|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$1,664.35 |
$1,664.35 |
$1,664.35 |
$861.00
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$562.88 |
$562.88 |
$562.88 |
$179.92
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$521.48 |
$521.48 |
$521.48 |
$147.55
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$441.65 |
$441.65 |
$441.65 |
$217.85
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$150.38 |
$150.38 |
$150.38 |
$136.03
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$208.07 |
$208.07 |
$208.07 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$219.18 |
$219.18 |
$219.18 |
$206.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$219.18 |
$219.18 |
$219.18 |
$236.08
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$236.27 |
$236.27 |
$236.27 |
$92.50
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$131.65 |
$131.65 |
$131.65 |
$108.75
|
|
Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae
|
$937.50 |
$937.50 |
$937.50 |
$211.00
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$595.10 |
$595.10 |
$595.10 |
$185.00
|
|
Infectious agent nucleic acid joint space pathogens multiplex amplified probe >= 26 targets
|
$1,143.75 |
$1,143.75 |
$1,143.75 |
$1,143.75
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$1,824.95 |
$1,824.95 |
$1,824.95 |
$727.50
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$1,784.09 |
$1,784.09 |
$1,784.09 |
$286.06
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$674.73 |
$674.73 |
$674.73 |
$423.53
|
|
Infectious agent nucleic acid quantification bk virus
|
$1,587.11 |
$1,587.11 |
$1,587.11 |
$279.40
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$539.56 |
$539.56 |
$539.56 |
$239.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$449.86 |
$449.86 |
$449.86 |
$252.00
|
|
Infectious agent nucleic acid quantification hiv-1
|
$1,239.93 |
$1,239.93 |
$1,239.93 |
$374.00
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$2,092.40 |
$2,092.40 |
$2,092.40 |
$303.59
|
|
Infliximab 100 mg intravenous solution
|
$1,073.79 |
$1,073.79 |
$1,073.79 |
$2,080.86
|
|
Infliximab-axxq 100 mg intravenous solution
|
$495.91 |
$495.91 |
$495.91 |
$1,062.00
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$536.39 |
$536.39 |
$536.39 |
$1,537.84
|
|
Influenza dna amp prob addl
|
$222.54 |
$222.54 |
$222.54 |
$64.26
|
|
Infuse radioactive materials
|
$2,381.32 |
$2,381.32 |
$2,381.32 |
$640.50
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$348.99 |
$348.99 |
$348.99 |
$293.25
|
|
Initiation & management bipap/cpap initial day
|
$560.46 |
$560.46 |
$560.46 |
$576.00
|
|
Inj, abilify maintena, 1 mg
|
$27,060.87 |
$27,060.87 |
$27,060.87 |
$5,355.30
|
|
Inj, acetaminophen (hikma)
|
