|
Immunoassay tumor antigen quantitative ca 19-9
|
$211.20 |
$211.20 |
$211.20 |
$116.40
|
|
Immunoassay tumor qual
|
$190.20 |
$190.20 |
$190.20 |
$66.50
|
|
Immunodiff gel qual ea antigen/ab
|
$280.80 |
$280.80 |
$280.80 |
$48.57
|
|
Immunodiffusion nes
|
$148.80 |
$148.80 |
$148.80 |
$53.76
|
|
Immunofixation electrophoresis serum
|
$265.60 |
$265.60 |
$265.60 |
$142.50
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$102.40 |
$102.40 |
$102.40 |
$154.05
|
|
Immunofluorescence per specimen initial single antibody stain
|
$102.40 |
$102.40 |
$102.40 |
$234.27
|
|
Implant cartilage 10mm synthetic
|
$8,470.40 |
$8,470.40 |
$8,470.40 |
$8,332.51
|
|
Implant neuroelectrodes
|
$19,225.60 |
$19,225.60 |
$19,225.60 |
$7,728.86
|
|
Implant ureth bulk agent
|
$1,323.20 |
$1,323.20 |
$1,323.20 |
$2,168.00
|
|
Imported lipodox inj
|
$11,220.60 |
$11,220.60 |
$11,220.60 |
$528.86
|
|
In-111 ibritumomab tiux dx
|
$14,710.40 |
$14,710.40 |
$14,710.40 |
$4,748.02
|
|
In-111 pentetate dtpa / 0.5 mci
|
$658.40 |
$658.40 |
$658.40 |
$2,598.17
|
|
In-111 pentetreotide
|
$4,204.80 |
$4,204.80 |
$4,204.80 |
$5,294.90
|
|
In-111 satumomab pend
|
$1,095.20 |
$1,095.20 |
$1,095.20 |
$3,113.04
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$3,349.80 |
$3,349.80 |
$3,349.80 |
$2,086.70
|
|
Incision of burn scab initi
|
$998.40 |
$998.40 |
$998.40 |
$494.40
|
|
Incision of metatarsal
|
$712.80 |
$712.80 |
$712.80 |
$4,881.00
|
|
Incision of metatarsal
|
$669.00 |
$669.00 |
$669.00 |
$3,786.00
|
|
Incisn of toe tndn
|
$366.00 |
$366.00 |
$366.00 |
$2,667.00
|
|
Infect ag drug suscept pheno predict
|
$1,682.40 |
$1,682.40 |
$1,682.40 |
$325.00
|
|
Infect ag eia influenza a or b ea
|
$171.20 |
$171.20 |
$171.20 |
$71.20
|
|
Infect ag genotype na cytomegalovirus
|
$1,795.20 |
$1,795.20 |
$1,795.20 |
$665.40
|
|
Infect ag genotype na dna hepatitis b
|
$445.60 |
$445.60 |
$445.60 |
$409.27
|
|
Infect ag genotype na hiv-1 other region
|
$1,682.40 |
$1,682.40 |
$1,682.40 |
$361.65
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$1,682.40 |
$1,682.40 |
$1,682.40 |
$603.83
|
|
Infect ag ia optc obs influenza
|
$458.40 |
$458.40 |
$458.40 |
$72.93
|
|
Infect ag if nos ea
|
$256.00 |
$256.00 |
$256.00 |
$74.88
|
|
Infect ag na herpes simplex quant
|
$532.80 |
$532.80 |
$532.80 |
$178.86
|
|
Infect ag na hpv high-risk types
|
$392.80 |
$392.80 |
$392.80 |
$139.20
|
|
Infect ag na influenza r/amp 1st 2 types
|
$1,388.00 |
$1,388.00 |
$1,388.00 |
$219.70
|
|
Infect ag na resp virus 12-25 targets
|
$754.40 |
$754.40 |
$754.40 |
$854.70
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$124.80 |
$124.80 |
$124.80 |
$83.60
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$597.60 |
$597.60 |
$597.60 |
$76.00
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$241.60 |
$241.60 |
$241.60 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$201.60 |
$201.60 |
$201.60 |
$103.40
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$875.20 |
$875.20 |
$875.20 |
$81.20
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$82.40 |
$82.40 |
$82.40 |
$60.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$273.60 |
$273.60 |
$273.60 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$636.80 |
$636.80 |
$636.80 |
$129.00
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$174.40 |
$174.40 |
$174.40 |
$98.58
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$140.00 |
$140.00 |
$140.00 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$1,081.60 |
$1,081.60 |
$1,081.60 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$333.60 |
$333.60 |
$333.60 |
$141.95
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$346.40 |
$346.40 |
$346.40 |
$167.05
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$704.80 |
$704.80 |
$704.80 |
$864.67
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$307.20 |
$307.20 |
$307.20 |
$181.35
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$453.60 |
$453.60 |
$453.60 |
$149.13
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$307.20 |
$307.20 |
$307.20 |
$212.16
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$460.80 |
$460.80 |
$460.80 |
$137.67
