|
Immune globulin ig human im use 90281
|
$143.00 |
$143.00 |
$143.00 |
$92.00
|
|
Immunoassay tumor antigen quantitative ca 125
|
$89.50 |
$89.50 |
$89.50 |
$131.50
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$50.00 |
$50.00 |
$50.00 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$55.00 |
$55.00 |
$55.00 |
$48.50
|
|
Immunofixation electrophoresis serum
|
$150.00 |
$150.00 |
$150.00 |
$141.60
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$33.50 |
$33.50 |
$33.50 |
$156.00
|
|
Immunofluorescence per specimen initial single antibody stain
|
$230.00 |
$230.00 |
$230.00 |
$233.52
|
|
Immunoglobulin assay
|
$54.00 |
$54.00 |
$54.00 |
$74.15
|
|
Immunology procedure
|
$72.00 |
$72.00 |
$72.00 |
$106.20
|
|
Impl absrb msh/prsth dly cls
|
$434.50 |
$434.50 |
$434.50 |
$750.40
|
|
Implant neuroelectrodes
|
$3,018.00 |
$3,018.00 |
$3,018.00 |
$7,766.27
|
|
Implant neuroelectrodes
|
$332.00 |
$332.00 |
$332.00 |
$7,270.51
|
|
Impl neurostim electr perc
|
$457.00 |
$457.00 |
$457.00 |
$7,672.50
|
|
Inactivated je vacc im
|
$531.50 |
$531.50 |
$531.50 |
$481.34
|
|
Incise/drain eyelid lining
|
$113.50 |
$113.50 |
$113.50 |
$1,271.00
|
|
Incise perq finger tendon 26060
|
$290.00 |
$290.00 |
$290.00 |
$1,893.86
|
|
Incise tear duct opening 68440
|
$107.50 |
$107.50 |
$107.50 |
$507.20
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$2,154.00 |
$2,154.00 |
$2,154.00 |
$2,056.93
|
|
Incision of anal sphincter
|
$182.00 |
$182.00 |
$182.00 |
$3,245.23
|
|
Incision of bile duct
|
$1,568.00 |
$1,568.00 |
$1,568.00 |
$3,352.00
|
|
Incision of bile duct 47420
|
$1,513.00 |
$1,513.00 |
$1,513.00 |
$2,788.80
|
|
Incision of breast lesion
|
$378.00 |
$378.00 |
$378.00 |
$2,577.85
|
|
Incision of eyelid
|
$103.50 |
$103.50 |
$103.50 |
$1,488.50
|
|
Incision of fibula
|
$468.50 |
$468.50 |
$468.50 |
$3,839.54
|
|
Incision of foot fascia
|
$333.00 |
$333.00 |
$333.00 |
$4,570.33
|
|
Incision of foot tendon 28234
|
$1,540.00 |
$1,540.00 |
$1,540.00 |
$2,116.27
|
|
Incision of gallbladder 47480
|
$1,015.00 |
$1,015.00 |
$1,015.00 |
$1,650.00
|
|
Incision of heel bone
|
$738.50 |
$738.50 |
$738.50 |
$5,110.00
|
|
Incision of metatarsal
|
$465.00 |
$465.00 |
$465.00 |
$4,176.43
|
|
Incision of metatarsal
|
$596.00 |
$596.00 |
$596.00 |
$7,807.24
|
|
Incision of metatarsal
|
$446.50 |
$446.50 |
$446.50 |
$3,591.33
|
|
Incision of rectal abscess
|
$588.50 |
$588.50 |
$588.50 |
$3,245.23
|
|
Incision of spinal nerve 64772
|
$623.00 |
$623.00 |
$623.00 |
$2,310.83
|
|
Incision of tendon & muscle
|
$691.50 |
$691.50 |
$691.50 |
$5,376.00
|
|
Incision of tendon sheath
|
$404.00 |
$404.00 |
$404.00 |
$2,176.80
|
|
Incision of thigh
|
$1,123.00 |
$1,123.00 |
$1,123.00 |
$3,798.60
|
|
Incision of thigh tendon
|
$504.00 |
$504.00 |
$504.00 |
$3,839.54
|
|
Incision of tibia
|
$837.00 |
$837.00 |
$837.00 |
$7,907.11
|
|
Incision of toe tendons 28011
|
$318.50 |
$318.50 |
$318.50 |
$2,119.12
|
|
Incision of tongue fold
|
$121.50 |
$121.50 |
$121.50 |
$1,792.50
|
|
Incision of urethra
|
$339.50 |
$339.50 |
$339.50 |
$5,626.86
|
|
Incision of urethra
|
$105.50 |
$105.50 |
$105.50 |
$2,899.60
|
|
Incision tendon sheath
|
$341.50 |
$341.50 |
$341.50 |
$3,073.20
|
|
Incisn of toe tndn
|
$237.50 |
$237.50 |
$237.50 |
$2,627.96
|
|
Incisn windpipe
|
$3,175.50 |
$3,175.50 |
$3,175.50 |
$3,810.50
|
|
Incobotulinumtoxin a
|
$8.50 |
$8.50 |
$8.50 |
$1,339.57
|
|
Infect ag eia influenza a or b ea
|
$44.00 |
$44.00 |
$44.00 |
$71.50
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$601.00 |
$601.00 |
$601.00 |
$601.00
|
|
Infect ag ia optc obs influenza
|
$54.00 |
$54.00 |
$54.00 |
$72.93
|
|
Infect ag if varicella zoster
|
$77.00 |
$77.00 |
$77.00 |
$72.80
|
|
Infect ag na hpv high-risk types
|
$87.00 |
$87.00 |
$87.00 |
$139.20
|
|
Infect ag na influenza r/amp 1st 2 types
|
$224.50 |
$224.50 |
$224.50 |
$217.88
|
|
Infectious agent antigen immunoassay direct optical observation sars-cov-2
|
$67.00 |
