|
Incision of windpipe
|
$4,462.24 |
$4,462.24 |
$4,462.24 |
$5,855.00
|
|
Incisn of toe tndn
|
$1,051.53 |
$1,051.53 |
$1,051.53 |
$2,627.96
|
|
Incisn windpipe
|
$2,037.55 |
$2,037.55 |
$2,037.55 |
$3,810.50
|
|
Incobotulinumtoxin a
|
$914.58 |
$914.58 |
$914.58 |
$1,339.57
|
|
Indigotindisulfonate 8 mg/ml soln 5 ml ampule
|
$99.13 |
$99.13 |
$99.13 |
$766.66
|
|
Induction of vomiting
|
$113.10 |
$113.10 |
$113.10 |
$126.72
|
|
Infect ag drug suscept pheno predict
|
$142.57 |
$142.57 |
$142.57 |
$323.20
|
|
Infect ag genotype na dna hepatitis b
|
$328.48 |
$328.48 |
$328.48 |
$405.30
|
|
Infect ag genotype na hiv-1 other region
|
$285.94 |
$285.94 |
$285.94 |
$386.40
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$399.20 |
$399.20 |
$399.20 |
$603.75
|
|
Infect ag ia optc obs influenza
|
$68.22 |
$68.22 |
$68.22 |
$72.93
|
|
Infect ag if ea plyvlnt antsrm
|
$49.25 |
$49.25 |
$49.25 |
$62.80
|
|
Infect ag if hep delta agent
|
$226.99 |
$226.99 |
$226.99 |
$125.97
|
|
Infect ag if influenza a
|
$21.59 |
$21.59 |
$21.59 |
$41.30
|
|
Infect ag if influenza b
|
$19.08 |
$19.08 |
$19.08 |
$40.08
|
|
Infect ag if legionella pneumophila
|
$51.40 |
$51.40 |
$51.40 |
$72.58
|
|
Infect ag if nos ea
|
$59.12 |
$59.12 |
$59.12 |
$74.88
|
|
Infect ag if pneumocystis carinii
|
$55.00 |
$55.00 |
$55.00 |
$66.00
|
|
Infect ag if varicella zoster
|
$47.54 |
$47.54 |
$47.54 |
$70.70
|
|
Infect ag na hpv high-risk types
|
$141.69 |
$141.69 |
$141.69 |
$139.75
|
|
Infect ag na orthopoxvirus amp prb each
|
$51.65 |
$51.65 |
$51.65 |
$99.36
|
|
Infect ag na resp virus 12-25 targets
|
$681.31 |
$681.31 |
$681.31 |
$835.80
|
|
Infect ag phenotype na hiv-1 1-10 drugs
|
$390.15 |
$390.15 |
$390.15 |
$943.80
|
|
Infect ag phenotype na hiv-1 ea addl drg
|
$54.99 |
$54.99 |
$54.99 |
$75.63
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$48.51 |
$48.51 |
$48.51 |
$82.00
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$35.77 |
$35.77 |
$35.77 |
$72.80
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$83.51 |
$83.51 |
$83.51 |
$76.32
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$51.02 |
$51.02 |
$51.02 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$139.32 |
$139.32 |
$139.32 |
$100.02
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$51.02 |
$51.02 |
$51.02 |
$81.20
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$74.95 |
$74.95 |
$74.95 |
$60.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$67.58 |
$67.58 |
$67.58 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$62.79 |
$62.79 |
$62.79 |
$129.00
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$59.54 |
$59.54 |
$59.54 |
$98.02
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$43.05 |
$43.05 |
$43.05 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$119.92 |
$119.92 |
$119.92 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$123.17 |
$123.17 |
$123.17 |
$139.68
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$120.95 |
$120.95 |
$120.95 |
$167.00
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$393.77 |
$393.77 |
$393.77 |
$861.00
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$167.72 |
$167.72 |
$167.72 |
$179.92
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$123.17 |
$123.17 |
$123.17 |
$147.55
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$148.91 |
$148.91 |
$148.91 |
$217.85
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$123.17 |
$123.17 |
$123.17 |
$136.03
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$45.63 |
$45.63 |
$45.63 |
$103.20
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$59.92 |
$59.92 |
$59.92 |
$92.50
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$65.99 |
$65.99 |
$65.99 |
$108.75
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$148.91 |
$148.91 |
$148.91 |
$185.00
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$482.78 |
$482.78 |
$482.78 |
$727.50
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$246.22 |
$246.22 |
$246.22 |
$286.06
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$168.97 |
$168.97 |
$168.97 |
$423.53
|
|
Infectious agent nucleic acid quantification bk virus
