|
Infectious agent nucleic acid amplified probe
|
$433.75 |
$433.75 |
$433.75 |
$267.50
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$58.75 |
$58.75 |
$58.75 |
$137.67
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$39.50 |
$39.50 |
$39.50 |
$167.05
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$439.75 |
$439.75 |
$439.75 |
$861.00
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$62.50 |
$62.50 |
$62.50 |
$181.35
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$39.50 |
$39.50 |
$39.50 |
$151.25
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$429.00 |
$429.00 |
$429.00 |
$201.60
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$58.75 |
$58.75 |
$58.75 |
$135.80
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$46.50 |
$46.50 |
$46.50 |
$100.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$125.25 |
$125.25 |
$125.25 |
$217.70
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$125.25 |
$125.25 |
$125.25 |
$236.08
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$24.50 |
$24.50 |
$24.50 |
$94.53
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$38.00 |
$38.00 |
$38.00 |
$105.00
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$57.50 |
$57.50 |
$57.50 |
$184.80
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$376.00 |
$376.00 |
$376.00 |
$711.93
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$107.50 |
$107.50 |
$107.50 |
$283.20
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$222.00 |
$222.00 |
$222.00 |
$429.50
|
|
Infectious agent nucleic acid quantification bk virus
|
$453.75 |
$453.75 |
$453.75 |
$283.00
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$121.50 |
$121.50 |
$121.50 |
$238.80
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$255.50 |
$255.50 |
$255.50 |
$252.60
|
|
Infectious agent nucleic acid quantification hiv-1
|
$154.75 |
$154.75 |
$154.75 |
$374.50
|
|
Infliximab 100 mg intravenous solution
|
$329.40 |
$329.40 |
$329.40 |
$2,080.86
|
|
Influenza dna amp prob addl
|
$22.50 |
$22.50 |
$22.50 |
$64.26
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$98.50 |
$98.50 |
$98.50 |
$293.04
|
|
Initiation & management bipap/cpap initial day
|
$141.50 |
$141.50 |
$141.50 |
$576.00
|
|
Inj, acetaminophen (b braun)
|
$10.59 |
$10.59 |
$10.59 |
$32.79
|
|
Inj acetaminophen -fresenius
|
$10.50 |
$10.50 |
$10.50 |
$38.87
|
|
Inj, acetaminophen (hikma)
|
$7.88 |
$7.88 |
$7.88 |
$68.30
|
|
Inj allopurinol sodium 1 mg
|
$1,647.83 |
$1,647.83 |
$1,647.83 |
$6,968.99
|
|
Inj, bortezomib freseniuskab
|
$889.95 |
$889.95 |
$889.95 |
$2,464.14
|
|
Inj, bortezomib, hospira
|
$34.62 |
$34.62 |
$34.62 |
$175.35
|
|
Inj calcitriol per 0.1 mcg
|
$11.35 |
$11.35 |
$11.35 |
$22.69
|
|
Inj cefazolin sodium, baxter
|
$21.75 |
$21.75 |
$21.75 |
$27.38
|
|
Inj cefazolin sodium, hikma
|
$9.11 |
$9.11 |
$9.11 |
$29.10
|
|
Inj cefazolin (wg crit care)
|
$6.75 |
$6.75 |
$6.75 |
$18.30
|
|
Inj. cefepime hcl (baxter)
|
$99.75 |
$99.75 |
$99.75 |
$86.84
|
|
Inj, cefepime hcl (b braun)
|
$51.78 |
$51.78 |
$51.78 |
$69.85
|
|
Inj, clindamycin (baxter)
|
$11.44 |
$11.44 |
$11.44 |
$48.39
|
|
Inj cntr knee arthro incl ct/mri
|
$118.50 |
$118.50 |
$118.50 |
$436.80
|
|
Inj cyclophos dr.reddy's 5mg
|
$2,625.00 |
$2,625.00 |
$2,625.00 |
$4,725.00
|
|
Inj cyclophosphamd auromedic
|
$174.83 |
$174.83 |
$174.83 |
$249.68
|
|
Inj cyclophosphamd (ingenus)
|
$1,016.45 |
$1,016.45 |
$1,016.45 |
$742.72
|
|
Inj, daptomycin (hospira)
|
$61.58 |
$61.58 |
$61.58 |
$110.83
|
|
Inj daptomycin (xellia)
|
$22.56 |
$22.56 |
$22.56 |
$56.04
|
|
Inj, decitabine (sun pharma)
|
$69.38 |
$69.38 |
$69.38 |
$295.94
|
|
Inj dx for sinogram
|
$68.00 |
$68.00 |
$68.00 |
$413.82
|
|
Injection arthrography hip without anesthesia (both sides)
|
$97.75 |
$97.75 |
$97.75 |
$500.50
|
|
Injection carpal tunnel therapeutic (both sides)
|
$125.75 |
$125.75 |
$125.75 |
$504.90
|
|
Injection, doxercalciferol
|
$6.94 |
$6.94 |
$6.94 |
$23.12
|
|
Injection during cath supravalvular aortography
|
$62.00 |
$62.00 |
$62.00 |
$904.17
|
|
