|
Infectious agent nucleic acid quantification hiv-1
|
$307.95 |
$307.95 |
$448.31 |
$375.00
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$336.15 |
$345.55 |
$418.50 |
$304.20
|
|
Infliximab 100 mg intravenous solution
|
$2,102.08 |
$2,312.29 |
$2,312.29 |
$2,047.13
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$1,873.64 |
$1,873.64 |
$1,873.64 |
$1,537.84
|
|
Influenza dna amp prob addl
|
$86.55 |
$86.55 |
$94.30 |
$64.26
|
|
Inf lwr xtr fscl pln blk uni w/wo image
|
$2,202.30 |
$2,202.30 |
$2,202.30 |
$762.00
|
|
Inf thrc fascial pln blk bi w/wo image
|
$2,262.60 |
$2,262.60 |
$2,262.60 |
$523.25
|
|
Inf thrc fascial pln blk uni w/wo image
|
$1,321.38 |
$1,321.38 |
$2,202.30 |
$770.00
|
|
Infuse radioactive materials
|
$600.89 |
$600.89 |
$600.89 |
$739.50
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$271.35 |
$271.35 |
$394.10 |
$296.00
|
|
Init/sub psych care m 1st 30
|
$89.84 |
$89.84 |
$89.84 |
$94.34
|
|
Inj, abilify maintena, 1 mg
|
$5,583.29 |
$5,583.29 |
$5,583.29 |
$5,355.30
|
|
Inj acetaminophen -fresenius
|
$34.56 |
$34.56 |
$34.56 |
$36.60
|
|
Inj, alfentanil hcl, 500mcg
|
$16.63 |
$16.63 |
$16.63 |
$35.94
|
|
Inj allopurinol sodium 1 mg
|
$7,176.71 |
$7,722.00 |
$7,722.00 |
$6,968.99
|
|
Inj alymsys 10 mg
|
$676.74 |
$5,691.32 |
$5,691.32 |
$1,280.74
|
|
Inj anifrolumab-fnia 1mg
|
$10,052.58 |
$10,052.58 |
$10,052.58 |
$10,052.58
|
|
Inj, aponvie, 1 mg
|
$848.15 |
$848.15 |
$848.15 |
$3.36
|
|
Inj., benralizumab, 1 mg
|
$11,239.97 |
$11,239.97 |
$11,239.97 |
$11,310.00
|
|
Inj, bezlotoxumab, 10 mg
|
$7,524.00 |
$7,524.00 |
$7,524.00 |
$7,612.43
|
|
Inj, biorphen, 20 micrograms
|
$13.68 |
$13.68 |
$20.40 |
$17.33
|
|
Inj, bupivacaine liposome
|
$507.76 |
$507.76 |
$507.76 |
$699.38
|
|
Inj calcitriol per 0.1 mcg
|
$8.20 |
$8.20 |
$35.82 |
$22.69
|
|
Inj cefazolin sodium, hikma
|
$24.01 |
$24.01 |
$34.59 |
$27.38
|
|
Inj cefazolin (wg crit care)
|
$24.24 |
$24.24 |
$24.24 |
$18.43
|
|
Inj, cefiderocol, 10 mg
|
$474.47 |
$474.47 |
$596.08 |
$544.85
|
|
Inj ceftolozane tazobactam
|
$342.69 |
$342.69 |
$431.36 |
$364.86
|
|
Inj, clindamycin (baxter)
|
$35.69 |
$35.69 |
$35.69 |
$48.30
|
|
Inj cntr knee arthro incl ct/mri
|
$487.95 |
$487.95 |
$571.31 |
$436.80
|
|
Inj crotalidae im f(ab')2 eq
|
$1,584.60 |
$2,613.60 |
$2,613.60 |
$2,613.60
|
|
Inj disk cerv-thor ea lev
|
$875.28 |
$875.28 |
$875.28 |
$875.28
|
|
Inj dx for sinogram
|
$460.50 |
$460.50 |
$700.52 |
$436.00
|
|
Inject for sacroiliac joint
|
$836.40 |
$836.40 |
$836.40 |
$1,025.77
|
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
|
$1,030.57 |
$1,030.57 |
$1,141.35 |
$1,214.78
|
|
Injection arthrography hip without anesthesia (both sides)
|
