|
Infect ag if varicella zoster
|
$126.72 |
$126.72 |
$126.72 |
$70.70
|
|
Infect ag na hpv high-risk types
|
$155.52 |
$155.52 |
$155.52 |
$139.75
|
|
Infect ag na influenza r/amp 1st 2 types
|
$231.36 |
$231.36 |
$231.36 |
$219.70
|
|
Infect ag na resp virus 12-25 targets
|
$1,096.32 |
$1,096.32 |
$1,096.32 |
$835.80
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$132.96 |
$132.96 |
$132.96 |
$82.00
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$104.64 |
$104.64 |
$104.64 |
$72.80
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$91.68 |
$91.68 |
$91.68 |
$76.32
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$102.24 |
$102.24 |
$102.24 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$132.48 |
$132.48 |
$132.48 |
$100.02
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$93.12 |
$93.12 |
$93.12 |
$81.20
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$28.32 |
$28.32 |
$28.32 |
$60.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$115.20 |
$115.20 |
$115.20 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$392.16 |
$392.16 |
$392.16 |
$129.00
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$131.52 |
$131.52 |
$131.52 |
$98.02
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$50.88 |
$50.88 |
$50.88 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$244.80 |
$244.80 |
$244.80 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$97.44 |
$97.44 |
$97.44 |
$139.68
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$165.60 |
$165.60 |
$165.60 |
$167.00
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$776.64 |
$776.64 |
$776.64 |
$861.00
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$392.64 |
$392.64 |
$392.64 |
$179.92
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$82.08 |
$82.08 |
$82.08 |
$147.55
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$90.24 |
$90.24 |
$90.24 |
$217.85
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$85.92 |
$85.92 |
$85.92 |
$136.03
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$94.56 |
$94.56 |
$94.56 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$203.04 |
$203.04 |
$203.04 |
$236.08
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$85.44 |
$85.44 |
$85.44 |
$92.50
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$89.28 |
$89.28 |
$89.28 |
$108.75
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$619.20 |
$619.20 |
$619.20 |
$727.50
|
|
Infectious agent nucleic acid quantification bk virus
|
$301.92 |
$301.92 |
$301.92 |
$279.40
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$247.68 |
$247.68 |
$247.68 |
$239.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$409.44 |
$409.44 |
$409.44 |
$252.00
|
|
Infectious agent nucleic acid quantification hiv-1
|
$793.92 |
$793.92 |
$793.92 |
$374.00
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$310.56 |
$310.56 |
$310.56 |
$303.59
|
|
Infliximab 100 mg intravenous solution
|
$2,703.34 |
$2,703.34 |
$2,703.34 |
$2,080.86
|
|
Infliximab-axxq 100 mg intravenous solution
|
$1,099.56 |
$1,099.56 |
$1,099.56 |
$1,062.00
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$1,178.12 |
$1,178.12 |
$1,178.12 |
$1,537.84
|
|
Influenza dna amp prob addl
|
$57.12 |
$57.12 |
$57.12 |
$64.26
|
|
Influenza virus vaccine, live trivalent intranasal
|
$21.60 |
$21.60 |
$21.60 |
$36.50
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$104.64 |
$104.64 |
$104.64 |
$293.25
|
|
Initial observation care
|
$131.04 |
$131.04 |
$131.04 |
$156.00
|
|
Initial observation care
|
$178.56 |
$178.56 |
$178.56 |
$268.20
|
|
Initial observation care
|
$241.92 |
$241.92 |
$241.92 |
$369.00
|
|
Initiation & management bipap/cpap initial day
|
$105.60 |
$105.60 |
$105.60 |
$576.00
|
|
Inj, abilify asimtufii, 1 mg
|
$12,240.71 |
$12,240.71 |
$12,240.71 |
$9,426.91
|
|
Inj, abilify maintena, 1 mg
|
$6,120.34 |
$6,120.34 |
$6,120.34 |
$5,355.30
|
|
Inj, acetaminophen (b braun)
|
$47.76 |
$47.76 |
$47.76 |
$33.31
|
|
Inj acetaminophen -fresenius
|
$47.76 |
$47.76 |
$47.76 |
$36.60
|
