|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$24.73 |
$115.50 |
$232.90 |
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$31.74 |
$43.97 |
$90.10 |
|
|
Infectious agent nucleic acid amplified probe
|
$192.93 |
$249.32 |
$433.50 |
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$49.41 |
$94.50 |
$172.55 |
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$76.94 |
$174.72 |
$293.25 |
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$339.02 |
$793.38 |
$2,747.04 |
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$72.82 |
$187.74 |
$695.30 |
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$72.82 |
$95.00 |
$151.89 |
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$31.74 |
$86.56 |
$493.02 |
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$49.41 |
$83.16 |
$152.15 |
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$70.98 |
$88.00 |
$167.45 |
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$65.95 |
$65.95 |
$65.95 |
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$173.04 |
$187.00 |
$384.29 |
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$22.00 |
$103.74 |
$151.30 |
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$76.26 |
$93.84 |
$166.00 |
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$505.69 |
$625.80 |
$1,096.50 |
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$264.50 |
$264.50 |
$264.50 |
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$410.34 |
$410.34 |
$542.04 |
|
|
Infectious agent nucleic acid quantification bk virus
|
$122.36 |
$367.50 |
$538.08 |
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$88.62 |
$347.76 |
$438.60 |
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$100.99 |
$337.26 |
$725.05 |
|
|
Infectious agent nucleic acid quantification hiv-1
|
$175.87 |
$687.12 |
$1,405.90 |
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$183.61 |
$290.26 |
$549.95 |
|
|
Infliximab 100 mg intravenous solution
|
$518.14 |
$2,365.42 |
$4,787.16 |
|
|
Infliximab-axxq 100 mg intravenous solution
|
$210.75 |
$962.12 |
$1,947.14 |
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$225.81 |
$1,030.85 |
$2,086.24 |
|
|
Influenza dna amp prob addl
|
$64.26 |
$64.26 |
$101.15 |
|
|
Influenza virus vaccine, live trivalent intranasal
|
$11.71 |
$18.90 |
$38.25 |
|
|
Infuse radioactive materials
|
$625.00 |
$2,288.16 |
$2,288.16 |
|
|
Ingest challenge ea addl 60 min
|
$388.86 |
$388.86 |
$388.86 |
|
|
Ingest challenge ini 120 min
|
$556.82 |
$556.82 |
$556.82 |
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$112.56 |
$126.50 |
$227.53 |
|
|
Initial foot exam pt lops
|
$1,556.00 |
$1,556.00 |
$1,556.00 |
|
|
Initial nursing facility care/day 35 minutes
|
$143.35 |
$143.35 |
$143.35 |
|
|
Initial nursing facility care/day 45 minutes
|
$184.62 |
$184.62 |
$184.62 |
|
|
Initial nursing facility care/day low severity 99304
|
$100.46 |
$100.46 |
$100.46 |
|
|
Initial observation care
|
$226.59 |
$229.32 |
$232.05 |
|
|
Initial observation care
|
$308.76 |
$312.48 |
$316.20 |
|
|
Initial observation care
|
$418.32 |
$423.36 |
$428.40 |
|
|
Inj, abilify asimtufii, 1 mg
|
$733.17 |
$10,710.62 |
$21,676.25 |
|
|
Inj, abilify maintena, 1 mg
|
$1,173.07 |
$5,355.30 |
$10,838.10 |
|
|
Inj, acetaminophen (b braun)
|
$41.79 |
$41.79 |
$84.58 |
|
|
Inj acetaminophen -fresenius
|
$41.79 |
$41.79 |
$84.58 |
|
|
Inj, acetaminophen (hikma)
|
$41.79 |
$41.79 |
$84.58 |
|
|
Inj, adstiladrin, per tx dos
|
$41.79 |
$41.79 |
$84.58 |
|
|
Inj, alfentanil hcl, 500mcg
|
$41.79 |
$41.79 |
$84.58 |
|
|
Inj alymsys 10 mg
|
$41.73 |
