|
Infectious agent nucleic acid amplified probe
|
$331.00 |
$331.00 |
$331.00 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$223.00 |
$223.00 |
$223.00 |
$141.95
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$176.00 |
$176.00 |
$176.00 |
$167.05
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$1,160.00 |
$1,160.00 |
$1,160.00 |
$864.67
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$378.00 |
$378.00 |
$378.00 |
$181.35
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$213.00 |
$213.00 |
$213.00 |
$149.13
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$198.00 |
$198.00 |
$198.00 |
$212.16
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$206.00 |
$206.00 |
$206.00 |
$137.67
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$217.00 |
$217.00 |
$217.00 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$217.00 |
$217.00 |
$217.00 |
$206.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$217.00 |
$217.00 |
$217.00 |
$236.08
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$105.00 |
$105.00 |
$105.00 |
$96.00
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$131.00 |
$131.00 |
$131.00 |
$112.45
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$230.00 |
$230.00 |
$230.00 |
$195.60
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$1,214.00 |
$1,214.00 |
$1,214.00 |
$727.50
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$443.00 |
$443.00 |
$443.00 |
$289.91
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$907.00 |
$907.00 |
$907.00 |
$432.63
|
|
Infectious agent nucleic acid quantification bk virus
|
$588.00 |
$588.00 |
$588.00 |
$283.00
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$406.00 |
$406.00 |
$406.00 |
$242.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$612.00 |
$612.00 |
$612.00 |
$253.00
|
|
Infectious agent nucleic acid quantification hiv-1
|
$730.00 |
$730.00 |
$730.00 |
$375.00
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$423.00 |
$423.00 |
$423.00 |
$304.20
|
|
Infliximab 100 mg intravenous solution
|
$288.69 |
$288.69 |
$288.69 |
$2,047.13
|
|
Infliximab-axxq 100 mg intravenous solution
|
$123.60 |
$123.60 |
$123.60 |
$1,062.00
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$226.44 |
$226.44 |
$226.44 |
$1,537.84
|
|
Influenza virus vaccine, inact hemagglutinin tiv pf inj
|
$147.29 |
$147.29 |
$147.29 |
$111.51
|
|
Inf lwr xtr fscl pln blk uni w/wo image
|
$246.00 |
$246.00 |
$246.00 |
$762.00
|
|
Inf thrc fascial pln blk bi w/wo image
|
$268.00 |
$268.00 |
$268.00 |
$523.25
|
|
Inf thrc fascial pln blk uni w/wo image
|
$255.00 |
$255.00 |
$255.00 |
$770.00
|
|
Infuse radioactive materials
|
$1,305.00 |
$1,305.00 |
$1,305.00 |
$739.50
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$307.00 |
$307.00 |
$307.00 |
$296.00
|
|
Init pm e/m new pat 65+ yrs
|
$698.00 |
$698.00 |
$698.00 |
$189.15
|
|
Inj, abilify maintena, 1 mg
|
$17.49 |
$17.49 |
$17.49 |
$5,355.30
|
|
Inj, acetaminophen (b braun)
|
$0.35 |
$0.35 |
$0.35 |
$32.79
|
|
Inj acetaminophen -fresenius
|
$0.41 |
$0.41 |
$0.41 |
$36.60
|
|
Inj, adalimumab, 1 mg
|
$376.47 |
$376.47 |
$376.47 |
$12,098.05
|
|
Inj, adstiladrin, per tx dos
|
$37,080.00 |
$37,080.00 |
$37,080.00 |
$63,354.77
|
|
Inj anifrolumab-fnia 1mg
|
$33.06 |
$33.06 |
$33.06 |
$10,052.58
|
|
Inj, aponvie, 1 mg
|
$8.11 |
$8.11 |
$8.11 |
$3.36
|
|
Inj., aristada initio, 1 mg
|
$8.66 |
$8.66 |
$8.66 |
$4,052.45
|
|
Inj, artesunate, 1mg
|
$111.91 |
$111.91 |
$111.91 |
$14,460.21
|
|
Inj, aspara, rylaze, 0.1 mg
|
$126.81 |
$126.81 |
$126.81 |
$10,458.00
|
|
Inj aval alfa-nqpt 4mg
|
$51.09 |
$51.09 |
$51.09 |
$3,907.30
|
|
Inj., benralizumab, 1 mg
|
$467.76 |
$467.76 |
$467.76 |
$11,310.00
|
|
Inj, betibeglogene autotemce
|
$11,536,000.00 |
$11,536,000.00 |
$11,536,000.00 |
$4,057,157.07
|
|
Inj, bezlotoxumab, 10 mg
|
$84.82 |
$84.82 |
$84.82 |
$7,612.43
|
|
Inj brixadi, more than 7 day
|
$43.98 |
$43.98 |
$43.98 |
$2,858.76
|
|
Inj, bupivacaine liposome
|
$6.69 |
$6.69 |
$6.69 |
$699.38
|
|
Inj calcitriol per 0.1 mcg
|
$11.33 |
$11.33 |