$609.20 |
$724.65 |
$724.65 |
$503.50
|
|
Injection, belinostat, 10mg
|
$3,631.78 |
$3,631.78 |
$3,631.78 |
$4,446.10
|
|
Injection, cangrelor
|
$1,734.77 |
$1,889.78 |
$1,889.78 |
$1,889.78
|
|
Injection, caplacizumab-yhdp
|
$16,319.16 |
$16,319.16 |
$16,319.16 |
$16,319.16
|
|
Injection carpal tunnel therapeutic (both sides)
|
$421.33 |
$421.33 |
$421.33 |
$458.15
|
|
Injection, daratumumab 10 mg
|
$1,408.08 |
$1,408.08 |
$5,324.34 |
$5,324.34
|
|
Injection, doxercalciferol
|
$9.52 |
$9.52 |
$9.52 |
$23.86
|
|
Injection during cath supravalvular aortography
|
$1,087.65 |
$1,087.65 |
$2,449.14 |
$1,027.26
|
|
Injection epidural blood patch or clot
|
$1,045.65 |
$1,045.65 |
$1,790.34 |
$1,182.33
|
|
Injection eye drug
|
$825.10 |
$825.10 |
$825.10 |
$654.00
|
|
Injection for arthrography wrist (both sides)
|
$487.95 |
$487.95 |
$521.18 |
$436.00
|
|
Injection for bladder x-ray
|
$445.95 |
$445.95 |
$780.00 |
$459.20
|
|
Injection for hip x-ray
|
$1,210.53 |
$1,327.50 |
$1,327.50 |
$763.60
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$514.36 |
$591.75 |
$591.75 |
$497.76
|
|
Injection for spleen x-ray
|
$982.72 |
$982.72 |
$982.72 |
$686.40
|
|
Injection for ureter x-ray
|
$415.80 |
$415.80 |
$841.49 |
$415.80
|
|
Injection for ureter x-ray
|
$515.21 |
$515.21 |
$708.75 |
$515.21
|
|
Injection, fulvestrant
|
$1,919.66 |
$1,919.66 |
$3,520.29 |
$1,719.16
|
|
Injection glatiramer acetate
|
$865.10 |
$865.10 |
$865.10 |
$830.51
|
|
Injection, glucarpidase
|
$74,113.20 |
$74,113.20 |
$74,113.20 |
$74,113.20
|
|
Injection, inclisiran, 1 mg
|
$6,679.35 |
$6,679.35 |
$6,679.35 |
$6,679.35
|
|
Injection into brain canal
|
$746.85 |
$746.85 |
$1,090.69 |
$844.50
|
|
Injection into hemorrhoid(s)
|
$2,926.20 |
$2,926.20 |
$2,926.20 |
$1,433.00
|
|
Injection, isavuconazonium
|
$787.67 |
$787.67 |
$987.58 |
$787.67
|
|
Injection jaw joint x-ray
|
$229.06 |
$229.06 |
$229.06 |
$307.80
|
|
Injection jugular
|
$1,048.20 |
$1,048.20 |
$1,048.20 |
$790.00
|
|
Injection, necitumumab, 1 mg
|
$8,572.91 |
$8,572.91 |
$8,572.91 |
$8,572.91
|
|
Injection of sinus tract
|
$1,006.81 |
$1,006.81 |
$1,006.81 |
$1,640.99
|
|
Injection,onabotulinumtoxina
|
$1,162.80 |
$2,510.64 |
$2,510.64 |
$2,277.65
|
|
Injection, peramivir
|
$684.00 |
$684.00 |
$857.98 |
$744.75
|
|
Injection radioactive tracer sentinel node (both sides)
|
$731.25 |
$731.25 |
$1,481.87 |
$685.44
|
|
Injection, renflexis
|
$1,356.10 |
$1,491.72 |
$1,491.72 |
$1,341.52
|
|
Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides)
|
$1,582.12 |
$2,255.55 |
$2,255.55 |
$1,582.12
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$1,045.65 |
$1,045.65 |
$2,618.36 |
$1,391.40
