|
Infect ag genotype na hiv-1 other region
|
$225.50 |
$225.50 |
$477.96 |
$361.65
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$285.33 |
$285.33 |
$469.15 |
$603.83
|
|
Infect ag ia optc obs influenza
|
$52.25 |
$52.25 |
$103.20 |
$72.93
|
|
Infect ag if influenza a
|
$14.85 |
$14.85 |
$14.85 |
$41.22
|
|
Infect ag if influenza b
|
$14.85 |
$14.85 |
$14.85 |
$37.95
|
|
Infect ag if legionella pneumophila
|
$31.35 |
$31.35 |
$31.35 |
$73.45
|
|
Infect ag if nos ea
|
$15.40 |
$15.40 |
$15.40 |
$74.88
|
|
Infect ag if pneumocystis carinii
|
$73.15 |
$73.15 |
$73.15 |
$66.60
|
|
Infect ag if varicella zoster
|
$31.35 |
$31.35 |
$56.00 |
$72.00
|
|
Infect ag na hep b amp
|
$260.80 |
$260.80 |
$260.80 |
$120.50
|
|
Infect ag na herpes simplex quant
|
$127.27 |
$127.27 |
$127.27 |
$178.86
|
|
Infect ag na hpv high-risk types
|
$205.70 |
$205.70 |
$311.82 |
$139.20
|
|
Infect ag na influenza r/amp 1st 2 types
|
$114.95 |
$114.95 |
$388.80 |
$220.00
|
|
Infect ag na orthopoxvirus amp prb each
|
$119.90 |
$119.90 |
$119.90 |
$100.46
|
|
Infect ag na resp virus 12-25 targets
|
$635.25 |
$635.25 |
$1,009.34 |
$858.92
|
|
Infect ag phenotype na hiv-1 1-10 drugs
|
$301.40 |
$301.40 |
$1,451.59 |
$954.00
|
|
Infect ag phenotype na hiv-1 ea addl drg
|
$48.95 |
$48.95 |
$77.44 |
$75.63
|
|
Infectious agent antigen immunoassay direct optical observation sars-cov-2
|
$105.28 |
$105.28 |
$105.28 |
$53.00
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$29.70 |
$29.70 |
$92.80 |
$82.80
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$18.15 |
$18.15 |
$81.60 |
$72.10
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$51.70 |
$51.70 |
$159.77 |
$76.00
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$47.85 |
$47.85 |
$159.77 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$66.00 |
$66.00 |
$169.87 |
$102.82
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$61.60 |
$61.60 |
$136.80 |
$81.20
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$35.75 |
$35.75 |
$41.60 |
$60.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$117.70 |
$117.70 |
$179.64 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$176.55 |
$176.55 |
$295.20 |
$129.00
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$92.40 |
$92.40 |
$229.60 |
$98.40
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$22.55 |
$22.55 |
$92.80 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$210.40 |
$210.40 |
$599.50 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$203.50 |
$203.50 |
$314.92 |
$141.95
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$123.20 |
$123.20 |
$467.68 |
$167.05
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$394.90 |
$394.90 |
$1,836.33 |
$865.50
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$195.25 |
$195.25 |
$372.88 |
$181.80
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$34.10 |
$34.10 |
$304.68 |
$149.13
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$288.56 |
$288.56 |
$359.70 |
$212.01
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$203.50 |
$203.50 |
$314.92 |
$137.67
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$130.35 |
$130.35 |
$132.21 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$229.35 |
$229.35 |
$364.00 |
$208.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$264.00 |
$264.00 |
$364.00 |
$236.08
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$100.24 |
$100.24 |
$100.24 |
$96.00
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$203.50 |
$203.50 |
$240.80 |
$112.50
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$200.20 |
$200.20 |
$307.20 |
$200.20
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$924.00 |
$924.00 |
$1,700.80 |
$727.50
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$128.15 |
$128.15 |
$523.20 |
$289.91
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$459.80 |
$459.80 |
$606.40 |
$432.63
|
|
Infectious agent nucleic acid quantification bk virus
|
$234.40 |
$234.40 |
$413.60 |
$280.00
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$134.75 |
$134.75 |
$455.63 |
