|
Infect ag na orthopoxvirus amp prb each
|
$184.10 |
$184.10 |
$184.10 |
$99.36
|
|
Infect ag na resp virus 12-25 targets
|
$1,032.50 |
$1,032.50 |
$1,032.50 |
$835.80
|
|
Infect ag phenotype na hiv-1 1-10 drugs
|
$1,685.60 |
$1,685.60 |
$1,685.60 |
$943.80
|
|
Infect ag phenotype na hiv-1 ea addl drg
|
$60.20 |
$60.20 |
$60.20 |
$75.63
|
|
Infectious agent antigen immunoassay direct optical observation sars-cov-2
|
$42.00 |
$42.00 |
$42.00 |
$53.00
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$126.00 |
$126.00 |
$126.00 |
$82.00
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$72.80 |
$72.80 |
$72.80 |
$72.80
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$95.20 |
$95.20 |
$95.20 |
$76.32
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$98.00 |
$98.00 |
$98.00 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$214.20 |
$214.20 |
$214.20 |
$100.02
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$163.80 |
$163.80 |
$163.80 |
$81.20
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$435.40 |
$435.40 |
$435.40 |
$60.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$112.00 |
$112.00 |
$112.00 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$266.00 |
$266.00 |
$266.00 |
$129.00
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$148.40 |
$148.40 |
$148.40 |
$98.02
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$85.40 |
$85.40 |
$85.40 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$1,157.10 |
$1,157.10 |
$1,157.10 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$275.10 |
$275.10 |
$275.10 |
$139.68
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$218.40 |
$218.40 |
$218.40 |
$167.00
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$1,304.10 |
$1,304.10 |
$1,304.10 |
$861.00
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$291.20 |
$291.20 |
$291.20 |
$179.92
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$282.80 |
$282.80 |
$282.80 |
$147.55
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$560.70 |
$560.70 |
$560.70 |
$217.85
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$275.10 |
$275.10 |
$275.10 |
$136.03
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$125.30 |
$125.30 |
$125.30 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$140.00 |
$140.00 |
$140.00 |
$206.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$290.50 |
$290.50 |
$290.50 |
$236.08
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$122.50 |
$122.50 |
$122.50 |
$92.50
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$130.90 |
$130.90 |
$130.90 |
$108.75
|
|
Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae
|
$550.20 |
$550.20 |
$550.20 |
$211.00
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$215.60 |
$215.60 |
$215.60 |
$185.00
|
|
Infectious agent nucleic acid joint space pathogens multiplex amplified probe >= 26 targets
|
$490.70 |
$490.70 |
$490.70 |
$1,143.75
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$747.60 |
$747.60 |
$747.60 |
$727.50
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$310.80 |
$310.80 |
$310.80 |
$286.06
|
|
Infectious agent nucleic acid quantification bk virus
|
$1,647.80 |
$1,647.80 |
$1,647.80 |
$279.40
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$1,099.70 |
$1,099.70 |
$1,099.70 |
$239.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$839.30 |
$839.30 |
$839.30 |
$252.00
|
|
Infectious agent nucleic acid quantification hiv-1
|
$1,141.70 |
$1,141.70 |
$1,141.70 |
$374.00
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$716.80 |
$716.80 |
$716.80 |
$303.59
|
|
Infliximab 100 mg intravenous solution
|
$6,647.20 |
$6,647.20 |
$6,647.20 |
$2,080.86
|
|
Infuse radioactive materials
|
$544.60 |
$544.60 |
$544.60 |
$640.50
|
|
Ingest challenge ea addl 60 min
|
$313.60 |
$313.60 |
$313.60 |
$289.64
|
|
Ingest challenge ini 120 min
|
$822.50 |
$822.50 |
$822.50 |
$764.78
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$322.00 |
$322.00 |
$322.00 |
$293.25
|
|
Initiation & management bipap/cpap initial day
|
$845.60 |
$845.60 |
$845.60 |
$576.00
|
|
Inj, adalimumab, 1 mg
|
$19,711.47 |
$19,711.47 |
$19,711.47 |
$12,098.05
|
|
Inj, alfentanil hcl, 500mcg
|
$14.35 |
$14.35 |
$14.35 |
$35.94
|
|
Inj allopurinol sodium 1 mg
|
$9,310.17 |
$9,310.17 |
$9,310.17 |
$6,968.99
|
|
Inj atezolizumb 5mg hya-tqjs
|
$68,324.02 |
$68,324.02 |
$68,324.02 |
$18,716.52
|
|
Inj., benralizumab, 1 mg
|
$34,125.70 |
