|
Infect ag drug suscept pheno predict
|
$1,090.19 |
$1,090.19 |
$1,090.19 |
$325.00
|
|
Infect ag genotype na cytomegalovirus
|
$2,010.54 |
$2,010.54 |
$2,010.54 |
$603.41
|
|
Infect ag genotype na dna hepatitis b
|
$659.32 |
$659.32 |
$659.32 |
$500.40
|
|
Infect ag genotype na hiv-1 other region
|
$968.65 |
$968.65 |
$968.65 |
$301.50
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$701.97 |
$701.97 |
$701.97 |
$574.60
|
|
Infect ag if legionella pneumophila
|
$323.16 |
$323.16 |
$323.16 |
$75.79
|
|
Infect ag if pneumocystis carinii
|
$232.68 |
$232.68 |
$232.68 |
$62.29
|
|
Infect ag if varicella zoster
|
$215.00 |
$215.00 |
$215.00 |
$66.00
|
|
Infect ag na hpv high-risk types
|
$404.32 |
$404.32 |
$404.32 |
$139.75
|
|
Infect ag na influenza r/amp 1st 2 types
|
$295.47 |
$295.47 |
$295.47 |
$227.96
|
|
Infect ag na orthopoxvirus amp prb each
|
$268.36 |
$268.36 |
$268.36 |
$102.00
|
|
Infect ag phenotype na hiv-1 1-10 drugs
|
$3,676.96 |
$3,676.96 |
$3,676.96 |
$714.67
|
|
Infect ag phenotype na hiv-1 ea addl drg
|
$303.50 |
$303.50 |
$303.50 |
$77.00
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$265.55 |
$265.55 |
$265.55 |
$81.44
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$94.17 |
$94.17 |
$94.17 |
$63.60
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$195.92 |
$195.92 |
$195.92 |
$80.05
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$70.16 |
$70.16 |
$70.16 |
$77.28
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$204.97 |
$204.97 |
$204.97 |
$83.50
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$149.48 |
$149.48 |
$149.48 |
$77.72
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$221.59 |
$221.59 |
$221.59 |
$55.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$305.31 |
$305.31 |
$305.31 |
$101.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$442.24 |
$442.24 |
$442.24 |
$132.60
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$315.76 |
$315.76 |
$315.76 |
$97.50
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$328.35 |
$328.35 |
$328.35 |
$60.00
|
|
Infectious agent nucleic acid amplified probe
|
$921.54 |
$921.54 |
$921.54 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$593.20 |
$593.20 |
$593.20 |
$141.48
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$318.55 |
$318.55 |
$318.55 |
$174.06
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$1,253.84 |
$1,253.84 |
$1,253.84 |
$855.45
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$412.34 |
$412.34 |
$412.34 |
$178.00
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$267.87 |
$267.87 |
$267.87 |
$210.00
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$539.28 |
$539.28 |
$539.28 |
$136.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$488.44 |
$488.44 |
$488.44 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$520.47 |
$520.47 |
$520.47 |
$222.60
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$520.47 |
$520.47 |
$520.47 |
$248.15
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$261.06 |
$261.06 |
$261.06 |
$98.15
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$444.42 |
$444.42 |
$444.42 |
$112.45
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$1,293.83 |
$1,293.83 |
$1,293.83 |
$727.50
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$352.32 |
$352.32 |
$352.32 |
$283.20
|
|
Infectious agent nucleic acid quantification bk virus
|
$1,558.91 |
$1,558.91 |
$1,558.91 |
$285.66
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$358.24 |
$358.24 |
$358.24 |
$226.35
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$888.22 |
$888.22 |
$888.22 |
$278.78
|
|
Infectious agent nucleic acid quantification hiv-1
|
$1,054.41 |
$1,054.41 |
$1,054.41 |
$381.55
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$1,348.43 |
$1,348.43 |
$1,348.43 |
$298.35
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$1,359.99 |
$1,359.99 |
$1,359.99 |
$359.64
|
|
Initiation & management bipap/cpap initial day
|
$2,597.51 |
$2,597.51 |
$2,597.51 |
$645.79
|
|
Inj., benralizumab, 1 mg
|
$27,298.41 |
$27,298.41 |
$27,298.41 |
$16,865.48
|
|
Inj, bezlotoxumab, 10 mg
|
$6,126.42 |
$6,126.42 |
$6,126.42 |
$9,702.65
|
|
Inj cefazolin sodium, hikma
|
$69.94 |
$69.94 |
$69.94 |
$56.70
|
|
Inj cntr knee arthro incl ct/mri
|
$441.88 |
$441.88 |
$441.88 |
$464.28
|
|
Inj, durolane 1 mg
