|
Incisn of toe tndn
|
$1,867.00 |
$1,867.00 |
$1,867.00 |
$2,627.96
|
|
Incisn windpipe
|
$3,810.50 |
$3,810.50 |
$3,810.50 |
$3,810.50
|
|
Incobotulinumtoxin a
|
$5.50 |
$5.50 |
$5.50 |
$1,339.57
|
|
Induced abortion d&c
|
$3,711.50 |
$3,711.50 |
$3,711.50 |
$3,762.53
|
|
Infect ag drug suscept pheno predict
|
$63.50 |
$63.50 |
$63.50 |
$323.20
|
|
Infect ag eia influenza a or b ea
|
$71.50 |
$71.50 |
$71.50 |
$71.50
|
|
Infect ag genotype na dna hepatitis b
|
$230.00 |
$230.00 |
$230.00 |
$405.30
|
|
Infect ag genotype na hiv-1 other region
|
$185.00 |
$185.00 |
$185.00 |
$386.40
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$356.50 |
$356.50 |
$356.50 |
$603.75
|
|
Infect ag ia optc obs influenza
|
$195.00 |
$195.00 |
$195.00 |
$72.93
|
|
Infect ag if legionella pneumophila
|
$59.00 |
$59.00 |
$59.00 |
$72.58
|
|
Infect ag if varicella zoster
|
$77.00 |
$77.00 |
$77.00 |
$70.70
|
|
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
|
$97.50 |
$97.50 |
$97.50 |
$219.70
|
|
Infect ag na orthopoxvirus amp prb each
|
$90.00 |
$90.00 |
$90.00 |
$99.36
|
|
Infect ag na resp virus 12-25 targets
|
$1,259.00 |
$1,259.00 |
$1,259.00 |
$835.80
|
|
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
|
$77.50 |
$77.50 |
$77.50 |
$82.00
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$85.00 |
$85.00 |
$85.00 |
$72.80
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$53.85 |
$53.85 |
$53.85 |
$76.32
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$125.50 |
$125.50 |
$125.50 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$32.50 |
$32.50 |
$32.50 |
$100.02
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$54.00 |
$54.00 |
$54.00 |
$81.20
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$25.00 |
$25.00 |
$25.00 |
$60.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$64.00 |
$64.00 |
$64.00 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$98.00 |
$98.00 |
$98.00 |
$129.00
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$90.00 |
$90.00 |
$90.00 |
$98.02
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$54.00 |
$54.00 |
$54.00 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$490.50 |
$490.50 |
$490.50 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$124.50 |
$124.50 |
$124.50 |
$139.68
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$97.50 |
$97.50 |
$97.50 |
$167.00
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$426.50 |
$426.50 |
$426.50 |
$861.00
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$121.50 |
$121.50 |
$121.50 |
$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
|
$87.00 |
$87.00 |
$87.00 |
$217.85
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$85.00 |
$85.00 |
$85.00 |
$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
|
$100.00 |
$100.00 |
$100.00 |
$206.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$278.50 |
$278.50 |
$278.50 |
$236.08
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$99.00 |
$99.00 |
$99.00 |
$92.50
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$80.50 |
$80.50 |
$80.50 |
$108.75
|
|
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
|
$582.50 |
$582.50 |
$582.50 |
$727.50
|
|
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
|
$478.00 |
$478.00 |
$478.00 |
$279.40
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$445.00 |
$445.00 |
$445.00 |
$239.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$356.50 |
$356.50 |
$356.50 |
$252.00
|
|
Infectious agent nucleic acid quantification hiv-1
|
$371.50 |
$371.50 |
$371.50 |
$374.00
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$277.50 |
$277.50 |
$277.50 |
$303.59
|
|
Infliximab-axxq 100 mg intravenous solution
|
$3,142.13 |
$3,142.13 |
$3,142.13 |
$1,062.00
