|
I125 iothalamate, dx
|
$896.50 |
$941.32 |
$941.32 |
|
|
I125 serum albumin, dx
|
$647.30 |
$647.30 |
$647.30 |
|
|
I-131 iobenguane sulf diag mibg
|
$825.72 |
$1,315.15 |
$1,485.12 |
|
|
I131 iodide cap, rx
|
$33.22 |
$44.33 |
$161.84 |
|
|
I131 iodide sol, rx
|
$28.66 |
$42.01 |
$42.01 |
|
|
I-131 sod iodide sol diag per mci
|
$135.45 |
$135.45 |
$135.45 |
|
|
Iaadi respiratory synctial virus
|
$12.22 |
$18.52 |
$78.96 |
|
|
Iadna legionella pneumophila amplified probe tq
|
$27.58 |
$48.42 |
$109.00 |
|
|
Ia infect ag ab qual/semiquant sgl step
|
$8.46 |
$24.96 |
$24.96 |
|
|
Ia nfct ab sarscov2 covid19
|
$62.49 |
$62.49 |
$62.49 |
|
|
Ibandronate 3 mg/3 ml intravenous syringe
|
$18.14 |
$18.14 |
$18.14 |
|
|
Ibmfs seq alys pnl 30 genes
|
$3,379.01 |
$3,379.01 |
$3,379.01 |
|
|
Ibuprofen injection
|
$4.39 |
$4.39 |
$4.39 |
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$153.46 |
$273.94 |
$324.63 |
|
|
Icatibant injection
|
$78.12 |
$78.12 |
$2,884.86 |
|
|
Icd cobalt xt dr MRI is1 df1
|
$16,934.40 |
$16,934.40 |
$22,768.48 |
|
|
Icd crtd cobalt hf MRI is1 df1
|
$22,792.00 |
$25,312.00 |
$38,258.00 |
|
|
Icd crtp serena MRI
|
$9,072.00 |
$9,072.00 |
$11,702.32 |
|
|
Icd reliance df4 ib 64cm
|
$4,490.64 |
$4,490.64 |
$4,579.12 |
|
|
Icg angiography i&r uni/bi
|
$296.91 |
$296.91 |
$296.91 |
|
|
Icut allergy test-delayed
|
$51.36 |
$51.36 |
$51.36 |
|
|
Icut allergy test drug/bug
|
$81.12 |
$81.12 |
$81.12 |
|
|
Icut allergy titrate-airborn
|
$39.77 |
$39.77 |
$39.77 |
|
|
I&d abscess posterior spine l/s/ls-22015
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
|
|
I&d abscss rtrphryngl/paraphryngl intraorl apprch
|
$4,558.89 |
$7,229.00 |
$7,229.00 |
|
|
Idarubicin hcl injection
|
$55.27 |
$55.27 |
$281.51 |
|
|
I&d/bursa/foot 28001
|
$1,509.48 |
$2,271.01 |
$2,327.92 |
|
|
Idecabtagene vicleucel car
|
$770,152.78 |
$770,152.78 |
$770,152.78 |
|
|
Identify sperm tissue
|
$71.65 |
$71.65 |
$71.65 |
|
|
I&d frarm&/wrst deep absc/hematoma
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
|
|
Idh1 common variants
|
$90.71 |
$266.69 |
$869.60 |
|
|
Idh2 common variants
|
$139.12 |
$408.19 |
$1,329.60 |
|
|
I&d intramural/intramuscular/submuc abscess transanal anes
|
$3,816.64 |
$3,816.64 |
$3,816.64 |
|
|
I&d lacrimal gland
|
$1,370.74 |
$1,370.74 |
$1,370.74 |
|
|
I&d lacrimal sac
|
$3,269.14 |
$7,761.00 |
$7,761.00 |
|
|
Iduc valve sply repl
|
$1,211.72 |
$1,211.72 |
$1,211.72 |
|
|
I&d upper arm/elbow deep abscess/hematoma
|
$3,994.09 |
$3,994.09 |
$3,994.09 |
|
|
Idursulfase injection
|
$770.18 |
$770.18 |
$770.18 |
|
|
I & d vag hematoma non-ob 57023
|
$3,994.09 |
$5,319.00 |
$5,566.00 |
|
|
I&d vag hemtma obst/postpart
|
$3,994.09 |
$3,994.09 |
$3,994.09 |
|
|
Ifnl3 gene
|
$34.31 |
$101.25 |
$1,598.40 |
|
|
Ifosfamide 1 gram intravenous solution
|
$34.28 |
$34.28 |
$94.98 |
|
|
Igh@/bcl2 translocation alys
|
$286.09 |
$364.00 |
$364.00 |
|
|
Igh gene rearrang dir probe
|
$94.60 |
$94.60 |
$211.50 |
|
|
Igh gene rearrange amp meth
|
$221.76 |
$754.00 |
$1,107.20 |
|
|
Igh@ var region somatic mutation analy
|
$329.84 |
$764.00 |
$2,718.40 |
|
|
Igk rearrangeabn clonal pop
|
$84.00 |
$238.37 |
$835.20 |
|
|
Ihc/icc per specimen each additional single antibody stain
|
$31.49 |
$119.00 |
$404.00 |
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$90.16 |
$363.00 |
$636.00 |
|
|
Ihc/icc per specimen initial single antibody stain
|
$63.84 |
$221.00 |
$328.80 |
|
|
Ikbkap gene
|
$18.33 |
$50.96 |
