|
Immobilizer shldr cntor adlt
|
$256.38 |
$256.38 |
$256.38 |
$154.00
|
|
Immobilizer shldr dlx str 24-36in med
|
$150.23 |
$150.23 |
$150.23 |
$90.86
|
|
Immune complex assay
|
$55.37 |
$55.37 |
$55.37 |
$88.80
|
|
Immunoassay tumor antigen quantitative ca 125
|
$106.15 |
$106.15 |
$106.15 |
$123.50
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$5.50 |
$5.50 |
$5.50 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$19.26 |
$19.26 |
$19.26 |
$53.95
|
|
Immunofixation electrophoresis serum
|
$94.16 |
$94.16 |
$94.16 |
$133.38
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$76.70 |
$76.70 |
$76.70 |
$156.00
|
|
Immunofluorescence per specimen initial single antibody stain
|
$120.19 |
$120.19 |
$120.19 |
$250.00
|
|
Immunoglobulin assay
|
$10.85 |
$10.85 |
$10.85 |
$74.00
|
|
Immunology procedure
|
$39.01 |
$39.01 |
$39.01 |
$281.45
|
|
Implant cartilage 10mm synthetic
|
$83,180.09 |
$83,180.09 |
$83,180.09 |
$11,811.60
|
|
Implant cochlear osia osi300
|
$7,817.85 |
$7,817.85 |
$7,817.85 |
$17,423.06
|
|
Implant spine infusion pump
|
$21,830.14 |
$21,830.14 |
$21,830.14 |
$18,613.91
|
|
Implant ureth bulk agent
|
$2,103.20 |
$2,103.20 |
$2,103.20 |
$2,003.82
|
|
Impl neurostim electr perc
|
$8,027.57 |
$8,027.57 |
$8,027.57 |
$7,636.00
|
|
Implnt spinl canal catheter 62350
|
$5,800.69 |
$5,800.69 |
$5,800.69 |
$5,095.20
|
|
In-111 pentetate dtpa / 0.5 mci
|
$1,623.41 |
$1,623.41 |
$1,623.41 |
$2,135.29
|
|
In-111 pentetreotide
|
$6,152.50 |
$6,152.50 |
$6,152.50 |
$6,617.05
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$1,868.22 |
$1,868.22 |
$1,868.22 |
$2,261.20
|
|
Indigotindisulfonate 8 mg/ml soln 5 ml ampule
|
$2,054.40 |
$2,054.40 |
$2,054.40 |
$876.13
|
|
Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s)
|
$20.72 |
$20.72 |
$20.72 |
$137.15
|
|
Infect ag drug suscept pheno predict
|
$176.55 |
$176.55 |
$176.55 |
$325.00
|
|
Infect ag genotype na cytomegalovirus
|
$176.55 |
$176.55 |
$176.55 |
$603.41
|
|
Infect ag genotype na dna hepatitis b
|
$109.94 |
$109.94 |
$109.94 |
$500.40
|
|
Infect ag genotype na hiv-1 other region
|
$118.56 |
$118.56 |
$118.56 |
$301.50
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$140.06 |
$140.06 |
$140.06 |
$574.60
|
|
Infect ag if hep delta agent
|
$53.50 |
$53.50 |
$53.50 |
$125.97
|
|
Infect ag if influenza a
|
$3.66 |
$3.66 |
$3.66 |
$40.61
|
|
Infect ag if influenza b
|
$3.66 |
$3.66 |
$3.66 |
$34.67
|
|
Infect ag if nos ea
|
$3.66 |
$3.66 |
$3.66 |
$60.40
|
|
Infect ag if pneumocystis carinii
|
$6.42 |
$6.42 |
$6.42 |
$62.29
|
|
Infect ag if varicella zoster
|
$25.80 |
$25.80 |
$25.80 |
$66.00
|
|
Infect ag na herpes simplex quant
|
$56.57 |
$56.57 |
$56.57 |
$145.20
|
|
Infect ag na hpv high-risk types
|
$175.48 |
$175.48 |
$175.48 |
$139.75
|
|
Infect ag na influenza r/amp 1st 2 types
|
$204.16 |
$204.16 |
$204.16 |
$227.96
|
|
Infect ag na influenza revr/amp ea type
|
$59.07 |
$59.07 |
$59.07 |
$124.80
|
|
Infect ag na orthopoxvirus amp prb each
|
$36.38 |
$36.38 |
$36.38 |
$102.00
|
|
Infect ag phenotype na hiv-1 1-10 drugs
|
$49.40 |
$49.40 |
$49.40 |
$714.67
|
|
Infect ag phenotype na hiv-1 ea addl drg
|
$49.40 |
$49.40 |
$49.40 |
$77.00
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$146.81 |
$146.81 |
$146.81 |
$81.44
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$53.08 |
$53.08 |
$53.08 |
$63.60
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$38.10 |
$38.10 |
$38.10 |
$80.05
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$217.43 |
$217.43 |
$217.43 |
$77.28
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$7.28 |
$7.28 |
$7.28 |
$83.50
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$72.34 |
$72.34 |
$72.34 |
$77.72
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$13.15 |
$13.15 |
$13.15 |
$55.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$105.72 |
$105.72 |
$105.72 |
$101.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$50.94 |
$50.94 |
$50.94 |
$132.60
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$121.56 |
$121.56 |
$121.56 |
$97.50
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$205.87 |
$205.87 |
$205.87 |
