|
Incision of spinal nerve 64772
|
$25,165.50 |
$25,165.50 |
$25,165.50 |
$2,310.83
|
|
Incision of tendon sheath
|
$4,002.00 |
$4,002.00 |
$4,002.00 |
$2,211.05
|
|
Incision of thigh
|
$12,027.51 |
$12,027.51 |
$12,027.51 |
$3,798.60
|
|
Incision of tibia
|
$43,949.00 |
$43,949.00 |
$43,949.00 |
$7,907.11
|
|
Incision of tibia & fibula
|
$22,893.00 |
$22,893.00 |
$22,893.00 |
$13,148.80
|
|
Incision of toe tendons 28011
|
$2,054.00 |
$2,054.00 |
$2,054.00 |
$2,119.12
|
|
Incision of tongue fold
|
$2,695.50 |
$2,695.50 |
$2,695.50 |
$1,792.50
|
|
Incision of urethra
|
$8,038.75 |
$8,038.75 |
$8,038.75 |
$5,626.86
|
|
Incision of urethra
|
$2,670.00 |
$2,670.00 |
$2,670.00 |
$2,899.60
|
|
Incision of wrist capsule
|
$1,998.75 |
$1,998.75 |
$1,998.75 |
$3,821.05
|
|
Incision secondary cataract
|
$2,774.17 |
$2,774.17 |
$2,774.17 |
$2,492.56
|
|
Incision tendon sheath
|
$7,847.50 |
$7,847.50 |
$7,847.50 |
$3,073.20
|
|
Incisn of toe tndn
|
$7,327.00 |
$7,327.00 |
$7,327.00 |
$2,627.96
|
|
Incisn windpipe
|
$4,234.50 |
$4,234.50 |
$4,234.50 |
$3,810.50
|
|
Incobotulinumtoxin a
|
$2,530.00 |
$2,530.00 |
$2,530.00 |
$1,339.57
|
|
Indigotindisulfonate 8 mg/ml soln 5 ml ampule
|
$702.81 |
$702.81 |
$702.81 |
$766.66
|
|
Induced ab 1+ vag sup w/dlv fetus
|
$1,773.00 |
$1,773.00 |
$1,773.00 |
$1,881.75
|
|
Induced abortion d&c
|
$4,134.50 |
$4,134.50 |
$4,134.50 |
$3,762.53
|
|
Induced abortion dilat&evac
|
$3,302.00 |
$3,302.00 |
$3,302.00 |
$4,446.00
|
|
Infect ag drug suscept pheno predict
|
$248.50 |
$248.50 |
$248.50 |
$323.20
|
|
Infect ag eia influenza a or b ea
|
$47.50 |
$47.50 |
$47.50 |
$71.50
|
|
Infect ag genotype na dna hepatitis b
|
$481.00 |
$481.00 |
$481.00 |
$405.30
|
|
Infect ag genotype na hiv-1 other region
|
$418.00 |
$418.00 |
$418.00 |
$386.40
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$578.50 |
$578.50 |
$578.50 |
$603.75
|
|
Infect ag ia direct hiv-1 antgn
|
$102.00 |
$102.00 |
$102.00 |
$91.70
|
|
Infect ag ia optc obs influenza
|
$177.00 |
$177.00 |
$177.00 |
$72.93
|
|
Infect ag if hep delta agent
|
$140.50 |
$140.50 |
$140.50 |
$125.97
|
|
Infect ag if legionella pneumophila
|
$230.50 |
$230.50 |
$230.50 |
$72.58
|
|
Infect ag if varicella zoster
|
$97.50 |
$97.50 |
$97.50 |
$70.70
|
|
Infect ag na hep b amp
|
$225.00 |
$225.00 |
$225.00 |
$120.50
|
|
Infect ag na herpes simplex quant
|
$81.50 |
$81.50 |
$81.50 |
$169.65
|
|
Infect ag na hpv high-risk types
|
$410.00 |
$410.00 |
$410.00 |
$139.75
|
|
Infect ag na influenza r/amp 1st 2 types
|
$205.00 |
$205.00 |
$205.00 |
$219.70
|
|
Infect ag na influenza revr/amp ea type
|
$255.50 |
$255.50 |
$255.50 |
$158.06
|
|
Infect ag na orthopoxvirus amp prb each
|
$90.00 |
$90.00 |
$90.00 |
$99.36
|
|
Infect ag na resp virus 12-25 targets
|
$626.00 |
$626.00 |
$626.00 |
$835.80
|
|
Infect ag phenotype na hiv-1 1-10 drugs
|
$348.50 |
$348.50 |
$348.50 |
$943.80
|
|
Infect ag phenotype na hiv-1 ea addl drg
|
$93.50 |
$93.50 |
$93.50 |
$75.63
|
|
Infectious agent antigen immunoassay direct optical observation sars-cov-2
|
$67.00 |
$67.00 |
$67.00 |
$53.00
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$101.00 |
$101.00 |
$101.00 |
$82.00
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$75.00 |
$75.00 |
$75.00 |
$76.32
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$42.00 |
$42.00 |
$42.00 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$58.50 |
$58.50 |
$58.50 |
$100.02
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$102.00 |
$102.00 |
$102.00 |
$81.20
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$307.00 |
$307.00 |
$307.00 |
$60.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$83.00 |
$83.00 |
$83.00 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$158.00 |
$158.00 |
$158.00 |
$129.00
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$56.00 |
$56.00 |
$56.00 |
$98.02
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$179.00 |
$179.00 |
$179.00 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$491.00 |
$491.00 |
$491.00 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$110.50 |
$110.50 |
