|
Infectious agent nucleic acid quantification hiv-1
|
$197.60 |
$197.60 |
$258.05 |
$374.00
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$148.38 |
$153.20 |
$153.20 |
$303.59
|
|
Infliximab 100 mg intravenous solution
|
$186.23 |
$226.68 |
$5,712.30 |
$2,080.86
|
|
Infliximab-axxq 100 mg intravenous solution
|
$76.41 |
$76.41 |
$2,932.30 |
$1,062.00
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$70.98 |
$102.82 |
$5,678.25 |
$1,537.84
|
|
Influenza dna amp prob addl
|
$52.00 |
$52.00 |
$52.00 |
$64.26
|
|
Influenza virus vaccine, live trivalent intranasal
|
$18.00 |
$18.00 |
$18.00 |
$36.50
|
|
Inf thrc fascial pln blk bi w/wo image
|
$1,324.80 |
$1,324.80 |
$1,324.80 |
$593.50
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$116.93 |
$232.80 |
$232.80 |
$293.25
|
|
Initial custom socket insert
|
$806.00 |
$806.00 |
$806.00 |
$1,453.20
|
|
Initiation & management bipap/cpap initial day
|
$512.73 |
$1,946.40 |
$1,946.40 |
$576.00
|
|
Init pm e/m new pat 65+ yrs
|
$238.31 |
$238.31 |
$238.31 |
$185.90
|
|
Inj, acetaminophen (b braun)
|
$0.39 |
$0.39 |
$0.39 |
$33.31
|
|
Inj acetaminophen -fresenius
|
$30.02 |
$30.02 |
$35.52 |
$36.60
|
|
Inj, acetaminophen (hikma)
|
$0.48 |
$0.48 |
$2.18 |
$58.50
|
|
Inj allopurinol sodium 1 mg
|
$7,248.76 |
$7,248.76 |
$7,248.76 |
$6,968.99
|
|
Inj alymsys 10 mg
|
$137.08 |
$137.08 |
$7,068.97 |
$1,280.74
|
|
Inj anifrolumab-fnia 1mg
|
$29.38 |
$35.67 |
$9,505.37 |
$9,878.82
|
|
Inj, aponvie, 1 mg
|
$12.73 |
$12.73 |
$12.73 |
$3.00
|
|
Inj., aristada initio, 1 mg
|
$5,031.62 |
$5,031.62 |
$5,031.62 |
$4,052.45
|
|
Inj, aspara, rylaze, 0.1 mg
|
$353.89 |
$353.89 |
$353.89 |
$10,458.00
|
|
Inj atezolizumb 5mg hya-tqjs
|
$59.13 |
$59.13 |
$23,248.08 |
$18,716.52
|
|
Inj., benralizumab, 1 mg
|
$280.14 |
$280.14 |
$11,387.57 |
$11,239.97
|
|
Inj, bortezomib freseniuskab
|
$3,477.68 |
$3,477.68 |
$3,477.68 |
$2,527.00
|
|
Inj, bupivacaine liposome
|
$6.24 |
$6.24 |
$6.24 |
$699.38
|
|
Inj cefazolin sodium, baxter
|
$12.14 |
$12.14 |
$12.14 |
$27.38
|
|
Inj cefazolin sodium, hikma
|
$8.78 |
$8.78 |
$8.78 |
$28.08
|
|
Inj, cefiderocol, 10 mg
|
$3.60 |
$3.60 |
$3.60 |
$544.85
|
|
Inj ceftolozane tazobactam
|
$17.10 |
$17.10 |
$217.83 |
$380.80
|
|
Inj., cerliponase alfa 1 mg
|
$232.20 |
$232.20 |
$232.20 |
$167.25
|
|
Inj, clindamycin (baxter)
|
$18.08 |
$18.08 |
$18.08 |
$48.96
|
|
Inj cntr knee arthro incl ct/mri
|
$262.80 |
$262.80 |
$262.80 |
$436.80
|
|
Inj, cyclophos (baxter) 5mg
|
$3,960.46 |
$3,960.46 |
$3,960.46 |
$2,584.85
|
|
Inj cyclophosphamd auromedic
|
$9.61 |
$9.61 |
$13.25 |
$249.68
|
|
Inj cyclophosphamd (ingenus)
|
$7.59 |
$7.59 |
$2,161.40 |
$742.72
|
|
Inj, cyclophosphamd, sandoz
|
$3,960.46 |
$3,960.46 |
$3,960.46 |
$735.20
|
|
Inj. denosumab-bbdz, 1 mg
|
$39.31 |
$39.31 |
$39.31 |
$4,615.43
|
|
Inj disk cerv-thor ea lev
|
$533.70 |
$1,009.20 |
$1,009.20 |
$875.28
|
|
Inj, donanemab-azbt, 2 mg
|
$1,437.40 |
$1,437.40 |
$1,437.40 |
$1,233.44
|
|
Inj dx for sinogram
|
$200.00 |
$200.00 |
$601.29 |
$422.59
|
|
Inject for sacroiliac joint
|
$463.37 |
$463.37 |
$463.37 |
$1,025.77
|
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
|
$2,027.60 |
$2,027.60 |
$2,027.60 |
$1,214.78
|
|
Injection arthrography hip without anesthesia (both sides)
|
$351.60 |
$351.60 |
$351.60 |
$495.84
|
|
Injection, cangrelor
|
$1,843.12 |
$1,843.12 |
$1,843.12 |
$1,889.78
|
|
Injection carpal tunnel therapeutic (both sides)
|
$1,593.60 |
$1,593.60 |
$1,593.60 |
$450.72
|
|
Injection, daratumumab 10 mg
|
$250.66 |
$250.66 |
$17,878.79 |
$5,239.24
|
|
Injection, doxercalciferol
|
$87.64 |
$87.64 |
$87.64 |
$23.86
|
|
Injection during cath supravalvular aortography
|
$197.20 |
$2,247.20 |
$2,247.20 |
$952.66
|
|
Injection epidural blood patch or clot
|
$632.89 |
$1,072.80 |
$1,072.80 |
$1,156.80
|
|
Injection eye drug
|
$1,643.60 |
$1,643.60 |
$1,643.60 |
$644.50
|
|
Injection for arthrography wrist (both sides)
|
$306.80 |
$306.80 |
$306.80 |
$428.40
|
|
Injection for bladder x-ray
