|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$16.61 |
$16.61 |
$16.61 |
$81.44
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$22.76 |
$22.76 |
$22.76 |
$63.60
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$39.98 |
$39.98 |
$39.98 |
$80.05
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$17.43 |
$17.43 |
$17.43 |
$77.28
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$33.83 |
$33.83 |
$33.83 |
$83.50
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$35.88 |
$35.88 |
$35.88 |
$77.72
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$36.29 |
$36.29 |
$36.29 |
$55.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$22.14 |
$22.14 |
$22.14 |
$101.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$129.77 |
$129.77 |
$129.77 |
$132.60
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$15.38 |
$15.38 |
$15.38 |
$97.50
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$22.76 |
$22.76 |
$22.76 |
$60.00
|
|
Infectious agent nucleic acid amplified probe
|
$196.80 |
$196.80 |
$196.80 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$35.26 |
$35.26 |
$35.26 |
$141.48
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$73.80 |
$73.80 |
$73.80 |
$174.06
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$316.52 |
$316.52 |
$316.52 |
$855.45
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$63.35 |
$63.35 |
$63.35 |
$178.00
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$27.68 |
$27.68 |
$27.68 |
$150.15
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$197.62 |
$197.62 |
$197.62 |
$210.00
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$35.26 |
$35.26 |
$35.26 |
$136.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$67.86 |
$67.86 |
$67.86 |
$103.20
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$31.98 |
$31.98 |
$31.98 |
$98.15
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$29.52 |
$29.52 |
$29.52 |
$112.45
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$23.78 |
$23.78 |
$23.78 |
$200.20
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$161.13 |
$161.13 |
$161.13 |
$727.50
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$126.08 |
$126.08 |
$126.08 |
$283.20
|
|
Infectious agent nucleic acid quantification bk virus
|
$130.38 |
$130.38 |
$130.38 |
$285.66
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$63.35 |
$63.35 |
$63.35 |
$226.35
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$63.35 |
$63.35 |
$63.35 |
$278.78
|
|
Infectious agent nucleic acid quantification hiv-1
|
$65.81 |
$65.81 |
$65.81 |
$381.55
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$121.57 |
$121.57 |
$121.57 |
$298.35
|
|
Infliximab 100 mg intravenous solution
|
$920.45 |
$920.45 |
$920.45 |
$2,102.08
|
|
Initiation & management bipap/cpap initial day
|
$184.50 |
$184.50 |
$184.50 |
$645.79
|
|
Inj allopurinol sodium 1 mg
|
$1,471.08 |
$1,471.08 |
$1,471.08 |
$7,176.71
|
|
Inj andexxa, 10 mg
|
$303.81 |
$303.81 |
$303.81 |
$536.90
|
|
Inj, bezlotoxumab, 10 mg
|
$1,402.20 |
$1,402.20 |
$1,402.20 |
$8,698.20
|
|
Inj, bortezomib, dr. reddy's
|
$660.72 |
$660.72 |
$660.72 |
$48.55
|
|
Inj, bupivacaine liposome
|
$348.09 |
$348.09 |
$348.09 |
$638.07
|
|
Inj calcitriol per 0.1 mcg
|
$11.07 |
$11.07 |
$11.07 |
$31.69
|
|
Inj, cefiderocol, 10 mg
|
$202.54 |
$202.54 |
$202.54 |
$596.08
|
|
Inj ceftolozane tazobactam
|
$91.84 |
$91.84 |
$91.84 |
$431.36
|
|
Inj, clevidipine butyrate
|
$166.87 |
$166.87 |
$166.87 |
$4.86
|
|
Inj cntr knee arthro incl ct/mri
|
$253.59 |
$253.59 |
$253.59 |
$464.28
|
|
Inj crotalidae im f(ab')2 eq
|
$920.45 |
$920.45 |
$920.45 |
$2,735.85
|
|
Inj disk cerv-thor ea lev
|
$312.83 |
$312.83 |
$312.83 |
$869.80
|
|
Inj dx for sinogram
|
$291.92 |
$291.92 |
$291.92 |
$436.00
|
|
Injection arthrography hip without anesthesia (both sides)
|
$351.78 |
$351.78 |
$351.78 |
$507.10
|
|
Injection, cangrelor
|
$1,105.98 |
$1,105.98 |
$1,105.98 |
$1,943.40
|
|
Injection during cath supravalvular aortography
|
$734.72 |
$734.72 |
$734.72 |
$1,148.80
|
|
Injection epidural blood patch or clot
|
$715.86 |
