|
Incision of tongue fold
|
$1,634.50 |
$2,464.80 |
$3,333.00 |
|
|
Incision of urethra
|
$2,002.00 |
$2,002.00 |
$2,002.00 |
|
|
Incision of windpipe
|
$1,304.40 |
$1,304.40 |
$1,304.40 |
|
|
Incision tendon sheath
|
$748.20 |
$3,771.00 |
$5,031.60 |
|
|
Incisn of toe tndn
|
$366.00 |
$1,663.20 |
$2,519.20 |
|
|
Incisn windpipe
|
$1,051.20 |
$2,460.00 |
$4,334.40 |
|
|
Incobotulinumtoxin a
|
$5.50 |
$45.00 |
$1,317.00 |
|
|
Indigotindisulfonate 8 mg/ml soln 5 ml ampule
|
$24.00 |
$24.00 |
$2,447.20 |
|
|
Induced ab 1+ vag sup w/dlv fetus
|
$5,949.60 |
$5,949.60 |
$5,949.60 |
|
|
Induced abortion d&c
|
$3,720.50 |
$3,720.50 |
$7,209.00 |
|
|
Induction of vomiting
|
$391.80 |
$483.00 |
$532.80 |
|
|
Infect ag drug suscept pheno predict
|
$532.00 |
$724.80 |
$3,052.80 |
|
|
Infect ag eia influenza a or b ea
|
$31.50 |
$54.60 |
$286.20 |
|
|
Infect ag genotype na cytomegalovirus
|
$587.40 |
$1,300.20 |
$1,795.20 |
|
|
Infect ag genotype na dna hepatitis b
|
$230.00 |
$552.60 |
$1,338.60 |
|
|
Infect ag genotype na hiv-1 other region
|
$391.50 |
$1,108.20 |
$1,872.60 |
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$1,050.40 |
$1,431.00 |
$23,824.20 |
|
|
Infect ag ia direct hiv-1 antgn
|
$182.40 |
$182.40 |
$182.40 |
|
|
Infect ag ia optc obs influenza
|
$13.20 |
$102.60 |
$458.40 |
|
|
Infect ag if ea plyvlnt antsrm
|
$55.80 |
$55.80 |
$55.80 |
|
|
Infect ag if hep delta agent
|
$133.20 |
$199.20 |
$4,310.40 |
|
|
Infect ag if influenza a
|
$117.00 |
$150.60 |
$205.80 |
|
|
Infect ag if influenza b
|
$117.00 |
$150.60 |
$205.80 |
|
|
Infect ag if legionella pneumophila
|
$90.60 |
$294.60 |
$652.20 |
|
|
Infect ag if nos ea
|
$90.60 |
$90.60 |
$256.00 |
|
|
Infect ag if pneumocystis carinii
|
$79.80 |
$143.40 |
$1,221.60 |
|
|
Infect ag if varicella zoster
|
$68.40 |
$75.00 |
$1,306.80 |
|
|
Infect ag na hep b amp
|
$126.60 |
$126.60 |
$440.40 |
|
|
Infect ag na herpes simplex quant
|
$102.00 |
$440.40 |
$879.00 |
|
|
Infect ag na hpv high-risk types
|
$50.00 |
$214.80 |
$697.20 |
|
|
Infect ag na influenza r/amp 1st 2 types
|
$227.50 |
$532.80 |
$1,489.80 |
|
|
Infect ag na orthopoxvirus amp prb each
|
$52.00 |
$195.60 |
$372.00 |
|
|
Infect ag na resp virus 12-25 targets
|
$561.60 |
$2,425.80 |
$3,272.40 |
|
|
Infect ag phenotype na hiv-1 ea addl drg
|
$828.60 |
$828.60 |
$828.60 |
|
|
Infectious agent antigen immunoassay direct optical observation sars-cov-2
|
$26.40 |
$172.00 |
$172.00 |
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$39.00 |
$96.60 |
$342.00 |
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$200.40 |
$200.40 |
$200.40 |
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$36.60 |
$68.80 |
$597.60 |
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$39.00 |
$91.80 |
$797.40 |
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$53.40 |
$80.40 |
$2,710.80 |
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$42.40 |
$76.20 |
$983.80 |
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$25.00 |
$57.00 |
$525.60 |
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$10.80 |
$144.80 |
$496.00 |
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$48.80 |
$74.40 |
$797.40 |
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$42.00 |
$108.00 |
$480.80 |
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$45.00 |
$74.40 |
$1,159.20 |
|
|
Infectious agent nucleic acid amplified probe
|
$40.80 |
$290.40 |
$1,109.40 |
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$76.00 |
$210.00 |
$697.20 |
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$115.20 |
$207.60 |
$580.80 |
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$519.00 |
$1,493.40 |
$3,829.20 |
