|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$25.00 |
$30.00 |
$307.00 |
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$34.50 |
$61.00 |
$260.40 |
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$60.00 |
$98.00 |
$445.80 |
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$45.60 |
$69.50 |
$194.50 |
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$20.40 |
$51.00 |
$201.00 |
|
|
Infectious agent nucleic acid amplified probe
|
$64.20 |
$489.00 |
$1,230.40 |
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$60.00 |
$110.50 |
$205.50 |
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$43.00 |
$121.00 |
$371.00 |
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$426.50 |
$519.50 |
$1,376.00 |
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$32.50 |
$163.50 |
$410.50 |
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$45.00 |
$126.40 |
$240.00 |
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$87.00 |
$174.00 |
$371.20 |
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$60.00 |
$99.50 |
$205.50 |
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$64.00 |
$65.00 |
$158.50 |
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$71.50 |
$71.50 |
$286.40 |
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$146.40 |
$271.50 |
$448.80 |
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$57.00 |
$98.50 |
$133.50 |
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$60.00 |
$149.00 |
$276.00 |
|
|
Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae
|
$113.50 |
$113.50 |
$113.50 |
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$293.00 |
$293.00 |
$468.80 |
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$279.00 |
$620.50 |
$1,376.00 |
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$168.50 |
$168.50 |
$168.50 |
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$215.63 |
$337.50 |
$689.50 |
|
|
Infectious agent nucleic acid quantification bk virus
|
$190.00 |
$292.00 |
$613.13 |
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$113.00 |
$239.50 |
$1,021.00 |
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$120.00 |
$272.00 |
$504.00 |
|
|
Infectious agent nucleic acid quantification hiv-1
|
$107.50 |
$431.00 |
$2,128.50 |
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$171.50 |
$263.00 |
$534.00 |
|
|
Infliximab 100 mg intravenous solution
|
$3,379.17 |
$11,263.90 |
$27,033.36 |
|
|
Infliximab-axxq 100 mg intravenous solution
|
$1,819.80 |
$6,284.25 |
$10,473.75 |
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$3,155.40 |
$6,230.82 |
$17,723.20 |
|
|
Influenza dna amp prob addl
|
$115.20 |
$115.20 |
$115.20 |
|
|
Influenza virus vaccine, live trivalent intranasal
|
$24.50 |
$24.50 |
$58.40 |
|
|
Inf thrc fascial pln blk bi w/wo image
|
$266.50 |
$320.00 |
$426.40 |
|
|
Inf thrc fascial pln blk uni w/wo image
|
$156.50 |
$187.50 |
$250.40 |
|
|
Infuse radioactive materials
|
$739.50 |
$739.50 |
$739.50 |
|
|
Ingest challenge ea addl 60 min
|
$140.50 |
$140.50 |
$585.00 |
|
|
Ingest challenge ini 120 min
|
$623.50 |
$623.50 |
$1,049.00 |
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$33.50 |
$252.00 |
$401.50 |
|
|
Initial hosp neonate 28 d/less than not critically ill 99477
|
$338.00 |
$347.50 |
$540.80 |
|
|
Initial nursing facility care/day 35 minutes
|
$134.00 |
$144.00 |
$230.40 |
|
|
Initial nursing facility care/day 45 minutes
|
$170.00 |
$185.00 |
$296.00 |
|
|
Initial nursing facility care/day low severity 99304
|
$80.00 |
$87.00 |
$378.00 |
|
|
Initiation & management bipap/cpap initial day
|
$172.00 |
$344.50 |
$1,294.50 |
|
|
Init pm e/m new pat 65+ yrs
|
$9.50 |
$127.00 |
$199.50 |
|
|
