|
Infect ag ia direct hiv-1 antgn
|
$63.07 |
$63.07 |
$63.07 |
$95.55
|
|
Infect ag ia optc obs chlamydia trach
|
$38.69 |
$38.69 |
$38.69 |
$48.70
|
|
Infect ag ia optc obs influenza
|
$98.58 |
$98.58 |
$98.58 |
$66.72
|
|
Infect ag if ea plyvlnt antsrm
|
$47.70 |
$47.70 |
$47.70 |
$37.74
|
|
Infect ag if hep delta agent
|
$21.20 |
$21.20 |
$21.20 |
$125.97
|
|
Infect ag if legionella pneumophila
|
$127.20 |
$127.20 |
$127.20 |
$75.79
|
|
Infect ag na chlamydia trachomatis qnt
|
$100.70 |
$100.70 |
$100.70 |
$58.82
|
|
Infect ag na hep b amp
|
$114.48 |
$114.48 |
$114.48 |
$108.44
|
|
Infect ag na hpv high-risk types
|
$226.31 |
$226.31 |
$226.31 |
$139.75
|
|
Infect ag na influenza r/amp 1st 2 types
|
$346.62 |
$346.62 |
$346.62 |
$227.96
|
|
Infect ag na influenza revr/amp ea type
|
$177.02 |
$177.02 |
$177.02 |
$124.80
|
|
Infect ag na resp virus 12-25 targets
|
$2,521.21 |
$2,521.21 |
$2,521.21 |
$859.44
|
|
Infect ag phenotype na hiv-1 1-10 drugs
|
$3,395.71 |
$3,395.71 |
$3,395.71 |
$714.67
|
|
Infect ag phenotype na hiv-1 ea addl drg
|
$216.24 |
$216.24 |
$216.24 |
$77.00
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$102.29 |
$102.29 |
$102.29 |
$81.44
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$91.16 |
$91.16 |
$91.16 |
$80.05
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$84.27 |
$84.27 |
$84.27 |
$77.28
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$152.64 |
$152.64 |
$152.64 |
$83.50
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$85.33 |
$85.33 |
$85.33 |
$77.72
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$60.95 |
$60.95 |
$60.95 |
$55.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$156.35 |
$156.35 |
$156.35 |
$101.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$545.90 |
$545.90 |
$545.90 |
$132.60
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$98.58 |
$98.58 |
$98.58 |
$97.50
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$81.62 |
$81.62 |
$81.62 |
$60.00
|
|
Infectious agent nucleic acid amplified probe
|
$230.02 |
$230.02 |
$230.02 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$198.75 |
$198.75 |
$198.75 |
$141.48
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$191.33 |
$191.33 |
$191.33 |
$174.06
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$1,571.45 |
$1,571.45 |
$1,571.45 |
$855.45
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$222.07 |
$222.07 |
$222.07 |
$178.00
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$230.02 |
$230.02 |
$230.02 |
$150.15
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$192.39 |
$192.39 |
$192.39 |
$210.00
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$198.75 |
$198.75 |
$198.75 |
$136.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$109.18 |
$109.18 |
$109.18 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$222.60 |
$222.60 |
$222.60 |
$222.60
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$206.17 |
$206.17 |
$206.17 |
$98.15
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$219.95 |
$219.95 |
$219.95 |
$112.45
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$1,312.81 |
$1,312.81 |
$1,312.81 |
$727.50
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$226.31 |
$226.31 |
$226.31 |
$283.20
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$672.57 |
$672.57 |
$672.57 |
$489.50
|
|
Infectious agent nucleic acid quantification bk virus
|
$39.75 |
$39.75 |
$39.75 |
$285.66
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$279.31 |
$279.31 |
$279.31 |
$226.35
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$296.27 |
$296.27 |
$296.27 |
$278.78
|
|
Infectious agent nucleic acid quantification hiv-1
|
$619.04 |
$619.04 |
$619.04 |
$381.55
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$571.87 |
$571.87 |
$571.87 |
$298.35
|
|
Infliximab 100 mg intravenous solution
|
$104.78 |
$104.78 |
$104.78 |
$2,102.08
|
|
Infliximab-axxq 100 mg intravenous solution
|
$83.21 |
$83.21 |
$83.21 |
$1,096.55
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$157.48 |
$157.48 |
$157.48 |
$1,432.80
|
|
Influenza dna amp prob addl
|
$111.83 |
$111.83 |
$111.83 |
$69.60
|
|
Influenza virus vaccine, inact hemagglutinin tiv pf inj
|
$51.94 |
$51.94 |
$51.94 |
$76.00
|
|
