|
Ihc/icc per specimen initial single antibody stain
|
$286.50 |
$286.50 |
$286.50 |
$272.30
|
|
Iliac/fem angio cath insert
|
$36.75 |
$36.75 |
$36.75 |
$1,856.01
|
|
Imetelstat 188 mg intravenous solution
|
$22,518.45 |
$22,518.45 |
$22,518.45 |
$20,373.55
|
|
Img rta detc/mntr ds poc aly
|
$160.50 |
$160.50 |
$160.50 |
$71.25
|
|
Immobilizer shldr cntor adlt
|
$227.95 |
$227.95 |
$227.95 |
$175.60
|
|
Immobilizer shldr dlx str 24-36in med
|
$38.03 |
$38.03 |
$38.03 |
$114.60
|
|
Immt breast prosthesis 19340
|
$4,330.50 |
$4,330.50 |
$4,330.50 |
$4,883.20
|
|
Immune complex assay
|
$153.00 |
$153.00 |
$153.00 |
$100.80
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$12,261.26 |
$12,261.26 |
$12,261.26 |
$6,106.32
|
|
Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution
|
$5,330.06 |
$5,330.06 |
$5,330.06 |
$2,900.11
|
|
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution
|
$4,549.20 |
$4,549.20 |
$4,549.20 |
$3,846.15
|
|
Immunoassay tumor antigen quantitative ca 125
|
$132.00 |
$132.00 |
$132.00 |
$131.95
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$167.25 |
$167.25 |
$167.25 |
$116.40
|
|
Immunoassay tumor qual
|
$126.00 |
$126.00 |
$126.00 |
$66.50
|
|
Immunodiff gel qual ea antigen/ab
|
$75.00 |
$75.00 |
$75.00 |
$48.38
|
|
Immunodiffusion nes
|
$85.50 |
$85.50 |
$85.50 |
$48.57
|
|
Immunofixation electrophoresis serum
|
$162.75 |
$162.75 |
$162.75 |
$142.50
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$285.75 |
$285.75 |
$285.75 |
$154.05
|
|
Immunofluorescence per specimen initial single antibody stain
|
$387.00 |
$387.00 |
$387.00 |
$231.40
|
|
Immunoglobulin assay
|
$78.00 |
$78.00 |
$78.00 |
$75.88
|
|
Impl ahmed 6x25x9.6mm glaucoma vlv w/sil ped ster
|
$367.50 |
$367.50 |
$367.50 |
$3,036.25
|
|
Implant cartilage 10mm synthetic
|
$939.75 |
$939.75 |
$939.75 |
$8,184.00
|
|
Implant cochlear osia osi300
|
$444.38 |
$444.38 |
$444.38 |
$16,200.89
|
|
Implant ureth bulk agent
|
$567.69 |
$567.69 |
$567.69 |
$2,168.00
|
|
Impl ear abutment ba300 9mm
|
$600.00 |
$600.00 |
$600.00 |
$3,974.88
|
|
Impl neurostim electr perc
|
$6,821.25 |
$6,821.25 |
$6,821.25 |
$7,672.50
|
|
Implt neurostim elctr each
|
$625.50 |
$625.50 |
$625.50 |
$4,579.99
|
|
Imp neurosti pls gn any type
|
$0.75 |
$0.75 |
$0.75 |
$8,789.19
|
|
Impreg gauze no h20/sal/yard
|
$2.25 |
$2.25 |
$2.25 |
$11.90
|
|
Imuglucerase injection
|
$4,061.62 |
$4,061.62 |
$4,061.62 |
$3,399.59
|
|
In-111 capromab pendet
|
$463.17 |
$463.17 |
$463.17 |
$3,141.45
|
|
In-111 oxyquinolin per 0.5 mci
|
$9,885.06 |
$9,885.06 |
$9,885.06 |
$2,581.82
|
|
In-111 pentetate dtpa / 0.5 mci
|
$6,249.99 |
$6,249.99 |
$6,249.99 |
$2,598.17
|
|
In-111 pentetreotide
|
$9,019.35 |
$9,019.35 |
$9,019.35 |
$5,201.00
|
|
Inactivated je vacc im
|
$694.24 |
$694.24 |
$694.24 |
$481.34
|
|
Incise inner ear
|
$3,792.00 |
$3,792.00 |
$3,792.00 |
$2,186.08
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$3,645.00 |
$3,645.00 |
$3,645.00 |
$2,056.93
|
|
Incision of burn scab initi
|
$1,118.25 |
$1,118.25 |
$1,118.25 |
$494.40
|
|
Incision of tongue fold
|
$3,979.50 |
$3,979.50 |
$3,979.50 |
$1,792.50
|
|
Incision tendon sheath
|
$4,028.25 |
$4,028.25 |
$4,028.25 |
$3,073.20
|
|
Incisn windpipe
|
$5,590.50 |
$5,590.50 |
$5,590.50 |
$3,810.50
|
|
Incobotulinumtoxin a
|
$2,395.23 |
$2,395.23 |
$2,395.23 |
$1,339.57
|
|
Indigotindisulfonate 8 mg/ml soln 5 ml ampule
|
$939.75 |
$939.75 |
$939.75 |
$766.66
|
|
Induced ab 1+ vag sup w/dlv fetus
|
$1,119.00 |
$1,119.00 |
$1,119.00 |
$1,881.75
|
|
Induced abortion dilat&evac
|
$2,076.00 |
$2,076.00 |
$2,076.00 |
$4,446.00
|
|
Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s)
|
$176.25 |
$176.25 |
$176.25 |
$137.15
|
|
Infect ag drug suscept pheno predict
|
$817.50 |
$817.50 |
$817.50 |
$323.20
|
|
Infect ag eia chlamydia trachomatis
|
$74.25 |
$74.25 |
$74.25 |
$67.20
|
|
Infect ag eia influenza a or b ea
|
$72.75 |
$72.75 |
$72.75 |
$71.50
|
|
Infect ag genotype na cytomegalovirus
|
$1,566.75 |
$1,566.75 |
$1,566.75 |
$661.80
|
|
Infect ag genotype na dna hepatitis b
|
$1,613.25 |
$1,613.25 |
$1,613.25 |
$405.30
|
|
