|
Ibmfs seq alys pnl 30 genes
|
$5,656.70 |
$5,656.70 |
$5,656.70 |
$2,828.00
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$1,451.27 |
$1,451.27 |
$1,451.27 |
$975.45
|
|
Icd cobalt xt dr MRI is1 df1
|
$130,426.90 |
$130,426.90 |
$130,426.90 |
$34,681.07
|
|
Icd crtd cobalt hf MRI is1 df1
|
$199,472.50 |
$199,472.50 |
$199,472.50 |
$41,418.00
|
|
Icd crtp serena MRI
|
$82,305.23 |
$82,305.23 |
$82,305.23 |
$14,360.25
|
|
Icd reliance df4 ib 64cm
|
$34,621.89 |
$34,621.89 |
$34,621.89 |
$9,267.72
|
|
Idarubicin hcl injection
|
$1,174.07 |
$1,174.07 |
$1,174.07 |
$447.02
|
|
I&d frarm&/wrst deep absc/hematoma
|
$2,965.20 |
$2,965.20 |
$2,965.20 |
$3,839.54
|
|
Idh1 common variants
|
$1,414.70 |
$1,414.70 |
$1,414.70 |
$412.10
|
|
Idh2 common variants
|
$1,414.70 |
$1,414.70 |
$1,414.70 |
$486.00
|
|
I&d lacrimal sac
|
$4,734.80 |
$4,734.80 |
$4,734.80 |
$2,732.50
|
|
Ifnl3 gene
|
$865.90 |
$865.90 |
$865.90 |
$147.20
|
|
Ifosfamide 1 gram intravenous solution
|
$3,148.95 |
$3,148.95 |
$3,148.95 |
$246.95
|
|
Igh gene rearrang dir probe
|
$777.70 |
$777.70 |
$777.70 |
$111.50
|
|
Igh gene rearrange amp meth
|
$1,927.80 |
$1,927.80 |
$1,927.80 |
$464.00
|
|
Igh@ var region somatic mutation analy
|
$1,302.70 |
$1,302.70 |
$1,302.70 |
$660.80
|
|
Igk rearrangeabn clonal pop
|
$848.40 |
$848.40 |
$848.40 |
$399.36
|
|
Ihc/icc per specimen each additional single antibody stain
|
$20,276.68 |
$20,276.68 |
$20,276.68 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$465.50 |
$465.50 |
$465.50 |
$328.79
|
|
Ihc/icc per specimen initial single antibody stain
|
$16,106.66 |
$16,106.66 |
$16,106.66 |
$272.30
|
|
Ikbkap gene
|
$2,557.80 |
$2,557.80 |
$2,557.80 |
$173.49
|
|
Iliac/fem angio cath insert
|
$3,850.00 |
$3,850.00 |
$3,850.00 |
$1,856.01
|
|
Iliac revasc add-on 37222
|
$38,304.09 |
$38,304.09 |
$38,304.09 |
$6,082.65
|
|
Imetelstat 188 mg intravenous solution
|
$65,179.27 |
$65,179.27 |
$65,179.27 |
$20,373.55
|
|
Immob elbow child sm
|
$126.70 |
$126.70 |
$126.70 |
$85.39
|
|
Immobilizer lwr extrem nylon 20in reinforc 21-35in
|
$252.70 |
$252.70 |
$252.70 |
$259.20
|
|
Immobilizer shldr cntor adlt
|
$732.90 |
$732.90 |
$732.90 |
$175.60
|
|
Immobilizer shldr dlx str 24-36in med
|
$945.01 |
$945.01 |
$945.01 |
$114.60
|
|
Immune complex assay
|
$354.90 |
$354.90 |
$354.90 |
$100.80
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$32,583.07 |
$32,583.07 |
$32,583.07 |
$6,106.32
|
|
Immunoassay tumor antigen quantitative ca 125
|
$352.80 |
$352.80 |
$352.80 |
$131.95
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$237.30 |
$237.30 |
$237.30 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$126.00 |
$126.00 |
$126.00 |
$48.38
|
|
Immunodiffusion nes
|
$113.40 |
$113.40 |
$113.40 |
