|
Induced abortion d&c
|
$782.60 |
$782.60 |
$782.60 |
$3,762.53
|
|
Induced abortion dilat&evac
|
$1,469.00 |
$1,469.00 |
$1,469.00 |
$4,451.18
|
|
Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s)
|
$314.60 |
$314.60 |
$314.60 |
$140.80
|
|
Infect ag drug suscept pheno predict
|
$584.35 |
$584.35 |
$584.35 |
$325.00
|
|
Infect ag eia influenza a or b ea
|
$63.05 |
$63.05 |
$63.05 |
$71.20
|
|
Infect ag genotype na cytomegalovirus
|
$1,154.40 |
$1,154.40 |
$1,154.40 |
$665.40
|
|
Infect ag genotype na dna hepatitis b
|
$1,154.40 |
$1,154.40 |
$1,154.40 |
$409.27
|
|
Infect ag genotype na hiv-1 other region
|
$577.20 |
$577.20 |
$577.20 |
$361.65
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$1,154.40 |
$1,154.40 |
$1,154.40 |
$603.83
|
|
Infect ag ia optc obs influenza
|
$74.10 |
$74.10 |
$74.10 |
$72.93
|
|
Infect ag if ea plyvlnt antsrm
|
$53.95 |
$53.95 |
$53.95 |
$68.40
|
|
Infect ag if varicella zoster
|
$60.45 |
$60.45 |
$60.45 |
$72.00
|
|
Infect ag na hep b amp
|
$157.30 |
$157.30 |
$157.30 |
$120.50
|
|
Infect ag na hpv high-risk types
|
$157.30 |
$157.30 |
$157.30 |
$139.20
|
|
Infect ag na influenza r/amp 1st 2 types
|
$429.65 |
$429.65 |
$429.65 |
$219.70
|
|
Infect ag na orthopoxvirus amp prb each
|
$230.10 |
$230.10 |
$230.10 |
$100.00
|
|
Infect ag na resp virus 12-25 targets
|
$1,869.40 |
$1,869.40 |
$1,869.40 |
$854.70
|
|
Infect ag phenotype na hiv-1 1-10 drugs
|
$2,191.80 |
$2,191.80 |
$2,191.80 |
$954.00
|
|
Infect ag phenotype na hiv-1 ea addl drg
|
$117.00 |
$117.00 |
$117.00 |
$75.63
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$53.95 |
$53.95 |
$53.95 |
$83.60
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$60.45 |
$60.45 |
$60.45 |
$72.80
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$61.75 |
$61.75 |
$61.75 |
$76.00
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$53.95 |
$53.95 |
$53.95 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$64.35 |
$64.35 |
$64.35 |
$103.40
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$46.15 |
$46.15 |
$46.15 |
$81.20
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$46.15 |
$46.15 |
$46.15 |
$60.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$107.90 |
$107.90 |
$107.90 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$53.95 |
$53.95 |
$53.95 |
$129.00
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$53.95 |
$53.95 |
$53.95 |
$98.58
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$53.95 |
$53.95 |
$53.95 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$157.30 |
$157.30 |
$157.30 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$157.30 |
$157.30 |
$157.30 |
$141.95
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$167.05 |
$167.05 |
$167.05 |
$167.05
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$1,869.40 |
$1,869.40 |
$1,869.40 |
$864.67
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$157.30 |
$157.30 |
$157.30 |
$181.35
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$157.30 |
$157.30 |
$157.30 |
$149.13
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$187.20 |
$187.20 |
$187.20 |
$212.16
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$157.30 |
$157.30 |
$157.30 |
$137.67
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$230.10 |
$230.10 |
$230.10 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$639.60 |
$639.60 |
$639.60 |
$206.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$639.60 |
$639.60 |
$639.60 |
$236.08
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$157.30 |
$157.30 |
$157.30 |
$96.00
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$157.30 |
$157.30 |
$157.30 |
$112.45
|
|
Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae
|
$314.60 |
$314.60 |
$314.60 |
$217.60
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$344.50 |
$344.50 |
$344.50 |
$195.60
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$1,869.40 |
$1,869.40 |
$1,869.40 |
$727.50
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$575.25 |
$575.25 |
$575.25 |
$289.91
|
|
Infectious agent nucleic acid quantification bk virus
|
$192.40 |
$192.40 |
$192.40 |
$283.00
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$192.40 |
