|
Incision of foot fascia
|
$1,259.50 |
$1,259.50 |
$1,259.50 |
$4,570.33
|
|
Incision of heel bone
|
$4,445.75 |
$4,445.75 |
$4,445.75 |
$5,339.00
|
|
Incision of metatarsal
|
$2,222.88 |
$2,222.88 |
$2,222.88 |
$4,176.43
|
|
Incision of midfoot bones
|
$4,237.34 |
$4,237.34 |
$4,237.34 |
$6,839.00
|
|
Incision of prostate
|
$1,791.67 |
$1,791.67 |
$1,791.67 |
$4,081.37
|
|
Incision of spinal nerve 64772
|
$816.25 |
$816.25 |
$816.25 |
$2,310.83
|
|
Incision of tendon & muscle
|
$5,438.00 |
$5,438.00 |
$5,438.00 |
$5,624.45
|
|
Incision of tendon sheath
|
$1,848.00 |
$1,848.00 |
$1,848.00 |
$2,211.05
|
|
Incision of thigh
|
$5,055.50 |
$5,055.50 |
$5,055.50 |
$3,798.60
|
|
Incision of toe tendons 28011
|
$1,848.00 |
$1,848.00 |
$1,848.00 |
$2,119.12
|
|
Incision of tongue fold
|
$1,634.50 |
$1,634.50 |
$1,634.50 |
$1,792.50
|
|
Incision of urethra
|
$2,002.00 |
$2,002.00 |
$2,002.00 |
$2,899.60
|
|
Incision tendon sheath
|
$2,473.00 |
$2,473.00 |
$2,473.00 |
$3,073.20
|
|
Incisn of toe tndn
|
$2,366.50 |
$2,366.50 |
$2,366.50 |
$2,627.96
|
|
Incisn windpipe
|
$3,810.50 |
$3,810.50 |
$3,810.50 |
$3,810.50
|
|
Incobotulinumtoxin a
|
$5.50 |
$5.50 |
$5.50 |
$1,339.57
|
|
Induced abortion d&c
|
$3,720.50 |
$3,720.50 |
$3,720.50 |
$3,762.53
|
|
Infect ag eia influenza a or b ea
|
$31.50 |
$31.50 |
$31.50 |
$71.50
|
|
Infect ag genotype na dna hepatitis b
|
$230.00 |
$230.00 |
$230.00 |
$405.30
|
|
Infect ag genotype na hiv-1 other region
|
$391.50 |
$391.50 |
$391.50 |
$386.40
|
|
Infect ag ia optc obs influenza
|
$358.00 |
$358.00 |
$358.00 |
$72.93
|
|
Infect ag if legionella pneumophila
|
$174.50 |
$174.50 |
$174.50 |
$72.58
|
|
Infect ag if varicella zoster
|
$77.00 |
$77.00 |
$77.00 |
$70.70
|
|
Infect ag na herpes simplex quant
|
$102.00 |
$102.00 |
$102.00 |
$169.65
|
|
Infect ag na hpv high-risk types
|
$50.00 |
$50.00 |
$50.00 |
$139.75
|
|
Infect ag na influenza r/amp 1st 2 types
|
$227.50 |
$227.50 |
$227.50 |
$219.70
|
|
Infect ag na orthopoxvirus amp prb each
|
$90.00 |
$90.00 |
$90.00 |
$99.36
|
|
Infect ag na resp virus 12-25 targets
|
$1,230.00 |
$1,230.00 |
$1,230.00 |
$835.80
|
|
Infectious agent antigen immunoassay direct optical observation sars-cov-2
|
$67.00 |
$67.00 |
$67.00 |
$53.00
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$39.00 |
$39.00 |
$39.00 |
$82.00
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$40.00 |
$40.00 |
$40.00 |
$76.32
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$39.00 |
$39.00 |
$39.00 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$80.00 |
$80.00 |
$80.00 |
$100.02
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$97.50 |
$97.50 |
$97.50 |
$81.20
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$25.00 |
$25.00 |
$25.00 |
$60.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$88.50 |
$88.50 |
$88.50 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$144.00 |
$144.00 |
$144.00 |
$129.00
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$64.00 |
$64.00 |
$64.00 |
$98.02
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$45.00 |
$45.00 |
$45.00 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$676.00 |
$676.00 |
$676.00 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$76.00 |
$76.00 |
$76.00 |
$139.68
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$203.00 |
$203.00 |
$203.00 |
$167.00
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$519.00 |
$519.00 |
$519.00 |
$861.00
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$172.00 |
$172.00 |
$172.00 |
$179.92
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$126.00 |
$126.00 |
$126.00 |
$147.55
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$353.50 |
$353.50 |
$353.50 |
$217.85
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$76.00 |
$76.00 |
$76.00 |
$136.03
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$65.00 |
$65.00 |
$65.00 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$98.00 |
$98.00 |
$98.00 |
$206.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$447.50 |
$447.50 |
$447.50 |
$236.08
