|
Infect ag na orthopoxvirus amp prb each
|
$24.99 |
$24.99 |
$24.99 |
$102.00
|
|
Infect ag na resp virus 12-25 targets
|
$4,926.60 |
$4,926.60 |
$4,926.60 |
$859.44
|
|
Infectious agent antigen immunoassay direct optical observation sars-cov-2
|
$84.15 |
$84.15 |
$84.15 |
$47.50
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$371.28 |
$371.28 |
$371.28 |
$81.44
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$313.14 |
$313.14 |
$313.14 |
$80.05
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$313.14 |
$313.14 |
$313.14 |
$77.28
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$73.95 |
$73.95 |
$73.95 |
$83.50
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$652.80 |
$652.80 |
$652.80 |
$77.72
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$12.46 |
$12.46 |
$12.46 |
$55.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$340.68 |
$340.68 |
$340.68 |
$101.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$140.25 |
$140.25 |
$140.25 |
$132.60
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$38.35 |
$38.35 |
$38.35 |
$97.50
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$146.37 |
$146.37 |
$146.37 |
$60.00
|
|
Infectious agent nucleic acid amplified probe
|
$430.95 |
$430.95 |
$430.95 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$530.91 |
$530.91 |
$530.91 |
$141.48
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$1,072.02 |
$1,072.02 |
$1,072.02 |
$174.06
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$793.56 |
$793.56 |
$793.56 |
$855.45
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$72.68 |
$72.68 |
$72.68 |
$178.00
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$536.52 |
$536.52 |
$536.52 |
$150.15
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$530.91 |
$530.91 |
$530.91 |
$210.00
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$530.91 |
$530.91 |
$530.91 |
$136.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$85.68 |
$85.68 |
$85.68 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$929.22 |
$929.22 |
$929.22 |
$222.60
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$262.65 |
$262.65 |
$262.65 |
$248.15
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$174.42 |
$174.42 |
$174.42 |
$98.15
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$259.08 |
$259.08 |
$259.08 |
$112.45
|
|
Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae
|
$104.04 |
$104.04 |
$104.04 |
$282.10
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$244.80 |
$244.80 |
$244.80 |
$283.20
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$1,613.64 |
$1,613.64 |
$1,613.64 |
$489.50
|
|
Infectious agent nucleic acid quantification bk virus
|
$190.74 |
$190.74 |
$190.74 |
$285.66
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$165.75 |
$165.75 |
$165.75 |
$226.35
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$215.22 |
$215.22 |
$215.22 |
$278.78
|
|
Infectious agent nucleic acid quantification hiv-1
|
$150.45 |
$150.45 |
$150.45 |
$381.55
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$1,115.37 |
$1,115.37 |
$1,115.37 |
$298.35
|
|
Infliximab-axxq 100 mg intravenous solution
|
$1,166.66 |
$1,166.66 |
$1,166.66 |
$1,062.00
|
|
Initiation & management bipap/cpap initial day
|
$3,335.40 |
$3,335.40 |
$3,335.40 |
$645.79
|
|
Inj anifrolumab-fnia 1mg
|
$11,775.45 |
$11,775.45 |
$11,775.45 |
$7,499.98
|
|
Inj, bezlotoxumab, 10 mg
|
$9,201.20 |
$9,201.20 |
$9,201.20 |
$7,612.43
|
|
Inj calcitriol per 0.1 mcg
|
$84.15 |
$84.15 |
$84.15 |
$31.69
|
|
Inj cefazolin sodium, hikma
|
$84.15 |
$84.15 |
$84.15 |
$34.59
|
|
Inj, cefiderocol, 10 mg
|
$722.32 |
$722.32 |
$722.32 |
$550.68
|
|
Inj ceftolozane tazobactam
|
$616.62 |
$616.62 |
$616.62 |
$415.50
|
|
Inj cntr knee arthro incl ct/mri
|
$963.90 |
$963.90 |
$963.90 |
$464.28
|
|
Inj crotalidae im f(ab')2 eq
|
$2,859.84 |
$2,859.84 |
$2,859.84 |
$2,735.85
|
|
Inj cyclophosphamd auromedic
|
$1,043.72 |
$1,043.72 |
$1,043.72 |
$2.03
|
|
Inj cyclophosphamd (ingenus)
|
$1,107.62 |
$1,107.62 |
$1,107.62 |
$479.42
|
|
Inj, daptomycin (hospira)
|
$170.47 |
$170.47 |
$170.47 |
$132.80
|
|
Inj dx for sinogram
|
$98.43 |
$98.43 |
$98.43 |
$436.00
|
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
|
$1,450.44 |
$1,450.44 |
$1,450.44 |
$1,214.78
|
|