$67.00 |
$67.00 |
$53.00
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$73.50 |
$73.50 |
$73.50 |
$82.08
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$49.00 |
$49.00 |
$49.00 |
$76.32
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$76.50 |
$76.50 |
$76.50 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$97.50 |
$97.50 |
$97.50 |
$95.50
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$20.00 |
$20.00 |
$20.00 |
$81.06
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$91.50 |
$91.50 |
$91.50 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$60.00 |
$60.00 |
$60.00 |
$130.90
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$56.00 |
$56.00 |
$56.00 |
$98.58
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$60.00 |
$60.00 |
$60.00 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$435.00 |
$435.00 |
$435.00 |
$270.80
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$76.00 |
$76.00 |
$76.00 |
$137.67
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$124.50 |
$124.50 |
$124.50 |
$167.05
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$316.00 |
$316.00 |
$316.00 |
$183.41
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$82.00 |
$82.00 |
$82.00 |
$151.25
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$76.00 |
$76.00 |
$76.00 |
$136.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$71.50 |
$71.50 |
$71.50 |
$217.80
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$312.50 |
$312.50 |
$312.50 |
$236.08
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$122.00 |
$122.00 |
$122.00 |
$92.50
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$132.00 |
$132.00 |
$132.00 |
$109.20
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$293.00 |
$293.00 |
$293.00 |
$185.00
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$619.50 |
$619.50 |
$619.50 |
$727.50
|
|
Infectious agent nucleic acid quantification bk virus
|
$166.00 |
$166.00 |
$166.00 |
$285.66
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$411.00 |
$411.00 |
$411.00 |
$238.80
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$303.50 |
$303.50 |
$303.50 |
$253.00
|
|
Infectious agent nucleic acid quantification hiv-1
|
$302.00 |
$302.00 |
$302.00 |
$375.00
|
|
Influenza virus vaccine, live trivalent intranasal
|
$36.50 |
$36.50 |
$36.50 |
$36.50
|
|
Inf thrc fascial pln blk bi w/wo image
|
$266.50 |
$266.50 |
$266.50 |
$523.25
|
|
Inf thrc fascial pln blk uni w/wo image
|
$156.50 |
$156.50 |
$156.50 |
$780.00
|
|
Initial hosp neonate 28 d/less than not critically ill 99477
|
$364.00 |
$364.00 |
$364.00 |
$629.60
|
|
Initial nursing facility care/day 35 minutes
|
$160.50 |
$160.50 |
$160.50 |
$188.50
|
|
Initial nursing facility care/day 45 minutes
|
$219.50 |
$219.50 |
$219.50 |
$236.80
|
|
Initial nursing facility care/day low severity 99304
|
$87.00 |
$87.00 |
$87.00 |
$128.00
|
|
Initiation & management bipap/cpap initial day
|
$266.50 |
$266.50 |
$266.50 |
$576.00
|
|
Init pm e/m new pat 65+ yrs
|
$145.00 |
$145.00 |
$145.00 |
$180.77
|
|
Init/sub psych care m 1st 30
|
$41.50 |
$41.50 |
$41.50 |
$101.09
|
|
Inj, abilify asimtufii, 1 mg
|
$8.50 |
$8.50 |
$8.50 |
$9,426.91
|
|
Inj, abilify maintena, 1 mg
|
$10.00 |
$10.00 |
$10.00 |
$5,168.00
|
|
Inj, adstiladrin, per tx dos
|
$69,210.00 |
$69,210.00 |
$69,210.00 |
$63,354.77
|
|
Inj, aflibercept hd, 1 mg
|
$344.00 |
$344.00 |
$344.00 |
$4,433.46
|
|
Inj anifrolumab-fnia 1mg
|
$27.50 |
$27.50 |
$27.50 |
$9,648.88
|
|
Inj avacincaptad pegol 0.1mg
|
$157.50 |
$157.50 |
$157.50 |
$3,409.64
|
|
Inj., benralizumab, 1 mg
|
$292.50 |
$292.50 |
$292.50 |
$11,239.97
|
|
Inj, bezlotoxumab, 10 mg
|
$68.50 |
$68.50 |
$68.50 |
$7,612.43
|
|
Inj bimatoprost itc imp1mcg
|
$304.00 |
$304.00 |
$304.00 |
$3,287.96
|
|
Inj, bupivacaine liposome
|
$2.00 |
$2.00 |
$2.00 |
$699.38
|
|
Inj cefazolin sodium, hikma
|
$4.60 |
$4.60 |
$4.60 |
$28.52
|
|
Inj ceftolozane tazobactam
|
$12.50 |
$12.50 |
$12.50 |
$381.60
|