$0.77 |
$0.77 |
$0.77 |
$58.50
|
|
Inj, adalimumab, 1 mg
|
$49,791.96 |
$49,791.96 |
$49,791.96 |
$12,098.05
|
|
Inj, alfentanil hcl, 500mcg
|
$109.20 |
$109.20 |
$109.20 |
$35.94
|
|
Inj allopurinol sodium 1 mg
|
$16,629.80 |
$16,629.80 |
$16,629.80 |
$6,968.99
|
|
Inj alymsys 10 mg
|
$163.42 |
$163.42 |
$163.42 |
$1,280.74
|
|
Inj, amisulpride, 1 mg
|
$90.74 |
$90.74 |
$90.74 |
$91.89
|
|
Inj anifrolumab-fnia 1mg
|
$183.32 |
$183.32 |
$183.32 |
$9,878.82
|
|
Inj atezolizumb 5mg hya-tqjs
|
$325.21 |
$325.21 |
$325.21 |
$18,716.52
|
|
Inj aval alfa-nqpt 4mg
|
$21,034.66 |
$21,034.66 |
$21,034.66 |
$3,907.30
|
|
Inj., benralizumab, 1 mg
|
$2,036.57 |
$2,036.57 |
$2,036.57 |
$11,239.97
|
|
Inj, bezlotoxumab, 10 mg
|
$39,443.59 |
$39,443.59 |
$39,443.59 |
$7,612.43
|
|
Inj, bupivacaine liposome
|
$3,650.03 |
$3,650.03 |
$3,650.03 |
$699.38
|
|
Inj calcitriol per 0.1 mcg
|
$67.23 |
$67.23 |
$67.23 |
$23.28
|
|
Inj cefazolin sodium, baxter
|
$15.45 |
$15.45 |
$15.45 |
$27.38
|
|
Inj cefazolin sodium, hikma
|
$7.71 |
$7.71 |
$7.71 |
$28.08
|
|
Inj cefazolin (wg crit care)
|
$7.61 |
$7.61 |
$7.61 |
$18.05
|
|
Inj, cefiderocol, 10 mg
|
$24.47 |
$24.47 |
$24.47 |
$544.85
|
|
Inj ceftolozane tazobactam
|
$97.31 |
$97.31 |
$97.31 |
$380.80
|
|
Inj, clindamycin (baxter)
|
$30.64 |
$30.64 |
$30.64 |
$48.96
|
|
Inj., copanlisib, 1 mg
|
$54,532.37 |
$54,532.37 |
$54,532.37 |
$9,204.29
|
|
Inj crotalidae im f(ab')2 eq
|
$13,667.35 |
$13,667.35 |
$13,667.35 |
$2,613.60
|
|
Inj cyclophosphamd auromedic
|
$8.92 |
$8.92 |
$8.92 |
$249.68
|
|
Inj cyclophosphamd (ingenus)
|
$10.99 |
$10.99 |
$10.99 |
$742.72
|
|
Inj. denosumab-bbdz, 1 mg
|
$238.88 |
$238.88 |
$238.88 |
$4,615.43
|
|
Inj, donanemab-azbt, 2 mg
|
$41.65 |
$41.65 |
$41.65 |
$1,233.44
|
|
Inj, durolane 1 mg
|
$184.22 |
$184.22 |
$184.22 |
$1,950.93
|
|
Injection, cangrelor
|
$198.71 |
$198.71 |
$198.71 |
$1,889.78
|
|
Injection, daratumumab 10 mg
|
$30,530.69 |
$30,530.69 |
$30,530.69 |
$5,239.24
|
|
Injection, doxercalciferol
|
$68.96 |
$68.96 |
$68.96 |
$23.86
|
|
Injection during cath supravalvular aortography
|
$3,139.21 |
$3,139.21 |
$3,139.21 |
$952.66
|
|
Injection, edaravone, 1 mg
|
$12,202.73 |
$12,202.73 |
$12,202.73 |
$1,136.59
|
|
Injection, fulvestrant
|
$4,115.67 |
$4,115.67 |
$4,115.67 |
$1,817.65
|
|
Injection glatiramer acetate
|
$5,649.96 |
$5,649.96 |
$5,649.96 |
$830.51
|
|
Injection, inclisiran, 1 mg
|
$126.26 |
$126.26 |
$126.26 |
$6,679.35
|
|
Injection into brain canal
|
$3,140.46 |
$3,140.46 |
$3,140.46 |
$836.40
|
|
Injection, isavuconazonium
|
$3,197.15 |
$3,197.15 |
$3,197.15 |
$787.67
|
|
Injection jugular
|
$1,265.87 |
$1,265.87 |
$1,265.87 |
$790.00
|
|
Injection, necitumumab, 1 mg
|
$45,140.55 |
$45,140.55 |
