|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$2,537.25 |
$2,537.25 |
$2,537.25 |
$727.50
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$848.25 |
$848.25 |
$848.25 |
$286.06
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$1,299.00 |
$1,299.00 |
$1,299.00 |
$423.53
|
|
Infectious agent nucleic acid quantification bk virus
|
$310.50 |
$310.50 |
$310.50 |
$279.40
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$189.00 |
$189.00 |
$189.00 |
$239.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$345.00 |
$345.00 |
$345.00 |
$252.00
|
|
Infectious agent nucleic acid quantification hiv-1
|
$562.50 |
$562.50 |
$562.50 |
$374.00
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$441.00 |
$441.00 |
$441.00 |
$303.59
|
|
Infliximab 100 mg intravenous solution
|
$2,736.45 |
$2,736.45 |
$2,736.45 |
$2,080.86
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$2,218.05 |
$2,218.05 |
$2,218.05 |
$1,537.84
|
|
Influenza dna amp prob addl
|
$144.00 |
$144.00 |
$144.00 |
$64.26
|
|
Influenza virus vaccine, inact hemagglutinin tiv pf inj
|
$203.78 |
$203.78 |
$203.78 |
$111.51
|
|
Influenza virus vaccine, live trivalent intranasal
|
$81.60 |
$81.60 |
$81.60 |
$36.50
|
|
Infuse radioactive materials
|
$1,506.75 |
$1,506.75 |
$1,506.75 |
$640.50
|
|
Ingest challenge ini 120 min
|
$1,163.25 |
$1,163.25 |
$1,163.25 |
$764.78
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$596.25 |
$596.25 |
$596.25 |
$293.25
|
|
Initiation & management bipap/cpap initial day
|
$565.50 |
$565.50 |
$565.50 |
$576.00
|
|
Init/sub psych care m 1st 30
|
$246.75 |
$246.75 |
$246.75 |
$94.34
|
|
Inj, abilify asimtufii, 1 mg
|
$13,596.51 |
$13,596.51 |
$13,596.51 |
$9,426.91
|
|
Inj, abilify maintena, 1 mg
|
$6,800.14 |
$6,800.14 |
$6,800.14 |
$5,355.30
|
|
Inj, acetaminophen (b braun)
|
$22.50 |
$22.50 |
$22.50 |
$33.31
|
|
Inj. acthar gel to 40 units
|
$10,604.89 |
$10,604.89 |
$10,604.89 |
$7,918.32
|
|
Inj, adalimumab, 1 mg
|
$16,202.75 |
$16,202.75 |
$16,202.75 |
$12,098.05
|
|
Inj, adstiladrin, per tx dos
|
$32,889.75 |
$32,889.75 |
$32,889.75 |
$63,354.77
|
|
Inj, aflibercept-ayyh, 1 mg
|
$3,997.27 |
$3,997.27 |
$3,997.27 |
$2,771.44
|
|
Inj, aflibercept hd, 1 mg
|
$6,394.41 |
$6,394.41 |
$6,394.41 |
$2,794.18
|
|
Inj, afstyla, 1 i.u
|
$9.75 |
$9.75 |
$9.75 |
$6.76
|
|
Inj, alfentanil hcl, 500mcg
|
$51.84 |
$51.84 |
$51.84 |
$35.94
|
|
Inj allopurinol sodium 1 mg
|
$9,333.47 |
$9,333.47 |
$9,333.47 |
$6,968.99
|
|
Inj alymsys 10 mg
|
$1,715.28 |
$1,715.28 |
$1,715.28 |
$1,280.74
|
|
Inj, amisulpride, 1 mg
|
$132.54 |
$132.54 |
$132.54 |
$91.89
|
|
Inj andexxa, 10 mg
|
$5,853.75 |
