|
Infect ag if hep delta agent
|
$32.67 |
$117.40 |
$185.61 |
|
|
Infect ag if influenza a
|
$21.70 |
$21.70 |
$25.44 |
|
|
Infect ag if influenza b
|
$21.70 |
$21.70 |
$25.44 |
|
|
Infect ag if legionella pneumophila
|
$44.59 |
$118.12 |
$203.24 |
|
|
Infect ag if nos ea
|
$79.90 |
$79.90 |
$186.69 |
|
|
Infect ag if pneumocystis carinii
|
$42.18 |
$52.88 |
$92.08 |
|
|
Infect ag if varicella zoster
|
$95.47 |
$95.47 |
$194.20 |
|
|
Infect ag na hep b amp
|
$66.28 |
$83.10 |
$150.63 |
|
|
Infect ag na herpes simplex quant
|
$103.64 |
$103.64 |
$121.54 |
|
|
Infect ag na hpv high-risk types
|
$139.32 |
$168.31 |
$247.75 |
|
|
Infect ag na influenza r/amp 1st 2 types
|
$155.23 |
$223.77 |
$277.33 |
|
|
Infect ag na orthopoxvirus amp prb each
|
$60.67 |
$68.29 |
$85.62 |
|
|
Infect ag na resp virus 12-25 targets
|
$132.67 |
$458.90 |
$994.46 |
|
|
Infect ag phenotype na hiv-1 1-10 drugs
|
$535.84 |
$671.83 |
$1,118.85 |
|
|
Infect ag phenotype na hiv-1 ea addl drg
|
$29.73 |
$34.87 |
$90.15 |
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$68.69 |
$86.12 |
$125.39 |
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$33.19 |
$65.08 |
$76.80 |
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$31.16 |
$39.58 |
$165.90 |
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$18.92 |
$38.09 |
$96.38 |
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$59.45 |
$122.41 |
$326.87 |
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$49.48 |
$67.80 |
$149.48 |
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$27.48 |
$32.54 |
$150.17 |
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$22.84 |
$66.34 |
$83.39 |
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$7.14 |
$144.26 |
$338.11 |
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$14.87 |
$51.31 |
$344.41 |
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$25.29 |
$56.24 |
$173.36 |
|
|
Infectious agent nucleic acid amplified probe
|
$20.16 |
$40.33 |
$504.51 |
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$31.05 |
$88.26 |
$386.68 |
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$73.41 |
$103.65 |
$268.16 |
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$289.40 |
$673.96 |
$1,022.76 |
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$55.16 |
$153.78 |
$1,395.95 |
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$22.07 |
$33.34 |
$39.10 |
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$55.16 |
$174.45 |
$1,425.03 |
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$31.05 |
$135.77 |
$325.61 |
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$47.82 |
$66.68 |
$488.44 |
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$34.62 |
$151.47 |
$638.14 |
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$35.55 |
$151.47 |
$425.43 |
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$32.25 |
$37.12 |
$70.87 |
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$36.96 |
$44.35 |
$444.42 |
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$304.18 |
$476.27 |
$1,395.95 |
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$147.38 |
$322.03 |
$396.03 |
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$165.49 |
$165.49 |
$207.50 |
|
|
Infectious agent nucleic acid quantification bk virus
|
$109.05 |
$267.17 |
$626.56 |
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$48.75 |
$191.88 |
$750.19 |
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$88.50 |
$233.09 |
$976.13 |
|
|
Infectious agent nucleic acid quantification hiv-1
|
$148.22 |
$176.64 |
$690.96 |
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$356.29 |
$417.86 |
$1,348.43 |
|
|
Infliximab 100 mg intravenous solution
|
$2,717.78 |
$3,059.29 |
$3,835.72 |
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$1,125.07 |
$1,266.44 |
$1,587.86 |
|
|
Influenza dna amp prob addl
