|
I&d intramural/intramuscular/submuc abscess transanal anes
|
$5,620.32 |
$5,620.32 |
$5,620.32 |
$3,245.23
|
|
I&d lacrimal gland
|
$1,802.40 |
$1,802.40 |
$1,802.40 |
$1,163.82
|
|
I&d upper arm/elbow deep abscess/hematoma
|
$6,451.20 |
$6,451.20 |
$6,451.20 |
$3,386.84
|
|
I & d vag hematoma non-ob 57023
|
$4,987.68 |
$4,987.68 |
$4,987.68 |
$3,386.84
|
|
I&d vag hemtma obst/postpart
|
$4,987.68 |
$4,987.68 |
$4,987.68 |
$3,370.52
|
|
Ifosfamide 1 gram intravenous solution
|
$200.92 |
$200.92 |
$200.92 |
$294.81
|
|
Ihc/icc per specimen each additional single antibody stain
|
$122.40 |
$122.40 |
$122.40 |
$191.75
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$185.28 |
$185.28 |
$185.28 |
$339.73
|
|
Ihc/icc per specimen initial single antibody stain
|
$133.44 |
$133.44 |
$133.44 |
$266.76
|
|
Iliac/fem angio cath insert
|
$3,338.40 |
$3,338.40 |
$3,338.40 |
$1,943.69
|
|
Iliac revasc add-on 37222
|
$6,050.88 |
$6,050.88 |
$6,050.88 |
$6,513.10
|
|
Immobilizer lwr extrem nylon 20in reinforc 21-35in
|
$295.36 |
$295.36 |
$295.36 |
$357.03
|
|
Immobilizer shldr cntor adlt
|
$166.94 |
$166.94 |
$166.94 |
$154.00
|
|
Immobilizer shldr dlx str 24-36in med
|
$120.00 |
$120.00 |
$120.00 |
$90.86
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$5,158.80 |
$5,158.80 |
$5,158.80 |
$5,816.40
|
|
Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution
|
$3,593.90 |
$3,593.90 |
$3,593.90 |
$2,854.20
|
|
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution
|
$2,705.47 |
$2,705.47 |
$2,705.47 |
$5,089.25
|
|
Immunoassay tumor antigen quantitative ca 125
|
$61.44 |
$61.44 |
$61.44 |
$123.50
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$47.04 |
$47.04 |
$47.04 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$17.76 |
$17.76 |
$17.76 |
$53.95
|
|
Immunodiffusion nes
|
$8.16 |
$8.16 |
$8.16 |
$53.76
|
|
Immunofixation electrophoresis serum
|
$74.40 |
$74.40 |
$74.40 |
$133.38
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$105.12 |
$105.12 |
$105.12 |
$156.00
|
|
Immunofluorescence per specimen initial single antibody stain
|
$552.00 |
$552.00 |
$552.00 |
$250.00
|
|
Immunoglobulin assay
|
$88.80 |
$88.80 |
$88.80 |
$74.00
|
|
Impl ahmed 6x25x9.6mm glaucoma vlv w/sil ped ster
|
$6,308.54 |
$6,308.54 |
$6,308.54 |
$4,295.02
|
|
Implant 11 volt lithium-ion backup battery for controller pocket
|
$1,905.12 |
$1,905.12 |
$1,905.12 |
$1,670.40
|
|
Implant cartilage 10mm synthetic
|
$8,484.00 |
$8,484.00 |
$8,484.00 |
$11,811.60
|
|
Implant cochlear osia osi300
|
$24,626.83 |
$24,626.83 |
$24,626.83 |
$17,423.06
|
|
Implant ureth bulk agent
|
$2,842.56 |
$2,842.56 |
$2,842.56 |
$2,003.82
|
|
In-111 pentetreotide
|
$11,186.27 |
$11,186.27 |
$11,186.27 |
$6,617.05
|
|
Incise/drain eyelid lining
|
$1,821.60 |
$1,821.60 |
$1,821.60 |
$1,215.48
|
|
Incise flexor carpi radialis
|
$4,885.44 |
$4,885.44 |
$4,885.44 |
$3,839.54
|
|
Incise hand/finger tendon
|
$1,828.80 |
$1,828.80 |
$1,828.80 |
$2,007.15
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$2,086.56 |
$2,086.56 |
$2,086.56 |
$2,261.20
|
|
Incision of breast lesion
|
$5,686.56 |
$5,686.56 |
$5,686.56 |
$3,029.60
|
|
Incision of burn scab initi
|
$1,195.68 |
$1,195.68 |
$1,195.68 |
$501.00
|
|
Incision of eardrum
|
$486.72 |
$486.72 |
$486.72 |
$470.73
|
|
Incision of tendon sheath
|
$1,828.80 |
$1,828.80 |
$1,828.80 |
$2,263.68
|
|
Incision of tongue fold
|
$2,680.32 |
$2,680.32 |
$2,680.32 |
$1,865.58
|
|
Incision of urethra
|
$4,371.84 |
$4,371.84 |
$4,371.84 |
$3,549.60
|
|
Incisn windpipe
|
$6,142.08 |
$6,142.08 |
$6,142.08 |
$3,837.72
|
|
Indigotindisulfonate 8 mg/ml soln 5 ml ampule
|
$1,241.65 |
$1,241.65 |
$1,241.65 |
$876.13
|
|
Induced abortion d&c
|
$4,100.64 |
$4,100.64 |
$4,100.64 |
$3,649.80
|
|
Infect ag drug suscept pheno predict
|
$110.88 |
$110.88 |
$110.88 |
$325.00
|
|
Infect ag genotype na dna hepatitis b
|
$199.58 |
$199.58 |
$199.58 |
$500.40
|
|
Infect ag genotype na hiv-1 other region
|
$221.76 |
$221.76 |
$221.76 |
$301.50
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$110.88 |
$110.88 |
$110.88 |
$574.60
|
|
Infect ag ia direct hiv-1 antgn
|
$72.00 |
$72.00 |
$72.00 |
$95.55
|
|
Infect ag ia optc obs influenza
|
$76.32 |
$76.32 |
$76.32 |
