|
Infect ag ia direct hiv-1 antgn
|
$42.00 |
$42.00 |
$42.00 |
$91.70
|
|
Infect ag ia optc obs influenza
|
$20.10 |
$20.10 |
$20.10 |
$72.93
|
|
Infect ag if hep delta agent
|
$28.80 |
$28.80 |
$28.80 |
$125.97
|
|
Infect ag if influenza a
|
$10.35 |
$10.35 |
$10.35 |
$41.30
|
|
Infect ag if influenza b
|
$10.35 |
$10.35 |
$10.35 |
$40.08
|
|
Infect ag if legionella pneumophila
|
$20.10 |
$20.10 |
$20.10 |
$71.50
|
|
Infect ag if nos ea
|
$20.10 |
$20.10 |
$20.10 |
$74.88
|
|
Infect ag if varicella zoster
|
$20.10 |
$20.10 |
$20.10 |
$70.70
|
|
Infect ag na hep b amp
|
$61.50 |
$61.50 |
$61.50 |
$120.50
|
|
Infect ag na herpes simplex quant
|
$75.15 |
$75.15 |
$75.15 |
$169.65
|
|
Infect ag na hpv high-risk types
|
$30.75 |
$30.75 |
$30.75 |
$139.32
|
|
Infect ag na influenza r/amp 1st 2 types
|
$148.95 |
$148.95 |
$148.95 |
$218.90
|
|
Infect ag na influenza revr/amp ea type
|
$89.85 |
$89.85 |
$89.85 |
$153.60
|
|
Infect ag na orthopoxvirus amp prb each
|
$15.00 |
$15.00 |
$15.00 |
$99.36
|
|
Infect ag na resp virus 12-25 targets
|
$374.85 |
$374.85 |
$374.85 |
$835.80
|
|
Infect ag phenotype na hiv-1 1-10 drugs
|
$855.60 |
$855.60 |
$855.60 |
$922.37
|
|
Infect ag phenotype na hiv-1 ea addl drg
|
$45.75 |
$45.75 |
$45.75 |
$75.63
|
|
Infectious agent antigen immunoassay direct optical observation sars-cov-2
|
$12.15 |
$12.15 |
$12.15 |
$53.00
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$20.10 |
$20.10 |
$20.10 |
$81.90
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$20.10 |
$20.10 |
$20.10 |
$72.10
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$20.10 |
$20.10 |
$20.10 |
$76.00
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$21.00 |
$21.00 |
$21.00 |
$74.40
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$25.20 |
$25.20 |
$25.20 |
$100.02
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$17.40 |
$17.40 |
$17.40 |
$81.06
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$17.40 |
$17.40 |
$17.40 |
$60.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$42.15 |
$42.15 |
$42.15 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$20.10 |
$20.10 |
$20.10 |
$129.00
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$20.10 |
$20.10 |
$20.10 |
$97.50
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$20.10 |
$20.10 |
$20.10 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$61.50 |
$61.50 |
$61.50 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$61.50 |
$61.50 |
$61.50 |
$137.67
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$61.50 |
$61.50 |
$61.50 |
$167.00
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$733.80 |
$733.80 |
$733.80 |
$861.00
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$61.50 |
$61.50 |
$61.50 |
$179.55
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$61.50 |
$61.50 |
$61.50 |
$147.55
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$61.50 |
$61.50 |
$61.50 |
$212.16
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$61.50 |
$61.50 |
$61.50 |
$135.85
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$15.00 |
$15.00 |
$15.00 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$47.10 |
$47.10 |
$47.10 |
$206.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$61.50 |
$61.50 |
$61.50 |
$236.08
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$61.50 |
$61.50 |
$61.50 |
$92.50
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$30.90 |
$30.90 |
$30.90 |
$107.80
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$34.80 |
$34.80 |
$34.80 |
$185.00
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$402.60 |
$402.60 |
$402.60 |
$727.50
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$224.10 |
$224.10 |
$224.10 |
$286.06
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$372.75 |
$372.75 |
$372.75 |
$423.53
|
|
Infectious agent nucleic acid quantification bk virus
|
$75.15 |
$75.15 |
$75.15 |
$279.40
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$75.15 |
$75.15 |
$75.15 |
$238.80
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$75.15 |
$75.15 |
$75.15 |
$252.00
|
|
Infectious agent nucleic acid quantification hiv-1
|
$148.95 |
