|
Infect ag ia optc obs chlamydia trach
|
$99.45 |
$99.45 |
$99.45 |
$96.32
|
|
Infect ag if legionella pneumophila
|
$85.15 |
$85.15 |
$85.15 |
$73.45
|
|
Infect ag if pneumocystis carinii
|
$39.00 |
$39.00 |
$39.00 |
$66.06
|
|
Infect ag na hpv high-risk types
|
$63.70 |
$63.70 |
$63.70 |
$139.20
|
|
Infect ag na influenza r/amp 1st 2 types
|
$206.70 |
$206.70 |
$206.70 |
$219.70
|
|
Infect ag na orthopoxvirus amp prb each
|
$150.80 |
$150.80 |
$150.80 |
$100.00
|
|
Infect ag na resp virus 12-25 targets
|
$549.90 |
$549.90 |
$549.90 |
$854.70
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$191.75 |
$191.75 |
$191.75 |
$83.60
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$35.10 |
$35.10 |
$35.10 |
$76.00
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$32.50 |
$32.50 |
$32.50 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$81.90 |
$81.90 |
$81.90 |
$103.40
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$332.15 |
$332.15 |
$332.15 |
$81.20
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$103.35 |
$103.35 |
$103.35 |
$60.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$245.05 |
$245.05 |
$245.05 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$253.50 |
$253.50 |
$253.50 |
$129.00
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$388.05 |
$388.05 |
$388.05 |
$98.58
|
|
Infectious agent nucleic acid amplified probe
|
$905.45 |
$905.45 |
$905.45 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$53.30 |
$53.30 |
$53.30 |
$141.95
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$198.25 |
$198.25 |
$198.25 |
$167.05
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$770.90 |
$770.90 |
$770.90 |
$864.67
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$121.55 |
$121.55 |
$121.55 |
$181.35
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$121.55 |
$121.55 |
$121.55 |
$149.13
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$348.40 |
$348.40 |
$348.40 |
$212.16
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$53.30 |
$53.30 |
$53.30 |
$137.67
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$128.70 |
$128.70 |
$128.70 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$139.10 |
$139.10 |
$139.10 |
$236.08
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$146.90 |
$146.90 |
$146.90 |
$96.00
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$494.65 |
$494.65 |
$494.65 |
$195.60
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$695.50 |
$695.50 |
$695.50 |
$727.50
|
|
Infectious agent nucleic acid quantification bk virus
|
$495.30 |
$495.30 |
$495.30 |
$283.00
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$250.25 |
$250.25 |
$250.25 |
$242.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$193.70 |
$193.70 |
$193.70 |
$253.00
|
|
Infectious agent nucleic acid quantification hiv-1
|
$178.75 |
$178.75 |
$178.75 |
$375.00
|
|
Infliximab 100 mg intravenous solution
|
$543.40 |
$543.40 |
$543.40 |
$2,047.13
|
|
Infliximab-axxq 100 mg intravenous solution
|
$304.85 |
$304.85 |
$304.85 |
$1,062.00
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$445.90 |
$445.90 |
$445.90 |
$1,537.84
|
|
Ingest challenge ea addl 60 min
|
$707.85 |
$707.85 |
$707.85 |
$289.64
|
|
Ingest challenge ini 120 min
|
$1,414.40 |
$1,414.40 |
$1,414.40 |
$764.78
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$618.80 |
$618.80 |
$618.80 |
$296.00
|
|
Inj, acetaminophen (b braun)
|
$79.30 |
$79.30 |
$79.30 |
$32.79
|
|
Inj acetaminophen -fresenius
|
$93.60 |
$93.60 |
$93.60 |
$36.60
|
|
Inj, acetaminophen (hikma)
|
$115.70 |
$115.70 |
$115.70 |
$56.70
|
|
Inj. acthar gel to 40 units
|
$17,231.50 |
$17,231.50 |
$17,231.50 |
$7,918.32
|
|
Inj, adalimumab, 1 mg
|
$701.35 |
$701.35 |
$701.35 |
$12,098.05
|
|
Inj, adstiladrin, per tx dos
|
$249,373.80 |
$249,373.80 |
$249,373.80 |
$63,354.77
|
|
Inj, aducanumab-avwa, 2 mg
|
$15.60 |
$15.60 |
$15.60 |
$5.98
|
|
Inj allopurinol sodium 1 mg
|
$19,180.85 |
$19,180.85 |
