|
Infectious agent nucleic acid amplified probe hsv-1
|
$428.01 |
$428.01 |
$428.01 |
$181.35
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$54.78 |
$54.78 |
$54.78 |
$151.25
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$133.32 |
$133.32 |
$133.32 |
$201.50
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$235.29 |
$235.29 |
$235.29 |
$135.80
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$89.10 |
$89.10 |
$89.10 |
$100.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$320.10 |
$320.10 |
$320.10 |
$236.08
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$32.01 |
$32.01 |
$32.01 |
$94.50
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$89.43 |
$89.43 |
$89.43 |
$105.27
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$172.26 |
$172.26 |
$172.26 |
$184.80
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$630.96 |
$630.96 |
$630.96 |
$711.93
|
|
Infectious agent nucleic acid quantification bk virus
|
$716.10 |
$716.10 |
$716.10 |
$283.00
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$541.53 |
$541.53 |
$541.53 |
$237.78
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$374.88 |
$374.88 |
$374.88 |
$252.60
|
|
Infectious agent nucleic acid quantification hiv-1
|
$628.32 |
$628.32 |
$628.32 |
$375.00
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$335.94 |
$335.94 |
$335.94 |
$303.59
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$380.16 |
$380.16 |
$380.16 |
$293.04
|
|
Initiation & management bipap/cpap initial day
|
$267.96 |
$267.96 |
$267.96 |
$576.00
|
|
Inj acetaminophen -fresenius
|
$48.39 |
$48.39 |
$48.39 |
$38.87
|
|
Inj, amisulpride, 1 mg
|
$419.72 |
$419.72 |
$419.72 |
$98.96
|
|
Inj, aponvie, 1 mg
|
$268.11 |
$268.11 |
$268.11 |
$3.00
|
|
Inj, biorphen, 20 micrograms
|
$23.09 |
$23.09 |
$23.09 |
$17.12
|
|
Inj, bupivacaine liposome
|
$3,184.73 |
$3,184.73 |
$3,184.73 |
$699.38
|
|
Inj cefazolin sodium, hikma
|
$40.52 |
$40.52 |
$40.52 |
$29.82
|
|
Inj cefazolin (wg crit care)
|
$27.24 |
$27.24 |
$27.24 |
$18.30
|
|
Inj, clevidipine butyrate
|
$387.71 |
$387.71 |
$387.71 |
$4.86
|
|
Inj, clindamycin (baxter)
|
$48.39 |
$48.39 |
$48.39 |
$48.96
|
|
Inj cntr knee arthro incl ct/mri
|
$341.22 |
$341.22 |
$341.22 |
$436.80
|
|
Inj, daptomycin (baxter)
|
$257.38 |
$257.38 |
$257.38 |
$1.83
|
|
Inj disk cerv-thor ea lev
|
$417.78 |
$417.78 |
$417.78 |
$945.00
|
|
Inj dupuytren cord w/enzyme
|
$223.08 |
$223.08 |
$223.08 |
$416.00
|
|
Inj dx for sinogram
|
$347.82 |
$347.82 |
$347.82 |
$413.82
|
|
Inject for sacroiliac joint
|
$1,173.81 |
$1,173.81 |
$1,173.81 |
$1,101.00
|
|
Injection arthrography hip without anesthesia (both sides)
|
$463.65 |
$463.65 |
$463.65 |
$498.50
|
|
Injection, cangrelor
|
$4,404.84 |
$4,404.84 |
$4,404.84 |
$1,889.78
|
|
Injection carpal tunnel therapeutic (both sides)
|
$40.92 |
$40.92 |
$40.92 |
$504.90
|
|
Injection during cath supravalvular aortography
|
$567.60 |
$567.60 |
$567.60 |
$904.17
|
|
Injection epidural blood patch or clot
|
$1,709.40 |
$1,709.40 |
$1,709.40 |
$1,156.80
|
|
Injection, famotidine, 20 mg
|
$4.65 |
$4.65 |
$4.65 |
$28.74
|
|
Injection for arthrography wrist (both sides)
|
$716.76 |
$716.76 |
$716.76 |
$441.12
|
|
Injection for bladder x-ray
|
$865.26 |
$865.26 |
$865.26 |
$459.20
|
|
Injection for hip x-ray
|
$612.81 |
$612.81 |
$612.81 |
$662.40
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$855.03 |
$855.03 |
$855.03 |
$494.65
|
|
Injection for spleen x-ray
|
$194.70 |
$194.70 |
$194.70 |
$423.41
|
|
Injection for ureter x-ray
|
$762.96 |
$762.96 |
$762.96 |
$415.80
|
|
Injection for ureter x-ray
|
$1,486.65 |
$1,486.65 |
$1,486.65 |
$515.21
|
|
Injection into brain canal
|
$791.34 |
$791.34 |
$791.34 |
$844.50
|
|
Injection jaw joint x-ray
|
$634.92 |
$634.92 |
$634.92 |
$307.80
|
|
Injection radioactive tracer sentinel node (both sides)
|
$745.47 |
$745.47 |
$745.47 |
$674.48
|
|
Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides)
|
$1,056.33 |
$1,056.33 |
$1,056.33 |
$1,582.12
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$925.65 |
$925.65 |