$60.00
|
|
Infectious agent nucleic acid amplified probe
|
$170.65 |
$170.65 |
$170.65 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$113.42 |
$113.42 |
$113.42 |
$141.48
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$205.87 |
$205.87 |
$205.87 |
$174.06
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$1,215.95 |
$1,215.95 |
$1,215.95 |
$855.45
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$27.40 |
$27.40 |
$27.40 |
$178.00
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$78.33 |
$78.33 |
$78.33 |
$150.15
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$122.41 |
$122.41 |
$122.41 |
$210.00
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$113.42 |
$113.42 |
$113.42 |
$136.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$98.44 |
$98.44 |
$98.44 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$286.76 |
$286.76 |
$286.76 |
$248.15
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$98.44 |
$98.44 |
$98.44 |
$112.45
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$53.50 |
$53.50 |
$53.50 |
$200.20
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$842.74 |
$842.74 |
$842.74 |
$727.50
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$261.08 |
$261.08 |
$261.08 |
$283.20
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$531.58 |
$531.58 |
$531.58 |
$489.50
|
|
Infectious agent nucleic acid quantification bk virus
|
$208.45 |
$208.45 |
$208.45 |
$285.66
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$21.40 |
$21.40 |
$21.40 |
$226.35
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$16.56 |
$16.56 |
$16.56 |
$278.78
|
|
Infectious agent nucleic acid quantification hiv-1
|
$32.67 |
$32.67 |
$32.67 |
$381.55
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$361.24 |
$361.24 |
$361.24 |
$298.35
|
|
Infliximab 100 mg intravenous solution
|
$4,667.34 |
$4,667.34 |
$4,667.34 |
$2,102.08
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$4,860.37 |
$4,860.37 |
$4,860.37 |
$1,432.80
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$176.34 |
$176.34 |
$176.34 |
$359.64
|
|
Initiation & management bipap/cpap initial day
|
$4,133.63 |
$4,133.63 |
$4,133.63 |
$645.79
|
|
Inj, artesunate, 1mg
|
$16,050.00 |
$16,050.00 |
$16,050.00 |
$18,824.75
|
|
Inj., benralizumab, 1 mg
|
$16,050.00 |
$16,050.00 |
$16,050.00 |
$13,682.10
|
|
Inj, bupivacaine liposome
|
$1,617.84 |
$1,617.84 |
$1,617.84 |
$638.07
|
|
Inj cefazolin sodium, hikma
|
$41.52 |
$41.52 |
$41.52 |
$34.59
|
|
Inj, cefepime hcl (b braun)
|
$124.98 |
$124.98 |
$124.98 |
$81.41
|
|
Inj ceftolozane tazobactam
|
$426.29 |
$426.29 |
$426.29 |
$431.36
|
|
Inj cntr knee arthro incl ct/mri
|
$467.81 |
$467.81 |
$467.81 |
$464.28
|
|
Inj crotalidae im f(ab')2 eq
|
$6,779.52 |
$6,779.52 |
$6,779.52 |
$2,735.85
|
|
Inj, cyclophosphamd, sandoz
|
$7,054.30 |
$7,054.30 |
$7,054.30 |
$5.30
|
|
Inj disk cerv-thor ea lev
|
$491.35 |
$491.35 |
$491.35 |
$869.80
|
|
Inj dx for sinogram
|
$418.59 |
$418.59 |
$418.59 |
$436.00
|
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
|
$753.71 |
$753.71 |
$753.71 |
$1,214.78
|
|
Injection arthrography hip without anesthesia (both sides)
|
$403.18 |
$403.18 |
$403.18 |
$507.10
|
|
Injection, burosumab-twza 1m
|
$16,050.00 |
$16,050.00 |
$16,050.00 |
$481.57
|
|
Injection, cangrelor
|
$5,142.42 |
$5,142.42 |
$5,142.42 |
$1,943.40
|
|
Injection, daratumumab 10 mg
|
$7,704.00 |
$7,704.00 |
$7,704.00 |
$5,324.34
|
|
Injection, doxercalciferol
|
$23.12 |
$23.12 |
$23.12 |
$31.83
|
|
Injection during cath supravalvular aortography
|
$197.74 |
$197.74 |
$197.74 |
$1,148.80
|
|
Injection, edaravone, 1 mg
|
$2,788.85 |
$2,788.85 |
$2,788.85 |
$18.84
|
|
Injection epidural blood patch or clot
|
$1,639.24 |
$1,639.24 |
$1,639.24 |
$1,473.12
|
|
Injection for arthrography wrist (both sides)
|
$606.05 |
$606.05 |
$606.05 |
$441.12
|
|
Injection for bladder x-ray
|
$730.17 |
$730.17 |
$730.17 |
$585.00
|
|
Injection for hip x-ray
|
$656.13 |
$656.13 |
$656.13 |
$567.45
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$638.58 |
$638.58 |
$638.58 |
$504.00
|
|
Injection for spleen x-ray
|
$514.46 |
$514.46 |
$514.46 |
$686.40
|