|
Infect ag genotype na cytomegalovirus
|
$43.77 |
$43.77 |
$43.77 |
$661.80
|
|
Infect ag genotype na dna hepatitis b
|
$60.01 |
$60.01 |
$60.01 |
$405.30
|
|
Infect ag genotype na hiv-1 other region
|
$26.50 |
$26.50 |
$26.50 |
$386.40
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$71.95 |
$71.95 |
$71.95 |
$603.75
|
|
Infect ag ia direct hiv-1 antgn
|
$63.92 |
$63.92 |
$63.92 |
$91.70
|
|
Infect ag ia optc obs influenza
|
$21.42 |
$21.42 |
$21.42 |
$72.93
|
|
Infect ag if hep delta agent
|
$21.25 |
$21.25 |
$21.25 |
$125.97
|
|
Infect ag if influenza a
|
$2.73 |
$2.73 |
$2.73 |
$41.30
|
|
Infect ag if influenza b
|
$2.08 |
$2.08 |
$2.08 |
$40.08
|
|
Infect ag if legionella pneumophila
|
$1.72 |
$1.72 |
$1.72 |
$72.58
|
|
Infect ag if nos ea
|
$1.72 |
$1.72 |
$1.72 |
$74.88
|
|
Infect ag if pneumocystis carinii
|
$2.38 |
$2.38 |
$2.38 |
$66.00
|
|
Infect ag if varicella zoster
|
$1.72 |
$1.72 |
$1.72 |
$70.70
|
|
Infect ag na hpv high-risk types
|
$6.46 |
$6.46 |
$6.46 |
$139.75
|
|
Infect ag na influenza r/amp 1st 2 types
|
$200.09 |
$200.09 |
$200.09 |
$219.70
|
|
Infect ag na orthopoxvirus amp prb each
|
$14.45 |
$14.45 |
$14.45 |
$99.36
|
|
Infect ag phenotype na hiv-1 1-10 drugs
|
$99.87 |
$99.87 |
$99.87 |
$943.80
|
|
Infect ag phenotype na hiv-1 ea addl drg
|
$7.31 |
$7.31 |
$7.31 |
$75.63
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$91.80 |
$91.80 |
$91.80 |
$82.00
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$1.72 |
$1.72 |
$1.72 |
$72.80
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$24.65 |
$24.65 |
$24.65 |
$76.32
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$21.59 |
$21.59 |
$21.59 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$2.46 |
$2.46 |
$2.46 |
$100.02
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$24.82 |
$24.82 |
$24.82 |
$81.20
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$19.72 |
$19.72 |
$19.72 |
$60.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$143.14 |
$143.14 |
$143.14 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$91.80 |
$91.80 |
$91.80 |
$129.00
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$24.48 |
$24.48 |
$24.48 |
$98.02
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$1.50 |
$1.50 |
$1.50 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$63.58 |
$63.58 |
$63.58 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$148.41 |
$148.41 |
$148.41 |
$139.68
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$170.00 |
$170.00 |
$170.00 |
$167.00
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$62.98 |
$62.98 |
$62.98 |
$861.00
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$13.03 |
$13.03 |
$13.03 |
$179.92
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$96.22 |
$96.22 |
$96.22 |
$147.55
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$5.67 |
$5.67 |
$5.67 |
$217.85
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$148.41 |
$148.41 |
$148.41 |
$136.03
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$102.51 |
$102.51 |
$102.51 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$237.83 |
$237.83 |
$237.83 |
$236.08
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$81.77 |
$81.77 |
$81.77 |
$92.50
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$86.87 |
$86.87 |
$86.87 |
$108.75
|
|
Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae
|
$148.41 |
$148.41 |
$148.41 |
$211.00
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$50.32 |
$50.32 |
$50.32 |
$185.00
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$945.54 |
$945.54 |
$945.54 |
$727.50
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$291.04 |
$291.04 |
$291.04 |
$286.06
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$35.77 |
$35.77 |
$35.77 |
$423.53
|
|
Infectious agent nucleic acid quantification bk virus
|
$57.92 |
$57.92 |
$57.92 |
$279.40
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$6.47 |
$6.47 |
$6.47 |
$239.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$116.73 |
$116.73 |
$116.73 |
$252.00
|
|
