|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$262.80 |
$262.80 |
$262.80 |
$303.59
|
|
Infliximab 100 mg intravenous solution
|
$3,894.60 |
$3,894.60 |
$3,894.60 |
$2,080.86
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$3,155.40 |
$3,155.40 |
$3,155.40 |
$1,617.43
|
|
Influenza dna amp prob addl
|
$115.20 |
$115.20 |
$115.20 |
$64.26
|
|
Initial nursing facility care/day 35 minutes
|
$136.80 |
$136.80 |
$136.80 |
$188.50
|
|
Initial nursing facility care/day 45 minutes
|
$173.40 |
$173.40 |
$173.40 |
$236.80
|
|
Initial nursing facility care/day low severity 99304
|
$96.00 |
$96.00 |
$96.00 |
$128.00
|
|
Initiation & management bipap/cpap initial day
|
$792.00 |
$792.00 |
$792.00 |
$576.00
|
|
Inj, acetaminophen (b braun)
|
$29.40 |
$29.40 |
$29.40 |
$32.79
|
|
Inj acetaminophen -fresenius
|
$49.20 |
$49.20 |
$49.20 |
$38.87
|
|
Inj, acetaminophen (hikma)
|
$49.20 |
$49.20 |
$49.20 |
$68.30
|
|
Inj, bupivacaine liposome
|
$1,500.90 |
$1,500.90 |
$1,500.90 |
$699.38
|
|
Inj, clindamycin (baxter)
|
$28.80 |
$28.80 |
$28.80 |
$48.39
|
|
Inj daptomycin (xellia)
|
$154.80 |
$154.80 |
$154.80 |
$56.04
|
|
Injection for bladder x-ray
|
$844.80 |
$844.80 |
$844.80 |
$459.20
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$508.20 |
$508.20 |
$508.20 |
$494.65
|
|
Injection, fulvestrant
|
$627.00 |
$627.00 |
$627.00 |
$1,719.16
|
|
Injection,onabotulinumtoxina
|
$22.80 |
$22.80 |
$22.80 |
$2,241.61
|
|
Injection radioactive tracer sentinel node (both sides)
|
$616.80 |
$616.80 |
$616.80 |
$683.28
|
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
|
$91.80 |
$91.80 |
$91.80 |
$460.94
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$65.40 |
$65.40 |
$65.40 |
$517.24
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$78.60 |
$78.60 |
$78.60 |
$166.38
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$91.80 |
$91.80 |
$91.80 |
$145.60
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$233.40 |
$233.40 |
$233.40 |
$261.00
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$118.80 |
$118.80 |
$118.80 |
$135.20
|
|
Inj. fe derisomaltose 10 mg
|
$12,084.00 |
$12,084.00 |
$12,084.00 |
$3,540.79
|
|
Inj intralesional <= 7 lsn(s)
|
$43.20 |
$43.20 |
$43.20 |
$235.13
|
|
Inj, lidocaine w epinephrine
|
$41.10 |
$41.10 |
$41.10 |
$44.96
|
|
Inj octafluoropropane mic,ml
|
$541.80 |
$541.80 |
$541.80 |
$211.40
|
|
Inj teclistamab cqyv 0.5 mg
|
$40,198.50 |
$40,198.50 |
$40,198.50 |
$17,517.56
|
|
Insert cath pleura without image
|
$897.00 |
$897.00 |
$897.00 |
$2,019.00
|
|
Insertion catheter bladder non indwelling
|
$221.40 |
$221.40 |
$221.40 |
$205.20
|
|
Insertion catheter bladder temporary simple
|
$221.40 |
$221.40 |
$221.40 |
$229.32
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$1,615.80 |
$1,615.80 |
$1,615.80 |
$2,511.00
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$1,759.20 |
$1,759.20 |
$1,759.20 |
$2,079.43
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$2,497.80 |
$2,497.80 |
$2,497.80 |
$2,414.10
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$1,176.00 |
$1,176.00 |
$1,176.00 |
$5,236.80
|
|
In situ hybridization per specimen each additional single probe stain
|
$165.60 |
$165.60 |
$165.60 |
$243.60
|
|
In situ hybridization per specimen initial single probe stain
|
$165.60 |
$165.60 |
$165.60 |
$326.04
|
|
Ins tun cv cath wo subq prt/pm
|
$780.60 |
$780.60 |
$780.60 |
$4,202.70
|
|
Insulin total
|
$150.60 |
$150.60 |
$150.60 |
$66.64
|
|
Interrog device eval heart
|
$94.80 |
$94.80 |
$94.80 |
$162.40
|
|
Interrog evl pm/ldls pm ip
|
$73.80 |
$73.80 |
$73.80 |
$124.80
|
|
Intrinsic factor antibody
|
$281.40 |
$281.40 |
$281.40 |
$66.60
|
|
Intubation endotracheal emergency procedure
|
$782.40 |
$782.40 |
$782.40 |
$589.60
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$318.00 |
$318.00 |
$318.00 |
$172.98
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$576.00 |
$576.00 |
$576.00 |
$279.10
|
|
Ip/obs cnsltj new/est low 45
|
$110.40 |
$110.40 |
$110.40 |
$174.20
|
|
Ip/obs cnsltj new/est mod 60
|
$180.60 |
$180.60 |
$180.60 |
$284.45
