|
Infect ag phenotype na hiv-1 1-10 drugs
|
$113.75 |
$113.75 |
$113.75 |
$943.80
|
|
Infect ag phenotype na hiv-1 ea addl drg
|
$1,368.75 |
$1,368.75 |
$1,368.75 |
$75.63
|
|
Infectious agent antigen immunoassay direct optical observation sars-cov-2
|
$67.00 |
$67.00 |
$67.00 |
$53.00
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$106.50 |
$106.50 |
$106.50 |
$82.00
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$44.50 |
$44.50 |
$44.50 |
$76.32
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$52.50 |
$52.50 |
$52.50 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$32.50 |
$32.50 |
$32.50 |
$100.02
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$61.00 |
$61.00 |
$61.00 |
$81.20
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$25.00 |
$25.00 |
$25.00 |
$60.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$45.50 |
$45.50 |
$45.50 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$98.00 |
$98.00 |
$98.00 |
$129.00
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$194.50 |
$194.50 |
$194.50 |
$98.02
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$46.00 |
$46.00 |
$46.00 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$489.00 |
$489.00 |
$489.00 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$184.50 |
$184.50 |
$184.50 |
$139.68
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$44.50 |
$44.50 |
$44.50 |
$167.00
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$504.00 |
$504.00 |
$504.00 |
$861.00
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$112.50 |
$112.50 |
$112.50 |
$179.92
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$49.50 |
$49.50 |
$49.50 |
$147.55
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$290.00 |
$290.00 |
$290.00 |
$217.85
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$198.00 |
$198.00 |
$198.00 |
$136.03
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$65.00 |
$65.00 |
$65.00 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$95.00 |
$95.00 |
$95.00 |
$206.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$265.00 |
$265.00 |
$265.00 |
$236.08
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$88.00 |
$88.00 |
$88.00 |
$92.50
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$149.00 |
$149.00 |
$149.00 |
$108.75
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$293.00 |
$293.00 |
$293.00 |
$185.00
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$598.00 |
$598.00 |
$598.00 |
$727.50
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$353.00 |
$353.00 |
$353.00 |
$423.53
|
|
Infectious agent nucleic acid quantification bk virus
|
$613.13 |
$613.13 |
$613.13 |
$279.40
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$239.50 |
$239.50 |
$239.50 |
$239.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$306.50 |
$306.50 |
$306.50 |
$252.00
|
|
Infectious agent nucleic acid quantification hiv-1
|
$611.50 |
$611.50 |
$611.50 |
$374.00
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$534.00 |
$534.00 |
$534.00 |
$303.59
|
|
Infliximab 100 mg intravenous solution
|
$18,022.24 |
$18,022.24 |
$18,022.24 |
$2,080.86
|
|
Infliximab-axxq 100 mg intravenous solution
|
$6,284.25 |
$6,284.25 |
$6,284.25 |
$1,062.00
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$17,723.20 |
$17,723.20 |
$17,723.20 |
$1,537.84
|
|
Influenza virus vaccine, live trivalent intranasal
|
$24.50 |
$24.50 |
$24.50 |
$36.50
|
|
Inf thrc fascial pln blk bi w/wo image
|
$320.00 |
$320.00 |
$320.00 |
$593.50
|
|
Inf thrc fascial pln blk uni w/wo image
|
$187.50 |
$187.50 |
$187.50 |
$780.00
|
|
Infuse radioactive materials
|
$739.50 |
$739.50 |
$739.50 |
$640.50
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$252.00 |
$252.00 |
$252.00 |
$293.25
|
|
Initiation & management bipap/cpap initial day
|
$407.50 |
$407.50 |
$407.50 |
$576.00
|
|
Init pm e/m new pat 65+ yrs
|
$98.50 |
$98.50 |
$98.50 |
$185.90
|
|
Init/sub psych care m 1st 30
|
$156.50 |
$156.50 |
$156.50 |
$94.34
|
|
Inj, abilify asimtufii, 1 mg
|
$12.50 |
$12.50 |
$12.50 |
$9,426.91
|
|
Inj, abilify maintena, 1 mg
|
$5,762.30 |
$5,762.30 |
$5,762.30 |
$5,355.30
|
|
Inj, acetaminophen (b braun)
|
$25.32 |
$25.32 |
$25.32 |
$33.31
|
|
Inj acetaminophen -fresenius
