|
Infect ag eia influenza a or b ea
|
$118.27 |
$118.27 |
$166.87 |
$71.50
|
|
Infect ag genotype na cytomegalovirus
|
$957.90 |
$957.90 |
$957.90 |
$665.40
|
|
Infect ag genotype na dna hepatitis b
|
$771.58 |
$771.58 |
$771.58 |
$409.27
|
|
Infect ag genotype na hiv-1 other region
|
$669.30 |
$669.30 |
$669.30 |
$361.65
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$499.13 |
$499.13 |
$2,629.14 |
$603.83
|
|
Infect ag ia direct hiv-1 antgn
|
$214.43 |
$214.43 |
$214.43 |
$95.55
|
|
Infect ag ia optc obs influenza
|
$113.71 |
$113.71 |
$114.50 |
$72.93
|
|
Infect ag if ea plyvlnt antsrm
|
$45.86 |
$45.86 |
$112.12 |
$65.10
|
|
Infect ag if hep delta agent
|
$179.77 |
$179.77 |
$179.77 |
$125.97
|
|
Infect ag if influenza a
|
$86.30 |
$86.30 |
$148.36 |
$41.22
|
|
Infect ag if influenza b
|
$148.36 |
$148.36 |
$148.36 |
$37.95
|
|
Infect ag if legionella pneumophila
|
$115.30 |
$115.30 |
$183.96 |
$73.45
|
|
Infect ag if nos ea
|
$172.22 |
$172.22 |
$172.22 |
$74.88
|
|
Infect ag if pneumocystis carinii
|
$121.20 |
$121.20 |
$228.49 |
$66.60
|
|
Infect ag if varicella zoster
|
$52.23 |
$52.23 |
$92.78 |
$72.00
|
|
Infect ag na hep b amp
|
$175.44 |
$175.44 |
$537.83 |
$120.50
|
|
Infect ag na herpes simplex quant
|
$284.06 |
$284.06 |
$402.67 |
$178.86
|
|
Infect ag na hpv high-risk types
|
$549.14 |
$549.14 |
$615.00 |
$139.20
|
|
Infect ag na influenza r/amp 1st 2 types
|
$137.07 |
$137.07 |
$137.07 |
$220.00
|
|
Infect ag na influenza revr/amp ea type
|
$241.20 |
$241.20 |
$241.20 |
$156.60
|
|
Infect ag na orthopoxvirus amp prb each
|
$42.34 |
$42.34 |
$127.50 |
$100.46
|
|
Infect ag na resp virus 12-25 targets
|
$263.03 |
$263.03 |
$1,100.20 |
$858.92
|
|
Infect ag phenotype na hiv-1 1-10 drugs
|
$2,085.79 |
$2,085.79 |
$2,085.79 |
$954.00
|
|
Infect ag phenotype na hiv-1 ea addl drg
|
$199.73 |
$199.73 |
$199.73 |
$75.63
|
|
Infectious agent antigen immunoassay direct optical observation sars-cov-2
|
$51.31 |
$51.31 |
$51.31 |
$53.00
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$147.65 |
$147.65 |
$228.49 |
$82.80
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$91.90 |
$91.90 |
$184.27 |
$72.10
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$83.28 |
$83.28 |
$83.28 |
$76.00
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$81.71 |
$81.71 |
$228.49 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$128.15 |
$128.15 |
$236.94 |
$102.82
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$113.81 |
$113.81 |
$196.58 |
$81.20
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$94.22 |
$94.22 |
$196.58 |
$60.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$140.83 |
$140.83 |
$552.48 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$228.49 |
$228.49 |
$309.00 |
$129.00
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$127.10 |
$127.10 |
$228.49 |
$98.40
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$45.96 |
$45.96 |
$55.31 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$668.03 |
$668.03 |
$849.00 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$58.31 |
$58.31 |
$125.96 |
$141.95
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$96.21 |
$96.21 |
$209.30 |
$167.05
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$290.66 |
$290.66 |
$926.47 |
$865.50
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$235.64 |
$235.64 |
$668.03 |
$181.80
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$99.60 |
$99.60 |
$185.20 |
$149.13
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$64.84 |
$64.84 |
$328.73 |
$212.01
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$58.31 |
$58.31 |
$170.75 |
$137.67
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$103.50 |
$103.50 |
$113.02 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$61.45 |
$61.45 |
$180.37 |
$208.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$104.93 |
$104.93 |
$180.37 |
$236.08
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$127.01 |
$127.01 |
$127.01 |
$96.00
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$77.46 |
$77.46 |
$154.42 |
$112.50
|
|
Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae
|
$296.71 |
$296.71 |
$296.71 |
$217.60
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$273.58 |
$273.58 |
$273.58 |
$200.20
|
|
Infectious agent nucleic acid joint space pathogens multiplex amplified probe >= 26 targets
|
$1,091.46 |
$1,091.46 |
$1,091.46 |
$1,143.75
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$380.07 |
$380.07 |
$727.50 |
$727.50
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$375.00 |
$375.00 |
$375.00 |
$289.91
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$195.72 |
$195.72 |
$556.63 |
$432.63
|
|
Infectious agent nucleic acid quantification bk virus
|
$815.25 |
$815.25 |
$1,105.50 |
$280.00
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$195.96 |
$195.96 |
$266.96 |
$242.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$325.45 |
$325.45 |
$500.16 |
$253.00
|
|
Infectious agent nucleic acid quantification hiv-1
|
$426.38 |
$426.38 |
$1,619.66 |
$375.00
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$363.10 |
$363.10 |
$363.10 |
$304.20
|
|
Infliximab 100 mg intravenous solution
|
$265.38 |
$265.38 |
$2,102.08 |
$2,043.22
|
|
Infliximab-axxq 100 mg intravenous solution
|
$44.61 |
$44.61 |
$44.61 |
$1,062.00
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$63.60 |
$63.60 |
$63.60 |
$1,537.84
|
|
Influenza dna amp prob addl
|
$32.29 |
$32.29 |
$32.29 |
$64.26
|
|
Inf thrc fascial pln blk uni w/wo image
|
$1,321.38 |
$1,321.38 |
$1,321.38 |
$780.00
|
|
Ingest challenge ea addl 60 min
|
$322.34 |
$322.34 |
$322.34 |
$289.64
|
|
Ingest challenge ini 120 min
|
$709.16 |
$709.16 |
$709.16 |
$764.78
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$357.05 |
$357.05 |
$357.05 |
$299.65
|
|
Initial foot exam pt lops
|
$193.85 |
$193.85 |
$193.85 |
$152.50
|
|
Initial nursing facility care/day 35 minutes
|
$169.81 |
$169.81 |
$169.81 |
$184.80
|
|
Initial nursing facility care/day 45 minutes
|
$215.57 |
$215.57 |
$215.57 |
$231.84
|
|
Initial nursing facility care/day low severity 99304
|
$120.07 |
$120.07 |
$120.07 |
$127.63
|
|
Init/sub psych care m 1st 30
|
$94.34 |
$94.34 |
$94.34 |
$94.34
|
|
Inj, acetaminophen (b braun)
|
$3.27 |
$3.27 |
$3.27 |
$32.79
|
|
Inj acetaminophen -fresenius
|
$3.27 |
$3.27 |
$34.56 |
$36.60
|
|
Inj, alfentanil hcl, 500mcg
|
$16.63 |
$16.63 |
$16.63 |
$35.94
|
|
Inj allopurinol sodium 1 mg
|
$7,176.71 |
$7,176.71 |
$7,176.71 |
$6,968.99
|
|
Inj alymsys 10 mg
|
$676.74 |
$676.74 |
$676.74 |
$1,280.74
|
|
Inj, biorphen, 20 micrograms
|
$20.40 |
$20.40 |
$20.40 |
$17.12
|
|
Inj, bupivacaine liposome
|
$2.70 |
$2.70 |
$507.76 |
$699.38
|
|
Inj calcitriol per 0.1 mcg
|
$1.44 |
$1.44 |
$35.82 |
$22.69
|
|
Inj cefazolin sodium, hikma
|
$34.59 |
$34.59 |
$34.59 |
$27.38
|
|
Inj cefazolin (wg crit care)
|
$1.98 |
$1.98 |
$24.24 |
$18.43
|
|
Inj, cefiderocol, 10 mg
|
$2.21 |
$2.21 |
$596.08 |
$544.85
|
|
Inj ceftolozane tazobactam
|
$8.73 |
$8.73 |
$431.36 |
$358.56
|
|
Inj cntr knee arthro incl ct/mri
|
$286.95 |
$286.95 |
$286.95 |
$441.88
|
|
Inj crotalidae im f(ab')2 eq
|
$827.67 |
$827.67 |
$1,584.60 |
$2,613.60
|
|
Inj, daptomycin (hospira)
|
$1.57 |
$1.57 |
$1.57 |
$128.08
|
|
Inj disk cerv-thor ea lev
|
$511.09 |
$511.09 |
$511.09 |
$875.28
|
|
Inj dupuytren cord w/enzyme
|
$353.64 |
$353.64 |
$353.64 |
$416.00
|
|
Inj dx for sinogram
|
$204.50 |
$204.50 |
$204.50 |
$447.50
|
|
Inject for sacroiliac joint
|
$932.51 |
$932.51 |
$932.51 |
$1,025.77
|
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
|
$1,030.57 |
$1,030.57 |
$1,030.57 |
$1,214.78
|
|
Injection arthrography hip without anesthesia (both sides)
|
$117.02 |
$117.02 |
$388.32 |
$504.00
|
|
Injection, belinostat, 10mg
|
$3,631.78 |
$3,631.78 |
$3,631.78 |
$4,446.10
|
|
Injection, cangrelor
|
$1,734.77 |
$1,734.77 |
$1,734.77 |
$1,889.78
|
|
Injection carpal tunnel therapeutic (both sides)
|
$518.54 |
$518.54 |
$518.54 |
$458.15
|
|
Injection, daratumumab 10 mg
|
$5,324.34 |
$5,324.34 |
$5,324.34 |
$5,324.34
|
|
Injection, doxercalciferol
|
$14.58 |
$14.58 |
$14.58 |
$23.86
|
|
Injection during cath supravalvular aortography
|
$432.00 |
$432.00 |
$461.53 |
$1,028.00
|