|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$264.08 |
$264.08 |
$264.08 |
$135.85
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$488.44 |
$488.44 |
$488.44 |
$100.13
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$762.84 |
$762.84 |
$762.84 |
$218.40
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$520.47 |
$520.47 |
$520.47 |
$241.15
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$261.06 |
$261.06 |
$261.06 |
$97.50
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$1,426.16 |
$1,426.16 |
$1,426.16 |
$727.50
|
|
Infectious agent nucleic acid quantification bk virus
|
$918.79 |
$918.79 |
$918.79 |
$300.00
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$358.24 |
$358.24 |
$358.24 |
$228.38
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$888.22 |
$888.22 |
$888.22 |
$278.78
|
|
Infectious agent nucleic acid quantification hiv-1
|
$1,054.41 |
$1,054.41 |
$1,054.41 |
$381.55
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$1,359.99 |
$1,359.99 |
$1,359.99 |
$359.64
|
|
Initiation & management bipap/cpap initial day
|
$2,597.51 |
$2,597.51 |
$2,597.51 |
$627.00
|
|
Inj., benralizumab, 1 mg
|
$27,298.41 |
$27,298.41 |
$27,298.41 |
$18,984.78
|
|
Inj, bezlotoxumab, 10 mg
|
$6,126.42 |
$6,126.42 |
$6,126.42 |
$8,698.20
|
|
Inj cefazolin sodium, hikma
|
$69.94 |
$69.94 |
$69.94 |
$57.13
|
|
Inj, durolane 1 mg
|
$2,894.84 |
$2,894.84 |
$2,894.84 |
$4,082.24
|
|
Injection carpal tunnel therapeutic (both sides)
|
$1,970.86 |
$1,970.86 |
$1,970.86 |
$541.96
|
|
Injection, daratumumab 10 mg
|
$3,331.63 |
$3,331.63 |
$3,331.63 |
$4,017.00
|
|
Injection, fulvestrant
|
$1,744.39 |
$1,744.39 |
$1,744.39 |
$2,744.26
|
|
Injection, inclisiran, 1 mg
|
$19,311.68 |
$19,311.68 |
$19,311.68 |
$9,094.90
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$1,829.10 |
$1,829.10 |
$1,829.10 |
$1,471.50
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$831.95 |
$831.95 |
$831.95 |
$1,017.28
|
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
|
$1,426.83 |
$1,426.83 |
$1,426.83 |
$460.94
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$1,016.18 |
$1,016.18 |
$1,016.18 |
$539.55
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$429.30 |
$429.30 |
$429.30 |
$174.40
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$541.16 |
$541.16 |
$541.16 |
$154.40
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$307.07 |
$307.07 |
$307.07 |
$270.60
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$350.96 |
$350.96 |
$350.96 |
$140.29
|
|
Inj efgart-alfa 2mg hya-qvfc
|
$88,241.79 |
$88,241.79 |
$88,241.79 |
$72,774.92
|
|
Inj, fulvestrant (fresenius)
|
$399.48 |
$399.48 |
$399.48 |
$1,713.99
|
|
Inj glycopyrrolate fres kabi
|
$51.03 |
$51.03 |
$51.03 |
$96.70
|
|
Inj ivig privigen 500 mg
|
$17,308.18 |
$17,308.18 |
$17,308.18 |
$7,298.71
|
|
Inj mepivacaine hcl/10 ml
|
$16.81 |
$16.81 |
$16.81 |
$22.52
|
|
Inj multihance
|
$410.96 |
$410.96 |
$410.96 |
$120.00
|
|
Inj secukinumab intrav 1mg
|
$12,083.58 |
$12,083.58 |
$12,083.58 |
$9,961.24
|
|
Inj, spesolimab-sbzo, 1 mg
|
$291,748.24 |
$291,748.24 |
$291,748.24 |
$253,022.14
|
|
Inj testosterone cypionate
|
$115.80 |
$115.80 |
$115.80 |
$81.39
|
|
Inj, tislelizumab-jsgr
|
$11,715.26 |
$11,715.26 |
$11,715.26 |
$45,250.97
|
|
Inj, vancomycin hcl (mylan)
|
$42.16 |
$42.16 |
$42.16 |
$63.82
|
|
Inj, vegzelma, 10 mg
|
$2,680.66 |
$2,680.66 |
$2,680.66 |
$12,825.90
|
|
Insertion catheter bladder non indwelling
|
$705.50 |
$705.50 |
$705.50 |
$237.13
|
|
Insertion catheter bladder temporary simple
|
$560.89 |
$560.89 |
$560.89 |
$250.80
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$6,528.70 |
$6,528.70 |
$6,528.70 |
$2,505.60
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$5,978.45 |
$5,978.45 |
$5,978.45 |
$2,368.45
|
|
Instill, bupivac and meloxic
|
$786.78 |
$786.78 |
$786.78 |
$1,127.61
|
|
Insulin total
|
$189.02 |
$189.02 |
$189.02 |
$67.50
|
|
Intraoral i+d tongue/floor lingual 41000
|
$2,935.92 |
$2,935.92 |
$2,935.92 |
$1,291.20
|
|
Intubation endotracheal emergency procedure
|
$1,189.22 |
$1,189.22 |
$1,189.22 |
$592.80
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$492.98 |
$492.98 |
$492.98 |
$184.87
