|
Induced abortion d&c
|
$1,907.85 |
$1,907.85 |
$3,645.12 |
$3,762.53
|
|
Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s)
|
$41.50 |
$41.50 |
$121.73 |
$140.80
|
|
Infec agen detec ampli probe
|
$34.02 |
$34.02 |
$34.02 |
$32.40
|
|
Infect ag drug suscept pheno predict
|
$264.50 |
$264.50 |
$1,208.07 |
$325.00
|
|
Infect ag eia influenza a or b ea
|
$76.33 |
$121.93 |
$192.45 |
$71.20
|
|
Infect ag genotype na cytomegalovirus
|
$544.00 |
$544.00 |
$13,518.01 |
$665.40
|
|
Infect ag genotype na dna hepatitis b
|
$278.00 |
$727.04 |
$4,269.35 |
$409.27
|
|
Infect ag genotype na hiv-1 other region
|
$427.50 |
$552.00 |
$6,210.41 |
$361.65
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$262.50 |
$823.20 |
$2,768.79 |
$603.83
|
|
Infect ag ia direct hiv-1 antgn
|
$175.15 |
$175.15 |
$175.15 |
$95.55
|
|
Infect ag ia optc obs influenza
|
$93.18 |
$193.50 |
$225.45 |
$72.93
|
|
Infect ag if ea plyvlnt antsrm
|
$83.03 |
$96.50 |
$337.23 |
$68.40
|
|
Infect ag if hep delta agent
|
$94.00 |
$94.00 |
$219.64 |
$125.97
|
|
Infect ag if influenza a
|
$82.46 |
$96.50 |
$337.23 |
$41.30
|
|
Infect ag if influenza b
|
$80.74 |
$96.50 |
$337.23 |
$37.95
|
|
Infect ag if legionella pneumophila
|
$28.00 |
$28.00 |
$248.10 |
$73.45
|
|
Infect ag if nos ea
|
$96.50 |
$96.50 |
$316.24 |
$74.88
|
|
Infect ag if pneumocystis carinii
|
$65.50 |
$71.40 |
$537.29 |
$66.06
|
|
Infect ag if varicella zoster
|
$92.78 |
$92.78 |
$887.44 |
$72.00
|
|
Infect ag na chlamydia trachomatis qnt
|
$1,163.35 |
$1,163.35 |
$1,163.35 |
$107.20
|
|
Infect ag na hep b amp
|
$108.44 |
$108.44 |
$1,184.32 |
$120.50
|
|
Infect ag na herpes simplex quant
|
$105.00 |
$284.06 |
$747.05 |
$178.86
|
|
Infect ag na hpv high-risk types
|
$65.50 |
$65.50 |
$615.00 |
$139.20
|
|
Infect ag na influenza r/amp 1st 2 types
|
$205.00 |
$205.00 |
$390.44 |
$219.70
|
|
Infect ag na influenza revr/amp ea type
|
$158.06 |
$158.06 |
$1,360.20 |
$156.60
|
|
Infect ag na orthopoxvirus amp prb each
|
$32.00 |
$108.49 |
$209.10 |
$100.00
|
|
Infect ag na resp virus 12-25 targets
|
$612.00 |
$1,078.16 |
$4,035.40 |
$854.70
|
|
Infect ag phenotype na hiv-1 1-10 drugs
|
$843.26 |
$1,291.65 |
$8,645.22 |
$954.00
|
|
Infect ag phenotype na hiv-1 ea addl drg
|
$67.80 |
$199.73 |
$613.14 |
$75.63
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$58.50 |
$58.50 |
$347.10 |
$83.60
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$86.83 |
$86.83 |
$95.55 |
$72.80
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$13.50 |
$80.05 |
$492.12 |
$76.00
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$74.00 |
$74.00 |
$97.05 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$121.80 |
$231.00 |
$692.19 |
$103.40
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$69.92 |
$169.50 |
$316.24 |
$81.20
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$64.00 |
$64.00 |
$192.45 |
$60.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$79.00 |
$145.09 |
$463.08 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$124.00 |
$124.00 |
$405.90 |
$129.00
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$11.00 |
$153.61 |
$940.68 |
$98.58
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$45.00 |
$45.00 |
$89.10 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$433.50 |
$433.50 |
$849.00 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$133.00 |
$165.34 |
$984.23 |
$141.95
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$215.18 |
$292.50 |
$310.96 |
$167.05
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$274.00 |
$855.45 |
$3,736.48 |
$864.67
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$82.50 |
$360.02 |
$1,061.70 |
$181.35
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$126.00 |
$168.42 |
$1,260.15 |
$149.13
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$296.00 |
$345.17 |
$1,639.32 |
$212.16
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$133.00 |
$162.62 |
$984.23 |
$137.67
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$51.80 |
$140.00 |
$900.00 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$61.45 |
