|
Infectious agent nucleic acid amplified probe
|
$849.00 |
$849.00 |
$849.00 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$165.34 |
$165.34 |
$165.34 |
$141.95
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$215.18 |
$215.18 |
$215.18 |
$167.05
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$855.45 |
$855.45 |
$855.45 |
$865.50
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$652.67 |
$652.67 |
$652.67 |
$181.80
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$168.42 |
$168.42 |
$168.42 |
$149.13
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$345.17 |
$345.17 |
$345.17 |
$212.01
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$162.62 |
$162.62 |
$162.62 |
$137.67
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$900.00 |
$900.00 |
$900.00 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$61.45 |
$61.45 |
$61.45 |
$208.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$104.93 |
$104.93 |
$104.93 |
$236.08
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$126.60 |
$126.60 |
$126.60 |
$96.00
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$162.85 |
$162.85 |
$162.85 |
$112.50
|
|
Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae
|
$327.95 |
$327.95 |
$327.95 |
$217.60
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$248.18 |
$248.18 |
$248.18 |
$200.20
|
|
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
|
$727.50 |
$727.50 |
$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
|
$515.40 |
$515.40 |
$515.40 |
$432.63
|
|
Infectious agent nucleic acid quantification bk virus
|
$1,105.50 |
$1,105.50 |
$1,105.50 |
$280.00
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$331.97 |
$331.97 |
$331.97 |
$242.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$381.92 |
$381.92 |
$381.92 |
$253.00
|
|
Infectious agent nucleic acid quantification hiv-1
|
$448.31 |
$448.31 |
$448.31 |
$375.00
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$345.55 |
$345.55 |
$345.55 |
$304.20
|
|
Infliximab 100 mg intravenous solution
|
$2,102.08 |
$2,102.08 |
$2,102.08 |
$2,043.22
|
|
Influenza dna amp prob addl
|
$94.30 |
$94.30 |
$94.30 |
$64.26
|
|
Inf thrc fascial pln blk uni w/wo image
|
$1,321.38 |
$1,321.38 |
$1,321.38 |
$780.00
|
|
Infuse radioactive materials
|
$600.89 |
$600.89 |
$600.89 |
$672.42
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$394.10 |
$394.10 |
$394.10 |
$299.65
|
|
Init/sub psych care m 1st 30
|
$89.84 |
$89.84 |
$89.84 |
$94.34
|
|
Inj acetaminophen -fresenius
|
$34.56 |
$34.56 |
$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
|
$507.76 |
$507.76 |
$507.76 |
$699.38
|
|
Inj calcitriol per 0.1 mcg
|
$35.82 |
$35.82 |
$35.82 |
$22.69
|
|
Inj cefazolin sodium, hikma
|
$34.59 |
$34.59 |
$34.59 |
$27.38
|
|
Inj cefazolin (wg crit care)
|
$24.24 |
$24.24 |
$24.24 |
$18.43
|
|
Inj, cefiderocol, 10 mg
|
$596.08 |
$596.08 |
$596.08 |
$544.85
|
|
Inj ceftolozane tazobactam
|
$431.36 |
$431.36 |
$431.36 |
$358.56
|
|
Inj cntr knee arthro incl ct/mri
|
$571.31 |
$571.31 |
$571.31 |
$441.88
|
|
Inj crotalidae im f(ab')2 eq
|
$1,584.60 |
$1,584.60 |
$1,584.60 |
$2,613.60
|
|
Inj disk cerv-thor ea lev
|
$875.28 |
$875.28 |
$875.28 |
$875.28
|
|
Inj dx for sinogram
|
$700.52 |
$700.52 |
$700.52 |
$447.50
|
|
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 |
$1,030.57 |
$1,214.78
|
|
Injection arthrography hip without anesthesia (both sides)
|
$609.20 |
$609.20 |
$609.20 |
$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)
|
$421.33 |
$421.33 |
$421.33 |
$458.15
|
|
Injection, daratumumab 10 mg
|
$5,324.34 |
$5,324.34 |
$5,324.34 |
$5,324.34
|
|
Injection during cath supravalvular aortography
|
$2,449.14 |
$2,449.14 |
$2,449.14 |
$1,028.00
|
|
Injection epidural blood patch or clot
|
$1,790.34 |
$1,790.34 |
$1,790.34 |
$1,192.80
|
|
