|
I131 max 100uci
|
$40.04 |
$40.04 |
$40.04 |
$53.39
|
|
I131 serum albumin, dx
|
$173.25 |
$173.25 |
$173.25 |
$847.84
|
|
Iaadi respiratory synctial virus
|
$25.80 |
$25.80 |
$25.80 |
$54.98
|
|
Iadna legionella pneumophila amplified probe tq
|
$16.50 |
$16.50 |
$16.50 |
$109.00
|
|
Ia nfct ab sarscov2 covid19
|
$27.90 |
$27.90 |
$27.90 |
$62.49
|
|
Ibandronate 3 mg/3 ml intravenous syringe
|
$104.12 |
$104.12 |
$104.12 |
$684.45
|
|
Ibmfs seq alys pnl 30 genes
|
$1,191.90 |
$1,191.90 |
$1,191.90 |
$2,828.00
|
|
Ibuprofen injection
|
$286.20 |
$286.20 |
$286.20 |
$256.76
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$310.46 |
$310.46 |
$310.46 |
$975.45
|
|
Icatibant injection
|
$1,677.61 |
$1,677.61 |
$1,677.61 |
$8,695.05
|
|
Icd cobalt xt dr MRI is1 df1
|
$0.15 |
$0.15 |
$0.15 |
$34,681.07
|
|
Icd crtd cobalt hf MRI is1 df1
|
$0.15 |
$0.15 |
$0.15 |
$41,418.00
|
|
Icd crtp serena MRI
|
$0.15 |
$0.15 |
$0.15 |
$14,360.25
|
|
Icd reliance df4 ib 64cm
|
$0.15 |
$0.15 |
$0.15 |
$9,267.72
|
|
Idarubicin hcl injection
|
$58.24 |
$58.24 |
$58.24 |
$447.02
|
|
Idh1 common variants
|
$73.35 |
$73.35 |
$73.35 |
$412.10
|
|
Idh2 common variants
|
$108.30 |
$108.30 |
$108.30 |
$486.00
|
|
Ifosfamide 1 gram intravenous solution
|
$40.37 |
$40.37 |
$40.37 |
$246.95
|
|
Igh gene rearrang dir probe
|
$34.80 |
$34.80 |
$34.80 |
$111.50
|
|
Igh gene rearrange amp meth
|
$183.15 |
$183.15 |
$183.15 |
$464.00
|
|
Igh@ var region somatic mutation analy
|
$107.85 |
$107.85 |
$107.85 |
$660.80
|
|
Igk rearrangeabn clonal pop
|
$87.45 |
$87.45 |
$87.45 |
$399.36
|
|
Ihc/icc per specimen each additional single antibody stain
|
$21.00 |
$21.00 |
$21.00 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$82.35 |
$82.35 |
$82.35 |
$328.79
|
|
Ihc/icc per specimen initial single antibody stain
|
$82.35 |
$82.35 |
$82.35 |
$272.30
|
|
Iliac/fem angio cath insert
|
$1,228.20 |
$1,228.20 |
$1,228.20 |
$1,856.01
|
|
Iliac revasc add-on 37222
|
$2,456.55 |
$2,456.55 |
$2,456.55 |
$6,082.65
|
|
Immune complex assay
|
$109.50 |
$109.50 |
$109.50 |
$100.80
|
|
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution
|
$367.11 |
$367.11 |
$367.11 |
$3,846.15
|
|
Immunoassay tumor antigen quantitative ca 125
|
$122.70 |
$122.70 |
$122.70 |
$131.95
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$78.15 |
$78.15 |
$78.15 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$17.70 |
$17.70 |
$17.70 |
$48.38
|
|
Immunoelectrophoresis assay
|
$16.35 |
$16.35 |
$16.35 |
$32.91
|
|
Immunofixation electrophoresis serum
|
$51.00 |
$51.00 |
$51.00 |
$142.50
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$16.20 |
$16.20 |
$16.20 |
$154.05
|
|
Immunofluorescence per specimen initial single antibody stain
|
$82.35 |
$82.35 |
$82.35 |
$231.40
|
|
Immunoglobulin assay
|
$149.55 |
$149.55 |
$149.55 |
$75.88
|
|
Impedence cardiogram
|
$49.95 |
$49.95 |
$49.95 |
$152.54
|
|
Implant 11 volt lithium-ion backup battery for controller pocket
|
$1,082.10 |
$1,082.10 |
$1,082.10 |
$1,754.00
|
|
Implant power module patient cable cable 14 volt
|
$1,814.70 |
$1,814.70 |
$1,814.70 |
$3,380.00
|
|
Implant ureth bulk agent
|
$113.70 |
$113.70 |
$113.70 |
$2,168.00
|
|
In-111 capromab pendet
|
$977.70 |
$977.70 |
$977.70 |
$3,141.45
|
|
In-111 oxyquinolin per 0.5 mci
|
$853.92 |
$853.92 |
$853.92 |
$2,581.82
|
|
In-111 pentetate dtpa / 0.5 mci
|
$375.45 |
$375.45 |
$375.45 |
$2,598.17
|
|
In-111 pentetreotide
|
$919.35 |
$919.35 |
$919.35 |
$5,201.00
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$552.60 |
$552.60 |
$552.60 |
$2,056.93
|
|
Incision of breast lesion
|
$691.65 |
$691.65 |
$691.65 |
$2,560.80
|
|
Incision of burn scab initi
|
$165.00 |
$165.00 |
$165.00 |
$494.40
|
|
Incision of tongue fold
|
$614.85 |
$614.85 |
$614.85 |
$1,792.50
|
|
Incisn windpipe
|
$781.50 |
$781.50 |
$781.50 |
$3,810.50
|
|
Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s)
|
$31.65 |
$31.65 |
$31.65 |
$137.15
|
|
Infect ag drug suscept pheno predict
|
$788.55 |
$788.55 |
$788.55 |
$323.20
|
|
