|
Infect ag ia direct hiv-1 antgn
|
$109.20 |
$109.20 |
$109.20 |
$91.70
|
|
Infect ag ia optc obs influenza
|
$158.34 |
$158.34 |
$158.34 |
$72.93
|
|
Infect ag if legionella pneumophila
|
$186.06 |
$186.06 |
$186.06 |
$72.58
|
|
Infect ag if pneumocystis carinii
|
$108.78 |
$108.78 |
$108.78 |
$66.00
|
|
Infect ag if varicella zoster
|
$133.56 |
$133.56 |
$133.56 |
$70.70
|
|
Infect ag na hpv high-risk types
|
$141.96 |
$141.96 |
$141.96 |
$139.75
|
|
Infect ag na influenza r/amp 1st 2 types
|
$238.14 |
$238.14 |
$238.14 |
$219.70
|
|
Infect ag na resp virus 12-25 targets
|
$1,017.24 |
$1,017.24 |
$1,017.24 |
$835.80
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$191.52 |
$191.52 |
$191.52 |
$82.00
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$116.76 |
$116.76 |
$116.76 |
$72.80
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$89.88 |
$89.88 |
$89.88 |
$76.32
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$101.22 |
$101.22 |
$101.22 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$95.34 |
$95.34 |
$95.34 |
$100.02
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$81.06 |
$81.06 |
$81.06 |
$81.20
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$24.36 |
$24.36 |
$24.36 |
$60.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$113.82 |
$113.82 |
$113.82 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$174.72 |
$174.72 |
$174.72 |
$129.00
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$115.50 |
$115.50 |
$115.50 |
$98.02
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$40.74 |
$40.74 |
$40.74 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$239.40 |
$239.40 |
$239.40 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$94.50 |
$94.50 |
$94.50 |
$139.68
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$174.72 |
$174.72 |
$174.72 |
$167.00
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$793.38 |
$793.38 |
$793.38 |
$861.00
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$187.74 |
$187.74 |
$187.74 |
$179.92
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$89.88 |
$89.88 |
$89.88 |
$147.55
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$79.80 |
$79.80 |
$79.80 |
$217.85
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$83.16 |
$83.16 |
$83.16 |
$136.03
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$70.98 |
$70.98 |
$70.98 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$173.04 |
$173.04 |
$173.04 |
$236.08
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$103.74 |
$103.74 |
$103.74 |
$92.50
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$85.68 |
$85.68 |
$85.68 |
$108.75
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$625.80 |
$625.80 |
$625.80 |
$727.50
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$410.34 |
$410.34 |
$410.34 |
$423.53
|
|
Infectious agent nucleic acid quantification bk virus
|
$367.50 |
$367.50 |
$367.50 |
$279.40
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$347.76 |
$347.76 |
$347.76 |
$239.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$337.26 |
$337.26 |
$337.26 |
$252.00
|
|
Infectious agent nucleic acid quantification hiv-1
|
$687.12 |
$687.12 |
$687.12 |
$374.00
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$265.44 |
$265.44 |
$265.44 |
$303.59
|
|
Infliximab 100 mg intravenous solution
|
$2,365.42 |
$2,365.42 |
$2,365.42 |
$2,080.86
|
|
Infliximab-axxq 100 mg intravenous solution
|
$962.12 |
$962.12 |
$962.12 |
$1,062.00
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$1,030.85 |
$1,030.85 |
$1,030.85 |
$1,537.84
|
|
Influenza dna amp prob addl
|
$64.26 |
$64.26 |
$64.26 |
$64.26
|
|
Influenza virus vaccine, live trivalent intranasal
|
$18.90 |
$18.90 |
$18.90 |
$36.50
|
|
Infuse radioactive materials
|
$2,288.16 |
$2,288.16 |
$2,288.16 |
$640.50
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$112.56 |
$112.56 |
$112.56 |
$293.25
|
|
Initiation & management bipap/cpap initial day
|
$451.92 |
$451.92 |
$451.92 |
$576.00
|
|
Inj, abilify asimtufii, 1 mg
|
$10,710.62 |