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$4,984.65 |
$4,984.65 |
$4,984.65 |
$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
|
$320.00 |
$320.00 |
$320.00 |
$593.50
|
|
Inf thrc fascial pln blk uni w/wo image
|
$187.50 |
$187.50 |
$187.50 |
$780.00
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$238.00 |
$238.00 |
$238.00 |
$293.25
|
|
Initial nursing facility care/day 35 minutes
|
$134.00 |
$134.00 |
$134.00 |
$188.50
|
|
Initial nursing facility care/day 45 minutes
|
$170.00 |
$170.00 |
$170.00 |
$236.80
|
|
Initial nursing facility care/day low severity 99304
|
$94.50 |
$94.50 |
$94.50 |
$128.00
|
|
Initiation & management bipap/cpap initial day
|
$268.50 |
$268.50 |
$268.50 |
$576.00
|
|
Init pm e/m new pat 65+ yrs
|
$199.50 |
$199.50 |
$199.50 |
$185.90
|
|
Init/sub psych care m 1st 30
|
$103.00 |
$103.00 |
$103.00 |
$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)
|
$10.80 |
$10.80 |
$10.80 |
$33.31
|
|
Inj, adstiladrin, per tx dos
|
$80,745.00 |
$80,745.00 |
$80,745.00 |
$63,354.77
|
|
Inj, aflibercept hd, 1 mg
|
$768.50 |
$768.50 |
$768.50 |
$2,794.18
|
|
Inj anifrolumab-fnia 1mg
|
$41.00 |
$41.00 |
$41.00 |
$9,878.82
|
|
Inj avacincaptad pegol 0.1mg
|
$236.50 |
$236.50 |
$236.50 |
$3,409.64
|
|
Inj., benralizumab, 1 mg
|
$439.00 |
$439.00 |
$439.00 |
$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
|
|
Inj, bupivacaine liposome
|
$889.07 |
$889.07 |
$889.07 |
$699.38
|
|
Inj cefazolin sodium, hikma
|
$6.89 |
$6.89 |
$6.89 |
$28.08
|
|
Inj cefazolin (wg crit care)
|
$7.34 |
$7.34 |
$7.34 |
$18.05
|
|
Inj ceftolozane tazobactam
|
$18.50 |
$18.50 |
$18.50 |
$380.80
|
|
Inj disk cerv-thor ea lev
|
$277.00 |
$277.00 |
$277.00 |
$875.28
|
|
Inj dupuytren cord w/enzyme
|
$353.00 |
$353.00 |
$353.00 |
$416.00
|
|
Inj, durolane 1 mg
|
$4,337.15 |
$4,337.15 |
$4,337.15 |
$1,950.93
|
|
Inj dx for sinogram
|
$639.00 |
$639.00 |
$639.00 |
$422.59
|
|
Inject for sacroiliac joint
|
$1,014.00 |
$1,014.00 |
$1,014.00 |
$1,025.77
|
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
|
$3,431.00 |
$3,431.00 |
$3,431.00 |
$1,214.78
|
|
Injection arthrography hip without anesthesia (both sides)
|
$456.00 |
$456.00 |
$456.00 |
$495.84
|
|
Injection carpal tunnel therapeutic (both sides)
|
$435.00 |
$435.00 |
$435.00 |
$450.72
|
|
Injection, casimersen, 10 mg
|
$271.50 |
$271.50 |
$271.50 |
$2,598.44
|
|
Injection epidural blood patch or clot
|
$862.00 |
$862.00 |
$862.00 |
$1,156.80
|
|
Injection eye drug
|
$445.50 |
$445.50 |
$445.50 |
$644.50
|
|
Injection for bladder x-ray
|
$493.00 |
$493.00 |
$493.00 |
$459.20
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$148.00 |
$148.00 |
$148.00 |
$494.65
|
|
Injection, inclisiran, 1 mg
|
$7,608.20 |
$7,608.20 |
$7,608.20 |
$6,679.35
|
|
Injection,onabotulinumtoxina
|
$1,400.00 |
$1,400.00 |
$1,400.00 |
$2,277.65
|
|
Injection radioactive tracer sentinel node (both sides)
|
$653.00 |
$653.00 |
$653.00 |
$670.64
|
|
Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides)
|
$3,125.00 |
$3,125.00 |
$3,125.00 |
$1,582.12
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$1,058.50 |
$1,058.50 |
$1,058.50 |
$1,348.56
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$1,058.50 |
$1,058.50 |
$1,058.50 |
$1,023.50
|
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
|
$4,205.00 |
$4,205.00 |
$4,205.00 |
$1,952.40
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
|
$1,761.67 |
$1,761.67 |
$1,761.67 |
$1,029.45
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
|
$3,523.34 |
$3,523.34 |
$3,523.34 |
$1,814.40
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
|
$981.67 |
$981.67 |
$981.67 |
$1,017.90
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
|
$1,963.34 |
$1,963.34 |
$1,963.34 |
$1,995.00
|
