|
Idarubicin hcl injection
|
$8.15 |
$8.15 |
$8.15 |
$447.02
|
|
Idh1 common variants
|
$250.56 |
$250.56 |
$250.56 |
$415.35
|
|
Idh2 common variants
|
$383.62 |
$383.62 |
$383.62 |
$486.00
|
|
Ifnl3 gene
|
$95.47 |
$95.47 |
$95.47 |
$147.20
|
|
Igh gene rearrange amp meth
|
$256.61 |
$256.61 |
$256.61 |
$464.25
|
|
Igh@ var region somatic mutation analy
|
$381.89 |
$381.89 |
$381.89 |
$660.80
|
|
Igk rearrangeabn clonal pop
|
$224.21 |
$224.21 |
$224.21 |
$399.36
|
|
Ihc/icc per specimen each additional single antibody stain
|
$155.72 |
$155.72 |
$155.72 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$332.11 |
$332.11 |
$332.11 |
$331.20
|
|
Ihc/icc per specimen initial single antibody stain
|
$176.40 |
$176.40 |
$176.40 |
$277.90
|
|
Iliac/fem angio cath insert
|
$1,660.53 |
$1,660.53 |
$1,660.53 |
$1,856.01
|
|
Iliac revasc add-on 37222
|
$5,798.48 |
$5,798.48 |
$5,798.48 |
$6,082.65
|
|
Immune complex assay
|
$19.76 |
$19.76 |
$19.76 |
$101.60
|
|
Immunoassay tumor antigen quantitative ca 125
|
$16.82 |
$16.82 |
$16.82 |
$132.00
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$16.82 |
$16.82 |
$16.82 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$14.95 |
$14.95 |
$14.95 |
$48.57
|
|
Immunodiffusion nes
|
$14.69 |
$14.69 |
$14.69 |
$53.76
|
|
Immunofixation electrophoresis serum
|
$37.91 |
$37.91 |
$37.91 |
$142.50
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$209.73 |
$209.73 |
$209.73 |
$154.05
|
|
Immunofluorescence per specimen initial single antibody stain
|
$281.47 |
$281.47 |
$281.47 |
$234.27
|
|
Immunoglobulin assay
|
$63.01 |
$63.01 |
$63.01 |
$78.00
|
|
Implant cartilage 10mm synthetic
|
$73,125.58 |
$73,125.58 |
$73,125.58 |
$8,332.51
|
|
Implant cochlear osia osi300
|
$22,751.20 |
$22,751.20 |
$22,751.20 |
$16,195.55
|
|
Implant neuroelectrodes
|
$2,605.12 |
$2,605.12 |
$2,605.12 |
$8,836.80
|
|
Implant neuroelectrodes
|
$3,201.86 |
$3,201.86 |
$3,201.86 |
$7,728.86
|
|
Implant pulse generator remede el
|
$56,875.78 |
$56,875.78 |
$56,875.78 |
$43,752.80
|
|
Implant spine infusion pump
|
$3,449.95 |
$3,449.95 |
$3,449.95 |
$17,270.40
|
|
Implant ureth bulk agent
|
$2,264.96 |
$2,264.96 |
$2,264.96 |
$2,168.00
|
|
Impl neurostim electr perc
|
$2,673.06 |
$2,673.06 |
$2,673.06 |
$7,672.50
|
|
Implnt spinl canal catheter 62350
|
$3,499.12 |
$3,499.12 |
$3,499.12 |
$5,095.20
|
|
In-111 autol wbc diag per dose
|
$2,313.72 |
$2,313.72 |
$2,313.72 |
$3,493.75
|
|
In-111 oxyquinolin per 0.5 mci
|
$878.00 |
$878.00 |
$878.00 |
$2,753.23
|
|
In-111 pentetate dtpa / 0.5 mci
|
$936.23 |
$936.23 |
$936.23 |
$2,598.17
|
|
In-111 pentetreotide
|
$1,482.41 |
$1,482.41 |
$1,482.41 |
$5,294.90
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$1,053.13 |
$1,053.13 |
$1,053.13 |
$2,086.70
|
|
Infect ag drug suscept pheno predict
|
$109.37 |
$109.37 |
$109.37 |
$325.00
|
|
Infect ag eia influenza a or b ea
|
$12.00 |
$12.00 |
$12.00 |
$71.20
|
|
Infect ag genotype na cytomegalovirus
|
$215.67 |
$215.67 |
$215.67 |
$665.40
|
|
Infect ag genotype na hiv-1 other region
|
$107.97 |
$107.97 |
$107.97 |
$361.65
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$215.67 |
$215.67 |
$215.67 |
$603.83
|
|
Infect ag ia optc obs influenza
|
$13.95 |
$13.95 |
$13.95 |
$72.93
|
|
Infect ag if ea plyvlnt antsrm
|
$16.74 |
$16.74 |
$16.74 |
$68.40
|
|
Infect ag if influenza a
|
$16.74 |
$16.74 |
$16.74 |
$41.30
|
|
Infect ag if influenza b
|
$16.74 |
$16.74 |
$16.74 |
$37.95
|
|
Infect ag if pneumocystis carinii
|
$21.20 |
$21.20 |
$21.20 |
$66.06
|
|
Infect ag if varicella zoster
|
$16.74 |
$16.74 |
$16.74 |
$72.00
|
|
Infect ag na hep b amp
|
$37.67 |
$37.67 |
$37.67 |
$120.50
|
|
Infect ag na herpes simplex quant
|
$35.99 |
$35.99 |
$35.99 |
$178.86
|
|
Infect ag na hpv high-risk types
|
$29.57 |
$29.57 |
$29.57 |
$139.20
|
|
Infect ag na influenza r/amp 1st 2 types
|
$80.35 |
$80.35 |
$80.35 |
$219.70
|
|
Infect ag na orthopoxvirus amp prb each
|
$42.97 |
$42.97 |
$42.97 |
$100.00
|
|
Infect ag na resp virus 12-25 targets
|
$349.03 |
$349.03 |
$349.03 |
$854.70
