|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$167.40 |
$167.40 |
$167.40 |
$137.67
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$132.60 |
$132.60 |
$132.60 |
$167.05
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$484.20 |
$484.20 |
$484.20 |
$861.00
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$231.60 |
$231.60 |
$231.60 |
$181.35
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$193.80 |
$193.80 |
$193.80 |
$151.25
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$270.00 |
$270.00 |
$270.00 |
$201.60
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$102.00 |
$102.00 |
$102.00 |
$135.80
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$105.60 |
$105.60 |
$105.60 |
$100.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$260.40 |
$260.40 |
$260.40 |
$217.70
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$86.40 |
$86.40 |
$86.40 |
$94.53
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$88.20 |
$88.20 |
$88.20 |
$105.00
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$184.20 |
$184.20 |
$184.20 |
$184.80
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$545.40 |
$545.40 |
$545.40 |
$711.93
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$264.60 |
$264.60 |
$264.60 |
$283.20
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$264.60 |
$264.60 |
$264.60 |
$429.50
|
|
Infectious agent nucleic acid quantification bk virus
|
$214.20 |
$214.20 |
$214.20 |
$283.00
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$151.20 |
$151.20 |
$151.20 |
$238.80
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$411.00 |
$411.00 |
$411.00 |
$252.60
|
|
Infectious agent nucleic acid quantification hiv-1
|
$396.00 |
$396.00 |
$396.00 |
$374.50
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$565.80 |
$565.80 |
$565.80 |
$303.59
|
|
Infliximab 100 mg intravenous solution
|
$5,500.44 |
$5,500.44 |
$5,500.44 |
$2,080.86
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$4,456.98 |
$4,456.98 |
$4,456.98 |
$1,617.43
|
|
Influenza dna amp prob addl
|
$30.00 |
$30.00 |
$30.00 |
$64.26
|
|
Inj, abilify maintena, 1 mg
|
$0.06 |
$0.06 |
$0.06 |
$5,355.30
|
|
Inj anifrolumab-fnia 1mg
|
$25,625.46 |
$25,625.46 |
$25,625.46 |
$10,052.58
|
|
Inj., benralizumab, 1 mg
|
$27,539.64 |
$27,539.64 |
$27,539.64 |
$11,604.71
|
|
Inj beta interferon sq 1 mcg
|
$4,395.36 |
$4,395.36 |
$4,395.36 |
$2,856.95
|
|
Inj cefazolin sodium, baxter
|
$26.82 |
$26.82 |
$26.82 |
$27.38
|
|
Inj cefazolin sodium, hikma
|
$44.76 |
$44.76 |
$44.76 |
$29.10
|
|
Inj cefazolin (wg crit care)
|
$56.10 |
$56.10 |
$56.10 |
$18.30
|
|
Inj, clindamycin (baxter)
|
$54.60 |
$54.60 |
$54.60 |
$48.39
|
|
Inj cntr knee arthro incl ct/mri
|
$252.00 |
$252.00 |
$252.00 |
$436.80
|
|
Inj, cyclophos (baxter) 5mg
|
$2,352.12 |
$2,352.12 |
$2,352.12 |
$2,584.85
|
|
Inj, cyclophosphamd, sandoz
|
$2,333.40 |
$2,333.40 |
$2,333.40 |
$735.20
|
|
Inj dx for sinogram
|
$244.80 |
$244.80 |
$244.80 |
$413.82
|
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
|
$6,658.02 |
$6,658.02 |
$6,658.02 |
$1,214.78
|
|
Injection arthrography hip without anesthesia (both sides)
|
$3,967.44 |
$3,967.44 |
$3,967.44 |
$500.50
|
|
Injection, cangrelor
|
$5,106.12 |
$5,106.12 |
$5,106.12 |
$1,889.78
|
|
Injection for arthrography wrist (both sides)
|
$247.80 |
$247.80 |
$247.80 |
$441.12
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$274.20 |
$274.20 |
$274.20 |
$494.65
|
|
Injection glatiramer acetate
|
$1,116.90 |
$1,116.90 |
$1,116.90 |
$830.51
|
|
Injection jugular
|
$35.40 |
$35.40 |
$35.40 |
$790.00
|
|
Injection, necitumumab, 1 mg
|
$20,782.80 |
$20,782.80 |
$20,782.80 |
$8,572.91
|
|
Injection,onabotulinumtoxina
|
$3,089.76 |
$3,089.76 |
$3,089.76 |
$2,241.61
|
|
Injection radioactive tracer sentinel node (both sides)
|
$426.60 |
$426.60 |
$426.60 |
$683.28
|
|
Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides)
|
$4,808.52 |
$4,808.52 |
$4,808.52 |
$1,582.12
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$2,341.80 |
$2,341.80 |
$2,341.80 |
$1,391.40
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$1,107.00 |
$1,107.00 |
$1,107.00 |
$1,045.65
|
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
|
$6,462.42 |
$6,462.42 |
