896.09 |
$896.09 |
$2,164.52
|
|
Insert tunneled cv 2cath 2sits without port/pmp 36565
|
$2,975.49 |
$2,975.49 |
$2,975.49 |
$4,705.13
|
|
Insert vad art access left hrt arterial access
|
$808.68 |
$808.68 |
$808.68 |
$5,135.65
|
|
Insitu hybridization auto
|
$233.36 |
$233.36 |
$233.36 |
$398.16
|
|
Insitu hybridization manual
|
$205.36 |
$205.36 |
$205.36 |
$411.33
|
|
In situ hybridization per specimen each additional single probe stain
|
$119.23 |
$119.23 |
$119.23 |
$264.00
|
|
In situ hybridization per specimen initial single probe stain
|
$202.81 |
$202.81 |
$202.81 |
$341.90
|
|
Ins picad w subq port 5yr>
|
$1,675.91 |
$1,675.91 |
$1,675.91 |
$4,228.20
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$769.65 |
$769.65 |
$769.65 |
$1,483.95
|