|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$93.60 |
$130.20 |
$2,710.80 |
$102.82
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$93.60 |
$117.00 |
$428.40 |
$81.20
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$57.60 |
$100.20 |
$525.60 |
$60.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$138.60 |
$168.60 |
$214.80 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$115.20 |
$166.20 |
$797.40 |
$129.00
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$115.80 |
$123.60 |
$155.40 |
$98.40
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$74.40 |
$108.00 |
$1,159.20 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$349.80 |
$366.00 |
$1,109.40 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$257.40 |
$286.80 |
$462.60 |
$141.95
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$310.20 |
$386.40 |
$455.40 |
$167.05
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$1,289.40 |
$1,493.40 |
$1,797.60 |
$865.50
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$227.40 |
$355.80 |
$1,707.60 |
$181.80
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$339.60 |
$398.40 |
$468.00 |
$149.13
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$223.80 |
$385.80 |
$1,189.20 |
$212.01
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$257.40 |
$286.80 |
$618.60 |
$137.67
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$75.00 |
$75.00 |
$75.00 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$210.00 |
$210.00 |
$210.00 |
$236.08
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$508.20 |
$508.20 |
$508.20 |
$96.00
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$142.20 |
$436.80 |
$1,109.40 |
$112.50
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$147.00 |
$195.60 |
$334.20 |
$200.20
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$454.20 |
$481.80 |
$2,071.20 |
$727.50
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$718.20 |
$848.40 |
$1,000.80 |
$432.63
|
|
Infectious agent nucleic acid quantification bk virus
|
$300.00 |
$379.20 |
$664.80 |
$280.00
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$443.40 |
$492.00 |
$2,764.20 |
$242.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$394.80 |
$443.40 |
$975.00 |
$253.00
|
|
Infectious agent nucleic acid quantification hiv-1
|
$606.00 |
$818.40 |
$1,473.60 |
$375.00
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$543.60 |
$571.20 |
$657.60 |
$304.20
|
|
Infliximab 100 mg intravenous solution
|
$467.20 |
$633.00 |
$3,930.00 |
$2,043.22
|
|
Infliximab-axxq 100 mg intravenous solution
|
$141.60 |
$1,062.00 |
$1,416.60 |
$1,062.00
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$202.80 |
$203.20 |
$1,440.60 |
$1,537.84
|
|
Influenza dna amp prob addl
|
$299.40 |
$299.40 |
$299.40 |
$64.26
|
|
Influenza virus vaccine, inact hemagglutinin tiv pf inj
|
$30.00 |
$30.00 |
$40.00 |
$111.51
|
|
Inf lwr xtr fscl pln blk uni w/wo image
|
$135.00 |
$135.00 |
$179.40 |
$762.00
|
|
Inf thrc fascial pln blk bi w/wo image
|
$147.00 |
$147.00 |
$195.60 |
$523.25
|
|
Inf thrc fascial pln blk uni w/wo image
|
$139.80 |
$139.80 |
$187.20 |
$780.00
|
|
Infuse radioactive materials
|
$1,480.20 |
$1,480.20 |
$2,719.80 |
$672.42
|
|
Ingest challenge ea addl 60 min
|
$401.40 |
$401.40 |
$401.40 |
$289.64
|
|
Ingest challenge ini 120 min
|
$563.40 |
$563.40 |
$563.40 |
$764.78
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$345.00 |
$453.00 |
$840.60 |
$299.65
|
|
Inj, abilify maintena, 1 mg
|
$19.65 |
$21.00 |
$13,261.20 |
$5,355.30
|
|
Inj, adalimumab, 1 mg
|
$65.20 |
$220.20 |
$220.20 |
$12,098.05
|
|
Inj, aducanumab-avwa, 2 mg
|
$25.80 |
$25.80 |
$25.80 |
$5.98
|
|
Inj allopurinol sodium 1 mg
|
$155.40 |
$155.40 |
$155.40 |
$6,968.99
|
|
Inj andexxa, 10 mg
|
$13,381.20 |
$13,381.20 |
$20,052.60 |
$4,370.80
|
|
Inj anifrolumab-fnia 1mg
|
$41.85 |
$46.00 |
$11,192.40 |
$10,052.58
|
|
Inj, aponvie, 1 mg
|
$3.00 |
$3.00 |
$4.20 |
$3.36
|
|
Inj, artesunate, 1mg
|
$109.80 |
$109.80 |
$109.80 |
$14,460.21
|
|
