|
Incision tendon sheath
|
$3,251.90 |
$3,251.90 |
$3,251.90 |
$3,073.20
|
|
Incisn of toe tndn
|
$3,478.79 |
$3,478.79 |
$3,478.79 |
$2,667.00
|
|
Incobotulinumtoxin a
|
$10.80 |
$10.80 |
$10.80 |
$1,339.57
|
|
Induced abortion dilat&evac
|
$6,206.72 |
$6,206.72 |
$6,206.72 |
$4,451.18
|
|
Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s)
|
$146.13 |
$146.13 |
$146.13 |
$140.80
|
|
Infect ag drug suscept pheno predict
|
$471.70 |
$471.70 |
$471.70 |
$325.00
|
|
Infect ag eia influenza a or b ea
|
$43.39 |
$43.39 |
$43.39 |
$71.20
|
|
Infect ag genotype na cytomegalovirus
|
$535.91 |
$535.91 |
$535.91 |
$665.40
|
|
Infect ag genotype na dna hepatitis b
|
$887.32 |
$887.32 |
$887.32 |
$409.27
|
|
Infect ag genotype na hiv-1 other region
|
$465.84 |
$465.84 |
$465.84 |
$361.65
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$931.68 |
$931.68 |
$931.68 |
$603.83
|
|
Infect ag ia optc obs influenza
|
$48.52 |
$48.52 |
$48.52 |
$72.93
|
|
Infect ag if ea plyvlnt antsrm
|
$43.39 |
$43.39 |
$43.39 |
$68.40
|
|
Infect ag if hep delta agent
|
$59.39 |
$59.39 |
$59.39 |
$125.97
|
|
Infect ag if pneumocystis carinii
|
$43.39 |
$43.39 |
$43.39 |
$66.06
|
|
Infect ag if varicella zoster
|
$43.39 |
$43.39 |
$43.39 |
$72.00
|
|
Infect ag na hpv high-risk types
|
$127.02 |
$127.02 |
$127.02 |
$139.20
|
|
Infect ag na influenza r/amp 1st 2 types
|
$307.96 |
$307.96 |
$307.96 |
$219.70
|
|
Infect ag na orthopoxvirus amp prb each
|
$78.08 |
$78.08 |
$78.08 |
$100.00
|
|
Infect ag na resp virus 12-25 targets
|
$1,055.35 |
$1,055.35 |
$1,055.35 |
$854.70
|
|
Infect ag phenotype na hiv-1 1-10 drugs
|
$1,768.39 |
$1,768.39 |
$1,768.39 |
$954.00
|
|
Infect ag phenotype na hiv-1 ea addl drg
|
$94.33 |
$94.33 |
$94.33 |
$75.63
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$43.39 |
$43.39 |
$43.39 |
$83.60
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$39.34 |
$39.34 |
$39.34 |
$72.80
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$43.39 |
$43.39 |
$43.39 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$52.06 |
$52.06 |
$52.06 |
$103.40
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$37.38 |
$37.38 |
$37.38 |
$81.20
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$37.38 |
$37.38 |
$37.38 |
$60.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$87.15 |
$87.15 |
$87.15 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$43.39 |
$43.39 |
$43.39 |
$129.00
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$43.39 |
$43.39 |
$43.39 |
$98.58
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$43.39 |
$43.39 |
$43.39 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$127.02 |
$127.02 |
$127.02 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$127.02 |
$127.02 |
$127.02 |
$141.95
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$127.02 |
$127.02 |
$127.02 |
$167.05
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$1,508.29 |
$1,508.29 |
$1,508.29 |
$864.67
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$82.65 |
$82.65 |
$82.65 |
$181.35
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$77.79 |
$77.79 |
$77.79 |
$149.13
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$127.02 |
$127.02 |
$127.02 |
$212.16
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$127.02 |
$127.02 |
$127.02 |
$137.67
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$143.24 |
$143.24 |
$143.24 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$335.96 |
$335.96 |
$335.96 |
$206.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$316.20 |
$316.20 |
$316.20 |
$236.08
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$127.02 |
$127.02 |
$127.02 |
$96.00
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$68.43 |
$68.43 |
$68.43 |
$112.45
|
|
Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae
|
$136.85 |
$136.85 |
$136.85 |
$217.60
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$981.72 |
$981.72 |
$981.72 |
$727.50
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$446.81 |
$446.81 |
$446.81 |
$289.91
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$734.19 |
$734.19 |
$734.19 |
$432.63
|
|
