|
Incobotulinumtoxin a
|
$1,788.44 |
$1,788.44 |
$1,788.44 |
$1,339.57
|
|
Indigotindisulfonate 8 mg/ml soln 5 ml ampule
|
$701.68 |
$701.68 |
$701.68 |
$766.66
|
|
Induced abortion d&c
|
$9,794.40 |
$9,794.40 |
$9,794.40 |
$3,762.53
|
|
Induced abortion dilat&evac
|
$9,794.40 |
$9,794.40 |
$9,794.40 |
$4,446.00
|
|
Induction of vomiting
|
$89.60 |
$89.60 |
$89.60 |
$126.72
|
|
Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s)
|
$149.52 |
$149.52 |
$149.52 |
$137.15
|
|
Infect ag drug suscept pheno predict
|
$352.80 |
$352.80 |
$352.80 |
$323.20
|
|
Infect ag eia chlamydia trachomatis
|
$113.12 |
$113.12 |
$113.12 |
$67.20
|
|
Infect ag eia influenza a or b ea
|
$36.96 |
$36.96 |
$36.96 |
$71.50
|
|
Infect ag genotype na cytomegalovirus
|
$700.00 |
$700.00 |
$700.00 |
$661.80
|
|
Infect ag genotype na dna hepatitis b
|
$694.40 |
$694.40 |
$694.40 |
$405.30
|
|
Infect ag genotype na hiv-1 other region
|
$386.40 |
$386.40 |
$386.40 |
$386.40
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$694.40 |
$694.40 |
$694.40 |
$603.75
|
|
Infect ag ia direct hiv-1 antgn
|
$89.04 |
$89.04 |
$89.04 |
$91.70
|
|
Infect ag ia optc obs chlamydia trach
|
$96.32 |
$96.32 |
$96.32 |
$96.32
|
|
Infect ag ia optc obs influenza
|
$170.24 |
$170.24 |
$170.24 |
$72.93
|
|
Infect ag if ea plyvlnt antsrm
|
$142.80 |
$142.80 |
$142.80 |
$62.80
|
|
Infect ag if hep delta agent
|
$130.48 |
$130.48 |
$130.48 |
$125.97
|
|
Infect ag if influenza a
|
$56.56 |
$56.56 |
$56.56 |
$41.30
|
|
Infect ag if influenza b
|
$56.56 |
$56.56 |
$56.56 |
$40.08
|
|
Infect ag if legionella pneumophila
|
$42.00 |
$42.00 |
$42.00 |
$72.58
|
|
Infect ag if nos ea
|
$113.12 |
$113.12 |
$113.12 |
$74.88
|
|
Infect ag if pneumocystis carinii
|
$53.76 |
$53.76 |
$53.76 |
$66.00
|
|
Infect ag if varicella zoster
|
$75.04 |
$75.04 |
$75.04 |
$70.70
|
|
Infect ag na chlamydia trachomatis qnt
|
$352.80 |
$352.80 |
$352.80 |
$107.20
|
|
Infect ag na hep b amp
|
$61.60 |
$61.60 |
$61.60 |
$120.50
|
|
Infect ag na herpes simplex quant
|
$250.88 |
$250.88 |
$250.88 |
$169.65
|
|
Infect ag na hpv high-risk types
|
$250.32 |
$250.32 |
$250.32 |
$139.75
|
|
Infect ag na influenza r/amp 1st 2 types
|
$187.60 |
$187.60 |
$187.60 |
$219.70
|
|
Infect ag na influenza revr/amp ea type
|
$610.40 |
$610.40 |
$610.40 |
$158.06
|
|
Infect ag na resp virus 12-25 targets
|
$924.00 |
$924.00 |
$924.00 |
$835.80
|
|
Infect ag phenotype na hiv-1 1-10 drugs
|
$1,316.00 |
$1,316.00 |
$1,316.00 |
$943.80
|
|
Infect ag phenotype na hiv-1 ea addl drg
|
$68.32 |
$68.32 |
$68.32 |
$75.63
|
|
Infectious agent antigen immunoassay direct optical observation sars-cov-2
|
$77.84 |
$77.84 |
$77.84 |
$53.00
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$84.56 |
$84.56 |
$84.56 |
$82.00
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$114.80 |
$114.80 |
$114.80 |
$72.80
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$38.08 |
$38.08 |
$38.08 |
$76.32
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$38.64 |
$38.64 |
$38.64 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$84.00 |
$84.00 |
$84.00 |
$100.02
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$81.20 |
$81.20 |
$81.20 |
$81.20
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$68.88 |
$68.88 |
$68.88 |
$60.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$169.68 |
$169.68 |
$169.68 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$73.92 |
$73.92 |
$73.92 |
$129.00
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$113.12 |
$113.12 |
$113.12 |
$98.02
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$38.08 |
$38.08 |
$38.08 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$174.72 |
$174.72 |
$174.72 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$128.80 |
$128.80 |
$128.80 |
$139.68
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$341.60 |
$341.60 |
$341.60 |
$167.00
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$1,125.60 |
$1,125.60 |
$1,125.60 |
$861.00
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$193.20 |
$193.20 |
$193.20 |
$179.92
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$221.76 |
$221.76 |
$221.76 |
$147.55