Infect ag genotype na hiv-1 other region
|
$807.00 |
$807.00 |
$807.00 |
$386.40
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$1,613.25 |
$1,613.25 |
$1,613.25 |
$603.75
|
|
Infect ag ia direct hiv-1 antgn
|
$166.50 |
$166.50 |
$166.50 |
$91.70
|
|
Infect ag ia optc obs chlamydia trach
|
$173.25 |
$173.25 |
$173.25 |
$96.32
|
|
Infect ag ia optc obs influenza
|
$105.00 |
$105.00 |
$105.00 |
$72.93
|
|
Infect ag if ea plyvlnt antsrm
|
$72.75 |
$72.75 |
$72.75 |
$62.80
|
|
Infect ag if hep delta agent
|
$99.75 |
$99.75 |
$99.75 |
$125.97
|
|
Infect ag if influenza a
|
$81.00 |
$81.00 |
$81.00 |
$41.30
|
|
Infect ag if influenza b
|
$75.00 |
$75.00 |
$75.00 |
$40.08
|
|
Infect ag if legionella pneumophila
|
$100.50 |
$100.50 |
$100.50 |
$72.58
|
|
Infect ag if nos ea
|
$81.00 |
$81.00 |
$81.00 |
$74.88
|
|
Infect ag if pneumocystis carinii
|
$75.00 |
$75.00 |
$75.00 |
$66.00
|
|
Infect ag if varicella zoster
|
$75.00 |
$75.00 |
$75.00 |
$70.70
|
|
Infect ag na chlamydia trachomatis qnt
|
$263.25 |
$263.25 |
$263.25 |
$107.20
|
|
Infect ag na hep b amp
|
$213.00 |
$213.00 |
$213.00 |
$120.50
|
|
Infect ag na herpes simplex quant
|
$261.00 |
$261.00 |
$261.00 |
$169.65
|
|
Infect ag na hpv high-risk types
|
$197.25 |
$197.25 |
$197.25 |
$139.75
|
|
Infect ag na influenza r/amp 1st 2 types
|
$705.00 |
$705.00 |
$705.00 |
$219.70
|
|
Infect ag na influenza revr/amp ea type
|
$312.75 |
$312.75 |
$312.75 |
$158.06
|
|
Infect ag na orthopoxvirus amp prb each
|
$157.50 |
$157.50 |
$157.50 |
$99.36
|
|
Infect ag na resp virus 12-25 targets
|
$2,595.75 |
$2,595.75 |
$2,595.75 |
$835.80
|
|
Infect ag phenotype na hiv-1 1-10 drugs
|
$2,974.50 |
$2,974.50 |
$2,974.50 |
$943.80
|
|
Infect ag phenotype na hiv-1 ea addl drg
|
$158.25 |
$158.25 |
$158.25 |
$75.63
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$116.25 |
$116.25 |
$116.25 |
$82.00
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$75.00 |
$75.00 |
$75.00 |
$72.80
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$75.00 |
$75.00 |
$75.00 |
$76.32
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$81.75 |
$81.75 |
$81.75 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$101.25 |
$101.25 |
$101.25 |
$100.02
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$130.50 |
$130.50 |
$130.50 |
$81.20
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$64.50 |
$64.50 |
$64.50 |
$60.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$229.50 |
$229.50 |
$229.50 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$133.50 |
$133.50 |
$133.50 |
$129.00
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$75.00 |
$75.00 |
$75.00 |
$98.02
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$72.75 |
$72.75 |
$72.75 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$575.25 |
$575.25 |
$575.25 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$260.25 |
$260.25 |
$260.25 |
$139.68
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$225.75 |
$225.75 |
$225.75 |
$167.00
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$2,759.25 |
$2,759.25 |
$2,759.25 |
$861.00
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$261.00 |
$261.00 |
$261.00 |
$179.92
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$286.50 |
$286.50 |
$286.50 |
$147.55
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$333.00 |
$333.00 |
$333.00 |
$217.85
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$337.50 |
$337.50 |
$337.50 |
$136.03
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$127.50 |
$127.50 |
$127.50 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$384.75 |
$384.75 |
$384.75 |
$206.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$359.25 |
$359.25 |
$359.25 |
$236.08
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$377.25 |
$377.25 |
$377.25 |
$92.50
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$153.00 |
$153.00 |
$153.00 |
$108.75
|
|
Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae
|
$378.75 |
$378.75 |
$378.75 |
$211.00
|
|
Infectious agent nucleic acid joint space pathogens multiplex amplified probe >= 26 targets
|
$3,670.50 |
$3,670.50 |
$3,670.50 |
$1,143.75
|
