|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$199.55 |
$199.55 |
$199.55 |
$60.95
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$55.25 |
$55.25 |
$55.25 |
$107.90
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$194.35 |
$194.35 |
$194.35 |
$132.60
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$46.15 |
$46.15 |
$46.15 |
$98.40
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$22.10 |
$22.10 |
$22.10 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$564.20 |
$564.20 |
$564.20 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$96.20 |
$96.20 |
$96.20 |
$144.00
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$237.90 |
$237.90 |
$237.90 |
$174.06
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$492.05 |
$492.05 |
$492.05 |
$855.45
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$435.50 |
$435.50 |
$435.50 |
$181.35
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$183.30 |
$183.30 |
$183.30 |
$148.80
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$273.65 |
$273.65 |
$273.65 |
$217.10
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$96.20 |
$96.20 |
$96.20 |
$134.55
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$146.25 |
$146.25 |
$146.25 |
$109.18
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$339.30 |
$339.30 |
$339.30 |
$211.09
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$85.80 |
$85.80 |
$85.80 |
$96.00
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$80.60 |
$80.60 |
$80.60 |
$135.00
|
|
Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae
|
$81.25 |
$81.25 |
$81.25 |
$296.71
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$607.75 |
$607.75 |
$607.75 |
$727.50
|
|
Infectious agent nucleic acid quantification bk virus
|
$526.50 |
$526.50 |
$526.50 |
$300.00
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$477.75 |
$477.75 |
$477.75 |
$242.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$423.80 |
$423.80 |
$423.80 |
$280.20
|
|
Infectious agent nucleic acid quantification hiv-1
|
$494.65 |
$494.65 |
$494.65 |
$381.55
|
|
Infliximab 100 mg intravenous solution
|
$779.67 |
$779.67 |
$779.67 |
$178.95
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$1,545.50 |
$1,545.50 |
$1,545.50 |
$157.14
|
|
Influenza virus vaccine, inact hemagglutinin tiv pf inj
|
$277.81 |
$277.81 |
$277.81 |
$76.00
|
|
Inf thrc fascial pln blk uni w/wo image
|
$1,963.00 |
$1,963.00 |
$1,963.00 |
$1,153.60
|
|
Initiation & management bipap/cpap initial day
|
$664.95 |
$664.95 |
$664.95 |
$608.40
|
|
Inj, bupivacaine liposome
|
$658.74 |
$658.74 |
$658.74 |
$3.22
|
|
Inj calcitriol per 0.1 mcg
|
$16.17 |
$16.17 |
$16.17 |
$11.21
|
|
Inj cefazolin sodium, hikma
|
$19.17 |
$19.17 |
$19.17 |
$66.38
|
|
Inj cefazolin (wg crit care)
|
$7.15 |
$7.15 |
$7.15 |
$1.00
|
|
Inj, cefiderocol, 10 mg
|
$802.13 |
$802.13 |
$802.13 |
$79.20
|
|
Inj ceftolozane tazobactam
|
$622.80 |
$622.80 |
$622.80 |
$248.93
|
|
Inj crotalidae im f(ab')2 eq
|
$2,574.00 |
$2,574.00 |
$2,574.00 |
$2,388.06
|
|
Inj cyclophosphamd (ingenus)
|
$1,912.30 |
$1,912.30 |
$1,912.30 |
$1.16
|
|
Injection, belinostat, 10mg
|
$4,181.18 |
$4,181.18 |
$4,181.18 |
$9,355.72
|
|
Injection, cangrelor
|
$2,048.01 |
$2,048.01 |
$2,048.01 |
$1,305.72
|
|
Injection carpal tunnel therapeutic (both sides)
|
$44.20 |
$44.20 |
$44.20 |
$441.60
|
|
Injection, daratumumab 10 mg
|
$5,366.95 |
$5,366.95 |
$5,366.95 |
$85.20
|
|
Injection for bladder x-ray
|
$1,574.95 |
$1,574.95 |
$1,574.95 |
$585.00
|
|
Injection for ureter x-ray
|
$13,008.97 |
$13,008.97 |
$13,008.97 |
$544.50
|
|
Injection, fulvestrant
|
$332.80 |
$332.80 |
$332.80 |
$166.25
|
|
Injection, inclisiran, 1 mg
|
$7,275.92 |
$7,275.92 |
$7,275.92 |
$12.72
|
|
Injection,onabotulinumtoxina
|
$1,269.45 |
$1,269.45 |
$1,269.45 |
$12.88
|
|
Injection, renflexis
|
$1,232.06 |
$1,232.06 |
$1,232.06 |
$632.98
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$48,298.04 |
$48,298.04 |
$48,298.04 |
$1,391.40
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$51,110.27 |
$51,110.27 |
$51,110.27 |
$1,017.28
|
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
|
$906.39 |
$906.39 |
$906.39 |
$1,758.12
|
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
|
$31.20 |
$31.20 |
$31.20 |
$460.94
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$29.25 |