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$768.29 |
$768.29 |
$768.29 |
$222.75
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$13,338.91 |
$13,338.91 |
$13,338.91 |
$51,535.10
|
|
Ipratropium bromide non-comp
|
$6.92 |
$6.92 |
$6.92 |
$11.59
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$96.74 |
$96.74 |
$96.74 |
$236.99
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$1,008.58 |
$1,008.58 |
$1,008.58 |
$5,465.04
|
|
Iron
|
$237.69 |
$237.69 |
$237.69 |
$72.15
|
|
Iron binding capacity
|
$160.38 |
$160.38 |
$160.38 |
$61.47
|
|
Iron dextran 50 mg/ml injection solution
|
$129.63 |
$129.63 |
$129.63 |
$62.12
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$277.26 |
$277.26 |
$277.26 |
$255.60
|
|
Isatuximab-irfc 20 mg/ml intravenous solution
|
$4,058.50 |
$4,058.50 |
$4,058.50 |
$13,121.82
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$1,833.06 |
$1,833.06 |
$1,833.06 |
$191.75
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$357.20 |
$357.20 |
$357.20 |
$181.26
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$366.64 |
$366.64 |
$366.64 |
$154.00
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$1,876.96 |
$1,876.96 |
$1,876.96 |
$460.85
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$88.62 |
$88.62 |
$88.62 |
$52.80
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$89.22 |
$89.22 |
$89.22 |
$24.60
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$1,161.71 |
$1,161.71 |
$1,161.71 |
$668.25
|
|
Knee MRI (with and without contrast)
|
$5,923.72 |
$5,923.72 |
$5,923.72 |
$2,879.37
|
|
Knee X-ray
|
$679.13 |
$679.13 |
$679.13 |
$440.00
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$154.96 |
$154.96 |
$154.96 |
$29.35
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$132.31 |
$132.31 |
$132.31 |
$207.29
|
|
Lactate dehydrogenase (ldh)
|
$176.01 |
$176.01 |
$176.01 |
$52.80
|
|
Lactated ringers intravenous solution
|
$116.56 |
$116.56 |
$116.56 |
$47.66
|
|
Lactic acid
|
$255.68 |
$255.68 |
$255.68 |
$102.30
|
|
Lactoferrin fecal qualitative
|
$99.46 |
$99.46 |
$99.46 |
$88.40
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$30,508.06 |
$30,508.06 |
$30,508.06 |
$22,903.90
|
|
Lead capillary
|
$181.39 |
$181.39 |
$181.39 |
$62.40
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$2,975.02 |
$2,975.02 |
$2,975.02 |
$1,090.23
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$202.68 |
$202.68 |
$202.68 |
$122.95
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$323.37 |
$323.37 |
$323.37 |
$89.50
|
|
Levetiracetam therapeutic drug level
|
$243.75 |
$243.75 |
$243.75 |
$74.92
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$190.78 |
$190.78 |
$190.78 |
$64.88
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$294.41 |
$294.41 |
$294.41 |
$130.49
|
|
Lipase
|
$326.49 |
$326.49 |
$326.49 |
$81.25
|
|
Lipoprotein direct measurement ldl
|
$43.92 |
$43.92 |
$43.92 |
$60.00
|
|
Lithium therapeutic drug level
|
$136.09 |
$136.09 |
$136.09 |
$66.43
|
|
Liver Function Test
|
$363.81 |
$363.81 |
$363.81 |
$111.13
|
|
Locm 100-199mg/ml iodine,1ml
|
$44.10 |
$44.10 |
$44.10 |
$13.65
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$36.76 |
$36.76 |
$36.76 |
$37.37
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$5,081.55 |
$5,081.55 |
$5,081.55 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$4,302.62 |
$4,302.62 |
$4,302.62 |
$1,829.25
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$4,007.51 |
$4,007.51 |
$4,007.51 |
$1,504.05
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$5,565.11 |
$5,565.11 |
$5,565.11 |
$2,919.75
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$4,346.09 |
$4,346.09 |
$4,346.09 |
$2,013.08
|
|
Lower Back (Lumbar Spine) X-ray
|
$620.07 |
$620.07 |
$620.07 |
$341.64
|
|
Macroscopic exam parasite
|
$55.40 |
$55.40 |
$55.40 |
$36.40
|
|
Magnesium
|
$131.76 |
$131.76 |
$131.76 |
$72.57
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$190.78 |
$190.78 |
$190.78 |
$57.51
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$354.44 |
$354.44 |
$354.44 |
$137.25
|
|
Manipulation chest wall initial demonstration/evaluation
|
$572.01 |
$572.01 |
$572.01 |
$163.15
|
|
Mannitol 12.5 gm/50 ml inj
|
$95.92 |
$95.92 |
$95.92 |
$40.12
|