|
I&d intramural/intramuscular/submuc abscess transanal anes
|
$3,190.50 |
$3,190.50 |
$3,190.50 |
$3,245.23
|
|
Ifosfamide 1 gram intravenous solution
|
$62.00 |
$62.00 |
$62.00 |
$243.78
|
|
Igh@ var region somatic mutation analy
|
$550.00 |
$550.00 |
$550.00 |
$660.80
|
|
Ihc/icc per specimen each additional single antibody stain
|
$422.50 |
$422.50 |
$422.50 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$2,690.00 |
$2,690.00 |
$2,690.00 |
$328.79
|
|
Ihc/icc per specimen initial single antibody stain
|
$984.00 |
$984.00 |
$984.00 |
$274.86
|
|
Iiv3 vacc no prsv 0.25 ml im
|
$15.00 |
$15.00 |
$15.00 |
$29.70
|
|
Iliac/fem angio cath insert
|
$6,609.00 |
$6,609.00 |
$6,609.00 |
$1,827.35
|
|
Img rta detcj/mntr ds staff
|
$29.50 |
$29.50 |
$29.50 |
$70.29
|
|
Img rta detc/mntr ds phy/qhp
|
$19.50 |
$19.50 |
$19.50 |
$46.45
|
|
Img rta detc/mntr ds poc aly
|
$29.50 |
$29.50 |
$29.50 |
$71.25
|
|
Immobilizer shldr cntor adlt
|
$63.97 |
$63.97 |
$63.97 |
$171.43
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$126.50 |
$126.50 |
$126.50 |
$6,106.32
|
|
Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution
|
$173.50 |
$173.50 |
$173.50 |
$3,593.90
|
|
Immune globulin ig human im use 90281
|
$214.00 |
$214.00 |
$214.00 |
$92.00
|
|
Immunoassay tumor antigen quantitative ca 125
|
$116.50 |
$116.50 |
$116.50 |
$130.00
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$109.00 |
$109.00 |
$109.00 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$9.00 |
$9.00 |
$9.00 |
$48.50
|
|
Immunofixation electrophoresis serum
|
$150.00 |
$150.00 |
$150.00 |
$138.60
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$884.00 |
$884.00 |
$884.00 |
$156.00
|
|
Immunofluorescence per specimen initial single antibody stain
|
$230.00 |
$230.00 |
$230.00 |
$232.05
|
|
Immunoglobulin assay
|
$187.00 |
$187.00 |
$187.00 |
$74.15
|
|
Immunology procedure
|
$72.00 |
$72.00 |
$72.00 |
$118.25
|
|
Implant cartilage 10mm synthetic
|
$8,709.38 |
$8,709.38 |
$8,709.38 |
$10,050.00
|
|
Implant neuroelectrodes
|
$9,005.67 |
$9,005.67 |
$9,005.67 |
$7,728.86
|
|
Impl neurostim electr perc
|
$9,599.00 |
$9,599.00 |
$9,599.00 |
$7,546.20
|
|
Implnt spinl canal catheter 62350
|
$5,283.00 |
$5,283.00 |
$5,283.00 |
$5,419.00
|
|
In-111 pentetate dtpa / 0.5 mci
|
$3,508.00 |
$3,508.00 |
$3,508.00 |
$2,550.60
|
|
Inactivated je vacc im
|
$354.50 |
$354.50 |
$354.50 |
$481.34
|
|
Incise inner ear
|
$239.00 |
$239.00 |
$239.00 |
$2,186.08
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$3,411.50 |
$3,411.50 |
$3,411.50 |
$2,080.80
|
|
Incision of tongue fold
|
$3,587.00 |
$3,587.00 |
$3,587.00 |
$1,792.50
|
|
Incision of urethra
|
$2,002.00 |
$2,002.00 |
$2,002.00 |
$2,899.60
|
|
Incision tendon sheath
|
$8,036.50 |
$8,036.50 |
$8,036.50 |
$3,073.20
|
|
Incisn windpipe
|
$3,810.50 |
$3,810.50 |
$3,810.50 |
$3,819.23
|
|
Infect ag eia influenza a or b ea
|
$23.00 |
$23.00 |
$23.00 |
$69.03
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$129.00 |
$129.00 |
$129.00 |
$603.75
|
|
Infect ag ia optc obs influenza
|
$63.00 |
$63.00 |
$63.00 |
$72.93
|
|
Infect ag if varicella zoster
|
$58.50 |
$58.50 |
$58.50 |
$72.00
|
|
Infect ag na hpv high-risk types
|
$167.00 |
$167.00 |
$167.00 |
$139.20
|
|
Infect ag na orthopoxvirus amp prb each
|
$90.00 |
$90.00 |
$90.00 |
$99.36
|
|
Infect ag na resp virus 12-25 targets
|
$895.50 |
$895.50 |
$895.50 |
$859.44
|
|
Infectious agent antigen immunoassay direct optical observation sars-cov-2
|
$67.00 |
$67.00 |
$67.00 |
$51.31
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$66.00 |
$66.00 |
$66.00 |
$82.00
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$79.00 |
$79.00 |
$79.00 |
$69.44
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$61.50 |
$61.50 |
$61.50 |
$76.50
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$63.00 |
$63.00 |
$63.00 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$95.50 |
$95.50 |
$95.50 |
$96.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$58.00 |
$58.00 |
