|
Incobotulinumtoxin a
|
$6.46 |
$6.46 |
$3,310.20 |
|
|
Indigotindisulfonate 8 mg/ml soln 5 ml ampule
|
$5.06 |
$982.80 |
$3,985.00 |
|
|
Induced ab 1+ vag sup w/dlv fetus
|
$1,512.50 |
$1,565.50 |
$1,881.50 |
|
|
Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s)
|
$29.67 |
$221.40 |
$1,016.00 |
|
|
Infec agen detec ampli probe
|
$12.50 |
$14.50 |
$14.50 |
|
|
Infect ag drug suscept pheno predict
|
$223.79 |
$393.60 |
$3,197.73 |
|
|
Infect ag eia chlamydia trachomatis
|
$177.50 |
$177.50 |
$177.50 |
|
|
Infect ag eia influenza a or b ea
|
$20.10 |
$108.50 |
$108.50 |
|
|
Infect ag genotype na cytomegalovirus
|
$381.57 |
$810.60 |
$1,349.50 |
|
|
Infect ag genotype na dna hepatitis b
|
$381.57 |
$810.60 |
$1,349.50 |
|
|
Infect ag genotype na hiv-1 other region
|
$174.57 |
$284.00 |
$777.00 |
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$381.11 |
$947.40 |
$4,619.00 |
|
|
Infect ag ia direct hiv-1 antgn
|
$39.50 |
$98.00 |
$1,069.00 |
|
|
Infect ag ia optc obs chlamydia trach
|
$190.00 |
$190.00 |
$190.00 |
|
|
Infect ag ia optc obs influenza
|
$19.78 |
$92.70 |
$204.50 |
|
|
Infect ag if ea plyvlnt antsrm
|
$31.50 |
$38.00 |
$141.00 |
|
|
Infect ag if hep delta agent
|
$28.29 |
$28.80 |
$208.00 |
|
|
Infect ag if influenza a
|
$10.35 |
$157.00 |
$157.00 |
|
|
Infect ag if influenza b
|
$10.35 |
$177.50 |
$177.50 |
|
|
Infect ag if legionella pneumophila
|
$20.10 |
$126.00 |
$1,247.00 |
|
|
Infect ag if nos ea
|
$20.10 |
$126.00 |
$126.00 |
|
|
Infect ag if pneumocystis carinii
|
$36.00 |
$88.80 |
$600.00 |
|
|
Infect ag if varicella zoster
|
$19.78 |
$69.60 |
$126.00 |
|
|
Infect ag na chlamydia trachomatis qnt
|
$172.00 |
$172.00 |
$172.00 |
|
|
Infect ag na hep b amp
|
$61.50 |
$120.50 |
$414.50 |
|
|
Infect ag na herpes simplex quant
|
$75.15 |
$168.50 |
$536.71 |
|
|
Infect ag na hpv high-risk types
|
$30.13 |
$156.00 |
$1,016.00 |
|
|
Infect ag na influenza r/amp 1st 2 types
|
$63.00 |
$247.00 |
$1,856.00 |
|
|
Infect ag na influenza revr/amp ea type
|
$89.85 |
$380.50 |
$380.50 |
|
|
Infect ag na orthopoxvirus amp prb each
|
$14.72 |
$40.20 |
$113.00 |
|
|
Infect ag na resp virus 12-25 targets
|
$258.00 |
$374.85 |
$3,804.59 |
|
|
Infect ag phenotype na hiv-1 1-10 drugs
|
$725.00 |
$2,471.50 |
$5,496.50 |
|
|
Infect ag phenotype na hiv-1 ea addl drg
|
$45.75 |
$135.00 |
$935.00 |
|
|
Infectious agent antigen immunoassay direct optical observation sars-cov-2
|
$11.73 |
$12.15 |
$53.00 |
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$10.50 |
$128.40 |
$1,578.43 |
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$20.10 |
$61.50 |
$134.40 |
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$19.78 |
$102.00 |
$577.00 |
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$20.47 |
$104.40 |
$737.00 |
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$24.61 |
$170.40 |
$1,198.00 |
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$17.02 |
$104.00 |
$580.00 |
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$17.02 |
$73.20 |
$307.00 |
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$41.40 |
$156.60 |
$1,105.92 |
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$19.78 |
$124.00 |
$366.60 |
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$19.78 |
$85.00 |
$492.00 |
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$19.78 |
$73.00 |
$785.31 |
|
|
Infectious agent nucleic acid amplified probe
|
$60.03 |
$320.50 |
$743.50 |
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$60.03 |
$187.80 |
$953.00 |
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$35.00 |
$61.50 |
$224.40 |
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$463.50 |
$890.98 |
$1,862.40 |
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$60.03 |
$267.50 |
$1,535.00 |
