|
Incision & drainage hematoma/seroma/fluid collection
|
$799.48 |
$799.48 |
$877.00 |
$2,080.80
|
|
Incision of burn scab initi
|
$309.58 |
$309.58 |
$336.50 |
$494.40
|
|
Incision of toe tendons 28011
|
$2,077.00 |
$2,077.00 |
$2,077.00 |
$2,119.12
|
|
Incision of tongue fold
|
$819.72 |
$819.72 |
$1,007.50 |
$1,792.50
|
|
Incisn of toe tndn
|
$1,354.50 |
$1,354.50 |
$1,354.50 |
$2,667.00
|
|
Incisn windpipe
|
$1,278.34 |
$1,278.34 |
$1,278.34 |
$3,819.23
|
|
Incobotulinumtoxin a
|
$225.66 |
$225.66 |
$245.28 |
$1,339.57
|
|
Infec agen detec ampli probe
|
$13.00 |
$13.00 |
$13.34 |
$26.00
|
|
Infect ag drug suscept pheno predict
|
$176.50 |
$176.50 |
$176.50 |
$323.20
|
|
Infect ag genotype na hiv-1 other region
|
$197.00 |
$197.00 |
$197.00 |
$347.04
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$176.50 |
$176.50 |
$176.50 |
$603.75
|
|
Infect ag ia direct hiv-1 antgn
|
$119.60 |
$119.60 |
$131.50 |
$95.55
|
|
Infect ag ia optc obs influenza
|
$22.00 |
$22.00 |
$39.56 |
$72.93
|
|
Infect ag if legionella pneumophila
|
$54.74 |
$54.74 |
$54.74 |
$72.31
|
|
Infect ag if nos ea
|
$123.00 |
$123.00 |
$123.00 |
$74.88
|
|
Infect ag if pneumocystis carinii
|
$25.00 |
$25.00 |
$59.80 |
$67.46
|
|
Infect ag na hpv high-risk types
|
$163.00 |
$163.00 |
$163.00 |
$139.32
|
|
Infect ag na resp virus 12-25 targets
|
$1,225.50 |
$1,225.50 |
$1,225.50 |
$847.94
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$49.68 |
$49.68 |
$219.50 |
$81.90
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$119.60 |
$119.60 |
$124.00 |
$69.68
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$95.68 |
$95.68 |
$103.00 |
$76.32
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$17.94 |
$17.94 |
$116.50 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$73.60 |
$73.60 |
$114.50 |
$95.50
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$30.82 |
$30.82 |
$93.00 |
$80.60
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$28.00 |
$28.00 |
$28.52 |
$60.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$33.58 |
$33.58 |
$130.50 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$166.98 |
$166.98 |
$201.50 |
$129.77
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$34.50 |
$34.50 |
$34.50 |
$98.40
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$31.74 |
$31.74 |
$49.00 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$249.32 |
$249.32 |
$275.00 |
$267.50
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$108.50 |
$108.50 |
$108.50 |
$137.67
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$79.12 |
$79.12 |
$189.00 |
$167.05
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$339.02 |
$339.02 |
$910.50 |
$861.00
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$203.00 |
$203.00 |
$205.62 |
$181.35
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$95.00 |
$95.00 |
$96.14 |
$151.25
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$31.74 |
$31.74 |
$157.00 |
$208.00
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$90.00 |
$90.00 |
$90.00 |
$135.85
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$77.28 |
$77.28 |
$88.00 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$187.00 |
$187.00 |
$189.06 |
$236.08
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$22.00 |
$22.00 |
$40.02 |
$92.50
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$93.84 |
$93.84 |
$102.00 |
$108.75
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$684.94 |
$684.94 |
$718.00 |
$727.50
|
|
Infectious agent nucleic acid quantification bk virus
|
$122.36 |
$122.36 |
$211.50 |
$285.66
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$385.48 |
$385.48 |
$419.00 |
$237.78
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$182.62 |
$182.62 |
$365.00 |
$252.00
|
|
Infectious agent nucleic acid quantification hiv-1
|
$684.02 |
$684.02 |
$743.50 |
$374.00
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$290.26 |
$290.26 |
$319.00 |
$303.59
|
|
Infliximab 100 mg intravenous solution