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$114.60 |
$201.00 |
$1,707.60 |
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$79.20 |
$195.60 |
$592.20 |
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$199.20 |
$363.60 |
$1,189.20 |
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$76.00 |
$198.60 |
$697.20 |
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$65.00 |
$75.00 |
$100.00 |
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$84.60 |
$84.60 |
$98.00 |
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$100.00 |
$210.00 |
$447.50 |
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$78.00 |
$195.60 |
$697.20 |
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$106.00 |
$195.60 |
$1,109.40 |
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$145.80 |
$195.60 |
$468.60 |
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$438.00 |
$515.20 |
$2,071.20 |
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$86.40 |
$104.00 |
$581.40 |
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$553.20 |
$791.40 |
$1,230.60 |
|
|
Infectious agent nucleic acid quantification bk virus
|
$178.40 |
$354.60 |
$1,055.60 |
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$163.80 |
$361.20 |
$2,764.20 |
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$156.60 |
$284.40 |
$1,078.20 |
|
|
Infectious agent nucleic acid quantification hiv-1
|
$354.40 |
$538.80 |
$1,743.00 |
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$271.20 |
$776.40 |
$1,194.00 |
|
|
Infliximab 100 mg intravenous solution
|
$380.80 |
$700.20 |
$5,408.40 |
|
|
Infliximab-axxq 100 mg intravenous solution
|
$135.20 |
$1,062.00 |
$4,189.50 |
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$202.80 |
$567.60 |
$11,215.47 |
|
|
Influenza dna amp prob addl
|
$105.00 |
$105.00 |
$342.00 |
|
|
Influenza virus vaccine, inact hemagglutinin tiv pf inj
|
$30.00 |
$40.00 |
$93.60 |
|
|
Influenza virus vaccine, live trivalent intranasal
|
$24.50 |
$24.50 |
$42.60 |
|
|
Inf lwr xtr fscl pln blk uni w/wo image
|
$133.80 |
$135.00 |
$179.40 |
|
|
Inf thrc fascial pln blk bi w/wo image
|
$145.80 |
$147.00 |
$320.00 |
|
|
Inf thrc fascial pln blk uni w/wo image
|
$138.60 |
$139.80 |
$187.50 |
|
|
Infuse radioactive materials
|
$434.50 |
$624.60 |
$2,719.80 |
|
|
Ingest challenge ea addl 60 min
|
$401.40 |
$401.40 |
$401.40 |
|
|
Ingest challenge ini 120 min
|
$563.40 |
$563.40 |
$563.40 |
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$165.60 |
$414.60 |
$1,113.00 |
|
|
Initial observation care
|
$110.40 |
$110.40 |
$115.20 |
|
|
Initial observation care
|
$150.00 |
$150.00 |
$211.20 |
|
|
Initial observation care
|
$204.60 |
$204.60 |
$204.60 |
|
|
Init pm e/m new pat 65+ yrs
|
$154.80 |
$192.60 |
$332.40 |
|
|
Init/sub psych care m 1st 30
|
$103.00 |
$103.00 |
$103.00 |
|
|
Inj, abilify asimtufii, 1 mg
|
$12.50 |
$12.50 |
$12.50 |
|
|
Inj, abilify maintena, 1 mg
|
$14.50 |
$34.00 |
$13,261.20 |
|
|
Inj acetaminophen -fresenius
|
$8.78 |
$53.00 |
$106.20 |
|
|
Inj, acetaminophen (hikma)
|
$58.80 |
$58.80 |
$58.80 |
|
|
Inj, adalimumab, 1 mg
|
$65.20 |
$220.20 |
$256.00 |
|
|
Inj, adstiladrin, per tx dos
|
$80,745.00 |
$80,745.00 |
$80,745.00 |
|
|
Inj, aducanumab-avwa, 2 mg
|
$24.60 |
$25.80 |
$25.80 |
|
|
Inj, aflibercept hd, 1 mg
|
$768.50 |
$768.50 |
$768.50 |
|
|
Inj allopurinol sodium 1 mg
|
$155.40 |
$155.40 |
$155.40 |
|
|
Inj, amisulpride, 1 mg
|
$182.32 |
$182.32 |
$182.32 |
|
|
Inj andexxa, 10 mg
|
$246.00 |
$13,381.20 |
$20,052.60 |
|
|
Inj anifrolumab-fnia 1mg
|
$34.80 |
$1,522.80 |
$32,563.20 |
|
|
Inj, aponvie, 1 mg
|
$3.00 |
$3.00 |
$4.20 |
|
|
Inj, artesunate, 1mg
|
$109.80 |
$109.80 |
$109.80 |
|
