|
Infect ag if varicella zoster
|
$129.36 |
$129.36 |
$129.36 |
$70.70
|
|
Infect ag na hpv high-risk types
|
$158.76 |
$158.76 |
$158.76 |
$139.75
|
|
Infect ag na influenza r/amp 1st 2 types
|
$236.18 |
$236.18 |
$236.18 |
$219.70
|
|
Infect ag na resp virus 12-25 targets
|
$1,119.16 |
$1,119.16 |
$1,119.16 |
$835.80
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$135.73 |
$135.73 |
$135.73 |
$82.00
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$106.82 |
$106.82 |
$106.82 |
$72.80
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$93.59 |
$93.59 |
$93.59 |
$76.32
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$104.37 |
$104.37 |
$104.37 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$135.24 |
$135.24 |
$135.24 |
$100.02
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$95.06 |
$95.06 |
$95.06 |
$81.20
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$28.91 |
$28.91 |
$28.91 |
$60.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$117.60 |
$117.60 |
$117.60 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$400.33 |
$400.33 |
$400.33 |
$129.00
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$134.26 |
$134.26 |
$134.26 |
$98.02
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$51.94 |
$51.94 |
$51.94 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$249.90 |
$249.90 |
$249.90 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$99.47 |
$99.47 |
$99.47 |
$139.68
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$169.05 |
$169.05 |
$169.05 |
$167.00
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$792.82 |
$792.82 |
$792.82 |
$861.00
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$400.82 |
$400.82 |
$400.82 |
$179.92
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$83.79 |
$83.79 |
$83.79 |
$147.55
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$92.12 |
$92.12 |
$92.12 |
$217.85
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$87.71 |
$87.71 |
$87.71 |
$136.03
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$96.53 |
$96.53 |
$96.53 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$207.27 |
$207.27 |
$207.27 |
$236.08
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$87.22 |
$87.22 |
$87.22 |
$92.50
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$91.14 |
$91.14 |
$91.14 |
$108.75
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$632.10 |
$632.10 |
$632.10 |
$727.50
|
|
Infectious agent nucleic acid quantification bk virus
|
$308.21 |
$308.21 |
$308.21 |
$279.40
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$252.84 |
$252.84 |
$252.84 |
$239.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$417.97 |
$417.97 |
$417.97 |
$252.00
|
|
Infectious agent nucleic acid quantification hiv-1
|
$810.46 |
$810.46 |
$810.46 |
$374.00
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$317.03 |
$317.03 |
$317.03 |
$303.59
|
|
Infliximab 100 mg intravenous solution
|
$2,759.66 |
$2,759.66 |
$2,759.66 |
$2,080.86
|
|
Infliximab-axxq 100 mg intravenous solution
|
$1,122.47 |
$1,122.47 |
$1,122.47 |
$1,062.00
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$1,202.66 |
$1,202.66 |
$1,202.66 |
$1,537.84
|
|
Influenza dna amp prob addl
|
$58.31 |
$58.31 |
$58.31 |
$64.26
|
|
Influenza virus vaccine, live trivalent intranasal
|
$22.05 |
$22.05 |
$22.05 |
$36.50
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$106.82 |
$106.82 |
$106.82 |
$293.25
|
|
Initial observation care
|
$133.77 |
$133.77 |
$133.77 |
$156.00
|
|
Initial observation care
|
$182.28 |
$182.28 |
$182.28 |
$268.20
|
|
Initial observation care
|
$246.96 |
$246.96 |
$246.96 |
$369.00
|
|
Initiation & management bipap/cpap initial day
|
$107.80 |
$107.80 |
$107.80 |
$576.00
|
|
Inj, abilify asimtufii, 1 mg
|
$12,495.72 |
$12,495.72 |
$12,495.72 |
$9,426.91
|
|
Inj, abilify maintena, 1 mg
|
$6,247.85 |
$6,247.85 |
$6,247.85 |
$5,355.30
|
|
Inj, acetaminophen (b braun)
|
$48.76 |
$48.76 |
$48.76 |
$33.31
|
|
Inj acetaminophen -fresenius
|
$48.76 |
$48.76 |
$48.76 |
$36.60
|
|