|
$518.14 |
$518.14 |
$563.20 |
$2,047.13
|
|
Infliximab-axxq 100 mg intravenous solution
|
$210.75 |
$210.75 |
$229.08 |
$1,062.00
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$225.81 |
$225.81 |
$245.44 |
$1,537.84
|
|
Influenza virus vaccine, live trivalent intranasal
|
$11.71 |
$11.71 |
$12.73 |
$36.50
|
|
Infuse radioactive materials
|
$625.00 |
$625.00 |
$625.00 |
$744.00
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$126.50 |
$126.50 |
$126.50 |
$293.25
|
|
Initial foot exam pt lops
|
$1,556.00 |
$1,556.00 |
$1,556.00 |
$155.50
|
|
Initiation & management bipap/cpap initial day
|
$311.42 |
$311.42 |
$570.50 |
$571.20
|
|
Inj, abilify asimtufii, 1 mg
|
$733.17 |
$733.17 |
$796.93 |
$9,426.91
|
|
Inj, abilify maintena, 1 mg
|
$1,173.07 |
$1,173.07 |
$1,275.07 |
$5,355.30
|
|
Inj alymsys 10 mg
|
$41.73 |
$41.73 |
$45.36 |
$1,280.74
|
|
Inj anifrolumab-fnia 1mg
|
$1,202.76 |
$1,202.76 |
$1,307.35 |
$9,878.82
|
|
Inj, artesunate, 1mg
|
$2,474.11 |
$2,474.11 |
$2,689.25 |
$14,460.21
|
|
Inj, aspara, rylaze, 0.1 mg
|
$4,581.60 |
$4,581.60 |
$4,980.00 |
$10,458.00
|
|
Inj aval alfa-nqpt 4mg
|
$895.81 |
$895.81 |
$973.70 |
$3,907.30
|
|
Inj., benralizumab, 1 mg
|
$2,611.31 |
$2,611.31 |
$2,838.38 |
$11,239.97
|
|
Inj, bezlotoxumab, 10 mg
|
$1,748.00 |
$1,748.00 |
$1,900.00 |
$7,612.43
|
|
Inj, bortezomib freseniuskab
|
$539.77 |
$539.77 |
$586.70 |
$2,464.14
|
|
Inj cefazolin sodium, baxter
|
$0.06 |
$0.06 |
$0.06 |
$27.38
|
|
Inj cefazolin (wg crit care)
|
$1.51 |
$1.51 |
$1.64 |
$17.00
|
|
Inj. cefepime hcl (baxter)
|
$0.25 |
$0.25 |
$0.27 |
$86.84
|
|
Inj, cefepime hcl (b braun)
|
$12.56 |
$12.56 |
$13.66 |
$69.85
|
|
Inj, cefiderocol, 10 mg
|
$97.96 |
$97.96 |
$106.48 |
$544.85
|
|
Inj ceftolozane tazobactam
|
$73.36 |
$73.36 |
$79.74 |
$382.72
|
|
Inj, clevidipine butyrate
|
$0.73 |
$0.73 |
$0.79 |
$4.86
|
|
Inj, clindamycin (baxter)
|
$0.11 |
$0.11 |
$0.12 |
$48.96
|
|
Inj crotalidae im f(ab')2 eq
|
$534.02 |
$534.02 |
$580.46 |
$2,613.60
|
|
Inj disk cerv-thor ea lev
|
$783.00 |
$783.00 |
$783.00 |
$957.60
|
|
Inj, donanemab-azbt, 2 mg
|
$16.01 |
$16.01 |
$17.40 |
$1,233.44
|
|
Inj dx for sinogram
|
$255.50 |
$255.50 |
$255.50 |
$413.82
|
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
|
$532.68 |
$532.68 |
$569.50 |
$1,214.78
|
|
Injection arthrography hip without anesthesia (both sides)
|
$505.00 |
$505.00 |
$505.00 |
$503.50
|
|
Injection, burosumab-twza 1m
|
$5,850.47 |
$5,850.47 |
$6,359.20 |
$20,002.09
|
|
Injection, cangrelor
|
$420.38 |
$420.38 |
$456.94 |
$1,889.78
|
|
Injection, caplacizumab-yhdp
|
$3,645.50 |
$3,645.50 |
$3,962.50 |
$16,319.16
|
|
Injection, daratumumab 10 mg
|
$70.76 |
$70.76 |
$76.91 |
$5,188.91
|
|
Injection, doxercalciferol
|
$1.47 |
$1.47 |
$1.60 |
$23.83
|
|
Injection during cath supravalvular aortography
|
$640.00 |
$640.00 |
$952.66 |
$1,027.26
|
|
Injection, edaravone, 1 mg
|
$2.66 |
$2.66 |
$2.89 |
$1,136.59
|
|
Injection epidural blood patch or clot
|
$393.30 |
$393.30 |
$522.00 |
$1,156.80
|
|
Injection for arthrography wrist (both sides)
|
$125.00 |
$125.00 |
$125.00 |
$438.00
|
|
Injection for bladder x-ray
|
$328.00 |
$328.00 |
$328.00 |
$459.20
|
|
Injection for hip x-ray
|
$1,279.50 |
$1,279.50 |
$1,279.50 |
$662.40
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$358.50 |
$358.50 |
$358.50 |
$494.65
|
|
Injection for spleen x-ray
|
$929.00 |
$929.00 |
$929.00 |
$558.60
|
|
Injection for ureter x-ray
|
$748.50 |
$748.50 |
$748.50 |
$415.80
|
|
Injection for ureter x-ray
|
$877.50 |
$877.50 |
$877.50 |
$515.21
|
|
Injection, fulvestrant
|
$81.58 |
$81.58 |
$88.68 |
$1,719.16
|
|
Injection, glucarpidase
|
$18,940.04 |
$18,940.04 |
$20,587.00 |
$74,113.20
|
|
Injection, inclisiran, 1 mg
|
$1,036.97 |
$1,036.97 |
$1,127.14 |
$6,679.35
|
|
Injection into brain canal
|
$393.30 |
$393.30 |
$427.50 |
$1,548.04
|
|
Injection, isavuconazonium
|
$165.72 |
$165.72 |
$180.12 |
$787.67
|
|
Injection jugular
|
$211.60 |
$211.60 |
$230.00 |
$790.00
|
