|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$208.00 |
$208.00 |
$208.00 |
$136.03
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$100.00 |
$100.00 |
$100.00 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$100.00 |
$100.00 |
$100.00 |
$236.08
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$132.00 |
$132.00 |
$132.00 |
$92.50
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$198.40 |
$198.40 |
$198.40 |
$108.75
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$307.20 |
$307.20 |
$307.20 |
$185.00
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$1,132.00 |
$1,132.00 |
$1,132.00 |
$727.50
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$1,094.40 |
$1,094.40 |
$1,094.40 |
$423.53
|
|
Infectious agent nucleic acid quantification bk virus
|
$178.40 |
$178.40 |
$178.40 |
$279.40
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$178.40 |
$178.40 |
$178.40 |
$239.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$178.40 |
$178.40 |
$178.40 |
$252.00
|
|
Infectious agent nucleic acid quantification hiv-1
|
$354.40 |
$354.40 |
$354.40 |
$374.00
|
|
Infliximab 100 mg intravenous solution
|
$1,666.60 |
$1,666.60 |
$1,666.60 |
$2,080.86
|
|
Infliximab-axxq 100 mg intravenous solution
|
$1,706.80 |
$1,706.80 |
$1,706.80 |
$1,062.00
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$2,030.60 |
$2,030.60 |
$2,030.60 |
$1,537.84
|
|
Initiation & management bipap/cpap initial day
|
$1,038.40 |
$1,038.40 |
$1,038.40 |
$576.00
|
|
Inj, bupivacaine liposome
|
$637.40 |
$637.40 |
$637.40 |
$699.38
|
|
Inj cefazolin sodium, hikma
|
$12.80 |
$12.80 |
$12.80 |
$28.08
|
|
Inj cefazolin (wg crit care)
|
$19.00 |
$19.00 |
$19.00 |
$18.05
|
|
Inj, cefiderocol, 10 mg
|
$618.20 |
$618.20 |
$618.20 |
$544.85
|
|
Inj ceftolozane tazobactam
|
$463.00 |
$463.00 |
$463.00 |
$380.80
|
|
Inj cntr knee arthro incl ct/mri
|
$660.80 |
$660.80 |
$660.80 |
$436.80
|
|
Inj. denosumab-bbdz, 1 mg
|
$8,856.80 |
$8,856.80 |
$8,856.80 |
$4,615.43
|
|
Inj dx for sinogram
|
$124.00 |
$124.00 |
$124.00 |
$422.59
|
|
Injection arthrography hip without anesthesia (both sides)
|
$264.80 |
$264.80 |
$264.80 |
$495.84
|
|
Injection, cangrelor
|
$2,652.40 |
$2,652.40 |
$2,652.40 |
$1,889.78
|
|
Injection, doxercalciferol
|
$37.20 |
$37.20 |
$37.20 |
$23.86
|
|
Injection during cath supravalvular aortography
|
$1,243.20 |
$1,243.20 |
$1,243.20 |
$952.66
|
|
Injection epidural blood patch or clot
|
$1,299.20 |
$1,299.20 |
$1,299.20 |
$1,156.80
|
|
Injection for arthrography wrist (both sides)
|
$268.80 |
$268.80 |
$268.80 |
$428.40
|
|
Injection for bladder x-ray
|
$196.80 |
$196.80 |
$196.80 |
$459.20
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$222.40 |
$222.40 |
$222.40 |
$494.65
|
|
Injection,onabotulinumtoxina
|
$1,822.80 |
$1,822.80 |
$1,822.80 |
$2,277.65
|
|
Injection radioactive tracer sentinel node (both sides)
|
$436.00 |
$436.00 |
$436.00 |
$670.64
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$1,635.20 |
$1,635.20 |
$1,635.20 |
$1,023.50
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$548.80 |
$548.80 |
$548.80 |
$548.80
|
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
|
$548.80 |
$548.80 |
$548.80 |
$632.00
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$217.60 |
$217.60 |
$217.60 |
$166.38
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$144.80 |
$144.80 |
$144.80 |
$145.60
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$144.00 |
$144.00 |
$144.00 |
$249.32
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$283.20 |
$283.20 |
$283.20 |
$135.60
|
|
Inject sacroiliac joint
|
$1,600.80 |
$1,600.80 |
$1,600.80 |
$1,028.95
|
|
Inj for ext venography
|
$443.20 |
$443.20 |
$443.20 |
$649.95
|
|
Inj, lidocaine w epinephrine
|
$21.00 |
$21.00 |
$21.00 |
$47.52
|
|
Inj nephrosto/ureterogram w/img exstng access
|
$1,516.80 |
$1,516.80 |
$1,516.80 |
$1,413.35
|
|
Inj non-compmd foam sclrsnt sgl trncl vein
|
$3,260.00 |
$3,260.00 |
$3,260.00 |
$2,609.38
|
|
Inj., patisiran, 0.1 mg
|
$22,800.00 |
$22,800.00 |
$22,800.00 |
$17,613.00
|
|
Inj proc elbow arthro
|
$272.00 |
$272.00 |
$272.00 |
$419.60
|
|
Inj proc myelogram lumbar
|
$532.80 |
$532.80 |
$532.80 |
$830.50
|
|
Inj scleros sol mult veins
|
$3,474.40 |
$3,474.40 |
$3,474.40 |
$675.00
|
|
Inj scleros sol sgl vein
|