$192.40 |
$192.40 |
$242.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$192.40 |
$192.40 |
$192.40 |
$253.00
|
|
Infectious agent nucleic acid quantification hiv-1
|
$381.55 |
$381.55 |
$381.55 |
$375.00
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$639.60 |
$639.60 |
$639.60 |
$304.20
|
|
Infliximab 100 mg intravenous solution
|
$2,732.69 |
$2,732.69 |
$2,732.69 |
$2,047.13
|
|
Infliximab-axxq 100 mg intravenous solution
|
$1,560.00 |
$1,560.00 |
$1,560.00 |
$1,062.00
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$2,214.30 |
$2,214.30 |
$2,214.30 |
$1,537.84
|
|
Influenza dna amp prob addl
|
$131.30 |
$131.30 |
$131.30 |
$64.26
|
|
Influenza virus vaccine, inact hemagglutinin tiv pf inj
|
$184.99 |
$184.99 |
$184.99 |
$111.51
|
|
Influenza virus vaccine, live trivalent intranasal
|
$40.89 |
$40.89 |
$40.89 |
$36.50
|
|
Inf lwr xtr fscl pln blk uni w/wo image
|
$477.75 |
$477.75 |
$477.75 |
$762.00
|
|
Inf thrc fascial pln blk bi w/wo image
|
$523.25 |
$523.25 |
$523.25 |
$523.25
|
|
Inf thrc fascial pln blk uni w/wo image
|
$497.90 |
$497.90 |
$497.90 |
$770.00
|
|
Ingest challenge ea addl 60 min
|
$394.55 |
$394.55 |
$394.55 |
$289.64
|
|
Ingest challenge ini 120 min
|
$1,034.80 |
$1,034.80 |
$1,034.80 |
$764.78
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$608.40 |
$608.40 |
$608.40 |
$296.00
|
|
Initial hosp neonate 28 d/less than not critically ill 99477
|
$2,002.00 |
$2,002.00 |
$2,002.00 |
$629.60
|
|
Initial nursing facility care/day 35 minutes
|
$650.00 |
$650.00 |
$650.00 |
$188.50
|
|
Initial nursing facility care/day 45 minutes
|
$910.00 |
$910.00 |
$910.00 |
$236.80
|
|
Initial nursing facility care/day low severity 99304
|
$390.00 |
$390.00 |
$390.00 |
$128.00
|
|
Initial observation care
|
$156.00 |
$156.00 |
$156.00 |
$156.00
|
|
Init pm e/m new pat 65+ yrs
|
$650.00 |
$650.00 |
$650.00 |
$189.15
|
|
Inj, abilify asimtufii, 1 mg
|
$4,247.74 |
$4,247.74 |
$4,247.74 |
$9,426.91
|
|
Inj, abilify maintena, 1 mg
|
$6,796.39 |
$6,796.39 |
$6,796.39 |
$5,355.30
|
|
Inj, acetaminophen (b braun)
|
$0.29 |
$0.29 |
$0.29 |
$32.79
|
|
Inj acetaminophen -fresenius
|
$0.23 |
$0.23 |
$0.23 |
$36.60
|
|
Inj, acetaminophen (hikma)
|
$0.86 |
$0.86 |
$0.86 |
$56.70
|
|
Inj. acthar gel to 40 units
|
$21,202.27 |
$21,202.27 |
$21,202.27 |
$7,918.32
|
|
Inj, adalimumab, 1 mg
|
$19,998.76 |
$19,998.76 |
$19,998.76 |
$12,098.05
|
|
Inj, adstiladrin, per tx dos
|
$47,502.00 |
$47,502.00 |
$47,502.00 |
$63,354.77
|
|
Inj, adzynma, 10 iu
|
$7.92 |
$7.92 |
$7.92 |
$34.60
|
|
Inj, aflibercept hd, 1 mg
|
$91,295.10 |
$91,295.10 |
$91,295.10 |
$2,794.18
|
|
Inj alymsys 10 mg
|
$420.38 |
$420.38 |
$420.38 |
$1,280.74
|
|
Inj anifrolumab-fnia 1mg
|
$6,365.54 |
$6,365.54 |
$6,365.54 |
$10,052.58
|
|
Inj., aristada initio, 1 mg
|
$2,374.34 |
$2,374.34 |
$2,374.34 |
$4,052.45
|
|
Inj, artesunate, 1mg
|
$10,488.08 |
$10,488.08 |
$10,488.08 |
$14,460.21
|
|
Inj, aspara, rylaze, 0.1 mg
|
$33,134.40 |
$33,134.40 |
$33,134.40 |
$10,458.00
|
|
Inj avacincaptad pegol 0.1mg
|
$49,140.00 |
$49,140.00 |
$49,140.00 |
$3,409.64
|
|
Inj aval alfa-nqpt 4mg
|
$4,741.91 |
$4,741.91 |
$4,741.91 |
$3,907.30
|
|
Inj., benralizumab, 1 mg
|
$13,682.10 |
$13,682.10 |
$13,682.10 |
$11,310.00
|
|
Inj beta interferon sq 1 mcg
|
$4,285.44 |
$4,285.44 |
$4,285.44 |
$2,397.11
|
|
Inj, betibeglogene autotemce
|
$8,736,000.00 |
$8,736,000.00 |
$8,736,000.00 |
$4,057,157.07
|
|
Inj bimatoprost itc imp1mcg
|
$4,738.50 |
$4,738.50 |
$4,738.50 |
$3,287.96
|
|
Inj, brixadi, 7 days or less
|
$6,244.88 |
$6,244.88 |
$6,244.88 |
$748.85
|
|
Inj brixadi, more than 7 day
|
$22,204.01 |
$22,204.01 |
$22,204.01 |
$2,858.76
|
|
Inj, brolucizumab-dbll, 1 mg
|
$97,502.65 |
$97,502.65 |
$97,502.65 |
$3,382.69
|
|
Inj, bupivacaine liposome
|
$59.28 |
$59.28 |
$59.28 |
$699.38
|
|
Inj. byooviz, 0.1 mg
|
$54,470.52 |
$54,470.52 |
$54,470.52 |
$1,135.59
|
|
Inj calcitriol per 0.1 mcg
|
$23.28 |
$23.28 |
$23.28 |
$22.69
|
|
Inj cefazolin sodium, baxter
|
$0.21 |
$0.21 |
$0.21 |
$27.38
|
|
Inj cefazolin sodium, hikma
|
$25.86 |
$25.86 |
$25.86 |
$27.38
|
|
Inj, cefepime hcl (b braun)
|
$69.85 |
$69.85 |
$69.85 |
$69.85
|
