|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$293.00 |
$293.00 |
$293.00 |
$185.00
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$602.50 |
$602.50 |
$602.50 |
$727.50
|
|
Infectious agent nucleic acid quantification bk virus
|
$190.00 |
$190.00 |
$190.00 |
$285.66
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$1,021.00 |
$1,021.00 |
$1,021.00 |
$238.80
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$265.50 |
$265.50 |
$265.50 |
$252.60
|
|
Infectious agent nucleic acid quantification hiv-1
|
$181.50 |
$181.50 |
$181.50 |
$374.50
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$283.00 |
$283.00 |
$283.00 |
$303.59
|
|
Influenza virus vaccine, live trivalent intranasal
|
$36.50 |
$36.50 |
$36.50 |
$36.50
|
|
Inf thrc fascial pln blk bi w/wo image
|
$266.50 |
$266.50 |
$266.50 |
$523.25
|
|
Inf thrc fascial pln blk uni w/wo image
|
$156.50 |
$156.50 |
$156.50 |
$780.00
|
|
Initial hosp neonate 28 d/less than not critically ill 99477
|
$338.00 |
$338.00 |
$338.00 |
$629.60
|
|
Initial nursing facility care/day 35 minutes
|
$159.00 |
$159.00 |
$159.00 |
$188.50
|
|
Initial nursing facility care/day 45 minutes
|
$185.00 |
$185.00 |
$185.00 |
$236.80
|
|
Initial nursing facility care/day low severity 99304
|
$87.00 |
$87.00 |
$87.00 |
$128.00
|
|
Initiation & management bipap/cpap initial day
|
$295.50 |
$295.50 |
$295.50 |
$570.50
|
|
Init pm e/m new pat 65+ yrs
|
$122.50 |
$122.50 |
$122.50 |
$182.00
|
|
Init/sub psych care m 1st 30
|
$38.50 |
$38.50 |
$38.50 |
$100.00
|
|
Inj, abilify asimtufii, 1 mg
|
$8.50 |
$8.50 |
$8.50 |
$9,426.91
|
|
Inj, abilify maintena, 1 mg
|
$10.00 |
$10.00 |
$10.00 |
$5,355.30
|
|
Inj, adstiladrin, per tx dos
|
$69,210.00 |
$69,210.00 |
$69,210.00 |
$63,354.77
|
|
Inj, aflibercept hd, 1 mg
|
$344.00 |
$344.00 |
$344.00 |
$2,794.18
|
|
Inj anifrolumab-fnia 1mg
|
$27.50 |
$27.50 |
$27.50 |
$9,878.82
|
|
Inj avacincaptad pegol 0.1mg
|
$157.50 |
$157.50 |
$157.50 |
$3,409.64
|
|
Inj., benralizumab, 1 mg
|
$292.50 |
$292.50 |
$292.50 |
$11,239.97
|
|
Inj, bezlotoxumab, 10 mg
|
$68.50 |
$68.50 |
$68.50 |
$7,612.43
|
|
Inj bimatoprost itc imp1mcg
|
$304.00 |
$304.00 |
$304.00 |
$3,287.96
|
|
Inj, bupivacaine liposome
|
$2.00 |
$2.00 |
$2.00 |
$699.38
|
|
Inj ceftolozane tazobactam
|
$12.50 |
$12.50 |
$12.50 |
$382.72
|
|
Inj disk cerv-thor ea lev
|
$265.50 |
$265.50 |
$265.50 |
$957.60
|
|
Inj dupuytren cord w/enzyme
|
$294.00 |
$294.00 |
$294.00 |
$416.00
|
|
Inj, durolane 1 mg
|
$28.00 |
$28.00 |
$28.00 |
$1,950.93
|
|
Inj dx for sinogram
|
$36.00 |
$36.00 |
$36.00 |
$413.82
|
|
Inject for sacroiliac joint
|
$845.50 |
$845.50 |
$845.50 |
$1,025.77
|
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
|
$676.50 |
$676.50 |
$676.50 |
$1,214.78
|
|
Injection arthrography hip without anesthesia (both sides)
|
$456.50 |
$456.50 |
$456.50 |
$503.50
|
|
Injection carpal tunnel therapeutic (both sides)
|
$294.00 |
$294.00 |
$294.00 |
$484.90
|
|
Injection, casimersen, 10 mg
|
$181.00 |
$181.00 |
$181.00 |
$2,598.44
|
|
Injection epidural blood patch or clot
|
$676.00 |
$676.00 |
$676.00 |
$1,161.14
|
|
Injection eye drug
|
$84.50 |
$84.50 |
$84.50 |
$654.00
|
|
Injection for bladder x-ray
|
$818.50 |
$818.50 |
$818.50 |
$459.20
|
|
Injection for hip x-ray
|
$81.50 |
$81.50 |
$81.50 |
$662.40
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$276.50 |
$276.50 |
$276.50 |
$494.65
|
|
Injection, inclisiran, 1 mg
|
$18.00 |
$18.00 |
$18.00 |
$6,679.35
|
|
Injection into hemorrhoid(s)
|
$208.00 |
$208.00 |
$208.00 |
$1,432.81
|
|
Injection jugular
|
$118.50 |
$118.50 |
$118.50 |
$790.00
|
|
Injection,onabotulinumtoxina
|
$10.00 |
$10.00 |
$10.00 |
$2,277.65
|
|
Injection px peyronie ds
|
$239.50 |
$239.50 |
$239.50 |
$409.34
|
|
Injection radioactive tracer sentinel node (both sides)
|
$32.00 |
$32.00 |
$32.00 |
$699.68
|
|
Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides)
|
$676.50 |
$676.50 |
$676.50 |
$1,582.12
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$678.50 |
