|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$168.75 |
$168.75 |
$168.75 |
$137.67
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$141.00 |
$141.00 |
$141.00 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$299.25 |
$299.25 |
$299.25 |
$208.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$299.25 |
$299.25 |
$299.25 |
$236.08
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$88.50 |
$88.50 |
$88.50 |
$96.00
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$105.00 |
$105.00 |
$105.00 |
$112.50
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$357.75 |
$357.75 |
$357.75 |
$200.20
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$984.00 |
$984.00 |
$984.00 |
$727.50
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$436.50 |
$436.50 |
$436.50 |
$289.91
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$261.75 |
$261.75 |
$261.75 |
$432.63
|
|
Infectious agent nucleic acid quantification bk virus
|
$1,294.50 |
$1,294.50 |
$1,294.50 |
$280.00
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$328.50 |
$328.50 |
$328.50 |
$242.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$1,230.00 |
$1,230.00 |
$1,230.00 |
$253.00
|
|
Infectious agent nucleic acid quantification hiv-1
|
$627.75 |
$627.75 |
$627.75 |
$375.00
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$225.75 |
$225.75 |
$225.75 |
$304.20
|
|
Infliximab 100 mg intravenous solution
|
$1,702.78 |
$1,702.78 |
$1,702.78 |
$2,043.22
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$1,713.99 |
$1,713.99 |
$1,713.99 |
$1,537.84
|
|
Ingest challenge ea addl 60 min
|
$306.75 |
$306.75 |
$306.75 |
$289.64
|
|
Ingest challenge ini 120 min
|
$657.00 |
$657.00 |
$657.00 |
$764.78
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$392.25 |
$392.25 |
$392.25 |
$299.65
|
|
Init pm e/m new pat 65+ yrs
|
$141.00 |
$141.00 |
$141.00 |
$189.15
|
|
Inj, abilify maintena, 1 mg
|
$9,281.66 |
$9,281.66 |
$9,281.66 |
$5,355.30
|
|
Inj, acetaminophen (b braun)
|
$20.71 |
$20.71 |
$20.71 |
$32.79
|
|
Inj acetaminophen -fresenius
|
$14.79 |
$14.79 |
$14.79 |
$36.60
|
|
Inj, adalimumab, 1 mg
|
$24,828.50 |
$24,828.50 |
$24,828.50 |
$12,098.05
|
|
Inj allopurinol sodium 1 mg
|
$5,937.23 |
$5,937.23 |
$5,937.23 |
$6,968.99
|
|
Inj anifrolumab-fnia 1mg
|
$20,116.77 |
$20,116.77 |
$20,116.77 |
$10,052.58
|
|
Inj, artesunate, 1mg
|
$39,774.01 |
$39,774.01 |
$39,774.01 |
$14,460.21
|
|
Inj., benralizumab, 1 mg
|
$19,707.27 |
$19,707.27 |
$19,707.27 |
$11,310.00
|
|
Inj bimatoprost itc imp1mcg
|
$7,487.44 |
$7,487.44 |
$7,487.44 |
$3,287.96
|
|
Inj., brexanolone, 1 mg
|
$33,055.65 |
$33,055.65 |
$33,055.65 |
$13,019.44
|
|
Inj, bupivacaine liposome
|
$1,326.75 |
$1,326.75 |
$1,326.75 |
$699.38
|
|
Inj calcitriol per 0.1 mcg
|
$22.16 |
$22.16 |
$22.16 |
$22.69
|
|
Inj cefazolin sodium, baxter
|
$48.81 |
$48.81 |
$48.81 |
$27.38
|
|
Inj. cefepime hcl (baxter)
|
$54.36 |
$54.36 |
$54.36 |
$86.84
|
|
Inj, cefiderocol, 10 mg
|
$846.06 |
$846.06 |
$846.06 |
$544.85
|
|
Inj ceftolozane tazobactam
|
$597.69 |
$597.69 |
$597.69 |
$358.56
|
|
Inj, clindamycin (baxter)
|
$15.35 |
$15.35 |
$15.35 |
$48.30
|
|
Inj cntr knee arthro incl ct/mri
|
$461.25 |
$461.25 |
$461.25 |
$441.88
|
|
Inj., copanlisib, 1 mg
|
$19,661.50 |
$19,661.50 |
$19,661.50 |
$9,204.29
|
|
Inj, decitabine (sun pharma)
|
$369.75 |
$369.75 |
$369.75 |
$310.09
|
|
Inj disk cerv-thor ea lev
|
$3,232.50 |
$3,232.50 |
$3,232.50 |
$875.28
|
|
Inj dupuytren cord w/enzyme
|
$404.25 |
$404.25 |
$404.25 |
$416.00
|
|
Inj, durolane 1 mg
|
$4,122.72 |
$4,122.72 |
$4,122.72 |
$1,950.93
|
|
Inj dx for sinogram
|
$1,089.75 |
$1,089.75 |
$1,089.75 |
$447.50
|
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
|
$678.75 |
$678.75 |
$678.75 |
$1,214.78
|
|
Injection arthrography hip without anesthesia (both sides)
|
$660.00 |
$660.00 |
$660.00 |
$504.00
|
|
Injection, belinostat, 10mg
|
$9,355.72 |
$9,355.72 |
$9,355.72 |
$4,446.10
|
|
Injection, cangrelor
|
$3,425.21 |
$3,425.21 |
$3,425.21 |
$1,889.78
|
|
Injection, caplacizumab-yhdp
|
$31,693.80 |
$31,693.80 |
$31,693.80 |
$16,319.16
|
|
Injection carpal tunnel therapeutic (both sides)
|
