|
Infect ag genotype na hiv-1 other region
|
$447.07 |
$447.07 |
$447.07 |
$301.50
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$1,009.86 |
$1,009.86 |
$1,009.86 |
$574.60
|
|
Infect ag ia direct hiv-1 antgn
|
$204.23 |
$204.23 |
$204.23 |
$95.55
|
|
Infect ag ia optc obs influenza
|
$143.54 |
$143.54 |
$143.54 |
$66.72
|
|
Infect ag if influenza a
|
$58.41 |
$58.41 |
$58.41 |
$40.61
|
|
Infect ag if influenza b
|
$58.41 |
$58.41 |
$58.41 |
$34.67
|
|
Infect ag if nos ea
|
$46.59 |
$46.59 |
$46.59 |
$60.40
|
|
Infect ag if pneumocystis carinii
|
$44.98 |
$44.98 |
$44.98 |
$62.29
|
|
Infect ag na herpes simplex quant
|
$1,059.60 |
$1,059.60 |
$1,059.60 |
$145.20
|
|
Infect ag na hpv high-risk types
|
$194.17 |
$194.17 |
$194.17 |
$139.75
|
|
Infect ag na influenza r/amp 1st 2 types
|
$505.35 |
$505.35 |
$505.35 |
$227.96
|
|
Infect ag na resp virus 12-25 targets
|
$804.48 |
$804.48 |
$804.48 |
$859.44
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$143.60 |
$143.60 |
$143.60 |
$81.44
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$142.54 |
$142.54 |
$142.54 |
$80.05
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$150.73 |
$150.73 |
$150.73 |
$77.28
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$61.92 |
$61.92 |
$61.92 |
$83.50
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$63.26 |
$63.26 |
$63.26 |
$77.72
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$35.50 |
$35.50 |
$35.50 |
$55.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$73.17 |
$73.17 |
$73.17 |
$101.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$277.73 |
$277.73 |
$277.73 |
$132.60
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$25.38 |
$25.38 |
$25.38 |
$97.50
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$34.67 |
$34.67 |
$34.67 |
$60.00
|
|
Infectious agent nucleic acid amplified probe
|
$487.08 |
$487.08 |
$487.08 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$237.69 |
$237.69 |
$237.69 |
$141.48
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$101.00 |
$101.00 |
$101.00 |
$174.06
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$804.48 |
$804.48 |
$804.48 |
$855.45
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$72.71 |
$72.71 |
$72.71 |
$178.00
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$234.95 |
$234.95 |
$234.95 |
$150.15
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$317.66 |
$317.66 |
$317.66 |
$210.00
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$237.26 |
$237.26 |
$237.26 |
$136.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$382.88 |
$382.88 |
$382.88 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$497.26 |
$497.26 |
$497.26 |
$222.60
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$567.70 |
$567.70 |
$567.70 |
$248.15
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$106.65 |
$106.65 |
$106.65 |
$98.15
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$486.69 |
$486.69 |
$486.69 |
$112.45
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$1,300.59 |
$1,300.59 |
$1,300.59 |
$727.50
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$389.85 |
$389.85 |
$389.85 |
$283.20
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$312.69 |
$312.69 |
$312.69 |
$489.50
|
|
Infectious agent nucleic acid quantification bk virus
|
$535.20 |
$535.20 |
$535.20 |
$285.66
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$208.91 |
$208.91 |
$208.91 |
$226.35
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$193.94 |
$193.94 |
$193.94 |
$278.78
|
|
Infectious agent nucleic acid quantification hiv-1
|
$1,083.66 |
$1,083.66 |
$1,083.66 |
$381.55
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$820.94 |
$820.94 |
$820.94 |
$298.35
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$693.72 |
$693.72 |
$693.72 |
$359.64
|
|
Initiation & management bipap/cpap initial day
|
$1,351.16 |
$1,351.16 |
$1,351.16 |
$645.79
|
|
Inj., benralizumab, 1 mg
|
$25,555.39 |
$25,555.39 |
$25,555.39 |
$16,865.48
|
|
Inj, bezlotoxumab, 10 mg
|
$5,732.41 |
$5,732.41 |
$5,732.41 |
$9,702.65
|
|
Inj cefazolin sodium, hikma
|
$33.32 |
$33.32 |
$33.32 |
$56.70
|
|
Inj cntr knee arthro incl ct/mri
|
$385.16 |
$385.16 |
$385.16 |
$464.28
|
|
Inj, durolane 1 mg
|
$2,706.74 |
