|
I-123 iobenguane diag
|
$9,949.80 |
$9,949.80 |
$9,949.80 |
$5,170.70
|
|
I-123 ioflupane diag
|
$9,115.95 |
$9,115.95 |
$9,115.95 |
$4,077.15
|
|
I-123 sod iodide diag per 100 uci
|
$194.40 |
$194.40 |
$837.68 |
$144.24
|
|
I131 iodide cap, rx
|
$11.15 |
$11.15 |
$69.30 |
$71.70
|
|
I131 iodide sol, rx
|
$1,183.19 |
$1,183.19 |
$1,183.19 |
$42.01
|
|
Iaadi respiratory synctial virus
|
$33.60 |
$33.60 |
$144.53 |
$54.98
|
|
Iadna legionella pneumophila amplified probe tq
|
$105.60 |
$105.60 |
$385.67 |
$109.00
|
|
Ia nfct ab sarscov2 covid19
|
$118.73 |
$118.73 |
$118.73 |
$62.49
|
|
Ibandronate 3 mg/3 ml intravenous syringe
|
$5,065.45 |
$5,065.45 |
$5,065.45 |
$684.45
|
|
Ibuprofen injection
|
$256.76 |
$256.76 |
$256.76 |
$256.76
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$1,467.66 |
$1,467.66 |
$5,810.93 |
$975.45
|
|
Icd cobalt xt dr MRI is1 df1
|
$93,114.65 |
$93,114.65 |
$114,367.50 |
$34,681.07
|
|
Icd crtd cobalt hf MRI is1 df1
|
$90,356.40 |
$90,356.40 |
$156,375.56 |
$41,418.00
|
|
Icd crtp serena MRI
|
$49,237.85 |
$49,237.85 |
$72,919.20 |
$14,360.25
|
|
Icd reliance df4 ib 64cm
|
$23,040.65 |
$23,040.65 |
$86,158.79 |
$9,267.72
|
|
I&d abscss rtrphryngl/paraphryngl intraorl apprch
|
$4,708.20 |
$4,708.20 |
$4,708.20 |
$3,592.74
|
|
Idarubicin hcl injection
|
$1,342.34 |
$1,342.34 |
$1,342.34 |
$447.02
|
|
Idh1 common variants
|
$319.20 |
$319.20 |
$701.65 |
$412.10
|
|
Idh2 common variants
|
$489.00 |
$489.00 |
$701.65 |
$486.00
|
|
I&d upper arm/elbow deep abscess/hematoma
|
$4,537.80 |
$4,537.80 |
$4,537.80 |
$3,355.20
|
|
Ifnl3 gene
|
$175.80 |
$175.80 |
$175.80 |
$147.20
|
|
Ifosfamide 1 gram intravenous solution
|
$184.26 |
$184.26 |
$1,127.27 |
$246.95
|
|
Igh gene rearrang dir probe
|
$2,351.63 |
$2,351.63 |
$2,351.63 |
$111.50
|
|
Igh gene rearrange amp meth
|
$965.40 |
$965.40 |
$1,507.91 |
$464.00
|
|
Igh@ var region somatic mutation analy
|
$529.20 |
$529.20 |
$4,719.67 |
$660.80
|
|
Igk rearrangeabn clonal pop
|
$965.40 |
$965.40 |
$1,366.90 |
$399.36
|
|
Ihc/icc per specimen each additional single antibody stain
|
$343.75 |
$343.75 |
$380.40 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$367.06 |
$367.06 |
$399.00 |
$328.79
|
|
Ihc/icc per specimen initial single antibody stain
|
$908.96 |
$908.96 |
$3,399.00 |
$272.30
|
|
Ikbkap gene
|
$228.00 |
$228.00 |
$1,664.14 |
$173.49
|
|
Iliac/fem angio cath insert
|
$2,600.40 |
$2,600.40 |
$4,918.49 |
$1,856.01
|
|
Imetelstat 188 mg intravenous solution
|
$579.11 |
$579.11 |
$33,040.02 |
$20,373.55
|
|
Immob elbow child sm
|
$1,093.54 |
$1,093.54 |
$1,093.54 |
$85.39
|
|
Immobilizer lwr extrem nylon 20in reinforc 21-35in
|
$157.22 |
$157.22 |
$157.22 |
