|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$189.60 |
$189.60 |
$189.60 |
$151.25
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$447.60 |
$447.60 |
$447.60 |
$201.60
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$166.20 |
$166.20 |
$166.20 |
$135.80
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$105.60 |
$105.60 |
$105.60 |
$100.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$273.60 |
$273.60 |
$273.60 |
$217.70
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$127.80 |
$127.80 |
$127.80 |
$94.53
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$100.80 |
$100.80 |
$100.80 |
$105.00
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$184.80 |
$184.80 |
$184.80 |
$184.80
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$1,508.40 |
$1,508.40 |
$1,508.40 |
$711.93
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$400.20 |
$400.20 |
$400.20 |
$283.20
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$569.40 |
$569.40 |
$569.40 |
$429.50
|
|
Infectious agent nucleic acid quantification bk virus
|
$205.80 |
$205.80 |
$205.80 |
$283.00
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$267.60 |
$267.60 |
$267.60 |
$238.80
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$252.60 |
$252.60 |
$252.60 |
$252.60
|
|
Infectious agent nucleic acid quantification hiv-1
|
$466.80 |
$466.80 |
$466.80 |
$374.50
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$454.20 |
$454.20 |
$454.20 |
$303.59
|
|
Infliximab 100 mg intravenous solution
|
$3,503.46 |
$3,503.46 |
$3,503.46 |
$2,080.86
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$332.40 |
$332.40 |
$332.40 |
$293.04
|
|
Initiation & management bipap/cpap initial day
|
$789.00 |
$789.00 |
$789.00 |
$576.00
|
|
Inj, bupivacaine liposome
|
$322.74 |
$322.74 |
$322.74 |
$699.38
|
|
Inj cefazolin sodium, hikma
|
$32.94 |
$32.94 |
$32.94 |
$29.10
|
|
Inj cefazolin (wg crit care)
|
$18.30 |
$18.30 |
$18.30 |
$18.30
|
|
Inj, cefepime hcl (b braun)
|
$111.96 |
$111.96 |
$111.96 |
$69.85
|
|
Inj cntr knee arthro incl ct/mri
|
$375.00 |
$375.00 |
$375.00 |
$436.80
|
|
Inj, cyclophos (baxter) 5mg
|
$1,456.38 |
$1,456.38 |
$1,456.38 |
$2,584.85
|
|
Inj dx for sinogram
|
$222.60 |
$222.60 |
$222.60 |
$413.82
|
|
Injection arthrography hip without anesthesia (both sides)
|
$1,246.92 |
$1,246.92 |
$1,246.92 |
$500.50
|
|
Injection, edaravone, 1 mg
|
$3,893.40 |
$3,893.40 |
$3,893.40 |
$1,136.59
|
|
Injection epidural blood patch or clot
|
$483.60 |
$483.60 |
$483.60 |
$1,156.80
|
|
Injection for bladder x-ray
|
$184.20 |
$184.20 |
$184.20 |
$459.20
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$990.00 |
$990.00 |
$990.00 |
$494.65
|
|
Injection, fulvestrant
|
$131.94 |
$131.94 |
$131.94 |
$1,719.16
|
|
Injection, inclisiran, 1 mg
|
$10,763.22 |
$10,763.22 |
$10,763.22 |
$6,679.35
|
|
Injection,onabotulinumtoxina
|
$1,953.00 |
$1,953.00 |
$1,953.00 |
$2,241.61
|
|
Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides)
|
$2,479.20 |
$2,479.20 |
$2,479.20 |
$1,582.12
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$2,475.00 |
$2,475.00 |
$2,475.00 |
$1,391.40
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$30,946.30 |
$30,946.30 |
$30,946.30 |
$1,045.65
|
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
|
$4,512.30 |
$4,512.30 |
$4,512.30 |
$1,939.60
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
|
$4,048.32 |
$4,048.32 |
$4,048.32 |
$1,029.45
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
|
$4,042.92 |
$4,042.92 |
$4,042.92 |
$1,777.50
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
|
$4,042.92 |
$4,042.92 |
$4,042.92 |
$1,064.70
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
|
$4,042.92 |
$4,042.92 |
$4,042.92 |
$1,961.05
|
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
|
$5,184.00 |
$5,184.00 |
$5,184.00 |
$1,842.00
|
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
|
$4,145.76 |
$4,145.76 |
$4,145.76 |
$1,704.78
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$190.80 |
$190.80 |
$190.80 |
$517.24
|
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
|
$629.40 |
$629.40 |
$629.40 |
$625.00
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$161.40 |
$161.40 |
$161.40 |
$166.38
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$61.20 |
$61.20 |
$61.20 |