$66.72
|
|
Infect ag if ea plyvlnt antsrm
|
$31.20 |
$31.20 |
$31.20 |
$37.74
|
|
Infect ag if influenza a
|
$23.04 |
$23.04 |
$23.04 |
$40.61
|
|
Infect ag if influenza b
|
$23.04 |
$23.04 |
$23.04 |
$34.67
|
|
Infect ag if legionella pneumophila
|
$7.29 |
$7.29 |
$7.29 |
$75.79
|
|
Infect ag if pneumocystis carinii
|
$59.47 |
$59.47 |
$59.47 |
$62.29
|
|
Infect ag na herpes simplex quant
|
$78.00 |
$78.00 |
$78.00 |
$145.20
|
|
Infect ag na influenza r/amp 1st 2 types
|
$136.80 |
$136.80 |
$136.80 |
$227.96
|
|
Infect ag na orthopoxvirus amp prb each
|
$23.52 |
$23.52 |
$23.52 |
$102.00
|
|
Infect ag na resp virus 12-25 targets
|
$1,745.28 |
$1,745.28 |
$1,745.28 |
$859.44
|
|
Infectious agent antigen immunoassay direct optical observation sars-cov-2
|
$79.20 |
$79.20 |
$79.20 |
$47.50
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$101.76 |
$101.76 |
$101.76 |
$81.44
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$120.00 |
$120.00 |
$120.00 |
$80.05
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$120.00 |
$120.00 |
$120.00 |
$77.28
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$69.60 |
$69.60 |
$69.60 |
$83.50
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$179.04 |
$179.04 |
$179.04 |
$77.72
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$11.73 |
$11.73 |
$11.73 |
$55.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$179.04 |
$179.04 |
$179.04 |
$101.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$132.00 |
$132.00 |
$132.00 |
$132.60
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$113.28 |
$113.28 |
$113.28 |
$97.50
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$80.64 |
$80.64 |
$80.64 |
$60.00
|
|
Infectious agent nucleic acid amplified probe
|
$309.60 |
$309.60 |
$309.60 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$50.08 |
$50.08 |
$50.08 |
$141.48
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$181.44 |
$181.44 |
$181.44 |
$174.06
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$70.56 |
$70.56 |
$70.56 |
$178.00
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$48.48 |
$48.48 |
$48.48 |
$150.15
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$92.23 |
$92.23 |
$92.23 |
$210.00
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$49.92 |
$49.92 |
$49.92 |
$136.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$83.04 |
$83.04 |
$83.04 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$382.56 |
$382.56 |
$382.56 |
$222.60
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$915.84 |
$915.84 |
$915.84 |
$248.15
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$78.48 |
$78.48 |
$78.48 |
$112.45
|
|
Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae
|
$97.92 |
$97.92 |
$97.92 |
$282.10
|
|
Infectious agent nucleic acid quantification bk virus
|
$179.52 |
$179.52 |
$179.52 |
$285.66
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$156.00 |
$156.00 |
$156.00 |
$226.35
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$202.56 |
$202.56 |
$202.56 |
$278.78
|
|
Infectious agent nucleic acid quantification hiv-1
|
$141.60 |
$141.60 |
$141.60 |
$381.55
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$312.00 |
$312.00 |
$312.00 |
$298.35
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$1,386.37 |
$1,386.37 |
$1,386.37 |
$1,432.80
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$369.60 |
$369.60 |
$369.60 |
$359.64
|
|
Initiation & management bipap/cpap initial day
|
$2,375.04 |
$2,375.04 |
$2,375.04 |
$645.79
|
|
Inj, bortezomib, dr. reddy's
|
$2,411.59 |
$2,411.59 |
$2,411.59 |
$48.55
|
|
Inj, bortezomib freseniuskab
|
$2,239.25 |
$2,239.25 |
$2,239.25 |
$16.50
|
|
Inj calcitriol per 0.1 mcg
|
$44.76 |
$44.76 |
$44.76 |
$31.69
|
|
Inj cefazolin sodium, hikma
|
$44.76 |
$44.76 |
$44.76 |
$34.59
|
|
Inj cefazolin (wg crit care)
|
$44.76 |
$44.76 |
$44.76 |
$25.00
|
|
Inj, cefiderocol, 10 mg
|
$717.33 |
$717.33 |
$717.33 |
$596.08
|
|
Inj ceftolozane tazobactam
|
$445.07 |
$445.07 |
$445.07 |
$431.36
|
|
Inj cntr knee arthro incl ct/mri
|
$479.52 |
$479.52 |
$479.52 |
$464.28
|
|
Inj crotalidae im f(ab')2 eq
|
$2,791.85 |
$2,791.85 |
$2,791.85 |
$2,735.85
|
|
Inj, daptomycin (hospira)
|
$132.80 |
$132.80 |
$132.80 |
$152.35
|