$19,180.85 |
$6,968.99
|
|
Inj alymsys 10 mg
|
$363.35 |
$363.35 |
$363.35 |
$1,280.74
|
|
Inj andexxa, 10 mg
|
$536.90 |
$536.90 |
$536.90 |
$4,370.80
|
|
Inj anifrolumab-fnia 1mg
|
$79.95 |
$79.95 |
$79.95 |
$10,052.58
|
|
Inj, artesunate, 1mg
|
$424.80 |
$424.80 |
$424.80 |
$14,460.21
|
|
Inj, aspara, rylaze, 0.1 mg
|
$234.65 |
$234.65 |
$234.65 |
$10,458.00
|
|
Inj., benralizumab, 1 mg
|
$837.20 |
$837.20 |
$837.20 |
$11,310.00
|
|
Inj, bezlotoxumab, 10 mg
|
$192.40 |
$192.40 |
$192.40 |
$7,612.43
|
|
Inj., brexanolone, 1 mg
|
$377.00 |
$377.00 |
$377.00 |
$13,019.44
|
|
Inj calcitriol per 0.1 mcg
|
$92.95 |
$92.95 |
$92.95 |
$22.69
|
|
Inj cefazolin sodium, baxter
|
$87.75 |
$87.75 |
$87.75 |
$27.38
|
|
Inj cefazolin sodium, hikma
|
$23.40 |
$23.40 |
$23.40 |
$27.38
|
|
Inj, cefepime hcl (b braun)
|
$230.75 |
$230.75 |
$230.75 |
$69.85
|
|
Inj, cefiderocol, 10 mg
|
$16.25 |
$16.25 |
$16.25 |
$544.85
|
|
Inj ceftolozane tazobactam
|
$57.85 |
$57.85 |
$57.85 |
$364.86
|
|
Inj, clindamycin (baxter)
|
$127.40 |
$127.40 |
$127.40 |
$48.30
|
|
Inj., copanlisib, 1 mg
|
$746.20 |
$746.20 |
$746.20 |
$9,204.29
|
|
Inj crotalidae im f(ab')2 eq
|
$3,657.55 |
$3,657.55 |
$3,657.55 |
$2,613.60
|
|
Inj, cyclophos (baxter) 5mg
|
$49.40 |
$49.40 |
$49.40 |
$2,584.85
|
|
Inj cyclophos dr.reddy's 5mg
|
$86.45 |
$86.45 |
$86.45 |
$5,460.00
|
|
Inj cyclophosphamd auromedic
|
$40.95 |
$40.95 |
$40.95 |
$249.68
|
|
Inj cyclophosphamd (ingenus)
|
$173.55 |
$173.55 |
$173.55 |
$742.72
|
|
Inj, cyclophosphamd, sandoz
|
$83.20 |
$83.20 |
$83.20 |
$735.20
|
|
Inj daptomycin (xellia)
|
$3.25 |
$3.25 |
$3.25 |
$56.04
|
|
Inj, decitabine (sun pharma)
|
$16.25 |
$16.25 |
$16.25 |
$310.09
|
|
Inj, donanemab-azbt, 2 mg
|
$24.05 |
$24.05 |
$24.05 |
$1,233.44
|
|
Inj dx for sinogram
|
$917.80 |
$917.80 |
$917.80 |
$436.00
|
|
Injection arthrography hip without anesthesia (both sides)
|
$1,066.65 |
$1,066.65 |
$1,066.65 |
$503.50
|
|
Injection, belinostat, 10mg
|
$226.20 |
$226.20 |
$226.20 |
$4,446.10
|
|
Injection, burosumab-twza 1m
|
$1,075.10 |
$1,075.10 |
$1,075.10 |
$20,002.09
|
|
Injection, cangrelor
|
$136.50 |
$136.50 |
$136.50 |
$1,889.78
|
|
Injection, caplacizumab-yhdp
|
$2,076.10 |
$2,076.10 |
$2,076.10 |
$16,319.16
|
|
Injection, daratumumab 10 mg
|
$334.75 |
$334.75 |
$334.75 |
$5,324.34
|
|
Injection for bladder x-ray
|
$1,782.95 |
$1,782.95 |
$1,782.95 |
$459.20
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$1,066.65 |
$1,066.65 |
$1,066.65 |
$497.76
|
|
Injection for spleen x-ray
|
$4,331.60 |
$4,331.60 |
$4,331.60 |
$686.40
|
|
Injection for ureter x-ray
|
$776.10 |
$776.10 |
$776.10 |
$415.80
|
|
Injection for ureter x-ray
|
$393.25 |
$393.25 |
$393.25 |
$515.21
|
|
Injection, fulvestrant
|
$333.45 |
$333.45 |
$333.45 |
$1,719.16
|
|
Injection glatiramer acetate
|
$1,790.75 |
$1,790.75 |
$1,790.75 |
$830.51
|
|
Injection, glucarpidase
|
$1,066.00 |
$1,066.00 |
$1,066.00 |
$74,113.20
|
|
Injection, inclisiran, 1 mg
|
$56.55 |
$56.55 |
$56.55 |
$6,679.35
|
|
Injection into brain canal
|
$1,253.20 |
$1,253.20 |
$1,253.20 |
$844.50
|
|
Injection, isavuconazonium
|
$3,050.45 |
$3,050.45 |
$3,050.45 |
$787.67
|
|
Injection jugular
|
$1,201.20 |
$1,201.20 |
$1,201.20 |
$790.00
|
|
Injection, necitumumab, 1 mg
|
$53.30 |
$53.30 |
$53.30 |
$8,572.91
|
|
Injection of sinus tract
|
$1,159.60 |
$1,159.60 |
$1,159.60 |
$1,640.99
|
|
Injection,onabotulinumtoxina
|
$45.50 |
$45.50 |
$45.50 |
$2,277.65
|
|
Injection, peramivir
|
$48.75 |
$48.75 |
$48.75 |
$744.75
|
|
Injection, renflexis
|
$380.90 |
$380.90 |
$380.90 |
$1,341.52
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$5,597.15 |
$5,597.15 |
$5,597.15 |
$1,043.72
|
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
|
$4,373.85 |
$4,373.85 |
$4,373.85 |
$2,040.36
|
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
|
$3,463.85 |
$3,463.85 |
$3,463.85 |
$1,685.00
|
|
Injection, siltuximab
|
$683.15 |
$683.15 |
$683.15 |
$11,502.35
|