$3,047.66 |
$6,167.88 |
|
|
Inj anifrolumab-fnia 1mg
|
$1,202.76 |
$10,981.68 |
$22,224.83 |
|
|
Inj, artesunate, 1mg
|
$2,474.11 |
$22,589.70 |
$45,717.25 |
|
|
Inj, aspara, rylaze, 0.1 mg
|
$4,581.60 |
$10,458.00 |
$21,165.00 |
|
|
Inj aval alfa-nqpt 4mg
|
$895.81 |
$4,089.54 |
$8,276.45 |
|
|
Inj., benralizumab, 1 mg
|
$2,611.31 |
$11,921.18 |
$24,126.19 |
|
|
Inj, bezlotoxumab, 10 mg
|
$1,748.00 |
$7,980.00 |
$16,150.00 |
|
|
Inj, bortezomib, dr. reddy's
|
$57.96 |
$57.96 |
$117.30 |
|
|
Inj, bortezomib freseniuskab
|
$539.77 |
$2,464.14 |
$4,986.95 |
|
|
Inj calcitriol per 0.1 mcg
|
$41.79 |
$41.79 |
$84.58 |
|
|
Inj cefazolin sodium, baxter
|
$0.06 |
$86.84 |
$175.74 |
|
|
Inj cefazolin (wg crit care)
|
$1.51 |
$86.84 |
$175.74 |
|
|
Inj. cefepime hcl (baxter)
|
$0.25 |
$86.84 |
$175.74 |
|
|
Inj, cefepime hcl (b braun)
|
$12.56 |
$86.84 |
$175.74 |
|
|
Inj, cefiderocol, 10 mg
|
$97.96 |
$447.21 |
$905.07 |
|
|
Inj ceftolozane tazobactam
|
$73.36 |
$334.88 |
$677.74 |
|
|
Inj, clevidipine butyrate
|
$0.73 |
$165.90 |
$335.75 |
|
|
Inj, clindamycin (baxter)
|
$0.11 |
$86.84 |
$175.74 |
|
|
Inj cntr knee arthro incl ct/mri
|
$139.44 |
$139.44 |
$242.17 |
|
|
Inj crotalidae im f(ab')2 eq
|
$534.02 |
$2,437.92 |
$4,933.87 |
|
|
Inj cyclophosphamd auromedic
|
$461.16 |
$461.16 |
$933.30 |
|
|
Inj cyclophosphamd (ingenus)
|
$524.35 |
$524.35 |
$1,061.19 |
|
|
Inj, cyclophosphamd, sandoz
|
$63.60 |
$218.95 |
$443.11 |
|
|
Inj daptomycin (xellia)
|
$41.79 |
$41.79 |
$84.58 |
|
|
Inj, decitabine (sun pharma)
|
$734.90 |
$734.90 |
$1,487.29 |
|
|
Inj disk cerv-thor ea lev
|
$485.10 |
$485.10 |
$972.95 |
|
|
Inj, donanemab-azbt, 2 mg
|
$16.01 |
$1,460.89 |
$2,956.56 |
|
|
Inj dupuytren cord w/enzyme
|
$333.48 |
$333.48 |
$337.45 |
|
|
Inj dx for sinogram
|
$122.49 |
$196.98 |
$328.18 |
|
|
Inject for sacroiliac joint
|
$414.12 |
$419.05 |
$547.78 |
|
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
|
$481.74 |
$532.68 |
$884.85 |
|
|
Injection arthrography hip without anesthesia (both sides)
|
$504.00 |
$504.00 |
$611.22 |
|
|
Injection, burosumab-twza 1m
|
$5,850.47 |
$26,708.64 |
$54,053.20 |
|
|
Injection, cangrelor
|
$420.38 |
$1,919.12 |
$3,883.94 |
|
|
Injection, caplacizumab-yhdp
|
$3,645.50 |
$16,642.50 |
$33,681.25 |
|
|
Injection carpal tunnel therapeutic (both sides)
|
$160.19 |
$272.16 |
$275.40 |
|
|
Injection, daratumumab 10 mg
|
$70.76 |
$6,460.02 |
$13,073.85 |
|
|
Injection, doxercalciferol
|
$1.47 |
$41.79 |
$84.58 |
|
|
Injection during cath supravalvular aortography
|
$602.70 |
$602.70 |
$990.03 |
|
|
Injection, edaravone, 1 mg
|
$2.66 |
$968.02 |
$1,959.08 |
|
|
Injection epidural blood patch or clot
|
$393.30 |
$757.68 |
$880.84 |
|
|
Injection eye drug
|
$162.79 |
$246.19 |
$246.19 |
|
|
Injection for arthrography wrist (both sides)
|
$125.00 |
$128.94 |
$448.20 |
|
|
Injection for bladder x-ray
|
$313.32 |
$590.13 |
$597.24 |
|
|
Injection for hip x-ray
|
$194.27 |
$194.27 |
$1,279.50 |
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$283.92 |
$283.92 |
$497.76 |
|
|
Injection for spleen x-ray
|
$388.92 |
$388.92 |
$929.00 |
|
|
Injection for ureter x-ray
|
$183.12 |
$183.12 |
$930.25 |
|
|
Injection for ureter x-ray
|
$338.94 |
$338.94 |
$1,090.07 |
|
|
Injection, fulvestrant
|
$81.58 |
$1,862.14 |
$3,768.61 |
|
|
Injection, glucarpidase
|
$18,940.04 |
$86,465.40 |
$174,989.50 |
|
|
Injection, inclisiran, 1 mg
|
$1,036.97 |
$7,100.99 |
$14,371.04 |
|
|
Injection into brain canal
|
$187.74 |
$187.74 |
$1,393.24 |
|
|
Injection into brain canal
|
$744.66 |
$744.66 |
$744.66 |
|