|
Infectious agent nucleic acid amplified probe hsv-1
|
$20.47 |
$20.47 |
$20.47 |
$178.00
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$26.98 |
$26.98 |
$26.98 |
$150.15
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$108.15 |
$108.15 |
$108.15 |
$210.00
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$26.55 |
$26.55 |
$26.55 |
$136.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$30.15 |
$30.15 |
$30.15 |
$103.20
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$21.29 |
$21.29 |
$21.29 |
$98.15
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$26.55 |
$26.55 |
$26.55 |
$112.45
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$162.39 |
$162.39 |
$162.39 |
$489.50
|
|
Infectious agent nucleic acid quantification bk virus
|
$127.05 |
$127.05 |
$127.05 |
$285.66
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$64.05 |
$64.05 |
$64.05 |
$226.35
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$157.80 |
$157.80 |
$157.80 |
$278.78
|
|
Infectious agent nucleic acid quantification hiv-1
|
$141.30 |
$141.30 |
$141.30 |
$381.55
|
|
Infliximab 100 mg intravenous solution
|
$4,052.80 |
$4,052.80 |
$4,052.80 |
$2,791.24
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$3,283.99 |
$3,283.99 |
$3,283.99 |
$1,654.83
|
|
Infuse radioactive materials
|
$79.35 |
$79.35 |
$79.35 |
$600.89
|
|
Initiation & management bipap/cpap initial day
|
$124.09 |
$124.09 |
$124.09 |
$645.79
|
|
Inj., benralizumab, 1 mg
|
$19,700.60 |
$19,700.60 |
$19,700.60 |
$16,865.48
|
|
Inj, bezlotoxumab, 10 mg
|
$329.69 |
$329.69 |
$329.69 |
$9,702.65
|
|
Inj cefazolin sodium, hikma
|
$30.46 |
$30.46 |
$30.46 |
$56.70
|
|
Inj cefazolin (wg crit care)
|
$20.48 |
$20.48 |
$20.48 |
$32.05
|
|
Inj ceftolozane tazobactam
|
$3,954.24 |
$3,954.24 |
$3,954.24 |
$447.36
|
|
Inj cntr knee arthro incl ct/mri
|
$98.55 |
$98.55 |
$98.55 |
$464.28
|
|
Inj crotalidae im f(ab')2 eq
|
$4,233.89 |
$4,233.89 |
$4,233.89 |
$2,836.95
|
|
Inj, daptomycin (hospira)
|
$154.59 |
$154.59 |
$154.59 |
$167.85
|
|
Inj dx for sinogram
|
$120.45 |
$120.45 |
$120.45 |
$436.00
|
|
Injection arthrography hip without anesthesia (both sides)
|
$118.20 |
$118.20 |
$118.20 |
$507.10
|
|
Injection, cangrelor
|
$2,599.33 |
$2,599.33 |
$2,599.33 |
$2,546.20
|
|
Injection, daratumumab 10 mg
|
$385.69 |
$385.69 |
$385.69 |
$7,107.73
|
|
Injection, doxercalciferol
|
$43.38 |
$43.38 |
$43.38 |
$30.35
|
|
Injection during cath supravalvular aortography
|
$167.70 |
$167.70 |
$167.70 |
$1,148.80
|
|
Injection epidural blood patch or clot
|
$380.70 |
$380.70 |
$380.70 |
$1,473.12
|
|
Injection for arthrography wrist (both sides)
|
$98.55 |
$98.55 |
$98.55 |
$441.12
|
|
Injection for bladder x-ray
|
$322.52 |
$322.52 |
$322.52 |
$585.00
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$393.60 |
$393.60 |
$393.60 |
$504.00
|
|
Injection, fulvestrant
|
$3,201.33 |
$3,201.33 |
$3,201.33 |
$2,756.47
|
|
Injection, inclisiran, 1 mg
|
$6,359.40 |
$6,359.40 |
$6,359.40 |
$10,366.61
|
|
Injection,onabotulinumtoxina
|
$2,085.72 |
$2,085.72 |
$2,085.72 |
$2,154.07
|
|
Injection, peramivir
|
$915.80 |
$915.80 |
$915.80 |
$1,257.68
|
|
Injection, renflexis
|
$2,614.58 |
$2,614.58 |
$2,614.58 |
$1,457.42
|
|
Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides)
|
$48.30 |
$48.30 |
$48.30 |
$1,160.25
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$147.45 |
$147.45 |
$147.45 |
$1,471.50
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$217.05 |
$217.05 |
$217.05 |
$1,017.28
|
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
|
$415.95 |
$415.95 |
$415.95 |
$2,251.00
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
|
$105.75 |
$105.75 |
$105.75 |
$1,131.41
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
|
$210.00 |
$210.00 |
$210.00 |
$1,961.05
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
|
$110.55 |
$110.55 |
$110.55 |
$1,119.88
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
|
$210.00 |
$210.00 |
$210.00 |
$2,154.68
|
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
|
$317.25 |
$317.25 |
