|
Infect ag genotype na hiv-1 other region
|
$631.80 |
$631.80 |
$631.80 |
$326.20
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$664.80 |
$664.80 |
$664.80 |
$603.75
|
|
Infect ag ia optc obs influenza
|
$118.80 |
$118.80 |
$118.80 |
$72.93
|
|
Infect ag if hep delta agent
|
$133.20 |
$133.20 |
$133.20 |
$125.97
|
|
Infect ag if influenza a
|
$24.60 |
$24.60 |
$24.60 |
$40.61
|
|
Infect ag if influenza b
|
$24.60 |
$24.60 |
$24.60 |
$37.95
|
|
Infect ag if legionella pneumophila
|
$75.60 |
$75.60 |
$75.60 |
$73.46
|
|
Infect ag if nos ea
|
$34.20 |
$34.20 |
$34.20 |
$74.10
|
|
Infect ag if pneumocystis carinii
|
$23.40 |
$23.40 |
$23.40 |
$67.46
|
|
Infect ag if varicella zoster
|
$73.80 |
$73.80 |
$73.80 |
$72.00
|
|
Infect ag na hep b amp
|
$58.20 |
$58.20 |
$58.20 |
$108.44
|
|
Infect ag na hpv high-risk types
|
$147.00 |
$147.00 |
$147.00 |
$139.20
|
|
Infect ag na influenza r/amp 1st 2 types
|
$183.60 |
$192.60 |
$192.60 |
$219.70
|
|
Infect ag na orthopoxvirus amp prb each
|
$96.60 |
$96.60 |
$96.60 |
$99.36
|
|
Infect ag na resp virus 12-25 targets
|
$1,020.00 |
$1,020.00 |
$1,020.00 |
$859.44
|
|
Infect ag phenotype na hiv-1 1-10 drugs
|
$1,197.00 |
$1,197.00 |
$1,197.00 |
$855.60
|
|
Infect ag phenotype na hiv-1 ea addl drg
|
$136.80 |
$136.80 |
$136.80 |
$77.00
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$199.20 |
$199.20 |
$199.20 |
$82.00
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$35.40 |
$35.40 |
$35.40 |
$69.44
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$83.40 |
$83.40 |
$83.40 |
$76.50
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$187.80 |
$187.80 |
$187.80 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$49.80 |
$49.80 |
$49.80 |
$96.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$64.20 |
$64.20 |
$64.20 |
$81.06
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$29.40 |
$29.40 |
$29.40 |
$57.60
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$47.40 |
$47.40 |
$47.40 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$115.80 |
$115.80 |
$115.80 |
$127.80
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$76.80 |
$76.80 |
$76.80 |
$97.50
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$22.80 |
$22.80 |
$22.80 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$246.00 |
$246.00 |
$246.00 |
$267.50
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$202.80 |
$202.80 |
$202.80 |
$137.67
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$408.60 |
$408.60 |
$408.60 |
$167.05
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$2,393.40 |
$2,393.40 |
$2,393.40 |
$861.00
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$75.60 |
$75.60 |
$75.60 |
$181.35
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$232.20 |
$232.20 |
$232.20 |
$151.25
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$121.20 |
$121.20 |
$121.20 |
$201.60
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$154.20 |
$154.20 |
$154.20 |
$135.80
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$106.20 |
$106.20 |
$106.20 |
$100.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$222.60 |
$222.60 |
$222.60 |
$217.70
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$225.00 |
$225.00 |
$225.00 |
$236.08
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$90.60 |
$90.60 |
$90.60 |
$94.53
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$70.80 |
$70.80 |
$70.80 |
$105.00
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$184.80 |
$184.80 |
$184.80 |
$184.80
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$831.60 |
$831.60 |
$831.60 |
$711.93
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$406.20 |
$406.20 |
$406.20 |
$283.20
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$484.20 |
$484.20 |
$484.20 |
$429.50
|
|
Infectious agent nucleic acid quantification bk virus
|
$244.80 |
$244.80 |
$244.80 |
$283.00
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$109.80 |
$109.80 |
$109.80 |
$238.80
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$163.20 |
$163.20 |
$163.20 |
$252.60
|
|
Infectious agent nucleic acid quantification hiv-1
|
$269.40 |
$269.40 |
$269.40 |
$374.50