|
$344.33 |
$430.00 |
$430.00 |
$459.20
|
|
Injection for hip x-ray
|
$1,824.80 |
$1,824.80 |
$1,824.80 |
$710.00
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$336.00 |
$336.00 |
$336.00 |
$494.65
|
|
Injection for spleen x-ray
|
$397.41 |
$397.41 |
$397.41 |
$529.57
|
|
Injection for tear sac x-ray
|
$225.20 |
$225.20 |
$225.20 |
$225.20
|
|
Injection for ureter x-ray
|
$141.60 |
$141.60 |
$141.60 |
$427.70
|
|
Injection for ureter x-ray
|
$220.88 |
$261.20 |
$261.20 |
$515.21
|
|
Injection, fulvestrant
|
$62.65 |
$62.65 |
$4,523.50 |
$1,817.65
|
|
Injection, inclisiran, 1 mg
|
$19.54 |
$19.54 |
$6,799.16 |
$6,679.35
|
|
Injection into brain canal
|
$390.25 |
$1,319.20 |
$1,319.20 |
$836.40
|
|
Injection jugular
|
$169.20 |
$169.20 |
$169.20 |
$790.00
|
|
Injection, necitumumab, 1 mg
|
$6,707.81 |
$6,707.81 |
$6,707.81 |
$8,572.91
|
|
Injection of sinus tract
|
$601.29 |
$2,261.60 |
$2,261.60 |
$1,627.60
|
|
Injection,onabotulinumtoxina
|
$16.30 |
$16.30 |
$16.42 |
$2,277.65
|
|
Injection, peramivir
|
$546.51 |
$546.51 |
$546.51 |
$744.75
|
|
Injection radioactive tracer sentinel node (both sides)
|
$231.20 |
$231.20 |
$231.20 |
$670.64
|
|
Injection, renflexis
|
$91.44 |
$97.77 |
$4,445.74 |
$1,341.52
|
|
Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides)
|
$877.09 |
$877.09 |
$877.09 |
$1,582.12
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$798.24 |
$1,231.60 |
$1,231.60 |
$1,348.56
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$451.10 |
$1,074.00 |
$1,074.00 |
$1,023.50
|
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
|
$2,119.60 |
$2,119.60 |
$2,119.60 |
$1,952.40
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
|
$712.40 |
$712.40 |
$712.40 |
$1,029.45
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
|
$2,038.00 |
$2,038.00 |
$2,038.00 |
$1,814.40
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
|
$712.40 |
$712.40 |
$712.40 |
$1,017.90
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
|
$896.80 |
$896.80 |
$896.80 |
$1,995.00
|
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
|
$1,241.35 |
$1,879.20 |
$1,879.20 |
$1,817.24
|
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
|
$1,279.74 |
$1,874.80 |
$1,874.80 |
$1,681.24
|
|
Injection, siltuximab
|
$358.75 |
$358.75 |
$358.75 |
$10,680.75
|
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
|
$196.79 |
$868.00 |
$868.00 |
$472.76
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$251.15 |
$678.40 |
$678.40 |
$548.80
|
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
|
$276.27 |
$545.60 |
$545.60 |
$632.00
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$109.60 |
$109.60 |
$176.03 |
$166.38
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$97.47 |
$127.60 |
$127.60 |
$145.60
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$205.95 |
$527.60 |
$527.60 |
$249.32
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$110.90 |
$162.40 |
$162.40 |
$135.60
|
|
Injection treatment of nerve
|
$6,866.40 |
$6,866.40 |
$6,866.40 |
$3,219.20
|
|
Injection treatment of nerve
|
$6,866.40 |
$6,866.40 |
$6,866.40 |
$4,350.00
|
|
Injection treatment of nerve
|
$775.06 |
$775.06 |
$775.06 |
$2,025.45
|
|
Inject sacroiliac joint
|
$2,087.20 |
$2,087.20 |
$2,087.20 |
$1,028.95
|
|
Inj., emicizumab-kxwh 0.5 mg
|
$91.96 |
$91.96 |
$91.96 |
$54,322.53
|
|
Inj epidural sgl cerv-thor without img
|
$934.21 |
$1,879.20 |
$1,879.20 |
$1,318.80
|
|
Inj epidural sgl lumb-sacral without img
|
$972.61 |
$1,879.20 |
$1,879.20 |
$1,415.50
|
|
Inj, epinephrine (belcher)
|
$30.02 |
$30.02 |
$30.02 |
$6.55
|
|
Inj. fe derisomaltose 10 mg
|
$45.95 |
$45.95 |
$55.79 |
$3,221.52
|
|
Inj fensolvi 0.25 mg
|
$351.42 |
$351.42 |
$351.42 |
$44,262.98
|
|
Inj, focinvez, 1mg
|
$3.87 |
$3.87 |
$3.87 |
$3.63
|
|
Inj for ext venography
|
$280.40 |
$280.40 |
$280.40 |
$649.95
|
|
Inj for mammo ductogram
|
$576.00 |
$576.00 |
$576.00 |
$399.60
|
|
Inj, fulvestrant (fresenius)
|
$54.19 |
$54.19 |
$54.19 |
$1,043.05
|