|
Ihc/icc per specimen initial single antibody stain
|
$305.40 |
$305.40 |
$305.40 |
$274.86
|
|
Iliac/fem angio cath insert
|
$2,062.80 |
$2,062.80 |
$2,062.80 |
$2,070.72
|
|
Iliac revasc add-on 37222
|
$24,017.40 |
$24,017.40 |
$24,017.40 |
$8,583.60
|
|
Immobilizer shldr cntor adlt
|
$55.20 |
$55.20 |
$55.20 |
$89.70
|
|
Immobilizer shldr dlx str 24-36in med
|
$82.80 |
$82.80 |
$82.80 |
$72.60
|
|
Immune complex assay
|
$213.60 |
$213.60 |
$213.60 |
$89.25
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$6,572.65 |
$6,572.65 |
$6,572.65 |
$2,621.62
|
|
Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution
|
$2,568.72 |
$2,568.72 |
$2,568.72 |
$107.10
|
|
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution
|
$6,925.50 |
$6,925.50 |
$6,925.50 |
$3,132.49
|
|
Immunoassay tumor antigen quantitative ca 125
|
$357.60 |
$357.60 |
$357.60 |
$122.50
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$334.80 |
$334.80 |
$334.80 |
$117.00
|
|
Immunodiff gel qual ea antigen/ab
|
$57.60 |
$228.00 |
$228.00 |
$58.25
|
|
Immunodiffusion nes
|
$241.20 |
$241.20 |
$241.20 |
$63.57
|
|
Immunofixation electrophoresis serum
|
$357.60 |
$357.60 |
$357.60 |
$133.38
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$180.60 |
$180.60 |
$180.60 |
$185.00
|
|
Immunofluorescence per specimen initial single antibody stain
|
$484.20 |
$484.20 |
$484.20 |
$288.00
|
|
Immunoglobulin assay
|
$59.40 |
$59.40 |
$91.80 |
$74.15
|
|
Immunology procedure
|
$715.20 |
$715.20 |
$715.20 |
$321.98
|
|
Implant 11 volt lithium-ion backup battery for controller pocket
|
$1,670.40 |
$1,670.40 |
$1,670.40 |
$1,518.75
|
|
Implant cartilage 10mm synthetic
|
$32,607.00 |
$62,380.80 |
$111,041.40 |
$14,238.00
|
|
Implant cochlear osia osi300
|
$29,573.40 |
$29,573.40 |
$29,573.40 |
$9,185.56
|
|
Implant tcat pulm vlv perq
|
$18,494.40 |
$18,494.40 |
$18,494.40 |
$11,839.75
|
|
Implant ureth bulk agent
|
$2,978.40 |
$2,978.40 |
$2,978.40 |
$2,342.17
|
|
Impl ear abutment ba300 9mm
|
$3,948.60 |
$3,948.60 |
$3,948.60 |
$2,446.55
|
|
In-111 autol wbc diag per dose
|
$3,567.60 |
$3,567.60 |
$3,567.60 |
$3,785.34
|
|
In-111 pentetate dtpa / 0.5 mci
|
$2,106.00 |
$2,106.00 |
$2,106.00 |
$2,156.25
|
|
In-111 pentetreotide
|
$8,461.80 |
$8,461.80 |
$8,461.80 |
$6,862.70
|
|
In-111 satumomab pend
|
$2,835.00 |
$2,835.00 |
$2,835.00 |
$3,524.25
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$1,148.40 |
$2,970.60 |
$2,970.60 |
$2,056.93
|
|
Incisn of toe tndn
|
$5,893.80 |
$5,893.80 |
$5,893.80 |
$2,298.99
|
|
Incisn windpipe
|
$1,722.60 |
$1,722.60 |
$1,722.60 |
$3,723.23
|
|
Incobotulinumtoxin a
|
$10.72 |
$10.72 |
$10.72 |
$5.34
|
|
Infect ag genotype na cytomegalovirus
|
$385.80 |
$385.80 |
$385.80 |
$577.60
|
|
Infect ag genotype na hiv-1 other region
|
$921.00 |
$921.00 |
$921.00 |
$390.00
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$1,698.60 |
$1,698.60 |
$1,698.60 |
$619.11
|
|
Infect ag ia direct hiv-1 antgn
|
$169.80 |
$169.80 |
$169.80 |
$95.55
|
|
Infect ag ia optc obs influenza
|
$57.60 |
$57.60 |
$88.80 |
$65.58
|
|
Infect ag if ea plyvlnt antsrm
|
$90.60 |
$90.60 |
$90.60 |
$47.70
|
|
Infect ag if legionella pneumophila
|
$234.60 |
$234.60 |
$234.60 |
$85.15
|
|
Infect ag if nos ea
|
$122.40 |
$122.40 |
$122.40 |
$66.40
|
|
Infect ag if pneumocystis carinii
|
$227.40 |
$227.40 |
$227.40 |
$53.81
|
|
Infect ag na hep b amp
|
$277.80 |
$277.80 |
$277.80 |
$108.44
|
|
Infect ag na herpes simplex quant
|
$77.40 |
$77.40 |
$77.40 |
$145.20
|
|
Infect ag na hpv high-risk types
|
$295.20 |
$295.20 |
$295.20 |
$147.00
|
|
Infect ag na influenza r/amp 1st 2 types
|
$375.60 |
$375.60 |
$375.60 |
$248.80
|
|
Infect ag na influenza revr/amp ea type
|
$158.40 |
$158.40 |
$158.40 |
$151.80
|
|
Infect ag na resp virus 12-25 targets
|
$1,505.40 |
$1,505.40 |
$1,505.40 |
$878.20
|
|
Infect ag phenotype na hiv-1 1-10 drugs
|
$877.20 |
$877.20 |
$877.20 |
$843.26
|
|
Infect ag phenotype na hiv-1 ea addl drg
|
$58.80 |
$58.80 |
$58.80 |
$117.00
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$324.60 |
$324.60 |
$324.60 |
$76.00
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$129.00 |