$715.86 |
$715.86 |
$1,473.12
|
|
Injection for arthrography wrist (both sides)
|
$253.59 |
$253.59 |
$253.59 |
$441.12
|
|
Injection for bladder x-ray
|
$326.16 |
$326.16 |
$326.16 |
$585.00
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$253.59 |
$253.59 |
$253.59 |
$504.00
|
|
Injection for ureter x-ray
|
$357.52 |
$357.52 |
$357.52 |
$444.95
|
|
Injection for ureter x-ray
|
$291.72 |
$291.72 |
$291.72 |
$515.21
|
|
Injection,onabotulinumtoxina
|
$597.58 |
$597.58 |
$597.58 |
$2,154.07
|
|
Injection, peramivir
|
$349.94 |
$349.94 |
$349.94 |
$857.98
|
|
Injection radioactive tracer sentinel node (both sides)
|
$402.83 |
$402.83 |
$402.83 |
$717.20
|
|
Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides)
|
$404.26 |
$404.26 |
$404.26 |
$1,501.60
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$383.97 |
$383.97 |
$383.97 |
$1,471.50
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$634.48 |
$634.48 |
$634.48 |
$1,017.28
|
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
|
$571.95 |
$571.95 |
$571.95 |
$2,251.00
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
|
$387.45 |
$387.45 |
$387.45 |
$1,961.05
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
|
$168.92 |
$168.92 |
$168.92 |
$1,119.88
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
|
$312.83 |
$312.83 |
$312.83 |
$2,154.68
|
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
|
$388.48 |
$388.48 |
$388.48 |
$1,829.28
|
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
|
$388.48 |
$388.48 |
$388.48 |
$1,758.12
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$223.04 |
$223.04 |
$223.04 |
$552.60
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$149.24 |
$149.24 |
$149.24 |
$168.05
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$149.24 |
$149.24 |
$149.24 |
$154.05
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$149.24 |
$149.24 |
$149.24 |
$271.65
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$73.19 |
$73.19 |
$73.19 |
$141.60
|
|
Injection torsemide 10 mg/ml
|
$10.46 |
$10.46 |
$10.46 |
$16.02
|
|
Inj fluphenazine hcl 1.25 mg
|
$10.66 |
$10.66 |
$10.66 |
$44.95
|
|
Inj for ext venography
|
$651.49 |
$651.49 |
$651.49 |
$737.55
|
|
Inj hrt cath w/s&i nonsel p-art angrp
|
$661.33 |
$661.33 |
$661.33 |
$1,482.00
|
|
Inj hrt cath w/s&i sel hrt ang
|
$822.87 |
$822.87 |
$822.87 |
$1,837.17
|
|
Inj hrt cath w/s&i sel hrt art
|
$859.57 |
$859.57 |
$859.57 |
$1,192.50
|
|
Inj hrt cath w/s&i sel left vent
|
$653.95 |
$653.95 |
$653.95 |
$1,214.40
|
|
Inj hrt cath w/s&i sel right vent
|
$653.95 |
$653.95 |
$653.95 |
$947.65
|
|
Inj hydroxocobalamin IV 25mg
|
$920.45 |
$920.45 |
$920.45 |
$2,452.32
|
|
Inj intralesional <= 7 lsn(s)
|
$43.26 |
$43.26 |
$43.26 |
$241.74
|
|
Inj lwr xtr fscl pln blk uni w/wo image
|
$219.76 |
$219.76 |
$219.76 |
$625.00
|
|
Inj mepivacaine hcl/10 ml
|
$8.41 |
$8.41 |
$8.41 |
$31.28
|
|
Inj., meropenem, vaborbactam
|
$197.01 |
$197.01 |
$197.01 |
$586.20
|
|
Inj, moxifloxacin 100 mg
|
$50.84 |
$50.84 |
$50.84 |
$153.27
|
|
Inj multihance
|
$116.24 |
$116.24 |
$116.24 |
$119.25
|
|
Inj nephrosto/ureterogram w/img exstng access
|
$605.16 |
$605.16 |
$605.16 |
$1,522.56
|
|
Inj proc for lymphang
|
$602.29 |
$602.29 |
$602.29 |
$1,372.00
|
|
Inj proc lumbr disk ea lvl
|
$312.83 |
$312.83 |
$312.83 |
$1,224.30
|
|
Inj proc myelogram lumbar
|
$292.95 |
$292.95 |
$292.95 |
$922.80
|
|
Inj proc sialogram
|
$129.77 |
$129.77 |
$129.77 |
$380.80
|
|
Inj progesterone per 50 mg
|
$33.21 |
$33.21 |
$33.21 |
$19.53
|
|
Inj, releuko 1 mcg
|
$281.06 |
$281.06 |
$281.06 |
$519.53
|
|
Inj retacrit esrd on dialysi
|
$121.98 |
$121.98 |
$121.98 |
$343.53
|
|
Inj retro urethrocysto
|
$519.06 |
$519.06 |
$519.06 |
$551.29
|
|
Inj secretin synthetic human
|
$38.34 |
$38.34 |
$38.34 |
$1,459.08
|
|
Inj testostero enanthate 1mg
|
$26.24 |
$26.24 |
$26.24 |
$35.40
|
|
Inj testosterone cypionate
|
$81.39 |
$81.39 |
$81.39 |
$82.58
|
|
Inj, vancomycin hcl (mylan)
|
$9.02 |
$9.02 |
$9.02 |
$89.83
|
|
Inj w/fluor eval cv device
|
$490.98 |
$490.98 |
$490.98 |
$588.90
|