$6,462.42 |
$1,939.60
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
|
$5,402.64 |
$5,402.64 |
$5,402.64 |
$1,029.45
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
|
$6,589.68 |
$6,589.68 |
$6,589.68 |
$1,777.50
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
|
$4,669.50 |
$4,669.50 |
$4,669.50 |
$1,064.70
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
|
$4,815.00 |
$4,815.00 |
$4,815.00 |
$1,961.05
|
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
|
$4,873.62 |
$4,873.62 |
$4,873.62 |
$1,842.00
|
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
|
$4,870.38 |
$4,870.38 |
$4,870.38 |
$1,704.78
|
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
|
$6,557.88 |
$6,557.88 |
$6,557.88 |
$460.94
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$3,749.76 |
$3,749.76 |
$3,749.76 |
$517.24
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$435.00 |
$435.00 |
$435.00 |
$166.38
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$435.00 |
$435.00 |
$435.00 |
$145.60
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$435.00 |
$435.00 |
$435.00 |
$261.00
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$114.60 |
$114.60 |
$114.60 |
$135.20
|
|
Inject sacroiliac joint
|
$1,155.00 |
$1,155.00 |
$1,155.00 |
$963.00
|
|
Inject/treat eye socket
|
$1,146.60 |
$1,146.60 |
$1,146.60 |
$381.13
|
|
Inj epidural sgl lumb-sacral without img
|
$1,738.20 |
$1,738.20 |
$1,738.20 |
$1,415.50
|
|
Inj. fe derisomaltose 10 mg
|
$8,600.94 |
$8,600.94 |
$8,600.94 |
$3,540.79
|
|
Inj for ext venography
|
$1,194.00 |
$1,194.00 |
$1,194.00 |
$654.00
|
|
Inj for mammo ductogram
|
$481.80 |
$481.80 |
$481.80 |
$433.50
|
|
Inj fosnetupitant, palonoset
|
$3,279.30 |
$3,279.30 |
$3,279.30 |
$1,110.99
|
|
Inj, fulvestrant (fresenius)
|
$2,505.00 |
$2,505.00 |
$2,505.00 |
$1,065.08
|
|
Inj ivig privigen 500 mg
|
$18,073.26 |
$18,073.26 |
$18,073.26 |
$6,967.29
|
|
Inj, lanreotide, (cipla) 1mg
|
$41,884.44 |
$41,884.44 |
$41,884.44 |
$11,648.70
|
|
Inj levocarnitine per 1 gm
|
$198.30 |
$198.30 |
$198.30 |
$136.62
|
|
Inj, levothyroxine, freskabi
|
$2,692.38 |
$2,692.38 |
$2,692.38 |
$363.97
|
|
Inj, lidocaine w epinephrine
|
$119.46 |
$119.46 |
$119.46 |
$44.96
|
|
Inj lwr xtr fscl pln blk uni w/wo image
|
$1,639.80 |
$1,639.80 |
$1,639.80 |
$783.50
|
|
Inj., meropenem, vaborbactam
|
$1,134.78 |
$1,134.78 |
$1,134.78 |
$536.27
|
|
Inj meropenem (wg crit care)
|
$167.82 |
$167.82 |
$167.82 |
$77.97
|
|
Inj mogamulizumab-kpkc, 1 mg
|
$23,959.80 |
$23,959.80 |
$23,959.80 |
$8,304.04
|
|
Inj. mycophenolate mofetil
|
$369.78 |
$369.78 |
$369.78 |
$252.66
|
|
Inj nivolumab 2 mg hyaluron
|
$39,794.88 |
$39,794.88 |
$39,794.88 |
$14,110.18
|
|
Inj octafluoropropane mic,ml
|
$98.28 |
$98.28 |
$98.28 |
$211.40
|
|
Inj ogivri 10 mg
|
$13,151.52 |
$13,151.52 |
$13,151.52 |
$4,492.28
|
|
Inj. pemetrexed, 10 mg
|
$22,307.16 |
$22,307.16 |
$22,307.16 |
$104.72
|
|
Inj proc elbow arthro
|
$247.80 |
$247.80 |
$247.80 |
$432.00
|
|
Inj, releuko 1 mcg
|
$1,198.26 |
$1,198.26 |
$1,198.26 |
$461.20
|
|
Inj sulf hexa lipid microsph
|
$610.08 |
$610.08 |
$610.08 |
$256.14
|
|
Inj testosterone cypionate
|
$30.36 |
$30.36 |
$30.36 |
$62.80
|
|
Inj thrc fascial pln blk bi w/wo image
|
$1,639.80 |
$1,639.80 |
$1,639.80 |
$1,025.00
|
|
Inj thrc fascial pln blk uni w/wo image
|
$1,107.00 |
$1,107.00 |
$1,107.00 |
$818.00
|
|
Inj. tigecycline (accord)
|
$122.22 |
$122.22 |
$122.22 |
$182.46
|
|
Inj, tislelizumab-jsgr
|
$27,925.74 |
$27,925.74 |
$27,925.74 |
$9,764.09
|
|
Inj, tyenne, 1 mg
|
$9,224.10 |
$9,224.10 |
$9,224.10 |
$3,525.12
|
|
Inj vocal cord bulking agent
|
$2,920.66 |
$2,920.66 |
$2,920.66 |
$1,480.00
|
|
Inj w/fluor eval cv device
|
$695.40 |
$695.40 |
$695.40 |
$463.40
|
|
Ins cath ren art 1st bi
|
$5,677.20 |
$5,677.20 |
$5,677.20 |
$5,741.00
|
|
Ins cath ren art 1st uni
|
$5,677.20 |
$5,677.20 |
$5,677.20 |
$4,692.00
|
|
Ins cath ren art 2nd+ bi
|
$5,677.20 |
$5,677.20 |
$5,677.20 |
$5,408.65
|
|
Ins cath ren art 2nd+ uni
|
$5,677.20 |
$5,677.20 |
$5,677.20 |
$5,419.00
|
|
Insert cath pleura with image
|
$1,416.60 |
$1,416.60 |
$1,416.60 |
$2,194.40
|
|
Insert cath pleura without image
|
$1,488.60 |
$1,488.60 |
$1,488.60 |
$2,019.00
|
