|
Infectious agent nucleic acid quantification bk virus
|
$367.25 |
$367.25 |
$367.25 |
$300.00
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$258.70 |
$258.70 |
$258.70 |
$242.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$365.95 |
$365.95 |
$365.95 |
$280.20
|
|
Infectious agent nucleic acid quantification hiv-1
|
$395.20 |
$395.20 |
$395.20 |
$381.55
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$288.60 |
$288.60 |
$288.60 |
$303.59
|
|
Infliximab 100 mg intravenous solution
|
$2,414.09 |
$2,414.09 |
$2,414.09 |
$178.95
|
|
Infliximab-axxq 100 mg intravenous solution
|
$1,038.05 |
$1,038.05 |
$1,038.05 |
$89.49
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$1,957.61 |
$1,957.61 |
$1,957.61 |
$157.14
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$167.70 |
$167.70 |
$167.70 |
$344.50
|
|
Initial nursing facility care/day 35 minutes
|
$174.85 |
$174.85 |
$174.85 |
$244.00
|
|
Initial nursing facility care/day 45 minutes
|
$241.80 |
$241.80 |
$241.80 |
$333.60
|
|
Initial nursing facility care/day low severity 99304
|
$133.90 |
$133.90 |
$133.90 |
$162.40
|
|
Initiation & management bipap/cpap initial day
|
$629.20 |
$629.20 |
$629.20 |
$608.40
|
|
Inj anifrolumab-fnia 1mg
|
$11,386.40 |
$11,386.40 |
$11,386.40 |
$1,038.87
|
|
Inj., benralizumab, 1 mg
|
$12,417.10 |
$12,417.10 |
$12,417.10 |
$12,417.10
|
|
Inj cefazolin sodium, hikma
|
$37.08 |
$37.08 |
$37.08 |
$66.38
|
|
Inj ceftolozane tazobactam
|
$809.64 |
$809.64 |
$809.64 |
$248.93
|
|
Inj crotalidae im f(ab')2 eq
|
$3,003.00 |
$3,003.00 |
$3,003.00 |
$2,388.06
|
|
Inj daxibotulinumtoxina-lanm
|
$1,774.50 |
$1,774.50 |
$1,774.50 |
$3.11
|
|
Inj. denosumab-bbdz, 1 mg
|
$6,618.42 |
$6,618.42 |
$6,618.42 |
$6,618.42
|
|
Inj, donanemab-azbt, 2 mg
|
$1,472.90 |
$1,472.90 |
$1,472.90 |
$6.20
|
|
Inj, durolane 1 mg
|
$4,710.88 |
$4,710.88 |
$4,710.88 |
$12.72
|
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
|
$20,107.14 |
$20,107.14 |
$20,107.14 |
$1,165.32
|
|
Injection carpal tunnel therapeutic (both sides)
|
$484.90 |
$484.90 |
$484.90 |
$441.60
|
|
Injection epidural blood patch or clot
|
$1,544.56 |
$1,544.56 |
$1,544.56 |
$1,470.60
|
|
Injection, inclisiran, 1 mg
|
$8,488.57 |
$8,488.57 |
$8,488.57 |
$12.72
|
|
Injection,onabotulinumtoxina
|
$1,481.02 |
$1,481.02 |
$1,481.02 |
$12.88
|
|
Injection, renflexis
|
$1,560.16 |
$1,560.16 |
$1,560.16 |
$632.98
|
|
Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides)
|
$1,160.25 |
$1,160.25 |
$1,160.25 |
$1,066.24
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$20,107.14 |
$20,107.14 |
$20,107.14 |
$1,391.40
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$21,382.06 |
$21,382.06 |
$21,382.06 |
$1,017.28
|
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
|
$3,488.38 |
$3,488.38 |
$3,488.38 |
$2,251.00
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
|
$4,000.67 |
$4,000.67 |
$4,000.67 |
$1,131.41
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
|
$4,000.67 |
$4,000.67 |
$4,000.67 |
$1,985.61
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
|
$3,954.18 |
$3,954.18 |
$3,954.18 |
$1,119.88
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
|
$3,954.18 |
$3,954.18 |
$3,954.18 |
$1,961.05
|
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
|
$2,909.32 |
$2,909.32 |
$2,909.32 |
$1,842.00
|
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
|
$2,731.22 |
$2,731.22 |
$2,731.22 |
$1,758.12
|
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
|
$211.25 |
$211.25 |
$211.25 |
$460.94
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$128.05 |
$128.05 |
$128.05 |
$517.24
|
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
|
$204.75 |
$204.75 |
$204.75 |
$654.00
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$154.05 |
$154.05 |
$154.05 |
$153.60
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$154.05 |
$154.05 |
$154.05 |
$150.00
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$154.05 |
$154.05 |
$154.05 |
$303.60
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$103.35 |
$103.35 |
$103.35 |
$130.19
|
|
Injection treatment of nerve
|
$753.35 |
$753.35 |
$753.35 |
$1,636.00
|
|
Inject sacroiliac joint
|
$739.05 |
$739.05 |
$739.05 |
$1,028.95
|
|
Inj epidural sgl cerv-thor without img
|
$1,007.50 |
$1,007.50 |
$1,007.50 |
