|
Hysterosalpingography s&i
|
$406.35 |
$406.35 |
$406.35 |
$629.46
|
|
I-123 ioflupane diag
|
$3,684.21 |
$3,684.21 |
$3,684.21 |
$3,887.10
|
|
I-123 sod iodide diag per 100 uci
|
$36.99 |
$36.99 |
$36.99 |
$158.05
|
|
I131 iodide cap, rx
|
$19.46 |
$19.46 |
$19.46 |
$91.83
|
|
Iaadi respiratory synctial virus
|
$69.05 |
$69.05 |
$69.05 |
$42.48
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$594.86 |
$594.86 |
$594.86 |
$962.29
|
|
Icd cobalt xt dr MRI is1 df1
|
$39,406.68 |
$39,406.68 |
$39,406.68 |
$33,717.60
|
|
Icd crtd cobalt hf MRI is1 df1
|
$52,449.08 |
$52,449.08 |
$52,449.08 |
$35,650.00
|
|
Icd crtp serena MRI
|
$16,712.63 |
$16,712.63 |
$16,712.63 |
$14,360.25
|
|
Icd reliance df4 ib 64cm
|
$10,624.35 |
$10,624.35 |
$10,624.35 |
$8,612.50
|
|
Idarubicin hcl injection
|
$413.74 |
$413.74 |
$413.74 |
$474.69
|
|
Ifosfamide 1 gram intravenous solution
|
$87.41 |
$87.41 |
$87.41 |
$294.81
|
|
Igh gene rearrange amp meth
|
$73.83 |
$73.83 |
$73.83 |
$464.25
|
|
Igh@ var region somatic mutation analy
|
$110.70 |
$110.70 |
$110.70 |
$660.80
|
|
Igk rearrangeabn clonal pop
|
$55.68 |
$55.68 |
$55.68 |
$373.16
|
|
Ihc/icc per specimen each additional single antibody stain
|
$161.39 |
$161.39 |
$161.39 |
$191.75
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$34.25 |
$34.25 |
$34.25 |
$339.73
|
|
Ihc/icc per specimen initial single antibody stain
|
$175.91 |
$175.91 |
$175.91 |
$266.76
|
|
Iliac/fem angio cath insert
|
$909.68 |
$909.68 |
$909.68 |
$1,943.69
|
|
Iliac revasc add-on 37222
|
$5,745.78 |
$5,745.78 |
$5,745.78 |
$6,513.10
|
|
Immob elbow child sm
|
$55.08 |
$55.08 |
$55.08 |
$78.19
|
|
Immobilizer lwr extrem nylon 20in reinforc 21-35in
|
$453.47 |
$453.47 |
$453.47 |
$357.03
|
|
Immobilizer shldr cntor adlt
|
$205.50 |
$205.50 |
$205.50 |
$154.00
|
|
Immobilizer shldr dlx str 24-36in med
|
$1,690.58 |
$1,690.58 |
$1,690.58 |
$90.86
|
|
Immobilizer shldr sling med
|
$157.55 |
$157.55 |
$157.55 |
$34.03
|
|
Immune complex assay
|
$35.45 |
$35.45 |
$35.45 |
$88.80
|
|
Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution
|
$1,328.36 |
$1,328.36 |
$1,328.36 |
$2,854.20
|
|
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution
|
$1,277.67 |
$1,277.67 |
$1,277.67 |
$5,089.25
|
|
Immunoassay tumor antigen quantitative ca 125
|
$3.02 |
$3.02 |
$3.02 |
$123.50
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$54.26 |
$54.26 |
$54.26 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$3.64 |
$3.64 |
$3.64 |
$53.95
|
|
Immunodiffusion nes
|
$4.16 |
$4.16 |
$4.16 |
$53.76
|
|
Immunofixation electrophoresis serum
|
$5.49 |
$5.49 |
$5.49 |
$133.38
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$32.22 |
$32.22 |
$32.22 |
$156.00
|
|
Immunofluorescence per specimen initial single antibody stain
|
$47.35 |
$47.35 |
$47.35 |
$250.00
|
|
Immunoglobulin assay
|
$3.72 |
$3.72 |
$3.72 |
$74.00
|
|
Impl ahmed 6x25x9.6mm glaucoma vlv w/sil ped ster
|
$2,859.19 |
$2,859.19 |
$2,859.19 |
$4,295.02
|
|
Implant 11 volt lithium-ion backup battery for controller pocket
|
$3,718.18 |
$3,718.18 |
$3,718.18 |
$1,670.40
|
|
Implant cartilage 10mm synthetic
|
$149,640.99 |
$149,640.99 |
$149,640.99 |
$11,811.60
|
|
Implant cochlear osia osi300
|
$22,244.69 |
$22,244.69 |
$22,244.69 |
$17,423.06
|
|
Implant power module patient cable cable 14 volt
|
$8,172.05 |
$8,172.05 |
$8,172.05 |
$4,275.95
|
|
Implant pulse generator remede el
|
$39,406.68 |
$39,406.68 |
$39,406.68 |
$50,985.00
|
|
Implant single ventricular device 33975
|
$13,696.99 |
$13,696.99 |
$13,696.99 |
$5,053.23
|
|
Implant ureth bulk agent
|
$1,690.58 |
$1,690.58 |
$1,690.58 |
$2,003.82
|
|
Impl neurostim electr perc
|
$6,776.85 |
$6,776.85 |
$6,776.85 |
$7,636.00
|
|
In-111 autol wbc diag per dose
|
$8,172.05 |
$8,172.05 |
$8,172.05 |
$3,704.00
|
|
In-111 pentetate dtpa / 0.5 mci
|
$2,135.29 |
$2,135.29 |
$2,135.29 |
$2,135.29
|
|
In-111 pentetreotide
|
$3,439.25 |
$3,439.25 |
$3,439.25 |
$6,617.05
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$1,775.80 |
$1,775.80 |
$1,775.80 |
$2,261.20
|
|
Incision of windpipe
|
$5,293.68 |
$5,293.68 |
$5,293.68 |
$5,564.16
|
|