|
$190.80 |
$190.80 |
$223.77 |
|
|
Inf lwr xtr fscl pln blk uni w/wo image
|
$472.81 |
$532.22 |
$638.73 |
|
|
Inf thrc fascial pln blk bi w/wo image
|
$345.06 |
$388.42 |
$487.00 |
|
|
Inf thrc fascial pln blk uni w/wo image
|
$346.14 |
$389.63 |
$467.60 |
|
|
Infuse radioactive materials
|
$204.83 |
$272.76 |
$641.09 |
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$66.73 |
$81.04 |
$1,359.99 |
|
|
Initiation & management bipap/cpap initial day
|
$243.71 |
$300.08 |
$1,380.19 |
|
|
Inj., benralizumab, 1 mg
|
$11,015.25 |
$13,097.25 |
$31,499.49 |
|
|
Inj, bezlotoxumab, 10 mg
|
$7,067.39 |
$7,067.39 |
$7,067.39 |
|
|
Inj calcitriol per 0.1 mcg
|
$26.82 |
$30.19 |
$37.86 |
|
|
Inj cefazolin sodium, hikma
|
$84.83 |
$84.83 |
$84.83 |
|
|
Inj, cefepime hcl (b braun)
|
$41.47 |
$46.68 |
$58.53 |
|
|
Inj, cefiderocol, 10 mg
|
$272.27 |
$306.48 |
$384.27 |
|
|
Inj ceftolozane tazobactam
|
$185.52 |
$208.83 |
$261.83 |
|
|
Inj cntr knee arthro incl ct/mri
|
$62.09 |
$70.70 |
$85.33 |
|
|
Inj dupuytren cord w/enzyme
|
$230.88 |
$230.88 |
$274.51 |
|
|
Inj, durolane 1 mg
|
$3,338.21 |
$3,338.21 |
$3,338.21 |
|
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
|
$503.75 |
$749.53 |
$1,000.88 |
|
|
Injection arthrography hip without anesthesia (both sides)
|
$85.76 |
$250.33 |
$1,398.44 |
|
|
Injection, cangrelor
|
$1,080.31 |
$1,216.06 |
$1,524.68 |
|
|
Injection carpal tunnel therapeutic (both sides)
|
$493.15 |
$560.74 |
$679.22 |
|
|
Injection, daratumumab 10 mg
|
$5,977.85 |
$7,107.73 |
$22,737.86 |
|
|
Injection, doxercalciferol
|
$25.88 |
$29.13 |
$36.52 |
|
|
Injection during cath supravalvular aortography
|
$109.20 |
$115.29 |
$159.23 |
|
|
Injection epidural blood patch or clot
|
$565.85 |
$771.35 |
$1,097.05 |
|
|
Injection eye drug
|
$433.81 |
$433.81 |
$433.81 |
|
|
Injection for arthrography wrist (both sides)
|
$68.17 |
$174.33 |
$268.99 |
|
|
Injection for bladder x-ray
|
$68.17 |
$260.69 |
$649.30 |
|
|
Injection for hip x-ray
|
$280.03 |
$280.03 |
$280.03 |
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$89.79 |
$261.46 |
$566.42 |
|
|
Injection for ureter x-ray
|
$292.09 |
$292.97 |
$390.53 |
|
|
Injection, fulvestrant
|
$2,326.59 |
$2,766.34 |
$14,517.80 |
|
|
Injection, inclisiran, 1 mg
|
$22,282.95 |
$22,282.95 |
$22,282.95 |
|
|
Injection, isavuconazonium
|
$456.63 |
$514.00 |
$644.45 |
|
|
Injection,onabotulinumtoxina
|
$1,542.88 |
$1,736.75 |
$2,177.53 |
|
|
Injection radioactive tracer sentinel node (both sides)
|
$170.57 |
$409.00 |
$3,303.46 |
|
|
Injection, renflexis
|
$1,099.44 |
$1,237.59 |
$1,551.68 |
|
|
Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides)
|
$570.38 |
$764.98 |
$844.07 |
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$267.55 |
$398.00 |
$1,568.09 |
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$220.79 |
$424.76 |
$701.09 |
|
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
|
$902.41 |
$1,216.81 |
$3,297.43 |
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
|
$463.18 |
$554.54 |
$739.61 |
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
|
$851.31 |
$1,155.32 |
$1,508.88 |
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
|
$412.51 |
$542.32 |
$2,220.28 |
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
|
$919.28 |
$1,247.43 |
$6,728.13 |
|
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
|
$591.99 |
$812.19 |
$897.36 |
|
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
|
$819.50 |
$952.53 |
$3,422.75 |
|
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
|
$314.73 |
$373.80 |
$457.91 |
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$175.57 |
$607.39 |
$707.10 |
|
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
|
$404.09 |
$572.36 |
$749.60 |
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$35.92 |
$80.65 |
$304.49 |
|