|
Idh1 common variants
|
$708.00 |
$708.00 |
$708.00 |
$415.35
|
|
Idh2 common variants
|
$708.00 |
$708.00 |
$708.00 |
$451.91
|
|
Ifosfamide 1 gram intravenous solution
|
$249.50 |
$249.50 |
$249.50 |
$294.81
|
|
Igh gene rearrange amp meth
|
$1,136.00 |
$1,136.00 |
$1,136.00 |
$464.25
|
|
Igh@ var region somatic mutation analy
|
$942.00 |
$942.00 |
$942.00 |
$660.80
|
|
Ihc/icc per specimen each additional single antibody stain
|
$689.00 |
$689.00 |
$689.00 |
$191.75
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$1,309.00 |
$1,309.00 |
$1,309.00 |
$339.73
|
|
Ihc/icc per specimen initial single antibody stain
|
$772.00 |
$772.00 |
$772.00 |
$266.76
|
|
Iliac/fem angio cath insert
|
$1,962.00 |
$1,962.00 |
$1,962.00 |
$1,856.01
|
|
Iliac revasc add-on 37222
|
$4,322.00 |
$4,322.00 |
$4,322.00 |
$6,513.10
|
|
Immobilizer shldr cntor adlt
|
$23.00 |
$23.00 |
$23.00 |
$154.00
|
|
Immobilizer shldr dlx str 24-36in med
|
$32.00 |
$32.00 |
$32.00 |
$90.86
|
|
Immune complex assay
|
$314.00 |
$314.00 |
$314.00 |
$88.80
|
|
Immunoassay tumor antigen quantitative ca 125
|
$273.00 |
$273.00 |
$273.00 |
$123.50
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$245.00 |
$245.00 |
$245.00 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$130.00 |
$130.00 |
$130.00 |
$53.95
|
|
Immunofixation electrophoresis serum
|
$273.00 |
$273.00 |
$273.00 |
$133.38
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$279.00 |
$279.00 |
$279.00 |
$156.00
|
|
Immunofluorescence per specimen initial single antibody stain
|
$1,716.00 |
$1,716.00 |
$1,716.00 |
$250.00
|
|
Immunoglobulin assay
|
$236.00 |
$236.00 |
$236.00 |
$74.00
|
|
Implant single ventricular device 33975
|
$5,522.00 |
$5,522.00 |
$5,522.00 |
$5,053.23
|
|
In-111 capromab pendet
|
$4,235.00 |
$4,235.00 |
$4,235.00 |
$3,941.34
|
|
In-111 oxyquinolin per 0.5 mci
|
$2,827.00 |
$2,827.00 |
$2,827.00 |
$2,808.00
|
|
In-111 pentetate dtpa / 0.5 mci
|
$1,344.00 |
$1,344.00 |
$1,344.00 |
$2,135.29
|
|
In-111 pentetreotide
|
$5,731.00 |
$5,731.00 |
$5,731.00 |
$6,617.05
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$4,122.00 |
$4,122.00 |
$4,122.00 |
$2,261.20
|
|
Incision of breast lesion
|
$5,233.00 |
$5,233.00 |
$5,233.00 |
$3,029.60
|
|
Incisn windpipe
|
$3,238.00 |
$3,238.00 |
$3,238.00 |
$3,837.72
|
|
Indigotindisulfonate 8 mg/ml soln 5 ml ampule
|
$1,243.75 |
$1,243.75 |
$1,243.75 |
$876.13
|
|
Infect ag drug suscept pheno predict
|
$791.00 |
$791.00 |
$791.00 |
$325.00
|
|
Infect ag eia influenza a or b ea
|
$118.00 |
$118.00 |
$118.00 |
$69.03
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$3,310.00 |
$3,310.00 |
$3,310.00 |
$574.60
|
|
Infect ag ia direct hiv-1 antgn
|
$178.00 |
$178.00 |
$178.00 |
$95.55
|
|
Infect ag ia optc obs influenza
|
$137.00 |
$137.00 |
$137.00 |
$66.72
|
|
Infect ag if influenza a
|
$116.00 |
$116.00 |
$116.00 |
$40.61
|
|
Infect ag if influenza b
|
$116.00 |
$116.00 |
$116.00 |
$34.67
|
|
Infect ag if nos ea
|
$116.00 |
$116.00 |
$116.00 |
$60.40
|
|
Infect ag if varicella zoster
|
$116.00 |
$116.00 |
$116.00 |
$66.00
|
|
Infect ag na herpes simplex quant
|
$551.00 |
$551.00 |
$551.00 |
$145.20
|
|
Infect ag na hpv high-risk types
|
$450.00 |
$450.00 |
$450.00 |
$139.75
|
|
Infect ag na influenza r/amp 1st 2 types
|
$1,022.00 |
$1,022.00 |
$1,022.00 |
$227.96
|
|
Infect ag na orthopoxvirus amp prb each
|
$140.00 |
$140.00 |
$140.00 |
$102.00
|
|
Infect ag na resp virus 12-25 targets
|
$1,338.00 |
$1,338.00 |
$1,338.00 |
$859.44
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$117.00 |
$117.00 |
$117.00 |
$81.44
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$116.00 |
$116.00 |
$116.00 |
$63.60
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$118.00 |
$118.00 |
$118.00 |
$80.05
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$113.00 |
$113.00 |
$113.00 |
$77.28
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$76.00 |
$76.00 |
$76.00 |
$83.50
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$157.00 |
$157.00 |
$157.00 |
$77.72
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$158.00 |
$158.00 |
$158.00 |
$55.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$325.00 |
$325.00 |
$325.00 |