$1,329.00
|
|
Inj epidural sgl lumb-sacral without img
|
$790.40 |
$790.40 |
$790.40 |
$1,260.60
|
|
Inj., guselkumab, 1 mg
|
$31,522.65 |
$31,522.65 |
$31,522.65 |
$74.86
|
|
Inj intralesional <= 7 lsn(s)
|
$91.65 |
$91.65 |
$91.65 |
$238.77
|
|
Inj, lecanemab-irmb, 1 mg
|
$1,380.53 |
$1,380.53 |
$1,380.53 |
$1.33
|
|
Inj, levothyroxine, freskabi
|
$508.52 |
$508.52 |
$508.52 |
$244.63
|
|
Inj lwr xtr fscl pln blk uni w/wo image
|
$21,612.27 |
$21,612.27 |
$21,612.27 |
$625.00
|
|
Inj mepivacaine hcl/10 ml
|
$59.57 |
$59.57 |
$59.57 |
$28.41
|
|
Inj, mirikizumab-mrkz, 1 mg
|
$19,774.63 |
$19,774.63 |
$19,774.63 |
$48.27
|
|
Inj proc lumbr disk ea lvl
|
$1,067.95 |
$1,067.95 |
$1,067.95 |
$1,218.51
|
|
Inj secukinumab intrav 1mg
|
$4,632.95 |
$4,632.95 |
$4,632.95 |
$31.80
|
|
Inj, tofidence, 1 mg
|
$922.66 |
$922.66 |
$922.66 |
$1,167.32
|
|
Inj triamcinolone ace X-ray 1mg
|
$1,595.32 |
$1,595.32 |
$1,595.32 |
$18.21
|
|
Inj, tyenne, 1 mg
|
$4,043.08 |
$4,043.08 |
$4,043.08 |
$12.60
|
|
Insert cath pleura with image
|
$632.45 |
$632.45 |
$632.45 |
$2,239.02
|
|
Insert cath pleura without image
|
$588.25 |
$588.25 |
$588.25 |
$2,157.58
|
|
Insertion catheter bladder non indwelling
|
$23,414.72 |
$23,414.72 |
$23,414.72 |
$230.40
|
|
Insertion catheter bladder temporary simple
|
$7,299.29 |
$7,299.29 |
$7,299.29 |
$245.00
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$1,114.10 |
$1,114.10 |
$1,114.10 |
$4,923.19
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$492.70 |
$492.70 |
$492.70 |
$2,457.24
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$1,408.55 |
$1,408.55 |
$1,408.55 |
$2,079.43
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$8,551.11 |
$8,551.11 |
$8,551.11 |
$5,423.04
|
|
Insitu hybridization auto
|
$286.65 |
$286.65 |
$286.65 |
$328.79
|
|
In situ hybridization per specimen each additional single probe stain
|
$311.35 |
$311.35 |
$311.35 |
$291.00
|
|
In situ hybridization per specimen initial single probe stain
|
$350.35 |
$350.35 |
$350.35 |
$364.00
|
|
Ins pq tunnld ip cath w/img
|
$1,339.00 |
$1,339.00 |
$1,339.00 |
$5,597.45
|
|
Ins/rplc spi npg/rcvr pocket
|
$45,409.73 |
$45,409.73 |
$45,409.73 |
$33,303.98
|
|
Ins tun cv cath wo subq prt/pm
|
$1,496.30 |
$1,496.30 |
$1,496.30 |
$4,314.75
|
|
Ins tun intraperit dia cath
|
$1,062.75 |
$1,062.75 |
$1,062.75 |
$4,657.46
|
|
Insulin total
|
$40.30 |
$40.30 |
$40.30 |
$72.15
|
|
Int hrhc lig 1 hroid without img
|
$447.85 |
$447.85 |
$447.85 |
$2,954.70
|
|
Intrinsic factor antibody
|
$117.00 |
$117.00 |
$117.00 |
$76.77
|
|
Intubation endotracheal emergency procedure
|
$594.10 |
$594.10 |
$594.10 |
$565.00
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$187.04 |
$187.04 |
$187.04 |
$4.59
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$362.82 |
$362.82 |
$362.82 |
$145.52
|
|
Iron
|
$66.95 |
$66.95 |
$66.95 |
$67.50
|
|
Iron binding capacity
|
$66.30 |
$66.30 |
$66.30 |
$55.00
|
|
Iron dextran 50 mg/ml injection solution
|
$41.35 |
$41.35 |
$41.35 |
$38.16
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$253.12 |
$253.12 |
$253.12 |
$211.09
|
|
Irradiation of blood product each unit reference
|
$82.55 |
$82.55 |
$82.55 |
$127.49
|
|
Irrigation implantable venous access device for drug delivery systems
|
$119.60 |
$119.60 |
$119.60 |
$149.00
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$222.95 |
$222.95 |
$222.95 |
$186.55
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$222.95 |
$222.95 |
$222.95 |
$170.94
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$222.95 |
$222.95 |
$222.95 |
$153.40
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$222.95 |
$222.95 |
$222.95 |
$476.50
|
|
Ivp w/nephrotomography
|
$697.45 |
$697.45 |
$697.45 |
$673.90
|
|
Ivp w/wo kub w/wo tomography
|
$854.75 |
$854.75 |
$854.75 |
$687.80
|
|
John cunningham antibody
|
$1,017.90 |
$1,017.90 |
$1,017.90 |
$39.65
|
|
J-tube placement
|
$619.45 |
$619.45 |
$619.45 |
$462.00
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$88.40 |
$88.40 |
$88.40 |
$52.50
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$27.59 |
$27.59 |
$27.59 |
$17.11
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$443.30 |
$443.30 |
$443.30 |
$618.54
|
|
Knee Arthroscopy (Cartilage Repair)
|
$5,711.26 |
$5,711.26 |
$5,711.26 |
$3,594.44
|