|
Inj, acetaminophen (hikma)
|
$47.76 |
$47.76 |
$47.76 |
$58.50
|
|
Inj, adstiladrin, per tx dos
|
$47.76 |
$47.76 |
$47.76 |
$63,354.77
|
|
Inj, alfentanil hcl, 500mcg
|
$47.76 |
$47.76 |
$47.76 |
$35.94
|
|
Inj alymsys 10 mg
|
$3,483.04 |
$3,483.04 |
$3,483.04 |
$1,280.74
|
|
Inj anifrolumab-fnia 1mg
|
$12,550.49 |
$12,550.49 |
$12,550.49 |
$9,878.82
|
|
Inj, artesunate, 1mg
|
$25,816.80 |
$25,816.80 |
$25,816.80 |
$14,460.21
|
|
Inj, aspara, rylaze, 0.1 mg
|
$11,952.00 |
$11,952.00 |
$11,952.00 |
$10,458.00
|
|
Inj aval alfa-nqpt 4mg
|
$4,673.76 |
$4,673.76 |
$4,673.76 |
$3,907.30
|
|
Inj., benralizumab, 1 mg
|
$13,624.20 |
$13,624.20 |
$13,624.20 |
$11,239.97
|
|
Inj, bezlotoxumab, 10 mg
|
$9,120.00 |
$9,120.00 |
$9,120.00 |
$7,612.43
|
|
Inj, bortezomib, dr. reddy's
|
$66.24 |
$66.24 |
$66.24 |
$48.55
|
|
Inj, bortezomib freseniuskab
|
$2,816.16 |
$2,816.16 |
$2,816.16 |
$2,527.00
|
|
Inj calcitriol per 0.1 mcg
|
$47.76 |
$47.76 |
$47.76 |
$23.28
|
|
Inj cefazolin sodium, baxter
|
$99.24 |
$99.24 |
$99.24 |
$27.38
|
|
Inj cefazolin (wg crit care)
|
$99.24 |
$99.24 |
$99.24 |
$18.05
|
|
Inj. cefepime hcl (baxter)
|
$99.24 |
$99.24 |
$99.24 |
$86.84
|
|
Inj, cefepime hcl (b braun)
|
$99.24 |
$99.24 |
$99.24 |
$69.85
|
|
Inj, cefiderocol, 10 mg
|
$511.10 |
$511.10 |
$511.10 |
$544.85
|
|
Inj ceftolozane tazobactam
|
$382.72 |
$382.72 |
$382.72 |
$380.80
|
|
Inj, clevidipine butyrate
|
$189.60 |
$189.60 |
$189.60 |
$4.86
|
|
Inj, clindamycin (baxter)
|
$99.24 |
$99.24 |
$99.24 |
$48.96
|
|
Inj crotalidae im f(ab')2 eq
|
$2,786.19 |
$2,786.19 |
$2,786.19 |
$2,613.60
|
|
Inj cyclophosphamd auromedic
|
$527.04 |
$527.04 |
$527.04 |
$249.68
|
|
Inj cyclophosphamd (ingenus)
|
$599.26 |
$599.26 |
$599.26 |
$742.72
|
|
Inj, cyclophosphamd, sandoz
|
$250.23 |
$250.23 |
$250.23 |
$735.20
|
|
Inj daptomycin (xellia)
|
$47.76 |
$47.76 |
$47.76 |
$56.04
|
|
Inj, decitabine (sun pharma)
|
$839.88 |
$839.88 |
$839.88 |
$310.09
|
|
Inj, donanemab-azbt, 2 mg
|
$1,669.59 |
$1,669.59 |
$1,669.59 |
$1,233.44
|
|
Inj dupuytren cord w/enzyme
|
$190.56 |
$190.56 |
$190.56 |
$416.00
|
|
Inject for sacroiliac joint
|
$236.64 |
$236.64 |
$236.64 |
$1,025.77
|
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
|
$499.68 |
$499.68 |
$499.68 |
$1,214.78
|
|
Injection, burosumab-twza 1m
|
$30,524.16 |
$30,524.16 |
$30,524.16 |
$20,002.09
|
|
Injection, cangrelor
|
$2,193.28 |
$2,193.28 |
$2,193.28 |
$1,889.78
|
|
Injection, caplacizumab-yhdp
|
$19,020.00 |
$19,020.00 |
$19,020.00 |
$16,375.33
|
|
Injection carpal tunnel therapeutic (both sides)
|
$155.52 |
$155.52 |
$155.52 |
$450.72
|
|
Injection, daratumumab 10 mg
|
$7,382.88 |
$7,382.88 |
$7,382.88 |
$5,239.24
|
|
Injection, doxercalciferol
|
$47.76 |
$47.76 |
$47.76 |
$23.86
|
|
Injection, edaravone, 1 mg
|
$1,106.31 |
$1,106.31 |
$1,106.31 |
$1,136.59
|
|
Injection epidural blood patch or clot
|
$383.52 |
$383.52 |
$383.52 |
$1,156.80
|
|
Injection for bladder x-ray
|
$179.04 |
$179.04 |
$179.04 |
$459.20
|
|
Injection, fulvestrant
|
$2,128.16 |
$2,128.16 |
$2,128.16 |
$1,817.65
|
|
Injection, glucarpidase
|
$98,817.60 |
$98,817.60 |
$98,817.60 |
$74,113.20
|
|
Injection, inclisiran, 1 mg
|
$8,115.41 |
$8,115.41 |
$8,115.41 |
$6,679.35
|
|
Injection into hemorrhoid(s)
|
$432.96 |
$432.96 |
$432.96 |
$1,432.81
|
|
Injection, isavuconazonium
|
$864.58 |
$864.58 |
$864.58 |
$787.67
|
|
Injection jugular
|
$141.60 |
$141.60 |
$141.60 |
$790.00
|
|
Injection, necitumumab, 1 mg
|
$10,391.40 |
$10,391.40 |
$10,391.40 |
$8,572.91
|
|
Injection of sinus tract
|
$476.16 |
$476.16 |
$476.16 |
$1,627.60
|
|
Injection,onabotulinumtoxina
|
$3,100.80 |
$3,100.80 |
$3,100.80 |
$2,277.65
|
|
Injection, peramivir
|
$759.99 |
$759.99 |
$759.99 |
$744.75
|
|
Injection radioactive tracer sentinel node (both sides)
|
$281.76 |
$281.76 |
$281.76 |
$670.64
|
|
Injection, renflexis
|
$1,030.64 |
$1,030.64 |
$1,030.64 |
$1,341.52
|
|
Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides)
|
$228.00 |
$228.00 |
$228.00 |
$1,582.12
|