$10,710.62 |
$10,710.62 |
$9,426.91
|
|
Inj, abilify maintena, 1 mg
|
$5,355.30 |
$5,355.30 |
$5,355.30 |
$5,355.30
|
|
Inj, acetaminophen (b braun)
|
$41.79 |
$41.79 |
$41.79 |
$33.31
|
|
Inj acetaminophen -fresenius
|
$41.79 |
$41.79 |
$41.79 |
$36.60
|
|
Inj, acetaminophen (hikma)
|
$41.79 |
$41.79 |
$41.79 |
$58.50
|
|
Inj, adstiladrin, per tx dos
|
$41.79 |
$41.79 |
$41.79 |
$63,354.77
|
|
Inj, alfentanil hcl, 500mcg
|
$41.79 |
$41.79 |
$41.79 |
$35.94
|
|
Inj alymsys 10 mg
|
$3,047.66 |
$3,047.66 |
$3,047.66 |
$1,280.74
|
|
Inj anifrolumab-fnia 1mg
|
$10,981.68 |
$10,981.68 |
$10,981.68 |
$9,878.82
|
|
Inj, artesunate, 1mg
|
$22,589.70 |
$22,589.70 |
$22,589.70 |
$14,460.21
|
|
Inj, aspara, rylaze, 0.1 mg
|
$10,458.00 |
$10,458.00 |
$10,458.00 |
$10,458.00
|
|
Inj aval alfa-nqpt 4mg
|
$4,089.54 |
$4,089.54 |
$4,089.54 |
$3,907.30
|
|
Inj., benralizumab, 1 mg
|
$11,921.18 |
$11,921.18 |
$11,921.18 |
$11,239.97
|
|
Inj, bezlotoxumab, 10 mg
|
$7,980.00 |
$7,980.00 |
$7,980.00 |
$7,612.43
|
|
Inj, bortezomib, dr. reddy's
|
$57.96 |
$57.96 |
$57.96 |
$48.55
|
|
Inj, bortezomib freseniuskab
|
$2,464.14 |
$2,464.14 |
$2,464.14 |
$2,527.00
|
|
Inj calcitriol per 0.1 mcg
|
$41.79 |
$41.79 |
$41.79 |
$23.28
|
|
Inj cefazolin sodium, baxter
|
$86.84 |
$86.84 |
$86.84 |
$27.38
|
|
Inj cefazolin (wg crit care)
|
$86.84 |
$86.84 |
$86.84 |
$18.05
|
|
Inj. cefepime hcl (baxter)
|
$86.84 |
$86.84 |
$86.84 |
$86.84
|
|
Inj, cefepime hcl (b braun)
|
$86.84 |
$86.84 |
$86.84 |
$69.85
|
|
Inj, cefiderocol, 10 mg
|
$447.21 |
$447.21 |
$447.21 |
$544.85
|
|
Inj ceftolozane tazobactam
|
$334.88 |
$334.88 |
$334.88 |
$380.80
|
|
Inj, clevidipine butyrate
|
$165.90 |
$165.90 |
$165.90 |
$4.86
|
|
Inj, clindamycin (baxter)
|
$86.84 |
$86.84 |
$86.84 |
$48.96
|
|
Inj cntr knee arthro incl ct/mri
|
$139.44 |
$139.44 |
$139.44 |
$436.80
|
|
Inj crotalidae im f(ab')2 eq
|
$2,437.92 |
$2,437.92 |
$2,437.92 |
$2,613.60
|
|
Inj cyclophosphamd auromedic
|
$461.16 |
$461.16 |
$461.16 |
$249.68
|
|
Inj cyclophosphamd (ingenus)
|
$524.35 |
$524.35 |
$524.35 |
$742.72
|
|
Inj, cyclophosphamd, sandoz
|
$218.95 |
$218.95 |
$218.95 |
$735.20
|
|
Inj daptomycin (xellia)
|
$41.79 |
$41.79 |
$41.79 |
$56.04
|
|
Inj, decitabine (sun pharma)
|
$734.90 |
$734.90 |
$734.90 |
$310.09
|
|
Inj disk cerv-thor ea lev
|
$485.10 |
$485.10 |
$485.10 |
$875.28
|
|
Inj, donanemab-azbt, 2 mg
|
$1,460.89 |
$1,460.89 |
$1,460.89 |
$1,233.44
|
|
Inj dx for sinogram
|
$196.98 |
$196.98 |
$196.98 |
$422.59
|
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
|
$481.74 |
$481.74 |
$481.74 |
$1,214.78
|
|
Injection arthrography hip without anesthesia (both sides)
|
$504.00 |
$504.00 |
$504.00 |
$495.84
|
|
Injection, burosumab-twza 1m
|
$26,708.64 |
$26,708.64 |
$26,708.64 |
$20,002.09
|
|
Injection, cangrelor
|
$1,919.12 |
$1,919.12 |
$1,919.12 |
$1,889.78
|
|
Injection, caplacizumab-yhdp
|
$16,642.50 |
$16,642.50 |
$16,642.50 |
$16,375.33
|
|
Injection, daratumumab 10 mg
|
$6,460.02 |
$6,460.02 |
$6,460.02 |
$5,239.24
|
|
Injection, doxercalciferol
|
$41.79 |
$41.79 |
$41.79 |
$23.86
|
|
Injection during cath supravalvular aortography
|
$602.70 |
$602.70 |
$602.70 |
$952.66
|
|
Injection, edaravone, 1 mg
|
$968.02 |
$968.02 |
$968.02 |
$1,136.59
|
|
Injection epidural blood patch or clot
|
$757.68 |
$757.68 |
$757.68 |
$1,156.80
|
|
Injection eye drug
|
$246.19 |
$246.19 |
$246.19 |
$644.50
|
|
Injection for arthrography wrist (both sides)
|
$128.94 |
$128.94 |
$128.94 |
$428.40
|
|
Injection for bladder x-ray
|
$597.24 |
$597.24 |
$597.24 |
$459.20
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$283.92 |
$283.92 |
$283.92 |
$494.65
|
|
Injection for spleen x-ray
|
$388.92 |
$388.92 |
$388.92 |
$529.57
|
|
Injection for ureter x-ray
|
$183.12 |
$183.12 |
$183.12 |
$427.70
|
|
Injection for ureter x-ray
|
$338.94 |
$338.94 |
$338.94 |
$515.21
|
|
Injection, fulvestrant
|
$1,862.14 |
$1,862.14 |
$1,862.14 |
$1,817.65
|
|
Injection, glucarpidase
|
$86,465.40 |
$86,465.40 |
$86,465.40 |
$74,113.20
|