|
Infect ag if nos ea
|
$113.12 |
$113.12 |
$113.12 |
$74.88
|
|
Infect ag if pneumocystis carinii
|
$2.10 |
$2.10 |
$53.76 |
$66.00
|
|
Infect ag if varicella zoster
|
$1.52 |
$1.52 |
$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
|
$64.20 |
$64.20 |
$250.32 |
$139.75
|
|
Infect ag na influenza r/amp 1st 2 types
|
$106.50 |
$106.50 |
$187.60 |
$219.70
|
|
Infect ag na influenza revr/amp ea type
|
$610.40 |
$610.40 |
$610.40 |
$158.06
|
|
Infect ag na orthopoxvirus amp prb each
|
$12.75 |
$12.75 |
$12.75 |
$99.36
|
|
Infect ag na resp virus 12-25 targets
|
$772.65 |
$772.65 |
$924.00 |
$835.80
|
|
Infect ag phenotype na hiv-1 1-10 drugs
|
$88.12 |
$88.12 |
$1,316.00 |
$943.80
|
|
Infect ag phenotype na hiv-1 ea addl drg
|
$6.45 |
$6.45 |
$68.32 |
$75.63
|
|
Infectious agent antigen immunoassay direct optical observation sars-cov-2
|
$35.55 |
$35.55 |
$77.84 |
$53.00
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$84.56 |
$84.56 |
$118.20 |
$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
|
$30.75 |
$30.75 |
$38.08 |
$76.32
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$27.30 |
$27.30 |
$38.64 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$22.50 |
$22.50 |
$84.00 |
$100.02
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$30.30 |
$30.30 |
$81.20 |
$81.20
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$15.90 |
$15.90 |
$68.88 |
$60.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$44.55 |
$44.55 |
$169.68 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$22.20 |
$22.20 |
$73.92 |
$129.00
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$1.33 |
$1.33 |
$113.12 |
$98.02
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$5.25 |
$5.25 |
$38.08 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$58.50 |
$58.50 |
$174.72 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$48.15 |
$48.15 |
$128.80 |
$139.68
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$93.15 |
$93.15 |
$341.60 |
$167.00
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$421.95 |
$421.95 |
$1,125.60 |
$861.00
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$11.50 |
$11.50 |
$193.20 |
$179.92
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$31.65 |
$31.65 |
$221.76 |
$147.55
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$61.50 |
$61.50 |
$179.76 |
$217.85
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$50.10 |
$50.10 |
$154.56 |
$136.03
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$41.70 |
$41.70 |
$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
|
$116.10 |
$116.10 |
$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
|
$5.26 |
$5.26 |
$99.68 |
$108.75
|
|
Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae
|
$50.10 |
$50.10 |
$459.76 |
$211.00
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$60.15 |
$60.15 |
$164.08 |
$185.00
|
|
Infectious agent nucleic acid joint space pathogens multiplex amplified probe >= 26 targets
|
$180.00 |
$180.00 |
$4,453.68 |
$1,143.75
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$659.85 |
$659.85 |
$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
|
$31.56 |
$31.56 |
$761.60 |
$423.53
|
|
Infectious agent nucleic acid quantification bk virus
|
$17.93 |
$17.93 |
$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
|
$5.71 |
$5.71 |
$229.60 |
$252.00
|
|
Infectious agent nucleic acid quantification hiv-1
|
$14.03 |
$14.03 |
$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
|
$945.93 |
$945.93 |
$2,043.22 |
$2,080.86
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$766.49 |
$766.49 |
$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
|
|
Initial nursing facility care/day 35 minutes
|
$44.25 |
$44.25 |
$44.25 |
$188.50
|
|
Initial nursing facility care/day 45 minutes
|
$60.30 |
$60.30 |
$60.30 |
$236.80
|
|
Initial nursing facility care/day low severity 99304
|
$26.70 |
$26.70 |
$26.70 |
$128.00
|
|
Initiation & management bipap/cpap initial day
|
$250.20 |
$250.20 |
$1,590.40 |
$576.00
|
|
Init pm e/m new pat 65+ yrs
|
$39.00 |
$39.00 |
$39.00 |
$185.90
|
|
Inj, abilify asimtufii, 1 mg
|
$10,152.06 |
$10,152.06 |
$10,152.06 |
$9,426.91
|
|
Inj, abilify maintena, 1 mg
|
$1,764.45 |
$1,764.45 |
$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
|
|
Inj alymsys 10 mg
|
$1,280.74 |
$1,280.74 |
$1,280.74 |
$1,280.74
|
|
Inj, amisulpride, 1 mg
|
$98.96 |
$98.96 |
$98.96 |
$91.89
|
|
Inj andexxa, 10 mg
|
$4,370.80 |
$4,370.80 |
$4,370.80 |
$4,370.80
|
|
Inj anifrolumab-fnia 1mg
|
$4,406.92 |
$4,406.92 |
$9,508.69 |
$9,878.82
|
|
Inj, aponvie, 1 mg
|
$3.36 |
$3.36 |
$3.36 |
$3.00
|
|
Inj., aristada initio, 1 mg
|
$4,257.60 |
$4,257.60 |
$4,257.60 |
$4,052.45
|
|
Inj, artesunate, 1mg
|
$14,460.21 |
$14,460.21 |
$14,460.21 |
$14,460.21
|
|
Inj. asceniv
|
$8,436.53 |
$8,436.53 |
$8,436.53 |
$7,833.92
|
|
Inj, aspara, rylaze, 0.1 mg
|
$9,302.83 |
$9,302.83 |
$9,302.83 |
$10,458.00
|
|
Inj atezolizumb 5mg hya-tqjs
|
$18,716.52 |
$18,716.52 |
$18,716.52 |
$18,716.52
|
|
Inj avacincaptad pegol 0.1mg
|
$3,671.92 |
$3,671.92 |
$3,671.92 |
$3,409.64
|
|
Inj aval alfa-nqpt 4mg
|
$3,405.30 |
$3,405.30 |
$3,405.30 |
$3,907.30
|
|
Inj., benralizumab, 1 mg
|
$10,218.77 |
$10,218.77 |
$10,218.77 |
$11,239.97
|
|
Inj, bezlotoxumab, 10 mg
|
$6,642.16 |
$6,642.16 |
$6,642.16 |
$7,612.43
|
|
Inj bimatoprost itc imp1mcg
|
$3,540.88 |
$3,540.88 |
$3,540.88 |
$3,287.96
|
|
Inj, biorphen, 20 micrograms
|
$5.08 |
$5.08 |
$5.08 |
$17.12
|