$29.25 |
$29.25 |
$517.24
|
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
|
$33.15 |
$33.15 |
$33.15 |
$654.00
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$229.45 |
$229.45 |
$229.45 |
$153.60
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$329.55 |
$329.55 |
$329.55 |
$303.60
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$174.20 |
$174.20 |
$174.20 |
$130.19
|
|
Inj heparin, pfizer, 1000u
|
$19.47 |
$19.47 |
$19.47 |
$18.49
|
|
Inj hydroxocobalamin IV 25mg
|
$3,406.00 |
$3,406.00 |
$3,406.00 |
$1,593.19
|
|
Inj intralesional <= 7 lsn(s)
|
$23.40 |
$23.40 |
$23.40 |
$238.77
|
|
Inj intralesional > 7 lsns
|
$180.05 |
$180.05 |
$180.05 |
$222.75
|
|
Inj, lanreotide, (cipla) 1mg
|
$14,458.37 |
$14,458.37 |
$14,458.37 |
$12,160.05
|
|
Inj levocarnitine per 1 gm
|
$115.93 |
$115.93 |
$115.93 |
$87.51
|
|
Inj, levothyroxine, freskabi
|
$286.91 |
$286.91 |
$286.91 |
$244.63
|
|
Inj lwr xtr fscl pln blk uni w/wo image
|
$47,928.89 |
$47,928.89 |
$47,928.89 |
$625.00
|
|
Inj multihance
|
$94.51 |
$94.51 |
$94.51 |
$86.40
|
|
Inj nephrosto/ureterogram w/img exstng access
|
$4,814.58 |
$4,814.58 |
$4,814.58 |
$1,522.56
|
|
Inj ogivri 10 mg
|
$4,273.51 |
$4,273.51 |
$4,273.51 |
$91.01
|
|
Inj proc myelogram lumbar
|
$6,073.17 |
$6,073.17 |
$6,073.17 |
$1,026.35
|
|
Inj progesterone per 50 mg
|
$9.75 |
$9.75 |
$9.75 |
$35.00
|
|
Inj retro urethrocysto
|
$1,013.15 |
$1,013.15 |
$1,013.15 |
$569.60
|
|
Inj scleros sol sgl vein
|
$2,920.86 |
$2,920.86 |
$2,920.86 |
$534.40
|
|
Inj testosterone cypionate
|
$14.75 |
$14.75 |
$14.75 |
$78.79
|
|
Inj thrc fascial pln blk uni w/wo image
|
$1,963.00 |
$1,963.00 |
$1,963.00 |
$1,471.50
|
|
Inj, tofidence, 1 mg
|
$3,144.05 |
$3,144.05 |
$3,144.05 |
$1,167.32
|
|
Inj w/fluor eval cv device
|
$1,442.58 |
$1,442.58 |
$1,442.58 |
$573.00
|
|
Ins cath ren art 1st bi
|
$18,663.18 |
$18,663.18 |
$18,663.18 |
$6,012.50
|
|
Ins cerv dilator (sep proc)
|
$290.55 |
$290.55 |
$290.55 |
$557.60
|
|
Insert cath pleura with image
|
$21,554.48 |
$21,554.48 |
$21,554.48 |
$2,239.02
|
|
Insert intrauterine device iud
|
$21,420.20 |
$21,420.20 |
$21,420.20 |
$366.65
|
|
Insertion catheter bladder non indwelling
|
$30,051.71 |
$30,051.71 |
$30,051.71 |
$230.40
|
|
Insertion catheter bladder temporary simple
|
$26,377.97 |
$26,377.97 |
$26,377.97 |
$245.00
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$10,119.49 |
$10,119.49 |
$10,119.49 |
$4,923.19
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$59,342.80 |
$59,342.80 |
$59,342.80 |
$2,457.24
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$31,256.09 |
$31,256.09 |
$31,256.09 |
$14,777.24
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$74,503.69 |
$74,503.69 |
$74,503.69 |
$9,855.00
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$3,125.85 |
$3,125.85 |
$3,125.85 |
$2,079.43
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$63,856.93 |
$63,856.93 |
$63,856.93 |
$32,608.80
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$28,589.68 |
$28,589.68 |
$28,589.68 |
$8,460.40
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$21,812.39 |
$21,812.39 |
$21,812.39 |
$9,824.59
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$13,590.67 |
$13,590.67 |
$13,590.67 |
$5,423.04
|
|
Insert spine infusion device 62360
|
$56,216.57 |
$56,216.57 |
$56,216.57 |
$6,531.84
|
|
Insert swan-ganz cath
|
$243.75 |
$243.75 |
$243.75 |
$2,269.00
|
|
Insert uro/ves nck sphincter
|
$74,106.50 |
$74,106.50 |
$74,106.50 |
$9,417.14
|
|
In situ hybridization per specimen each additional single probe stain
|
$10,348.90 |
$10,348.90 |
$10,348.90 |
$291.00
|
|
In situ hybridization per specimen initial single probe stain
|
$10,348.90 |
$10,348.90 |
$10,348.90 |
$364.00
|
|
Ins pm gen w/exist mlt leads
|
$39,267.46 |
$39,267.46 |
$39,267.46 |
$17,191.21
|
|
Ins pq tunnld ip cath w/img
|
$9,751.06 |
$9,751.06 |
$9,751.06 |
$5,597.45
|
|
Ins/rplc spi npg/rcvr pocket
|
$68,282.73 |
$68,282.73 |
$68,282.73 |
$33,303.98
|
|
Ins/rpl ldless pm right vent w img & eval
|
$68,247.32 |
$68,247.32 |
$68,247.32 |
$24,705.20
|
|
Ins/rpl prph sac/gstr npg/r
|
$47,352.43 |
$47,352.43 |
$47,352.43 |
$23,436.14
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$7,350.20 |
$7,350.20 |
$7,350.20 |
$28,931.50
|