$145.60
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$381.60 |
$381.60 |
$381.60 |
$261.00
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$78.60 |
$78.60 |
$78.60 |
$135.20
|
|
Inject/treat eye socket
|
$1,918.80 |
$1,918.80 |
$1,918.80 |
$381.13
|
|
Inj ivig privigen 500 mg
|
$11,511.60 |
$11,511.60 |
$11,511.60 |
$6,967.29
|
|
Inj, lidocaine w epinephrine
|
$87.84 |
$87.84 |
$87.84 |
$44.96
|
|
Inj lwr xtr fscl pln blk uni w/wo image
|
$2,184.00 |
$2,184.00 |
$2,184.00 |
$783.50
|
|
Inj ogivri 10 mg
|
$8,142.96 |
$8,142.96 |
$8,142.96 |
$4,492.28
|
|
Inj proc sialogram
|
$200.40 |
$200.40 |
$200.40 |
$373.00
|
|
Inj, releuko 1 mcg
|
$763.20 |
$763.20 |
$763.20 |
$461.20
|
|
Inj scleros sol mult veins
|
$529.20 |
$529.20 |
$529.20 |
$602.50
|
|
Inj scleros sol sgl vein
|
$529.20 |
$529.20 |
$529.20 |
$534.40
|
|
Inj sulf hexa lipid microsph
|
$522.90 |
$522.90 |
$522.90 |
$256.14
|
|
Inj thrc fascial pln blk bi w/wo image
|
$2,184.00 |
$2,184.00 |
$2,184.00 |
$1,025.00
|
|
Inj thrc fascial pln blk uni w/wo image
|
$1,093.20 |
$1,093.20 |
$1,093.20 |
$818.00
|
|
Inj. tigecycline (accord)
|
$89.88 |
$89.88 |
$89.88 |
$182.46
|
|
Inj, tyenne, 1 mg
|
$5,875.20 |
$5,875.20 |
$5,875.20 |
$3,525.12
|
|
Inj vancomycin (xellia) 10mg
|
$105.00 |
$105.00 |
$105.00 |
$79.21
|
|
Inj vocal cord bulking agent
|
$1,943.66 |
$1,943.66 |
$1,943.66 |
$1,480.00
|
|
Insert and remove bone pin
|
$4,523.40 |
$4,523.40 |
$4,523.40 |
$4,421.00
|
|
Insert cath pleura without image
|
$3,111.60 |
$3,111.60 |
$3,111.60 |
$2,019.00
|
|
Insertion catheter bladder non indwelling
|
$82.80 |
$82.80 |
$82.80 |
$205.20
|
|
Insertion catheter bladder temporary simple
|
$266.40 |
$266.40 |
$266.40 |
$229.32
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$5,172.60 |
$5,172.60 |
$5,172.60 |
$2,511.00
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$31,292.54 |
$31,292.54 |
$31,292.54 |
$12,508.08
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$22,509.94 |
$22,509.94 |
$22,509.94 |
$12,384.25
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$2,583.60 |
$2,583.60 |
$2,583.60 |
$2,079.43
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$1,603.20 |
$1,603.20 |
$1,603.20 |
$2,414.10
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$19,423.20 |
$19,423.20 |
$19,423.20 |
$7,513.67
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$20,023.26 |
$20,023.26 |
$20,023.26 |
$9,397.50
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$11,034.12 |
$11,034.12 |
$11,034.12 |
$5,236.80
|
|
Insert swan-ganz cath
|
$12,775.20 |
$12,775.20 |
$12,775.20 |
$2,210.50
|
|
Insitu hybridization (fish)
|
$387.60 |
$387.60 |
$387.60 |
$481.60
|
|
Insitu hybridization manual
|
$403.80 |
$403.80 |
$403.80 |
$388.20
|
|
In situ hybridization per specimen each additional single probe stain
|
$154.20 |
$154.20 |
$154.20 |
$243.60
|
|
In situ hybridization per specimen initial single probe stain
|
$324.60 |
$324.60 |
$324.60 |
$326.04
|
|
Insole orthotic freedom sz6 6816
|
$311.81 |
$311.81 |
$311.81 |
$84.00
|
|
Ins/rpl pm w/tv ld atrl
|
$32,797.76 |
$32,797.76 |
$32,797.76 |
$12,371.40
|
|
Ins/rpl prph sac/gstr npg/r
|
$18,049.72 |
$18,049.72 |
$18,049.72 |
$15,339.48
|
|
Instillation anticarcinogenic agent bladder
|
$14,222.86 |
$14,222.86 |
$14,222.86 |
$621.40
|
|
Insulin total
|
$177.60 |
$177.60 |
$177.60 |
$66.64
|
|
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm
|
$12,216.97 |
$12,216.97 |
$12,216.97 |
$8,629.72
|
|
Integra meshed bil wound mat
|
$40,071.89 |
$40,071.89 |
$40,071.89 |
$9,924.00
|
|
Integra os putty 2.5cc - cost per 0.5cc
|
$9,215.87 |
$9,215.87 |
$9,215.87 |
$3,825.00
|
|
Interdental fixation
|
$1,754.40 |
$1,754.40 |
$1,754.40 |
$2,162.05
|
|
Interfyl, 1 mg
|
$5,288.88 |
$5,288.88 |
$5,288.88 |
$5,118.52
|
|
Intraoral i+d tongue/floor lingual 41000
|
$865.80 |
$865.80 |
$865.80 |
$1,445.00
|
|
Intrinsic factor antibody
|
$175.20 |
$175.20 |
$175.20 |
$66.60
|
|
Intubation endotracheal emergency procedure
|
$500.40 |
$500.40 |
$500.40 |
$589.60
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$36.00 |
$36.00 |
$36.00 |
$172.98
|
|
Ipratropium bromide non-comp
|
$3.00 |
$3.00 |
$3.00 |
$3.75
|
|
Iron
|
$273.60 |
$273.60 |
$273.60 |
$74.40
|
|
Iron binding capacity
|
$93.60 |
$93.60 |
$93.60 |
$63.79
|
