|
Induced abortion 1+njx d&c
|
$312.78 |
$312.78 |
$312.78 |
$1,539.20
|
|
Induced abortion 1+njx hyst
|
$428.74 |
$428.74 |
$428.74 |
$803.79
|
|
Induced abortion d&c
|
$161.20 |
$161.20 |
$161.20 |
$3,762.53
|
|
Induced abortion dilat&evac
|
$8,940.68 |
$8,940.68 |
$8,940.68 |
$4,451.18
|
|
Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s)
|
$444.00 |
$444.00 |
$444.00 |
$139.20
|
|
Infec agen detec ampli probe
|
$19.50 |
$19.50 |
$19.50 |
$28.05
|
|
Infect ag drug suscept pheno predict
|
$824.36 |
$824.36 |
$824.36 |
$325.00
|
|
Infect ag eia chlamydia trachomatis
|
$11.96 |
$11.96 |
$11.96 |
$67.20
|
|
Infect ag eia influenza a or b ea
|
$10.92 |
$10.92 |
$10.92 |
$71.50
|
|
Infect ag genotype na cytomegalovirus
|
$1,628.74 |
$1,628.74 |
$1,628.74 |
$665.40
|
|
Infect ag genotype na dna hepatitis b
|
$1,628.74 |
$1,628.74 |
$1,628.74 |
$409.27
|
|
Infect ag genotype na hiv-1 other region
|
$814.74 |
$814.74 |
$814.74 |
$347.04
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$1,628.74 |
$1,628.74 |
$1,628.74 |
$603.83
|
|
Infect ag ia direct hiv-1 antgn
|
$25.48 |
$25.48 |
$25.48 |
$95.55
|
|
Infect ag ia optc obs chlamydia trach
|
$27.56 |
$27.56 |
$27.56 |
$96.32
|
|
Infect ag ia optc obs influenza
|
$13.00 |
$13.00 |
$13.00 |
$72.93
|
|
Infect ag if ea plyvlnt antsrm
|
$9.36 |
$9.36 |
$9.36 |
$57.90
|
|
Infect ag if hep delta agent
|
$116.18 |
$116.18 |
$116.18 |
$125.97
|
|
Infect ag if influenza a
|
$12.48 |
$12.48 |
$12.48 |
$41.22
|
|
Infect ag if influenza b
|
$9.36 |
$9.36 |
$9.36 |
$37.95
|
|
Infect ag if legionella pneumophila
|
$98.42 |
$98.42 |
$98.42 |
$73.45
|
|
Infect ag if nos ea
|
$12.48 |
$12.48 |
$12.48 |
$74.88
|
|
Infect ag if pneumocystis carinii
|
$76.22 |
$76.22 |
$76.22 |
$68.40
|
|
Infect ag if varicella zoster
|
$85.10 |
$85.10 |
$85.10 |
$72.00
|
|
Infect ag na chlamydia trachomatis qnt
|
$41.60 |
$41.60 |
$41.60 |
$100.70
|
|
Infect ag na hep b amp
|
$222.00 |
$222.00 |
$222.00 |
$120.50
|
|
Infect ag na herpes simplex quant
|
$271.58 |
$271.58 |
$271.58 |
$178.86
|
|
Infect ag na hpv high-risk types
|
$222.00 |
$222.00 |
$222.00 |
$139.20
|
|
Infect ag na influenza r/amp 1st 2 types
|
$606.06 |
$606.06 |
$606.06 |
$221.39
|
|
Infect ag na influenza revr/amp ea type
|
$324.86 |
$324.86 |
$324.86 |
$156.60
|
|
Infect ag na orthopoxvirus amp prb each
|
$324.86 |
$324.86 |
$324.86 |
$100.00
|
|
Infect ag na resp virus 12-25 targets
|
$2,636.62 |
$2,636.62 |
$2,636.62 |
$871.20
|
|
Infect ag phenotype na hiv-1 1-10 drugs
|
$3,091.72 |
$3,091.72 |
$3,091.72 |
$954.00
|
|
Infect ag phenotype na hiv-1 ea addl drg
|
$165.02 |
$165.02 |
$165.02 |
$75.63
|
|
Infectious agent antigen immunoassay direct optical observation sars-cov-2
|
$261.22 |
$261.22 |
$261.22 |
$53.00
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$76.22 |
$76.22 |
$76.22 |
$82.50
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$85.10 |
$85.10 |
$85.10 |
$72.10
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$87.32 |
$87.32 |
$87.32 |
$76.00
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$76.22 |
$76.22 |
$76.22 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$91.02 |
$91.02 |
$91.02 |
$100.80
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$65.12 |
$65.12 |
$65.12 |
$81.20
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$7.80 |
$7.80 |
$7.80 |
$59.66
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$152.44 |
$152.44 |
$152.44 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$76.22 |
$76.22 |
$76.22 |
$129.00
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$76.22 |
$76.22 |
$76.22 |
$98.02
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$76.22 |
$76.22 |
$76.22 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$222.00 |
$222.00 |
$222.00 |
$267.50
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$222.00 |
$222.00 |
$222.00 |
$141.95
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$235.32 |
$235.32 |
$235.32 |
$167.05
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$2,636.62 |
$2,636.62 |
$2,636.62 |
$866.04
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$222.00 |