Inj, acetaminophen (hikma)
|
$48.76 |
$48.76 |
$48.76 |
$58.50
|
|
Inj, adstiladrin, per tx dos
|
$48.76 |
$48.76 |
$48.76 |
$63,354.77
|
|
Inj, alfentanil hcl, 500mcg
|
$48.76 |
$48.76 |
$48.76 |
$35.94
|
|
Inj alymsys 10 mg
|
$3,555.60 |
$3,555.60 |
$3,555.60 |
$1,280.74
|
|
Inj anifrolumab-fnia 1mg
|
$12,811.96 |
$12,811.96 |
$12,811.96 |
$9,878.82
|
|
Inj, artesunate, 1mg
|
$26,354.65 |
$26,354.65 |
$26,354.65 |
$14,460.21
|
|
Inj, aspara, rylaze, 0.1 mg
|
$12,201.00 |
$12,201.00 |
$12,201.00 |
$10,458.00
|
|
Inj aval alfa-nqpt 4mg
|
$4,771.13 |
$4,771.13 |
$4,771.13 |
$3,907.30
|
|
Inj., benralizumab, 1 mg
|
$13,908.04 |
$13,908.04 |
$13,908.04 |
$11,239.97
|
|
Inj, bezlotoxumab, 10 mg
|
$9,310.00 |
$9,310.00 |
$9,310.00 |
$7,612.43
|
|
Inj, bortezomib, dr. reddy's
|
$67.62 |
$67.62 |
$67.62 |
$48.55
|
|
Inj, bortezomib freseniuskab
|
$2,874.83 |
$2,874.83 |
$2,874.83 |
$2,527.00
|
|
Inj calcitriol per 0.1 mcg
|
$48.76 |
$48.76 |
$48.76 |
$23.28
|
|
Inj cefazolin sodium, baxter
|
$101.31 |
$101.31 |
$101.31 |
$27.38
|
|
Inj cefazolin (wg crit care)
|
$101.31 |
$101.31 |
$101.31 |
$18.05
|
|
Inj. cefepime hcl (baxter)
|
$101.31 |
$101.31 |
$101.31 |
$86.84
|
|
Inj, cefepime hcl (b braun)
|
$101.31 |
$101.31 |
$101.31 |
$69.85
|
|
Inj, cefiderocol, 10 mg
|
$521.75 |
$521.75 |
$521.75 |
$544.85
|
|
Inj ceftolozane tazobactam
|
$390.70 |
$390.70 |
$390.70 |
$380.80
|
|
Inj, clevidipine butyrate
|
$193.55 |
$193.55 |
$193.55 |
$4.86
|
|
Inj, clindamycin (baxter)
|
$101.31 |
$101.31 |
$101.31 |
$48.96
|
|
Inj crotalidae im f(ab')2 eq
|
$2,844.23 |
$2,844.23 |
$2,844.23 |
$2,613.60
|
|
Inj cyclophosphamd auromedic
|
$538.02 |
$538.02 |
$538.02 |
$249.68
|
|
Inj cyclophosphamd (ingenus)
|
$611.75 |
$611.75 |
$611.75 |
$742.72
|
|
Inj, cyclophosphamd, sandoz
|
$255.44 |
$255.44 |
$255.44 |
$735.20
|
|
Inj daptomycin (xellia)
|
$48.76 |
$48.76 |
$48.76 |
$56.04
|
|
Inj, decitabine (sun pharma)
|
$857.38 |
$857.38 |
$857.38 |
$310.09
|
|
Inj, donanemab-azbt, 2 mg
|
$1,704.37 |
$1,704.37 |
$1,704.37 |
$1,233.44
|
|
Inj dupuytren cord w/enzyme
|
$194.53 |
$194.53 |
$194.53 |
$416.00
|
|
Inject for sacroiliac joint
|
$241.57 |
$241.57 |
$241.57 |
$1,025.77
|
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
|
$510.09 |
$510.09 |
$510.09 |
$1,214.78
|
|
Injection, burosumab-twza 1m
|
$31,160.08 |
$31,160.08 |
$31,160.08 |
$20,002.09
|
|
Injection, cangrelor
|
$2,238.98 |
$2,238.98 |
$2,238.98 |
$1,889.78
|
|
Injection, caplacizumab-yhdp
|
$19,416.25 |
$19,416.25 |
$19,416.25 |
$16,375.33
|
|
Injection carpal tunnel therapeutic (both sides)
|
$158.76 |
$158.76 |
$158.76 |
$450.72
|
|
Injection, daratumumab 10 mg
|
$7,536.69 |
$7,536.69 |
$7,536.69 |
$5,239.24
|
|
Injection, doxercalciferol
|
$48.76 |
$48.76 |
$48.76 |
$23.86
|
|
Injection, edaravone, 1 mg
|
$1,129.36 |
$1,129.36 |
$1,129.36 |
$1,136.59
|
|
Injection epidural blood patch or clot
|
$391.51 |
$391.51 |
$391.51 |
$1,156.80
|
|
Injection for bladder x-ray
|
$182.77 |
$182.77 |
$182.77 |
$459.20
|
|
Injection, fulvestrant
|
$2,172.49 |
$2,172.49 |
$2,172.49 |
$1,817.65
|
|
Injection, glucarpidase
|
$100,876.30 |
$100,876.30 |
$100,876.30 |
$74,113.20
|
|
Injection, inclisiran, 1 mg
|
$8,284.48 |
$8,284.48 |
$8,284.48 |
$6,679.35
|
|
Injection into hemorrhoid(s)
|
$441.98 |
$441.98 |
$441.98 |
$1,432.81
|
|
Injection, isavuconazonium
|
$882.59 |
$882.59 |
$882.59 |
$787.67
|
|
Injection jugular
|
$144.55 |
$144.55 |
$144.55 |
$790.00
|
|
Injection, necitumumab, 1 mg
|
$10,607.89 |
$10,607.89 |
$10,607.89 |
$8,572.91
|
|
Injection of sinus tract
|
$486.08 |
$486.08 |
$486.08 |
$1,627.60
|
|
Injection,onabotulinumtoxina
|
$3,165.40 |
$3,165.40 |
$3,165.40 |
$2,277.65
|
|
Injection, peramivir
|
$775.82 |
$775.82 |
$775.82 |
$744.75
|
|
Injection radioactive tracer sentinel node (both sides)
|
$287.63 |
$287.63 |
$287.63 |
$670.64
|
|
Injection, renflexis
|
$1,052.11 |
$1,052.11 |
$1,052.11 |
$1,341.52
|
|
Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides)
|
$232.75 |
$232.75 |
$232.75 |
$1,582.12
|