Injection eye drug
|
$825.10 |
$825.10 |
$825.10 |
$648.96
|
|
Injection for arthrography wrist (both sides)
|
$521.18 |
$521.18 |
$521.18 |
$438.00
|
|
Injection for bladder x-ray
|
$780.00 |
$780.00 |
$780.00 |
$460.00
|
|
Injection for hip x-ray
|
$1,210.53 |
$1,210.53 |
$1,210.53 |
$750.00
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$514.36 |
$514.36 |
$514.36 |
$503.30
|
|
Injection for spleen x-ray
|
$982.72 |
$982.72 |
$982.72 |
$595.50
|
|
Injection for ureter x-ray
|
$841.49 |
$841.49 |
$841.49 |
$415.80
|
|
Injection for ureter x-ray
|
$515.21 |
$515.21 |
$515.21 |
$527.70
|
|
Injection, fulvestrant
|
$3,520.29 |
$3,520.29 |
$3,520.29 |
$1,719.16
|
|
Injection, glucarpidase
|
$74,113.20 |
$74,113.20 |
$74,113.20 |
$74,113.20
|
|
Injection into brain canal
|
$1,090.69 |
$1,090.69 |
$1,090.69 |
$844.50
|
|
Injection into hemorrhoid(s)
|
$2,926.20 |
$2,926.20 |
$2,926.20 |
$1,433.00
|
|
Injection, isavuconazonium
|
$987.58 |
$987.58 |
$987.58 |
$787.67
|
|
Injection jaw joint x-ray
|
$229.06 |
$229.06 |
$229.06 |
$340.00
|
|
Injection jugular
|
$1,048.20 |
$1,048.20 |
$1,048.20 |
$790.00
|
|
Injection of sinus tract
|
$1,006.81 |
$1,006.81 |
$1,006.81 |
$1,640.99
|
|
Injection,onabotulinumtoxina
|
$1,162.80 |
$1,162.80 |
$1,162.80 |
$2,277.65
|
|
Injection, peramivir
|
$857.98 |
$857.98 |
$857.98 |
$744.75
|
|
Injection radioactive tracer sentinel node (both sides)
|
$1,481.87 |
$1,481.87 |
$1,481.87 |
$694.20
|
|
Injection, renflexis
|
$1,356.10 |
$1,356.10 |
$1,356.10 |
$1,341.52
|
|
Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides)
|
$1,582.12 |
$1,582.12 |
$1,582.12 |
$1,582.12
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$2,618.36 |
$2,618.36 |
$2,618.36 |
$1,391.40
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$1,139.12 |
$1,139.12 |
$1,139.12 |
$1,045.65
|
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
|
$2,251.00 |
$2,251.00 |
$2,251.00 |
$2,071.80
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
|
$1,131.41 |
$1,131.41 |
$1,131.41 |
$1,030.05
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
|
$2,195.95 |
$2,195.95 |
$2,195.95 |
$1,888.80
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
|
$966.32 |
$966.32 |
$966.32 |
$1,048.20
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
|
$2,165.84 |
$2,165.84 |
$2,165.84 |
$2,006.79
|
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
|
$2,033.74 |
$2,033.74 |
$2,033.74 |
$1,826.80
|
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
|
$1,882.52 |
$1,882.52 |
$1,882.52 |
$1,685.00
|
|
Injection, siltuximab
|
$8,477.45 |
$8,477.45 |
$8,477.45 |
$11,502.35
|
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
|
$460.94 |
$460.94 |
$460.94 |
$485.28
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$624.56 |
$624.56 |
$624.56 |
$552.60
|
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
|
$684.48 |
$684.48 |
$684.48 |
$638.95
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$216.67 |
$216.67 |
$216.67 |
$145.60
|
|
Injection treatment of nerve
|
$2,792.73 |
$2,792.73 |
$2,792.73 |
$3,219.20
|
|
Inject sacroiliac joint
|
$950.29 |
$950.29 |
$950.29 |
$1,029.04
|
|
Inj epidural sgl cerv-thor without img
|
$1,311.74 |
$1,311.74 |
$1,311.74 |
$1,329.00
|
|
Inj epidural sgl lumb-sacral without img
|
$1,450.84 |
$1,450.84 |
$1,450.84 |
$1,450.84
|
|
Inj., eravacycline, 1 mg
|
$300.00 |
$300.00 |
$300.00 |
$206.64
|
|
Inj., evomela, 1 mg
|
$3,630.00 |
$3,630.00 |
$3,630.00 |
$17.37
|
|
Inj for ext venography
|
$1,858.36 |
$1,858.36 |
$1,858.36 |
$631.80
|
|
Inj for mammo ductogram
|
$621.62 |
$621.62 |
$621.62 |
$397.80
|
|
Inj, gadopiclenol, 1 ml
|
$904.21 |
$904.21 |
$904.21 |
$37.63
|
|
Inj givosiran 0.5 mg
|
$76,708.80 |
$76,708.80 |
$76,708.80 |
$76,708.80
|
|
Inj heparin, pfizer, 1000u
|
$36.60 |
$36.60 |
$36.60 |
$25.30
|