$5,853.75 |
$5,853.75 |
$4,370.80
|
|
Inj anifrolumab-fnia 1mg
|
$12,734.85 |
$12,734.85 |
$12,734.85 |
$9,878.82
|
|
Inj., aristada initio, 1 mg
|
$5,702.15 |
$5,702.15 |
$5,702.15 |
$4,052.45
|
|
Inj, artesunate, 1mg
|
$19,366.35 |
$19,366.35 |
$19,366.35 |
$14,460.21
|
|
Inj. asceniv
|
$11,298.93 |
$11,298.93 |
$11,298.93 |
$7,833.92
|
|
Inj, aspara, rylaze, 0.1 mg
|
$12,459.15 |
$12,459.15 |
$12,459.15 |
$10,458.00
|
|
Inj atezolizumb 5mg hya-tqjs
|
$25,066.77 |
$25,066.77 |
$25,066.77 |
$18,716.52
|
|
Inj avacincaptad pegol 0.1mg
|
$4,917.75 |
$4,917.75 |
$4,917.75 |
$3,409.64
|
|
Inj aval alfa-nqpt 4mg
|
$4,560.67 |
$4,560.67 |
$4,560.67 |
$3,907.30
|
|
Inj., benralizumab, 1 mg
|
$13,685.85 |
$13,685.85 |
$13,685.85 |
$11,239.97
|
|
Inj, bezlotoxumab, 10 mg
|
$8,895.75 |
$8,895.75 |
$8,895.75 |
$7,612.43
|
|
Inj bimatoprost itc imp1mcg
|
$4,742.25 |
$4,742.25 |
$4,742.25 |
$3,287.96
|
|
Inj, biorphen, 20 micrograms
|
$6.81 |
$6.81 |
$6.81 |
$17.12
|
|
Inj, bortezomib freseniuskab
|
$3,784.73 |
$3,784.73 |
$3,784.73 |
$2,527.00
|
|
Inj, bortezomib, hospira
|
$252.91 |
$252.91 |
$252.91 |
$175.35
|
|
Inj., brexanolone, 1 mg
|
$17,436.75 |
$17,436.75 |
$17,436.75 |
$13,019.44
|
|
Inj, brixadi, 7 days or less
|
$1,002.93 |
$1,002.93 |
$1,002.93 |
$748.85
|
|
Inj brixadi, more than 7 day
|
$4,000.47 |
$4,000.47 |
$4,000.47 |
$2,858.76
|
|
Inj, brolucizumab-dbll, 1 mg
|
$4,878.89 |
$4,878.89 |
$4,878.89 |
$3,382.69
|
|
Inj bulking agent anal canal
|
$13,738.99 |
$13,738.99 |
$13,738.99 |
$9,525.70
|
|
Inj, bupivacaine liposome
|
$936.67 |
$936.67 |
$936.67 |
$699.38
|
|
Inj. byooviz, 0.1 mg
|
$1,637.87 |
$1,637.87 |
$1,637.87 |
$1,135.59
|
|
Inj calcitriol per 0.1 mcg
|
$27.66 |
$27.66 |
$27.66 |
$23.28
|
|
Inj, carmustine (accord)
|
$13,225.56 |
$13,225.56 |
$13,225.56 |
$9,875.08
|
|
Inj cefazolin sodium, baxter
|
$32.06 |
$32.06 |
$32.06 |
$27.38
|
|
Inj cefazolin sodium, hikma
|
$30.60 |
$30.60 |
$30.60 |
$28.08
|
|
Inj cefazolin (wg crit care)
|
$18.69 |
$18.69 |
$18.69 |
$18.05
|
|
Inj. cefepime hcl (baxter)
|
$118.73 |
$118.73 |
$118.73 |
$86.84
|
|
Inj, cefepime hcl (b braun)
|
$63.97 |
$63.97 |
$63.97 |
$69.85
|
|
Inj, cefiderocol, 10 mg
|
$548.60 |
$548.60 |
$548.60 |
$544.85
|
|
Inj ceftolozane tazobactam
|
$411.75 |
$411.75 |
$411.75 |
$380.80
|
|
Inj. cetirizine hcl 0.5mg
|
$230.75 |
$230.75 |
$230.75 |
$159.98
|
|
Inj, cipaglucosidase, 5 mg
|
$4,391.25 |
$4,391.25 |
$4,391.25 |
$3,278.80
|
|
Inj, clindamycin (baxter)
|
$43.66 |
$43.66 |
$43.66 |
$48.96
|
|
Inj cntr knee arthro incl ct/mri
|
$768.75 |
$768.75 |
$768.75 |
$436.80
|
|
Inj., copanlisib, 1 mg
|
