|
I&d upper arm/elbow deep abscess/hematoma
|
$14,922.05 |
$14,922.05 |
$14,922.05 |
$3,371.02
|
|
Ifosfamide 1 gram intravenous solution
|
$293.15 |
$293.15 |
$293.15 |
$246.95
|
|
Igh gene rearrange amp meth
|
$201.50 |
$201.50 |
$201.50 |
$464.25
|
|
Igh@ var region somatic mutation analy
|
$685.75 |
$685.75 |
$685.75 |
$660.80
|
|
Igk rearrangeabn clonal pop
|
$215.15 |
$215.15 |
$215.15 |
$399.36
|
|
Ihc/icc per specimen each additional single antibody stain
|
$650.00 |
$650.00 |
$650.00 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$650.00 |
$650.00 |
$650.00 |
$331.20
|
|
Ihc/icc per specimen initial single antibody stain
|
$745.55 |
$745.55 |
$745.55 |
$277.90
|
|
Ikbkap gene
|
$255.45 |
$255.45 |
$255.45 |
$173.49
|
|
Iliac revasc add-on 37222
|
$25,559.30 |
$25,559.30 |
$25,559.30 |
$6,082.65
|
|
Imetelstat 188 mg intravenous solution
|
$232.70 |
$232.70 |
$232.70 |
$20,373.55
|
|
Immobilizer shldr cntor adlt
|
$52.00 |
$52.00 |
$52.00 |
$175.60
|
|
Immobilizer shldr dlx str 24-36in med
|
$80.60 |
$80.60 |
$80.60 |
$118.43
|
|
Immune complex assay
|
$45.50 |
$45.50 |
$45.50 |
$101.60
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$411.45 |
$411.45 |
$411.45 |
$6,106.32
|
|
Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution
|
$488.15 |
$488.15 |
$488.15 |
$2,900.11
|
|
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution
|
$457.60 |
$457.60 |
$457.60 |
$3,846.15
|
|
Immunoassay tumor antigen quantitative ca 125
|
$289.90 |
$289.90 |
$289.90 |
$132.00
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$243.75 |
$243.75 |
$243.75 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$27.95 |
$27.95 |
$27.95 |
$48.57
|
|
Immunofixation electrophoresis serum
|
$704.60 |
$704.60 |
$704.60 |
$142.50
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$547.30 |
$547.30 |
$547.30 |
$154.05
|
|
Immunofluorescence per specimen initial single antibody stain
|
$547.30 |
$547.30 |
$547.30 |
$234.27
|
|
Immunoglobulin assay
|
$547.95 |
$547.95 |
$547.95 |
$78.00
|
|
Implant cartilage 10mm synthetic
|
$92,872.00 |
$92,872.00 |
$92,872.00 |
$8,332.51
|
|
Implant cochlear osia osi300
|
$19,338.80 |
$19,338.80 |
$19,338.80 |
$16,195.55
|
|
Implant hormone pellet(s) 11980
|
$948.35 |
$948.35 |
$948.35 |
$315.75
|
|
Implant single ventricular device 33975
|
$66,358.50 |
$66,358.50 |
$66,358.50 |
$5,053.23
|
|
Implant tcat pulm vlv perq
|
$53,867.45 |
$53,867.45 |
$53,867.45 |
$12,623.60
|
|
Implant ureth bulk agent
|
$3,548.35 |
$3,548.35 |
$3,548.35 |
$2,168.00
|
|
Implnt bio implnt for soft tiss reinforcement 15777
|
$4,574.70 |
$4,574.70 |
$4,574.70 |
$1,072.00
|
|
Impreg gauze no h20/sal/yard
|
$18.20 |
$18.20 |
$18.20 |
$11.90
|
|
Imuglucerase injection
|
$383.50 |
$383.50 |
$383.50 |
$3,399.59
|
|
In-111 capromab pendet
|
$3,141.45 |
$3,141.45 |
$3,141.45 |
$3,141.45
|
|
In-111 ibritumomab tiux dx
|
$3,217.50 |
$3,217.50 |
$3,217.50 |
$4,748.02
|
|
In-111 oxyquinolin per 0.5 mci
|
$1,942.20 |
$1,942.20 |
$1,942.20 |
$2,753.23
|
|
In-111 pentetate dtpa / 0.5 mci
|
$1,942.20 |
$1,942.20 |
$1,942.20 |
$2,598.17
|
|
In-111 pentetreotide
|
$4,944.55 |
$4,944.55 |
$4,944.55 |
$5,294.90
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$1,896.05 |
$1,896.05 |
$1,896.05 |
$2,086.70
|
|
Incision of achilles tendon
|
$6,369.35 |
$6,369.35 |
$6,369.35 |
$3,318.90
|
|
Incision of breast lesion
|
$5,096.65 |
$5,096.65 |
$5,096.65 |
$2,577.85
|
|
Incision of burn scab initi
|
$508.95 |
$508.95 |
$508.95 |
$494.40
|
|
Incision of metatarsal
|
$5,892.90 |
$5,892.90 |
$5,892.90 |
$4,881.00
|
|
Incisn windpipe
|
$8,453.90 |
$8,453.90 |
$8,453.90 |
$3,819.23
|
|
Incobotulinumtoxin a
|
$36.40 |
$36.40 |
$36.40 |
$1,339.57
|
|
Indigotindisulfonate 8 mg/ml soln 5 ml ampule
|
$96.20 |
$96.20 |
$96.20 |
$766.66
|
|
Infect ag eia influenza a or b ea
|
$333.45 |
$333.45 |
$333.45 |
$71.20
|
|
Infect ag genotype na cytomegalovirus
|
$1,238.25 |
$1,238.25 |
$1,238.25 |
$665.40
|
|
Infect ag ia optc obs chlamydia trach
|
$99.45 |
$99.45 |
$99.45 |
$96.32
|
|
Infect ag ia optc obs influenza
|
$339.95 |
$339.95 |
$339.95 |
$72.93
|
|
Infect ag if legionella pneumophila