$242.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$124.85 |
$124.85 |
$455.09 |
$253.00
|
|
Infectious agent nucleic acid quantification hiv-1
|
$449.90 |
$449.90 |
$627.45 |
$375.00
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$108.35 |
$108.35 |
$564.43 |
$304.20
|
|
Infliximab 100 mg intravenous solution
|
$255.20 |
$255.20 |
$255.20 |
$2,043.22
|
|
Infliximab-axxq 100 mg intravenous solution
|
$81.13 |
$81.13 |
$81.13 |
$1,062.00
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$152.48 |
$152.48 |
$152.48 |
$1,537.84
|
|
Influenza virus vaccine, inact hemagglutinin tiv pf inj
|
$44.80 |
$44.80 |
$44.80 |
$111.51
|
|
Influenza virus vaccine, live trivalent intranasal
|
$44.00 |
$44.00 |
$44.00 |
$36.50
|
|
Inf lwr xtr fscl pln blk uni w/wo image
|
$1,205.60 |
$1,205.60 |
$1,205.60 |
$762.00
|
|
Inf thrc fascial pln blk bi w/wo image
|
$1,240.00 |
$1,240.00 |
$1,240.00 |
$523.25
|
|
Inf thrc fascial pln blk uni w/wo image
|
$1,220.00 |
$1,220.00 |
$1,220.00 |
$780.00
|
|
Ingest challenge ea addl 60 min
|
$539.20 |
$539.20 |
$539.20 |
$289.64
|
|
Ingest challenge ini 120 min
|
$549.60 |
$549.60 |
$549.60 |
$764.78
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$160.00 |
$160.00 |
$479.60 |
$299.65
|
|
Initial nursing facility care/day 35 minutes
|
$400.80 |
$400.80 |
$400.80 |
$184.80
|
|
Initial nursing facility care/day 45 minutes
|
$432.00 |
$432.00 |
$432.00 |
$231.84
|
|
Initial nursing facility care/day low severity 99304
|
$252.80 |
$252.80 |
$252.80 |
$127.63
|
|
Init pm e/m new pat 65+ yrs
|
$402.40 |
$402.40 |
$402.40 |
$189.15
|
|
Init/sub psych care m 1st 30
|
$122.40 |
$122.40 |
$122.40 |
$94.34
|
|
Inj, abilify maintena, 1 mg
|
$11.52 |
$11.52 |
$11.52 |
$5,355.30
|
|
Inj, acetaminophen (hikma)
|
$0.88 |
$0.88 |
$0.88 |
$56.70
|
|
Inj, afstyla, 1 i.u
|
$3.08 |
$3.08 |
$3.08 |
$6.76
|
|
Inj anifrolumab-fnia 1mg
|
$28.33 |
$28.33 |
$28.33 |
$10,052.58
|
|
Inj., aristada initio, 1 mg
|
$5.72 |
$5.72 |
$5.72 |
$4,052.45
|
|
Inj aval alfa-nqpt 4mg
|
$119.69 |
$119.69 |
$119.69 |
$3,907.30
|
|
Inj, bezlotoxumab, 10 mg
|
$61.74 |
$61.74 |
$61.74 |
$7,612.43
|
|
Inj, bupivacaine liposome
|
$2.84 |
$2.84 |
$2.84 |
$699.38
|
|
Inj cefazolin sodium, hikma
|
$36.11 |
$36.11 |
$36.11 |
$27.38
|
|
Inj, cefiderocol, 10 mg
|
$3.87 |
$3.87 |
$3.87 |
$544.85
|
|
Inj ceftolozane tazobactam
|
$14.44 |
$14.44 |
$14.44 |
$358.56
|
|
Inj, clevidipine butyrate
|
$7.04 |
$7.04 |
$7.04 |
$4.86
|
|
Inj, clindamycin (baxter)
|
$43.56 |
$43.56 |
$43.56 |
$48.30
|
|
Inj cntr knee arthro incl ct/mri
|
$393.25 |
$393.25 |
$393.25 |
$441.88
|
|
Inj cyclophosphamd auromedic
|
$3.64 |
$3.64 |
$3.64 |
$249.68
|
|
Inj, cyclophosphamd, sandoz
|
$7.06 |
$7.06 |
$7.06 |
$735.20
|
|
Inj disk cerv-thor ea lev
|
$231.00 |
$231.00 |
$1,918.40 |
$875.28
|
|
Inj dupuytren cord w/enzyme
|
$410.40 |
$410.40 |
$410.40 |
$416.00
|
|
Inj dx for sinogram
|
$503.80 |
$503.80 |
$1,118.56 |
$447.50
|
|
Inject for sacroiliac joint
|
$3,145.64 |
$3,145.64 |
$3,145.64 |
$1,025.77
|
|
Injection arthrography hip without anesthesia (both sides)
|
$233.20 |
$233.20 |
$1,052.80 |
$504.00
|
|
Injection carpal tunnel therapeutic (both sides)
|
$536.00 |
$536.00 |
$536.00 |
$458.15
|
|
Injection during cath supravalvular aortography
|
$266.20 |
$266.20 |
$1,724.00 |
$1,028.00
|
|
Injection epidural blood patch or clot
|
$2,825.35 |
$2,825.35 |
$3,670.24 |
$1,192.80
|
|
Injection eye drug
|
$466.40 |
$466.40 |
$466.40 |
$648.96
|
|
Injection, famotidine, 20 mg
|
$71.20 |
$71.20 |
$71.20 |
$24.14
|
|
Injection for arthrography wrist (both sides)
|
$235.95 |
$235.95 |
$766.40 |
$438.00
|
|
Injection for bladder x-ray
|
$698.50 |
$698.50 |
$1,989.76 |
$460.00
|
|
Injection for hip x-ray
|
$1,314.40 |
$1,314.40 |
$1,314.40 |
$750.00
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$207.35 |
$207.35 |
$1,156.80 |
$503.30
|
|
Injection for ureter x-ray
|
$757.46 |
$757.46 |
$757.46 |
$415.80
|
|
Injection for ureter x-ray
|
$517.55 |
$517.55 |
$1,110.13 |
$527.70
|
|
Injection, fulvestrant
|
$25.40 |
$25.40 |
$25.40 |
$1,719.16
|