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$348.60 |
$348.60 |
$348.60 |
$303.59
|
|
Infliximab 100 mg intravenous solution
|
$1,738.50 |
$5,045.04 |
$5,045.04 |
$2,080.86
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$3,463.44 |
$4,087.98 |
$4,087.98 |
$1,617.43
|
|
Influenza dna amp prob addl
|
$51.00 |
$51.00 |
$51.00 |
$64.26
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$203.40 |
$203.40 |
$203.40 |
$293.04
|
|
Initiation & management bipap/cpap initial day
|
$239.40 |
$239.40 |
$239.40 |
$576.00
|
|
Inj, adalimumab, 1 mg
|
$13,499.16 |
$13,499.16 |
$13,499.16 |
$12,098.05
|
|
Inj allopurinol sodium 1 mg
|
$16,745.70 |
$16,745.70 |
$16,745.70 |
$6,968.99
|
|
Inj, artesunate, 1mg
|
$23,235.12 |
$23,235.12 |
$23,235.12 |
$14,460.21
|
|
Inj aval alfa-nqpt 4mg
|
$8,412.78 |
$8,412.78 |
$8,412.78 |
$3,907.30
|
|
Inj., benralizumab, 1 mg
|
$21,400.26 |
$25,259.28 |
$25,259.28 |
$11,604.71
|
|
Inj beta interferon sq 1 mcg
|
$3,571.26 |
$3,571.26 |
$3,955.80 |
$2,856.95
|
|
Inj, bupivacaine liposome
|
$397.68 |
$449.76 |
$544.38 |
$699.38
|
|
Inj cefazolin sodium, baxter
|
$42.00 |
$42.00 |
$42.00 |
$27.38
|
|
Inj cefazolin sodium, hikma
|
$36.90 |
$36.90 |
$39.60 |
$29.10
|
|
Inj cefazolin (wg crit care)
|
$22.02 |
$22.02 |
$22.02 |
$18.30
|
|
Inj, cefepime hcl (b braun)
|
$134.70 |
$134.70 |
$134.70 |
$69.85
|
|
Inj, cefiderocol, 10 mg
|
$1,050.60 |
$1,050.60 |
$1,050.60 |
$544.85
|
|
Inj, clindamycin (baxter)
|
$23.52 |
$32.04 |
$58.92 |
$48.39
|
|
Inj cntr knee arthro incl ct/mri
|
$342.60 |
$342.60 |
$342.60 |
$436.80
|
|
Inj, cyclophos (baxter) 5mg
|
$634.08 |
$634.08 |
$2,985.00 |
$2,584.85
|
|
Inj daptomycin (xellia)
|
$90.00 |
$90.00 |
$90.00 |
$56.04
|
|
Inj disk cerv-thor ea lev
|
$1,833.60 |
$1,833.60 |
$1,833.60 |
$945.00
|
|
Inj dx for sinogram
|
$141.00 |
$295.20 |
$295.20 |
$413.82
|
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
|
$1,445.40 |
$1,445.40 |
$1,445.40 |
$1,214.78
|
|
Injection arthrography hip without anesthesia (both sides)
|
$197.40 |
$414.00 |
$414.00 |
$500.50
|
|
Injection, cangrelor
|
$4,205.04 |
$4,205.04 |
$4,517.46 |
$1,889.78
|
|
Injection, caplacizumab-yhdp
|
$31,372.38 |
$31,372.38 |
$37,029.66 |
$16,642.50
|
|
Injection carpal tunnel therapeutic (both sides)
|
$571.80 |
$571.80 |
$571.80 |
$504.90
|
|
Injection, doxercalciferol
|
$6.00 |
$6.00 |
$6.00 |
$23.12
|
|
Injection epidural blood patch or clot
|
$1,484.40 |
$1,484.40 |
$1,484.40 |
$1,156.80
|
|
Injection for arthrography wrist (both sides)
|
$177.00 |
$370.80 |
$370.80 |
$441.12
|
|
Injection for bladder x-ray
|
$225.00 |
$225.00 |
$225.00 |
$459.20
|
|
Injection for hip x-ray
|
$476.40 |
$476.40 |
$476.40 |
$669.24
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$520.20 |
$520.20 |
$520.20 |
$494.65
|
|
Injection for ureter x-ray
|
$273.60 |
$273.60 |
$273.60 |
$415.80
|
|
Injection for ureter x-ray
|
$235.20 |
$235.20 |
$235.20 |
$515.21
|
|
Injection glatiramer acetate
|
$1,024.44 |
$1,024.44 |
$1,024.44 |
$830.51
|
|
Injection, glucarpidase
|
$181,578.60 |
$181,578.60 |
$181,578.60 |
$74,113.20
|
|
Injection into brain canal
|
$1,101.00 |
$1,101.00 |
$1,101.00 |
$836.40
|
|
Injection jaw joint x-ray
|
$141.00 |
$295.20 |
$295.20 |
$307.80
|
|
Injection jugular
|
$249.60 |
$249.60 |
$249.60 |
$790.00
|
|
Injection of sinus tract
|
$1,546.20 |
$1,546.20 |
$1,546.20 |
$1,627.60
|
|
Injection,onabotulinumtoxina
|
$2,382.66 |
$2,812.32 |
$5,624.64 |
$2,241.61
|
|
Injection radioactive tracer sentinel node (both sides)
|
$31,588.25 |
$31,588.25 |
$113,258.93 |
$683.28
|
|
Injection, renflexis
|
$2,757.42 |
$2,757.42 |
$2,757.42 |
$1,341.52
|
|
Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides)
|
$1,596.60 |
$2,060.04 |
$4,914.96 |
$1,582.12
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$2,522.40 |
$2,522.40 |
$2,522.40 |
$1,391.40
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$1,870.20 |
$1,870.20 |
$1,870.20 |
$1,045.65
|
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
|
$2,137.20 |
$2,137.20 |
$3,589.02 |
$1,939.60
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
|
$7,441.20 |
$7,441.20 |
$7,441.20 |
$1,029.45
|