Inj, aspara, rylaze, 0.1 mg
|
$99.60 |
$99.60 |
$99.60 |
$10,458.00
|
|
Inj atezolizumb 5mg hya-tqjs
|
$54.60 |
$54.60 |
$54.60 |
$18,716.52
|
|
Inj aval alfa-nqpt 4mg
|
$5,248.20 |
$5,248.20 |
$5,248.20 |
$3,907.30
|
|
Inj belantamab mafodot blmf
|
$99.00 |
$99.00 |
$99.00 |
$21,726.12
|
|
Inj., benralizumab, 1 mg
|
$576.60 |
$13,770.60 |
$16,340.40 |
$11,310.00
|
|
Inj beta interferon sq 1 mcg
|
$35.55 |
$43.40 |
$1,488.00 |
$2,397.11
|
|
Inj, bezlotoxumab, 10 mg
|
$156.00 |
$11,010.60 |
$15,562.20 |
$7,612.43
|
|
Inj., brexanolone, 1 mg
|
$171.00 |
$17,099.40 |
$22,798.80 |
$13,019.44
|
|
Inj, brixadi, 7 days or less
|
$814.80 |
$1,086.00 |
$1,086.40 |
$748.85
|
|
Inj brixadi, more than 7 day
|
$4,344.80 |
$4,345.20 |
$4,345.20 |
$2,858.76
|
|
Inj, bupivacaine liposome
|
$4.35 |
$4.35 |
$7.20 |
$699.38
|
|
Inj calcitriol per 0.1 mcg
|
$9.60 |
$56.40 |
$443.40 |
$22.69
|
|
Inj cefazolin sodium, baxter
|
$13.40 |
$19.65 |
$19.65 |
$27.38
|
|
Inj, cefepime hcl (b braun)
|
$32.20 |
$85.20 |
$85.20 |
$69.85
|
|
Inj, cefiderocol, 10 mg
|
$6.00 |
$6.00 |
$596.40 |
$544.85
|
|
Inj ceftolozane tazobactam
|
$19.05 |
$285.60 |
$381.60 |
$358.56
|
|
Inj, cimerli, 0.1 mg
|
$519.00 |
$519.00 |
$691.80 |
$201.01
|
|
Inj, cipaglucosidase, 5 mg
|
$229.20 |
$229.20 |
$229.20 |
$3,278.80
|
|
Inj, clevidipine butyrate
|
$8.40 |
$456.00 |
$697.20 |
$4.86
|
|
Inj, clindamycin (baxter)
|
$7.20 |
$8.70 |
$8.70 |
$48.30
|
|
Inj cntr knee arthro incl ct/mri
|
$98.40 |
$345.60 |
$1,513.80 |
$441.88
|
|
Inj., copanlisib, 1 mg
|
$178.80 |
$178.80 |
$255.00 |
$9,204.29
|
|
Inj crotalidae im f(ab')2 eq
|
$3,968.40 |
$3,968.40 |
$3,968.40 |
$2,613.60
|
|
Inj cyclophosphamd (ingenus)
|
$3.75 |
$3.75 |
$4.60 |
$742.72
|
|
Inj disk cerv-thor ea lev
|
$5,575.20 |
$5,575.20 |
$5,575.20 |
$875.28
|
|
Inj, donanemab-azbt, 2 mg
|
$7.20 |
$7.20 |
$7.20 |
$1,233.44
|
|
Inj, durolane 1 mg
|
$22.80 |
$22.80 |
$106.40 |
$1,950.93
|
|
Inj dx for sinogram
|
$393.00 |
$594.60 |
$942.00 |
$447.50
|
|
Inject for sacroiliac joint
|
$3,029.40 |
$3,029.40 |
$3,029.40 |
$1,025.77
|
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
|
$657.60 |
$669.00 |
$1,918.80 |
$1,214.78
|
|
Injection arthrography hip without anesthesia (both sides)
|
$780.60 |
$841.20 |
$1,348.20 |
$504.00
|
|
Injection, burosumab-twza 1m
|
$102.00 |
$102.00 |
$1,120.20 |
$20,002.09
|
|
Injection, cangrelor
|
$61.80 |
$2,314.80 |
$4,032.00 |
$1,889.78
|
|
Injection, caplacizumab-yhdp
|
$2,418.60 |
$19,956.00 |
$26,607.60 |
$16,319.16
|
|
Injection carpal tunnel therapeutic (both sides)
|
$642.00 |
$741.00 |
$840.60 |
$458.15
|
|
Injection, daratumumab 10 mg
|
$147.60 |
$198.60 |
$7,892.40 |
$5,324.34
|
|
Injection, doxercalciferol
|
$95.20 |
$98.40 |
$395.40 |
$23.86
|
|
Injection during cath supravalvular aortography
|
$2,218.20 |
$3,505.20 |
$3,727.80 |
$1,028.00
|
|
Injection, edaravone, 1 mg
|
$1,484.40 |
$1,484.40 |
$2,098.80 |
$1,136.59
|
|
Injection epidural blood patch or clot
|
$1,313.40 |
$1,770.60 |
$3,776.40 |
$1,192.80
|
|
Injection eye drug
|
$1,959.60 |
$1,959.60 |
$2,608.20 |
$648.96
|
|
Injection, famotidine, 20 mg
|
$75.60 |
$75.60 |
$339.60 |
$24.14
|
|
Injection for arthrography wrist (both sides)
|
$666.60 |
$753.00 |
$1,188.60 |
$438.00
|
|
Injection for bladder x-ray
|
$1,651.80 |
$2,370.60 |
$4,087.20 |
$460.00
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$771.60 |
$780.60 |
$840.00 |
$503.30
|
|
Injection for tear sac x-ray
|
$990.00 |
$990.00 |
$990.00 |
$212.55
|
|
Injection for ureter x-ray
|
$2,122.80 |
$2,122.80 |
$3,368.40 |
$415.80
|
|
Injection for ureter x-ray
|
$1,757.40 |
$2,236.20 |
$4,470.00 |
$527.70
|
|
Injection, fulvestrant
|
$912.80 |
$3,906.60 |
$9,219.60 |
$1,719.16
|
|
Injection glatiramer acetate
|
$318.40 |
$775.80 |
$1,356.00 |
$830.51
|
|
Injection, glucarpidase
|
$18,885.60 |
$18,885.60 |
$37,862.40 |
$74,113.20
|
|
Injection, inclisiran, 1 mg
|
$22.80 |
$53.85 |
$53.85 |
$6,679.35
|
|
Injection into brain canal
|
$2,740.80 |
$2,740.80 |
$2,740.80 |
$844.50
|