$148.95 |
$148.95 |
$372.45
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$124.20 |
$124.20 |
$124.20 |
$303.59
|
|
Infliximab 100 mg intravenous solution
|
$1,297.97 |
$1,297.97 |
$1,297.97 |
$2,080.86
|
|
Influenza dna amp prob addl
|
$36.45 |
$36.45 |
$36.45 |
$64.26
|
|
Infuse radioactive materials
|
$418.80 |
$418.80 |
$418.80 |
$640.50
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$53.55 |
$53.55 |
$53.55 |
$293.15
|
|
Initial nursing facility care/day 35 minutes
|
$64.95 |
$64.95 |
$64.95 |
$188.50
|
|
Initial nursing facility care/day 45 minutes
|
$82.95 |
$82.95 |
$82.95 |
$236.80
|
|
Initial nursing facility care/day low severity 99304
|
$48.00 |
$48.00 |
$48.00 |
$128.00
|
|
Initiation & management bipap/cpap initial day
|
$234.75 |
$234.75 |
$234.75 |
$576.00
|
|
Init pm e/m new pat 65+ yrs
|
$76.50 |
$76.50 |
$76.50 |
$185.90
|
|
Inj, abilify maintena, 1 mg
|
$0.15 |
$0.15 |
$0.15 |
$5,355.30
|
|
Inj acetaminophen -fresenius
|
$33.38 |
$33.38 |
$33.38 |
$36.60
|
|
Inj., aristada initio, 1 mg
|
$0.15 |
$0.15 |
$0.15 |
$4,052.45
|
|
Inj., benralizumab, 1 mg
|
$5,924.23 |
$5,924.23 |
$5,924.23 |
$11,239.97
|
|
Inj calcitriol per 0.1 mcg
|
$24.33 |
$24.33 |
$24.33 |
$23.28
|
|
Inj, cefiderocol, 10 mg
|
$287.35 |
$287.35 |
$287.35 |
$544.85
|
|
Inj ceftolozane tazobactam
|
$189.44 |
$189.44 |
$189.44 |
$381.60
|
|
Inj cntr knee arthro incl ct/mri
|
$169.05 |
$169.05 |
$169.05 |
$436.80
|
|
Inj, daptomycin (baxter)
|
$161.40 |
$161.40 |
$161.40 |
$1.83
|
|
Inj dupuytren cord w/enzyme
|
$126.15 |
$126.15 |
$126.15 |
$416.00
|
|
Inj dx for sinogram
|
$202.65 |
$202.65 |
$202.65 |
$422.59
|
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
|
$312.90 |
$312.90 |
$312.90 |
$1,214.78
|
|
Injection arthrography hip without anesthesia (both sides)
|
$169.05 |
$169.05 |
$169.05 |
$495.84
|
|
Injection, cangrelor
|
$922.96 |
$922.96 |
$922.96 |
$1,889.78
|
|
Injection carpal tunnel therapeutic (both sides)
|
$165.90 |
$165.90 |
$165.90 |
$453.58
|
|
Injection, daratumumab 10 mg
|
$3,268.71 |
$3,268.71 |
$3,268.71 |
$5,239.24
|
|
Injection, doxercalciferol
|
$7.34 |
$7.34 |
$7.34 |
$23.86
|
|
Injection during cath supravalvular aortography
|
$67.35 |
$67.35 |
$67.35 |
$952.66
|
|
Injection epidural blood patch or clot
|
$352.95 |
$352.95 |
$352.95 |
$1,156.80
|
|
Injection for arthrography wrist (both sides)
|
$60.75 |
$60.75 |
$60.75 |
$428.40
|
|
Injection for bladder x-ray
|
$66.90 |
$66.90 |
$66.90 |
$459.20
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$197.40 |
$197.40 |
$197.40 |
$494.65
|
|
Injection for spleen x-ray
|
$91.20 |
$91.20 |
$91.20 |
$529.57
|
|
Injection for ureter x-ray
|
$264.30 |
$264.30 |
$264.30 |
$515.21
|
|
Injection, fulvestrant
|
$1,293.80 |
$1,293.80 |
$1,293.80 |
$1,817.65
|
|
Injection into brain canal
|
$320.10 |
$320.10 |
$320.10 |
$836.40
|
|
Injection, isavuconazonium
|
$525.93 |
$525.93 |
$525.93 |
$787.67
|
|
Injection of sinus tract
|
$265.95 |
$265.95 |
$265.95 |
$1,627.60
|
|
Injection,onabotulinumtoxina
|
$701.93 |
$701.93 |
$701.93 |
$2,277.65
|
|
Injection radioactive tracer sentinel node (both sides)
|
$482.85 |
$482.85 |
$482.85 |
$670.64
|
|
Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides)
|
$471.15 |
$471.15 |
$471.15 |
$1,582.12
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$187.95 |
$187.95 |
$187.95 |
$1,348.56
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$293.70 |
$293.70 |
$293.70 |
$1,023.50
|
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
|
$352.80 |
$352.80 |
$352.80 |
$1,952.40
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
|
$787.50 |
$787.50 |
$787.50 |
$1,029.45
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
|
$828.90 |
$828.90 |
$828.90 |
$1,814.40
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
|
$129.90 |
$129.90 |
$129.90 |
$1,017.90
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
|
$552.30 |
$552.30 |
$552.30 |
$1,995.00
|
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
|
$152.25 |
$152.25 |
$152.25 |
$1,817.24
|
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
|
$447.90 |
$447.90 |
$447.90 |
$1,681.24
|