|
Incision of heel bone
|
$165,747.29 |
$165,747.29 |
$165,747.29 |
$5,339.00
|
|
Incision of metatarsal
|
$38,544.10 |
$38,544.10 |
$38,544.10 |
$3,591.33
|
|
Incision of prostate
|
$14,016.26 |
$14,016.26 |
$14,016.26 |
$4,081.37
|
|
Incision of spinal nerve 64772
|
$46,347.90 |
$46,347.90 |
$46,347.90 |
$2,310.83
|
|
Incision of tendon & muscle
|
$63,880.63 |
$63,880.63 |
$63,880.63 |
$5,624.45
|
|
Incision of toe tendons 28011
|
$7,317.00 |
$7,317.00 |
$7,317.00 |
$2,119.12
|
|
Incision tendon sheath
|
$24,617.58 |
$24,617.58 |
$24,617.58 |
$3,073.20
|
|
Incisn of toe tndn
|
$20,112.58 |
$20,112.58 |
$20,112.58 |
$2,627.96
|
|
Incisn windpipe
|
$4,870.20 |
$4,870.20 |
$4,870.20 |
$3,810.50
|
|
Incobotulinumtoxin a
|
$4,507.02 |
$4,507.02 |
$4,507.02 |
$1,339.57
|
|
Infect ag drug suscept pheno predict
|
$231.60 |
$231.60 |
$231.60 |
$323.20
|
|
Infect ag eia chlamydia trachomatis
|
$111.60 |
$111.60 |
$111.60 |
$67.20
|
|
Infect ag eia influenza a or b ea
|
$22.20 |
$22.20 |
$22.20 |
$71.50
|
|
Infect ag genotype na cytomegalovirus
|
$453.00 |
$453.00 |
$453.00 |
$661.80
|
|
Infect ag genotype na dna hepatitis b
|
$241.80 |
$241.80 |
$241.80 |
$405.30
|
|
Infect ag genotype na hiv-1 other region
|
$198.60 |
$198.60 |
$198.60 |
$386.40
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$331.80 |
$331.80 |
$331.80 |
$603.75
|
|
Infect ag ia optc obs influenza
|
$166.80 |
$166.80 |
$166.80 |
$72.93
|
|
Infect ag if ea plyvlnt antsrm
|
$253.20 |
$253.20 |
$253.20 |
$62.80
|
|
Infect ag if legionella pneumophila
|
$196.20 |
$196.20 |
$196.20 |
$72.58
|
|
Infect ag if nos ea
|
$150.60 |
$150.60 |
$150.60 |
$74.88
|
|
Infect ag if pneumocystis carinii
|
$20.40 |
$20.40 |
$20.40 |
$66.00
|
|
Infect ag if varicella zoster
|
$148.80 |
$148.80 |
$148.80 |
$70.70
|
|
Infect ag na hpv high-risk types
|
$235.80 |
$235.80 |
$235.80 |
$139.75
|
|
Infect ag na influenza r/amp 1st 2 types
|
$180.60 |
$180.60 |
$180.60 |
$219.70
|
|
Infect ag na orthopoxvirus amp prb each
|
$96.00 |
$96.00 |
$96.00 |
$99.36
|
|
Infect ag na resp virus 12-25 targets
|
$633.00 |
$633.00 |
$633.00 |
$835.80
|
|
Infect ag phenotype na hiv-1 1-10 drugs
|
$957.00 |
$957.00 |
$957.00 |
$943.80
|
|
Infect ag phenotype na hiv-1 ea addl drg
|
$135.60 |
$135.60 |
$135.60 |
$75.63
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$251.40 |
$251.40 |
$251.40 |
$82.00
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$135.60 |
$135.60 |
$135.60 |
$72.80
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$110.40 |
$110.40 |
$110.40 |
$76.32
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$110.40 |
$110.40 |
$110.40 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$174.00 |
$174.00 |
$174.00 |
$100.02
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$247.80 |
$247.80 |
$247.80 |
$81.20
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$161.40 |
$161.40 |
$161.40 |
$60.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$165.60 |
$165.60 |
$165.60 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$205.20 |
$205.20 |
$205.20 |
$129.00
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$218.40 |
$218.40 |
$218.40 |
$98.02
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$107.40 |
$107.40 |
$107.40 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$463.20 |
$463.20 |
$463.20 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$181.20 |
$181.20 |
$181.20 |
$139.68
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$303.00 |
$303.00 |
$303.00 |
$167.00
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$696.60 |
$696.60 |
$696.60 |
$861.00
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$704.40 |
$704.40 |
$704.40 |
$179.92
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$177.60 |
$177.60 |
$177.60 |
$147.55
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$392.40 |
$392.40 |
$392.40 |
$217.85
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$173.40 |
$173.40 |
$173.40 |
$136.03
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$122.40 |
$122.40 |
$122.40 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$273.60 |
$273.60 |
$273.60 |