$12,327.18 |
$12,327.18 |
$12,327.18 |
$9,204.29
|
|
Inj crotalidae im f(ab')2 eq
|
$3,092.55 |
$3,092.55 |
$3,092.55 |
$2,613.60
|
|
Inj cutaquig 100 mg
|
$503.09 |
$503.09 |
$503.09 |
$348.81
|
|
Inj cuvitru, 100 mg
|
$5,576.27 |
$5,576.27 |
$5,576.27 |
$4,163.61
|
|
Inj, cyclophos (baxter) 5mg
|
$3,461.85 |
$3,461.85 |
$3,461.85 |
$2,584.85
|
|
Inj, cyclophosphamd, sandoz
|
$1,060.39 |
$1,060.39 |
$1,060.39 |
$735.20
|
|
Inj daptomycin (xellia)
|
$165.75 |
$165.75 |
$165.75 |
$56.04
|
|
Inj daxibotulinumtoxina-lanm
|
$986.55 |
$986.55 |
$986.55 |
$736.62
|
|
Inj, donanemab-azbt, 2 mg
|
$1,651.93 |
$1,651.93 |
$1,651.93 |
$1,233.44
|
|
Inj, durolane 1 mg
|
$2,612.85 |
$2,612.85 |
$2,612.85 |
$1,950.93
|
|
Inj dx for sinogram
|
$353.25 |
$353.25 |
$353.25 |
$422.59
|
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
|
$1,006.50 |
$1,006.50 |
$1,006.50 |
$1,214.78
|
|
Injection arthrography hip without anesthesia (both sides)
|
$846.00 |
$846.00 |
$846.00 |
$495.84
|
|
Injection, belinostat, 10mg
|
$5,954.61 |
$5,954.61 |
$5,954.61 |
$4,446.10
|
|
Injection, burosumab-twza 1m
|
$28,849.17 |
$28,849.17 |
$28,849.17 |
$20,002.09
|
|
Injection, cangrelor
|
$2,346.56 |
$2,346.56 |
$2,346.56 |
$1,889.78
|
|
Injection, caplacizumab-yhdp
|
$18,518.58 |
$18,518.58 |
$18,518.58 |
$16,375.33
|
|
Injection, casimersen, 10 mg
|
$3,747.75 |
$3,747.75 |
$3,747.75 |
$2,598.44
|
|
Injection, daratumumab 10 mg
|
$6,916.40 |
$6,916.40 |
$6,916.40 |
$5,239.24
|
|
Injection, delafloxacin
|
$352.30 |
$352.30 |
$352.30 |
$244.26
|
|
Injection, doxercalciferol
|
$9.08 |
$9.08 |
$9.08 |
$23.86
|
|
Injection during cath supravalvular aortography
|
$735.00 |
$735.00 |
$735.00 |
$952.66
|
|
Injection, edaravone, 1 mg
|
$1,522.22 |
$1,522.22 |
$1,522.22 |
$1,136.59
|
|
Injection epidural blood patch or clot
|
$893.25 |
$893.25 |
$893.25 |
$1,156.80
|
|
Injection eye drug
|
$900.00 |
$900.00 |
$900.00 |
$644.50
|
|
Injection for arthrography wrist (both sides)
|
$696.00 |
$696.00 |
$696.00 |
$428.40
|
|
Injection for bladder x-ray
|
$540.00 |
$540.00 |
$540.00 |
$459.20
|
|
Injection for hip x-ray
|
$921.75 |
$921.75 |
$921.75 |
$710.00
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$687.00 |
$687.00 |
$687.00 |
$494.65
|
|
Injection, fulvestrant
|
$2,302.44 |
$2,302.44 |
$2,302.44 |
$1,817.65
|
|
Injection glatiramer acetate
|
$1,197.86 |
$1,197.86 |
$1,197.86 |
$830.51
|
|
Injection, glucarpidase
|
$93,387.03 |
$93,387.03 |
$93,387.03 |
$74,113.20
|
|
Injection, inclisiran, 1 mg
|
$8,399.04 |
$8,399.04 |
$8,399.04 |
$6,679.35
|
|
Injection into brain canal
|
$432.00 |
$432.00 |
$432.00 |
$836.40
|