|
$17.55 |
$17.55 |
$17.55 |
$36.60
|
|
Inj, adstiladrin, per tx dos
|
$80,745.00 |
$80,745.00 |
$80,745.00 |
$63,354.77
|
|
Inj, aflibercept hd, 1 mg
|
$768.50 |
$768.50 |
$768.50 |
$2,794.18
|
|
Inj, amisulpride, 1 mg
|
$193.21 |
$193.21 |
$193.21 |
$91.89
|
|
Inj anifrolumab-fnia 1mg
|
$10,458.74 |
$10,458.74 |
$10,458.74 |
$9,878.82
|
|
Inj avacincaptad pegol 0.1mg
|
$236.50 |
$236.50 |
$236.50 |
$3,409.64
|
|
Inj., benralizumab, 1 mg
|
$10,349.28 |
$10,349.28 |
$10,349.28 |
$11,239.97
|
|
Inj, bezlotoxumab, 10 mg
|
$103.00 |
$103.00 |
$103.00 |
$7,612.43
|
|
Inj bimatoprost itc imp1mcg
|
$456.00 |
$456.00 |
$456.00 |
$3,287.96
|
|
Inj, bupivacaine liposome
|
$755.91 |
$755.91 |
$755.91 |
$699.38
|
|
Inj cefazolin sodium, baxter
|
$62.78 |
$62.78 |
$62.78 |
$27.38
|
|
Inj cefazolin sodium, hikma
|
$20.67 |
$20.67 |
$20.67 |
$28.08
|
|
Inj cefazolin (wg crit care)
|
$27.90 |
$27.90 |
$27.90 |
$18.05
|
|
Inj ceftolozane tazobactam
|
$163.97 |
$163.97 |
$163.97 |
$380.80
|
|
Inj cntr knee arthro incl ct/mri
|
$1,454.50 |
$1,454.50 |
$1,454.50 |
$436.80
|
|
Inj, daptomycin (hospira)
|
$80.71 |
$80.71 |
$80.71 |
$113.35
|
|
Inj disk cerv-thor ea lev
|
$305.00 |
$305.00 |
$305.00 |
$875.28
|
|
Inj, donanemab-azbt, 2 mg
|
$1,565.24 |
$1,565.24 |
$1,565.24 |
$1,233.44
|
|
Inj dupuytren cord w/enzyme
|
$353.00 |
$353.00 |
$353.00 |
$416.00
|
|
Inj, durolane 1 mg
|
$4,337.15 |
$4,337.15 |
$4,337.15 |
$1,950.93
|
|
Inj dx for sinogram
|
$226.00 |
$226.00 |
$226.00 |
$422.59
|
|
Inject for sacroiliac joint
|
$1,143.50 |
$1,143.50 |
$1,143.50 |
$1,025.77
|
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
|
$2,707.00 |
$2,707.00 |
$2,707.00 |
$1,214.78
|
|
Injection arthrography hip without anesthesia (both sides)
|
$503.50 |
$503.50 |
$503.50 |
$495.84
|
|
Injection, burosumab-twza 1m
|
$70,110.39 |
$70,110.39 |
$70,110.39 |
$20,002.09
|
|
Injection carpal tunnel therapeutic (both sides)
|
$706.00 |
$706.00 |
$706.00 |
$450.72
|
|
Injection, casimersen, 10 mg
|
$271.50 |
$271.50 |
$271.50 |
$2,598.44
|
|
Injection during cath supravalvular aortography
|
$2,423.50 |
$2,423.50 |
$2,423.50 |
$952.66
|
|
Injection epidural blood patch or clot
|
$1,098.50 |
$1,098.50 |
$1,098.50 |
$1,156.80
|
|
Injection eye drug
|
$413.50 |
$413.50 |
$413.50 |
$644.50
|
|
Injection for arthrography wrist (both sides)
|
$400.00 |
$400.00 |
$400.00 |
$428.40
|
|
Injection for bladder x-ray
|
$256.00 |
$256.00 |
$256.00 |
$459.20
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$507.50 |
$507.50 |
$507.50 |
$494.65
|
|
Injection for spleen x-ray
|
$900.00 |
$900.00 |
$900.00 |
$529.57
|
|
Injection for tear sac x-ray
|
$269.50 |
$269.50 |
$269.50 |
$225.20
|
|
Injection for ureter x-ray
|
$387.00 |
$387.00 |
$387.00 |
$515.21
|
|
Injection, fulvestrant
|
$617.09 |
$617.09 |
$617.09 |
$1,817.65
|
|
Injection, inclisiran, 1 mg
|
$7,628.40 |
$7,628.40 |
$7,628.40 |
$6,679.35
|
|
Injection into brain canal
|
$844.50 |
$844.50 |
$844.50 |
$836.40
|
|
Injection jugular
|
$233.50 |
$233.50 |
$233.50 |
$790.00
|
|
Injection,onabotulinumtoxina
|
$1,292.00 |
$1,292.00 |
$1,292.00 |
$2,277.65
|
|
Injection px peyronie ds
|
$287.50 |
$287.50 |
$287.50 |
$409.34
|
|
Injection radioactive tracer sentinel node (both sides)
|
$529.00 |
$529.00 |
$529.00 |
$670.64
|
|
Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides)
|
$2,673.00 |
$2,673.00 |
$2,673.00 |
$1,582.12
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$3,725.67 |
$3,725.67 |
$3,725.67 |
$1,348.56
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$2,673.00 |
$2,673.00 |
$2,673.00 |
$1,023.50
|
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
|
$3,413.00 |
$3,413.00 |
$3,413.00 |
$1,952.40
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
|
$1,365.00 |
$1,365.00 |
$1,365.00 |
$1,029.45
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
|
$3,413.00 |
$3,413.00 |
$3,413.00 |
$1,814.40
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
|
$1,177.00 |
$1,177.00 |
$1,177.00 |
$1,017.90
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
|
$4,204.00 |
$4,204.00 |
$4,204.00 |
$1,995.00
|
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
|
$2,438.50 |
$2,438.50 |
$2,438.50 |
$1,817.24
|