Init/sub psych care m 1st 30
|
$38.50 |
$61.60 |
$168.50 |
|
|
Inj, abilify asimtufii, 1 mg
|
$8.50 |
$12.50 |
$13.60 |
|
|
Inj, abilify maintena, 1 mg
|
$10.00 |
$14.50 |
$6,259.20 |
|
|
Inj, acetaminophen (b braun)
|
$7.20 |
$10.80 |
$25.32 |
|
|
Inj acetaminophen -fresenius
|
$5.85 |
$8.78 |
$35.10 |
|
|
Inj, acetaminophen (hikma)
|
$24.30 |
$24.30 |
$24.30 |
|
|
Inj, adalimumab, 1 mg
|
$3,767.42 |
$3,767.42 |
$3,767.42 |
|
|
Inj, adstiladrin, per tx dos
|
$69,210.00 |
$80,745.00 |
$110,736.00 |
|
|
Inj, aflibercept hd, 1 mg
|
$344.00 |
$768.50 |
$11,816.00 |
|
|
Inj, amisulpride, 1 mg
|
$193.21 |
$193.22 |
$193.22 |
|
|
Inj andexxa, 10 mg
|
$20,193.00 |
$20,193.00 |
$20,193.00 |
|
|
Inj anifrolumab-fnia 1mg
|
$27.50 |
$41.00 |
$10,881.28 |
|
|
Inj., aristada initio, 1 mg
|
$4,398.44 |
$4,398.44 |
$4,398.44 |
|
|
Inj, aspara, rylaze, 0.1 mg
|
$49,248.00 |
$49,248.00 |
$49,248.00 |
|
|
Inj atezolizumb 5mg hya-tqjs
|
$22,503.63 |
$22,503.63 |
$22,503.63 |
|
|
Inj avacincaptad pegol 0.1mg
|
$157.50 |
$236.50 |
$9,460.00 |
|
|
Inj aval alfa-nqpt 4mg
|
$78,382.85 |
$78,382.85 |
$78,382.85 |
|
|
Inj., benralizumab, 1 mg
|
$292.50 |
$7,761.96 |
$16,081.80 |
|
|
Inj, bezlotoxumab, 10 mg
|
$68.50 |
$103.00 |
$14,655.60 |
|
|
Inj bimatoprost itc imp1mcg
|
$304.00 |
$456.00 |
$486.40 |
|
|
Inj, bupivacaine liposome
|
$2.00 |
$592.71 |
$889.07 |
|
|
Inj cefazolin sodium, baxter
|
$20.93 |
$20.93 |
$62.78 |
|
|
Inj cefazolin sodium, hikma
|
$4.60 |
$10.64 |
$21.27 |
|
|
Inj cefazolin (wg crit care)
|
$6.90 |
$7.34 |
$27.90 |
|
|
Inj. cefepime hcl (baxter)
|
$139.95 |
$139.95 |
$139.95 |
|
|
Inj, cefepime hcl (b braun)
|
$25.82 |
$25.82 |
$103.24 |
|
|
Inj, cefiderocol, 10 mg
|
$2,887.17 |
$2,887.17 |
$2,887.17 |
|
|
Inj ceftolozane tazobactam
|
$12.50 |
$18.50 |
$720.66 |
|
|
Inj, clevidipine butyrate
|
$346.73 |
$346.73 |
$346.73 |
|
|
Inj, clindamycin (baxter)
|
$11.03 |
$22.05 |
$43.20 |
|
|
Inj cntr knee arthro incl ct/mri
|
$92.80 |
$740.00 |
$1,454.50 |
|
|
Inj cyclophosphamd (ingenus)
|
$959.74 |
$959.74 |
$959.74 |
|
|
Inj, daptomycin (hospira)
|
$78.27 |
$80.71 |
$88.05 |
|
|
Inj daptomycin (xellia)
|
$16.53 |
$16.53 |
$52.87 |
|
|
Inj. denosumab-bbdz, 1 mg
|
$3,223.11 |
$3,223.11 |
$3,437.98 |
|
|
Inj disk cerv-thor ea lev
|
$219.50 |
$277.00 |
$550.50 |
|
|
Inj, donanemab-azbt, 2 mg
|
$1,565.24 |
$2,113.08 |
$6,260.94 |
|
|
Inj dupuytren cord w/enzyme
|
$67.00 |
$294.00 |
$395.50 |
|
|
Inj, durolane 1 mg
|
$28.00 |
$1,445.72 |
$4,608.50 |
|
|
Inj dx for sinogram
|
$36.00 |
$125.00 |
$1,117.50 |
|
|
Inject for sacroiliac joint
|
$805.00 |
$1,100.50 |
$1,315.50 |
|
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
|
$83.00 |
$2,412.53 |
$3,431.00 |
|
|
Injection arthrography hip without anesthesia (both sides)
|
$143.20 |
$456.50 |
$1,559.00 |
|
|
Injection, burosumab-twza 1m
|
$70,110.39 |
$70,110.39 |
$70,110.39 |
|
|
Injection carpal tunnel therapeutic (both sides)
|
$57.50 |
$435.00 |
$7,129.50 |
|
|
Injection, casimersen, 10 mg
|
$181.00 |
$271.50 |
$289.60 |
|
|
Injection, daratumumab 10 mg
|
$6,799.80 |
$17,559.60 |
$23,412.80 |
|
|
Injection during cath supravalvular aortography
|
$112.50 |
$1,571.00 |
$2,995.50 |
|
|
Injection epidural blood patch or clot
|
$676.00 |
$862.00 |
$1,369.00 |
|
|
Injection eye drug
|
$84.50 |
$413.50 |
$5,937.50 |
|
|
Injection for arthrography wrist (both sides)
|
$197.00 |
$496.50 |
$1,620.50 |
|
|
Injection for bladder x-ray
|
$43.50 |
$286.00 |
$5,084.50 |
|
|
Injection for hip x-ray
|
$81.50 |
$85.50 |
$25,139.00 |
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$48.50 |
$457.50 |
$1,448.00 |
|
|
Injection for spleen x-ray
|
$900.00 |
$900.00 |
$2,861.00 |
|
