|
Infect ag drug suscept pheno predict
|
$131.71 |
$131.71 |
$139.74 |
$325.00
|
|
Infect ag eia influenza a or b ea
|
$118.19 |
$118.19 |
$118.19 |
$71.20
|
|
Infect ag genotype na cytomegalovirus
|
$259.73 |
$259.73 |
$275.99 |
$665.40
|
|
Infect ag genotype na dna hepatitis b
|
$259.73 |
$259.73 |
$275.99 |
$409.27
|
|
Infect ag genotype na hiv-1 other region
|
$130.03 |
$130.03 |
$138.00 |
$361.65
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$259.73 |
$259.73 |
$275.99 |
$603.83
|
|
Infect ag ia optc obs influenza
|
$16.80 |
$16.80 |
$84.16 |
$72.93
|
|
Infect ag if ea plyvlnt antsrm
|
$19.57 |
$19.57 |
$20.16 |
$68.40
|
|
Infect ag if hep delta agent
|
$134.00 |
$134.00 |
$134.00 |
$125.97
|
|
Infect ag if influenza a
|
$17.23 |
$17.23 |
$20.16 |
$41.30
|
|
Infect ag if influenza b
|
$13.14 |
$13.14 |
$20.16 |
$37.95
|
|
Infect ag if legionella pneumophila
|
$15.79 |
$15.79 |
$16.73 |
$73.45
|
|
Infect ag if nos ea
|
$17.26 |
$17.26 |
$17.26 |
$74.88
|
|
Infect ag if pneumocystis carinii
|
$12.87 |
$12.87 |
$25.54 |
$66.06
|
|
Infect ag if varicella zoster
|
$20.16 |
$20.16 |
$64.63 |
$72.00
|
|
Infect ag na hep b amp
|
$45.36 |
$45.36 |
$45.36 |
$120.50
|
|
Infect ag na herpes simplex quant
|
$43.34 |
$43.34 |
$43.34 |
$178.86
|
|
Infect ag na hpv high-risk types
|
$35.62 |
$35.62 |
$35.62 |
$139.20
|
|
Infect ag na influenza r/amp 1st 2 types
|
$190.28 |
$190.28 |
$190.28 |
$219.70
|
|
Infect ag na orthopoxvirus amp prb each
|
$91.12 |
$91.12 |
$100.46 |
$100.00
|
|
Infect ag na resp virus 12-25 targets
|
$420.34 |
$420.34 |
$420.34 |
$854.70
|
|
Infect ag phenotype na hiv-1 1-10 drugs
|
$523.85 |
$523.85 |
$523.85 |
$954.00
|
|
Infect ag phenotype na hiv-1 ea addl drg
|
$94.61 |
$94.61 |
$94.61 |
$75.63
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$20.16 |
$20.16 |
$40.20 |
$83.60
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$14.48 |
$14.48 |
$14.48 |
$72.80
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$52.80 |
$52.80 |
$52.80 |
$76.00
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$12.10 |
$12.10 |
$55.75 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$24.86 |
$24.86 |
$36.45 |
$103.40
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$77.62 |
$77.62 |
$77.72 |
$81.20
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$11.08 |
$11.08 |
$28.56 |
$60.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$29.23 |
$29.23 |
$113.90 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$52.75 |
$52.75 |
$127.57 |
$129.00
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$12.10 |
$12.10 |
$64.32 |
$98.58
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$21.50 |
$21.50 |
$44.76 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$141.46 |
$141.46 |
$278.72 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$38.64 |
$38.64 |
$68.61 |
$141.95
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$37.63 |
$37.63 |
$119.80 |
$167.05
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$420.34 |
$420.34 |
$446.79 |
$864.67
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$35.62 |
$35.62 |
$198.06 |
$181.35
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$42.34 |
$42.34 |
$212.80 |
$212.16
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$35.62 |
$35.62 |
$68.08 |
$137.67
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$51.74 |
$51.74 |
$80.19 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$32.26 |
$32.26 |
$159.20 |
$206.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$181.44 |
$181.44 |
$181.44 |
$236.08
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$35.62 |
$35.62 |
$35.62 |
$96.00
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$37.30 |
$37.30 |
$49.58 |
$112.45
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$82.30 |
$82.30 |
$82.30 |
$195.60
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$420.34 |
$420.34 |
$584.78 |
$727.50
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$137.53 |
$137.53 |
$137.53 |
$289.91
|
|
Infectious agent nucleic acid quantification bk virus
|
$92.40 |
$92.40 |
$218.69 |
$283.00
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$43.34 |