$110.50 |
$139.68
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$188.50 |
$188.50 |
$188.50 |
$167.00
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$755.50 |
$755.50 |
$755.50 |
$861.00
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$277.00 |
$277.00 |
$277.00 |
$179.92
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$178.00 |
$178.00 |
$178.00 |
$147.55
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$290.00 |
$290.00 |
$290.00 |
$217.85
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$95.00 |
$95.00 |
$95.00 |
$136.03
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$65.00 |
$65.00 |
$65.00 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$95.00 |
$95.00 |
$95.00 |
$206.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$270.00 |
$270.00 |
$270.00 |
$236.08
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$92.00 |
$92.00 |
$92.00 |
$92.50
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$149.00 |
$149.00 |
$149.00 |
$108.75
|
|
Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae
|
$113.50 |
$113.50 |
$113.50 |
$211.00
|
|
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
|
$644.50 |
$644.50 |
$644.50 |
$727.50
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$168.50 |
$168.50 |
$168.50 |
$286.06
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$337.50 |
$337.50 |
$337.50 |
$423.53
|
|
Infectious agent nucleic acid quantification bk virus
|
$343.50 |
$343.50 |
$343.50 |
$279.40
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$173.50 |
$173.50 |
$173.50 |
$239.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$213.00 |
$213.00 |
$213.00 |
$252.00
|
|
Infectious agent nucleic acid quantification hiv-1
|
$369.50 |
$369.50 |
$369.50 |
$374.00
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$320.50 |
$320.50 |
$320.50 |
$303.59
|
|
Infliximab 100 mg intravenous solution
|
$27,033.36 |
$27,033.36 |
$27,033.36 |
$2,080.86
|
|
Infliximab-axxq 100 mg intravenous solution
|
$10,473.75 |
$10,473.75 |
$10,473.75 |
$1,062.00
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$12,184.70 |
$12,184.70 |
$12,184.70 |
$1,537.84
|
|
Influenza virus vaccine, live trivalent intranasal
|
$24.50 |
$24.50 |
$24.50 |
$36.50
|
|
Inf thrc fascial pln blk bi w/wo image
|
$355.50 |
$355.50 |
$355.50 |
$593.50
|
|
Inf thrc fascial pln blk uni w/wo image
|
$208.50 |
$208.50 |
$208.50 |
$780.00
|
|
Ingest challenge ea addl 60 min
|
$585.00 |
$585.00 |
$585.00 |
$289.64
|
|
Ingest challenge ini 120 min
|
$1,049.00 |
$1,049.00 |
$1,049.00 |
$764.78
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$311.50 |
$311.50 |
$311.50 |
$293.25
|
|
Initiation & management bipap/cpap initial day
|
$1,294.50 |
$1,294.50 |
$1,294.50 |
$576.00
|
|
Init pm e/m new pat 65+ yrs
|
$120.50 |
$120.50 |
$120.50 |
$185.90
|
|
Init/sub psych care m 1st 30
|
$168.50 |
$168.50 |
$168.50 |
$94.34
|
|
Inj, abilify asimtufii, 1 mg
|
$12.50 |
$12.50 |
$12.50 |
$9,426.91
|
|
Inj, abilify maintena, 1 mg
|
$14.50 |
$14.50 |
$14.50 |
$5,355.30
|
|
Inj, acetaminophen (b braun)
|
$21.60 |
$21.60 |
$21.60 |
$33.31
|
|
Inj acetaminophen -fresenius
|
$35.10 |
$35.10 |
$35.10 |
$36.60
|
|
Inj, adalimumab, 1 mg
|
$3,767.42 |
$3,767.42 |
$3,767.42 |
$12,098.05
|
|
Inj, adstiladrin, per tx dos
|
$90,000.00 |
$90,000.00 |
$90,000.00 |
$63,354.77
|
|
Inj, aflibercept hd, 1 mg
|
$11,816.00 |
$11,816.00 |
$11,816.00 |
$2,794.18
|
|
Inj, amisulpride, 1 mg
|
$193.22 |
$193.22 |
$193.22 |
$91.89
|
|
Inj anifrolumab-fnia 1mg
|
$10,881.28 |
$10,881.28 |
$10,881.28 |
$9,878.82
|
|
Inj., aristada initio, 1 mg
|
$4,398.44 |
$4,398.44 |
$4,398.44 |
$4,052.45
|
|
Inj, aspara, rylaze, 0.1 mg
|
$49,248.00 |
$49,248.00 |
$49,248.00 |
$10,458.00
|
|
Inj avacincaptad pegol 0.1mg
|
$9,460.00 |
$9,460.00 |
$9,460.00 |
$3,409.64
|
|
Inj aval alfa-nqpt 4mg
|
$78,382.85 |
$78,382.85 |
$78,382.85 |
$3,907.30
|
|
Inj., benralizumab, 1 mg
|
$11,310.00 |
$11,310.00 |
$11,310.00 |
$11,239.97
|
|
Inj, bezlotoxumab, 10 mg
|
$103.00 |
$103.00 |
$103.00 |
$7,612.43
|
|
Inj bimatoprost itc imp1mcg
|
$456.00 |
$456.00 |
$456.00 |
$3,287.96
|