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$16.74 |
$16.74 |
$16.74 |
$83.60
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$11.72 |
$11.72 |
$11.72 |
$76.00
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$18.41 |
$18.41 |
$18.41 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$20.92 |
$20.92 |
$20.92 |
$103.40
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$64.45 |
$64.45 |
$64.45 |
$81.20
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$23.72 |
$23.72 |
$23.72 |
$60.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$24.27 |
$24.27 |
$24.27 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$61.38 |
$61.38 |
$61.38 |
$129.00
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$10.04 |
$10.04 |
$10.04 |
$98.58
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$17.86 |
$17.86 |
$17.86 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$158.75 |
$158.75 |
$158.75 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$32.08 |
$32.08 |
$32.08 |
$141.95
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$31.25 |
$31.25 |
$31.25 |
$167.05
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$349.03 |
$349.03 |
$349.03 |
$864.67
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$29.57 |
$29.57 |
$29.57 |
$181.35
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$29.57 |
$29.57 |
$29.57 |
$149.13
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$35.15 |
$35.15 |
$35.15 |
$212.16
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$29.57 |
$29.57 |
$29.57 |
$137.67
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$42.97 |
$42.97 |
$42.97 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$119.41 |
$119.41 |
$119.41 |
$206.00
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$29.57 |
$29.57 |
$29.57 |
$96.00
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$30.97 |
$30.97 |
$30.97 |
$112.45
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$349.03 |
$349.03 |
$349.03 |
$727.50
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$107.42 |
$107.42 |
$107.42 |
$289.91
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$220.13 |
$220.13 |
$220.13 |
$432.63
|
|
Infectious agent nucleic acid quantification bk virus
|
$76.73 |
$76.73 |
$76.73 |
$283.00
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$35.99 |
$35.99 |
$35.99 |
$242.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$41.01 |
$41.01 |
$41.01 |
$253.00
|
|
Infectious agent nucleic acid quantification hiv-1
|
$71.42 |
$71.42 |
$71.42 |
$375.00
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$119.41 |
$119.41 |
$119.41 |
$304.20
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$133.16 |
$133.16 |
$133.16 |
$296.00
|
|
Inj cntr knee arthro incl ct/mri
|
$177.01 |
$177.01 |
$177.01 |
$436.80
|
|
Inj disk cerv-thor ea lev
|
$349.11 |
$349.11 |
$349.11 |
$875.28
|
|
Inj dx for sinogram
|
$185.95 |
$185.95 |
$185.95 |
$436.00
|
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
|
$985.19 |
$985.19 |
$985.19 |
$1,214.78
|
|
Injection arthrography hip without anesthesia (both sides)
|
$248.98 |
$248.98 |
$248.98 |
$503.50
|
|
Injection carpal tunnel therapeutic (both sides)
|
$315.14 |
$315.14 |
$315.14 |
$458.15
|
|
Injection during cath supravalvular aortography
|
$254.55 |
$254.55 |
$254.55 |
$1,027.26
|
|
Injection epidural blood patch or clot
|
$490.36 |
$490.36 |
$490.36 |
$1,182.33
|
|
Injection for arthrography wrist (both sides)
|
$267.75 |
$267.75 |
$267.75 |
$436.00
|
|
Injection for bladder x-ray
|
$171.20 |
$171.20 |
$171.20 |
$459.20
|
|
Injection for hip x-ray
|
$406.32 |
$406.32 |
$406.32 |
$763.60
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$220.82 |
$220.82 |
$220.82 |
$497.76
|
|
Injection for ureter x-ray
|
$349.55 |
$349.55 |
$349.55 |
$415.80
|
|
Injection for ureter x-ray
|
$801.02 |
$801.02 |
$801.02 |
$515.21
|
|
Injection jaw joint x-ray
|
$114.43 |
$114.43 |
$114.43 |
$307.80
|
|
Injection of sinus tract
|
$983.40 |
$983.40 |
$983.40 |
$1,640.99
|
|
Injection radioactive tracer sentinel node (both sides)
|
$407.22 |
$407.22 |
$407.22 |
$685.44
|