$101.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$237.00 |
$237.00 |
$237.00 |
$132.60
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$100.00 |
$100.00 |
$100.00 |
$97.50
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$116.00 |
$116.00 |
$116.00 |
$60.00
|
|
Infectious agent nucleic acid amplified probe
|
$453.00 |
$453.00 |
$453.00 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$379.00 |
$379.00 |
$379.00 |
$141.48
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$464.00 |
$464.00 |
$464.00 |
$174.06
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$1,151.00 |
$1,151.00 |
$1,151.00 |
$855.45
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$412.00 |
$412.00 |
$412.00 |
$178.00
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$473.00 |
$473.00 |
$473.00 |
$150.15
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$418.00 |
$418.00 |
$418.00 |
$210.00
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$379.00 |
$379.00 |
$379.00 |
$136.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$255.00 |
$255.00 |
$255.00 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$432.00 |
$432.00 |
$432.00 |
$248.15
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$389.00 |
$389.00 |
$389.00 |
$112.45
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$4,507.00 |
$4,507.00 |
$4,507.00 |
$727.50
|
|
Infectious agent nucleic acid quantification bk virus
|
$487.00 |
$487.00 |
$487.00 |
$285.66
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$468.00 |
$468.00 |
$468.00 |
$226.35
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$558.00 |
$558.00 |
$558.00 |
$278.78
|
|
Infectious agent nucleic acid quantification hiv-1
|
$966.00 |
$966.00 |
$966.00 |
$381.55
|
|
Infliximab 100 mg intravenous solution
|
$5,017.00 |
$5,017.00 |
$5,017.00 |
$2,102.08
|
|
Infliximab-axxq 100 mg intravenous solution
|
$2,148.00 |
$2,148.00 |
$2,148.00 |
$1,096.55
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$4,065.25 |
$4,065.25 |
$4,065.25 |
$1,432.80
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$178.00 |
$178.00 |
$178.00 |
$359.64
|
|
Initiation & management bipap/cpap initial day
|
$812.00 |
$812.00 |
$812.00 |
$645.79
|
|
Inj., benralizumab, 1 mg
|
$25,119.00 |
$25,119.00 |
$25,119.00 |
$13,682.10
|
|
Inj cefazolin sodium, hikma
|
$58.00 |
$58.00 |
$58.00 |
$34.59
|
|
Inj cefazolin (wg crit care)
|
$32.25 |
$32.25 |
$32.25 |
$25.00
|
|
Inj ceftolozane tazobactam
|
$1,151.00 |
$1,151.00 |
$1,151.00 |
$431.36
|
|
Inj, clindamycin (baxter)
|
$86.25 |
$86.25 |
$86.25 |
$57.48
|
|
Inj, cyclophos (baxter) 5mg
|
$1,573.50 |
$1,573.50 |
$1,573.50 |
$4,570.80
|
|
Inj disk cerv-thor ea lev
|
$560.00 |
$560.00 |
$560.00 |
$869.80
|
|
Inj dx for sinogram
|
$416.00 |
$416.00 |
$416.00 |
$436.00
|
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
|
$1,506.00 |
$1,506.00 |
$1,506.00 |
$1,214.78
|
|
Injection arthrography hip without anesthesia (both sides)
|
$348.00 |
$348.00 |
$348.00 |
$507.10
|
|
Injection, doxercalciferol
|
$20.00 |
$20.00 |
$20.00 |
$31.83
|
|
Injection during cath supravalvular aortography
|
$1,260.00 |
$1,260.00 |
$1,260.00 |
$1,148.80
|
|
Injection epidural blood patch or clot
|
$2,042.00 |
$2,042.00 |
$2,042.00 |
$1,473.12
|
|
Injection for arthrography wrist (both sides)
|
$333.00 |
$333.00 |
$333.00 |
$441.12
|
|
Injection for bladder x-ray
|
$603.00 |
$603.00 |
$603.00 |
$585.00
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$453.00 |
$453.00 |
$453.00 |
$504.00
|
|
Injection for spleen x-ray
|
$377.00 |
$377.00 |
$377.00 |
$686.40
|
|
Injection for ureter x-ray
|
$363.00 |
$363.00 |
$363.00 |
$444.95
|
|
Injection for ureter x-ray
|
$401.00 |
$401.00 |
$401.00 |
$515.21
|
|
Injection into brain canal
|
$908.00 |
$908.00 |
$908.00 |
$933.60
|
|
Injection jaw joint x-ray
|
$446.00 |
$446.00 |
$446.00 |
$235.74
|
|
Injection,onabotulinumtoxina
|
$2,775.25 |
$2,775.25 |
$2,775.25 |
$2,154.07
|
|
Injection radioactive tracer sentinel node (both sides)
|
$1,207.00 |
$1,207.00 |
$1,207.00 |
$717.20
|
|
Injection, renflexis
|
$3,236.75 |
$3,236.75 |
$3,236.75 |
$1,356.10
|
|
Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides)
|
$212.00 |
$212.00 |
$212.00 |
$1,496.00
|