Infectious agent nucleic acid quantification hiv-1
|
$59.07 |
$59.07 |
$59.07 |
$374.00
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$24.25 |
$24.25 |
$24.25 |
$303.59
|
|
Infliximab 100 mg intravenous solution
|
$1,834.41 |
$1,834.41 |
$1,834.41 |
$2,080.86
|
|
Infliximab-axxq 100 mg intravenous solution
|
$785.40 |
$785.40 |
$785.40 |
$1,062.00
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$1,486.42 |
$1,486.42 |
$1,486.42 |
$1,537.84
|
|
Influenza virus vaccine, inact hemagglutinin tiv pf inj
|
$35.53 |
$35.53 |
$35.53 |
$111.51
|
|
Influenza virus vaccine, live trivalent intranasal
|
$12.24 |
$12.24 |
$12.24 |
$36.50
|
|
Ingest challenge ea addl 60 min
|
$36.89 |
$36.89 |
$36.89 |
$289.64
|
|
Ingest challenge ini 120 min
|
$54.23 |
$54.23 |
$54.23 |
$764.78
|
|
Initial foot exam pt lops
|
$38.59 |
$38.59 |
$38.59 |
$155.50
|
|
Initial hosp neonate 28 d/less than not critically ill 99477
|
$139.23 |
$139.23 |
$139.23 |
$629.60
|
|
Initial nursing facility care/day 35 minutes
|
$55.76 |
$55.76 |
$55.76 |
$188.50
|
|
Initial nursing facility care/day 45 minutes
|
$75.99 |
$75.99 |
$75.99 |
$236.80
|
|
Initial nursing facility care/day low severity 99304
|
$33.49 |
$33.49 |
$33.49 |
$128.00
|
|
Initiation & management bipap/cpap initial day
|
$517.48 |
$517.48 |
$517.48 |
$576.00
|
|
Init nb em per day non-fac
|
$25.16 |
$25.16 |
$25.16 |
$109.15
|
|
Init pm e/m new pat 65+ yrs
|
$58.99 |
$58.99 |
$58.99 |
$185.90
|
|
Inj alymsys 10 mg
|
$4,691.02 |
$4,691.02 |
$4,691.02 |
$1,280.74
|
|
Inj., benralizumab, 1 mg
|
$8,917.04 |
$8,917.04 |
$8,917.04 |
$11,239.97
|
|
Inj bimatoprost itc imp1mcg
|
$99.45 |
$99.45 |
$99.45 |
$3,287.96
|
|
Inj, bupivacaine liposome
|
$792.98 |
$792.98 |
$792.98 |
$699.38
|
|
Inj, clindamycin (baxter)
|
$34.02 |
$34.02 |
$34.02 |
$48.96
|
|
Inj cntr knee arthro incl ct/mri
|
$109.99 |
$109.99 |
$109.99 |
$436.80
|
|
Inj cyclophosphamd (ingenus)
|
$8.07 |
$8.07 |
$8.07 |
$742.72
|
|
Inj disk cerv-thor ea lev
|
$676.94 |
$676.94 |
$676.94 |
$875.28
|
|
Inj, donanemab-azbt, 2 mg
|
$1,186.55 |
$1,186.55 |
$1,186.55 |
$1,233.44
|
|
Inj dupuytren cord w/enzyme
|
$52.53 |
$52.53 |
$52.53 |
$416.00
|
|
Inj, durolane 1 mg
|
$181.22 |
$181.22 |
$181.22 |
$1,950.93
|
|
Inj dx for sinogram
|
$478.21 |
$478.21 |
$478.21 |
$422.59
|
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
|
$930.58 |
$930.58 |
$930.58 |
$1,214.78
|
|
Injection arthrography hip without anesthesia (both sides)
|
$251.94 |
$251.94 |
$251.94 |
$495.84
|
|
Injection carpal tunnel therapeutic (both sides)
|
$90.10 |
$90.10 |
$90.10 |
$450.72
|
|
Injection during cath supravalvular aortography
|
$397.80 |
$397.80 |
$397.80 |
$952.66
|
|
Injection epidural blood patch or clot
|
$549.10 |
$549.10 |
$549.10 |
$1,156.80
|
|
Injection eye drug
|
$67.49 |
$67.49 |
$67.49 |
$644.50
|
|
Injection for arthrography wrist (both sides)
|
$137.53 |
$137.53 |
$137.53 |
$428.40
|
|
Injection for bladder x-ray
|
$132.43 |
$132.43 |
$132.43 |
$459.20
|
|
Injection for hip x-ray
|
$488.92 |
$488.92 |
$488.92 |
$710.00
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$137.53 |
$137.53 |
$137.53 |
$494.65
|
|
Injection for spleen x-ray
|
$219.81 |
$219.81 |
$219.81 |
$529.57
|
|
Injection for ureter x-ray
|
$91.97 |
$91.97 |
$91.97 |
$427.70
|
|
Injection for ureter x-ray
|
$102.85 |
$102.85 |
$102.85 |
$515.21
|
|
Injection, fulvestrant
|
$1,256.51 |
$1,256.51 |
$1,256.51 |
$1,817.65
|
|
Injection, inclisiran, 1 mg
|
$3,819.37 |
$3,819.37 |
$3,819.37 |
$6,679.35
|
|
Injection into brain canal
|
$66.64 |
$66.64 |
$66.64 |
$836.40
|
|
Injection into hemorrhoid(s)
|
$216.58 |
$216.58 |
$216.58 |
$1,432.81
|
|
Injection into vocal cord
|
$116.11 |
$116.11 |
$116.11 |
$499.50
|
|
Injection jugular
|
$91.80 |
$91.80 |
$91.80 |
$790.00
|
|
Injection of sinus tract
|
$54.06 |
$54.06 |
$54.06 |
$1,627.60
|
|
Injection,onabotulinumtoxina
|
$1,245.34 |
$1,245.34 |
$1,245.34 |
$2,277.65
|
|
Injection radioactive tracer sentinel node (both sides)
|
$597.72 |
$597.72 |
$597.72 |
$670.64
|