|
Infect ag ia optc obs influenza
|
$40.49 |
$40.49 |
$40.49 |
$72.93
|
|
Infect ag if legionella pneumophila
|
$120.87 |
$120.87 |
$120.87 |
$73.45
|
|
Infect ag na hpv high-risk types
|
$217.24 |
$217.24 |
$217.24 |
$139.20
|
|
Infect ag na influenza r/amp 1st 2 types
|
$260.45 |
$260.45 |
$260.45 |
$219.70
|
|
Infect ag na resp virus 12-25 targets
|
$468.84 |
$468.84 |
$468.84 |
$854.70
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$36.21 |
$36.21 |
$36.21 |
$83.60
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$26.95 |
$26.95 |
$26.95 |
$76.00
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$405.87 |
$405.87 |
$405.87 |
$103.40
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$32.88 |
$32.88 |
$32.88 |
$81.20
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$32.88 |
$32.88 |
$32.88 |
$60.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$76.65 |
$76.65 |
$76.65 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$136.65 |
$136.65 |
$136.65 |
$129.00
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$25.64 |
$25.64 |
$25.64 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$106.00 |
$106.00 |
$106.00 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$111.72 |
$111.72 |
$111.72 |
$141.95
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$298.52 |
$298.52 |
$298.52 |
$167.05
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$435.88 |
$435.88 |
$435.88 |
$864.67
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$110.14 |
$110.14 |
$110.14 |
$181.35
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$104.78 |
$104.78 |
$104.78 |
$149.13
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$111.72 |
$111.72 |
$111.72 |
$137.67
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$73.26 |
$73.26 |
$73.26 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$278.13 |
$278.13 |
$278.13 |
$236.08
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$57.16 |
$57.16 |
$57.16 |
$96.00
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$74.15 |
$74.15 |
$74.15 |
$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
|
$846.85 |
$846.85 |
$846.85 |
$727.50
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$612.71 |
$612.71 |
$612.71 |
$432.63
|
|
Infectious agent nucleic acid quantification bk virus
|
$573.97 |
$573.97 |
$573.97 |
$283.00
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$223.08 |
$223.08 |
$223.08 |
$242.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$136.34 |
$136.34 |
$136.34 |
$253.00
|
|
Infectious agent nucleic acid quantification hiv-1
|
$165.94 |
$165.94 |
$165.94 |
$375.00
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$278.13 |
$278.13 |
$278.13 |
$304.20
|
|
Infliximab-axxq 100 mg intravenous solution
|
$77.16 |
$77.16 |
$77.16 |
$1,062.00
|
|
Influenza virus vaccine, inact hemagglutinin tiv pf inj
|
$111.51 |
$111.51 |
$111.51 |
$111.51
|
|
Influenza virus vaccine, live trivalent intranasal
|
$38.74 |
$38.74 |
$38.74 |
$36.50
|
|
Inj, abilify asimtufii, 1 mg
|
$11.05 |
$11.05 |
$11.05 |
$9,426.91
|
|
Inj, abilify maintena, 1 mg
|
$12.88 |
$12.88 |
$12.88 |
$5,355.30
|
|
Inj anifrolumab-fnia 1mg
|
$35.75 |
$35.75 |
$35.75 |
$10,052.58
|
|
Inj, bezlotoxumab, 10 mg
|
$86.17 |
$86.17 |
$86.17 |
$7,612.43
|
|
Inj brixadi, more than 7 day
|
$2,858.76 |
$2,858.76 |
$2,858.76 |
$2,858.76
|
|
Injection arthrography hip without anesthesia (both sides)
|
$176.54 |
$176.54 |
$176.54 |
$503.50
|
|
Injection for hip x-ray
|
$514.01 |
$514.01 |
$514.01 |
$763.60
|
|
Injection, inclisiran, 1 mg
|
$18.84 |
$18.84 |
$18.84 |
$6,679.35
|
|
Injection of sinus tract
|
$3,143.72 |
$3,143.72 |
$3,143.72 |
$1,640.99
|
|
Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides)
|
$1,895.48 |
$1,895.48 |
$1,895.48 |
$1,582.12
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$1,895.48 |
$1,895.48 |
$1,895.48 |
$1,391.40
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$1,703.29 |
$1,703.29 |
$1,703.29 |
$1,043.72
|
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
|
$2,385.11 |
$2,385.11 |
$2,385.11 |
$2,040.36
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