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$100.00 |
$100.00 |
$100.00 |
$103.20
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$460.80 |
$460.80 |
$460.80 |
$112.45
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$336.00 |
$336.00 |
$336.00 |
$195.60
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$529.60 |
$529.60 |
$529.60 |
$727.50
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$104.00 |
$104.00 |
$104.00 |
$289.91
|
|
Infectious agent nucleic acid quantification bk virus
|
$1,043.20 |
$1,043.20 |
$1,043.20 |
$283.00
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$620.80 |
$620.80 |
$620.80 |
$242.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$941.60 |
$941.60 |
$941.60 |
$253.00
|
|
Infectious agent nucleic acid quantification hiv-1
|
$1,288.80 |
$1,288.80 |
$1,288.80 |
$375.00
|
|
Infliximab 100 mg intravenous solution
|
$5,408.40 |
$5,408.40 |
$5,408.40 |
$2,047.13
|
|
Infliximab-axxq 100 mg intravenous solution
|
$135.20 |
$135.20 |
$135.20 |
$1,062.00
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$4,383.60 |
$4,383.60 |
$4,383.60 |
$1,537.84
|
|
Influenza dna amp prob addl
|
$337.60 |
$337.60 |
$337.60 |
$64.26
|
|
Influenza virus vaccine, inact hemagglutinin tiv pf inj
|
$40.00 |
$40.00 |
$40.00 |
$111.51
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$501.60 |
$501.60 |
$501.60 |
$296.00
|
|
Init pm e/m new pat 65+ yrs
|
$216.00 |
$216.00 |
$216.00 |
$189.15
|
|
Inj, abilify maintena, 1 mg
|
$7,107.60 |
$7,107.60 |
$7,107.60 |
$5,355.30
|
|
Inj, adalimumab, 1 mg
|
$256.00 |
$256.00 |
$256.00 |
$12,098.05
|
|
Inj anifrolumab-fnia 1mg
|
$10,166.40 |
$10,166.40 |
$10,166.40 |
$10,052.58
|
|
Inj aval alfa-nqpt 4mg
|
$5,052.80 |
$5,052.80 |
$5,052.80 |
$3,907.30
|
|
Inj., benralizumab, 1 mg
|
$568.00 |
$568.00 |
$568.00 |
$11,310.00
|
|
Inj, bezlotoxumab, 10 mg
|
$17,599.20 |
$17,599.20 |
$17,599.20 |
$7,612.43
|
|
Inj., brexanolone, 1 mg
|
$17,286.60 |
$17,286.60 |
$17,286.60 |
$13,019.44
|
|
Inj, bupivacaine liposome
|
$7.60 |
$7.60 |
$7.60 |
$699.38
|
|
Inj calcitriol per 0.1 mcg
|
$27.60 |
$27.60 |
$27.60 |
$22.69
|
|
Inj, cefiderocol, 10 mg
|
$5.80 |
$5.80 |
$5.80 |
$544.85
|
|
Inj ceftolozane tazobactam
|
$487.80 |
$487.80 |
$487.80 |
$364.86
|
|
Inj, clevidipine butyrate
|
$839.40 |
$839.40 |
$839.40 |
$4.86
|
|
Inj cntr knee arthro incl ct/mri
|
$1,172.00 |
$1,172.00 |
$1,172.00 |
$436.80
|
|
Inj., copanlisib, 1 mg
|
$21,182.40 |
$21,182.40 |
$21,182.40 |
$9,204.29
|
|
Inj dx for sinogram
|
$2,348.80 |
$2,348.80 |
$2,348.80 |
$436.00
|
|
Injection arthrography hip without anesthesia (both sides)
|
$1,172.00 |
$1,172.00 |
$1,172.00 |
$503.50
|
|
Injection, belinostat, 10mg
|
$95.40 |
$95.40 |
$95.40 |
$4,446.10
|
|
Injection, cangrelor
|
$41,627.40 |
$41,627.40 |
$41,627.40 |
$1,889.78
|
|
Injection, caplacizumab-yhdp
|
$2,329.60 |
$2,329.60 |
$2,329.60 |
$16,319.16
|
|
Injection carpal tunnel therapeutic (both sides)
|
$355.20 |
$355.20 |
$355.20 |
$458.15
|
|
Injection, daratumumab 10 mg
|
$9,445.80 |
$9,445.80 |
$9,445.80 |
$5,324.34
|
|
Injection epidural blood patch or clot
|
$1,470.60 |
$1,470.60 |
$1,470.60 |
$1,182.33
|
|
Injection for arthrography wrist (both sides)
|
$1,172.00 |
$1,172.00 |
$1,172.00 |
$436.00
|
|
Injection for bladder x-ray
|
$3,513.60 |
$3,513.60 |
$3,513.60 |
$459.20
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$1,172.00 |
$1,172.00 |
$1,172.00 |
$497.76
|
|
Injection, fulvestrant
|
$4,423.20 |
$4,423.20 |
$4,423.20 |
$1,719.16
|
|
Injection, inclisiran, 1 mg
|
$39.20 |
$39.20 |
$39.20 |
$6,679.35
|
|
Injection into brain canal
|
$1,323.20 |
$1,323.20 |
$1,323.20 |
$844.50
|
|
Injection, isavuconazonium
|
$1,378.20 |
$1,378.20 |
$1,378.20 |
$787.67
|
|
Injection jaw joint x-ray
|
$1,172.00 |
$1,172.00 |
$1,172.00 |
$307.80
|
|
Injection,onabotulinumtoxina
|
$2,783.40 |
$2,783.40 |
$2,783.40 |
$2,277.65
|
|
Injection radioactive tracer sentinel node (both sides)
|
$614.40 |
$614.40 |
$614.40 |
$685.44
|
|
Injection, renflexis
|
$1,624.80 |
$1,624.80 |
$1,624.80 |
$1,341.52
|
|
Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides)
|
$1,501.60 |
$1,501.60 |
$1,501.60 |
$1,582.12
|