|
$2,894.84 |
$2,894.84 |
$2,894.84 |
$3,382.31
|
|
Injection arthrography hip without anesthesia (both sides)
|
$662.82 |
$662.82 |
$662.82 |
$507.10
|
|
Injection carpal tunnel therapeutic (both sides)
|
$1,970.86 |
$1,970.86 |
$1,970.86 |
$536.00
|
|
Injection, daratumumab 10 mg
|
$3,331.63 |
$3,331.63 |
$3,331.63 |
$7,107.73
|
|
Injection during cath supravalvular aortography
|
$4,644.10 |
$4,644.10 |
$4,644.10 |
$1,148.80
|
|
Injection epidural blood patch or clot
|
$3,503.44 |
$3,503.44 |
$3,503.44 |
$1,473.12
|
|
Injection for arthrography wrist (both sides)
|
$662.82 |
$662.82 |
$662.82 |
$441.12
|
|
Injection for bladder x-ray
|
$390.25 |
$390.25 |
$390.25 |
$585.00
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$633.92 |
$633.92 |
$633.92 |
$504.00
|
|
Injection, fulvestrant
|
$1,744.39 |
$1,744.39 |
$1,744.39 |
$2,756.47
|
|
Injection, inclisiran, 1 mg
|
$19,311.68 |
$19,311.68 |
$19,311.68 |
$10,366.61
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$1,829.10 |
$1,829.10 |
$1,829.10 |
$1,471.50
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$831.95 |
$831.95 |
$831.95 |
$1,017.28
|
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
|
$1,426.83 |
$1,426.83 |
$1,426.83 |
$472.76
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$1,016.18 |
$1,016.18 |
$1,016.18 |
$552.60
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$429.30 |
$429.30 |
$429.30 |
$168.05
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$541.16 |
$541.16 |
$541.16 |
$154.05
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$307.07 |
$307.07 |
$307.07 |
$271.65
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$350.96 |
$350.96 |
$350.96 |
$141.60
|
|
Inj efgart-alfa 2mg hya-qvfc
|
$88,241.79 |
$88,241.79 |
$88,241.79 |
$66,229.74
|
|
Inj for ext venography
|
$424.68 |
$424.68 |
$424.68 |
$737.55
|
|
Inj, fulvestrant (fresenius)
|
$399.48 |
$399.48 |
$399.48 |
$1,713.99
|
|
Inj glycopyrrolate fres kabi
|
$51.03 |
$51.03 |
$51.03 |
$96.70
|
|
Inj ivig privigen 500 mg
|
$17,308.18 |
$17,308.18 |
$17,308.18 |
$7,298.71
|
|
Inj mepivacaine hcl/10 ml
|
$16.81 |
$16.81 |
$16.81 |
$28.41
|
|
Inj multihance
|
$410.96 |
$410.96 |
$410.96 |
$119.25
|
|
Inj nephrosto/ureterogram w/img exstng access
|
$3,773.03 |
$3,773.03 |
$3,773.03 |
$1,522.56
|
|
Inj non-compmd foam sclrsnt mlt trncl veins same leg
|
$5,638.79 |
$5,638.79 |
$5,638.79 |
$2,371.50
|
|
Inj proc lumbr disk ea lvl
|
$1,504.26 |
$1,504.26 |
$1,504.26 |
$1,224.30
|
|
Inj proc myelogram lumbar
|
$1,024.00 |
$1,024.00 |
$1,024.00 |
$922.80
|
|
Inj scleros sol mult veins
|
$961.72 |
$961.72 |
$961.72 |
$687.96
|
|
Inj scleros sol sgl vein
|
$2,397.31 |
$2,397.31 |
$2,397.31 |
$534.40
|
|
Inj secukinumab intrav 1mg
|
$12,083.58 |
$12,083.58 |
$12,083.58 |
$9,077.39
|
|
Inj, spesolimab-sbzo, 1 mg
|
$291,748.24 |
$291,748.24 |
$291,748.24 |
$253,022.14
|
|
Inj(s) sclerosant spider veins limb/trunk
|
$1,159.03 |
$1,159.03 |
$1,159.03 |
$436.64
|
|
Inj testosterone cypionate
|
$115.80 |
$115.80 |
$115.80 |
$77.15
|
|
Inj, tislelizumab-jsgr
|
$11,715.26 |
$11,715.26 |
$11,715.26 |
$45,250.97
|
|
Inj, vancomycin hcl (mylan)
|
$42.16 |
$42.16 |
$42.16 |
$63.82
|
|
Inj, vegzelma, 10 mg
|
$2,680.66 |
$2,680.66 |
$2,680.66 |
$10,892.59
|
|
Inj w/fluor eval cv device
|
$1,240.59 |
$1,240.59 |
$1,240.59 |
$588.90
|
|
Ins cath ren art 1st uni
|
$7,568.49 |
$7,568.49 |
$7,568.49 |
$4,667.63
|
|
Ins cath ren art 2nd+ uni
|
$7,568.49 |
$7,568.49 |
$7,568.49 |
$5,528.94
|
|
Ins cerv dilator (sep proc)
|
$973.58 |
$973.58 |
$973.58 |
$544.00
|
|
Insert cath pleura with image
|
$2,457.46 |
$2,457.46 |
$2,457.46 |
$2,239.02
|
|
Insertion catheter bladder non indwelling
|
$705.50 |
$705.50 |
$705.50 |
$237.13
|
|
Insertion catheter bladder temporary simple
|
$560.89 |
$560.89 |
$560.89 |
$273.60
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$9,401.62 |
$9,401.62 |
$9,401.62 |
$4,943.21
|
|
Insertion intra aortic balloon assist device percutaneous
|
$6,485.78 |
$6,485.78 |
$6,485.78 |
$2,549.95
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$19,004.88 |
$19,004.88 |
$19,004.88 |
$7,088.54
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$6,528.70 |
$6,528.70 |
$6,528.70 |
$2,618.40
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$49,478.88 |
$49,478.88 |
$49,478.88 |
$14,158.20
|