|
$2,006.79 |
$2,006.79 |
$2,006.79 |
$2,006.79
|
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
|
$1,581.07 |
$1,581.07 |
$1,581.07 |
$1,685.00
|
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
|
$807.96 |
$807.96 |
$807.96 |
$475.80
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$667.15 |
$667.15 |
$667.15 |
$548.80
|
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
|
$667.15 |
$667.15 |
$667.15 |
$637.92
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$113.85 |
$113.85 |
$113.85 |
$145.60
|
|
Inject sacroiliac joint
|
$1,522.96 |
$1,522.96 |
$1,522.96 |
$1,029.04
|
|
Inj, faricimab-svoa, 0.1mg
|
$57.53 |
$57.53 |
$57.53 |
$4,103.29
|
|
Inj, gadopiclenol, 1 ml
|
$6.34 |
$6.34 |
$6.34 |
$37.63
|
|
Inj, lecanemab-irmb, 1 mg
|
$1.03 |
$1.03 |
$1.03 |
$1,174.88
|
|
Inj mepivacaine hcl/10 ml
|
$5.41 |
$5.41 |
$5.41 |
$34.34
|
|
Inj multihance
|
$3.16 |
$3.16 |
$3.16 |
$70.54
|
|
Inj nephrosto/ureterogram w/img exstng access
|
$581.00 |
$581.00 |
$581.00 |
$1,413.35
|
|
Inj proc ankle arthr
|
$256.15 |
$256.15 |
$256.15 |
$405.31
|
|
Inj proc elbow arthro
|
$98.72 |
$98.72 |
$98.72 |
$432.00
|
|
Inj proc myelogram lumbar
|
$462.54 |
$462.54 |
$462.54 |
$838.30
|
|
Inj retro urethrocysto
|
$122.19 |
$122.19 |
$122.19 |
$447.74
|
|
Inj secukinumab intrav 1mg
|
$5.55 |
$5.55 |
$5.55 |
$4,413.21
|
|
Inj. teprotumumab-trbw 10 mg
|
$569.11 |
$569.11 |
$569.11 |
$35,034.78
|
|
Inj testosterone cypionate
|
$0.11 |
$0.11 |
$0.11 |
$64.96
|
|
Insert cath pleura without image
|
$4,688.19 |
$4,688.19 |
$4,688.19 |
$2,099.70
|
|
Insert drug delivery implant
|
$284.91 |
$284.91 |
$284.91 |
$280.00
|
|
Insert intrauterine device iud
|
$174.64 |
$174.64 |
$174.64 |
$347.10
|
|
Insertion catheter bladder non indwelling
|
$157.78 |
$157.78 |
$157.78 |
$208.01
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$1,477.11 |
$1,477.11 |
$1,477.11 |
$2,585.25
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$2,629.22 |
$2,629.22 |
$2,629.22 |
$2,103.75
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$6,886.74 |
$6,886.74 |
$6,886.74 |
$5,236.80
|
|
In situ hybridization per specimen each additional single probe stain
|
$226.30 |
$226.30 |
$226.30 |
$243.50
|
|
In situ hybridization per specimen initial single probe stain
|
$290.37 |
$290.37 |
$290.37 |
$338.40
|
|
Ins picad w subq port 5yr>
|
$70.06 |
$70.06 |
$70.06 |
$4,078.00
|
|
Instillation anticarcinogenic agent bladder
|
$1,475.90 |
$1,475.90 |
$1,475.90 |
$638.40
|
|
Ins tun cv cath wo subq prt/pm
|
$4,679.33 |
$4,679.33 |
$4,679.33 |
$4,218.00
|
|
Insulin total
|
$63.75 |
$63.75 |
$63.75 |
$66.64
|
|
Interdental fixation
|
$3,431.73 |
$3,431.73 |
$3,431.73 |
$2,133.48
|
|
Interrog dev eval icpms ip
|
$93.42 |
$93.42 |
$93.42 |
$104.00
|
|
Interrog device eval heart
|
$93.42 |
$93.42 |
$93.42 |
$162.40
|
|
Interrog evl pm/ldls pm ip
|
$93.42 |
$93.42 |
$93.42 |
$127.20
|
|
Intracranial limited study
|
$291.05 |
$291.05 |
$291.05 |
$467.50
|
|
Intraoral i+d tongue/floor lingual 41000
|
$983.79 |
$983.79 |
$983.79 |
$1,331.45
|
|
Intrinsic factor antibody
|
$47.98 |
$47.98 |
$47.98 |
$65.00
|
|
Intubation endotracheal emergency procedure
|
$579.00 |
$579.00 |
$579.00 |
$601.28
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$0.18 |
$0.18 |
$0.18 |
$279.10
|
|
Iron
|
$16.13 |
$16.13 |
$16.13 |
$75.00
|
|
Iron binding capacity
|
$60.82 |
$60.82 |
$60.82 |
$63.91
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$0.52 |
$0.52 |
$0.52 |
$187.06
|
|
Irrigation implantable venous access device for drug delivery systems
|
$141.04 |
$141.04 |
$141.04 |
$146.11
|
|
IV Fluids (each additional hour)
|
$171.19 |
$171.19 |
$171.19 |
$133.90
|
|
IV Fluids (first hour)
|
$349.45 |
$349.45 |
$349.45 |
$390.00
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$134.34 |
$134.34 |
$134.34 |
$162.68
|
|
IV Medicine Infusion (additional drug)
|
$110.58 |
$110.58 |
$110.58 |
$191.75
|
|
IV Medicine Infusion (each additional hour)
|
$106.48 |
$106.48 |
$106.48 |
$154.00
|
|
IV Medicine Infusion (first hour)
|
$338.08 |
$338.08 |
$338.08 |
$439.56
|