|
Infect ag ia optc obs chlamydia trach
|
$71.20 |
$71.20 |
$71.20 |
|
|
Infect ag ia optc obs influenza
|
$28.38 |
$108.00 |
$332.64 |
|
|
Infect ag if ea plyvlnt antsrm
|
$30.40 |
$45.10 |
$152.40 |
|
|
Infect ag if hep delta agent
|
$46.40 |
$61.20 |
$422.40 |
|
|
Infect ag if influenza a
|
$14.00 |
$35.20 |
$77.04 |
|
|
Infect ag if influenza b
|
$10.75 |
$31.20 |
$77.04 |
|
|
Infect ag if legionella pneumophila
|
$31.25 |
$188.40 |
$567.70 |
|
|
Infect ag if nos ea
|
$37.95 |
$84.96 |
$138.24 |
|
|
Infect ag if pneumocystis carinii
|
$30.40 |
$62.50 |
$203.00 |
|
|
Infect ag if varicella zoster
|
$28.08 |
$70.70 |
$328.00 |
|
|
Infect ag na chlamydia trachomatis qnt
|
$107.20 |
$107.20 |
$107.20 |
|
|
Infect ag na hep b amp
|
$88.80 |
$205.00 |
$295.20 |
|
|
Infect ag na herpes simplex quant
|
$43.75 |
$254.10 |
$528.50 |
|
|
Infect ag na hpv high-risk types
|
$42.24 |
$177.50 |
$324.10 |
|
|
Infect ag na influenza r/amp 1st 2 types
|
$37.50 |
$283.50 |
$554.40 |
|
|
Infect ag na influenza revr/amp ea type
|
$57.00 |
$124.80 |
$175.80 |
|
|
Infect ag na orthopoxvirus amp prb each
|
$27.50 |
$147.50 |
$289.60 |
|
|
Infect ag na resp virus 12-25 targets
|
$354.42 |
$888.80 |
$2,045.40 |
|
|
Infect ag phenotype na hiv-1 1-10 drugs
|
$200.00 |
$1,770.00 |
$2,718.10 |
|
|
Infect ag phenotype na hiv-1 ea addl drg
|
$30.03 |
$140.00 |
$263.20 |
|
|
Infectious agent antigen immunoassay direct optical observation sars-cov-2
|
$39.73 |
$47.50 |
$126.72 |
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$14.52 |
$107.28 |
$392.40 |
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$23.10 |
$72.80 |
$337.80 |
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$35.00 |
$113.40 |
$229.60 |
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$31.68 |
$98.00 |
$207.20 |
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$35.00 |
$160.38 |
$619.20 |
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$26.73 |
$132.48 |
$6,109.60 |
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$27.50 |
$112.20 |
$435.40 |
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$30.03 |
$116.90 |
$613.60 |
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$22.44 |
$163.20 |
$692.80 |
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$35.00 |
$136.50 |
$325.44 |
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$23.43 |
$60.00 |
$153.36 |
|
|
Infectious agent nucleic acid amplified probe
|
$38.61 |
$387.36 |
$2,062.90 |
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$37.50 |
$180.00 |
$1,249.60 |
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$37.50 |
$187.50 |
$610.40 |
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$250.00 |
$1,166.40 |
$1,826.64 |
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$46.20 |
$244.80 |
$635.76 |
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$32.50 |
$217.44 |
$602.00 |
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$43.75 |
$282.10 |
$1,171.10 |
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$37.50 |
$180.00 |
$422.80 |
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$43.75 |
$87.50 |
$442.08 |
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$140.00 |
$150.00 |
$346.32 |
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$90.60 |
$267.60 |
$396.00 |
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$36.25 |
$96.00 |
$200.88 |
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$36.25 |
$135.00 |
$259.20 |
|
|
Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae
|
$72.60 |
$96.80 |
$550.20 |
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$95.40 |
$185.00 |
$261.80 |
|
|
Infectious agent nucleic acid joint space pathogens multiplex amplified probe >= 26 targets
|
$490.70 |
$1,717.20 |
$2,289.60 |