|
$85.15 |
$85.15 |
$85.15 |
$73.45
|
|
Infect ag if pneumocystis carinii
|
$39.00 |
$39.00 |
$39.00 |
$66.06
|
|
Infect ag na hpv high-risk types
|
$63.70 |
$63.70 |
$63.70 |
$139.20
|
|
Infect ag na influenza r/amp 1st 2 types
|
$206.70 |
$206.70 |
$206.70 |
$219.70
|
|
Infect ag na orthopoxvirus amp prb each
|
$150.80 |
$150.80 |
$150.80 |
$100.00
|
|
Infect ag na resp virus 12-25 targets
|
$549.90 |
$549.90 |
$549.90 |
$854.70
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$191.75 |
$191.75 |
$191.75 |
$83.60
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$35.10 |
$35.10 |
$35.10 |
$76.00
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$32.50 |
$32.50 |
$32.50 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$81.90 |
$81.90 |
$81.90 |
$103.40
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$332.15 |
$332.15 |
$332.15 |
$81.20
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$103.35 |
$103.35 |
$103.35 |
$60.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$245.05 |
$245.05 |
$245.05 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$253.50 |
$253.50 |
$253.50 |
$129.00
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$388.05 |
$388.05 |
$388.05 |
$98.58
|
|
Infectious agent nucleic acid amplified probe
|
$905.45 |
$905.45 |
$905.45 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$53.30 |
$53.30 |
$53.30 |
$141.95
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$198.25 |
$198.25 |
$198.25 |
$167.05
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$770.90 |
$770.90 |
$770.90 |
$864.67
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$121.55 |
$121.55 |
$121.55 |
$181.35
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$121.55 |
$121.55 |
$121.55 |
$149.13
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$348.40 |
$348.40 |
$348.40 |
$212.16
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$53.30 |
$53.30 |
$53.30 |
$137.67
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$128.70 |
$128.70 |
$128.70 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$139.10 |
$139.10 |
$139.10 |
$236.08
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$146.90 |
$146.90 |
$146.90 |
$96.00
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$494.65 |
$494.65 |
$494.65 |
$195.60
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$695.50 |
$695.50 |
$695.50 |
$727.50
|
|
Infectious agent nucleic acid quantification bk virus
|
$495.30 |
$495.30 |
$495.30 |
$283.00
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$250.25 |
$250.25 |
$250.25 |
$242.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$193.70 |
$193.70 |
$193.70 |
$253.00
|
|
Infectious agent nucleic acid quantification hiv-1
|
$178.75 |
$178.75 |
$178.75 |
$375.00
|
|
Infliximab 100 mg intravenous solution
|
$543.40 |
$543.40 |
$543.40 |
$2,047.13
|
|
Infliximab-axxq 100 mg intravenous solution
|
$304.85 |
$304.85 |
$304.85 |
$1,062.00
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$445.90 |
$445.90 |
$445.90 |
$1,537.84
|
|
Ingest challenge ea addl 60 min
|
$707.85 |
$707.85 |
$707.85 |
$289.64
|
|
Ingest challenge ini 120 min
|
$1,414.40 |
$1,414.40 |
$1,414.40 |
$764.78
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$618.80 |
$618.80 |
$618.80 |
$296.00
|
|
Inj, acetaminophen (b braun)
|
$79.30 |
$79.30 |
$79.30 |
$32.79
|
|
Inj acetaminophen -fresenius
|
$93.60 |
$93.60 |
$93.60 |
$36.60
|
|
Inj, acetaminophen (hikma)
|
$115.70 |
$115.70 |
$115.70 |
$56.70
|
|
Inj. acthar gel to 40 units
|
$17,231.50 |
$17,231.50 |
$17,231.50 |
$7,918.32
|
|
Inj, adalimumab, 1 mg
|
$701.35 |
$701.35 |
$701.35 |
$12,098.05
|
|
Inj, adstiladrin, per tx dos
|
$249,373.80 |
$249,373.80 |
$249,373.80 |
$63,354.77
|
|
Inj, aducanumab-avwa, 2 mg
|
$15.60 |
$15.60 |
$15.60 |
$5.98
|
|
Inj allopurinol sodium 1 mg
|
$19,180.85 |
$19,180.85 |
$19,180.85 |
$6,968.99
|
|
Inj alymsys 10 mg
|
$363.35 |
$363.35 |
$363.35 |
$1,280.74
|
|
Inj andexxa, 10 mg
|
$536.90 |
$536.90 |
$536.90 |
$4,370.80
|
|
Inj anifrolumab-fnia 1mg
|
$79.95 |
$79.95 |
$79.95 |
$10,052.58
|
|
Inj, artesunate, 1mg
|
$424.80 |
$424.80 |
$424.80 |
$14,460.21
|