$3,516.00 |
$3,516.00 |
$3,516.00 |
$558.97
|
|
Inj thrc fascial pln blk uni w/wo image
|
$1,263.20 |
$1,263.20 |
$1,263.20 |
$837.50
|
|
Inj, tyenne, 1 mg
|
$4,456.60 |
$4,456.60 |
$4,456.60 |
$3,525.12
|
|
Inj vasopressin (am reg) 1 u
|
$62.40 |
$62.40 |
$62.40 |
$41.79
|
|
Inj w/fluor eval cv device
|
$595.20 |
$595.20 |
$595.20 |
$503.92
|
|
Ins cath ren art 1st bi
|
$7,180.80 |
$7,180.80 |
$7,180.80 |
$5,753.10
|
|
Ins cath ren art 1st uni
|
$5,274.40 |
$5,274.40 |
$5,274.40 |
$4,660.00
|
|
Ins cath ren art 2nd+ uni
|
$5,274.40 |
$5,274.40 |
$5,274.40 |
$5,395.20
|
|
Insert cath pleura with image
|
$1,232.00 |
$1,232.00 |
$1,232.00 |
$2,194.40
|
|
Insert cath pleura without image
|
$2,524.00 |
$2,524.00 |
$2,524.00 |
$2,073.18
|
|
Insert drug delivery implant
|
$192.80 |
$192.80 |
$192.80 |
$280.00
|
|
Insert intrauterine device iud
|
$131.20 |
$131.20 |
$131.20 |
$347.10
|
|
Insertion catheter bladder non indwelling
|
$375.20 |
$375.20 |
$375.20 |
$205.40
|
|
Insertion catheter bladder temporary simple
|
$375.20 |
$375.20 |
$375.20 |
$232.25
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$5,036.00 |
$5,036.00 |
$5,036.00 |
$4,782.00
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$8,252.80 |
$8,252.80 |
$8,252.80 |
$7,210.78
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$3,967.20 |
$3,967.20 |
$3,967.20 |
$2,505.60
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$32,084.00 |
$32,084.00 |
$32,084.00 |
$12,384.25
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$30,291.20 |
$30,291.20 |
$30,291.20 |
$12,384.25
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$7,968.80 |
$7,968.80 |
$7,968.80 |
$10,100.35
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$2,982.40 |
$2,982.40 |
$2,982.40 |
$2,079.50
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$4,058.40 |
$4,058.40 |
$4,058.40 |
$2,419.65
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$107,872.80 |
$107,872.80 |
$107,872.80 |
$29,042.52
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$8,744.80 |
$8,744.80 |
$8,744.80 |
$7,200.05
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$12,016.00 |
$12,016.00 |
$12,016.00 |
$7,312.80
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$25,320.00 |
$25,320.00 |
$25,320.00 |
$9,332.50
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$7,545.60 |
$7,545.60 |
$7,545.60 |
$5,223.20
|
|
Insert pm/icd lead dual
|
$12,016.00 |
$12,016.00 |
$12,016.00 |
$7,115.20
|
|
Insert/repl sq defib w/eltrd
|
$107,872.80 |
$107,872.80 |
$107,872.80 |
$32,800.04
|
|
Insert vad art access left hrt arterial access
|
$12,522.40 |
$12,522.40 |
$12,522.40 |
$4,270.75
|
|
In situ hybridization per specimen each additional single probe stain
|
$304.80 |
$304.80 |
$304.80 |
$241.15
|
|
In situ hybridization per specimen initial single probe stain
|
$565.60 |
$565.60 |
$565.60 |
$331.69
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$1,317.60 |
$1,317.60 |
$1,317.60 |
$1,690.00
|
|
Ins pm gen w/exist mlt leads
|
$7,546.40 |
$7,546.40 |
$7,546.40 |
$14,804.40
|
|
Ins pq tunnld ip cath w/img
|
$2,670.40 |
$2,670.40 |
$2,670.40 |
$5,377.00
|
|
Ins/rpl ldless pm right vent w img & eval
|
$49,884.00 |
$49,884.00 |
$49,884.00 |
$24,135.54
|
|
Ins/rpl pm w/tv ld atrl
|
$5,328.80 |
$5,328.80 |
$5,328.80 |
$11,583.66
|
|
Ins tun cv cath wo subq prt/pm
|
$2,836.00 |
$2,836.00 |
$2,836.00 |
$4,202.70
|
|
Inst via cath agent pleurds
|
$3,580.80 |
$3,580.80 |
$3,580.80 |
$1,065.00
|
|
Insulin total
|
$47.20 |
$47.20 |
$47.20 |
$66.64
|
|
Interdiscal perq aspir dx
|
$1,187.20 |
$1,187.20 |
$1,187.20 |
$1,222.26
|
|
Interrog evl pm/ldls pm ip
|
$224.00 |
$224.00 |
$224.00 |
$124.80
|
|
Intracard echo interv w/s&i
|
$2,460.00 |
$2,460.00 |
$2,460.00 |
$3,461.04
|
|
Intrapul surf admin endo tube
|
$720.00 |
$720.00 |
$720.00 |
$220.80
|
|
Intraventricular pacing
|
$2,496.80 |
$2,496.80 |
$2,496.80 |
$5,456.17
|
|
Intrinsic factor antibody
|
$62.40 |
$62.40 |
$62.40 |
$63.15
|
|
Intro cath dialysis circuit
|
$3,617.60 |
$3,617.60 |
$3,617.60 |
$2,036.94
|
|
Intro cath dialysis circuit w/pta
|
$10,528.00 |
$10,528.00 |
$10,528.00 |
$8,690.50
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$21,761.60 |
$21,761.60 |
$21,761.60 |
$16,262.40
|
|
Intro catheter aorta
|
$713.60 |
$713.60 |
$713.60 |
$1,654.05
|
