|
Immobilizer shldr dlx str 24-36in med
|
$67.60 |
$67.60 |
$67.60 |
$118.43
|
|
Immune complex assay
|
$245.05 |
$245.05 |
$245.05 |
$101.60
|
|
Immunoassay tumor antigen quantitative ca 125
|
$123.50 |
$123.50 |
$123.50 |
$132.00
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$120.25 |
$120.25 |
$120.25 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$92.95 |
$92.95 |
$92.95 |
$48.57
|
|
Immunodiffusion nes
|
$139.10 |
$139.10 |
$139.10 |
$53.76
|
|
Immunofixation electrophoresis serum
|
$173.55 |
$173.55 |
$173.55 |
$142.50
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$276.90 |
$276.90 |
$276.90 |
$154.05
|
|
Immunofluorescence per specimen initial single antibody stain
|
$872.30 |
$872.30 |
$872.30 |
$234.27
|
|
Immunoglobulin assay
|
$286.00 |
$286.00 |
$286.00 |
$78.00
|
|
Implant cartilage 10mm synthetic
|
$16,272.75 |
$16,272.75 |
$16,272.75 |
$8,332.51
|
|
Implant neuroelectrodes
|
$13,414.70 |
$13,414.70 |
$13,414.70 |
$8,836.80
|
|
Implant ureth bulk agent
|
$7,771.40 |
$7,771.40 |
$7,771.40 |
$2,168.00
|
|
Impl neurostim electr perc
|
$11,607.05 |
$11,607.05 |
$11,607.05 |
$7,672.50
|
|
Impres&prep oral surg splint
|
$685.10 |
$685.10 |
$685.10 |
$1,751.20
|
|
Imuglucerase injection
|
$5,575.75 |
$5,575.75 |
$5,575.75 |
$3,399.59
|
|
In-111 autol wbc diag per dose
|
$2,324.40 |
$2,324.40 |
$2,324.40 |
$3,493.75
|
|
In-111 capromab pendet
|
$5,755.10 |
$5,755.10 |
$5,755.10 |
$3,141.45
|
|
In-111 pentetate dtpa / 0.5 mci
|
$748.15 |
$748.15 |
$748.15 |
$2,598.17
|
|
In-111 pentetreotide
|
$8,063.25 |
$8,063.25 |
$8,063.25 |
$5,294.90
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$1,700.40 |
$1,700.40 |
$1,700.40 |
$2,086.70
|
|
Incision of breast lesion
|
$4,427.80 |
$4,427.80 |
$4,427.80 |
$2,577.85
|
|
Incision of tongue fold
|
$884.65 |
$884.65 |
$884.65 |
$1,792.50
|
|
Infect ag drug suscept pheno predict
|
$551.20 |
$551.20 |
$551.20 |
$325.00
|
|
Infect ag genotype na dna hepatitis b
|
$534.95 |
$534.95 |
$534.95 |
$409.27
|
|
Infect ag genotype na hiv-1 other region
|
$493.35 |
$493.35 |
$493.35 |
$361.65
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$978.90 |
$978.90 |
$978.90 |
$603.83
|
|
Infect ag ia direct hiv-1 antgn
|
$62.40 |
$62.40 |
$62.40 |
$95.55
|
|
Infect ag ia optc obs influenza
|
$43.55 |
$43.55 |
$43.55 |
$72.93
|
|
Infect ag if influenza a
|
$45.50 |
$45.50 |
$45.50 |
$41.30
|
|
Infect ag if influenza b
|
$45.50 |
$45.50 |
$45.50 |
$37.95
|
|
Infect ag if legionella pneumophila
|
$71.50 |
$71.50 |
$71.50 |
$73.45
|
|
Infect ag if nos ea
|
$20.15 |
$20.15 |
$20.15 |
$74.88
|
|
Infect ag if pneumocystis carinii
|
$59.15 |
$59.15 |
$59.15 |
$66.06
|
|
Infect ag if varicella zoster
|
$79.95 |
$79.95 |
$79.95 |
$72.00
|
|
Infect ag na herpes simplex quant
|
$100.75 |
$100.75 |
$100.75 |
$178.86
|
|
Infect ag na hpv high-risk types
|
$150.80 |
$150.80 |
$150.80 |
$139.20
|
|
Infect ag na influenza r/amp 1st 2 types
|
$200.20 |
$200.20 |
$200.20 |
$219.70
|
|
Infect ag na orthopoxvirus amp prb each
|
$50.70 |
$50.70 |
$50.70 |
$100.00
|
|
Infect ag na resp virus 12-25 targets
|
$899.60 |
$899.60 |
$899.60 |
$854.70
|
|
Infect ag phenotype na hiv-1 1-10 drugs
|
$1,210.95 |
$1,210.95 |
$1,210.95 |
$954.00
|
|
Infect ag phenotype na hiv-1 ea addl drg
|
$71.50 |
$71.50 |
$71.50 |
$75.63
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$114.40 |
$114.40 |
$114.40 |
$83.60
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$102.05 |
$102.05 |
$102.05 |
$72.80
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$37.70 |
$37.70 |
$37.70 |
$76.00
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$88.40 |
$88.40 |
$88.40 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$84.50 |
$84.50 |
$84.50 |
$103.40
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$95.55 |
$95.55 |
$95.55 |
$81.20
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$50.05 |
$50.05 |
$50.05 |
$60.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$73.45 |
$73.45 |
$73.45 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$261.30 |
$261.30 |
$261.30 |
$129.00