$11.33 |
$22.69
|
|
Inj cefazolin sodium, hikma
|
$2.93 |
$2.93 |
$2.93 |
$27.38
|
|
Inj. cefepime hcl (baxter)
|
$16.74 |
$16.74 |
$16.74 |
$86.84
|
|
Inj, cefepime hcl (b braun)
|
$42.57 |
$42.57 |
$42.57 |
$69.85
|
|
Inj, cefiderocol, 10 mg
|
$6.95 |
$6.95 |
$6.95 |
$544.85
|
|
Inj ceftolozane tazobactam
|
$34.72 |
$34.72 |
$34.72 |
$364.86
|
|
Inj, cipaglucosidase, 5 mg
|
$214.48 |
$214.48 |
$214.48 |
$3,278.80
|
|
Inj, clevidipine butyrate
|
$14.71 |
$14.71 |
$14.71 |
$4.86
|
|
Inj cntr knee arthro incl ct/mri
|
$936.00 |
$936.00 |
$936.00 |
$436.80
|
|
Inj, cyclophos (baxter) 5mg
|
$15.84 |
$15.84 |
$15.84 |
$2,584.85
|
|
Inj, daptomycin (hospira)
|
$0.62 |
$0.62 |
$0.62 |
$128.08
|
|
Inj daptomycin (xellia)
|
$0.64 |
$0.64 |
$0.64 |
$56.04
|
|
Inj daxibotulinumtoxina-lanm
|
$10.63 |
$10.63 |
$10.63 |
$736.62
|
|
Inj disk cerv-thor ea lev
|
$2,201.00 |
$2,201.00 |
$2,201.00 |
$875.28
|
|
Inj, donanemab-azbt, 2 mg
|
$9.83 |
$9.83 |
$9.83 |
$1,233.44
|
|
Inj dx for sinogram
|
$721.00 |
$721.00 |
$721.00 |
$436.00
|
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
|
$4,631.00 |
$4,631.00 |
$4,631.00 |
$1,214.78
|
|
Injection arthrography hip without anesthesia (both sides)
|
$984.00 |
$984.00 |
$984.00 |
$503.50
|
|
Injection, belinostat, 10mg
|
$118.75 |
$118.75 |
$118.75 |
$4,446.10
|
|
Injection, cangrelor
|
$47.22 |
$47.22 |
$47.22 |
$1,889.78
|
|
Injection, caplacizumab-yhdp
|
$1,852.20 |
$1,852.20 |
$1,852.20 |
$16,319.16
|
|
Injection carpal tunnel therapeutic (both sides)
|
$4,862.00 |
$4,862.00 |
$4,862.00 |
$458.15
|
|
Injection, daratumumab 10 mg
|
$181.59 |
$181.59 |
$181.59 |
$5,324.34
|
|
Injection during cath supravalvular aortography
|
$2,858.00 |
$2,858.00 |
$2,858.00 |
$1,027.26
|
|
Injection epidural blood patch or clot
|
$4,862.00 |
$4,862.00 |
$4,862.00 |
$1,182.33
|
|
Injection eye drug
|
$3,920.00 |
$3,920.00 |
$3,920.00 |
$654.00
|
|
Injection, famotidine, 20 mg
|
$4.12 |
$4.12 |
$4.12 |
$24.14
|
|
Injection for arthrography wrist (both sides)
|
$874.00 |
$874.00 |
$874.00 |
$436.00
|
|
Injection for bladder x-ray
|
$4,377.00 |
$4,377.00 |
$4,377.00 |
$459.20
|
|
Injection for hip x-ray
|
$4,377.00 |
$4,377.00 |
$4,377.00 |
$763.60
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$693.00 |
$693.00 |
$693.00 |
$497.76
|
|
Injection for spleen x-ray
|
$1,960.00 |
$1,960.00 |
$1,960.00 |
$686.40
|
|
Injection for ureter x-ray
|
$391.00 |
$391.00 |
$391.00 |
$415.80
|
|
Injection for ureter x-ray
|
$659.00 |
$659.00 |
$659.00 |
$515.21
|
|
Injection, fulvestrant
|
$239.68 |
$239.68 |
$239.68 |
$1,719.16
|
|
Injection, inclisiran, 1 mg
|
$29.41 |
$29.41 |
$29.41 |
$6,679.35
|
|
Injection into brain canal
|
$4,661.00 |
$4,661.00 |
$4,661.00 |
$844.50
|
|
Injection into hemorrhoid(s)
|
$4,377.00 |
$4,377.00 |
$4,377.00 |
$1,433.00
|
|
Injection, isavuconazonium
|
$4.45 |
$4.45 |
$4.45 |
$787.67
|
|
Injection jugular
|
$434.00 |
$434.00 |
$434.00 |
$790.00
|
|
Injection of sinus tract
|
$4,299.00 |
$4,299.00 |
$4,299.00 |
$1,640.99
|
|
Injection,onabotulinumtoxina
|
$17.24 |
$17.24 |
$17.24 |
$2,277.65
|
|
Injection, peramivir
|
$6.85 |
$6.85 |
$6.85 |
$744.75
|
|
Injection radioactive tracer sentinel node (both sides)
|
$1,275.00 |
$1,275.00 |
$1,275.00 |
$685.44
|
|
Injection, renflexis
|
$24.86 |
$24.86 |
$24.86 |
$1,341.52
|
|
Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides)
|
$4,862.00 |
$4,862.00 |
$4,862.00 |
$1,582.12
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$4,862.00 |
$4,862.00 |
$4,862.00 |
$1,391.40
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$4,862.00 |
$4,862.00 |
$4,862.00 |
$1,043.72
|
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
|
$4,862.00 |
$4,862.00 |
$4,862.00 |
$2,040.36
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
|
$4,862.00 |
$4,862.00 |
$4,862.00 |
$1,030.05
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
|
$4,862.00 |
$4,862.00 |
$4,862.00 |
$1,855.36
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
|
$4,862.00 |
$4,862.00 |
$4,862.00 |
$1,043.20
|
