|
Immobilizer shldr dlx str 24-36in med
|
$51.69 |
$51.69 |
$51.69 |
$80.00
|
|
Immune complex assay
|
$41.25 |
$41.25 |
$41.25 |
$88.80
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$45.64 |
$45.64 |
$45.64 |
$5,617.36
|
|
Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution
|
$905.78 |
$905.78 |
$905.78 |
$2,568.72
|
|
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution
|
$78.01 |
$78.01 |
$78.01 |
$5,495.02
|
|
Immunoassay tumor antigen quantitative ca 125
|
$57.50 |
$57.50 |
$57.50 |
$123.50
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$51.25 |
$51.25 |
$51.25 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$35.00 |
$35.00 |
$35.00 |
$53.95
|
|
Immunofixation electrophoresis serum
|
$32.50 |
$32.50 |
$32.50 |
$133.38
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$25.00 |
$25.00 |
$25.00 |
$156.00
|
|
Immunofluorescence per specimen initial single antibody stain
|
$100.00 |
$100.00 |
$100.00 |
$250.00
|
|
Immunoglobulin assay
|
$35.00 |
$35.00 |
$35.00 |
$74.00
|
|
Immunology procedure
|
$45.00 |
$45.00 |
$45.00 |
$281.45
|
|
Imuglucerase injection
|
$622.74 |
$622.74 |
$622.74 |
$343.20
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$597.50 |
$597.50 |
$597.50 |
$2,261.20
|
|
Incision tendon sheath
|
$1,075.00 |
$1,075.00 |
$1,075.00 |
$2,309.40
|
|
Incobotulinumtoxin a
|
$783.07 |
$783.07 |
$783.07 |
$1,339.57
|
|
Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s)
|
$68.75 |
$68.75 |
$68.75 |
$137.15
|
|
Infect ag drug suscept pheno predict
|
$100.00 |
$100.00 |
$100.00 |
$325.00
|
|
Infect ag eia influenza a or b ea
|
$35.00 |
$35.00 |
$35.00 |
$69.03
|
|
Infect ag genotype na dna hepatitis b
|
$200.00 |
$200.00 |
$200.00 |
$500.40
|
|
Infect ag genotype na hiv-1 other region
|
$150.00 |
$150.00 |
$150.00 |
$301.50
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$200.00 |
$200.00 |
$200.00 |
$574.60
|
|
Infect ag ia direct hiv-1 antgn
|
$43.75 |
$43.75 |
$43.75 |
$95.55
|
|
Infect ag ia optc obs influenza
|
$31.25 |
$31.25 |
$31.25 |
$66.72
|
|
Infect ag if influenza a
|
$14.00 |
$14.00 |
$14.00 |
$40.61
|
|
Infect ag if influenza b
|
$10.75 |
$10.75 |
$10.75 |
$34.67
|
|
Infect ag if legionella pneumophila
|
$31.25 |
$31.25 |
$31.25 |
$75.79
|
|
Infect ag if pneumocystis carinii
|
$35.00 |
$35.00 |
$35.00 |
$62.29
|
|
Infect ag if varicella zoster
|
$35.00 |
$35.00 |
$35.00 |
$66.00
|
|
Infect ag na herpes simplex quant
|
$43.75 |
$43.75 |
$43.75 |
$145.20
|
|
Infect ag na hpv high-risk types
|
$68.75 |
$68.75 |
$68.75 |
$139.75
|
|
Infect ag na influenza r/amp 1st 2 types
|
$37.50 |
$37.50 |
$37.50 |
$227.96
|
|
Infect ag na orthopoxvirus amp prb each
|
$27.50 |
$27.50 |
$27.50 |
$102.00
|
|
Infect ag phenotype na hiv-1 1-10 drugs
|
$200.00 |
$200.00 |
$200.00 |
$714.67
|
|
Infect ag phenotype na hiv-1 ea addl drg
|
$43.75 |
$43.75 |
$43.75 |
$77.00
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$35.00 |
$35.00 |
$35.00 |
$81.44
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$35.00 |
$35.00 |
$35.00 |
$63.60
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$35.00 |
$35.00 |
$35.00 |
$80.05
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$35.00 |
$35.00 |
$35.00 |
$77.28
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$35.00 |
$35.00 |
$35.00 |
$83.50
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$30.75 |
$30.75 |
$30.75 |
$77.72
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$27.50 |
$27.50 |
$27.50 |
$55.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$45.00 |
$45.00 |
$45.00 |
$101.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$36.50 |
$36.50 |
$36.50 |
$132.60
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$35.00 |
$35.00 |
$35.00 |
$97.50
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$35.00 |
$35.00 |
$35.00 |
$60.00
|
|
Infectious agent nucleic acid amplified probe
|
$50.00 |
$50.00 |
$50.00 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$37.50 |
$37.50 |
$37.50 |
$141.48
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$37.50 |
$37.50 |