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$78.00 |
$78.00 |
$78.00 |
$92.50
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$106.00 |
$106.00 |
$106.00 |
$108.75
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$293.00 |
$293.00 |
$293.00 |
$185.00
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$621.00 |
$621.00 |
$621.00 |
$727.50
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$213.00 |
$213.00 |
$213.00 |
$286.06
|
|
Infectious agent nucleic acid quantification bk virus
|
$365.00 |
$365.00 |
$365.00 |
$279.40
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$192.50 |
$192.50 |
$192.50 |
$239.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$236.50 |
$236.50 |
$236.50 |
$252.00
|
|
Infectious agent nucleic acid quantification hiv-1
|
$410.50 |
$410.50 |
$410.50 |
$374.00
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$1,194.00 |
$1,194.00 |
$1,194.00 |
$303.59
|
|
Infliximab-axxq 100 mg intravenous solution
|
$4,189.50 |
$4,189.50 |
$4,189.50 |
$1,062.00
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$11,215.47 |
$11,215.47 |
$11,215.47 |
$1,537.84
|
|
Influenza virus vaccine, live trivalent intranasal
|
$24.50 |
$24.50 |
$24.50 |
$36.50
|
|
Inf thrc fascial pln blk bi w/wo image
|
$320.00 |
$320.00 |
$320.00 |
$593.50
|
|
Inf thrc fascial pln blk uni w/wo image
|
$187.50 |
$187.50 |
$187.50 |
$780.00
|
|
Infuse radioactive materials
|
$434.50 |
$434.50 |
$434.50 |
$640.50
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$293.00 |
$293.00 |
$293.00 |
$293.25
|
|
Initiation & management bipap/cpap initial day
|
$265.00 |
$265.00 |
$265.00 |
$576.00
|
|
Init/sub psych care m 1st 30
|
$103.00 |
$103.00 |
$103.00 |
$94.34
|
|
Inj, abilify asimtufii, 1 mg
|
$12.50 |
$12.50 |
$12.50 |
$9,426.91
|
|
Inj, abilify maintena, 1 mg
|
$14.50 |
$14.50 |
$14.50 |
$5,355.30
|
|
Inj acetaminophen -fresenius
|
$8.78 |
$8.78 |
$8.78 |
$36.60
|
|
Inj, adstiladrin, per tx dos
|
$80,745.00 |
$80,745.00 |
$80,745.00 |
$63,354.77
|
|
Inj, aflibercept hd, 1 mg
|
$768.50 |
$768.50 |
$768.50 |
$2,794.18
|
|
Inj, amisulpride, 1 mg
|
$182.32 |
$182.32 |
$182.32 |
$91.89
|
|
Inj anifrolumab-fnia 1mg
|
$41.00 |
$41.00 |
$41.00 |
$9,878.82
|
|
Inj avacincaptad pegol 0.1mg
|
$236.50 |
$236.50 |
$236.50 |
$3,409.64
|
|
Inj., benralizumab, 1 mg
|
$439.00 |
$439.00 |
$439.00 |
$11,239.97
|
|
Inj, bezlotoxumab, 10 mg
|
$103.00 |
$103.00 |
$103.00 |
$7,612.43
|
|
Inj bimatoprost itc imp1mcg
|
$456.00 |
$456.00 |
$456.00 |
$3,287.96
|
|
Inj, bupivacaine liposome
|
$755.91 |
$755.91 |
$755.91 |
$699.38
|
|
Inj cefazolin sodium, hikma
|
$10.64 |
$10.64 |
$10.64 |
$28.08
|
|
Inj cefazolin (wg crit care)
|
$9.31 |
$9.31 |
$9.31 |
$18.05
|
|
Inj ceftolozane tazobactam
|
$720.66 |
$720.66 |
$720.66 |
$380.80
|
|
Inj cntr knee arthro incl ct/mri
|
$422.50 |
$422.50 |
$422.50 |
$436.80
|
|
Inj. denosumab-bbdz, 1 mg
|
$3,223.11 |
$3,223.11 |
$3,223.11 |
$4,615.43
|
|
Inj disk cerv-thor ea lev
|
$332.00 |
$332.00 |
$332.00 |
$875.28
|
|
Inj, donanemab-azbt, 2 mg
|
$6,339.24 |
$6,339.24 |
$6,339.24 |
$1,233.44
|
|
Inj dupuytren cord w/enzyme
|
$353.00 |
$353.00 |
$353.00 |
$416.00
|
|
Inj, durolane 1 mg
|
$2,168.58 |
$2,168.58 |
$2,168.58 |
$1,950.93
|
|
Inj dx for sinogram
|
$281.50 |
$281.50 |
$281.50 |
$422.59
|
|
Inject for sacroiliac joint
|
$1,044.00 |
$1,044.00 |
$1,044.00 |
$1,025.77
|
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
|
$1,141.50 |
$1,141.50 |
$1,141.50 |
$1,214.78
|
|
Injection arthrography hip without anesthesia (both sides)
|
$443.00 |
$443.00 |
$443.00 |
$495.84
|
|
Injection carpal tunnel therapeutic (both sides)
|
$457.50 |
$457.50 |
$457.50 |
$450.72
|
|
Injection, casimersen, 10 mg
|
$271.50 |
$271.50 |
$271.50 |
$2,598.44
|
|
Injection during cath supravalvular aortography
|
$160.00 |
$160.00 |
$160.00 |
$952.66
|
|
Injection epidural blood patch or clot
|
$890.50 |
$890.50 |
$890.50 |
$1,156.80
|
|
Injection eye drug
|
$494.50 |
$494.50 |
$494.50 |
$644.50
|
|
Injection for arthrography wrist (both sides)
|
$281.50 |
$281.50 |
$281.50 |
$428.40
|