Infectious agent nucleic acid quantification bk virus
|
$155.01 |
$155.01 |
$155.01 |
$283.00
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$155.01 |
$155.01 |
$155.01 |
$242.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$155.01 |
$155.01 |
$155.01 |
$253.00
|
|
Infectious agent nucleic acid quantification hiv-1
|
$307.96 |
$307.96 |
$307.96 |
$375.00
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$464.26 |
$464.26 |
$464.26 |
$304.20
|
|
Infliximab 100 mg intravenous solution
|
$238.93 |
$238.93 |
$238.93 |
$2,047.13
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$119.34 |
$119.34 |
$119.34 |
$1,537.84
|
|
Influenza virus vaccine, inact hemagglutinin tiv pf inj
|
$169.88 |
$169.88 |
$169.88 |
$111.51
|
|
Influenza virus vaccine, live trivalent intranasal
|
$51.68 |
$51.68 |
$51.68 |
$36.50
|
|
Ingest challenge ini 120 min
|
$1,062.35 |
$1,062.35 |
$1,062.35 |
$764.78
|
|
Init pm e/m new pat 65+ yrs
|
$406.48 |
$406.48 |
$406.48 |
$189.15
|
|
Init/sub psych care m 1st 30
|
$62.44 |
$62.44 |
$62.44 |
$94.34
|
|
Inj, abilify asimtufii, 1 mg
|
$11.37 |
$11.37 |
$11.37 |
$9,426.91
|
|
Inj, abilify maintena, 1 mg
|
$14.37 |
$14.37 |
$14.37 |
$5,355.30
|
|
Inj, aflibercept hd, 1 mg
|
$625.98 |
$625.98 |
$625.98 |
$2,794.18
|
|
Inj anifrolumab-fnia 1mg
|
$38.31 |
$38.31 |
$38.31 |
$10,052.58
|
|
Inj., benralizumab, 1 mg
|
$364.38 |
$364.38 |
$364.38 |
$11,310.00
|
|
Inj cntr knee arthro incl ct/mri
|
$277.15 |
$277.15 |
$277.15 |
$436.80
|
|
Inj. denosumab-bbdz, 1 mg
|
$51.45 |
$51.45 |
$51.45 |
$4,615.43
|
|
Inj dupuytren cord w/enzyme
|
$332.02 |
$332.02 |
$332.02 |
$416.00
|
|
Inj, durolane 1 mg
|
$39.26 |
$39.26 |
$39.26 |
$1,950.93
|
|
Inj dx for sinogram
|
$638.70 |
$638.70 |
$638.70 |
$436.00
|
|
Injection arthrography hip without anesthesia (both sides)
|
$449.46 |
$449.46 |
$449.46 |
$503.50
|
|
Injection, doxercalciferol
|
$3.43 |
$3.43 |
$3.43 |
$23.86
|
|
Injection epidural blood patch or clot
|
$1,231.28 |
$1,231.28 |
$1,231.28 |
$1,182.33
|
|
Injection for arthrography wrist (both sides)
|
$94.60 |
$94.60 |
$94.60 |
$436.00
|
|
Injection for bladder x-ray
|
$100.80 |
$100.80 |
$100.80 |
$459.20
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$256.86 |
$256.86 |
$256.86 |
$497.76
|
|
Injection for ureter x-ray
|
$632.78 |
$632.78 |
$632.78 |
$515.21
|
|
Injection, inclisiran, 1 mg
|
$25.22 |
$25.22 |
$25.22 |
$6,679.35
|
|
Injection jugular
|
$1,623.58 |
$1,623.58 |
$1,623.58 |
$790.00
|
|
Injection,onabotulinumtoxina
|
$13.75 |
$13.75 |
$13.75 |
$2,277.65
|
|
Injection, renflexis
|
$88.84 |
$88.84 |
$88.84 |
$1,341.52
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$1,276.42 |
$1,276.42 |
$1,276.42 |
$1,391.40
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$1,041.62 |
$1,041.62 |
$1,041.62 |
$1,043.72
|
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
|
$1,784.85 |
$1,784.85 |
$1,784.85 |
$2,040.36
|
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
|
$648.41 |
$648.41 |
$648.41 |
$1,817.24
|
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
|
$648.41 |
$648.41 |
$648.41 |
$1,685.00
|
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
|
$252.04 |
$252.04 |
$252.04 |
$475.80
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$318.37 |
$318.37 |
$318.37 |
$548.80
|
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
|
$318.37 |
$318.37 |
$318.37 |
$637.92
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$168.98 |
$168.98 |
$168.98 |
$145.60
|
|
Injection treatment of nerve
|
$2,188.39 |
$2,188.39 |
$2,188.39 |
$2,054.00
|
|
Inj epidural sgl cerv-thor without img
|
$1,276.42 |
$1,276.42 |
$1,276.42 |
$1,329.00
|
|
Inj, etelcalcetide, 0.1 mg
|
$8.03 |
$8.03 |
$8.03 |
$343.35
|
|
Inj, faricimab-svoa, 0.1mg
|
$82.63 |
$82.63 |
$82.63 |
$4,103.29
|
|
Inj for ext venography
|
$142.07 |
$142.07 |
$142.07 |
$628.80
|
|
Inj, gadopiclenol, 1 ml
|
$7.27 |
$7.27 |
$7.27 |
$37.63
|
|
Inj hydroxyprogst capoat nos
|
$5.85 |
$5.85 |
$5.85 |
$1,228.59
|
|
Inj intralesional > 7 lsns
|
$497.06 |
$497.06 |
$497.06 |
$234.00
|
|
Inj levocarnitine per 1 gm
|
$29.58 |
$29.58 |
$29.58 |
$136.62
|