$222.00 |
$222.00 |
$182.63
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$222.00 |
$222.00 |
$222.00 |
$149.13
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$263.44 |
$263.44 |
$263.44 |
$210.00
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$222.00 |
$222.00 |
$222.00 |
$137.67
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$324.86 |
$324.86 |
$324.86 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$902.80 |
$902.80 |
$902.80 |
$208.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$902.80 |
$902.80 |
$902.80 |
$236.08
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$222.00 |
$222.00 |
$222.00 |
$97.50
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$222.00 |
$222.00 |
$222.00 |
$113.00
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$485.44 |
$485.44 |
$485.44 |
$191.95
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$2,636.62 |
$2,636.62 |
$2,636.62 |
$727.50
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$99.84 |
$99.84 |
$99.84 |
$289.91
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$1,664.26 |
$1,664.26 |
$1,664.26 |
$432.60
|
|
Infectious agent nucleic acid quantification bk virus
|
$271.58 |
$271.58 |
$271.58 |
$279.40
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$271.58 |
$271.58 |
$271.58 |
$242.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$271.58 |
$271.58 |
$271.58 |
$255.50
|
|
Infectious agent nucleic acid quantification hiv-1
|
$538.72 |
$538.72 |
$538.72 |
$375.00
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$902.80 |
$902.80 |
$902.80 |
$304.20
|
|
Infliximab 100 mg intravenous solution
|
$1,062.72 |
$1,062.72 |
$1,062.72 |
$2,043.22
|
|
Infliximab-axxq 100 mg intravenous solution
|
$455.00 |
$455.00 |
$455.00 |
$1,062.00
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$861.11 |
$861.11 |
$861.11 |
$1,537.84
|
|
Influenza dna amp prob addl
|
$185.00 |
$185.00 |
$185.00 |
$64.26
|
|
Influenza virus vaccine, inact hemagglutinin tiv pf inj
|
$123.58 |
$123.58 |
$123.58 |
$110.00
|
|
Influenza virus vaccine, live trivalent intranasal
|
$42.92 |
$42.92 |
$42.92 |
$36.50
|
|
Inf lwr xtr fscl pln blk uni w/wo image
|
$1,947.68 |
$1,947.68 |
$1,947.68 |
$762.00
|
|
Infratemporal approach/skull
|
$2,240.68 |
$2,240.68 |
$2,240.68 |
$4,149.01
|
|
Infratemporal approach/skull
|
$2,187.38 |
$2,187.38 |
$2,187.38 |
$3,928.68
|
|
Inf thrc fascial pln blk bi w/wo image
|
$2,920.78 |
$2,920.78 |
$2,920.78 |
$523.25
|
|
Inf thrc fascial pln blk uni w/wo image
|
$1,947.68 |
$1,947.68 |
$1,947.68 |
$780.00
|
|
Infuse radioactive materials
|
$193.96 |
$193.96 |
$193.96 |
$672.42
|
|
Ingest challenge ea addl 60 min
|
$49.40 |
$49.40 |
$49.40 |
$289.64
|
|
Ingest challenge ini 120 min
|
$53.56 |
$53.56 |
$53.56 |
$764.78
|
|
Initial care training 30 m
|
$33.80 |
$33.80 |
$33.80 |
$49.89
|
|
Initial foot exam pt lops
|
$28.60 |
$28.60 |
$28.60 |
$152.50
|
|
Initial hosp neonate 28 d/less than not critically ill 99477
|
$244.92 |
$244.92 |
$244.92 |
$540.80
|
|
Initial nursing facility care/day 35 minutes
|
$96.72 |
$96.72 |
$96.72 |
$184.80
|
|
Initial nursing facility care/day 45 minutes
|
$132.08 |
$132.08 |
$132.08 |
$231.84
|
|
Initial nursing facility care/day low severity 99304
|
$58.50 |
$58.50 |
$58.50 |
$127.63
|
|
Init nb em per day non-fac
|
$43.94 |
$43.94 |
$43.94 |
$97.68
|
|
Init pm e/m new pat 65+ yrs
|
$93.60 |
$93.60 |
$93.60 |
$189.15
|
|
Init/sub psych care m 1st 30
|
$27.82 |
$27.82 |
$27.82 |
$94.34
|
|
Inj, aflibercept-ayyh, 1 mg
|
$620.88 |
$620.88 |
$620.88 |
$2,771.44
|
|
Inj atezolizumb 5mg hya-tqjs
|
$24.18 |
$24.18 |
$24.18 |
$18,716.52
|
|
Inj calcitriol per 0.1 mcg
|
$9.06 |
$9.06 |
$9.06 |
$22.69
|
|
Inj cefazolin sodium, hikma
|
$1.82 |
$1.82 |
$1.82 |
$28.08
|
|
Inj, cefiderocol, 10 mg
|
$423.77 |
$423.77 |
$423.77 |
$544.85
|
|
Inj ceftolozane tazobactam
|
$317.34 |
$317.34 |
$317.34 |
$358.56
|
|
Inj, clevidipine butyrate
|
$80.22 |
$80.22 |
$80.22 |
$4.86
|
|
Inj cntr knee arthro incl ct/mri
|
$803.64 |
$803.64 |
$803.64 |
$441.88
|
|
Inj, cyclophosphamd, sandoz
|
$254.97 |
$254.97 |
$254.97 |
$735.20
|