$259.20
|
|
Immobilizer shldr cntor adlt
|
$445.20 |
$445.20 |
$1,260.87 |
$175.60
|
|
Immobilizer shldr dlx str 24-36in med
|
$514.44 |
$514.44 |
$2,687.64 |
$114.60
|
|
Immobilizer shldr sling med
|
$469.42 |
$469.42 |
$528.17 |
$126.00
|
|
Immune complex assay
|
$163.80 |
$163.80 |
$793.61 |
$100.80
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$15,400.62 |
$15,400.62 |
$23,309.33 |
$6,106.32
|
|
Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution
|
$802.19 |
$802.19 |
$802.19 |
$2,900.11
|
|
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution
|
$1,008.21 |
$1,008.21 |
$1,008.21 |
$3,846.15
|
|
Immunoassay tumor antigen quantitative ca 125
|
$141.60 |
$141.60 |
$602.46 |
$131.95
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$165.60 |
$165.60 |
$564.05 |
$116.40
|
|
Immunoassay tumor qual
|
$177.10 |
$177.10 |
$177.10 |
$66.50
|
|
Immunodiff gel qual ea antigen/ab
|
$63.00 |
$63.00 |
$333.33 |
$48.38
|
|
Immunodiffusion nes
|
$33.60 |
$33.60 |
$123.56 |
$48.57
|
|
Immunofixation electrophoresis serum
|
$142.80 |
$142.80 |
$642.05 |
$142.50
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$130.20 |
$130.20 |
$319.28 |
$154.05
|
|
Immunofluorescence per specimen initial single antibody stain
|
$563.40 |
$563.40 |
$653.76 |
$231.40
|
|
Immunoglobulin assay
|
$84.00 |
$84.00 |
$98.33 |
$75.88
|
|
Immunology procedure
|
$168.00 |
$168.00 |
$928.75 |
$142.56
|
|
Impl ahmed 6x25x9.6mm glaucoma vlv w/sil ped ster
|
$8,090.86 |
$8,090.86 |
$8,090.86 |
$3,036.25
|
|
Implant cartilage 10mm synthetic
|
$5,888.20 |
$5,888.20 |
$131,962.50 |
$8,184.00
|
|
Implant cochlear osia osi300
|
$39,630.00 |
$39,630.00 |
$40,768.94 |
$16,200.89
|
|
Implant neuroelectrodes
|
$107,490.46 |
$107,490.46 |
$107,490.46 |
$18,334.40
|
|
Implant neuroelectrodes
|
$12,437.40 |
$12,437.40 |
$12,437.40 |
$8,763.11
|
|
Implant neuroelectrodes
|
$75,293.27 |
$75,293.27 |
$75,293.27 |
$7,766.27
|
|
Implant ureth bulk agent
|
$6,499.32 |
$6,499.32 |
$31,978.91 |
$2,168.00
|
|
Impl ear abutment ba300 9mm
|
$6,594.96 |
$6,594.96 |
$6,594.96 |
$3,974.88
|
|
Impl neurostim electr perc
|
$14,745.66 |
$14,745.66 |
$14,745.66 |
$7,672.50
|
|
Implnt bio implnt for soft tiss reinforcement 15777
|
$57,465.04 |
$57,465.04 |
$57,465.04 |
$1,072.00
|
|
Implnt spinl canal catheter 62350
|
$7,072.20 |
$7,072.20 |
$7,072.20 |
$5,095.20
|
|
Imuglucerase injection
|
$18,180.26 |
$18,180.26 |
$18,180.26 |
$3,399.59
|
|
In-111 capromab pendet
|
$2.10 |
$2.10 |
$2.10 |
$3,141.45
|
|
In-111 ibritumomab tiux dx
|
$17,566.28 |
$17,566.28 |
$17,566.28 |
$4,748.02
|
|
In-111 oxyquinolin per 0.5 mci
|
$8,840.94 |
$8,840.94 |
$10,590.44 |
$2,581.82
|
|