Injection, edaravone, 1 mg
|
$249.75 |
$249.75 |
$249.75 |
$1,136.59
|
|
Injection epidural blood patch or clot
|
$451.25 |
$451.25 |
$451.25 |
$1,156.80
|
|
Injection eye drug
|
$122.00 |
$122.00 |
$122.00 |
$644.50
|
|
Injection for arthrography wrist (both sides)
|
$143.25 |
$143.25 |
$143.25 |
$441.12
|
|
Injection for bladder x-ray
|
$53.00 |
$53.00 |
$53.00 |
$459.20
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$143.25 |
$143.25 |
$143.25 |
$494.65
|
|
Injection for ureter x-ray
|
$556.25 |
$556.25 |
$556.25 |
$415.80
|
|
Injection for ureter x-ray
|
$82.50 |
$82.50 |
$82.50 |
$515.21
|
|
Injection, fulvestrant
|
$1,199.79 |
$1,199.79 |
$1,199.79 |
$1,719.16
|
|
Injection glatiramer acetate
|
$112.75 |
$112.75 |
$112.75 |
$830.51
|
|
Injection radioactive tracer sentinel node (both sides)
|
$174.00 |
$174.00 |
$174.00 |
$683.28
|
|
Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides)
|
$361.50 |
$361.50 |
$361.50 |
$1,582.12
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$470.25 |
$470.25 |
$470.25 |
$1,391.40
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$293.75 |
$293.75 |
$293.75 |
$1,045.65
|
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
|
$500.50 |
$500.50 |
$500.50 |
$1,939.60
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
|
$443.00 |
$443.00 |
$443.00 |
$1,029.45
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
|
$885.50 |
$885.50 |
$885.50 |
$1,777.50
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
|
$202.75 |
$202.75 |
$202.75 |
$1,064.70
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
|
$715.50 |
$715.50 |
$715.50 |
$1,961.05
|
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
|
$426.00 |
$426.00 |
$426.00 |
$1,842.00
|
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
|
$472.75 |
$472.75 |
$472.75 |
$1,704.78
|
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
|
$177.00 |
$177.00 |
$177.00 |
$460.94
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$134.75 |
$134.75 |
$134.75 |
$517.24
|
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
|
$234.75 |
$234.75 |
$234.75 |
$625.00
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$96.75 |
$96.75 |
$96.75 |
$166.38
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$96.75 |
$96.75 |
$96.75 |
$145.60
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$200.00 |
$200.00 |
$200.00 |
$261.00
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$28.50 |
$28.50 |
$28.50 |
$135.20
|
|
Inj epidural sgl cerv-thor without img
|
$410.75 |
$410.75 |
$410.75 |
$1,329.00
|
|
Inj epidural sgl lumb-sacral without img
|
$208.00 |
$208.00 |
$208.00 |
$1,415.50
|
|
Inj, epinephrine (belcher)
|
$1,523.91 |
$1,523.91 |
$1,523.91 |
$6.24
|
|
Inj for ext venography
|
$133.50 |
$133.50 |
$133.50 |
$654.00
|
|
Inj, fosaprepitant (teva)
|
$49.52 |
$49.52 |
$49.52 |
$152.10
|
|
Inj, fulvestrant (fresenius)
|
$636.01 |
$636.01 |
$636.01 |
$1,065.08
|
|
Inj gemcitabine hcl (accord)
|
$72.59 |
$72.59 |
$72.59 |
$113.90
|
|
Inj glycopyrrolate fres kabi
|
$15.23 |
$15.23 |
$15.23 |
$12.18
|
|
Inj heparin, pfizer, 1000u
|
$10.80 |
$10.80 |
$10.80 |
$24.28
|
|
Inj hrt cath w/s&i sel right vent
|
$62.00 |
$62.00 |
$62.00 |
$947.05
|
|
Inj, idacio, 1 mg
|
$623.74 |
$623.74 |
$623.74 |
$14.63
|
|
Inj intralesional <= 7 lsn(s)
|
$144.75 |
$144.75 |
$144.75 |
$235.13
|
|
Inj labetalol hcl hikma, 5mg
|
$5.46 |
$5.46 |
$5.46 |
$40.00
|
|
Inj, lanreotide, (cipla) 1mg
|
$4,232.33 |
$4,232.33 |
$4,232.33 |
$11,648.70
|
|
Inj levoleucovorin nos 0.5mg
|
$119.47 |
$119.47 |
$119.47 |
$103.60
|
|
Inj, linezolid (hospira)
|
$112.50 |
$112.50 |
$112.50 |
$153.30
|
|
Inj melpha hydroch nos 50 mg
|
$718.18 |
$718.18 |
$718.18 |
$2,375.23
|
|
Inj, meropenem (b. braun)
|
$51.88 |
$51.88 |
$51.88 |
$71.14
|
|
Inj meropenem (wg crit care)
|
$54.22 |
$54.22 |
$54.22 |
$77.97
|
|
Inj, micafungin (par pharm)
|
$67.71 |
$67.71 |
$67.71 |
$89.40
|
|
Inj, moxifloxacin 100 mg
|
$76.41 |
$76.41 |
$76.41 |
$107.25
|
|
Inj. mycophenolate mofetil
|
$125.75 |
$125.75 |
$125.75 |
$252.66
|