$197.00 |
$197.00 |
$206.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$104.93 |
$227.00 |
$285.00 |
$236.08
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$80.50 |
$80.50 |
$446.94 |
$96.00
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$86.50 |
$87.45 |
$984.23 |
$112.45
|
|
Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae
|
$16.50 |
$16.50 |
$327.95 |
$217.60
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$138.00 |
$138.00 |
$248.18 |
$195.60
|
|
Infectious agent nucleic acid joint space pathogens multiplex amplified probe >= 26 targets
|
$1,069.61 |
$1,069.61 |
$1,069.61 |
$1,143.75
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$654.00 |
$727.50 |
$2,286.34 |
$727.50
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$375.00 |
$529.20 |
$1,143.18 |
$289.91
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$362.25 |
$397.50 |
$2,286.34 |
$432.63
|
|
Infectious agent nucleic acid quantification bk virus
|
$171.50 |
$511.80 |
$1,158.94 |
$283.00
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$102.00 |
$278.70 |
$2,492.89 |
$242.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$79.00 |
$79.00 |
$381.92 |
$253.00
|
|
Infectious agent nucleic acid quantification hiv-1
|
$60.00 |
$307.95 |
$1,818.42 |
$375.00
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$345.55 |
$345.55 |
$418.50 |
$304.20
|
|
Infliximab 100 mg intravenous solution
|
$2,102.08 |
$2,312.29 |
$14,856.17 |
$2,047.13
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$1,192.37 |
$1,192.37 |
$1,873.64 |
$1,537.84
|
|
Influenza dna amp prob addl
|
$94.30 |
$94.30 |
$94.30 |
$64.26
|
|
Influenza virus vaccine, inact hemagglutinin tiv pf inj
|
$419.19 |
$419.19 |
$419.19 |
$111.51
|
|
Inf lwr xtr fscl pln blk uni w/wo image
|
$2,202.30 |
$2,202.30 |
$2,202.30 |
$762.00
|
|
Inf thrc fascial pln blk bi w/wo image
|
$2,262.60 |
$2,262.60 |
$2,262.60 |
$523.25
|
|
Inf thrc fascial pln blk uni w/wo image
|
$1,321.38 |
$1,321.38 |
$2,202.30 |
$770.00
|
|
Infuse radioactive materials
|
$600.89 |
$600.89 |
$600.89 |
$739.50
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$157.00 |
$271.35 |
$1,223.03 |
$296.00
|
|
Init/sub psych care m 1st 30
|
$89.84 |
$89.84 |
$89.84 |
$94.34
|
|
Inj, abilify maintena, 1 mg
|
$5,583.29 |
$5,583.29 |
$5,583.29 |
$5,355.30
|
|
Inj, acetaminophen (b braun)
|
$15.12 |
$15.12 |
$15.12 |
$32.79
|
|
Inj acetaminophen -fresenius
|
$20.12 |
$20.12 |
$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 |
$7,722.00 |
$6,968.99
|
|
Inj alymsys 10 mg
|
$676.74 |
$676.74 |
$5,691.32 |
$1,280.74
|
|
Inj anifrolumab-fnia 1mg
|
$10,052.58 |
$10,052.58 |
$10,052.58 |
$10,052.58
|
|
Inj, aponvie, 1 mg
|
$848.15 |
$848.15 |
$848.15 |
$3.36
|
|
Inj., benralizumab, 1 mg
|
$11,239.97 |
$11,239.97 |
$11,239.97 |
$11,310.00
|
|
Inj, bezlotoxumab, 10 mg
|
$4,788.00 |
$7,524.00 |
$24,439.65 |
$7,612.43
|
|
Inj, biorphen, 20 micrograms
|
$13.68 |
$20.40 |
$28.62 |
$17.33
|
|
Inj, bortezomib, hospira
|
$1,036.85 |
$1,036.85 |
$1,036.85 |
$175.35
|
|
Inj, bupivacaine liposome
|
$471.25 |
$507.76 |
$775.00 |
$699.38
|
|
Inj calcitriol per 0.1 mcg
|
$8.20 |
$35.82 |
$541.37 |
$22.69
|
|
Inj cefazolin sodium, hikma
|
$24.01 |
$34.59 |
$605.25 |
$27.38
|
|
Inj cefazolin (wg crit care)
|
$24.24 |
$24.24 |
$24.24 |
$18.43
|
|
Inj, cefiderocol, 10 mg
|
$459.12 |
$474.47 |
$1,345.47 |
$544.85
|
|
Inj ceftolozane tazobactam
|
$342.69 |
$356.50 |
$869.77 |
$364.86
|
|
Inj, clindamycin (baxter)
|
$35.69 |
$35.69 |
$35.69 |
$48.30
|
|
Inj cntr knee arthro incl ct/mri
|
$571.31 |
$571.31 |
$571.31 |
$436.80
|
|
Inj crotalidae im f(ab')2 eq
|
$1,584.60 |
$2,613.60 |
$8,474.13 |
$2,613.60
|
|
Inj disk cerv-thor ea lev
|
$875.28 |
$875.28 |
$875.28 |
$875.28
|
|
Inj dx for sinogram
|
$460.50 |
$460.50 |
$700.52 |
$436.00
|
|
Inject for sacroiliac joint
|
$836.40 |
$836.40 |
$836.40 |
$1,025.77
|
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
|
$1,030.57 |
$1,030.57 |
$1,141.35 |
$1,214.78
|
|
Injection arthrography hip without anesthesia (both sides)
|
$609.20 |
$609.20 |
$724.65 |
$503.50
|