Infect ag genotype na cytomegalovirus
|
$271.65 |
$271.65 |
$271.65 |
$661.80
|
|
Infect ag genotype na hiv-1 other region
|
$60.30 |
$60.30 |
$60.30 |
$386.40
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$354.00 |
$354.00 |
$354.00 |
$603.75
|
|
Infect ag ia direct hiv-1 antgn
|
$63.45 |
$63.45 |
$63.45 |
$91.70
|
|
Infect ag ia optc obs influenza
|
$55.50 |
$55.50 |
$55.50 |
$72.93
|
|
Infect ag if ea plyvlnt antsrm
|
$23.85 |
$23.85 |
$23.85 |
$62.80
|
|
Infect ag if influenza a
|
$13.50 |
$13.50 |
$13.50 |
$41.30
|
|
Infect ag if influenza b
|
$13.50 |
$13.50 |
$13.50 |
$40.08
|
|
Infect ag if legionella pneumophila
|
$24.30 |
$24.30 |
$24.30 |
$72.58
|
|
Infect ag if varicella zoster
|
$23.85 |
$23.85 |
$23.85 |
$70.70
|
|
Infect ag na herpes simplex quant
|
$106.80 |
$106.80 |
$106.80 |
$169.65
|
|
Infect ag na hpv high-risk types
|
$17.70 |
$17.70 |
$17.70 |
$139.75
|
|
Infect ag na orthopoxvirus amp prb each
|
$17.70 |
$17.70 |
$17.70 |
$99.36
|
|
Infect ag na resp virus 12-25 targets
|
$245.70 |
$245.70 |
$245.70 |
$835.80
|
|
Infect ag phenotype na hiv-1 1-10 drugs
|
$237.90 |
$237.90 |
$237.90 |
$943.80
|
|
Infect ag phenotype na hiv-1 ea addl drg
|
$12.60 |
$12.60 |
$12.60 |
$75.63
|
|
Infectious agent antigen immunoassay direct optical observation sars-cov-2
|
$22.20 |
$22.20 |
$22.20 |
$53.00
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$79.20 |
$79.20 |
$79.20 |
$82.00
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$8.55 |
$8.55 |
$8.55 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$42.45 |
$42.45 |
$42.45 |
$100.02
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$92.40 |
$92.40 |
$92.40 |
$81.20
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$15.60 |
$15.60 |
$15.60 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$58.20 |
$58.20 |
$58.20 |
$129.00
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$62.40 |
$62.40 |
$62.40 |
$98.02
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$10.95 |
$10.95 |
$10.95 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$311.85 |
$311.85 |
$311.85 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$39.60 |
$39.60 |
$39.60 |
$139.68
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$65.70 |
$65.70 |
$65.70 |
$167.00
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$263.85 |
$263.85 |
$263.85 |
$861.00
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$28.05 |
$28.05 |
$28.05 |
$179.92
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$23.70 |
$23.70 |
$23.70 |
$147.55
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$273.00 |
$273.00 |
$273.00 |
$217.85
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$43.05 |
$43.05 |
$43.05 |
$136.03
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$27.90 |
$27.90 |
$27.90 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$75.15 |
$75.15 |
$75.15 |
$206.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$75.15 |
$75.15 |
$75.15 |
$236.08
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$18.90 |
$18.90 |
$18.90 |
$92.50
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$36.00 |
$36.00 |
$36.00 |
$108.75
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$34.50 |
$34.50 |
$34.50 |
$185.00
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$232.95 |
$232.95 |
$232.95 |
$727.50
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$64.50 |
$64.50 |
$64.50 |
$286.06
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$133.20 |
$133.20 |
$133.20 |
$423.53
|
|
Infectious agent nucleic acid quantification bk virus
|
$364.50 |
$364.50 |
$364.50 |
$279.40
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$171.00 |
$171.00 |
$171.00 |
$239.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$161.25 |
$161.25 |
$161.25 |
$252.00
|
|
Infectious agent nucleic acid quantification hiv-1
|
$201.90 |
$201.90 |
$201.90 |
$374.00
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$69.45 |
$69.45 |
$69.45 |
$303.59
|
|
Infliximab 100 mg intravenous solution
|
$197.64 |
$197.64 |
$197.64 |
$2,080.86
|