$37.50 |
$174.06
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$250.00 |
$250.00 |
$250.00 |
$855.45
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$50.00 |
$50.00 |
$50.00 |
$178.00
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$32.50 |
$32.50 |
$32.50 |
$150.15
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$43.75 |
$43.75 |
$43.75 |
$210.00
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$37.50 |
$37.50 |
$37.50 |
$136.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$43.75 |
$43.75 |
$43.75 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$128.75 |
$128.75 |
$128.75 |
$248.15
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$36.25 |
$36.25 |
$36.25 |
$98.15
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$36.25 |
$36.25 |
$36.25 |
$112.45
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$216.25 |
$216.25 |
$216.25 |
$727.50
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$100.00 |
$100.00 |
$100.00 |
$283.20
|
|
Infectious agent nucleic acid quantification bk virus
|
$43.75 |
$43.75 |
$43.75 |
$285.66
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$43.75 |
$43.75 |
$43.75 |
$226.35
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$43.75 |
$43.75 |
$43.75 |
$278.78
|
|
Infectious agent nucleic acid quantification hiv-1
|
$57.50 |
$57.50 |
$57.50 |
$381.55
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$107.00 |
$107.00 |
$107.00 |
$298.35
|
|
Infliximab 100 mg intravenous solution
|
$862.71 |
$862.71 |
$862.71 |
$2,791.24
|
|
Infliximab-axxq 100 mg intravenous solution
|
$367.53 |
$367.53 |
$367.53 |
$1,144.00
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$436.75 |
$436.75 |
$436.75 |
$1,654.83
|
|
Influenza virus vaccine, inact hemagglutinin tiv pf inj
|
$102.83 |
$102.83 |
$102.83 |
$76.00
|
|
Ingest challenge ea addl 60 min
|
$87.50 |
$87.50 |
$87.50 |
$274.50
|
|
Ingest challenge ini 120 min
|
$175.00 |
$175.00 |
$175.00 |
$627.89
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$50.00 |
$50.00 |
$50.00 |
$359.64
|
|
Initiation & management bipap/cpap initial day
|
$310.00 |
$310.00 |
$310.00 |
$645.79
|
|
Inj, abilify maintena, 1 mg
|
$1,897.52 |
$1,897.52 |
$1,897.52 |
$6,324.82
|
|
Inj, adzynma, 10 iu
|
$4,305.40 |
$4,305.40 |
$4,305.40 |
$34.60
|
|
Inj alymsys 10 mg
|
$215.59 |
$215.59 |
$215.59 |
$928.80
|
|
Inj andexxa, 10 mg
|
$4,210.30 |
$4,210.30 |
$4,210.30 |
$6,794.00
|
|
Inj anifrolumab-fnia 1mg
|
$1,896.94 |
$1,896.94 |
$1,896.94 |
$9,878.82
|
|
Inj., aristada initio, 1 mg
|
$604.14 |
$604.14 |
$604.14 |
$1,052.01
|
|
Inj, aspara, rylaze, 0.1 mg
|
$7,068.26 |
$7,068.26 |
$7,068.26 |
$81.97
|
|
Inj., benralizumab, 1 mg
|
$4,302.09 |
$4,302.09 |
$4,302.09 |
$16,865.48
|
|
Inj, bezlotoxumab, 10 mg
|
$216.76 |
$216.76 |
$216.76 |
$9,702.65
|
|
Inj, bortezomib, dr. reddy's
|
$277.06 |
$277.06 |
$277.06 |
$48.55
|
|
Inj, bortezomib freseniuskab
|
$1,559.27 |
$1,559.27 |
$1,559.27 |
$16.50
|
|
Inj calcitriol per 0.1 mcg
|
$33.60 |
$33.60 |
$33.60 |
$33.36
|
|
Inj cefazolin (wg crit care)
|
$26.14 |
$26.14 |
$26.14 |
$32.05
|
|
Inj, cefepime hcl (b braun)
|
$45.62 |
$45.62 |
$45.62 |
$81.41
|
|
Inj, cefiderocol, 10 mg
|
$160.70 |
$160.70 |
$160.70 |
$718.84
|
|
Inj ceftolozane tazobactam
|
$76.33 |
$76.33 |
$76.33 |
$447.36
|
|
Inj, clevidipine butyrate
|
$13.88 |
$13.88 |
$13.88 |
$3.39
|
|
Inj cntr knee arthro incl ct/mri
|
$100.00 |
$100.00 |
$100.00 |
$464.28
|
|
Inj crotalidae im f(ab')2 eq
|
$847.76 |
$847.76 |
$847.76 |
$2,836.95
|
|
Inj cyclophosphamd (ingenus)
|
$123.18 |
$123.18 |
$123.18 |
$1,040.94
|
|
Inj, daptomycin (hospira)
|
$80.91 |
$80.91 |
$80.91 |
$167.85
|
|
Inj, donanemab-azbt, 2 mg
|
$529.66 |
$529.66 |
$529.66 |
$121.74
|
|
Inj, durolane 1 mg
|
$262.19 |
$262.19 |
$262.19 |
$3,382.31
|
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
|
$435.00 |
$435.00 |
$435.00 |
$1,214.78
|
|
Injection arthrography hip without anesthesia (both sides)
|
$100.00 |
$100.00 |
$100.00 |
$507.10
|
|
Injection, belinostat, 10mg
|
$1,792.19 |
$1,792.19 |
$1,792.19 |
$5,341.40
|