$48.57
|
|
Immunofixation electrophoresis serum
|
$310.80 |
$310.80 |
$310.80 |
$142.50
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$14,197.02 |
$14,197.02 |
$14,197.02 |
$154.05
|
|
Immunofluorescence per specimen initial single antibody stain
|
$14,195.45 |
$14,195.45 |
$14,195.45 |
$231.40
|
|
Immunoglobulin assay
|
$228.20 |
$228.20 |
$228.20 |
$75.88
|
|
Immunology procedure
|
$4,613.70 |
$4,613.70 |
$4,613.70 |
$142.56
|
|
Implant cartilage 10mm synthetic
|
$75,720.27 |
$75,720.27 |
$75,720.27 |
$8,184.00
|
|
Implant cochlear device
|
$23,332.15 |
$23,332.15 |
$23,332.15 |
$34,229.98
|
|
Implant cochlear osia osi300
|
$26,068.37 |
$26,068.37 |
$26,068.37 |
$16,200.89
|
|
Implant neuroelectrodes
|
$125,948.46 |
$125,948.46 |
$125,948.46 |
$18,334.40
|
|
Implant neuroelectrodes
|
$181,574.62 |
$181,574.62 |
$181,574.62 |
$13,628.55
|
|
Implant neuroelectrodes
|
$97,437.93 |
$97,437.93 |
$97,437.93 |
$8,763.11
|
|
Implant neuroelectrodes
|
$107,157.14 |
$107,157.14 |
$107,157.14 |
$7,766.27
|
|
Implant neurostim arrays
|
$181,574.62 |
$181,574.62 |
$181,574.62 |
$23,262.40
|
|
Implant spine infusion pump
|
$112,099.36 |
$112,099.36 |
$112,099.36 |
$17,270.40
|
|
Implant tcat pulm vlv perq
|
$8,855.00 |
$8,855.00 |
$8,855.00 |
$9,812.40
|
|
Implant ureth bulk agent
|
$6,915.35 |
$6,915.35 |
$6,915.35 |
$2,168.00
|
|
Impl neurostim electr perc
|
$188,878.47 |
$188,878.47 |
$188,878.47 |
$7,672.50
|
|
Implnt spinl canal catheter 62350
|
$116,141.58 |
$116,141.58 |
$116,141.58 |
$5,095.20
|
|
Impl oi implt sk tc esp<100
|
$99,876.03 |
$99,876.03 |
$99,876.03 |
$22,958.00
|
|
Impl oi implt skull perq esp
|
$80,625.38 |
$80,625.38 |
$80,625.38 |
$13,525.50
|
|
Imuglucerase injection
|
$10,603.60 |
$10,603.60 |
$10,603.60 |
$3,399.59
|
|
In-111 autol wbc diag per dose
|
$6,117.30 |
$6,117.30 |
$6,117.30 |
$3,523.65
|
|
In-111 pentetate dtpa / 0.5 mci
|
$7,731.50 |
$7,731.50 |
$7,731.50 |
$2,598.17
|
|
In-111 pentetreotide
|
$10,985.80 |
$10,985.80 |
$10,985.80 |
$5,201.00
|
|
Incise skull repair
|
$81,539.03 |
$81,539.03 |
$81,539.03 |
$2,142.26
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$5,876.50 |
$5,876.50 |
$5,876.50 |
$2,056.93
|
|
Incision of breast lesion
|
$3,588.90 |
$3,588.90 |
$3,588.90 |
$2,560.80
|
|
Incision of eardrum
|
$6,105.88 |
$6,105.88 |
$6,105.88 |
$552.75
|
|
Incision of eardrum
|
$17,014.37 |
$17,014.37 |
$17,014.37 |
$3,827.50
|
|
Incision of prostate
|
$21,586.90 |
$21,586.90 |
$21,586.90 |
$4,081.37
|
|
Incision of spinal nerve 64772
|
$54,520.37 |
$54,520.37 |
$54,520.37 |
$2,310.83
|
|
Incision of tendon & muscle
|
$6,385.40 |
$6,385.40 |
$6,385.40 |
$5,624.45
|
|
Incision of tongue fold
|
$11,448.80 |
$11,448.80 |
$11,448.80 |
$1,792.50
|
|
Incision of urethra
