|
Infect ag genotype na hiv-1 other region
|
$46.25 |
$46.25 |
$46.25 |
$301.50
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$138.75 |
$138.75 |
$340.00 |
$574.60
|
|
Infect ag ia direct hiv-1 antgn
|
$147.00 |
$147.00 |
$147.00 |
$95.55
|
|
Infect ag ia optc obs influenza
|
$24.33 |
$24.33 |
$1,388.00 |
$66.72
|
|
Infect ag if influenza a
|
$122.00 |
$122.00 |
$122.00 |
$40.61
|
|
Infect ag if legionella pneumophila
|
$12.21 |
$12.21 |
$122.00 |
$75.79
|
|
Infect ag if nos ea
|
$12.21 |
$12.21 |
$12.21 |
$60.40
|
|
Infect ag if pneumocystis carinii
|
$9.62 |
$9.62 |
$9.62 |
$62.29
|
|
Infect ag if varicella zoster
|
$17.39 |
$17.39 |
$122.00 |
$66.00
|
|
Infect ag na hep b amp
|
$34.78 |
$34.78 |
$34.78 |
$108.44
|
|
Infect ag na herpes simplex quant
|
$57.35 |
$57.35 |
$57.35 |
$145.20
|
|
Infect ag na hpv high-risk types
|
$62.99 |
$62.99 |
$480.00 |
$139.75
|
|
Infect ag na influenza r/amp 1st 2 types
|
$186.48 |
$186.48 |
$3,085.00 |
$227.96
|
|
Infect ag na influenza revr/amp ea type
|
$1,546.00 |
$1,546.00 |
$1,546.00 |
$124.80
|
|
Infect ag na orthopoxvirus amp prb each
|
$31.45 |
$31.45 |
$90.00 |
$102.00
|
|
Infect ag na resp virus 12-25 targets
|
$3,074.00 |
$3,074.00 |
$3,074.00 |
$859.44
|
|
Infect ag phenotype na hiv-1 ea addl drg
|
$36.63 |
$36.63 |
$36.63 |
$77.00
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$31.64 |
$31.64 |
$31.64 |
$81.44
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$43.48 |
$43.48 |
$1,670.00 |
$80.05
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$43.48 |
$43.48 |
$843.00 |
$77.28
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$16.28 |
$16.28 |
$16.28 |
$83.50
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$32.47 |
$32.47 |
$32.47 |
$77.72
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$6.29 |
$6.29 |
$6.29 |
$55.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$40.79 |
$40.79 |
$200.00 |
$101.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$51.43 |
$51.43 |
$1,297.00 |
$132.60
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$54.02 |
$54.02 |
$427.00 |
$97.50
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$10.92 |
$10.92 |
$78.00 |
$60.00
|
|
Infectious agent nucleic acid amplified probe
|
$117.29 |
$117.29 |
$117.29 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$49.21 |
$49.21 |
$1,546.00 |
$141.48
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$68.73 |
$68.73 |
$148.00 |
$174.06
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$361.58 |
$361.58 |
$361.58 |
$178.00
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$54.39 |
$54.39 |
$327.00 |
$150.15
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$63.73 |
$63.73 |
$63.73 |
$210.00
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$49.21 |
$49.21 |
$1,546.00 |
$136.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$25.53 |
$25.53 |
$62.00 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$211.09 |
$211.09 |
$211.09 |
$248.15
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$62.35 |
$62.35 |
$62.35 |
$98.15
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$51.80 |
$51.80 |
$51.80 |
$112.45
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$122.10 |
$122.10 |
$122.10 |
$283.20
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$467.13 |
$467.13 |
$467.13 |
$489.50
|
|
Infectious agent nucleic acid quantification bk virus
|
$131.72 |
$131.72 |
$131.72 |
$285.66
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$35.89 |
$35.89 |
$94.00 |
$226.35
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$156.14 |
$156.14 |
$846.00 |
$278.78
|
|
Infectious agent nucleic acid quantification hiv-1
|
$36.63 |
$36.63 |
$1,390.00 |
$381.55
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$303.59 |
$303.59 |
$303.59 |
$298.35
|
|
Infliximab 100 mg intravenous solution
|
$133.60 |
$135.03 |
$1,635.00 |
$2,791.24
|
|
Infliximab-axxq 100 mg intravenous solution
|
$57.05 |
$57.05 |
$57.05 |
$1,144.00
