|
Infect ag eia influenza a or b ea
|
$1,214.34 |
$1,214.34 |
$1,214.34 |
$69.03
|
|
Infect ag if legionella pneumophila
|
$2,283.82 |
$2,283.82 |
$2,283.82 |
$73.46
|
|
Infect ag if pneumocystis carinii
|
$820.93 |
$820.93 |
$820.93 |
$67.46
|
|
Infect ag na hep b amp
|
$2,654.52 |
$2,654.52 |
$2,654.52 |
$108.44
|
|
Infect ag na influenza revr/amp ea type
|
$2,218.50 |
$2,218.50 |
$2,218.50 |
$153.60
|
|
Infect ag na orthopoxvirus amp prb each
|
$120.30 |
$120.30 |
$120.30 |
$99.36
|
|
Infect ag na resp virus 12-25 targets
|
$1,429.06 |
$1,429.06 |
$1,429.06 |
$859.44
|
|
Infect ag phenotype na hiv-1 1-10 drugs
|
$4,640.09 |
$4,640.09 |
$4,640.09 |
$855.60
|
|
Infect ag phenotype na hiv-1 ea addl drg
|
$474.38 |
$474.38 |
$474.38 |
$77.00
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$789.67 |
$789.67 |
$789.67 |
$82.00
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$1,005.57 |
$1,005.57 |
$1,005.57 |
$76.50
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$120.33 |
$120.33 |
$120.33 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$2,181.57 |
$2,181.57 |
$2,181.57 |
$96.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$995.62 |
$995.62 |
$995.62 |
$81.06
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$194.03 |
$194.03 |
$194.03 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$573.80 |
$573.80 |
$573.80 |
$97.50
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$113.62 |
$113.62 |
$113.62 |
$55.31
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$752.75 |
$752.75 |
$752.75 |
$137.67
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$241.95 |
$241.95 |
$241.95 |
$861.00
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$2,822.13 |
$2,822.13 |
$2,822.13 |
$181.35
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$409.88 |
$409.88 |
$409.88 |
$151.25
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$2,789.45 |
$2,789.45 |
$2,789.45 |
$201.60
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$752.75 |
$752.75 |
$752.75 |
$135.80
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$73.65 |
$73.65 |
$73.65 |
$100.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$288.68 |
$288.68 |
$288.68 |
$217.70
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$675.93 |
$675.93 |
$675.93 |
$236.08
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$182.51 |
$182.51 |
$182.51 |
$94.53
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$175.45 |
$175.45 |
$175.45 |
$105.00
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$383.85 |
$383.85 |
$383.85 |
$184.80
|
|
Infectious agent nucleic acid quantification bk virus
|
$2,097.77 |
$2,097.77 |
$2,097.77 |
$283.00
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$1,809.45 |
$1,809.45 |
$1,809.45 |
$238.80
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$4,688.38 |
$4,688.38 |
$4,688.38 |
$252.60
|
|
Infectious agent nucleic acid quantification hiv-1
|
$2,566.46 |
$2,566.46 |
$2,566.46 |
$374.50
|
|
Infliximab 100 mg intravenous solution
|
$4,043.63 |
$4,043.63 |
$4,043.63 |
$2,080.86
|
|
Influenza virus vaccine, inact hemagglutinin tiv pf inj
|
$78.59 |
$78.59 |
$78.59 |
$102.83
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$1,265.24 |
$1,265.24 |
$1,265.24 |
$293.04
|
|
Inj, abilify maintena, 1 mg
|
$5,637.38 |
$5,637.38 |
$5,637.38 |
$5,355.30
|
|
Inj, acetaminophen (b braun)
|
$72.74 |
$72.74 |
$72.74 |
$32.79
|
|
Inj anifrolumab-fnia 1mg
|
$24,871.90 |
$24,871.90 |
$24,871.90 |
$10,052.58
|
|
Inj., benralizumab, 1 mg
|
$1,839.26 |
$1,839.26 |
$1,839.26 |
$11,604.71
|
|
Inj, bupivacaine liposome
|
$4,222.83 |
$4,222.83 |
$4,222.83 |
$699.38
|
|
Inj calcitriol per 0.1 mcg
|
$264.81 |
$264.81 |
$264.81 |
$22.69
|
|
Inj, cefiderocol, 10 mg
|
$1,703.94 |
$1,703.94 |
$1,703.94 |
$544.85
|
|
Inj ceftolozane tazobactam
|
$1,196.58 |
$1,196.58 |
$1,196.58 |
$408.00
|
|
Inj, clindamycin (baxter)
|
$28.83 |
$28.83 |
$28.83 |
$48.39
|
|
Inj crotalidae im f(ab')2 eq
|
$8,153.34 |
$8,153.34 |
$8,153.34 |
$2,613.60
|
|
Injection, daratumumab 10 mg
|
$237.02 |
$237.02 |
$237.02 |
$5,164.24
|
|
Injection, doxercalciferol
|
$93.45 |
$93.45 |
$93.45 |
$23.12
|
|
Injection during cath supravalvular aortography
|
$6,779.54 |
$6,779.54 |
$6,779.54 |
