|
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution
|
$4,003.68 |
$4,003.68 |
$4,003.68 |
$3,132.49
|
|
Immunoassay tumor antigen quantitative ca 125
|
$396.00 |
$396.00 |
$396.00 |
$122.50
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$370.80 |
$370.80 |
$370.80 |
$117.00
|
|
Immunoassay tumor qual
|
$206.40 |
$206.40 |
$206.40 |
$56.80
|
|
Immunodiff gel qual ea antigen/ab
|
$247.80 |
$247.80 |
$247.80 |
$58.25
|
|
Immunodiffusion nes
|
$72.00 |
$72.00 |
$72.00 |
$63.57
|
|
Immunofixation electrophoresis serum
|
$546.00 |
$546.00 |
$546.00 |
$133.38
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$186.60 |
$186.60 |
$186.60 |
$185.00
|
|
Immunoglobulin assay
|
$191.40 |
$191.40 |
$191.40 |
$74.15
|
|
Implant cartilage 10mm synthetic
|
$3,006.00 |
$3,006.00 |
$3,006.00 |
$14,238.00
|
|
Implant ureth bulk agent
|
$2,451.00 |
$2,451.00 |
$2,451.00 |
$2,342.17
|
|
Infect ag eia chlamydia trachomatis
|
$361.20 |
$361.20 |
$361.20 |
$35.20
|
|
Infect ag eia influenza a or b ea
|
$186.60 |
$186.60 |
$186.60 |
$64.00
|
|
Infect ag genotype na cytomegalovirus
|
$388.20 |
$388.20 |
$388.20 |
$577.60
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$1,974.60 |
$1,974.60 |
$1,974.60 |
$619.11
|
|
Infect ag ia direct hiv-1 antgn
|
$173.40 |
$173.40 |
$173.40 |
$95.55
|
|
Infect ag ia optc obs influenza
|
$61.20 |
$61.20 |
$61.20 |
$65.58
|
|
Infect ag if ea plyvlnt antsrm
|
$36.00 |
$36.00 |
$36.00 |
$47.70
|
|
Infect ag if nos ea
|
$151.20 |
$151.20 |
$151.20 |
$66.40
|
|
Infect ag na hep b amp
|
$474.00 |
$474.00 |
$474.00 |
$108.44
|
|
Infect ag na hpv high-risk types
|
$78.00 |
$78.00 |
$78.00 |
$147.00
|
|
Infect ag na influenza r/amp 1st 2 types
|
$383.40 |
$383.40 |
$383.40 |
$248.80
|
|
Infect ag na influenza revr/amp ea type
|
$153.00 |
$153.00 |
$153.00 |
$151.80
|
|
Infect ag na resp virus 12-25 targets
|
$1,458.00 |
$1,458.00 |
$1,458.00 |
$878.20
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$339.60 |
$339.60 |
$339.60 |
$76.00
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$208.80 |
$208.80 |
$208.80 |
$74.10
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$129.60 |
$129.60 |
$129.60 |
$76.00
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$288.60 |
$288.60 |
$288.60 |
$73.45
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$320.40 |
$320.40 |
$320.40 |
$96.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$232.20 |
$232.20 |
$232.20 |
$75.27
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$145.80 |
$145.80 |
$145.80 |
$60.95
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$198.60 |
$198.60 |
$198.60 |
$107.90
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$266.40 |
$266.40 |
$266.40 |
$132.60
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$303.60 |
$303.60 |
$303.60 |
$98.40
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$147.60 |
$147.60 |
$147.60 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$488.40 |
$488.40 |
$488.40 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$282.60 |
$282.60 |
$282.60 |
$144.00
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$249.00 |
$249.00 |
$249.00 |
$174.06
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$417.60 |
$417.60 |
$417.60 |
$181.35
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$276.60 |
$276.60 |
$276.60 |
$148.80
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$282.60 |
$282.60 |
$282.60 |
$134.55
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$415.20 |
$415.20 |
$415.20 |
$109.18
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$163.80 |
$163.80 |
$163.80 |
$135.00
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$1,093.20 |
$1,093.20 |
$1,093.20 |
$727.50
|
|
Infectious agent nucleic acid quantification bk virus
|
$618.00 |
$618.00 |
$618.00 |
$300.00
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$1,158.00 |
$1,158.00 |
$1,158.00 |
$242.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$1,015.20 |
$1,015.20 |
$1,015.20 |
$280.20
|
|
Infectious agent nucleic acid quantification hiv-1
|
$1,239.00 |
$1,239.00 |
$1,239.00 |
$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
|
|