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$60.03 |
$145.00 |
$778.00 |
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$60.03 |
$189.00 |
$2,562.87 |
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$60.03 |
$190.20 |
$953.00 |
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$14.72 |
$76.00 |
$130.20 |
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$46.23 |
$125.00 |
$300.60 |
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$60.26 |
$150.00 |
$428.00 |
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$45.50 |
$105.60 |
$935.22 |
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$30.36 |
$166.00 |
$978.48 |
|
|
Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae
|
$176.00 |
$491.00 |
$1,906.00 |
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$34.27 |
$230.40 |
$954.00 |
|
|
Infectious agent nucleic acid joint space pathogens multiplex amplified probe >= 26 targets
|
$1,019.50 |
$1,019.50 |
$1,019.50 |
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$131.10 |
$402.60 |
$3,192.00 |
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$201.90 |
$403.80 |
$673.00 |
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$116.50 |
$372.75 |
$2,000.40 |
|
|
Infectious agent nucleic acid quantification bk virus
|
$73.83 |
$440.00 |
$854.00 |
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$73.83 |
$292.80 |
$2,381.00 |
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$73.83 |
$253.00 |
$2,027.00 |
|
|
Infectious agent nucleic acid quantification hiv-1
|
$146.28 |
$457.20 |
$2,200.00 |
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$124.20 |
$495.00 |
$760.00 |
|
|
Infliximab 100 mg intravenous solution
|
$157.30 |
$4,379.33 |
$9,220.13 |
|
|
Infliximab-axxq 100 mg intravenous solution
|
$65.40 |
$1,875.00 |
$21,073.00 |
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$60.04 |
$3,052.25 |
$6,328.00 |
|
|
Influenza dna amp prob addl
|
$36.45 |
$155.50 |
$155.50 |
|
|
Inf lwr xtr fscl pln blk uni w/wo image
|
$762.00 |
$762.00 |
$762.00 |
|
|
Inf thrc fascial pln blk bi w/wo image
|
$593.50 |
$593.50 |
$593.50 |
|
|
Inf thrc fascial pln blk uni w/wo image
|
$770.00 |
$770.00 |
$770.00 |
|
|
Infuse radioactive materials
|
$303.00 |
$931.00 |
$931.00 |
|
|
Ingest challenge ea addl 60 min
|
$310.50 |
$310.50 |
$310.50 |
|
|
Ingest challenge ini 120 min
|
$1,182.50 |
$1,182.50 |
$1,182.50 |
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$52.67 |
$210.00 |
$403.80 |
|
|
Initial foot exam pt lops
|
$155.50 |
$162.50 |
$250.20 |
|
|
Initial nursing facility care/day 35 minutes
|
$64.95 |
$64.95 |
$64.95 |
|
|
Initial nursing facility care/day 45 minutes
|
$82.95 |
$82.95 |
$82.95 |
|
|
Initial nursing facility care/day low severity 99304
|
$48.00 |
$48.00 |
$48.00 |
|
|
Init pm e/m new pat 65+ yrs
|
$76.50 |
$76.50 |
$224.40 |
|
|
Inj, abilify asimtufii, 1 mg
|
$0.01 |
$0.01 |
$21,783.26 |
|
|
Inj, abilify maintena, 1 mg
|
$0.01 |
$0.15 |
$13,976.17 |
|
|
Inj acetaminophen -fresenius
|
$33.38 |
$33.38 |
$33.38 |
|
|
Inj. acthar gel to 40 units
|
$35,880.77 |
$39,958.13 |
$42,540.46 |
|
|
Inj, adalimumab, 1 mg
|
$4,699.00 |
$12,193.00 |
$19,937.15 |
|
|
Inj, adstiladrin, per tx dos
|
$68,969.25 |
$68,969.25 |
$68,969.25 |
|
|
Inj, adzynma, 10 iu
|
$50.48 |
$50.48 |
$50.48 |
|
|
Inj, alfentanil hcl, 500mcg
|
$197.55 |
$901.00 |
$901.00 |
|
|
Inj allopurinol sodium 1 mg
|
$7,686.00 |
$25,596.93 |
$25,596.93 |
|
|
Inj alymsys 10 mg
|
$57.53 |
$57.53 |
$11,900.02 |
|
|
Inj anifrolumab-fnia 1mg
|
$22.80 |
$20,402.40 |
$29,705.90 |
|
|
Inj., aristada initio, 1 mg
|
$0.01 |
$0.01 |
$11,718.23 |
|
|
Inj, artesunate, 1mg
|
$68.25 |
$68.25 |
$44,397.98 |
|
|
Inj, aspara, rylaze, 0.1 mg
|
$73.43 |
$73.43 |
$73.43 |
|
|
Inj atezolizumb 5mg hya-tqjs
|
$18,122.00 |
$18,122.00 |
$18,122.00 |
|
