|
I-123 sod iodide diag per 100 uci
|
$66.42 |
$66.42 |
$66.42 |
$158.05
|
|
Iaadi respiratory synctial virus
|
$170.36 |
$170.36 |
$170.36 |
$42.48
|
|
Iadna legionella pneumophila amplified probe tq
|
$16.48 |
$16.48 |
$16.48 |
$125.25
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$1,238.61 |
$1,238.61 |
$1,238.61 |
$990.35
|
|
Icatibant injection
|
$9,664.95 |
$9,664.95 |
$9,664.95 |
$4,000.00
|
|
Icd cobalt xt dr MRI is1 df1
|
$48,721.69 |
$48,721.69 |
$48,721.69 |
$31,352.76
|
|
Icd crtd cobalt hf MRI is1 df1
|
$58,952.44 |
$58,952.44 |
$58,952.44 |
$34,585.61
|
|
Icd crtp serena MRI
|
$15,826.01 |
$15,826.01 |
$15,826.01 |
$12,663.00
|
|
Icd reliance df4 ib 64cm
|
$9,363.28 |
$9,363.28 |
$9,363.28 |
$7,817.85
|
|
Idarubicin hcl injection
|
$1,368.90 |
$1,368.90 |
$1,368.90 |
$544.37
|
|
Ifosfamide 1 gram intravenous solution
|
$182.02 |
$182.02 |
$182.02 |
$294.81
|
|
Igh gene rearrange amp meth
|
$52.73 |
$52.73 |
$52.73 |
$464.25
|
|
Igh@ var region somatic mutation analy
|
$206.35 |
$206.35 |
$206.35 |
$660.80
|
|
Igk rearrangeabn clonal pop
|
$64.90 |
$64.90 |
$64.90 |
$373.16
|
|
Ihc/icc per specimen each additional single antibody stain
|
$90.76 |
$90.76 |
$90.76 |
$191.75
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$170.36 |
$170.36 |
$170.36 |
$339.73
|
|
Ihc/icc per specimen initial single antibody stain
|
$215.99 |
$215.99 |
$215.99 |
$266.76
|
|
Ikbkap gene
|
$20.59 |
$20.59 |
$20.59 |
$156.20
|
|
Iliac revasc add-on 37222
|
$9,718.69 |
$9,718.69 |
$9,718.69 |
$6,513.10
|
|
Immobilizer lwr extrem nylon 20in reinforc 21-35in
|
$137.40 |
$137.40 |
$137.40 |
$418.18
|
|
Immobilizer shldr cntor adlt
|
$104.95 |
$104.95 |
$104.95 |
$134.01
|
|
Immobilizer shldr dlx str 24-36in med
|
$35.49 |
$35.49 |
$35.49 |
$87.00
|
|
Immune complex assay
|
$36.89 |
$36.89 |
$36.89 |
$88.80
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$3,209.82 |
$3,209.82 |
$3,209.82 |
$5,978.06
|
|
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution
|
$5,318.94 |
$5,318.94 |
$5,318.94 |
$6,272.93
|
|
Immunoassay tumor antigen quantitative ca 125
|
$21.60 |
$21.60 |
$21.60 |
$123.50
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$3.55 |
$3.55 |
$3.55 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$18.26 |
$18.26 |
$18.26 |
$53.95
|
|
Immunofixation electrophoresis serum
|
$15.50 |
$15.50 |
$15.50 |
$133.38
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$58.04 |
$58.04 |
$58.04 |
$156.00
|
|
Immunofluorescence per specimen initial single antibody stain
|
$58.02 |
$58.02 |
$58.02 |
$250.00
|
|
Immunoglobulin assay
|
$12.85 |
$12.85 |
$12.85 |
$74.00
|
|
Implant cartilage 10mm synthetic
|
$78,464.34 |
$78,464.34 |
$78,464.34 |
$10,050.00
|
|
Implnt spinl canal catheter 62350
|
$9,937.71 |
$9,937.71 |
$9,937.71 |
$5,095.20
|
|
In-111 autol wbc diag per dose
|
$4,258.80 |
$4,258.80 |
$4,258.80 |
$3,704.00
|
|
In-111 pentetreotide
|
$6,177.80 |
$6,177.80 |
$6,177.80 |
$6,617.05
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$2,461.49 |
$2,461.49 |
$2,461.49 |
$2,261.20
|
|
Incision of windpipe
|
$8,561.21 |
$8,561.21 |
$8,561.21 |
$5,564.16
|
|
Incision of windpipe
|
$8,561.71 |
$8,561.71 |
$8,561.71 |
$5,293.68
|
|
Incisn windpipe
|
$4,561.48 |
$4,561.48 |
$4,561.48 |
$3,837.72
|
|
Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s)
|
$24.54 |
$24.54 |
$24.54 |
$137.15
|
|
Infect ag drug suscept pheno predict
|
$209.14 |
$209.14 |
$209.14 |
$325.00
|
|
Infect ag genotype na cytomegalovirus
|
$209.14 |
$209.14 |
$209.14 |
$603.41
|
|
Infect ag genotype na dna hepatitis b
|
$130.23 |
$130.23 |
$130.23 |
$500.40
|
|
Infect ag genotype na hiv-1 other region
|
$70.98 |
$70.98 |
$70.98 |
$301.50
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$70.98 |
$70.98 |
$70.98 |
$574.60
|
|
Infect ag ia optc obs influenza
|
$121.18 |
$121.18 |
$121.18 |
$66.72
|
|
Infect ag if influenza a
|
$4.33 |
$4.33 |
$4.33 |
$40.61
|
|
Infect ag if influenza b
|
$4.33 |
$4.33 |
$4.33 |
$34.67
|
|
Infect ag if legionella pneumophila
|
$15.21 |
$15.21 |
$15.21 |
$75.79
|
|
Infect ag if nos ea
|
$4.33 |
$4.33 |
$4.33 |
$60.40
|
|
Infect ag if pneumocystis carinii
|