$925.65 |
$1,391.40
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$1,227.93 |
$1,227.93 |
$1,227.93 |
$1,045.65
|
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
|
$836.55 |
$836.55 |
$836.55 |
$1,939.60
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
|
$619.74 |
$619.74 |
$619.74 |
$1,029.45
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
|
$1,679.04 |
$1,679.04 |
$1,679.04 |
$1,777.50
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
|
$619.74 |
$619.74 |
$619.74 |
$1,064.70
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
|
$1,679.04 |
$1,679.04 |
$1,679.04 |
$1,961.05
|
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
|
$991.98 |
$991.98 |
$991.98 |
$1,704.78
|
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
|
$151.47 |
$151.47 |
$151.47 |
$460.94
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$350.79 |
$350.79 |
$350.79 |
$522.55
|
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
|
$263.34 |
$263.34 |
$263.34 |
$625.00
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$117.15 |
$117.15 |
$117.15 |
$166.38
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$117.15 |
$117.15 |
$117.15 |
$145.60
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$274.89 |
$274.89 |
$274.89 |
$261.00
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$146.52 |
$146.52 |
$146.52 |
$135.20
|
|
Inj for ext venography
|
$435.60 |
$435.60 |
$435.60 |
$654.00
|
|
Inj for mammo ductogram
|
$528.99 |
$528.99 |
$528.99 |
$433.50
|
|
Inj, gadopiclenol, 1 ml
|
$491.14 |
$491.14 |
$491.14 |
$66.94
|
|
Inj heparin, pfizer, 1000u
|
$108.95 |
$108.95 |
$108.95 |
$24.28
|
|
Inj hrt cath w/s&i nonsel p-art angrp
|
$325.05 |
$325.05 |
$325.05 |
$1,237.50
|
|
Inj hrt cath w/s&i sel hrt ang
|
$2,156.22 |
$2,156.22 |
$2,156.22 |
$1,757.00
|
|
Inj hrt cath w/s&i sel left vent
|
$1,338.48 |
$1,338.48 |
$1,338.48 |
$1,071.00
|
|
Inj hrt cath w/s&i sel right vent
|
$349.14 |
$349.14 |
$349.14 |
$947.05
|
|
Inj labetalol hcl hikma, 5mg
|
$6.46 |
$6.46 |
$6.46 |
$40.00
|
|
Inj, levothyroxine, freskabi
|
$2,118.10 |
$2,118.10 |
$2,118.10 |
$363.97
|
|
Inj, lidocaine w epinephrine
|
$420.18 |
$420.18 |
$420.18 |
$44.96
|
|
Inj meropenem (wg crit care)
|
$263.97 |
$263.97 |
$263.97 |
$77.97
|
|
Inj multihance
|
$924.79 |
$924.79 |
$924.79 |
$79.42
|
|
Inj nephrosto/ureterogram w/img exstng access
|
$2,596.44 |
$2,596.44 |
$2,596.44 |
$1,414.40
|
|
Inj peritoneal venous shunt
|
$201.96 |
$201.96 |
$201.96 |
$406.80
|
|
Inj proc ankle arthr
|
$574.86 |
$574.86 |
$574.86 |
$405.31
|
|
Inj proc elbow arthro
|
$676.17 |
$676.17 |
$676.17 |
$428.40
|
|
Inj proc lumbr disk ea lvl
|
$910.47 |
$910.47 |
$910.47 |
$1,139.40
|
|
Inj proc myelogram lumbar
|
$265.65 |
$265.65 |
$265.65 |
$859.98
|
|
Inj proc sialogram
|
$436.92 |
$436.92 |
$436.92 |
$373.00
|
|
Inj retacrit esrd on dialysi
|
$1,941.09 |
$1,941.09 |
$1,941.09 |
$352.22
|
|
Inj retro urethrocysto
|
$936.54 |
$936.54 |
$936.54 |
$450.00
|
|
Inj scleros sol mult veins
|
$1,221.00 |
$1,221.00 |
$1,221.00 |
$602.50
|
|
Inj scleros sol sgl vein
|
$1,116.39 |
$1,116.39 |
$1,116.39 |
$534.40
|
|
Inj(s) sclerosant spider veins limb/trunk
|
$950.07 |
$950.07 |
$950.07 |
$436.80
|
|
Inj sulf hexa lipid microsph
|
$1,150.27 |
$1,150.27 |
$1,150.27 |
$256.14
|
|
Inj w/fluor eval cv device
|
$659.34 |
$659.34 |
$659.34 |
$467.40
|
|
Ins cath ren art 1st bi
|
$2,866.05 |
$2,866.05 |
$2,866.05 |
$5,741.00
|
|
Ins cath ren art 1st uni
|
$2,011.68 |
$2,011.68 |
$2,011.68 |
$4,692.00
|
|
Ins cath ren art 2nd+ bi
|
$3,045.90 |
$3,045.90 |
$3,045.90 |
$5,408.65
|
|
Ins cath ren art 2nd+ uni
|
$2,105.07 |
$2,105.07 |
$2,105.07 |
$5,419.00
|
|
Ins cerv dilator (sep proc)
|
$239.91 |
$239.91 |
$239.91 |
$488.35
|
|
Insert cath pleura with image
|
$1,023.33 |
$1,023.33 |
$1,023.33 |
$2,194.40
|
|
Insert hepatic shunt (tips)
|
$16,060.44 |
$16,060.44 |
$16,060.44 |
$8,367.70
|
|
Insertion catheter bladder non indwelling
|
$619.74 |
$619.74 |
$619.74 |
$205.20
|
|
Insertion catheter bladder temporary simple
|
$292.05 |
$292.05 |
$292.05 |
$229.50
|