|
$222.93 |
$222.93 |
$222.93 |
$279.40
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$307.06 |
$307.06 |
$307.06 |
$239.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$186.43 |
$186.43 |
$186.43 |
$252.00
|
|
Infectious agent nucleic acid quantification hiv-1
|
$236.98 |
$236.98 |
$236.98 |
$374.00
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$136.27 |
$136.27 |
$136.27 |
$303.59
|
|
Infliximab 100 mg intravenous solution
|
$5,245.78 |
$5,245.78 |
$5,245.78 |
$2,080.86
|
|
Infliximab-axxq 100 mg intravenous solution
|
$2,692.82 |
$2,692.82 |
$2,692.82 |
$1,062.00
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$5,214.51 |
$5,214.51 |
$5,214.51 |
$1,537.84
|
|
Inf thrc fascial pln blk bi w/wo image
|
$1,216.60 |
$1,216.60 |
$1,216.60 |
$593.50
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$107.38 |
$107.38 |
$107.38 |
$293.25
|
|
Initiation & management bipap/cpap initial day
|
$470.85 |
$470.85 |
$470.85 |
$576.00
|
|
Init pm e/m new pat 65+ yrs
|
$218.85 |
$218.85 |
$218.85 |
$185.90
|
|
Inj allopurinol sodium 1 mg
|
$6,656.75 |
$6,656.75 |
$6,656.75 |
$6,968.99
|
|
Inj alymsys 10 mg
|
$6,491.65 |
$6,491.65 |
$6,491.65 |
$1,280.74
|
|
Inj anifrolumab-fnia 1mg
|
$8,729.07 |
$8,729.07 |
$8,729.07 |
$9,878.82
|
|
Inj., aristada initio, 1 mg
|
$4,620.69 |
$4,620.69 |
$4,620.69 |
$4,052.45
|
|
Inj atezolizumb 5mg hya-tqjs
|
$21,349.42 |
$21,349.42 |
$21,349.42 |
$18,716.52
|
|
Inj., benralizumab, 1 mg
|
$10,457.55 |
$10,457.55 |
$10,457.55 |
$11,239.97
|
|
Inj, bortezomib freseniuskab
|
$3,193.66 |
$3,193.66 |
$3,193.66 |
$2,527.00
|
|
Inj ceftolozane tazobactam
|
$200.04 |
$200.04 |
$200.04 |
$380.80
|
|
Inj, cyclophos (baxter) 5mg
|
$3,637.01 |
$3,637.01 |
$3,637.01 |
$2,584.85
|
|
Inj cyclophosphamd (ingenus)
|
$1,984.88 |
$1,984.88 |
$1,984.88 |
$742.72
|
|
Inj, cyclophosphamd, sandoz
|
$3,637.01 |
$3,637.01 |
$3,637.01 |
$735.20
|
|
Inj disk cerv-thor ea lev
|
$490.12 |
$490.12 |
$490.12 |
$875.28
|
|
Inj, donanemab-azbt, 2 mg
|
$1,320.01 |
$1,320.01 |
$1,320.01 |
$1,233.44
|
|
Inj dx for sinogram
|
$552.19 |
$552.19 |
$552.19 |
$422.59
|
|
Inject for sacroiliac joint
|
$425.53 |
$425.53 |
$425.53 |
$1,025.77
|
|
Injection, cangrelor
|
$1,692.59 |
$1,692.59 |
$1,692.59 |
$1,889.78
|
|
Injection, daratumumab 10 mg
|
$16,418.63 |
$16,418.63 |
$16,418.63 |
$5,239.24
|
|
Injection, doxercalciferol
|
$80.48 |
$80.48 |
$80.48 |
$23.86
|
|
Injection during cath supravalvular aortography
|
$181.10 |
$181.10 |
$181.10 |
$952.66
|
|
Injection epidural blood patch or clot
|
$581.20 |
$581.20 |
$581.20 |
$1,156.80
|
|
Injection for bladder x-ray
|
$316.21 |
$316.21 |
$316.21 |
$459.20
|
|
Injection for spleen x-ray
|
$364.95 |
$364.95 |
$364.95 |
$529.57
|
|
Injection for ureter x-ray
|
$202.84 |
$202.84 |
$202.84 |
$515.21
|
|
Injection, fulvestrant
|
$4,154.07 |
$4,154.07 |
$4,154.07 |
$1,817.65
|
|
Injection, inclisiran, 1 mg
|
$6,243.87 |
$6,243.87 |
$6,243.87 |
$6,679.35
|
|
Injection into brain canal
|
$358.38 |
$358.38 |
$358.38 |
$836.40
|
|
Injection, necitumumab, 1 mg
|
$6,159.99 |
$6,159.99 |
$6,159.99 |
$8,572.91
|
|
Injection of sinus tract
|
$552.19 |
$552.19 |
$552.19 |
$1,627.60
|
|
Injection, peramivir
|
$501.88 |
$501.88 |
$501.88 |
$744.75
|
|
Injection, renflexis
|
$4,082.65 |
$4,082.65 |
$4,082.65 |
$1,341.52
|
|
Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides)
|
$805.45 |
$805.45 |
$805.45 |
$1,582.12
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$733.05 |
$733.05 |
$733.05 |
$1,348.56
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$414.26 |
$414.26 |
$414.26 |
$1,023.50
|
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
|
$1,139.97 |
$1,139.97 |
$1,139.97 |
$1,817.24
|
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
|
$1,175.23 |
$1,175.23 |
$1,175.23 |
$1,681.24
|
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
|
$180.71 |
$180.71 |
$180.71 |
$472.76
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$230.64 |
$230.64 |
$230.64 |
$548.80
|
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
|
$253.70 |
$253.70 |
$253.70 |
$632.00
|