$317.25 |
$1,829.28
|
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
|
$447.15 |
$447.15 |
$447.15 |
$1,758.12
|
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
|
$120.45 |
$120.45 |
$120.45 |
$472.76
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$130.80 |
$130.80 |
$130.80 |
$552.60
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$73.80 |
$73.80 |
$73.80 |
$168.05
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$65.10 |
$65.10 |
$65.10 |
$154.05
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$114.30 |
$114.30 |
$114.30 |
$271.65
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$51.30 |
$51.30 |
$51.30 |
$141.60
|
|
Inject sacroiliac joint
|
$48.30 |
$48.30 |
$48.30 |
$1,090.00
|
|
Inj. fe derisomaltose 10 mg
|
$1,126.76 |
$1,126.76 |
$1,126.76 |
$21.05
|
|
Inj for ext venography
|
$737.55 |
$737.55 |
$737.55 |
$737.55
|
|
Inj for mammo ductogram
|
$143.40 |
$143.40 |
$143.40 |
$433.50
|
|
Inj, fulvestrant (fresenius)
|
$1,735.20 |
$1,735.20 |
$1,735.20 |
$1,713.99
|
|
Inj glycopyrrolate fres kabi
|
$518.83 |
$518.83 |
$518.83 |
$96.70
|
|
Inj heparin, pfizer, 1000u
|
$14.38 |
$14.38 |
$14.38 |
$24.28
|
|
Inj hrt cath w/s&i nonsel p-art angrp
|
$209.55 |
$209.55 |
$209.55 |
$1,482.00
|
|
Inj hrt cath w/s&i sel right vent
|
$115.80 |
$115.80 |
$115.80 |
$947.65
|
|
Inj ivig privigen 500 mg
|
$59.29 |
$59.29 |
$59.29 |
$7,298.71
|
|
Inj, lanreotide, (cipla) 1mg
|
$66,367.93 |
$66,367.93 |
$66,367.93 |
$12,160.05
|
|
Inj, lecanemab-irmb, 1 mg
|
$444.36 |
$444.36 |
$444.36 |
$1,729.21
|
|
Inj levocarnitine per 1 gm
|
$114.94 |
$114.94 |
$114.94 |
$138.96
|
|
Inj mepivacaine hcl/10 ml
|
$5.85 |
$5.85 |
$5.85 |
$28.41
|
|
Inj., meropenem, vaborbactam
|
$618.43 |
$618.43 |
$618.43 |
$618.43
|
|
Inj meropenem (wg crit care)
|
$104.12 |
$104.12 |
$104.12 |
$104.29
|
|
Inj. mycophenolate mofetil
|
$374.72 |
$374.72 |
$374.72 |
$344.84
|
|
Inj nephrosto/ureterogram w/img exstng access
|
$1,359.90 |
$1,359.90 |
$1,359.90 |
$1,522.56
|
|
Inj, nithiodote, 3mg / 125mg
|
$47.66 |
$47.66 |
$47.66 |
$389.50
|
|
Inj ogivri 10 mg
|
$4,597.10 |
$4,597.10 |
$4,597.10 |
$3,968.67
|
|
Inj pantoprazole(hikma) 40mg
|
$22.56 |
$22.56 |
$22.56 |
$36.04
|
|
Inj, pedmark, 100 mg
|
$6.19 |
$6.19 |
$6.19 |
$96.08
|
|
Inj peritoneal venous shunt
|
$119.25 |
$119.25 |
$119.25 |
$386.88
|
|
Inj proc ankle arthr
|
$98.55 |
$98.55 |
$98.55 |
$405.31
|
|
Inj proc elbow arthro
|
$93.00 |
$93.00 |
$93.00 |
$453.60
|
|
Inj proc myelogram lumbar
|
$353.40 |
$353.40 |
$353.40 |
$922.80
|
|
Inj proc sialogram
|
$98.55 |
$98.55 |
$98.55 |
$380.80
|
|
Inj, releuko 1 mcg
|
$1,103.59 |
$1,103.59 |
$1,103.59 |
$557.11
|
|
Inj retro urethrocysto
|
$74.21 |
$74.21 |
$74.21 |
$551.29
|
|
Inj. teprotumumab-trbw 10 mg
|
$56,852.10 |
$56,852.10 |
$56,852.10 |
$47,971.67
|
|
Inj testosterone cypionate
|
$26.01 |
$26.01 |
$26.01 |
$77.15
|
|
Ins cath ren art 1st bi
|
$996.15 |
$996.15 |
$996.15 |
$6,033.75
|
|
Ins cath ren art 1st uni
|
$1,016.40 |
$1,016.40 |
$1,016.40 |
$4,667.63
|
|
Ins cath ren art 2nd+ bi
|
$1,117.12 |
$1,117.12 |
$1,117.12 |
$5,408.65
|
|
Ins cath ren art 2nd+ uni
|
$1,927.41 |
$1,927.41 |
$1,927.41 |
$5,528.94
|
|
Insert cath pleura with image
|
$516.00 |
$516.00 |
$516.00 |
$2,239.02
|
|
Insert cath pleura without image
|
$439.35 |
$439.35 |
$439.35 |
$2,212.00
|
|
Insert hepatic shunt (tips)
|
$320.10 |
$320.10 |
$320.10 |
$9,754.48
|
|
Insertion catheter bladder non indwelling
|
$39.90 |
$39.90 |
$39.90 |
$237.13
|
|
Insertion catheter bladder temporary simple
|
$101.10 |
$101.10 |
$101.10 |
$273.60
|
|
Insertion intra aortic balloon assist device percutaneous
|
$950.59 |
$950.59 |
$950.59 |
$2,549.95
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$1,589.55 |
$1,589.55 |
$1,589.55 |
$7,088.54
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$478.95 |
$478.95 |
$478.95 |
$2,618.40
|
|
Insertion of heart electrode 33211
|
$4,443.00 |
$4,443.00 |
$4,443.00 |
$9,090.00
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$4,653.45 |
$4,653.45 |
$4,653.45 |
$14,158.20
|