$206.00
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$294.00 |
$294.00 |
$294.00 |
$92.50
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$96.00 |
$96.00 |
$96.00 |
$108.75
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$184.80 |
$184.80 |
$184.80 |
$185.00
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$1,474.20 |
$1,474.20 |
$1,474.20 |
$727.50
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$351.60 |
$351.60 |
$351.60 |
$286.06
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$677.40 |
$677.40 |
$677.40 |
$423.53
|
|
Infectious agent nucleic acid quantification bk virus
|
$240.00 |
$240.00 |
$240.00 |
$279.40
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$310.20 |
$310.20 |
$310.20 |
$239.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$253.20 |
$253.20 |
$253.20 |
$252.00
|
|
Infectious agent nucleic acid quantification hiv-1
|
$552.00 |
$552.00 |
$552.00 |
$374.00
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$318.00 |
$318.00 |
$318.00 |
$303.59
|
|
Infliximab 100 mg intravenous solution
|
$18,708.48 |
$18,708.48 |
$18,708.48 |
$2,080.86
|
|
Infliximab-axxq 100 mg intravenous solution
|
$4,410.00 |
$4,410.00 |
$4,410.00 |
$1,062.00
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$15,216.24 |
$15,216.24 |
$15,216.24 |
$1,537.84
|
|
Infuse radioactive materials
|
$942.00 |
$942.00 |
$942.00 |
$640.50
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$943.80 |
$943.80 |
$943.80 |
$293.25
|
|
Initiation & management bipap/cpap initial day
|
$1,326.00 |
$1,326.00 |
$1,326.00 |
$576.00
|
|
Init pm e/m new pat 65+ yrs
|
$83.40 |
$83.40 |
$83.40 |
$185.90
|
|
Inj, abilify maintena, 1 mg
|
$0.06 |
$0.06 |
$0.06 |
$5,355.30
|
|
Inj, adalimumab, 1 mg
|
$30,528.78 |
$30,528.78 |
$30,528.78 |
$12,098.05
|
|
Inj, adstiladrin, per tx dos
|
$134,284.50 |
$134,284.50 |
$134,284.50 |
$63,354.77
|
|
Inj allopurinol sodium 1 mg
|
$43,290.00 |
$43,290.00 |
$43,290.00 |
$6,968.99
|
|
Inj., aristada initio, 1 mg
|
$0.06 |
$0.06 |
$0.06 |
$4,052.45
|
|
Inj., benralizumab, 1 mg
|
$94,020.60 |
$94,020.60 |
$94,020.60 |
$11,239.97
|
|
Inj, bezlotoxumab, 10 mg
|
$33,516.00 |
$33,516.00 |
$33,516.00 |
$7,612.43
|
|
Inj, bupivacaine liposome
|
$2,193.36 |
$2,193.36 |
$2,193.36 |
$699.38
|
|
Inj cefazolin sodium, baxter
|
$103.26 |
$103.26 |
$103.26 |
$27.38
|
|
Inj cefazolin sodium, hikma
|
$29.10 |
$29.10 |
$29.10 |
$28.08
|
|
Inj. cefepime hcl (baxter)
|
$472.86 |
$472.86 |
$472.86 |
$86.84
|
|
Inj, cefiderocol, 10 mg
|
$4,233.06 |
$4,233.06 |
$4,233.06 |
$544.85
|
|
Inj ceftolozane tazobactam
|
$3,169.92 |
$3,169.92 |
$3,169.92 |
$380.80
|
|
Inj, clindamycin (baxter)
|
$237.30 |
$237.30 |
$237.30 |
$48.96
|
|
Inj cntr knee arthro incl ct/mri
|
$364.80 |
$364.80 |
$364.80 |
$436.80
|
|
Inj cuvitru, 100 mg
|
$38,292.96 |
$38,292.96 |
$38,292.96 |
$4,163.61
|
|
Inj, cyclophos (baxter) 5mg
|
$4,000.02 |
$4,000.02 |
$4,000.02 |
$2,584.85
|
|
Inj daptomycin (xellia)
|
$961.20 |
$961.20 |
$961.20 |
$56.04
|
|
Inj. denosumab-bbdz, 1 mg
|
$14,148.48 |
$14,148.48 |
$14,148.48 |
$4,615.43
|
|
Inj disk cerv-thor ea lev
|
$945.00 |
$945.00 |
$945.00 |
$875.28
|
|
Inj, donanemab-azbt, 2 mg
|
$12,424.92 |
$12,424.92 |
$12,424.92 |
$1,233.44
|
|
Inj dx for sinogram
|
$2,517.60 |
$2,517.60 |
$2,517.60 |
$422.59
|
|
Injection arthrography hip without anesthesia (both sides)
|
$463.20 |
$463.20 |
$463.20 |
$495.84
|
|
Injection, cangrelor
|
$14,537.46 |
$14,537.46 |
$14,537.46 |
$1,889.78
|
|
Injection carpal tunnel therapeutic (both sides)
|
$524.40 |
$524.40 |
$524.40 |
$450.72
|
|
Injection, doxercalciferol
|
$13.68 |
$13.68 |
$13.68 |
$23.86
|
|
Injection during cath supravalvular aortography
|
$63.00 |
$63.00 |
$63.00 |
$952.66
|
|
Injection epidural blood patch or clot
|
$2,364.60 |
$2,364.60 |
$2,364.60 |
$1,156.80
|
|
Injection eye drug
|
$737.40 |
$737.40 |
$737.40 |
$644.50
|
|
Injection for arthrography wrist (both sides)
|
$5,441.40 |
$5,441.40 |
$5,441.40 |
$428.40
|
|
Injection for bladder x-ray
|
$3,086.40 |
$3,086.40 |
$3,086.40 |
$459.20
|
|
Injection for hip x-ray
|
$525.00 |
$525.00 |
$525.00 |
$710.00
|