In-111 pentetate dtpa / 0.5 mci
|
$5,578.68 |
$5,578.68 |
$11,927.55 |
$2,598.17
|
|
In-111 pentetreotide
|
$46,797.45 |
$46,797.45 |
$46,797.45 |
$5,201.00
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$15,774.10 |
$15,774.10 |
$15,774.10 |
$2,056.93
|
|
Incision of anal sphincter
|
$7,569.06 |
$7,569.06 |
$7,569.06 |
$3,245.23
|
|
Incision of breast lesion
|
$13,873.46 |
$13,873.46 |
$13,873.46 |
$2,560.80
|
|
Incision of burn scab initi
|
$663.00 |
$663.00 |
$663.00 |
$494.40
|
|
Incision of metatarsal
|
$57,069.77 |
$57,069.77 |
$57,069.77 |
$3,591.33
|
|
Incision tendon sheath
|
$14,411.64 |
$14,411.64 |
$14,411.64 |
$3,073.20
|
|
Incobotulinumtoxin a
|
$1,502.34 |
$1,502.34 |
$1,502.34 |
$1,339.57
|
|
Indigotindisulfonate 8 mg/ml soln 5 ml ampule
|
$1,968.00 |
$1,968.00 |
$3,299.81 |
$766.66
|
|
Infect ag drug suscept pheno predict
|
$745.20 |
$745.20 |
$1,525.47 |
$323.20
|
|
Infect ag eia chlamydia trachomatis
|
$100.80 |
$100.80 |
$100.80 |
$67.20
|
|
Infect ag genotype na cytomegalovirus
|
$661.80 |
$661.80 |
$661.80 |
$661.80
|
|
Infect ag genotype na dna hepatitis b
|
$670.80 |
$670.80 |
$1,011.55 |
$405.30
|
|
Infect ag genotype na hiv-1 other region
|
$335.40 |
$335.40 |
$904.28 |
$386.40
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$857.40 |
$857.40 |
$3,025.18 |
$603.75
|
|
Infect ag ia direct hiv-1 antgn
|
$69.60 |
$69.60 |
$554.67 |
$91.70
|
|
Infect ag ia optc obs chlamydia trach
|
$132.81 |
$132.81 |
$132.81 |
$96.32
|
|
Infect ag ia optc obs influenza
|
$73.80 |
$73.80 |
$143.36 |
$72.93
|
|
Infect ag if ea plyvlnt antsrm
|
$126.60 |
$126.60 |
$135.17 |
$62.80
|
|
Infect ag if hep delta agent
|
$141.00 |
$141.00 |
$314.69 |
$125.97
|
|
Infect ag if influenza a
|
$47.40 |
$47.40 |
$144.53 |
$41.30
|
|
Infect ag if influenza b
|
$47.40 |
$47.40 |
$144.53 |
$40.08
|
|
Infect ag if legionella pneumophila
|
$143.40 |
$143.40 |
$144.53 |
$72.58
|
|
Infect ag if nos ea
|
$33.60 |
$33.60 |
$144.53 |
$74.88
|
|
Infect ag if pneumocystis carinii
|
$144.53 |
$144.53 |
$144.53 |
$66.00
|
|
Infect ag if varicella zoster
|
$31.80 |
$31.80 |
$144.53 |
$70.70
|
|
Infect ag na herpes simplex quant
|
$424.20 |
$424.20 |
$424.20 |
$169.65
|
|
Infect ag na hpv high-risk types
|
$128.24 |
$128.24 |
$142.20 |
$139.75
|
|
Infect ag na influenza r/amp 1st 2 types
|
$208.20 |
$208.20 |
$703.89 |
$219.70
|
|
Infect ag na influenza revr/amp ea type
|
$398.56 |
$398.56 |
$398.56 |
$158.06
|
|
Infect ag na orthopoxvirus amp prb each
|
$96.00 |
$96.00 |
$436.49 |
$99.36
|
|
Infect ag na resp virus 12-25 targets
|
$1,472.40 |
$1,472.40 |
$2,527.60 |
$835.80
|
|
Infect ag phenotype na hiv-1 1-10 drugs
|
$832.20 |
$832.20 |
$2,291.07 |
$943.80
|