Incision of windpipe
|
$5,293.68 |
$5,293.68 |
$5,293.68 |
$5,293.68
|
|
Incisn windpipe
|
$2,820.56 |
$2,820.56 |
$2,820.56 |
$3,837.72
|
|
Incobotulinumtoxin a
|
$1,304.79 |
$1,304.79 |
$1,304.79 |
$1,339.57
|
|
Infect ag drug suscept pheno predict
|
$63.11 |
$63.11 |
$63.11 |
$325.00
|
|
Infect ag eia influenza a or b ea
|
$43.57 |
$43.57 |
$43.57 |
$69.03
|
|
Infect ag genotype na hiv-1 other region
|
$38.36 |
$38.36 |
$38.36 |
$301.50
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$76.80 |
$76.80 |
$76.80 |
$574.60
|
|
Infect ag ia optc obs influenza
|
$126.04 |
$126.04 |
$126.04 |
$66.72
|
|
Infect ag if hep delta agent
|
$34.25 |
$34.25 |
$34.25 |
$125.97
|
|
Infect ag if influenza a
|
$21.10 |
$21.10 |
$21.10 |
$40.61
|
|
Infect ag if influenza b
|
$43.57 |
$43.57 |
$43.57 |
$34.67
|
|
Infect ag if legionella pneumophila
|
$69.05 |
$69.05 |
$69.05 |
$75.79
|
|
Infect ag if nos ea
|
$2.82 |
$2.82 |
$2.82 |
$60.40
|
|
Infect ag if pneumocystis carinii
|
$4.11 |
$4.11 |
$4.11 |
$62.29
|
|
Infect ag if varicella zoster
|
$2.77 |
$2.77 |
$2.77 |
$66.00
|
|
Infect ag na hpv high-risk types
|
$116.45 |
$116.45 |
$116.45 |
$139.75
|
|
Infect ag na influenza r/amp 1st 2 types
|
$217.56 |
$217.56 |
$217.56 |
$227.96
|
|
Infect ag na influenza revr/amp ea type
|
$130.43 |
$130.43 |
$130.43 |
$124.80
|
|
Infect ag na orthopoxvirus amp prb each
|
$23.29 |
$23.29 |
$23.29 |
$102.00
|
|
Infect ag na resp virus 12-25 targets
|
$319.49 |
$319.49 |
$319.49 |
$859.44
|
|
Infect ag phenotype na hiv-1 1-10 drugs
|
$189.52 |
$189.52 |
$189.52 |
$714.67
|
|
Infect ag phenotype na hiv-1 ea addl drg
|
$31.62 |
$31.62 |
$31.62 |
$77.00
|
|
Infectious agent antigen immunoassay direct optical observation sars-cov-2
|
$31.24 |
$31.24 |
$31.24 |
$47.50
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$45.49 |
$45.49 |
$45.49 |
$81.44
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$2.77 |
$2.77 |
$2.77 |
$63.60
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$4.11 |
$4.11 |
$4.11 |
$80.05
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$30.69 |
$30.69 |
$30.69 |
$77.28
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$74.26 |
$74.26 |
$74.26 |
$83.50
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$34.25 |
$34.25 |
$34.25 |
$77.72
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$22.75 |
$22.75 |
$22.75 |
$55.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$49.32 |
$49.32 |
$49.32 |
$101.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$40.01 |
$40.01 |
$40.01 |
$132.60
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$57.54 |
$57.54 |
$57.54 |
$97.50
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$2.42 |
$2.42 |
$2.42 |
$60.00
|
|
Infectious agent nucleic acid amplified probe
|
$111.80 |
$111.80 |
$111.80 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$72.34 |
$72.34 |
$72.34 |
$141.48
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$110.70 |
$110.70 |
$110.70 |
$174.06
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$210.16 |
$210.16 |
$210.16 |
$855.45
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$16.85 |
$16.85 |
$16.85 |
$178.00
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$117.82 |
$117.82 |
$117.82 |
$150.15
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$103.58 |
$103.58 |
$103.58 |
$210.00
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$72.34 |
$72.34 |
$72.34 |
$136.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$43.30 |
$43.30 |
$43.30 |
$103.20
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$73.44 |
$73.44 |
$73.44 |
$112.45
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$34.25 |
$34.25 |
$34.25 |
$200.20
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$332.64 |
$332.64 |
$332.64 |
$489.50
|
|
Infectious agent nucleic acid quantification bk virus
|
$10.93 |
$10.93 |
$10.93 |
$285.66
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$10.51 |
$10.51 |
$10.51 |
$226.35
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$10.67 |
$10.67 |
$10.67 |
$278.78
|
|
Infectious agent nucleic acid quantification hiv-1
|
$16.44 |
$16.44 |
$16.44 |
$381.55
|