|
Incision of windpipe
|
$6,475.12 |
$6,475.12 |
$6,475.12 |
$5,855.00
|
|
Incisn of toe tndn
|
$1,525.86 |
$1,525.86 |
$1,525.86 |
$2,627.96
|
|
Incisn windpipe
|
$2,956.68 |
$2,956.68 |
$2,956.68 |
$3,810.50
|
|
Incobotulinumtoxin a
|
$1,327.14 |
$1,327.14 |
$1,327.14 |
$1,339.57
|
|
Indigotindisulfonate 8 mg/ml soln 5 ml ampule
|
$143.84 |
$143.84 |
$143.84 |
$766.66
|
|
Induction of vomiting
|
$164.12 |
$164.12 |
$164.12 |
$126.72
|
|
Infect ag drug suscept pheno predict
|
$206.87 |
$206.87 |
$206.87 |
$323.20
|
|
Infect ag genotype na dna hepatitis b
|
$476.66 |
$476.66 |
$476.66 |
$405.30
|
|
Infect ag genotype na hiv-1 other region
|
$414.92 |
$414.92 |
$414.92 |
$386.40
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$579.27 |
$579.27 |
$579.27 |
$603.75
|
|
Infect ag ia optc obs influenza
|
$98.99 |
$98.99 |
$98.99 |
$72.93
|
|
Infect ag if ea plyvlnt antsrm
|
$71.47 |
$71.47 |
$71.47 |
$62.80
|
|
Infect ag if hep delta agent
|
$329.38 |
$329.38 |
$329.38 |
$125.97
|
|
Infect ag if influenza a
|
$31.33 |
$31.33 |
$31.33 |
$41.30
|
|
Infect ag if influenza b
|
$27.68 |
$27.68 |
$27.68 |
$40.08
|
|
Infect ag if legionella pneumophila
|
$74.58 |
$74.58 |
$74.58 |
$72.58
|
|
Infect ag if nos ea
|
$85.79 |
$85.79 |
$85.79 |
$74.88
|
|
Infect ag if pneumocystis carinii
|
$79.81 |
$79.81 |
$79.81 |
$66.00
|
|
Infect ag if varicella zoster
|
$68.99 |
$68.99 |
$68.99 |
$70.70
|
|
Infect ag na hpv high-risk types
|
$205.61 |
$205.61 |
$205.61 |
$139.75
|
|
Infect ag na orthopoxvirus amp prb each
|
$74.94 |
$74.94 |
$74.94 |
$99.36
|
|
Infect ag na resp virus 12-25 targets
|
$988.64 |
$988.64 |
$988.64 |
$835.80
|
|
Infect ag phenotype na hiv-1 1-10 drugs
|
$566.14 |
$566.14 |
$566.14 |
$943.80
|
|
Infect ag phenotype na hiv-1 ea addl drg
|
$79.79 |
$79.79 |
$79.79 |
$75.63
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$70.39 |
$70.39 |
$70.39 |
$82.00
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$51.91 |
$51.91 |
$51.91 |
$72.80
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$121.18 |
$121.18 |
$121.18 |
$76.32
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$74.03 |
$74.03 |
$74.03 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$202.16 |
$202.16 |
$202.16 |
$100.02
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$74.03 |
$74.03 |
$74.03 |
$81.20
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$108.76 |
$108.76 |
$108.76 |
$60.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$98.06 |
$98.06 |
$98.06 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$91.11 |
$91.11 |
$91.11 |
$129.00
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$86.39 |
$86.39 |
$86.39 |
$98.02
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$62.46 |
$62.46 |
$62.46 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$174.02 |
$174.02 |
$174.02 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$178.73 |
$178.73 |
$178.73 |
$139.68
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$175.50 |
$175.50 |
$175.50 |
$167.00
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$571.40 |
$571.40 |
$571.40 |
$861.00
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$243.37 |
$243.37 |
$243.37 |
$179.92
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$178.73 |
$178.73 |
$178.73 |
$147.55
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$216.08 |
$216.08 |
$216.08 |
$217.85
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$178.73 |
$178.73 |
$178.73 |
$136.03
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$66.21 |
$66.21 |
$66.21 |
$103.20
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$86.95 |
$86.95 |
$86.95 |
$92.50
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$95.76 |
$95.76 |
$95.76 |
$108.75
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$216.08 |
$216.08 |
$216.08 |
$185.00
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$700.55 |
$700.55 |
$700.55 |
$727.50
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$357.29 |
$357.29 |
$357.29 |
$286.06
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$245.20 |
$245.20 |
$245.20 |
$423.53
|
|
Infectious agent nucleic acid quantification bk virus