$58.00 |
$81.06
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$46.00 |
$46.00 |
$46.00 |
$57.60
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$102.50 |
$102.50 |
$102.50 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$150.00 |
$150.00 |
$150.00 |
$127.80
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$56.00 |
$56.00 |
$56.00 |
$97.50
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$158.00 |
$158.00 |
$158.00 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$444.00 |
$444.00 |
$444.00 |
$267.50
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$173.50 |
$173.50 |
$173.50 |
$137.67
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$121.00 |
$121.00 |
$121.00 |
$167.05
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$1,376.00 |
$1,376.00 |
$1,376.00 |
$861.00
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$181.00 |
$181.00 |
$181.00 |
$181.35
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$166.50 |
$166.50 |
$166.50 |
$151.25
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$173.50 |
$173.50 |
$173.50 |
$135.80
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$125.50 |
$125.50 |
$125.50 |
$100.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$71.50 |
$71.50 |
$71.50 |
$217.70
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$271.50 |
$271.50 |
$271.50 |
$236.08
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$111.50 |
$111.50 |
$111.50 |
$94.53
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$95.50 |
$95.50 |
$95.50 |
$105.00
|
|
Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae
|
$113.50 |
$113.50 |
$113.50 |
$250.50
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$323.50 |
$323.50 |
$323.50 |
$184.80
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$874.50 |
$874.50 |
$874.50 |
$711.93
|
|
Infectious agent nucleic acid quantification bk virus
|
$328.50 |
$328.50 |
$328.50 |
$283.00
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$219.00 |
$219.00 |
$219.00 |
$238.80
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$219.00 |
$219.00 |
$219.00 |
$252.60
|
|
Infectious agent nucleic acid quantification hiv-1
|
$431.00 |
$431.00 |
$431.00 |
$374.50
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$263.00 |
$263.00 |
$263.00 |
$303.59
|
|
Influenza virus vaccine, live trivalent intranasal
|
$24.50 |
$24.50 |
$24.50 |
$37.80
|
|
Inf thrc fascial pln blk bi w/wo image
|
$320.00 |
$320.00 |
$320.00 |
$523.25
|
|
Inf thrc fascial pln blk uni w/wo image
|
$187.50 |
$187.50 |
$187.50 |
$780.00
|
|
Initial nursing facility care/day low severity 99304
|
$109.50 |
$109.50 |
$109.50 |
$128.00
|
|
Initiation & management bipap/cpap initial day
|
$466.00 |
$466.00 |
$466.00 |
$576.00
|
|
Init pm e/m new pat 65+ yrs
|
$129.50 |
$129.50 |
$129.50 |
$180.77
|
|
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 -fresenius
|
$8.78 |
$8.78 |
$8.78 |
$38.87
|
|
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 |
$4,433.46
|
|
Inj anifrolumab-fnia 1mg
|
$41.00 |
$41.00 |
$41.00 |
$10,052.58
|
|
Inj., benralizumab, 1 mg
|
$439.00 |
$439.00 |
$439.00 |
$11,604.71
|
|
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
|
$3.00 |
$3.00 |
$3.00 |
$699.38
|
|
Inj cefazolin sodium, hikma
|
$6.89 |
$6.89 |
$6.89 |
$29.10
|
|
Inj ceftolozane tazobactam
|
$18.50 |
$18.50 |
$18.50 |
$408.00
|
|
Inj, durolane 1 mg
|
$42.00 |
$42.00 |
$42.00 |
$1,950.93
|
|
Inj dx for sinogram
|
$125.00 |
$125.00 |
$125.00 |
$413.82
|
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
|
$2,794.00 |
$2,794.00 |
$2,794.00 |
$1,214.78
|
|
Injection arthrography hip without anesthesia (both sides)
|
$757.00 |
$757.00 |
$757.00 |
$500.50
|
|
Injection carpal tunnel therapeutic (both sides)
|
$85.00 |
$85.00 |
$85.00 |
$504.90
|
|
Injection, casimersen, 10 mg
|
$271.50 |
$271.50 |
$271.50 |
$2,598.44
|
|
Injection during cath supravalvular aortography
|
$181.50 |
$181.50 |
$181.50 |
$904.17
|
|
Injection epidural blood patch or clot
|
$811.50 |
$811.50 |
$811.50 |
$1,156.80
|