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$179.76 |
$179.76 |
$179.76 |
$217.85
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$154.56 |
$154.56 |
$154.56 |
$136.03
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$113.12 |
$113.12 |
$113.12 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$249.20 |
$249.20 |
$249.20 |
$206.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$397.60 |
$397.60 |
$397.60 |
$236.08
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$157.36 |
$157.36 |
$157.36 |
$92.50
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$99.68 |
$99.68 |
$99.68 |
$108.75
|
|
Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae
|
$459.76 |
$459.76 |
$459.76 |
$211.00
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$164.08 |
$164.08 |
$164.08 |
$185.00
|
|
Infectious agent nucleic acid joint space pathogens multiplex amplified probe >= 26 targets
|
$4,453.68 |
$4,453.68 |
$4,453.68 |
$1,143.75
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$884.80 |
$884.80 |
$884.80 |
$727.50
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$364.00 |
$364.00 |
$364.00 |
$286.06
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$761.60 |
$761.60 |
$761.60 |
$423.53
|
|
Infectious agent nucleic acid quantification bk virus
|
$193.20 |
$193.20 |
$193.20 |
$279.40
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$198.80 |
$198.80 |
$198.80 |
$239.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$229.60 |
$229.60 |
$229.60 |
$252.00
|
|
Infectious agent nucleic acid quantification hiv-1
|
$272.16 |
$272.16 |
$272.16 |
$374.00
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$313.60 |
$313.60 |
$313.60 |
$303.59
|
|
Infliximab 100 mg intravenous solution
|
$2,043.22 |
$2,043.22 |
$2,043.22 |
$2,080.86
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$1,656.14 |
$1,656.14 |
$1,656.14 |
$1,537.84
|
|
Influenza dna amp prob addl
|
$53.20 |
$53.20 |
$53.20 |
$64.26
|
|
Influenza virus vaccine, inact hemagglutinin tiv pf inj
|
$152.15 |
$152.15 |
$152.15 |
$111.51
|
|
Influenza virus vaccine, live trivalent intranasal
|
$60.93 |
$60.93 |
$60.93 |
$36.50
|
|
Inf lwr xtr fscl pln blk uni w/wo image
|
$397.60 |
$397.60 |
$397.60 |
$780.00
|
|
Inf thrc fascial pln blk bi w/wo image
|
$397.60 |
$397.60 |
$397.60 |
$593.50
|
|
Inf thrc fascial pln blk uni w/wo image
|
$397.60 |
$397.60 |
$397.60 |
$780.00
|
|
Infuse radioactive materials
|
$2,049.60 |
$2,049.60 |
$2,049.60 |
$640.50
|
|
Ingest challenge ea addl 60 min
|
$588.00 |
$588.00 |
$588.00 |
$289.64
|
|
Ingest challenge ini 120 min
|
$1,859.20 |
$1,859.20 |
$1,859.20 |
$764.78
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$817.60 |
$817.60 |
$817.60 |
$293.25
|
|
Init ak ischal plstr direct
|
$2,609.60 |
$2,609.60 |
$2,609.60 |
$2,609.60
|
|
Init bk ptb plaster direct
|
$1,918.00 |
$1,918.00 |
$1,918.00 |
$2,148.48
|
|
Initial care training 30 m
|
$47.60 |
$47.60 |
$47.60 |
$49.89
|
|
Initial custom socket insert
|
$1,453.20 |
$1,453.20 |
$1,453.20 |
$1,453.20
|
|
Initial foot exam pt lops
|
$464.80 |
$464.80 |
$464.80 |
$155.50
|
|
Initiation & management bipap/cpap initial day
|
$1,590.40 |
$1,590.40 |
$1,590.40 |
$576.00
|
|
Inj, abilify asimtufii, 1 mg
|
$10,152.06 |
$10,152.06 |
$10,152.06 |
$9,426.91
|
|
Inj, abilify maintena, 1 mg
|
$5,077.44 |
$5,077.44 |
$5,077.44 |
$5,355.30
|
|
Inj, acetaminophen (b braun)
|
$16.79 |
$16.79 |
$16.79 |
$33.31
|
|
Inj, acetaminophen (hikma)
|
$0.56 |
$0.56 |
$0.56 |
$58.50
|
|
Inj. acthar gel to 40 units
|
$7,918.32 |
$7,918.32 |
$7,918.32 |
$7,918.32
|
|
Inj, adalimumab, 1 mg
|
$12,098.05 |
$12,098.05 |
$12,098.05 |
$12,098.05
|
|
Inj adalimumab-ryvk, 1 mg
|
$22.40 |
$22.40 |
$22.40 |
$13.36
|
|
Inj, adstiladrin, per tx dos
|
$24,557.68 |
$24,557.68 |
$24,557.68 |
$63,354.77
|
|
Inj, aflibercept-ayyh, 1 mg
|
$2,984.63 |
$2,984.63 |
$2,984.63 |
$2,771.44
|
|
Inj, aflibercept hd, 1 mg
|
$4,774.49 |
$4,774.49 |
$4,774.49 |
$2,794.18
|
|
Inj, afstyla, 1 i.u
|
$7.28 |
$7.28 |
$7.28 |
$6.76
|
|
Inj, alfentanil hcl, 500mcg
|
$38.71 |
$38.71 |
$38.71 |
$35.94
|
|
Inj allopurinol sodium 1 mg
|
$6,968.99 |
$6,968.99 |
$6,968.99 |
$6,968.99
|