|
|
Ip/obs consltj new/est hi 80
|
$238.80 |
$238.80 |
$238.80 |
$332.80
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$184.20 |
$184.20 |
$184.20 |
$163.87
|
|
Iron
|
$105.60 |
$105.60 |
$105.60 |
$74.40
|
|
Iron binding capacity
|
$122.40 |
$122.40 |
$122.40 |
$63.79
|
|
Iron dextran 50 mg/ml injection solution
|
$89.40 |
$89.40 |
$89.40 |
$80.95
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$321.00 |
$321.00 |
$321.00 |
$187.06
|
|
Irrigation implantable venous access device for drug delivery systems
|
$90.60 |
$90.60 |
$90.60 |
$142.20
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$246.00 |
$246.00 |
$246.00 |
$191.75
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$246.00 |
$246.00 |
$246.00 |
$157.50
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$114.00 |
$114.00 |
$114.00 |
$151.80
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$468.60 |
$468.60 |
$468.60 |
$439.56
|
|
Jak2 targeted sequence analysis
|
$478.20 |
$478.20 |
$478.20 |
$379.87
|
|
Jejunstmy tube plcmt
|
$771.00 |
$771.00 |
$771.00 |
$2,174.40
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$238.20 |
$238.20 |
$238.20 |
$60.20
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$18.00 |
$18.00 |
$18.00 |
$23.50
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$654.00 |
$654.00 |
$654.00 |
$666.00
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$1,296.54 |
$1,296.54 |
$1,296.54 |
$1,543.50
|
|
Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm
|
$923.90 |
$923.90 |
$923.90 |
$740.00
|
|
Knee Arthroscopy (Meniscus Repair)
|
$1,960.80 |
$1,960.80 |
$1,960.80 |
$5,148.00
|
|
Knee arthroscopy/surgery
|
$1,567.20 |
$1,567.20 |
$1,567.20 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$1,815.00 |
$1,815.00 |
$1,815.00 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$2,224.80 |
$2,224.80 |
$2,224.80 |
$4,499.12
|
|
Knee MRI (with and without contrast)
|
$3,823.20 |
$3,823.20 |
$3,823.20 |
$3,034.80
|
|
Knee MRI (without contrast)
|
$6,776.40 |
$6,776.40 |
$6,776.40 |
$2,169.60
|
|
Knee X-ray
|
$909.00 |
$909.00 |
$909.00 |
$425.55
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$33.60 |
$33.60 |
$33.60 |
$32.34
|
|
Lactate dehydrogenase (ldh)
|
$88.80 |
$88.80 |
$88.80 |
$55.50
|
|
Lactated ringers intravenous solution
|
$21.00 |
$21.00 |
$21.00 |
$45.56
|
|
Lactic acid
|
$47.40 |
$47.40 |
$47.40 |
$107.00
|
|
Lactoferrin fecal qualitative
|
$291.60 |
$291.60 |
$291.60 |
$80.40
|
|
Lactoferrin fecal quant
|
$82.80 |
$82.80 |
$82.80 |
$106.10
|
|
Laparo cholecystectomy/explr
|
$2,144.40 |
$2,144.40 |
$2,144.40 |
$6,637.99
|
|
Laparo cholecystectomy/graph
|
$2,020.20 |
$2,020.20 |
$2,020.20 |
$8,346.00
|
|
Laparo partial colectomy 44204
|
$2,259.60 |
$2,259.60 |
$2,259.60 |
$2,917.80
|
|
Laparoscopy biopsy
|
$1,147.20 |
$1,147.20 |
$1,147.20 |
$5,954.23
|
|
Laparoscopy fundoplasty
|
$2,221.20 |
$2,221.20 |
$2,221.20 |
$11,378.21
|
|
Laparoscopy gastrostomy
|
$1,186.80 |
$1,186.80 |
$1,186.80 |
$6,376.26
|
|
Lap colectomy/coloproctostomy w/clst 44208
|
$3,573.60 |
$3,573.60 |
$3,573.60 |
$4,896.80
|
|
Lap colectomy part w/ileum 44205
|
$1,933.20 |
$1,933.20 |
$1,933.20 |
$2,938.32
|
|
Lap colostomy 44188
|
$2,095.80 |
$2,095.80 |
$2,095.80 |
$3,008.00
|
|
Lap enterectomy 44202
|
$2,437.20 |
$2,437.20 |
$2,437.20 |
$2,142.00
|
|
Lap ing hernia repair init
|
$1,123.20 |
$1,123.20 |
$1,123.20 |
$6,904.15
|
|
Lap ing hernia repair recur
|
$1,205.40 |
$1,205.40 |
$1,205.40 |
$6,376.26
|
|
Lap mobil splenic fl add-on 44213
|
$377.40 |
$377.40 |
$377.40 |
$622.40
|
|
Lap paraesoph her rpr w/mesh
|
$3,744.00 |
$3,744.00 |
$3,744.00 |
$10,029.60
|
|
Lap part colectomy w/stoma 44206
|
$3,019.80 |
$3,019.80 |
$3,019.80 |
$4,307.20
|
|
Laryngoscopy w/biopsy
|
$595.20 |
$595.20 |
$595.20 |
$4,362.99
|
|
Laryngoscopy w/bx & op scope
|
$766.80 |
$766.80 |
$766.80 |
$4,362.99
|
|
Larynscop w/tumr exc + scope
|
$880.20 |
$880.20 |
$880.20 |
$4,363.27
|
|
Lavage cannulation maxillary sinus
|
$181.20 |
$181.20 |
$181.20 |
$728.00
|
|
Lead capillary
|
$72.00 |
$72.00 |
$72.00 |
$57.50
|
