|
I-123 ioflupane diag
|
$3,578.40 |
$3,578.40 |
$3,578.40 |
$3,887.10
|
|
I-123 sod iodide diag per 100 uci
|
$129.20 |
$129.20 |
$129.20 |
$158.05
|
|
I131 iodide cap, rx
|
$58.40 |
$58.40 |
$58.40 |
$91.83
|
|
Iadna legionella pneumophila amplified probe tq
|
$92.84 |
$92.84 |
$92.84 |
$125.25
|
|
Ia infect ag ab qual/semiquant sgl step
|
$22.08 |
$22.08 |
$22.08 |
$48.57
|
|
Ibandronate 3 mg/3 ml intravenous syringe
|
$298.44 |
$298.44 |
$298.44 |
$839.85
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$428.24 |
$428.24 |
$428.24 |
$891.89
|
|
Icatibant injection
|
$66.00 |
$66.00 |
$66.00 |
$3,939.88
|
|
Idarubicin hcl injection
|
$635.52 |
$635.52 |
$635.52 |
$544.37
|
|
Idursulfase injection
|
$610.64 |
$610.64 |
$610.64 |
$3,658.47
|
|
Ifosfamide 1 gram intravenous solution
|
$335.20 |
$335.20 |
$335.20 |
$289.34
|
|
Igh@/bcl2 translocation alys
|
$107.20 |
$107.20 |
$107.20 |
$228.04
|
|
Igh gene rearrange amp meth
|
$90.00 |
$90.00 |
$90.00 |
$464.25
|
|
Igh@ var region somatic mutation analy
|
$218.80 |
$218.80 |
$218.80 |
$660.80
|
|
Igk rearrangeabn clonal pop
|
$90.00 |
$90.00 |
$90.00 |
$373.16
|
|
Ihc/icc per specimen each additional single antibody stain
|
$124.00 |
$124.00 |
$124.00 |
$191.75
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$216.80 |
$216.80 |
$216.80 |
$339.73
|
|
Ihc/icc per specimen initial single antibody stain
|
$164.80 |
$164.80 |
$164.80 |
$266.76
|
|
Imetelstat 188 mg intravenous solution
|
$62.92 |
$62.92 |
$62.92 |
$57.02
|
|
Immune complex assay
|
$33.24 |
$33.24 |
$33.24 |
$88.80
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$150.74 |
$150.74 |
$150.74 |
$5,617.36
|
|
Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution
|
$49.52 |
$49.52 |
$49.52 |
$2,568.72
|
|
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution
|
$85.60 |
$85.60 |
$85.60 |
$5,495.02
|
|
Immunoassay tumor antigen quantitative ca 125
|
$106.20 |
$106.20 |
$106.20 |
$123.50
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$123.56 |
$123.56 |
$123.56 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$57.44 |
$57.44 |
$57.44 |
$53.95
|
|
Immunodiffusion nes
|
$5.95 |
$5.95 |
$5.95 |
$53.76
|
|
Immunofixation electrophoresis serum
|
$48.40 |
$48.40 |
$48.40 |
$133.38
|
|
Immunoglobulin assay
|
$13.64 |
$13.64 |
$13.64 |
$74.00
|
|
Imported lipodox inj
|
$679.76 |
$679.76 |
$679.76 |
$679.76
|
|
Imuglucerase injection
|
$92.48 |
$92.48 |
$92.48 |
$343.20
|
|
In-111 autol wbc diag per dose
|
$5,683.20 |
$5,683.20 |
$5,683.20 |
$3,704.00
|
|
In-111 pentetate dtpa / 0.5 mci
|
$1,508.80 |
$1,508.80 |
$1,508.80 |
$2,135.29
|
|
In-111 pentetreotide
|
$12,132.80 |
$12,132.80 |
$12,132.80 |
$6,617.05
|
|
Infect ag eia influenza a or b ea
|
$30.64 |
$30.64 |
$30.64 |
$69.03
|
|
Infect ag ia optc obs influenza
|
$20.44 |
$20.44 |
$20.44 |
$66.72
|
|
Infect ag if influenza b
|
$31.92 |
$31.92 |
$31.92 |
$34.67
|
|
Infect ag if nos ea
|
$10.20 |
$10.20 |
$10.20 |
$60.40
|
|
Infect ag if pneumocystis carinii
|
$5.10 |
$5.10 |
$5.10 |
$62.29
|
|
Infect ag na herpes simplex quant
|
$63.52 |
$63.52 |
$63.52 |
$145.20
|
|
Infect ag na hpv high-risk types
|
$164.00 |
$164.00 |
$164.00 |
$139.75
|
|
Infect ag na influenza r/amp 1st 2 types
|
$149.20 |
$149.20 |
$149.20 |
$227.96
|
|
Infect ag na orthopoxvirus amp prb each
|
$34.00 |
$34.00 |
$34.00 |
$102.00
|
|
Infect ag na resp virus 12-25 targets
|
$858.92 |
$858.92 |
$858.92 |
$859.44
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$43.52 |
$43.52 |
$43.52 |
$81.44
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$110.92 |
$110.92 |
$110.92 |
$83.50
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$30.48 |
$30.48 |
$30.48 |
$77.72
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$17.64 |
$17.64 |
$17.64 |
$55.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$27.84 |
$27.84 |
$27.84 |
$101.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$64.32 |
