|
Incision of metatarsal
|
$8,675.77 |
$8,675.77 |
$8,675.77 |
|
|
Incision of midfoot bones
|
$19,279.01 |
$19,279.01 |
$19,279.01 |
|
|
Incision of tendon & muscle
|
$17,061.57 |
$17,061.57 |
$17,061.57 |
|
|
Incision of tendon sheath
|
$4,181.05 |
$4,181.05 |
$4,181.05 |
|
|
Incision of thigh tendon
|
$8,017.78 |
$8,017.78 |
$8,017.78 |
|
|
Incision of thigh tendons
|
$7,546.32 |
$7,546.32 |
$7,546.32 |
|
|
Incision of tibia
|
$19,279.01 |
$19,279.01 |
$19,279.01 |
|
|
Incision of toe tendons 28011
|
$5,639.31 |
$5,639.31 |
$5,639.31 |
|
|
Incision of tongue fold
|
$4,045.88 |
$4,045.88 |
$4,045.88 |
|
|
Incision tendon sheath
|
$4,181.05 |
$4,181.05 |
$4,181.05 |
|
|
Incisn of toe tndn
|
$4,207.84 |
$4,207.84 |
$4,207.84 |
|
|
Incobotulinumtoxin a
|
$3,390.67 |
$4,907.94 |
$4,959.49 |
|
|
Indigotindisulfonate 8 mg/ml soln 5 ml ampule
|
$232.12 |
$232.12 |
$232.12 |
|
|
Infect ag drug suscept pheno predict
|
$56.84 |
$261.86 |
$3,510.06 |
|
|
Infect ag eia influenza a or b ea
|
$6.23 |
$312.88 |
$312.88 |
|
|
Infect ag genotype na cytomegalovirus
|
$75.63 |
$215.67 |
$2,716.30 |
|
|
Infect ag genotype na dna hepatitis b
|
$409.27 |
$409.27 |
$3,154.27 |
|
|
Infect ag genotype na hiv-1 other region
|
$56.11 |
$107.97 |
$2,790.22 |
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$112.08 |
$3,510.06 |
$7,376.79 |
|
|
Infect ag ia direct hiv-1 antgn
|
$1,463.67 |
$1,463.67 |
$1,463.67 |
|
|
Infect ag ia optc obs influenza
|
$7.25 |
$179.47 |
$179.47 |
|
|
Infect ag if ea plyvlnt antsrm
|
$8.70 |
$40.08 |
$1,591.75 |
|
|
Infect ag if hep delta agent
|
$477.36 |
$746.48 |
$1,813.00 |
|
|
Infect ag if influenza a
|
$8.70 |
$190.79 |
$284.11 |
|
|
Infect ag if influenza b
|
$8.70 |
$190.79 |
$284.11 |
|
|
Infect ag if legionella pneumophila
|
$265.47 |
$337.50 |
$1,640.50 |
|
|
Infect ag if nos ea
|
$185.28 |
$185.28 |
$750.32 |
|
|
Infect ag if pneumocystis carinii
|
$11.02 |
$190.79 |
$2,271.50 |
|
|
Infect ag if varicella zoster
|
$8.70 |
$190.79 |
$190.79 |
|
|
Infect ag na hep b amp
|
$19.58 |
$569.18 |
$1,962.00 |
|
|
Infect ag na herpes simplex quant
|
$18.70 |
$86.41 |
$430.00 |
|
|
Infect ag na hpv high-risk types
|
$15.37 |
$505.57 |
$1,383.38 |
|
|
Infect ag na influenza r/amp 1st 2 types
|
$41.76 |
$164.38 |
$1,270.98 |
|
|
Infect ag na influenza revr/amp ea type
|
$419.00 |
$939.07 |
$2,793.40 |
|
|
Infect ag na orthopoxvirus amp prb each
|
$22.33 |
$105.85 |
$311.69 |
|
|
Infect ag na resp virus 12-25 targets
|
$181.39 |
$2,815.08 |
$4,846.50 |
|
|
Infect ag phenotype na hiv-1 1-10 drugs
|
$75.63 |
$75.63 |
$15,495.00 |
|
|
Infect ag phenotype na hiv-1 ea addl drg
|
$75.63 |
$75.63 |
$391.00 |
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$8.70 |
$355.12 |
$883.00 |
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$277.23 |
$390.47 |
$1,231.00 |
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$6.09 |
$197.72 |
$1,175.00 |
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$9.57 |
$243.78 |
$1,068.00 |
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$10.88 |
$362.72 |
$1,381.46 |
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$33.49 |
$159.49 |
$1,192.00 |
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$12.32 |
$164.28 |
$2,630.94 |
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$12.61 |
$347.57 |
$1,638.58 |
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$22.76 |
$382.60 |
$382.60 |
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$5.22 |
$310.98 |
$1,525.00 |
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$9.28 |
$180.88 |
$1,476.25 |
|
|
Infectious agent nucleic acid amplified probe
|
$61.04 |
$569.30 |
$569.30 |
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$16.67 |