|
$10,830.22 |
$10,830.22 |
$10,830.22 |
$2,899.60
|
|
Incisn of toe tndn
|
$3,136.70 |
$3,136.70 |
$3,136.70 |
$2,627.96
|
|
Incisn windpipe
|
$4,520.60 |
$4,520.60 |
$4,520.60 |
$3,810.50
|
|
Indigotindisulfonate 8 mg/ml soln 5 ml ampule
|
$2,697.45 |
$2,697.45 |
$2,697.45 |
$766.66
|
|
Induced abortion d&c
|
$19,821.12 |
$19,821.12 |
$19,821.12 |
$3,762.53
|
|
Induced abortion dilat&evac
|
$18,161.79 |
$18,161.79 |
$18,161.79 |
$4,446.00
|
|
Infect ag drug suscept pheno predict
|
$1,327.90 |
$1,327.90 |
$1,327.90 |
$323.20
|
|
Infect ag genotype na cytomegalovirus
|
$2,170.00 |
$2,170.00 |
$2,170.00 |
$661.80
|
|
Infect ag genotype na dna hepatitis b
|
$2,273.60 |
$2,273.60 |
$2,273.60 |
$405.30
|
|
Infect ag genotype na hiv-1 other region
|
$1,179.50 |
$1,179.50 |
$1,179.50 |
$386.40
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$1,261.40 |
$1,261.40 |
$1,261.40 |
$603.75
|
|
Infect ag if legionella pneumophila
|
$224.00 |
$224.00 |
$224.00 |
$72.58
|
|
Infect ag if nos ea
|
$135.80 |
$135.80 |
$135.80 |
$74.88
|
|
Infect ag if pneumocystis carinii
|
$203.00 |
$203.00 |
$203.00 |
$66.00
|
|
Infect ag if varicella zoster
|
$70.70 |
$70.70 |
$70.70 |
$70.70
|
|
Infect ag na hep b amp
|
$173.60 |
$173.60 |
$173.60 |
$120.50
|
|
Infect ag na herpes simplex quant
|
$528.50 |
$528.50 |
$528.50 |
$169.65
|
|
Infect ag na hpv high-risk types
|
$295.40 |
$295.40 |
$295.40 |
$139.75
|
|
Infect ag na influenza r/amp 1st 2 types
|
$283.50 |
$283.50 |
$283.50 |
$219.70
|
|
Infect ag na orthopoxvirus amp prb each
|
$179.90 |
$179.90 |
$179.90 |
$99.36
|
|
Infect ag na resp virus 12-25 targets
|
$1,284.50 |
$1,284.50 |
$1,284.50 |
$835.80
|
|
Infect ag phenotype na hiv-1 1-10 drugs
|
$2,718.10 |
$2,718.10 |
$2,718.10 |
$943.80
|
|
Infect ag phenotype na hiv-1 ea addl drg
|
$263.20 |
$263.20 |
$263.20 |
$75.63
|
|
Infectious agent antigen immunoassay direct optical observation sars-cov-2
|
$42.00 |
$42.00 |
$42.00 |
$53.00
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$262.50 |
$262.50 |
$262.50 |
$82.00
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$72.80 |
$72.80 |
$72.80 |
$72.80
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$143.50 |
$143.50 |
$143.50 |
$76.32
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$151.90 |
$151.90 |
$151.90 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$245.00 |
$245.00 |
$245.00 |
$100.02
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$255.50 |
$255.50 |
$255.50 |
$81.20
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$435.40 |
$435.40 |
$435.40 |
$60.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$210.00 |
$210.00 |
$210.00 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$298.90 |
$298.90 |
$298.90 |
$129.00
|