$64.32 |
$64.32 |
$132.60
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$49.68 |
$49.68 |
$49.68 |
$97.50
|
|
Infectious agent nucleic acid amplified probe
|
$101.20 |
$101.20 |
$101.20 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$84.00 |
$84.00 |
$84.00 |
$141.48
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$76.32 |
$76.32 |
$76.32 |
$174.06
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$1,102.48 |
$1,102.48 |
$1,102.48 |
$855.45
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$186.64 |
$186.64 |
$186.64 |
$178.00
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$100.84 |
$100.84 |
$100.84 |
$150.15
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$84.00 |
$84.00 |
$84.00 |
$136.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$95.80 |
$95.80 |
$95.80 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$229.20 |
$229.20 |
$229.20 |
$222.60
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$266.40 |
$266.40 |
$266.40 |
$248.15
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$83.36 |
$83.36 |
$83.36 |
$98.15
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$58.60 |
$58.60 |
$58.60 |
$112.45
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$778.08 |
$778.08 |
$778.08 |
$727.50
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$409.21 |
$409.21 |
$409.21 |
$489.50
|
|
Infectious agent nucleic acid quantification bk virus
|
$771.36 |
$771.36 |
$771.36 |
$285.66
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$33.50 |
$33.50 |
$33.50 |
$226.35
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$288.84 |
$288.84 |
$288.84 |
$278.78
|
|
Infectious agent nucleic acid quantification hiv-1
|
$211.72 |
$211.72 |
$211.72 |
$381.55
|
|
Infliximab 100 mg intravenous solution
|
$151.92 |
$151.92 |
$151.92 |
$2,791.24
|
|
Infliximab-axxq 100 mg intravenous solution
|
$26.68 |
$26.68 |
$26.68 |
$1,144.00
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$70.03 |
$70.03 |
$70.03 |
$1,654.83
|
|
Influenza dna amp prob addl
|
$39.12 |
$39.12 |
$39.12 |
$69.60
|
|
Inj, aducanumab-avwa, 2 mg
|
$6.75 |
$6.75 |
$6.75 |
$5.98
|
|
Inj anifrolumab-fnia 1mg
|
$18.32 |
$18.32 |
$18.32 |
$9,878.82
|
|
Inj, aspara, rylaze, 0.1 mg
|
$81.97 |
$81.97 |
$81.97 |
$81.97
|
|
Inj aval alfa-nqpt 4mg
|
$81.83 |
$81.83 |
$81.83 |
$77.75
|
|
Inj., benralizumab, 1 mg
|
$268.40 |
$268.40 |
$268.40 |
$16,865.48
|
|
Inj, bezlotoxumab, 10 mg
|
$40.52 |
$40.52 |
$40.52 |
$9,702.65
|
|
Inj, bupivacaine liposome
|
$2.64 |
$2.64 |
$2.64 |
$816.31
|
|
Inj ceftolozane tazobactam
|
$14.80 |
$14.80 |
$14.80 |
$447.36
|
|
Inj, clevidipine butyrate
|
$6.36 |
$6.36 |
$6.36 |
$3.39
|
|
Inj crotalidae im f(ab')2 eq
|
$1,758.40 |
$1,758.40 |
$1,758.40 |
$2,836.95
|
|
Inj, donanemab-azbt, 2 mg
|
$6.20 |
$6.20 |
$6.20 |
$121.74
|
|
Inj, durolane 1 mg
|
$22.20 |
$22.20 |
$22.20 |
$3,382.31
|
|
Injection, belinostat, 10mg
|
$33.32 |
$33.32 |
$33.32 |
$5,341.40
|
|
Injection, daratumumab 10 mg
|
$58.60 |
$58.60 |
$58.60 |
$7,107.73
|
|
Injection, edaravone, 1 mg
|
$50.24 |
$50.24 |
$50.24 |
$2,345.85
|
|
Injection, fulvestrant
|
$175.36 |
$175.36 |
$175.36 |
$2,756.47
|
|
Injection, inclisiran, 1 mg
|
$13.69 |
$13.69 |
$13.69 |
$10,366.61
|
|
Injection, necitumumab, 1 mg
|
$5.36 |
$5.36 |
$5.36 |
$5.73
|
|
Injection,onabotulinumtoxina
|
$9.68 |
$9.68 |
$9.68 |
$2,154.07
|
|
Injection, renflexis
|
$317.55 |
$317.55 |
$317.55 |
$1,457.42
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$221.20 |
$221.20 |
$221.20 |
$141.60
|
|
Inj efgart-alfa 2mg hya-qvfc
|
$37.44 |
$37.44 |
$37.44 |
$66,229.74
|
|
Inj eflapegrastim-xnst 0.1mg
|
$13.68 |
$13.68 |
$13.68 |
$22.75
|
|
Inj., emicizumab-kxwh 0.5 mg
|
$58.09 |
$58.09 |
$58.09 |
$15,669.18
|
|
Inj. fe derisomaltose 10 mg
|
$20.99 |
$20.99 |
$20.99 |
$21.05
|
|
Inj givosiran 0.5 mg
|
$121.68 |
$121.68 |
$121.68 |
$112.14
|
|
Inj glofitamab gxbm, 2.5 mg
|
$3,056.40 |
$3,056.40 |
$3,056.40 |
$2,770.57
|