$2,706.74 |
$2,706.74 |
$3,382.31
|
|
Injection arthrography hip without anesthesia (both sides)
|
$384.07 |
$384.07 |
$384.07 |
$507.10
|
|
Injection, daratumumab 10 mg
|
$10,829.69 |
$10,829.69 |
$10,829.69 |
$7,107.73
|
|
Injection during cath supravalvular aortography
|
$637.75 |
$637.75 |
$637.75 |
$1,148.80
|
|
Injection epidural blood patch or clot
|
$613.74 |
$613.74 |
$613.74 |
$1,473.12
|
|
Injection for arthrography wrist (both sides)
|
$197.55 |
$197.55 |
$197.55 |
$441.12
|
|
Injection for bladder x-ray
|
$178.32 |
$178.32 |
$178.32 |
$585.00
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$217.29 |
$217.29 |
$217.29 |
$504.00
|
|
Injection, fulvestrant
|
$9,063.51 |
$9,063.51 |
$9,063.51 |
$2,756.47
|
|
Injection, inclisiran, 1 mg
|
$18,077.55 |
$18,077.55 |
$18,077.55 |
$10,366.61
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$2,252.23 |
$2,252.23 |
$2,252.23 |
$1,471.50
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$1,179.75 |
$1,179.75 |
$1,179.75 |
$1,017.28
|
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
|
$1,500.00 |
$1,500.00 |
$1,500.00 |
$1,758.12
|
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
|
$256.60 |
$256.60 |
$256.60 |
$472.76
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$446.61 |
$446.61 |
$446.61 |
$552.60
|
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
|
$926.67 |
$926.67 |
$926.67 |
$670.00
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$198.37 |
$198.37 |
$198.37 |
$168.05
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$198.37 |
$198.37 |
$198.37 |
$154.05
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$198.37 |
$198.37 |
$198.37 |
$271.65
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$111.57 |
$111.57 |
$111.57 |
$141.60
|
|
Inject sacroiliac joint
|
$2,002.40 |
$2,002.40 |
$2,002.40 |
$1,090.00
|
|
Inj efgart-alfa 2mg hya-qvfc
|
$82,615.66 |
$82,615.66 |
$82,615.66 |
$66,229.74
|
|
Inj for ext venography
|
$497.40 |
$497.40 |
$497.40 |
$737.55
|
|
Inj, fulvestrant (fresenius)
|
$1,319.22 |
$1,319.22 |
$1,319.22 |
$1,713.99
|
|
Inj glycopyrrolate fres kabi
|
$21.90 |
$21.90 |
$21.90 |
$96.70
|
|
Inj ivig privigen 500 mg
|
$12,618.47 |
$12,618.47 |
$12,618.47 |
$7,298.71
|
|
Inj mepivacaine hcl/10 ml
|
$11.21 |
$11.21 |
$11.21 |
$28.41
|
|
Inj multihance
|
$154.11 |
$154.11 |
$154.11 |
$119.25
|
|
Inj nephrosto/ureterogram w/img exstng access
|
$1,937.24 |
$1,937.24 |
$1,937.24 |
$1,522.56
|
|
Inj proc ankle arthr
|
$357.45 |
$357.45 |
$357.45 |
$405.31
|
|
Inj proc elbow arthro
|
$332.77 |
$332.77 |
$332.77 |
$453.60
|
|
Inj scleros sol sgl vein
|
$810.02 |
$810.02 |
$810.02 |
$534.40
|
|
Inj secukinumab intrav 1mg
|
$11,310.00 |
$11,310.00 |
$11,310.00 |
$9,077.39
|
|
Inj, spesolimab-sbzo, 1 mg
|
$273,155.32 |
$273,155.32 |
$273,155.32 |
$253,022.14
|
|
Inj testosterone cypionate
|
$82.58 |
$82.58 |
$82.58 |
$77.15
|
|
Inj, tislelizumab-jsgr
|
$34,414.41 |
$34,414.41 |
$34,414.41 |
$45,250.97
|
|
Inj, vancomycin hcl (mylan)
|
$17.66 |
$17.66 |
$17.66 |
$63.82
|
|
Inj, vegzelma, 10 mg
|
$14,010.36 |
$14,010.36 |
$14,010.36 |
$10,892.59
|
|
Inj w/fluor eval cv device
|
$757.47 |
$757.47 |
$757.47 |
$588.90
|
|
Ins cath ren art 1st bi
|
$10,918.89 |
$10,918.89 |
$10,918.89 |
$6,033.75
|
|
Ins cath ren art 1st uni
|
$10,918.89 |
$10,918.89 |
$10,918.89 |
$4,667.63
|
|
Ins cath ren art 2nd+ uni
|
$7,438.90 |
$7,438.90 |
$7,438.90 |
$5,528.94
|
|
Insert cath pleura with image
|
$1,889.23 |
$1,889.23 |
$1,889.23 |
$2,239.02
|
|
Insert hepatic shunt (tips)
|
$13,394.93 |
$13,394.93 |
$13,394.93 |
$9,754.48
|
|
Insertion catheter bladder non indwelling
|
$152.31 |
$152.31 |
$152.31 |
$237.13
|
|
Insertion catheter bladder temporary simple
|
$156.78 |
$156.78 |
$156.78 |
$273.60
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$8,194.95 |
$8,194.95 |
$8,194.95 |
$4,943.21
|
|
Insertion intra aortic balloon assist device percutaneous
|
$5,321.75 |
$5,321.75 |
$5,321.75 |
$2,549.95
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$13,854.97 |
$13,854.97 |
$13,854.97 |
$7,088.54
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$5,854.97 |
$5,854.97 |
$5,854.97 |
$2,618.40
|
|
Insertion of catheter vein
|
$348.43 |
$348.43 |
$348.43 |
$1,749.80
|