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$216.25 |
$747.60 |
$1,628.00 |
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$100.00 |
$197.50 |
$310.80 |
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$283.80 |
$298.10 |
$2,209.20 |
|
|
Infectious agent nucleic acid quantification bk virus
|
$43.75 |
$447.30 |
$2,136.40 |
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$43.75 |
$358.56 |
$1,247.76 |
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$43.75 |
$385.80 |
$932.00 |
|
|
Infectious agent nucleic acid quantification hiv-1
|
$57.50 |
$434.40 |
$1,141.70 |
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$105.27 |
$375.20 |
$731.50 |
|
|
Infliximab 100 mg intravenous solution
|
$112.47 |
$862.71 |
$7,131.42 |
|
|
Infliximab-axxq 100 mg intravenous solution
|
$10.82 |
$367.53 |
$4,093.60 |
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$113.36 |
$436.75 |
$3,968.30 |
|
|
Influenza dna amp prob addl
|
$48.00 |
$74.40 |
$103.20 |
|
|
Influenza virus vaccine, inact hemagglutinin tiv pf inj
|
$73.99 |
$102.83 |
$102.83 |
|
|
Influenza virus vaccine, live trivalent intranasal
|
$16.67 |
$29.60 |
$63.28 |
|
|
Inf lwr xtr fscl pln blk uni w/wo image
|
$547.92 |
$780.00 |
$811.20 |
|
|
Infratemporal approach/skull
|
$104,002.59 |
$104,002.59 |
$104,002.59 |
|
|
Inf thrc fascial pln blk bi w/wo image
|
$168.48 |
$780.00 |
$780.00 |
|
|
Inf thrc fascial pln blk uni w/wo image
|
$160.56 |
$780.00 |
$820.80 |
|
|
Infuse radioactive materials
|
$373.89 |
$544.60 |
$2,622.00 |
|
|
Ingest challenge ea addl 60 min
|
$87.50 |
$313.60 |
$313.60 |
|
|
Ingest challenge ini 120 min
|
$175.00 |
$822.50 |
$822.50 |
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$50.00 |
$192.60 |
$649.44 |
|
|
Initial foot exam pt lops
|
$117.60 |
$117.60 |
$127.20 |
|
|
Initial hosp neonate 28 d/less than not critically ill 99477
|
$358.80 |
$663.00 |
$1,232.40 |
|
|
Initial nursing facility care/day 35 minutes
|
$244.00 |
$253.20 |
$253.20 |
|
|
Initial nursing facility care/day 45 minutes
|
$322.20 |
$322.20 |
$333.60 |
|
|
Initial nursing facility care/day low severity 99304
|
$162.40 |
$178.80 |
$178.80 |
|
|
Initial observation care
|
$196.20 |
$196.20 |
$196.20 |
|
|
Initial observation care
|
$268.20 |
$268.20 |
$268.20 |
|
|
Initial observation care
|
$369.00 |
$369.00 |
$369.00 |
|
|
Init nb em per day non-fac
|
$167.20 |
$167.20 |
$168.60 |
|
|
Init pm e/m new pat 65+ yrs
|
$135.60 |
$270.00 |
$296.00 |
|
|
Inj, abilify maintena, 1 mg
|
$8.00 |
$1,897.52 |
$16,177.17 |
|
|
Inj, acetaminophen (b braun)
|
$0.84 |
$3.52 |
$303.97 |
|
|
Inj acetaminophen -fresenius
|
$0.86 |
$3.60 |
$130.55 |
|
|
Inj, acetaminophen (hikma)
|
$0.90 |
$19.95 |
$244.47 |
|
|
Inj. acthar gel to 40 units
|
$116.54 |
$116.54 |
$116.54 |
|
|
Inj, adalimumab, 1 mg
|
$6,143.09 |
$15,962.27 |
$28,302.75 |
|
|
Inj, adstiladrin, per tx dos
|
$40,500.00 |
$40,500.00 |
$40,500.00 |
|
|
Inj, adzynma, 10 iu
|
$73.18 |
$4,305.40 |
$23,628.15 |
|
|
Inj, aflibercept hd, 1 mg
|
$10,763.55 |
$10,763.55 |
$10,763.55 |
|
|
Inj, alfentanil hcl, 500mcg
|
$10.32 |
$10.32 |
$14.35 |
|
|
Inj allopurinol sodium 1 mg
|
$4,395.47 |
$9,310.17 |
$10,443.30 |
|
|
Inj alymsys 10 mg
|
$215.59 |
$215.59 |
$11,555.09 |
|
|
Inj andexxa, 10 mg
|
$4,210.30 |
$4,210.30 |
$10,050.00 |
|
|
Inj anifrolumab-fnia 1mg
|
$43.43 |
$6,703.14 |
$34,066.55 |
|
|
Inj., aristada initio, 1 mg
|
$604.14 |
$604.14 |
$9,789.55 |
|
|
Inj, artesunate, 1mg
|
$119.80 |
$13,446.00 |
$33,677.35 |
|
|
Inj, aspara, rylaze, 0.1 mg
|
$109.27 |
$7,068.26 |
$33,248.42 |
|
|
Inj atezolizumb 5mg hya-tqjs
|
$55,328.52 |
$68,324.02 |
$109,041.45 |
|
|
Inj avacincaptad pegol 0.1mg
|
$8,442.00 |
$8,442.00 |
$8,442.00 |
|
|
Inj aval alfa-nqpt 4mg
|
$118.88 |
$3,478.84 |
$12,329.27 |
|