$2,582.40 |
|
|
Ileostomy/jejunostomy non-tube 44310
|
$1,444.20 |
$1,444.20 |
$1,444.20 |
|
|
Iliac bone graft microvasc
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
|
|
Iliac/fem angio cath insert
|
$17.95 |
$1,559.00 |
$4,023.00 |
|
|
Iliac revasc add-on 37222
|
$8,810.48 |
$16,730.00 |
$16,730.00 |
|
|
Iloprost non-comp unit dose
|
$219.30 |
$219.30 |
$219.30 |
|
|
Imbrication/diaphragm/transthor/transabd 39545
|
$1,304.64 |
$1,304.64 |
$1,304.64 |
|
|
Imetelstat 188 mg intravenous solution
|
$80.46 |
$80.46 |
$80.46 |
|
|
Img rta detcj/mntr ds staff
|
$81.12 |
$81.12 |
$81.12 |
|
|
Img rta detc/mntr ds phy/qhp
|
$42.00 |
$42.00 |
$51.36 |
|
|
Img rta detc/mntr ds poc aly
|
$81.12 |
$81.12 |
$81.12 |
|
|
Immob elbow child sm
|
$63.42 |
$165.95 |
$165.95 |
|
|
Immobilizer shldr cntor adlt
|
$75.18 |
$175.47 |
$175.47 |
|
|
Immobilizer shldr dlx str 24-36in med
|
$31.08 |
$59.92 |
$97.64 |
|
|
Immobilizer shldr sling med
|
$68.04 |
$159.49 |
$159.49 |
|
|
Immt breast prosthesis 19340
|
$11,238.72 |
$11,238.72 |
$11,238.72 |
|
|
Immune complex assay
|
$12.69 |
$33.63 |
$85.41 |
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$41.41 |
$65.26 |
$73.42 |
|
|
Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution
|
$35.27 |
$108.87 |
$255.87 |
|
|
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution
|
$57.82 |
$65.39 |
$466.14 |
|
|
Immunoassay tumor antigen quantitative ca 125
|
$28.72 |
$222.00 |
$258.40 |
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$21.62 |
$202.00 |
$490.40 |
|
|
Immunoassay tumor qual
|
$12.22 |
$35.29 |
$35.29 |
|
|
Immunodiff gel qual ea antigen/ab
|
$6.06 |
$15.68 |
$1,096.80 |
|
|
Immunodiffusion nes
|
$7.34 |
$19.39 |
$58.07 |
|
|
Immunoelectrophoresis assay
|
$14.10 |
$14.10 |
$14.10 |
|
|
Immunofixation electrophoresis serum
|
$30.83 |
$154.00 |
$493.60 |
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$47.04 |
$124.39 |
$776.80 |
|
|
Immunofluorescence per specimen initial single antibody stain
|
$62.16 |
$234.27 |
$914.40 |
|
|
Immunoglobulin assay
|
$17.19 |
$28.80 |
$287.20 |
|
|
Immunology procedure
|
$36.40 |
$36.40 |
$36.40 |
|
|
Impact tooth remov part bony
|
$888.94 |
$888.94 |
$888.94 |
|
|
Impedence cardiogram
|
$182.95 |
$182.95 |
$182.95 |
|
|
Imp extar knee shck absrb
|
$24,109.66 |
$24,109.66 |
$24,109.66 |
|
|
Impl absrb msh/prsth dly cls
|
$538.17 |
$538.17 |
$538.17 |
|
|
Impl ahmed 6x25x9.6mm glaucoma vlv w/sil ped ster
|
$1,344.92 |
$1,344.92 |
$1,344.92 |
|
|
Implant 11 volt lithium-ion backup battery for controller pocket
|
$1,451.36 |
$1,451.36 |
$1,451.36 |
|
|
Implantation iris prosthesis
|
$22,634.25 |
$22,634.25 |
$22,634.25 |
|
|
Implant biventricular device 33976
|
$2,214.97 |
$2,214.97 |
$5,868.24 |
|
|
Implant brain electrodes
|
$1,896.89 |
$1,896.89 |
$1,896.89 |
|
|
Implant brain electrodes
|
$2,331.47 |
$2,331.47 |
$2,331.47 |
|
|
Implant brain electrodes
|
$2,410.94 |
$2,410.94 |
$2,410.94 |
|
|
Implant cartilage 10mm synthetic
|
$2,016.00 |
$2,016.00 |
$2,016.00 |
|
|
Implant cochlear device
|
$45,337.91 |
$45,337.91 |
$45,337.91 |
|
|
Implant cochlear osia osi300
|
$4,050.48 |
$5,314.40 |
$8,083.68 |
|
|
Implant eye drug system
|
$19,185.84 |
$19,185.84 |
$19,185.84 |
|
|
Implant hormone pellet(s) 11980
|
$614.27 |
$614.27 |
$614.27 |
|
|
Implant nerve end
|
$302.99 |
$302.99 |
$302.99 |
|
|
Implant neuroelectrde addl
|
$413.38 |
$413.38 |
$413.38 |
|
|
Implant neuroelectrde addl
|
$727.26 |
$727.26 |
$727.26 |
|