Initiation & management bipap/cpap initial day
|
$141.60 |
$141.60 |
$141.60 |
$608.40
|
|
Inj., benralizumab, 1 mg
|
$8,674.10 |
$8,674.10 |
$8,674.10 |
$12,417.10
|
|
Inj cefazolin sodium, hikma
|
$104.18 |
$104.18 |
$104.18 |
$66.38
|
|
Inj cntr knee arthro incl ct/mri
|
$508.80 |
$508.80 |
$508.80 |
$505.20
|
|
Injection arthrography hip without anesthesia (both sides)
|
$978.60 |
$978.60 |
$978.60 |
$609.20
|
|
Injection for arthrography wrist (both sides)
|
$618.00 |
$618.00 |
$618.00 |
$521.18
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$773.40 |
$773.40 |
$773.40 |
$514.36
|
|
Injection, fulvestrant
|
$1,660.11 |
$1,660.11 |
$1,660.11 |
$166.25
|
|
Injection, inclisiran, 1 mg
|
$5,431.58 |
$5,431.58 |
$5,431.58 |
$12.72
|
|
Injection,onabotulinumtoxina
|
$12.88 |
$12.88 |
$12.88 |
$12.88
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$670.20 |
$670.20 |
$670.20 |
$517.24
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$222.60 |
$222.60 |
$222.60 |
$153.60
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$174.60 |
$174.60 |
$174.60 |
$150.00
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$318.00 |
$318.00 |
$318.00 |
$303.60
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$160.20 |
$160.20 |
$160.20 |
$130.19
|
|
Inject sacroiliac joint
|
$2,589.00 |
$2,589.00 |
$2,589.00 |
$1,028.95
|
|
Inj hydroxocobalamin IV 25mg
|
$1,593.19 |
$1,593.19 |
$1,593.19 |
$1,593.19
|
|
Inj proc ankle arthr
|
$546.60 |
$546.60 |
$546.60 |
$405.60
|
|
Inj proc elbow arthro
|
$618.00 |
$618.00 |
$618.00 |
$483.15
|
|
Insertion catheter bladder non indwelling
|
$521.40 |
$521.40 |
$521.40 |
$230.40
|
|
Insertion catheter bladder temporary simple
|
$348.00 |
$348.00 |
$348.00 |
$245.00
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$3,437.40 |
$3,437.40 |
$3,437.40 |
$2,457.24
|
|
Insitu hybridization manual
|
$667.20 |
$667.20 |
$667.20 |
$407.11
|
|
In situ hybridization per specimen each additional single probe stain
|
$264.00 |
$264.00 |
$264.00 |
$291.00
|
|
In situ hybridization per specimen initial single probe stain
|
$902.40 |
$902.40 |
$902.40 |
$364.00
|
|
Insti hexaminolevulinate hcl
|
$2,356.80 |
$2,356.80 |
$2,356.80 |
$2,356.80
|
|
Insulin total
|
$277.80 |
$277.80 |
$277.80 |
$72.15
|
|
Intracranial complete study
|
$1,528.20 |
$1,528.20 |
$1,528.20 |
$903.50
|
|
Intracranial limited study
|
$887.40 |
$887.40 |
$887.40 |
$398.34
|
|
Intrinsic factor antibody
|
$207.00 |
$207.00 |
$207.00 |
$76.77
|
|
Intro long gi tube
|
$903.00 |
$903.00 |
$903.00 |
$880.75
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$0.63 |
$0.63 |
$0.63 |
$4.59
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$0.67 |
$0.67 |
$0.67 |
$145.52
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$261.10 |
$261.10 |
$261.10 |
$261.10
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$181.38 |
$181.38 |
$181.38 |
$254.59
|
|
Iron
|
$151.80 |
$151.80 |
$151.80 |
$67.50
|
|
Iron binding capacity
|
$174.60 |
$174.60 |
$174.60 |
$55.00
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$660.70 |
$660.70 |
$660.70 |
$211.09
|
|
Irrigation implantable venous access device for drug delivery systems
|
$290.40 |
$290.40 |
$290.40 |
$149.00
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$162.00 |
$162.00 |
$162.00 |
$186.55
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$129.00 |
$129.00 |
$129.00 |
$170.94
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$162.00 |
$162.00 |
$162.00 |
$153.40
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$646.20 |
$646.20 |
$646.20 |
$476.50
|
|
Ixabepilone 15 mg intravenous solution
|
$197.51 |
$197.51 |
$197.51 |
$189.96
|
|
Jak2 targeted sequence analysis
|
$333.60 |
$333.60 |
$333.60 |
$465.74
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$241.80 |
$241.80 |
$241.80 |
$52.50
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$39.01 |
$39.01 |
$39.01 |
$17.11
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$793.80 |
$793.80 |
$793.80 |
$618.54
|
|
Knee MRI (with and without contrast)
|
$5,455.20 |
$5,455.20 |
$5,455.20 |
$2,703.85
|
|
Knee MRI (with contrast)
|
$4,546.80 |
$4,546.80 |
$4,546.80 |
$2,315.95
|