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$1,045.65 |
$1,045.65 |
$1,139.12 |
$1,043.72
|
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
|
$1,482.45 |
$1,482.45 |
$2,251.00 |
$2,040.36
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
|
$741.45 |
$741.45 |
$1,131.41 |
$1,030.05
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
|
$1,482.45 |
$1,482.45 |
$2,195.95 |
$1,855.36
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
|
$741.45 |
$741.45 |
$966.32 |
$1,043.20
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
|
$1,482.45 |
$1,482.45 |
$2,165.84 |
$2,006.79
|
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
|
$1,438.95 |
$1,438.95 |
$2,033.74 |
$1,817.24
|
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
|
$1,001.25 |
$1,001.25 |
$1,882.52 |
$1,685.00
|
|
Injection, siltuximab
|
$8,477.45 |
$8,477.45 |
$8,477.45 |
$11,502.35
|
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
|
$441.30 |
$441.30 |
$460.94 |
$475.80
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$441.30 |
$441.30 |
$624.56 |
$548.80
|
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
|
$441.30 |
$441.30 |
$684.48 |
$637.92
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$192.15 |
$192.15 |
$216.67 |
$145.60
|
|
Injection treatment of nerve
|
$2,346.60 |
$2,346.60 |
$2,792.73 |
$3,219.20
|
|
Inject sacroiliac joint
|
$950.29 |
$950.29 |
$2,255.55 |
$1,029.04
|
|
Inj epidural sgl cerv-thor without img
|
$1,045.65 |
$1,045.65 |
$1,311.74 |
$1,329.00
|
|
Inj epidural sgl lumb-sacral without img
|
$1,001.25 |
$1,001.25 |
$1,450.84 |
$1,450.84
|
|
Inj., eravacycline, 1 mg
|
$237.60 |
$237.60 |
$300.00 |
$206.64
|
|
Inj, etelcalcetide, 0.1 mg
|
$212.36 |
$212.36 |
$212.36 |
$343.35
|
|
Inj., evomela, 1 mg
|
$3,630.00 |
$3,630.00 |
$3,630.00 |
$17.37
|
|
Inj for ext venography
|
$518.10 |
$518.10 |
$1,858.36 |
$628.80
|
|
Inj for mammo ductogram
|
$621.62 |
$621.62 |
$621.62 |
$397.80
|
|
Inj, gadopiclenol, 1 ml
|
$904.21 |
$904.21 |
$904.21 |
$37.63
|
|
Inj givosiran 0.5 mg
|
$76,708.80 |
$76,708.80 |
$76,708.80 |
$76,708.80
|
|
Inj heparin, pfizer, 1000u
|
$36.60 |
$36.60 |
$36.60 |
$25.30
|
|
Inj herzuma 10 mg
|
$2,554.50 |
$7,775.46 |
$7,775.46 |
$7,775.46
|
|
Inj hrt cath w/s&i nonsel p-art angrp
|
$2,613.24 |
$2,613.24 |
$2,613.24 |
$1,492.00
|
|
Inj hrt cath w/s&i sel hrt ang
|
$2,874.61 |
$2,874.61 |
$2,874.61 |
$1,818.15
|
|
Inj hrt cath w/s&i sel hrt art
|
$1,045.80 |
$1,045.80 |
$1,960.03 |
$1,045.80
|
|
Inj hrt cath w/s&i sel left vent
|
$2,226.93 |
$2,226.93 |
$2,226.93 |
$1,250.34
|
|
Inj hrt cath w/s&i sel right vent
|
$1,045.65 |
$1,045.65 |
$1,887.60 |
$999.96
|
|
Inj human fibrinogen con nos
|
$3.95 |
$3.95 |
$3.95 |
$3.95
|