$129.00 |
$129.00 |
$76.00
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$136.80 |
$136.80 |
$136.80 |
$73.45
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$203.40 |
$203.40 |
$203.40 |
$96.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$208.80 |
$208.80 |
$208.80 |
$75.27
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$129.60 |
$129.60 |
$129.60 |
$60.95
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$190.20 |
$190.20 |
$190.20 |
$107.90
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$238.20 |
$238.20 |
$238.20 |
$132.60
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$250.80 |
$250.80 |
$250.80 |
$98.40
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$45.60 |
$45.60 |
$81.00 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$404.40 |
$404.40 |
$404.40 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$130.80 |
$253.20 |
$253.20 |
$144.00
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$228.00 |
$228.00 |
$228.00 |
$174.06
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$166.80 |
$198.00 |
$198.00 |
$181.35
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$375.60 |
$375.60 |
$375.60 |
$148.80
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$504.60 |
$504.60 |
$504.60 |
$217.10
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$130.80 |
$253.20 |
$253.20 |
$134.55
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$406.20 |
$406.20 |
$406.20 |
$109.18
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$124.80 |
$124.80 |
$124.80 |
$194.40
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$154.20 |
$154.20 |
$154.20 |
$96.00
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$404.40 |
$404.40 |
$404.40 |
$135.00
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$1,041.00 |
$1,041.00 |
$1,041.00 |
$727.50
|
|
Infectious agent nucleic acid quantification bk virus
|
$608.40 |
$608.40 |
$608.40 |
$300.00
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$1,143.00 |
$1,143.00 |
$1,143.00 |
$242.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$907.20 |
$907.20 |
$907.20 |
$280.20
|
|
Infectious agent nucleic acid quantification hiv-1
|
$655.20 |
$655.20 |
$655.20 |
$381.55
|
|
Infliximab 100 mg intravenous solution
|
$23.58 |
$23.58 |
$23.58 |
$178.95
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$20.66 |
$20.66 |
$20.66 |
$157.14
|
|
Influenza dna amp prob addl
|
$78.00 |
$78.00 |
$78.00 |
$75.80
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$513.00 |
$513.00 |
$513.00 |
$344.50
|
|
Initiation & management bipap/cpap initial day
|
$685.20 |
$685.20 |
$685.20 |
$608.40
|
|
Inj allopurinol sodium 1 mg
|
$5,992.97 |
$5,992.97 |
$5,992.97 |
$5,937.23
|
|
Inj, amisulpride, 1 mg
|
$313.65 |
$313.65 |
$313.65 |
$9.66
|
|
Inj, aspara, rylaze, 0.1 mg
|
$790.20 |
$790.20 |
$790.20 |
$99.60
|
|
Inj., benralizumab, 1 mg
|
$8,674.10 |
$8,674.10 |
$8,674.10 |
$12,417.10
|
|
Inj, bupivacaine liposome
|
$842.91 |
$842.91 |
$842.91 |
$3.22
|
|
Inj calcitriol per 0.1 mcg
|
$40.17 |
$40.17 |
$40.17 |
$11.21
|
|
Inj cefazolin sodium, hikma
|
$104.18 |
$104.18 |
$104.18 |
$66.38
|
|
Inj, cefiderocol, 10 mg
|
$3.83 |
$3.83 |
$3.83 |
$79.20
|
|
Inj ceftolozane tazobactam
|
$239.31 |
$248.93 |
$248.93 |
$248.93
|
|
Inj cntr knee arthro incl ct/mri
|
$505.20 |
$505.20 |
$505.20 |
$505.20
|
|
Inj disk cerv-thor ea lev
|
$1,923.60 |
$1,923.60 |
$1,923.60 |
$828.00
|
|
Inj dx for sinogram
|
$734.40 |
$734.40 |
$734.40 |
$484.00
|
|
Injection arthrography hip without anesthesia (both sides)
|
$853.80 |
$853.80 |
$853.80 |
$609.20
|
|
Injection, burosumab-twza 1m
|
$590.52 |
$590.52 |
$590.52 |
$481.57
|
|
Injection, doxercalciferol
|
$45.89 |
$45.89 |
$45.89 |
$30.35
|
|
Injection during cath supravalvular aortography
|
$2,796.00 |
$2,796.00 |
$2,796.00 |
$1,604.20
|
|
Injection, edaravone, 1 mg
|
$1,721.40 |
$1,721.40 |
$1,721.40 |
$1,721.40
|
|
Injection epidural blood patch or clot
|
$1,537.20 |
$1,537.20 |
$1,537.20 |
$1,470.60
|
|
Injection for arthrography wrist (both sides)
|
$618.00 |
$618.00 |
$618.00 |
$521.18
|
|
Injection for bladder x-ray
|
$560.40 |
$560.40 |
$560.40 |
$585.00
|