Injection arthrography hip without anesthesia (both sides)
|
$908.82 |
$908.82 |
$908.82 |
$507.10
|
|
Injection carpal tunnel therapeutic (both sides)
|
$612.51 |
$612.51 |
$612.51 |
$536.00
|
|
Injection, daratumumab 10 mg
|
$8,808.01 |
$8,808.01 |
$8,808.01 |
$5,324.34
|
|
Injection, doxercalciferol
|
$84.15 |
$84.15 |
$84.15 |
$31.83
|
|
Injection during cath supravalvular aortography
|
$2,831.52 |
$2,831.52 |
$2,831.52 |
$1,148.80
|
|
Injection, edaravone, 1 mg
|
$2,870.79 |
$2,870.79 |
$2,870.79 |
$1,401.00
|
|
Injection epidural blood patch or clot
|
$3,132.42 |
$3,132.42 |
$3,132.42 |
$1,473.12
|
|
Injection eye drug
|
$840.99 |
$840.99 |
$840.99 |
$648.90
|
|
Injection for arthrography wrist (both sides)
|
$608.94 |
$608.94 |
$608.94 |
$441.12
|
|
Injection for bladder x-ray
|
$425.34 |
$425.34 |
$425.34 |
$585.00
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$594.15 |
$594.15 |
$594.15 |
$504.00
|
|
Injection for ureter x-ray
|
$391.17 |
$391.17 |
$391.17 |
$444.95
|
|
Injection, fulvestrant
|
$375.64 |
$375.64 |
$375.64 |
$1,817.65
|
|
Injection into brain canal
|
$447.78 |
$447.78 |
$447.78 |
$933.60
|
|
Injection into hemorrhoid(s)
|
$1,700.85 |
$1,700.85 |
$1,700.85 |
$1,278.72
|
|
Injection jugular
|
$2,370.48 |
$2,370.48 |
$2,370.48 |
$1,048.20
|
|
Injection,onabotulinumtoxina
|
$1,771.49 |
$1,771.49 |
$1,771.49 |
$2,034.90
|
|
Injection radioactive tracer sentinel node (both sides)
|
$817.02 |
$817.02 |
$817.02 |
$717.20
|
|
Injection, renflexis
|
$1,170.67 |
$1,170.67 |
$1,170.67 |
$1,356.10
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$1,889.55 |
$1,889.55 |
$1,889.55 |
$1,471.50
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$1,553.97 |
$1,553.97 |
$1,553.97 |
$1,017.28
|
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
|
$6,021.06 |
$6,021.06 |
$6,021.06 |
$2,251.00
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
|
$2,469.42 |
$2,469.42 |
$2,469.42 |
$1,119.88
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
|
$3,624.57 |
$3,624.57 |
$3,624.57 |
$2,154.68
|
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
|
$3,624.57 |
$3,624.57 |
$3,624.57 |
$1,829.28
|
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
|
$3,624.57 |
$3,624.57 |
$3,624.57 |
$1,758.12
|
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
|
$612.51 |
$612.51 |
$612.51 |
$472.76
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$1,826.82 |
$1,826.82 |
$1,826.82 |
$552.60
|
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
|
$1,826.82 |
$1,826.82 |
$1,826.82 |
$670.00
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$415.65 |
$415.65 |
$415.65 |
$168.05
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$369.75 |
$369.75 |
$369.75 |
$154.05
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$498.27 |
$498.27 |
$498.27 |
$271.65
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$175.95 |
$175.95 |
$175.95 |
$141.60
|
|
Injection treatment of eye
|
$5,456.49 |
$5,456.49 |
$5,456.49 |
$2,698.92
|
|
Inject sacroiliac joint
|
$1,921.68 |
$1,921.68 |
$1,921.68 |
$1,090.00
|
|
Inj epidural sgl cerv-thor without img
|
$1,450.44 |
$1,450.44 |
$1,450.44 |
$1,366.20
|
|
Inj epidural sgl lumb-sacral without img
|
$3,153.84 |
$3,153.84 |
$3,153.84 |
$1,450.84
|
|
Inj for ext venography
|
$2,601.00 |
$2,601.00 |
$2,601.00 |
$737.55
|
|
Inj, fosaprepitant (teva)
|
$137.43 |
$137.43 |
$137.43 |
$120.36
|
|
Inj heparin, pfizer, 1000u
|
$84.15 |
$84.15 |
$84.15 |
$26.85
|
|
Inj intralesional <= 7 lsn(s)
|
$406.98 |
$406.98 |
$406.98 |
$241.74
|
|
Inj, lanreotide, (cipla) 1mg
|
$11,541.76 |
$11,541.76 |
$11,541.76 |
$11,648.70
|
|
Inj, lecanemab-irmb, 1 mg
|
$1,799.09 |
$1,799.09 |
$1,799.09 |
$444.36
|
|
Inj levocarnitine per 1 gm
|
$182.65 |
$182.65 |
$182.65 |
$136.62
|
|
Inj, levothyroxine, freskabi
|
$287.45 |
$287.45 |
$287.45 |
$287.45
|
|
Inj mepivacaine hcl/10 ml
|
$84.15 |
$84.15 |
$84.15 |
$30.04
|
|
Inj., meropenem, vaborbactam
|
$712.24 |
$712.24 |
$712.24 |
$566.68
|
|
Inj mogamulizumab-kpkc, 1 mg
|
$11,383.97 |
$11,383.97 |
$11,383.97 |
$2,984.20
|
|
Inj nephrosto/ureterogram w/img exstng access
|
$1,115.37 |
$1,115.37 |
$1,115.37 |
$1,522.56
|
|
Inj ogivri 10 mg
|
$3,990.07 |
$3,990.07 |
$3,990.07 |
$3,968.67
|
|
Inj pantoprazole(hikma) 40mg
|
$84.15 |
$84.15 |
$84.15 |
$33.52
|