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$45.50 |
$45.50 |
$45.50 |
$98.58
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$102.70 |
$102.70 |
$102.70 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$730.60 |
$730.60 |
$730.60 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$227.50 |
$227.50 |
$227.50 |
$141.95
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$180.05 |
$180.05 |
$180.05 |
$167.05
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$541.45 |
$541.45 |
$541.45 |
$864.67
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$251.55 |
$251.55 |
$251.55 |
$181.35
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$92.95 |
$92.95 |
$92.95 |
$149.13
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$803.40 |
$803.40 |
$803.40 |
$212.16
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$178.10 |
$178.10 |
$178.10 |
$137.67
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$112.45 |
$112.45 |
$112.45 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$119.60 |
$119.60 |
$119.60 |
$236.08
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$40.95 |
$40.95 |
$40.95 |
$96.00
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$1,017.90 |
$1,017.90 |
$1,017.90 |
$727.50
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$473.20 |
$473.20 |
$473.20 |
$289.91
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$392.60 |
$392.60 |
$392.60 |
$432.63
|
|
Infectious agent nucleic acid quantification bk virus
|
$527.15 |
$527.15 |
$527.15 |
$283.00
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$398.45 |
$398.45 |
$398.45 |
$242.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$221.00 |
$221.00 |
$221.00 |
$253.00
|
|
Infectious agent nucleic acid quantification hiv-1
|
$316.55 |
$316.55 |
$316.55 |
$375.00
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$237.90 |
$237.90 |
$237.90 |
$304.20
|
|
Infliximab 100 mg intravenous solution
|
$4,044.38 |
$4,044.38 |
$4,044.38 |
$2,047.13
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$554.45 |
$554.45 |
$554.45 |
$296.00
|
|
Inj andexxa, 10 mg
|
$8,658.00 |
$8,658.00 |
$8,658.00 |
$4,370.80
|
|
Inj., benralizumab, 1 mg
|
$18,531.17 |
$18,531.17 |
$18,531.17 |
$11,310.00
|
|
Inj beta interferon sq 1 mcg
|
$3,967.93 |
$3,967.93 |
$3,967.93 |
$2,397.11
|
|
Inj, bezlotoxumab, 10 mg
|
$329.00 |
$329.00 |
$329.00 |
$7,612.43
|
|
Inj, biorphen, 20 micrograms
|
$9.75 |
$9.75 |
$9.75 |
$17.33
|
|
Inj, bupivacaine liposome
|
$62.46 |
$62.46 |
$62.46 |
$699.38
|
|
Inj calcitriol per 0.1 mcg
|
$53.96 |
$53.96 |
$53.96 |
$22.69
|
|
Inj, cefiderocol, 10 mg
|
$657.14 |
$657.14 |
$657.14 |
$544.85
|
|
Inj ceftolozane tazobactam
|
$433.66 |
$433.66 |
$433.66 |
$364.86
|
|
Inj cntr knee arthro incl ct/mri
|
$477.75 |
$477.75 |
$477.75 |
$436.80
|
|
Inj crotalidae im f(ab')2 eq
|
$4,225.10 |
$4,225.10 |
$4,225.10 |
$2,613.60
|
|
Inj disk cerv-thor ea lev
|
$3,931.85 |
$3,931.85 |
$3,931.85 |
$875.28
|
|
Inj dx for sinogram
|
$813.80 |
$813.80 |
$813.80 |
$436.00
|
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
|
$1,939.60 |
$1,939.60 |
$1,939.60 |
$1,214.78
|
|
Injection arthrography hip without anesthesia (both sides)
|
$477.75 |
$477.75 |
$477.75 |
$503.50
|
|
Injection, belinostat, 10mg
|
$7,465.38 |
$7,465.38 |
$7,465.38 |
$4,446.10
|
|
Injection, caplacizumab-yhdp
|
$28,543.70 |
$28,543.70 |
$28,543.70 |
$16,319.16
|
|
Injection during cath supravalvular aortography
|
$1,721.20 |
$1,721.20 |
$1,721.20 |
$1,027.26
|
|
Injection epidural blood patch or clot
|
$1,594.45 |
$1,594.45 |
$1,594.45 |
$1,182.33
|
|
Injection for arthrography wrist (both sides)
|
$193.05 |
$193.05 |
$193.05 |
$436.00
|
|
Injection for bladder x-ray
|
$1,599.65 |
$1,599.65 |
$1,599.65 |
$459.20
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$477.75 |
$477.75 |
$477.75 |
$497.76
|
|
Injection for spleen x-ray
|
$332.15 |
$332.15 |
$332.15 |
$686.40
|
|
Injection for ureter x-ray
|
$382.85 |
$382.85 |
$382.85 |
$415.80
|
|
Injection for ureter x-ray
|
$352.30 |
$352.30 |
$352.30 |
$515.21
|
|
Injection, fulvestrant
|
$671.53 |
$671.53 |
$671.53 |
$1,719.16
|