|
Infect ag na influenza r/amp 1st 2 types
|
$173.40 |
$173.40 |
$173.40 |
$219.70
|
|
Infect ag na orthopoxvirus amp prb each
|
$94.80 |
$94.80 |
$94.80 |
$99.36
|
|
Infect ag na resp virus 12-25 targets
|
$1,132.80 |
$1,132.80 |
$1,132.80 |
$859.44
|
|
Infect ag phenotype na hiv-1 1-10 drugs
|
$824.40 |
$824.40 |
$824.40 |
$855.60
|
|
Infect ag phenotype na hiv-1 ea addl drg
|
$134.40 |
$134.40 |
$134.40 |
$77.00
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$152.40 |
$152.40 |
$152.40 |
$82.00
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$42.60 |
$42.60 |
$42.60 |
$69.44
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$80.40 |
$80.40 |
$80.40 |
$76.50
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$80.40 |
$80.40 |
$80.40 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$75.00 |
$75.00 |
$75.00 |
$96.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$100.20 |
$100.20 |
$100.20 |
$81.06
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$28.20 |
$28.20 |
$28.20 |
$57.60
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$184.80 |
$184.80 |
$184.80 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$120.60 |
$120.60 |
$120.60 |
$127.80
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$114.60 |
$114.60 |
$114.60 |
$97.50
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$88.20 |
$88.20 |
$88.20 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$170.40 |
$170.40 |
$170.40 |
$267.50
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$112.80 |
$112.80 |
$112.80 |
$137.67
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$140.40 |
$140.40 |
$140.40 |
$167.05
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$1,859.40 |
$1,859.40 |
$1,859.40 |
$861.00
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$82.20 |
$82.20 |
$82.20 |
$181.35
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$147.00 |
$147.00 |
$147.00 |
$151.25
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$370.20 |
$370.20 |
$370.20 |
$201.60
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$112.80 |
$112.80 |
$112.80 |
$135.80
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$105.00 |
$105.00 |
$105.00 |
$100.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$258.00 |
$258.00 |
$258.00 |
$217.70
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$69.60 |
$69.60 |
$69.60 |
$94.53
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$114.60 |
$114.60 |
$114.60 |
$105.00
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$541.80 |
$541.80 |
$541.80 |
$711.93
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$362.40 |
$362.40 |
$362.40 |
$283.20
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$583.20 |
$583.20 |
$583.20 |
$429.50
|
|
Infectious agent nucleic acid quantification bk virus
|
$240.60 |
$240.60 |
$240.60 |
$283.00
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$127.20 |
$127.20 |
$127.20 |
$238.80
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$587.40 |
$587.40 |
$587.40 |
$252.60
|
|
Infectious agent nucleic acid quantification hiv-1
|
$404.40 |
$404.40 |
$404.40 |
$374.50
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$352.20 |
$352.20 |
$352.20 |
$303.59
|
|
Infliximab 100 mg intravenous solution
|
$3,258.24 |
$3,258.24 |
$3,258.24 |
$2,080.86
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$355.80 |
$355.80 |
$355.80 |
$293.04
|
|
Initiation & management bipap/cpap initial day
|
$212.40 |
$212.40 |
$212.40 |
$576.00
|
|
Inj, biorphen, 20 micrograms
|
$9.00 |
$9.00 |
$9.00 |
$17.12
|
|
Inj cefazolin sodium, baxter
|
$21.42 |
$21.42 |
$21.42 |
$27.38
|
|
Inj, clindamycin (baxter)
|
$43.68 |
$43.68 |
$43.68 |
$48.39
|
|
Inj daptomycin (xellia)
|
$167.40 |
$167.40 |
$167.40 |
$56.04
|
|
Inj dx for sinogram
|
$184.20 |
$184.20 |
$184.20 |
$413.82
|
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
|
$3,272.10 |
$3,272.10 |
$3,272.10 |
$1,214.78
|
|
Injection arthrography hip without anesthesia (both sides)
|
$2,111.28 |
$2,111.28 |
$2,111.28 |
$500.50
|
|
Injection epidural blood patch or clot
|
$2,756.40 |
$2,756.40 |
$2,756.40 |
$1,156.80
|
|
Injection for bladder x-ray
|
$141.60 |
$141.60 |
$141.60 |
$459.20
|
|
Injection into brain canal
|
$258.60 |
$258.60 |
$258.60 |
$836.40
|
|
Injection radioactive tracer sentinel node (both sides)
|
$730.80 |
$730.80 |
$730.80 |
$683.28
|
|
Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides)
|
$2,120.64 |
$2,120.64 |
$2,120.64 |
$1,582.12
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$2,476.80 |
$2,476.80 |
$2,476.80 |
$1,391.40
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$35,060.75 |
$35,060.75 |
$35,060.75 |
$1,045.65
|
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
|
$3,222.00 |
$3,222.00 |
$3,222.00 |
$1,939.60
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
|
$3,186.60 |
$3,186.60 |
$3,186.60 |
$1,029.45
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
|
$2,124.00 |
$2,124.00 |
$2,124.00 |
$1,777.50
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
|
$3,186.60 |
$3,186.60 |
$3,186.60 |
$1,064.70
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
|
$2,124.00 |
$2,124.00 |
$2,124.00 |
$1,961.05
|
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
|
$2,148.00 |
$2,148.00 |
$2,148.00 |
$1,842.00
|
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
|
$2,125.50 |
$2,125.50 |
$2,125.50 |
$1,704.78
|
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
|
$2,128.44 |
$2,128.44 |
$2,128.44 |
$460.94
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$1,591.80 |
$1,591.80 |
$1,591.80 |
$517.24
|
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
|
$1,880.40 |
$1,880.40 |
$1,880.40 |
$625.00
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$262.20 |
$262.20 |
$262.20 |
$166.38
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$186.60 |
$186.60 |
$186.60 |
$145.60
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$262.20 |
$262.20 |
$262.20 |
$261.00
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$208.20 |
$208.20 |
$208.20 |
$135.20
|
|
Inject sacroiliac joint
|
$2,119.50 |
$2,119.50 |
$2,119.50 |
$963.00
|
|
Inj, lidocaine w epinephrine
|
$95.88 |
$95.88 |
$95.88 |
$44.96
|
|
Inj lwr xtr fscl pln blk uni w/wo image
|
$1,153.20 |
$1,153.20 |
$1,153.20 |
$783.50
|
|
Inj meropenem (wg crit care)
|
$134.28 |
$134.28 |
$134.28 |
$77.97
|
|
Inj multihance
|
$348.00 |
$348.00 |
$348.00 |
$79.42
|
|
Inj, nithiodote, 3mg / 125mg
|
$1,346.40 |
$1,346.40 |
$1,346.40 |
$452.89
|
|
Inj ogivri 10 mg
|
$2,612.82 |
$2,612.82 |
$2,612.82 |
$4,492.28
|
|
Inj, releuko 1 mcg
|
$709.80 |
$709.80 |
$709.80 |
$461.20
|
|
Inj sulf hexa lipid microsph
|
$443.40 |
$443.40 |
$443.40 |
$256.14
|
|
Inj thrc fascial pln blk bi w/wo image
|
$1,153.20 |
$1,153.20 |
$1,153.20 |
$1,025.00
|
|
Inj thrc fascial pln blk uni w/wo image
|
$658.80 |
$658.80 |
$658.80 |
$818.00
|
|
Inj. tigecycline (accord)
|
$97.80 |
$97.80 |
$97.80 |
$182.46
|
|
Inj vancomycin (xellia) 10mg
|
$114.24 |
$114.24 |
$114.24 |
$79.21
|
|
Inj vocal cord bulking agent
|
$2,189.65 |
$2,189.65 |
$2,189.65 |
$1,480.00
|
|
Insert and remove bone pin
|
$4,577.40 |
$4,577.40 |
$4,577.40 |
$4,421.00
|
|
Insert cath pleura without image
|
$3,082.20 |
$3,082.20 |
$3,082.20 |
$2,019.00
|
|
Insert intrauterine device iud
|
$250.80 |
$250.80 |
$250.80 |
$366.65
|
|
Insertion catheter bladder non indwelling
|
$99.60 |
$99.60 |
$99.60 |
$205.20
|
|
Insertion catheter bladder temporary simple
|
$860.40 |
$860.40 |
$860.40 |
$229.32
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$5,123.40 |
$5,123.40 |
$5,123.40 |
$2,511.00
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$1,720.20 |
$1,720.20 |
$1,720.20 |
$2,079.43
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$2,517.00 |
$2,517.00 |
$2,517.00 |
$2,414.10
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$7,738.20 |
$7,738.20 |
$7,738.20 |
$7,513.67
|
|
Insert swan-ganz cath
|
$2,742.00 |
$2,742.00 |
$2,742.00 |
$2,210.50
|
|
Insitu hybridization (fish)
|
$478.80 |
$478.80 |
$478.80 |
$481.60
|
|
Insitu hybridization manual
|
$274.80 |
$274.80 |
$274.80 |
$388.20
|
|
In situ hybridization per specimen each additional single probe stain
|
$158.40 |
$158.40 |
$158.40 |
$243.60
|
|
In situ hybridization per specimen initial single probe stain
|
$236.40 |
$236.40 |
$236.40 |
$326.04
|
|
Insole orthotic freedom sz6 6816
|
$198.11 |
$198.11 |
$198.11 |
$84.00
|
|
Ins/rplc spi npg/rcvr pocket
|
$93,339.10 |
$93,339.10 |
$93,339.10 |
$23,746.69
|
|
Ins/rpl prph sac/gstr npg/r
|
$18,732.89 |
$18,732.89 |
$18,732.89 |
$15,339.48
|
|
Instillation anticarcinogenic agent bladder
|
$742.20 |
$742.20 |
$742.20 |
$621.40
|
|
Insulin total
|
$96.00 |
$96.00 |
$96.00 |
$66.64
|
