|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$86.40 |
$86.40 |
$86.40 |
$289.91
|
|
Infectious agent nucleic acid quantification bk virus
|
$517.80 |
$517.80 |
$517.80 |
$283.00
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$513.60 |
$513.60 |
$513.60 |
$242.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$778.80 |
$778.80 |
$778.80 |
$253.00
|
|
Infectious agent nucleic acid quantification hiv-1
|
$1,066.20 |
$1,066.20 |
$1,066.20 |
$375.00
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$776.40 |
$776.40 |
$776.40 |
$304.20
|
|
Infliximab 100 mg intravenous solution
|
$5,408.40 |
$5,408.40 |
$5,408.40 |
$2,047.13
|
|
Infliximab-axxq 100 mg intravenous solution
|
$135.20 |
$135.20 |
$135.20 |
$1,062.00
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$4,383.60 |
$4,383.60 |
$4,383.60 |
$1,537.84
|
|
Influenza dna amp prob addl
|
$279.00 |
$279.00 |
$279.00 |
$64.26
|
|
Influenza virus vaccine, inact hemagglutinin tiv pf inj
|
$40.00 |
$40.00 |
$40.00 |
$111.51
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$414.60 |
$414.60 |
$414.60 |
$296.00
|
|
Inj, abilify maintena, 1 mg
|
$7,107.60 |
$7,107.60 |
$7,107.60 |
$5,355.30
|
|
Inj, adalimumab, 1 mg
|
$256.00 |
$256.00 |
$256.00 |
$12,098.05
|
|
Inj anifrolumab-fnia 1mg
|
$45.20 |
$45.20 |
$45.20 |
$10,052.58
|
|
Inj aval alfa-nqpt 4mg
|
$5,052.80 |
$5,052.80 |
$5,052.80 |
$3,907.30
|
|
Inj., benralizumab, 1 mg
|
$568.00 |
$568.00 |
$568.00 |
$11,310.00
|
|
Inj, bezlotoxumab, 10 mg
|
$17,599.20 |
$17,599.20 |
$17,599.20 |
$7,612.43
|
|
Inj, bupivacaine liposome
|
$7.60 |
$7.60 |
$7.60 |
$699.38
|
|
Inj calcitriol per 0.1 mcg
|
$25.20 |
$25.20 |
$25.20 |
$22.69
|
|
Inj, cefiderocol, 10 mg
|
$5.80 |
$5.80 |
$5.80 |
$544.85
|
|
Inj ceftolozane tazobactam
|
$487.80 |
$487.80 |
$487.80 |
$364.86
|
|
Inj, clevidipine butyrate
|
$839.40 |
$839.40 |
$839.40 |
$4.86
|
|
Inj cntr knee arthro incl ct/mri
|
$969.00 |
$969.00 |
$969.00 |
$436.80
|
|
Inj delandistrogene mox rokl
|
$2,056,320.00 |
$2,056,320.00 |
$2,056,320.00 |
$3,325,454.76
|
|
Injection arthrography hip without anesthesia (both sides)
|
$969.00 |
$969.00 |
$969.00 |
$503.50
|
|
Injection, cangrelor
|
$41,627.40 |
$41,627.40 |
$41,627.40 |
$1,889.78
|
|
Injection, daratumumab 10 mg
|
$9,445.80 |
$9,445.80 |
$9,445.80 |
$5,324.34
|
|
Injection epidural blood patch or clot
|
$1,470.60 |
$1,470.60 |
$1,470.60 |
$1,182.33
|
|
Injection for arthrography wrist (both sides)
|
$969.00 |
$969.00 |
$969.00 |
$436.00
|
|
Injection for bladder x-ray
|
$2,905.80 |
$2,905.80 |
$2,905.80 |
$459.20
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$969.00 |
$969.00 |
$969.00 |
$497.76
|
|
Injection, fulvestrant
|
$4,423.20 |
$4,423.20 |
$4,423.20 |
$1,719.16
|
|
Injection, inclisiran, 1 mg
|
$39.20 |
$39.20 |
$39.20 |
$6,679.35
|
|
Injection into brain canal
|
$1,094.40 |
$1,094.40 |
$1,094.40 |
$844.50
|
|
Injection, isavuconazonium
|
$1,378.20 |
$1,378.20 |
$1,378.20 |
$787.67
|
|
Injection jaw joint x-ray
|
$969.00 |
$969.00 |
$969.00 |
$307.80
|
|
Injection,onabotulinumtoxina
|
$2,783.40 |
$2,783.40 |
$2,783.40 |
$2,277.65
|
|
Injection, renflexis
|
$1,624.80 |
$1,624.80 |
$1,624.80 |
$1,341.52
|
|
Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides)
|
$1,242.00 |
$1,242.00 |
$1,242.00 |
$1,582.12
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$871.80 |
$871.80 |
$871.80 |
$1,391.40
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$1,470.60 |
$1,470.60 |
$1,470.60 |
$1,043.72
|
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
|
$616.20 |
$616.20 |
$616.20 |
$475.80
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$825.60 |
$825.60 |
$825.60 |
$548.80
|
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
|
$654.00 |
$654.00 |
$654.00 |
$637.92
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$147.00 |
$147.00 |
$147.00 |
$145.60
|
|
Inj epidural sgl lumb-sacral without img
|
$1,260.60 |
$1,260.60 |
$1,260.60 |
$1,450.84
|
|
Inj. fe derisomaltose 10 mg
|
$141.60 |
$141.60 |
$141.60 |
$3,221.52
|
|
Inj for ext venography