$7.61 |
$7.61 |
$7.61 |
$62.29
|
|
Infect ag if varicella zoster
|
$30.57 |
$30.57 |
$30.57 |
$66.00
|
|
Infect ag na influenza r/amp 1st 2 types
|
$302.68 |
$302.68 |
$302.68 |
$227.96
|
|
Infect ag na orthopoxvirus amp prb each
|
$43.10 |
$43.10 |
$43.10 |
$102.00
|
|
Infect ag na resp virus 12-25 targets
|
$1,068.25 |
$1,068.25 |
$1,068.25 |
$859.44
|
|
Infect ag phenotype na hiv-1 1-10 drugs
|
$58.51 |
$58.51 |
$58.51 |
$714.67
|
|
Infect ag phenotype na hiv-1 ea addl drg
|
$58.51 |
$58.51 |
$58.51 |
$77.00
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$198.75 |
$198.75 |
$198.75 |
$81.44
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$11.16 |
$11.16 |
$11.16 |
$63.60
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$7.61 |
$7.61 |
$7.61 |
$80.05
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$42.56 |
$42.56 |
$42.56 |
$77.28
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$8.62 |
$8.62 |
$8.62 |
$83.50
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$141.46 |
$141.46 |
$141.46 |
$77.72
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$15.57 |
$15.57 |
$15.57 |
$55.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$212.94 |
$212.94 |
$212.94 |
$101.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$273.78 |
$273.78 |
$273.78 |
$132.60
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$6.41 |
$6.41 |
$6.41 |
$97.50
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$8.35 |
$8.35 |
$8.35 |
$60.00
|
|
Infectious agent nucleic acid amplified probe
|
$147.54 |
$147.54 |
$147.54 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$254.01 |
$254.01 |
$254.01 |
$141.48
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$266.18 |
$266.18 |
$266.18 |
$174.06
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$2,339.30 |
$2,339.30 |
$2,339.30 |
$855.45
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$25.35 |
$25.35 |
$25.35 |
$178.00
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$191.65 |
$191.65 |
$191.65 |
$150.15
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$101.40 |
$101.40 |
$101.40 |
$210.00
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$254.01 |
$254.01 |
$254.01 |
$136.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$97.86 |
$97.86 |
$97.86 |
$103.20
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$21.37 |
$21.37 |
$21.37 |
$112.45
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$63.38 |
$63.38 |
$63.38 |
$200.20
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$753.91 |
$753.91 |
$753.91 |
$727.50
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$95.93 |
$95.93 |
$95.93 |
$283.20
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$534.89 |
$534.89 |
$534.89 |
$489.50
|
|
Infectious agent nucleic acid quantification bk virus
|
$103.43 |
$103.43 |
$103.43 |
$285.66
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$44.62 |
$44.62 |
$44.62 |
$226.35
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$19.62 |
$19.62 |
$19.62 |
$278.78
|
|
Infectious agent nucleic acid quantification hiv-1
|
$30.42 |
$30.42 |
$30.42 |
$381.55
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$448.70 |
$448.70 |
$448.70 |
$298.35
|
|
Infliximab 100 mg intravenous solution
|
$2,281.50 |
$2,281.50 |
$2,281.50 |
$2,801.88
|
|
Infliximab-axxq 100 mg intravenous solution
|
$1,368.90 |
$1,368.90 |
$1,368.90 |
$1,166.66
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$2,281.50 |
$2,281.50 |
$2,281.50 |
$1,713.99
|
|
Initiation & management bipap/cpap initial day
|
$3,472.45 |
$3,472.45 |
$3,472.45 |
$645.79
|
|
Inj, abilify maintena, 1 mg
|
$2,281.50 |
$2,281.50 |
$2,281.50 |
$6,328.13
|
|
Inj alymsys 10 mg
|
$2,623.22 |
$2,623.22 |
$2,623.22 |
$928.80
|
|
Inj., benralizumab, 1 mg
|
$4,402.29 |
$4,402.29 |
$4,402.29 |
$16,865.48
|
|
Inj calcitriol per 0.1 mcg
|
$27.38 |
$27.38 |
$27.38 |
$31.69
|
|
Inj cefazolin sodium, hikma
|
$27.38 |
$27.38 |
$27.38 |
$56.70
|
|
Inj ceftolozane tazobactam
|
$270.74 |
$270.74 |
$270.74 |
$487.80
|
|
Inj cntr knee arthro incl ct/mri
|
$432.48 |
$432.48 |
$432.48 |
$464.28
|
|
Inj crotalidae im f(ab')2 eq
|
$2,281.50 |
$2,281.50 |
$2,281.50 |
$2,836.95
|