$562.15 |
$764.25 |
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$16.24 |
$550.27 |
$1,338.01 |
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$181.39 |
$1,007.83 |
$2,200.00 |
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$15.37 |
$458.91 |
$2,165.12 |
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$29.57 |
$652.75 |
$718.03 |
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$18.27 |
$528.24 |
$3,008.24 |
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$15.37 |
$562.15 |
$764.25 |
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$22.33 |
$102.87 |
$147.43 |
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$41.28 |
$162.30 |
$639.36 |
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$126.50 |
$164.38 |
$639.36 |
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$15.37 |
$297.82 |
$297.82 |
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$16.09 |
$135.00 |
$509.17 |
|
|
Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae
|
$307.35 |
$307.35 |
$307.35 |
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$181.39 |
$959.89 |
$4,102.39 |
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$55.82 |
$222.14 |
$257.18 |
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$114.40 |
$222.14 |
$1,487.46 |
|
|
Infectious agent nucleic acid quantification bk virus
|
$39.88 |
$503.73 |
$694.54 |
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$18.70 |
$694.54 |
$2,133.04 |
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$21.31 |
$278.78 |
$1,922.32 |
|
|
Infectious agent nucleic acid quantification hiv-1
|
$37.12 |
$1,379.76 |
$5,181.42 |
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$62.06 |
$297.01 |
$4,134.59 |
|
|
Infliximab 100 mg intravenous solution
|
$3,993.32 |
$3,993.32 |
$13,190.00 |
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$2,455.70 |
$2,530.00 |
$2,662.00 |
|
|
Influenza dna amp prob addl
|
$174.07 |
$989.52 |
$2,793.40 |
|
|
Influenza virus vaccine, inact hemagglutinin tiv pf inj
|
$158.00 |
$183.75 |
$675.88 |
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$133.16 |
$2,774.43 |
$5,966.40 |
|
|
Inj, abilify maintena, 1 mg
|
$49.07 |
$9,777.36 |
$9,777.36 |
|
|
Inj, acetaminophen (b braun)
|
$28.45 |
$142.24 |
$142.24 |
|
|
Inj acetaminophen -fresenius
|
$70.82 |
$73.15 |
$340.00 |
|
|
Inj, acetaminophen (hikma)
|
$178.07 |
$178.07 |
$178.07 |
|
|
Inj, adalimumab, 1 mg
|
$17,385.50 |
$18,748.24 |
$20,428.80 |
|
|
Inj, alfentanil hcl, 500mcg
|
$460.05 |
$460.05 |
$460.05 |
|
|
Inj allopurinol sodium 1 mg
|
$2,924.75 |
$5,948.29 |
$34,902.00 |
|
|
Inj, artesunate, 1mg
|
$10,337.05 |
$23,297.68 |
$27,319.52 |
|
|
Inj, aspara, rylaze, 0.1 mg
|
$71,236.50 |
$71,236.50 |
$71,236.50 |
|
|
Inj., benralizumab, 1 mg
|
$20,495.24 |
$20,495.24 |
$35,474.88 |
|
|
Inj, bezlotoxumab, 10 mg
|
$4,606.88 |
$4,606.88 |
$35,842.00 |
|
|
Inj, bupivacaine liposome
|
$1,223.69 |
$1,223.69 |
$1,357.76 |
|
|
Inj calcitriol per 0.1 mcg
|
$270.88 |
$270.88 |
$583.62 |
|
|
Inj cefazolin sodium, hikma
|
$221.96 |
$221.96 |
$221.96 |
|
|
Inj cefazolin (wg crit care)
|
$17.00 |
$17.00 |
$17.00 |
|
|
Inj, cefiderocol, 10 mg
|
$10.00 |
$1,045.52 |
$1,994.72 |
|
|
Inj ceftolozane tazobactam
|
$554.41 |
$826.47 |
$977.20 |
|
|
Inj, clindamycin (baxter)
|
$0.06 |
$171.18 |
$171.18 |
|
|
Inj cntr knee arthro incl ct/mri
|
$104.80 |
$2,911.23 |
$2,911.23 |
|
|
Inj., copanlisib, 1 mg
|
$26,252.75 |
$26,252.75 |
$26,252.75 |
|
|
Inj crotalidae im f(ab')2 eq
|
$3,948.31 |
$7,920.08 |
$32,390.00 |
|
|
Inj cyclophosphamd (ingenus)
|
$4,038.90 |
$4,038.90 |
$4,038.90 |
|
|
Inj disk cerv-thor ea lev
|
$307.71 |
$2,102.43 |
$2,102.43 |
|
|
Inj dupuytren cord w/enzyme
|
$792.45 |
$792.45 |
$792.45 |
|