|
$873.60 |
$873.60 |
$873.60 |
$628.80
|
|
Inj imip 4 cilas 4 releb 2mg
|
$652.80 |
$652.80 |
$652.80 |
$739.77
|
|
Inj levocarnitine per 1 gm
|
$205.60 |
$205.60 |
$205.60 |
$136.62
|
|
Inj mepivacaine hcl/10 ml
|
$31.80 |
$31.80 |
$31.80 |
$34.34
|
|
Inj., meropenem, vaborbactam
|
$991.20 |
$991.20 |
$991.20 |
$556.87
|
|
Inj mogamulizumab-kpkc, 1 mg
|
$558.40 |
$558.40 |
$558.40 |
$8,304.04
|
|
Inj multihance
|
$612.60 |
$612.60 |
$612.60 |
$70.54
|
|
Inj proc ankle arthr
|
$969.00 |
$969.00 |
$969.00 |
$405.31
|
|
Inj proc elbow arthro
|
$969.00 |
$969.00 |
$969.00 |
$432.00
|
|
Inj proc myelogram lumbar
|
$1,094.40 |
$1,094.40 |
$1,094.40 |
$838.30
|
|
Inj proc sialogram
|
$969.00 |
$969.00 |
$969.00 |
$373.00
|
|
Inj retro urethrocysto
|
$3,691.20 |
$3,691.20 |
$3,691.20 |
$447.74
|
|
Inj tedizolid phosphate
|
$1,282.20 |
$1,282.20 |
$1,282.20 |
$664.72
|
|
Inj. teprotumumab-trbw 10 mg
|
$36,300.60 |
$36,300.60 |
$36,300.60 |
$35,034.78
|
|
Inj testosterone cypionate
|
$40.80 |
$40.80 |
$40.80 |
$64.96
|
|
Inj., tildrakizumab, 1 mg
|
$424.00 |
$424.00 |
$424.00 |
$26,635.60
|
|
Inj, tyenne, 1 mg
|
$12.60 |
$12.60 |
$12.60 |
$3,525.12
|
|
Insert cath pleura with image
|
$2,040.00 |
$2,040.00 |
$2,040.00 |
$2,194.40
|
|
Insert cath pleura without image
|
$2,977.80 |
$2,977.80 |
$2,977.80 |
$2,099.70
|
|
Insertion catheter bladder non indwelling
|
$247.20 |
$247.20 |
$247.20 |
$208.01
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$3,349.80 |
$3,349.80 |
$3,349.80 |
$2,585.25
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$2,649.60 |
$2,649.60 |
$2,649.60 |
$2,103.75
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$1,267.20 |
$1,267.20 |
$1,267.20 |
$2,453.83
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$3,727.80 |
$3,727.80 |
$3,727.80 |
$5,236.80
|
|
Insitu hybridization manual
|
$512.40 |
$512.40 |
$512.40 |
$401.28
|
|
In situ hybridization per specimen initial single probe stain
|
$512.40 |
$512.40 |
$512.40 |
$338.40
|
|
Ins mark abd/pel for right perq
|
$4,115.40 |
$4,115.40 |
$4,115.40 |
$2,477.24
|
|
Ins picad w subq port 5yr>
|
$1,705.80 |
$1,705.80 |
$1,705.80 |
$4,078.00
|
|
Inst fibrinolysis agent ini day
|
$1,097.40 |
$1,097.40 |
$1,097.40 |
$1,043.35
|
|
Ins tun cv cath wo subq prt/pm
|
$5,788.20 |
$5,788.20 |
$5,788.20 |
$4,218.00
|
|
Insulin total
|
$165.60 |
$165.60 |
$165.60 |
$66.64
|
|
Interferon alfa-2b inj
|
$1,111.20 |
$1,111.20 |
$1,111.20 |
$1,409.92
|
|
Int hrhc lig 1 hroid without img
|
$3,738.00 |
$3,738.00 |
$3,738.00 |
$3,491.25
|
|
Intracranial complete study
|
$1,981.20 |
$1,981.20 |
$1,981.20 |
$881.50
|
|
Intracranial limited study
|
$1,166.40 |
$1,166.40 |
$1,166.40 |
$467.50
|
|
Intraoral i+d tongue/floor lingual 41000
|
$1,068.00 |
$1,068.00 |
$1,068.00 |
$1,331.45
|
|
Intrapul surf admin endo tube
|
$60.60 |
$60.60 |
$60.60 |
$220.80
|
|
Intrinsic factor antibody
|
$203.40 |
$203.40 |
$203.40 |
$65.00
|
|
Intro long gi tube
|
$559.20 |
$559.20 |
$559.20 |
$974.17
|
|
Intro long gi tube w/mult fluo
|
$384.60 |
$384.60 |
$384.60 |
$469.00
|
|
Intubation endotracheal emergency procedure
|
$718.20 |
$718.20 |
$718.20 |
$601.28
|
|
Iodine i-123 sod iodide mil
|
$1,636.80 |
$1,636.80 |
$1,636.80 |
$386.37
|
|
Ionm in operatng room 15 min
|
$177.60 |
$177.60 |
$177.60 |
$200.78
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$41.40 |
$41.40 |
$41.40 |
$165.67
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$78.60 |
$78.60 |
$78.60 |
$279.10
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$33,224.40 |
$33,224.40 |
$33,224.40 |
$62,692.46
|
|
Ipratropium bromide non-comp
|
$4.40 |
$4.40 |
$4.40 |
$4.06
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$1,091.20 |
$1,091.20 |
$1,091.20 |
$173.98
|
|
Iron
|
$48.00 |
$48.00 |
$48.00 |
$75.00
|
|
Iron binding capacity
|
$100.80 |
$100.80 |
$100.80 |
$63.91
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$555.60 |
$555.60 |
$555.60 |
$187.06
|
|
Irradiation of blood product each unit reference
|
$98.40 |
$98.40 |
$98.40 |
$115.20
|
