|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$143.40 |
$143.40 |
$179.80 |
$222.60
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$143.40 |
$143.40 |
$179.80 |
$248.15
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$44.59 |
$44.59 |
$52.30 |
$98.15
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$36.96 |
$36.96 |
$43.34 |
$112.45
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$424.58 |
$424.58 |
$497.94 |
$727.50
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$165.49 |
$165.49 |
$207.50 |
$489.50
|
|
Infectious agent nucleic acid quantification bk virus
|
$339.42 |
$339.42 |
$398.07 |
$285.66
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$153.04 |
$153.04 |
$191.88 |
$226.35
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$420.56 |
$420.56 |
$493.23 |
$278.78
|
|
Infectious agent nucleic acid quantification hiv-1
|
$148.22 |
$148.22 |
$173.83 |
$381.55
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$356.29 |
$356.29 |
$417.86 |
$298.35
|
|
Infliximab 100 mg intravenous solution
|
$3,059.29 |
$3,059.29 |
$3,835.72 |
$2,791.24
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$1,266.44 |
$1,266.44 |
$1,587.86 |
$1,654.83
|
|
Influenza dna amp prob addl
|
$190.80 |
$190.80 |
$223.77 |
$69.60
|
|
Inf lwr xtr fscl pln blk uni w/wo image
|
$532.22 |
$532.22 |
$624.19 |
$780.00
|
|
Inf thrc fascial pln blk bi w/wo image
|
$388.42 |
$388.42 |
$487.00 |
$624.00
|
|
Inf thrc fascial pln blk uni w/wo image
|
$389.63 |
$389.63 |
$456.96 |
$820.80
|
|
Infuse radioactive materials
|
$272.76 |
$272.76 |
$465.55 |
$600.89
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$75.92 |
$75.92 |
$89.04 |
$359.64
|
|
Initiation & management bipap/cpap initial day
|
$255.87 |
$255.87 |
$300.08 |
$645.79
|
|
Inj., benralizumab, 1 mg
|
$12,399.41 |
$12,399.41 |
$15,546.33 |
$16,865.48
|
|
Inj calcitriol per 0.1 mcg
|
$30.19 |
$30.19 |
$37.86 |
$33.36
|
|
Inj, cefepime hcl (b braun)
|
$46.68 |
$46.68 |
$58.53 |
$81.41
|
|
Inj, cefiderocol, 10 mg
|
$306.48 |
$306.48 |
$384.27 |
$718.84
|
|
Inj ceftolozane tazobactam
|
$208.83 |
$208.83 |
$261.83 |
$447.36
|
|
Inj cntr knee arthro incl ct/mri
|
$70.70 |
$70.70 |
$82.92 |
$464.28
|
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
|
$749.53 |
$749.53 |
$845.13 |
$1,214.78
|
|
Injection arthrography hip without anesthesia (both sides)
|
$273.55 |
$273.55 |
$292.08 |
$507.10
|
|
Injection, cangrelor
|
$1,216.06 |
$1,216.06 |
$1,524.68 |
$2,546.20
|
|
Injection carpal tunnel therapeutic (both sides)
|
$560.74 |
$560.74 |
$657.64 |
$536.00
|
|
Injection, daratumumab 10 mg
|
$6,729.02 |
$6,729.02 |
$8,436.82 |
$7,107.73
|
|
Injection, doxercalciferol
|
$29.13 |
$29.13 |
$36.52 |
$30.35
|
|
Injection during cath supravalvular aortography
|
$115.29 |
$115.29 |
$159.23 |
$1,148.80
|
|
Injection epidural blood patch or clot
|
$646.65 |
$646.65 |
$889.31 |
$1,473.12
|
|
Injection eye drug
|
$433.81 |
$433.81 |
$433.81 |
$648.90
|
|
Injection for arthrography wrist (both sides)
|
$83.39 |
$83.39 |
$174.33 |
$441.12
|
|
Injection for bladder x-ray
|
$260.69 |
$260.69 |
$317.99 |
$585.00
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$222.93 |
$222.93 |
$261.46 |
$504.00
|
|
Injection for ureter x-ray
|
$390.53 |
$390.53 |
$390.53 |
$515.21
|
|
Injection, fulvestrant
|
$2,618.94 |
$2,618.94 |
$3,283.62 |
$2,756.47
|
|
Injection, isavuconazonium
|
$514.00 |
$514.00 |
$644.45 |
$646.20
|
|
Injection,onabotulinumtoxina
|
$1,736.75 |
$1,736.75 |
$2,177.53 |
$2,154.07
|
|
Injection radioactive tracer sentinel node (both sides)
|
$562.35 |
$562.35 |
$600.16 |
$717.20
|
|
Injection, renflexis
|
$1,237.59 |
$1,237.59 |
$1,551.68 |
$1,457.42
|
|
Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides)
|
$570.38 |
$570.38 |
$844.07 |
$1,160.25
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$363.52 |
$363.52 |
$426.34 |
$1,471.50
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$384.81 |
$384.81 |
$482.47 |
$1,017.28
|
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
|
$1,037.53 |
$1,037.53 |
$1,216.81 |
$2,251.00
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
|
$630.63 |
$630.63 |