|
$323.49 |
$323.49 |
$323.49 |
$279.40
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$445.56 |
$445.56 |
$445.56 |
$239.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$270.52 |
$270.52 |
$270.52 |
$252.00
|
|
Infectious agent nucleic acid quantification hiv-1
|
$343.87 |
$343.87 |
$343.87 |
$374.00
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$197.73 |
$197.73 |
$197.73 |
$303.59
|
|
Infliximab 100 mg intravenous solution
|
$7,612.11 |
$7,612.11 |
$7,612.11 |
$2,080.86
|
|
Infliximab-axxq 100 mg intravenous solution
|
$3,907.52 |
$3,907.52 |
$3,907.52 |
$1,062.00
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$7,566.74 |
$7,566.74 |
$7,566.74 |
$1,537.84
|
|
Inf thrc fascial pln blk bi w/wo image
|
$1,765.40 |
$1,765.40 |
$1,765.40 |
$593.50
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$155.82 |
$155.82 |
$155.82 |
$293.25
|
|
Initiation & management bipap/cpap initial day
|
$683.25 |
$683.25 |
$683.25 |
$576.00
|
|
Init pm e/m new pat 65+ yrs
|
$317.56 |
$317.56 |
$317.56 |
$185.90
|
|
Inj allopurinol sodium 1 mg
|
$9,659.57 |
$9,659.57 |
$9,659.57 |
$6,968.99
|
|
Inj alymsys 10 mg
|
$9,419.98 |
$9,419.98 |
$9,419.98 |
$1,280.74
|
|
Inj anifrolumab-fnia 1mg
|
$12,666.69 |
$12,666.69 |
$12,666.69 |
$9,878.82
|
|
Inj., aristada initio, 1 mg
|
$6,705.05 |
$6,705.05 |
$6,705.05 |
$4,052.45
|
|
Inj atezolizumb 5mg hya-tqjs
|
$30,979.98 |
$30,979.98 |
$30,979.98 |
$18,716.52
|
|
Inj., benralizumab, 1 mg
|
$15,174.87 |
$15,174.87 |
$15,174.87 |
$11,239.97
|
|
Inj, bortezomib freseniuskab
|
$4,634.29 |
$4,634.29 |
$4,634.29 |
$2,527.00
|
|
Inj ceftolozane tazobactam
|
$290.28 |
$290.28 |
$290.28 |
$380.80
|
|
Inj, cyclophos (baxter) 5mg
|
$5,277.64 |
$5,277.64 |
$5,277.64 |
$2,584.85
|
|
Inj cyclophosphamd (ingenus)
|
$2,880.24 |
$2,880.24 |
$2,880.24 |
$742.72
|
|
Inj, cyclophosphamd, sandoz
|
$5,277.64 |
$5,277.64 |
$5,277.64 |
$735.20
|
|
Inj disk cerv-thor ea lev
|
$711.20 |
$711.20 |
$711.20 |
$875.28
|
|
Inj, donanemab-azbt, 2 mg
|
$1,915.46 |
$1,915.46 |
$1,915.46 |
$1,233.44
|
|
Inj dx for sinogram
|
$801.27 |
$801.27 |
$801.27 |
$422.59
|
|
Inject for sacroiliac joint
|
$617.48 |
$617.48 |
$617.48 |
$1,025.77
|
|
Injection, cangrelor
|
$2,456.11 |
$2,456.11 |
$2,456.11 |
$1,889.78
|
|
Injection, daratumumab 10 mg
|
$23,824.96 |
$23,824.96 |
$23,824.96 |
$5,239.24
|
|
Injection, doxercalciferol
|
$116.79 |
$116.79 |
$116.79 |
$23.86
|
|
Injection during cath supravalvular aortography
|
$262.79 |
$262.79 |
$262.79 |
$952.66
|
|
Injection epidural blood patch or clot
|
$843.37 |
$843.37 |
$843.37 |
$1,156.80
|
|
Injection for bladder x-ray
|
$458.85 |
$458.85 |
$458.85 |
$459.20
|
|
Injection for spleen x-ray
|
$529.57 |
$529.57 |
$529.57 |
$529.57
|
|
Injection for ureter x-ray
|
$294.34 |
$294.34 |
$294.34 |
$515.21
|
|
Injection, fulvestrant
|
$6,027.94 |
$6,027.94 |
$6,027.94 |
$1,817.65
|
|
Injection, inclisiran, 1 mg
|
$9,060.44 |
$9,060.44 |
$9,060.44 |
$6,679.35
|
|
Injection into brain canal
|
$520.04 |
$520.04 |
$520.04 |
$836.40
|
|
Injection, necitumumab, 1 mg
|
$8,938.71 |
$8,938.71 |
$8,938.71 |
$8,572.91
|
|
Injection of sinus tract
|
$801.27 |
$801.27 |
$801.27 |
$1,627.60
|
|
Injection, peramivir
|
$728.27 |
$728.27 |
$728.27 |
$744.75
|
|
Injection, renflexis
|
$5,924.31 |
$5,924.31 |
$5,924.31 |
$1,341.52
|
|
Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides)
|
$1,168.79 |
$1,168.79 |
$1,168.79 |
$1,582.12
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$1,063.72 |
$1,063.72 |
$1,063.72 |
$1,348.56
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$601.12 |
$601.12 |
$601.12 |
$1,023.50
|
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
|
$1,654.20 |
$1,654.20 |
$1,654.20 |
$1,817.24
|
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
|
$1,705.36 |
$1,705.36 |
$1,705.36 |
$1,681.24
|
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
|
$262.23 |
$262.23 |
$262.23 |
$472.76
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$334.68 |
$334.68 |
$334.68 |
$548.80
|
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
|
$368.15 |
$368.15 |
$368.15 |
$632.00
|