$904.17
|
|
Injection, famotidine, 20 mg
|
$61.77 |
$61.77 |
$61.77 |
$28.74
|
|
Injection for bladder x-ray
|
$362.36 |
$362.36 |
$362.36 |
$459.20
|
|
Injection for hip x-ray
|
$3,825.39 |
$3,825.39 |
$3,825.39 |
$669.24
|
|
Injection, isavuconazonium
|
$7.78 |
$7.78 |
$7.78 |
$787.67
|
|
Injection,onabotulinumtoxina
|
$6,680.78 |
$6,680.78 |
$6,680.78 |
$2,241.61
|
|
Injection, pentamidine iseth
|
$2,205.42 |
$2,205.42 |
$2,205.42 |
$464.32
|
|
Inj gemcitabine hcl (accord)
|
$90.72 |
$90.72 |
$90.72 |
$113.90
|
|
Inj hrt cath w/s&i nonsel p-art angrp
|
$3,100.00 |
$3,100.00 |
$3,100.00 |
$1,237.50
|
|
Inj hydroxocobalamin IV 25mg
|
$6,945.57 |
$6,945.57 |
$6,945.57 |
$2,452.32
|
|
Inj imip 4 cilas 4 releb 2mg
|
$2,983.07 |
$2,983.07 |
$2,983.07 |
$662.97
|
|
Inj, levothyroxine, freskabi
|
$3,673.88 |
$3,673.88 |
$3,673.88 |
$363.97
|
|
Inj, lidocaine w epinephrine
|
$27.28 |
$27.28 |
$27.28 |
$44.96
|
|
Inj mepivacaine hcl/10 ml
|
$91.95 |
$91.95 |
$91.95 |
$33.86
|
|
Inj. mycophenolate mofetil
|
$887.79 |
$887.79 |
$887.79 |
$252.66
|
|
Inj nephrosto/ureterogram w/img exstng access
|
$9,166.04 |
$9,166.04 |
$9,166.04 |
$1,414.40
|
|
Inj, pedmark, 100 mg
|
$989.50 |
$989.50 |
$989.50 |
$123.00
|
|
Inj proc myelogram lumbar
|
$3,880.82 |
$3,880.82 |
$3,880.82 |
$856.00
|
|
Inj prohance multipack
|
$70.39 |
$70.39 |
$70.39 |
$9.60
|
|
Inj retro urethrocysto
|
$1,290.68 |
$1,290.68 |
$1,290.68 |
$450.00
|
|
Inj secretin synthetic human
|
$5,511.24 |
$5,511.24 |
$5,511.24 |
$1,285.20
|
|
Inj testosterone cypionate
|
$1.23 |
$1.23 |
$1.23 |
$62.80
|
|
Inj. tigecycline (accord)
|
$10.14 |
$10.14 |
$10.14 |
$182.46
|
|
Inj, tofidence, 1 mg
|
$11,973.68 |
$11,973.68 |
$11,973.68 |
$346.32
|
|
Inj ustekinumab-kfce, 1 mg
|
$3,026.32 |
$3,026.32 |
$3,026.32 |
$5,244.37
|
|
Inj vocal cord bulking agent
|
$18,600.00 |
$18,600.00 |
$18,600.00 |
$1,480.00
|
|
Inj w/fluor eval cv device
|
$3,806.42 |
$3,806.42 |
$3,806.42 |
$463.40
|
|
Insert cath pleura with image
|
$6,933.96 |
$6,933.96 |
$6,933.96 |
$2,194.40
|
|
Insertion of catheter vein
|
$10,640.49 |
$10,640.49 |
$10,640.49 |
$1,657.32
|
|
Insertion of catheter vein
|
$2,357.09 |
$2,357.09 |
$2,357.09 |
$836.25
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$29,011.97 |
$29,011.97 |
$29,011.97 |
$12,508.08
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$23,586.71 |
$23,586.71 |
$23,586.71 |
$12,384.25
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$7,279.91 |
$7,279.91 |
$7,279.91 |
$2,079.43
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$9,111.73 |
$9,111.73 |
$9,111.73 |
$2,414.10
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$6,676.55 |
$6,676.55 |
$6,676.55 |
$7,513.67
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$9,712.60 |
$9,712.60 |
$9,712.60 |
$7,342.20
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$12,870.39 |
$12,870.39 |
$12,870.39 |
$9,397.50
|
|
Insert pm/icd lead dual
|
$9,303.14 |
$9,303.14 |
$9,303.14 |
$7,388.80
|
|
Insert/repl sq defib w/eltrd
|
$430,444.06 |
$430,444.06 |
$430,444.06 |
$33,297.72
|
|
Insert swan-ganz cath
|
$3,975.43 |
$3,975.43 |
$3,975.43 |
$2,210.50
|
|
Insert tunneled cv 2cath 2sits without port/pmp 36565
|
$11,748.89 |
$11,748.89 |
$11,748.89 |
$5,018.25
|
|
Insert vad art access left hrt arterial access
|
$15,577.17 |
$15,577.17 |
$15,577.17 |
$4,221.97
|
|
Ins icd gen exist sgl lead
|
$36,089.59 |
$36,089.59 |
$36,089.59 |
$23,742.75
|
|
Insitu hybridization auto
|
$835.12 |
$835.12 |
$835.12 |
$371.00
|
|
Insitu hybridization manual
|
$1,501.24 |
$1,501.24 |
$1,501.24 |
$388.20
|
|
In situ hybridization per specimen each additional single probe stain
|
$599.61 |
$599.61 |
$599.61 |
$243.60
|
|
In situ hybridization per specimen initial single probe stain
|
$270.37 |
$270.37 |
$270.37 |
$326.04
|
|
Insj perq vad r hrt venous
|
$34,029.09 |
$34,029.09 |
$34,029.09 |
$3,345.87
|
|
Ins lv lead exist pm/icd
|
$69,701.34 |
$69,701.34 |
$69,701.34 |
$12,087.24
|
|
Ins pm gen exist dual lead
|
$9,046.47 |
$9,046.47 |
$9,046.47 |
$24,696.00
|
|
Ins/rpl ldless pm right vent w img & eval
|
$211,501.65 |
$211,501.65 |
$211,501.65 |
$23,369.00
|
|
Ins/rpl pm gen exist dual lead
|
$17,244.13 |
$17,244.13 |
$17,244.13 |
$11,408.40
|