$34,125.70 |
$34,125.70 |
$11,239.97
|
|
Inj beta interferon sq 1 mcg
|
$5,214.65 |
$5,214.65 |
$5,214.65 |
$2,856.95
|
|
Inj cefazolin sodium, baxter
|
$54.95 |
$54.95 |
$54.95 |
$27.38
|
|
Inj cntr knee arthro incl ct/mri
|
$459.90 |
$459.90 |
$459.90 |
$436.80
|
|
Inj cyclophosphamd (ingenus)
|
$1,488.72 |
$1,488.72 |
$1,488.72 |
$742.72
|
|
Inj, daptomycin (hospira)
|
$192.15 |
$192.15 |
$192.15 |
$113.35
|
|
Inj. denosumab-bbdz, 1 mg
|
$17,904.95 |
$17,904.95 |
$17,904.95 |
$4,615.43
|
|
Inj dx for sinogram
|
$730.80 |
$730.80 |
$730.80 |
$422.59
|
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
|
$1,397.33 |
$1,397.33 |
$1,397.33 |
$1,214.78
|
|
Injection arthrography hip without anesthesia (both sides)
|
$745.50 |
$745.50 |
$745.50 |
$495.84
|
|
Injection, cangrelor
|
$5,403.65 |
$5,403.65 |
$5,403.65 |
$1,889.78
|
|
Injection carpal tunnel therapeutic (both sides)
|
$423.50 |
$423.50 |
$423.50 |
$450.72
|
|
Injection during cath supravalvular aortography
|
$2,097.90 |
$2,097.90 |
$2,097.90 |
$952.66
|
|
Injection epidural blood patch or clot
|
$3,691.05 |
$3,691.05 |
$3,691.05 |
$1,156.80
|
|
Injection eye drug
|
$3,068.80 |
$3,068.80 |
$3,068.80 |
$644.50
|
|
Injection for arthrography wrist (both sides)
|
$610.40 |
$610.40 |
$610.40 |
$428.40
|
|
Injection for bladder x-ray
|
$2,096.85 |
$2,096.85 |
$2,096.85 |
$459.20
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$677.60 |
$677.60 |
$677.60 |
$494.65
|
|
Injection for spleen x-ray
|
$2,619.40 |
$2,619.40 |
$2,619.40 |
$529.57
|
|
Injection for ureter x-ray
|
$1,450.40 |
$1,450.40 |
$1,450.40 |
$427.70
|
|
Injection for ureter x-ray
|
$15,992.73 |
$15,992.73 |
$15,992.73 |
$515.21
|
|
Injection, fulvestrant
|
$11,042.50 |
$11,042.50 |
$11,042.50 |
$1,817.65
|
|
Injection glatiramer acetate
|
$2,906.05 |
$2,906.05 |
$2,906.05 |
$830.51
|
|
Injection, glucarpidase
|
$252,324.62 |
$252,324.62 |
$252,324.62 |
$74,113.20
|
|
Injection into brain canal
|
$1,261.40 |
$1,261.40 |
$1,261.40 |
$1,289.60
|
|
Injection jugular
|
$4,524.10 |
$4,524.10 |
$4,524.10 |
$790.00
|
|
Injection,onabotulinumtoxina
|
$7,683.55 |
$7,683.55 |
$7,683.55 |
$2,277.65
|
|
Injection radioactive tracer sentinel node (both sides)
|
$35,459.06 |
$35,459.06 |
$35,459.06 |
$670.64
|
|
Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides)
|
$2,939.30 |
$2,939.30 |
$2,939.30 |
$1,582.12
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$81,986.32 |
$81,986.32 |
$81,986.32 |
$1,348.56
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$5,334.70 |
$5,334.70 |
$5,334.70 |
$1,023.50
|
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
|
$3,222.39 |
$3,222.39 |
$3,222.39 |
$1,952.40
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
|
$4,297.04 |
$4,297.04 |
$4,297.04 |
$1,029.45
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
|
$4,295.24 |
$4,295.24 |
$4,295.24 |
$1,814.40
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
|
$4,437.43 |
$4,437.43 |
$4,437.43 |
$1,017.90
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
|
$4,409.54 |
$4,409.54 |
$4,409.54 |
$1,995.00
|
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
|
$1,934.06 |
$1,934.06 |
$1,934.06 |
$1,817.24
|
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
|
$1,965.56 |
$1,965.56 |
$1,965.56 |
$1,681.24
|
|
Injection, siltuximab
|
$38,338.65 |
$38,338.65 |
$38,338.65 |
$10,680.75
|
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
|
$835.10 |
$835.10 |
$835.10 |
$472.76
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$726.60 |
$726.60 |
$726.60 |
$548.80
|
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
|
$763.00 |
$763.00 |
$763.00 |
$632.00
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$301.70 |
$301.70 |
$301.70 |
$166.38
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$301.70 |
$301.70 |
$301.70 |
$145.60
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$301.70 |
$301.70 |
$301.70 |
$249.32
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$148.40 |
$148.40 |
$148.40 |
$135.60
|
|
Injection treatment of eye
|
$4,273.50 |
$4,273.50 |
$4,273.50 |
$2,665.60
|
|
Injection treatment of nerve
|
$4,208.40 |
$4,208.40 |
$4,208.40 |
$4,350.00
|
|
Inject sacroiliac joint
|
$1,448.30 |
$1,448.30 |
$1,448.30 |
$1,028.95
|
|
Inj, eculizumab-aagh, 2 mg
|
$26,649.00 |
$26,649.00 |
$26,649.00 |
$7,980.52
|
|
Inj, eculizumab-aeeb, 2 mg
|
$34,263.95 |
$34,263.95 |
$34,263.95 |
$610.56
|