$678.50 |
$678.50 |
$1,391.40
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$679.00 |
$679.00 |
$679.00 |
$1,045.65
|
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
|
$114.00 |
$114.00 |
$114.00 |
$2,040.36
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
|
$96.50 |
$96.50 |
$96.50 |
$1,023.75
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
|
$169.00 |
$169.00 |
$169.00 |
$1,791.00
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
|
$82.50 |
$82.50 |
$82.50 |
$1,002.76
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
|
$144.50 |
$144.50 |
$144.50 |
$1,973.00
|
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
|
$1,073.00 |
$1,073.00 |
$1,073.00 |
$1,808.64
|
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
|
$108.00 |
$108.00 |
$108.00 |
$1,685.00
|
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
|
$294.00 |
$294.00 |
$294.00 |
$485.28
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$294.00 |
$294.00 |
$294.00 |
$548.80
|
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
|
$294.00 |
$294.00 |
$294.00 |
$637.35
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$58.50 |
$58.50 |
$58.50 |
$163.83
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$58.50 |
$58.50 |
$58.50 |
$145.60
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$148.00 |
$148.00 |
$148.00 |
$261.25
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$70.00 |
$70.00 |
$70.00 |
$136.00
|
|
Inject sacroiliac joint
|
$676.50 |
$676.50 |
$676.50 |
$1,029.04
|
|
Inject/treat eye socket
|
$62.50 |
$62.50 |
$62.50 |
$381.13
|
|
Inject/treat eye socket
|
$304.50 |
$304.50 |
$304.50 |
$670.02
|
|
Inj efgart-alfa 2mg hya-qvfc
|
$49.00 |
$49.00 |
$49.00 |
$32,176.93
|
|
Inj epidural sgl cerv-thor without img
|
$1,073.00 |
$1,073.00 |
$1,073.00 |
$1,311.74
|
|
Inj epidural sgl lumb-sacral without img
|
$871.00 |
$871.00 |
$871.00 |
$1,415.50
|
|
Inj., eravacycline, 1 mg
|
$2.50 |
$2.50 |
$2.50 |
$206.64
|
|
Inj, faricimab-svoa, 0.1mg
|
$36.00 |
$36.00 |
$36.00 |
$4,103.29
|
|
Inj for ext venography
|
$49.50 |
$49.50 |
$49.50 |
$654.00
|
|
Inj intralesional <= 7 lsn(s)
|
$192.00 |
$192.00 |
$192.00 |
$235.13
|
|
Inj, invega hafyera/trinza
|
$19.00 |
$19.00 |
$19.00 |
$32,073.55
|
|
Inj ivig privigen 500 mg
|
$55.00 |
$55.00 |
$55.00 |
$6,967.29
|
|
Inj lwr xtr fscl pln blk uni w/wo image
|
$765.50 |
$765.50 |
$765.50 |
$788.40
|
|
Inj, mirikizumab-mrkz, 1 mg
|
$79.00 |
$79.00 |
$79.00 |
$1,496.55
|
|
Inj non-compmd foam sclrsnt mlt trncl veins same leg
|
$160.00 |
$160.00 |
$160.00 |
$2,485.20
|
|
Inj non-compmd foam sclrsnt sgl trncl vein
|
$127.00 |
$127.00 |
$127.00 |
$2,431.74
|
|
Inj ocrelizumab 1mg hya-ocsq
|
$67.50 |
$67.50 |
$67.50 |
$66,582.27
|
|
Inj, pegcetacoplan, 1mg
|
$226.00 |
$226.00 |
$226.00 |
$3,662.96
|
|
Inj., perseris, 0.5 mg
|
$17.00 |
$17.00 |
$17.00 |
$5,146.85
|
|
Inj proc for lymphang
|
$86.00 |
$86.00 |
$86.00 |
$742.40
|
|
Inj proc lumbr disk ea lvl
|
$162.00 |
$162.00 |
$162.00 |
$1,106.93
|
|
Inj retacrit esrd on dialysi
|
$1.50 |
$1.50 |
$1.50 |
$337.13
|
|
Inj retro urethrocysto
|
$65.00 |
$65.00 |
$65.00 |
$450.00
|
|
Inj, rimabotulinumtoxinb
|
$19.50 |
$19.50 |
$19.50 |
$746.79
|
|
Inj scleros sol mult veins
|
$80.00 |
$80.00 |
$80.00 |
$687.96
|
|
Inj scleros sol sgl vein
|
$40.50 |
$40.50 |
$40.50 |
$561.88
|
|
Inj(s) sclerosant spider veins limb/trunk
|
$59.00 |
$59.00 |
$59.00 |
$436.80
|
|
Inj, susvimo 0.1 mg
|
$86.00 |
$86.00 |
$86.00 |
$2,598.44
|
|
Inj. teprotumumab-trbw 10 mg
|
$541.00 |
$541.00 |
$541.00 |
$35,034.78
|
|
Inj testostero enanthate 1mg
|
$0.50 |
$0.50 |
$0.50 |
$157.81
|
|
Inj testosterone cypionate
|
$0.50 |
$0.50 |
$0.50 |
$64.80
|
|
Inj thrc fascial pln blk bi w/wo image
|
$79.00 |
$79.00 |
$79.00 |
$1,025.00
|
|
Inj thrc fascial pln blk uni w/wo image
|
$714.00 |
$714.00 |
$714.00 |
$837.50
|
|
Inj triamcinolone ace X-ray 1mg
|
$32.50 |
$32.50 |
$32.50 |
$1,090.75
|
|
Inj, trivisc 1 mg
|
$25.00 |
$25.00 |
$25.00 |
$6.67
|