Ingest challenge ea addl 60 min
|
$309.52 |
$309.52 |
$309.52 |
$274.50
|
|
Ingest challenge ini 120 min
|
$619.04 |
$619.04 |
$619.04 |
$627.89
|
|
Initiation & management bipap/cpap initial day
|
$1,311.22 |
$1,311.22 |
$1,311.22 |
$645.79
|
|
Inj, abilify maintena, 1 mg
|
$6.36 |
$6.36 |
$6.36 |
$6,796.39
|
|
Inj., aristada initio, 1 mg
|
$3.71 |
$3.71 |
$3.71 |
$3,854.61
|
|
Inj calcitriol per 0.1 mcg
|
$2.32 |
$2.32 |
$2.32 |
$31.69
|
|
Inj, clevidipine butyrate
|
$234.74 |
$234.74 |
$234.74 |
$4.86
|
|
Inj cntr knee arthro incl ct/mri
|
$451.56 |
$451.56 |
$451.56 |
$464.28
|
|
Inj, durolane 1 mg
|
$12.72 |
$12.72 |
$12.72 |
$2,181.77
|
|
Inj dx for sinogram
|
$902.59 |
$902.59 |
$902.59 |
$436.00
|
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
|
$175.43 |
$175.43 |
$175.43 |
$1,214.78
|
|
Injection arthrography hip without anesthesia (both sides)
|
$1,217.94 |
$1,217.94 |
$1,217.94 |
$507.10
|
|
Injection, cangrelor
|
$27.75 |
$27.75 |
$27.75 |
$1,943.40
|
|
Injection, daratumumab 10 mg
|
$97.95 |
$97.95 |
$97.95 |
$5,324.34
|
|
Injection, doxercalciferol
|
$3.76 |
$3.76 |
$3.76 |
$31.83
|
|
Injection during cath supravalvular aortography
|
$3,691.45 |
$3,691.45 |
$3,691.45 |
$1,148.80
|
|
Injection epidural blood patch or clot
|
$1,853.94 |
$1,853.94 |
$1,853.94 |
$1,473.12
|
|
Injection for bladder x-ray
|
$888.28 |
$888.28 |
$888.28 |
$585.00
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$1,300.09 |
$1,300.09 |
$1,300.09 |
$504.00
|
|
Injection for ureter x-ray
|
$126.67 |
$126.67 |
$126.67 |
$515.21
|
|
Injection, fulvestrant
|
$113.84 |
$113.84 |
$113.84 |
$1,817.65
|
|
Injection, inclisiran, 1 mg
|
$12.72 |
$12.72 |
$12.72 |
$6,830.50
|
|
Injection into hemorrhoid(s)
|
$217.83 |
$217.83 |
$217.83 |
$1,278.72
|
|
Injection of sinus tract
|
$822.56 |
$822.56 |
$822.56 |
$1,651.20
|
|
Injection,onabotulinumtoxina
|
$10.02 |
$10.02 |
$10.02 |
$2,154.07
|
|
Injection radioactive tracer sentinel node (both sides)
|
$607.38 |
$607.38 |
$607.38 |
$717.20
|
|
Injection, renflexis
|
$125.38 |
$125.38 |
$125.38 |
$1,356.10
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$168.01 |
$168.01 |
$168.01 |
$1,471.50
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$76.85 |
$76.85 |
$76.85 |
$1,017.28
|
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
|
$1,539.12 |
$1,539.12 |
$1,539.12 |
$2,251.00
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
|
$84.80 |
$84.80 |
$84.80 |
$1,131.41
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
|
$1,605.90 |
$1,605.90 |
$1,605.90 |
$1,961.05
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
|
$1,002.76 |
$1,002.76 |
$1,002.76 |
$1,119.88
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
|
$2,005.52 |
$2,005.52 |
$2,005.52 |
$2,154.68
|
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
|
$287.26 |
$287.26 |
$287.26 |
$1,829.28
|
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
|
$1,351.50 |
$1,351.50 |
$1,351.50 |
$1,758.12
|
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
|
$46.64 |
$46.64 |
$46.64 |
$472.76
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$253.34 |
$253.34 |
$253.34 |
$552.60
|
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
|
$67.84 |
$67.84 |
$67.84 |
$670.00
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$117.66 |
$117.66 |
$117.66 |
$168.05
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$117.66 |
$117.66 |
$117.66 |
$154.05
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$182.85 |
$182.85 |
$182.85 |
$271.65
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$420.29 |
$420.29 |
$420.29 |
$141.60
|
|
Injection treatment of nose
|
$121.37 |
$121.37 |
$121.37 |
$602.63
|
|
Inject sacroiliac joint
|
$1,299.56 |
$1,299.56 |
$1,299.56 |
$1,090.00
|
|
Inj epidural sgl cerv-thor without img
|
$134.09 |
$134.09 |
$134.09 |
$1,366.20
|
|
Inj epidural sgl lumb-sacral without img
|
$139.92 |
$139.92 |
$139.92 |
$1,450.84
|
|
Inj for ext venography
|
$1,556.08 |
$1,556.08 |
$1,556.08 |
$737.55
|
|
Inj for mammo ductogram
|
$1,312.81 |
$1,312.81 |
$1,312.81 |
$433.50
|
|
Inj., guselkumab, 1 mg
|
$67.42 |
$67.42 |
$67.42 |
$100.65
|
|
Inj hrt cath w/s&i nonsel p-art angrp
|
$2,173.00 |
$2,173.00 |
$2,173.00 |
$1,482.00
|