$739.61 |
$1,131.41
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
|
$1,286.57 |
$1,286.57 |
$1,508.88 |
$1,961.05
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
|
$584.84 |
$584.84 |
$661.41 |
$1,119.88
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
|
$1,063.64 |
$1,063.64 |
$1,247.43 |
$2,154.68
|
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
|
$812.19 |
$812.19 |
$812.19 |
$1,829.28
|
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
|
$922.65 |
$922.65 |
$952.53 |
$1,758.12
|
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
|
$448.23 |
$448.23 |
$457.91 |
$472.76
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$621.40 |
$621.40 |
$707.10 |
$552.60
|
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
|
$404.09 |
$404.09 |
$728.77 |
$670.00
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$63.47 |
$63.47 |
$83.61 |
$168.05
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$55.03 |
$55.03 |
$73.03 |
$154.05
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$140.59 |
$140.59 |
$184.83 |
$271.65
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$74.31 |
$74.31 |
$92.17 |
$141.60
|
|
Inject sacroiliac joint
|
$958.40 |
$958.40 |
$1,124.01 |
$1,090.00
|
|
Inject/treat eye socket
|
$294.83 |
$294.83 |
$369.66 |
$365.40
|
|
Inj epidural sgl lumb-sacral without img
|
$664.37 |
$664.37 |
$832.99 |
$1,450.84
|
|
Inj for ext venography
|
$318.13 |
$318.13 |
$484.75 |
$737.55
|
|
Inj for mammo ductogram
|
$51.02 |
$51.02 |
$51.02 |
$433.50
|
|
Inj heparin, pfizer, 1000u
|
$25.42 |
$25.42 |
$31.87 |
$24.28
|
|
Inj hrt cath w/s&i nonsel p-art angrp
|
$103.24 |
$103.24 |
$121.07 |
$1,482.00
|
|
Inj hrt cath w/s&i sel hrt ang
|
$1,587.02 |
$1,587.02 |
$1,861.25 |
$1,837.17
|
|
Inj hrt cath w/s&i sel hrt art
|
$146.62 |
$146.62 |
$171.95 |
$1,192.50
|
|
Inj hrt cath w/s&i sel left vent
|
$641.08 |
$641.08 |
$751.85 |
$1,214.40
|
|
Inj hrt cath w/s&i sel right vent
|
$114.08 |
$114.08 |
$133.79 |
$947.65
|
|
Inj levocarnitine per 1 gm
|
$62.77 |
$62.77 |
$78.71 |
$138.96
|
|
Inj lwr xtr fscl pln blk uni w/wo image
|
$542.27 |
$542.27 |
$635.97 |
$625.00
|
|
Inj mepivacaine hcl/10 ml
|
$31.85 |
$31.85 |
$39.93 |
$28.41
|
|
Inj., meropenem, vaborbactam
|
$7,800.09 |
$7,800.09 |
$9,779.71 |
$618.43
|
|
Inj nephrosto/ureterogram w/img exstng access
|
$586.05 |
$586.05 |
$734.78 |
$1,522.56
|
|
Inj non-compmd foam sclrsnt mlt trncl veins same leg
|
$2,431.74 |
$2,431.74 |
$2,431.74 |
$2,371.50
|
|
Inj non-compmd foam sclrsnt sgl trncl vein
|
$2,431.74 |
$2,431.74 |
$2,431.74 |
$2,164.64
|
|
Inj., omadacycline, 1 mg
|
$648.46 |
$648.46 |
$813.04 |
$3.80
|
|
Inj pegfilgrastim-bmez 0.5mg
|
$7,863.32 |
$7,863.32 |
$9,859.00 |
$6,403.59
|
|
Inj proc ankle arthr
|
$151.69 |
$151.69 |
$163.08 |
$405.31
|
|
Inj proc elbow arthro
|
$128.94 |
$128.94 |
$151.22 |
$453.60
|
|
Inj proc myelogram lumbar
|
$971.25 |
$971.25 |
$1,139.08 |
$922.80
|
|
Inj retacrit esrd on dialysi
|
$280.92 |
$280.92 |
$352.22 |
$307.40
|
|
Inj retro urethrocysto
|
$110.47 |
$110.47 |
$129.55 |
$551.29
|
|
Inj scleros sol mult veins
|
$370.75 |
$370.75 |
$434.81 |
$687.96
|
|
Inj scleros sol sgl vein
|
$573.78 |
$573.78 |
$573.78 |
$534.40
|
|
Inj testosterone cypionate
|
$76.79 |
$76.79 |
$96.28 |
$77.15
|
|
Inj thrc fascial pln blk bi w/wo image
|
$398.87 |
$398.87 |
$500.10 |
$1,483.20
|
|
Inj thrc fascial pln blk uni w/wo image
|
$396.46 |
$396.46 |
$464.96 |
$1,252.02
|
|
Inj w/fluor eval cv device
|
$132.56 |
$132.56 |
$155.46 |
$588.90
|
|
Ins cath ren art 1st bi
|
$2,031.68 |
$2,031.68 |
$2,382.74 |
$6,033.75
|
|
Ins cath ren art 1st uni
|
$1,585.01 |
$1,585.01 |
$1,858.90 |
$4,667.63
|
|
Ins cerv dilator (sep proc)
|
$185.98 |
$185.98 |
$185.98 |
$544.00
|
|
Insert cath pleura with image
|
$1,109.43 |
$1,109.43 |
$1,391.00 |
$2,239.02
|
|
Insert cath pleura without image
|
$1,763.36 |
$1,763.36 |
$2,210.89 |
$2,212.00
|
|
Insert intrauterine device iud
|
$173.53 |
$173.53 |
$173.53 |
$378.83
|
|
Insertion catheter bladder non indwelling
|
$272.34 |
$272.34 |
$319.40 |
$237.13
|
|
Insertion catheter bladder temporary simple
|
$159.87 |
$159.87 |
$205.87 |
$273.60
|