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$209.12 |
$209.12 |
$485.43 |
$1,654.83
|
|
Influenza dna amp prob addl
|
$54.85 |
$54.85 |
$1,546.00 |
$69.60
|
|
Influenza virus vaccine, inact hemagglutinin tiv pf inj
|
$206.00 |
$206.00 |
$206.00 |
$76.00
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$205.35 |
$205.35 |
$205.35 |
$359.64
|
|
Initiation & management bipap/cpap initial day
|
$340.22 |
$340.22 |
$915.00 |
$645.79
|
|
Inj anifrolumab-fnia 1mg
|
$25.34 |
$25.34 |
$25.34 |
$9,878.82
|
|
Inj., benralizumab, 1 mg
|
$126.64 |
$126.64 |
$164.97 |
$16,865.48
|
|
Inj, bezlotoxumab, 10 mg
|
$33.74 |
$33.74 |
$33.74 |
$9,702.65
|
|
Inj, bupivacaine liposome
|
$3.22 |
$3.22 |
$3.22 |
$816.31
|
|
Inj calcitriol per 0.1 mcg
|
$4.83 |
$4.83 |
$133.00 |
$33.36
|
|
Inj, cefiderocol, 10 mg
|
$2.60 |
$2.60 |
$40.70 |
$718.84
|
|
Inj ceftolozane tazobactam
|
$164.87 |
$238.00 |
$376.11 |
$447.36
|
|
Inj crotalidae im f(ab')2 eq
|
$1,074.85 |
$1,074.85 |
$4,375.00 |
$2,836.95
|
|
Inj, durolane 1 mg
|
$38.18 |
$38.18 |
$38.18 |
$3,382.31
|
|
Injection, cangrelor
|
$34.76 |
$34.86 |
$2,744.00 |
$2,546.20
|
|
Injection, daratumumab 10 mg
|
$66.71 |
$66.71 |
$66.71 |
$7,107.73
|
|
Injection, doxercalciferol
|
$12.03 |
$12.03 |
$12.03 |
$30.35
|
|
Injection, fulvestrant
|
$152.32 |
$152.32 |
$3,651.00 |
$2,756.47
|
|
Injection glatiramer acetate
|
$415.00 |
$415.00 |
$458.43 |
$405.93
|
|
Injection, inclisiran, 1 mg
|
$32.79 |
$32.79 |
$32.79 |
$10,366.61
|
|
Injection, isavuconazonium
|
$17.18 |
$17.18 |
$843.00 |
$646.20
|
|
Injection,onabotulinumtoxina
|
$16.14 |
$17.78 |
$2,308.00 |
$2,154.07
|
|
Injection, peramivir
|
$1,189.00 |
$1,189.00 |
$1,189.00 |
$1,257.68
|
|
Injection, renflexis
|
$2,536.00 |
$2,536.00 |
$2,536.00 |
$1,457.42
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$238.00 |
$238.00 |
$287.40 |
$168.05
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$47.27 |
$47.27 |
$57.17 |
$154.05
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$257.24 |
$257.24 |
$310.62 |
$271.65
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$157.25 |
$157.25 |
$157.25 |
$141.60
|
|
Injection torsemide 10 mg/ml
|
$9.66 |
$9.66 |
$24.14 |
$19.11
|
|
Inj., fibryga, 1 mg
|
$5.00 |
$5.00 |
$5.00 |
$1.11
|
|
Inj. herceptin hylecta, 10mg
|
$64.12 |
$64.12 |
$64.12 |
$63.79
|
|
Inj hrt cath w/s&i sel left vent
|
$900.86 |
$900.86 |
$900.86 |
$1,214.40
|
|
Inj hydroxocobalamin IV 25mg
|
$4.47 |
$4.47 |
$1,584.00 |
$3,180.35
|
|
Inj imip 4 cilas 4 releb 2mg
|
$420.36 |
$420.36 |
$420.36 |
$1,004.42
|
|
Inj ivig privigen 500 mg
|
$1,521.00 |
$1,521.00 |
$1,521.00 |
$7,298.71
|
|
Inj levocarnitine per 1 gm
|
$87.51 |
$87.51 |
$228.00 |
$138.96
|
|
Inj, levothyroxine, freskabi
|
$234.00 |
$234.00 |
$234.00 |
$302.07
|
|
Inj mepivacaine hcl/10 ml
|
$16.10 |
$16.10 |
$24.14 |
$28.41
|
|
Inj., meropenem, vaborbactam
|
$183.71 |
$183.71 |
$556.00 |
$618.43
|
|
Inj, moxifloxacin 100 mg
|
$137.00 |
$137.00 |
$137.00 |
$190.81
|
|
Inj, nithiodote, 3mg / 125mg
|
$739.00 |
$739.00 |
$739.00 |
$389.50
|
|
Inj ogivri 10 mg
|
$4,606.83 |
$4,606.83 |
$4,606.83 |
$3,968.67
|
|
Inj pegfilgrastim-bmez 0.5mg
|
$507.78 |
$507.78 |
$1,057.86 |
$6,403.59
|
|
Inj progesterone per 50 mg
|
$56.00 |
$56.00 |
$56.00 |
$48.51
|
|
Inj tedizolid phosphate
|
$922.00 |
$922.00 |
$922.00 |
$1,001.48
|
|
Inj testosterone cypionate
|
$37.37 |
$37.37 |
$37.37 |
$77.15
|
|
Inj thiotepa nos 1 mg
|
$384.00 |
$384.00 |
$384.00 |
$3,452.53
|
|
Inj, tyenne, 1 mg
|
$12.96 |
$12.96 |
$64.34 |
$860.68
|
|
Inotuzumab ozogamicin 0.9 mg(0.25 mg/ml initial concentration) IV soln
|
$12,348.67 |
$12,348.67 |
$12,348.67 |
$3,429.94
|
|
Insitu hybridization auto
|
$49.95 |
$49.95 |
$49.95 |
$398.16
|
|
Insitu hybridization (fish)
|
$1,567.00 |
$1,567.00 |
$1,567.00 |
$481.60
|
|
Insitu hybridization manual
|
$130.33 |
$130.33 |
$130.33 |
$407.11
|
|
In situ hybridization per specimen initial single probe stain
|
$80.29 |
$80.29 |
$80.29 |
$338.40
|