$45,140.55 |
$8,572.91
|
|
Injection,onabotulinumtoxina
|
$68.09 |
$68.09 |
$68.09 |
$2,277.65
|
|
Injection radioactive tracer sentinel node (both sides)
|
$2,011.63 |
$2,011.63 |
$2,011.63 |
$670.64
|
|
Injection, renflexis
|
$3,963.19 |
$3,963.19 |
$3,963.19 |
$1,341.52
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$3,422.30 |
$3,422.30 |
$3,422.30 |
$1,023.50
|
|
Injection, siltuximab
|
$48,713.66 |
$48,713.66 |
$48,713.66 |
$10,680.75
|
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
|
$2,850.77 |
$2,850.77 |
$2,850.77 |
$472.76
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$1,405.87 |
$1,405.87 |
$1,405.87 |
$548.80
|
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
|
$1,507.37 |
$1,507.37 |
$1,507.37 |
$632.00
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$343.64 |
$343.64 |
$343.64 |
$166.38
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$342.42 |
$342.42 |
$342.42 |
$145.60
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$410.00 |
$410.00 |
$410.00 |
$249.32
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$326.80 |
$326.80 |
$326.80 |
$135.60
|
|
Inj efgart-alfa 2mg hya-qvfc
|
$335.69 |
$335.69 |
$335.69 |
$32,176.93
|
|
Inj., eravacycline, 1 mg
|
$756.84 |
$756.84 |
$756.84 |
$206.64
|
|
Inj. fe derisomaltose 10 mg
|
$287.33 |
$287.33 |
$287.33 |
$3,221.52
|
|
Inj, gadopiclenol, 1 ml
|
$37.63 |
$37.63 |
$37.63 |
$37.63
|
|
Inj gemcitabine hcl (accord)
|
$561.04 |
$561.04 |
$561.04 |
$130.65
|
|
Inj givosiran 0.5 mg
|
$879.47 |
$879.47 |
$879.47 |
$76,708.80
|
|
Inj glycopyrrolate, glyrx-pf
|
$38.14 |
$38.14 |
$38.14 |
$11.23
|
|
Inj., guselkumab, 1 mg
|
$757.42 |
$757.42 |
$757.42 |
$29,130.83
|
|
Inj. herceptin hylecta, 10mg
|
$808.82 |
$808.82 |
$808.82 |
$7,690.59
|
|
Inj hrt cath w/s&i nonsel p-art angrp
|
$3,779.48 |
$3,779.48 |
$3,779.48 |
$1,439.90
|
|
Inj hrt cath w/s&i sel hrt ang
|
$1,346.84 |
$1,346.84 |
$1,346.84 |
$1,827.74
|
|
Inj hrt cath w/s&i sel hrt art
|
$919.52 |
$919.52 |
$919.52 |
$1,045.80
|
|
Inj hrt cath w/s&i sel left vent
|
$3,256.04 |
$3,256.04 |
$3,256.04 |
$1,239.00
|
|
Inj hrt cath w/s&i sel right vent
|
$1,816.97 |
$1,816.97 |
$1,816.97 |
$965.33
|
|
Inj hydroxocobalamin IV 25mg
|
$8,530.28 |
$8,530.28 |
$8,530.28 |
$2,452.32
|
|
Inj hydroxyprogst capoat nos
|
$8,335.14 |
$8,335.14 |
$8,335.14 |
$1,228.59
|
|
Inj imip 4 cilas 4 releb 2mg
|
$3,160.31 |
$3,160.31 |
$3,160.31 |
$739.77
|
|
Inj. inebilizumab-cdon, 1 mg
|
$4,905.98 |
$4,905.98 |
$4,905.98 |
$70,014.65
|
|
Inj, invega hafyera/trinza
|
$69,524.92 |
$69,524.92 |
$69,524.92 |
$32,073.55
|
|
Inj ivig privigen 500 mg
|
$49,757.57 |
$49,757.57 |
$49,757.57 |
$6,967.29
|
|
Inj, ixinity, 1 i.u
|
$28,062.85 |
$28,062.85 |
$28,062.85 |
$6.99
|