$603.75 |
$603.75 |
$603.75 |
$458.15
|
|
Injection, doxercalciferol
|
$23.86 |
$23.86 |
$23.86 |
$23.86
|
|
Injection during cath supravalvular aortography
|
$2,760.75 |
$2,760.75 |
$2,760.75 |
$1,028.00
|
|
Injection epidural blood patch or clot
|
$1,622.25 |
$1,622.25 |
$1,622.25 |
$1,192.80
|
|
Injection eye drug
|
$387.00 |
$387.00 |
$387.00 |
$648.96
|
|
Injection for arthrography wrist (both sides)
|
$551.25 |
$551.25 |
$551.25 |
$438.00
|
|
Injection for bladder x-ray
|
$572.25 |
$572.25 |
$572.25 |
$460.00
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$540.75 |
$540.75 |
$540.75 |
$503.30
|
|
Injection for ureter x-ray
|
$603.00 |
$603.00 |
$603.00 |
$527.70
|
|
Injection, fulvestrant
|
$3,584.82 |
$3,584.82 |
$3,584.82 |
$1,719.16
|
|
Injection glatiramer acetate
|
$1,749.29 |
$1,749.29 |
$1,749.29 |
$830.51
|
|
Injection, glucarpidase
|
$159,854.02 |
$159,854.02 |
$159,854.02 |
$74,113.20
|
|
Injection, isavuconazonium
|
$1,350.22 |
$1,350.22 |
$1,350.22 |
$787.67
|
|
Injection jaw joint x-ray
|
$219.75 |
$219.75 |
$219.75 |
$340.00
|
|
Injection jugular
|
$1,890.00 |
$1,890.00 |
$1,890.00 |
$790.00
|
|
Injection of sinus tract
|
$1,670.25 |
$1,670.25 |
$1,670.25 |
$1,640.99
|
|
Injection,onabotulinumtoxina
|
$4,814.15 |
$4,814.15 |
$4,814.15 |
$2,277.65
|
|
Injection, peramivir
|
$1,257.68 |
$1,257.68 |
$1,257.68 |
$744.75
|
|
Injection px peyronie ds
|
$287.25 |
$287.25 |
$287.25 |
$409.34
|
|
Injection radioactive tracer sentinel node (both sides)
|
$822.75 |
$822.75 |
$822.75 |
$694.20
|
|
Injection, renflexis
|
$2,582.56 |
$2,582.56 |
$2,582.56 |
$1,341.52
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$1,471.50 |
$1,471.50 |
$1,471.50 |
$1,391.40
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$1,567.50 |
$1,567.50 |
$1,567.50 |
$1,045.65
|
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
|
$1,876.50 |
$1,876.50 |
$1,876.50 |
$2,071.80
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
|
$1,271.25 |
$1,271.25 |
$1,271.25 |
$1,030.05
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
|
$1,336.50 |
$1,336.50 |
$1,336.50 |
$1,888.80
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
|
$1,334.25 |
$1,334.25 |
$1,334.25 |
$1,048.20
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
|
$1,512.75 |
$1,512.75 |
$1,512.75 |
$2,006.79
|
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
|
$2,233.50 |
$2,233.50 |
$2,233.50 |
$1,826.80
|
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
|
$1,709.25 |
$1,709.25 |
$1,709.25 |
$1,685.00
|
|
Injection, siltuximab
|
$23,535.37 |
$23,535.37 |
$23,535.37 |
$11,502.35
|
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
|
$227.25 |
$227.25 |
$227.25 |
$485.28
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$1,050.75 |
$1,050.75 |
$1,050.75 |
$552.60
|
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
|
$709.50 |
$709.50 |
$709.50 |
$638.95
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$604.50 |
$604.50 |
$604.50 |
$145.60
|
|
Inject sacroiliac joint
|
$492.00 |
$492.00 |
$492.00 |
$1,029.04
|
|
Inj., emicizumab-kxwh 0.5 mg
|
$58,842.17 |
$58,842.17 |
$58,842.17 |
$54,322.53
|
|
Inj., eravacycline, 1 mg
|
$248.03 |
$248.03 |
$248.03 |
$206.64
|
|
Inj, etelcalcetide, 0.1 mg
|
$1,404.58 |
$1,404.58 |
$1,404.58 |
$343.35
|
|
Inj, factor x, (human), 1iu
|
$33.28 |
$33.28 |
$33.28 |
$26.74
|
|
Inj for ext venography
|
$1,204.50 |
$1,204.50 |
$1,204.50 |
$631.80
|
|
Inj for mammo ductogram
|
$633.00 |
$633.00 |
$633.00 |
$397.80
|
|
Inj., fremanezumab-vfrm 1 mg
|
$2,588.63 |
$2,588.63 |
$2,588.63 |
$1,322.20
|
|
Inj, fulvestrant (fresenius)
|
$1,713.99 |
$1,713.99 |
$1,713.99 |
$905.30
|
|
Inj givosiran 0.5 mg
|
$162,298.07 |
$162,298.07 |
$162,298.07 |
$76,708.80
|
|
Inj glycopyrrolate, glyrx-pf
|
$8.22 |
$8.22 |
$8.22 |
$11.23
|
|
Inj. herceptin hylecta, 10mg
|
$17,286.71 |
$17,286.71 |
$17,286.71 |
$8,193.78
|
|
Inj hrt cath w/s&i nonsel p-art angrp
|
$2,596.50 |
$2,596.50 |
$2,596.50 |
$1,492.00
|
|
Inj hrt cath w/s&i sel hrt ang
|
$2,622.00 |
$2,622.00 |
$2,622.00 |
$1,818.15
|
|
Inj hrt cath w/s&i sel hrt art
|
$1,962.75 |
$1,962.75 |
$1,962.75 |
$1,045.80
|