$43.34 |
$45.93 |
$242.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$45.93 |
$45.93 |
$49.39 |
$253.00
|
|
Infectious agent nucleic acid quantification hiv-1
|
$86.02 |
$86.02 |
$91.23 |
$375.00
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$143.81 |
$143.81 |
$152.90 |
$304.20
|
|
Infliximab 100 mg intravenous solution
|
$3,192.42 |
$3,192.42 |
$3,192.42 |
$2,047.13
|
|
Infliximab-axxq 100 mg intravenous solution
|
$1,366.80 |
$1,366.80 |
$1,366.80 |
$1,062.00
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$2,587.01 |
$2,587.01 |
$2,587.01 |
$1,537.84
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$76.66 |
$76.66 |
$76.66 |
$296.00
|
|
Inj alymsys 10 mg
|
$7,857.50 |
$7,857.50 |
$7,857.50 |
$1,280.74
|
|
Inj, artesunate, 1mg
|
$6,806.67 |
$6,806.67 |
$6,806.67 |
$14,460.21
|
|
Inj aval alfa-nqpt 4mg
|
$4,687.86 |
$4,687.86 |
$4,687.86 |
$3,907.30
|
|
Inj., benralizumab, 1 mg
|
$5,429.42 |
$5,429.42 |
$5,429.42 |
$11,310.00
|
|
Inj, bezlotoxumab, 10 mg
|
$4,277.28 |
$4,277.28 |
$4,277.28 |
$7,612.43
|
|
Inj, bupivacaine liposome
|
$820.08 |
$820.08 |
$820.08 |
$699.38
|
|
Inj, cefiderocol, 10 mg
|
$518.85 |
$518.85 |
$518.85 |
$544.85
|
|
Inj ceftolozane tazobactam
|
$270.15 |
$270.15 |
$270.15 |
$364.86
|
|
Inj, clindamycin (baxter)
|
$35.92 |
$35.92 |
$35.92 |
$48.30
|
|
Inj cntr knee arthro incl ct/mri
|
$209.72 |
$209.72 |
$312.22 |
$436.80
|
|
Inj crotalidae im f(ab')2 eq
|
$3,608.36 |
$3,608.36 |
$3,608.36 |
$2,613.60
|
|
Inj, donanemab-azbt, 2 mg
|
$1,901.73 |
$1,901.73 |
$1,901.73 |
$1,233.44
|
|
Inj dx for sinogram
|
$123.12 |
$123.12 |
$123.12 |
$436.00
|
|
Injection arthrography hip without anesthesia (both sides)
|
$288.19 |
$288.19 |
$362.34 |
$503.50
|
|
Injection during cath supravalvular aortography
|
$299.80 |
$299.80 |
$3,677.77 |
$1,027.26
|
|
Injection epidural blood patch or clot
|
$509.74 |
$509.74 |
$641.32 |
$1,182.33
|
|
Injection for arthrography wrist (both sides)
|
$323.37 |
$323.37 |
$323.37 |
$436.00
|
|
Injection for bladder x-ray
|
$230.01 |
$230.01 |
$230.01 |
$459.20
|
|
Injection for hip x-ray
|
$348.62 |
$348.62 |
$348.62 |
$763.60
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$313.90 |
$313.90 |
$377.88 |
$497.76
|
|
Injection for ureter x-ray
|
$144.32 |
$144.32 |
$144.32 |
$415.80
|
|
Injection into brain canal
|
$455.96 |
$455.96 |
$455.96 |
$844.50
|
|
Injection, isavuconazonium
|
$862.16 |
$862.16 |
$862.16 |
$787.67
|
|
Injection jugular
|
$218.74 |
$218.74 |
$218.74 |
$790.00
|
|
Injection,onabotulinumtoxina
|
$1,438.90 |
$1,438.90 |
$1,438.90 |
$2,277.65
|
|
Injection radioactive tracer sentinel node (both sides)
|
$670.64 |
$670.64 |
$933.18 |
$685.44
|
|
Injection, renflexis
|
$2,059.58 |
$2,059.58 |
$2,059.58 |
$1,341.52
|
|
Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides)
|
$933.98 |
$933.98 |
$933.98 |
$1,582.12
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$351.62 |
$351.62 |
$351.62 |
$1,391.40
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$924.60 |
$924.60 |
$924.60 |
$1,043.72
|
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
|
$976.86 |
$976.86 |
$1,235.29 |
$2,040.36
|
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
|
$1,295.27 |
$1,295.27 |
$1,295.27 |
$1,817.24
|
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
|
$1,295.27 |
$1,295.27 |
$1,295.27 |
$1,685.00
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$198.44 |
$198.44 |
$198.44 |
$548.80
|
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
|
$225.50 |
$225.50 |
$225.50 |
$637.92
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$89.10 |
$89.10 |
$276.58 |
$145.60
|
|
Inj., emicizumab-kxwh 0.5 mg
|
$16,749.47 |
$16,749.47 |
$16,749.47 |
$54,322.53
|
|
Inj epidural sgl cerv-thor without img
|
$906.96 |
$906.96 |
$906.96 |
$1,329.00
|
|
Inj epidural sgl lumb-sacral without img
|
$906.96 |
$906.96 |
$906.96 |
$1,450.84
|
|
Inj for ext venography
|
$328.33 |
$328.33 |
$412.72 |
$628.80
|
|
Inj, gadopiclenol, 1 ml
|
$512.69 |
$512.69 |
$512.69 |
$37.63
|
|
Inj hrt cath w/s&i nonsel p-art angrp
|
$328.80 |
$328.80 |
$328.80 |
$1,492.00
|