|
Iliac/fem angio cath insert
|
$6,723.70 |
$6,723.70 |
$6,723.70 |
$1,856.01
|
|
Imetelstat 188 mg intravenous solution
|
$13,860.77 |
$13,860.77 |
$13,860.77 |
$20,373.55
|
|
Img rta detc/mntr ds phy/qhp
|
$205.25 |
$205.25 |
$205.25 |
$51.36
|
|
Immob elbow child sm
|
$181.30 |
$181.30 |
$181.30 |
$85.39
|
|
Immobilizer lwr extrem nylon 20in reinforc 21-35in
|
$126.96 |
$126.96 |
$126.96 |
$259.20
|
|
Immobilizer shldr cntor adlt
|
$1,089.36 |
$1,089.36 |
$1,089.36 |
$175.60
|
|
Immobilizer shldr dlx str 24-36in med
|
$164.16 |
$164.16 |
$164.16 |
$118.43
|
|
Immobilizer shldr sling med
|
$178.56 |
$178.56 |
$178.56 |
$126.00
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$3,446.49 |
$3,446.49 |
$3,446.49 |
$6,106.32
|
|
Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution
|
$2,485.81 |
$2,485.81 |
$2,485.81 |
$2,900.11
|
|
Immunoassay tumor antigen quantitative ca 125
|
$32.59 |
$32.59 |
$32.59 |
$132.00
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$53.86 |
$53.86 |
$53.86 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$26.59 |
$26.59 |
$26.59 |
$48.57
|
|
Immunofixation electrophoresis serum
|
$146.78 |
$146.78 |
$146.78 |
$142.50
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$77.71 |
$77.71 |
$77.71 |
$154.05
|
|
Immunofluorescence per specimen initial single antibody stain
|
$77.71 |
$77.71 |
$77.71 |
$234.27
|
|
Implant 11 volt lithium-ion backup battery for controller pocket
|
$4,503.74 |
$4,503.74 |
$4,503.74 |
$1,754.00
|
|
Implant cartilage 10mm synthetic
|
$3,261.79 |
$3,261.79 |
$3,261.79 |
$8,332.51
|
|
Implant cochlear osia osi300
|
$17,415.79 |
$17,415.79 |
$17,415.79 |
$16,195.55
|
|
Implant neuroelectrodes
|
$9,864.72 |
$9,864.72 |
$9,864.72 |
$13,628.55
|
|
Implant neuroelectrodes
|
$11,301.36 |
$11,301.36 |
$11,301.36 |
$8,836.80
|
|
Implant neuroelectrodes
|
$2,175.02 |
$2,175.02 |
$2,175.02 |
$7,728.86
|
|
Implant power module patient cable cable 14 volt
|
$2,116.80 |
$2,116.80 |
$2,116.80 |
$3,695.42
|
|
Implant pulse generator remede el
|
$39,458.35 |
$39,458.35 |
$39,458.35 |
$43,752.80
|
|
Implant tcat pulm vlv perq
|
$26,933.18 |
$26,933.18 |
$26,933.18 |
$12,623.60
|
|
Impl neurostim electr perc
|
$9,283.87 |
$9,283.87 |
$9,283.87 |
$7,672.50
|
|
Implnt spinl canal catheter 62350
|
$968.69 |
$968.69 |
$968.69 |
$5,095.20
|
|
Imuglucerase injection
|
$2,851.70 |
$2,851.70 |
$2,851.70 |
$3,399.59
|
|
In-111 autol wbc diag per dose
|
$1,217.18 |
$1,217.18 |
$1,217.18 |
$3,493.75
|
|
In-111 capromab pendet
|
$4,219.73 |
$4,219.73 |
$4,219.73 |
$3,141.45
|
|
In-111 ibritumomab tiux dx
|
$4,069.73 |
$4,069.73 |
$4,069.73 |
$4,748.02
|
|
In-111 oxyquinolin per 0.5 mci
|
$2,212.99 |
$2,212.99 |
$2,212.99 |
$2,753.23
|
|
In-111 pentetate dtpa / 0.5 mci
|
$804.43 |
$804.43 |
$804.43 |
$2,598.17
|
|
In-111 pentetreotide
|
$4,252.66 |
$4,252.66 |
$4,252.66 |
$5,294.90
|
|
In-111 satumomab pend
|
$1,514.64 |
$1,514.64 |
$1,514.64 |
$3,113.04
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$688.56 |
$688.56 |
$688.56 |
$2,086.70
|
|
Incision of breast lesion
|
$236.26 |
$236.26 |
$236.26 |
$2,577.85
|
|
Incision of toe tendons 28011
|
$1,819.25 |
$1,819.25 |
$1,819.25 |
$2,119.12
|
|
Incision of tongue fold
|
$542.11 |
$542.11 |
$542.11 |
$1,792.50
|
|
Incisn of toe tndn
|
$1,529.14 |
$1,529.14 |
$1,529.14 |
$2,667.00
|
|
Incobotulinumtoxin a
|
$929.14 |
$929.14 |
$929.14 |
$1,339.57
|
|
Indigotindisulfonate 8 mg/ml soln 5 ml ampule
|
$577.56 |
$577.56 |
$577.56 |
$766.66
|
|
Induced ab 1+vag supp d&c
|
$1,799.33 |
$1,799.33 |
$1,799.33 |
$1,194.40
|
|
Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s)
|
$202.61 |
$202.61 |
$202.61 |
$140.80
|
|
Infect ag drug suscept pheno predict
|
$352.66 |
$352.66 |
$352.66 |
$325.00
|
|
Infect ag genotype na hiv-1 other region
|
$316.61 |
$316.61 |
$316.61 |
$361.65
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$541.10 |
$541.10 |
$541.10 |
$603.83
|
|
Infect ag na hep b amp
|
$78.34 |
$78.34 |
$78.34 |
$120.50
|
|
Infect ag na hpv high-risk types
|
$137.81 |
$137.81 |
$137.81 |
$139.20
|
|
Infect ag na influenza r/amp 1st 2 types
|
$133.58 |
$133.58 |
$133.58 |
$219.70
|
|
Infect ag na orthopoxvirus amp prb each
|
$133.92 |
$133.92 |
$133.92 |
$100.00
|
|
Infect ag phenotype na hiv-1 1-10 drugs
|
$922.37 |
$922.37 |
$922.37 |
$954.00
|
|
Infect ag phenotype na hiv-1 ea addl drg
|
$54.19 |
$54.19 |
$54.19 |
$75.63
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$143.23 |
$143.23 |
$143.23 |
$83.60
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$100.08 |
$100.08 |
$100.08 |
$72.80
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$63.07 |
$63.07 |
$63.07 |
$76.00
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$56.40 |
$56.40 |
$56.40 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$87.17 |
$87.17 |
$87.17 |
$103.40
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$62.40 |
$62.40 |
$62.40 |
$81.20
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$87.07 |
$87.07 |
$87.07 |
$60.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$42.38 |
$42.38 |
$42.38 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$207.36 |
$207.36 |
$207.36 |
$129.00
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$27.50 |
$27.50 |
$27.50 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$1,228.03 |
$1,228.03 |
$1,228.03 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$128.02 |
$128.02 |
$128.02 |
$141.95
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$103.97 |
$103.97 |
$103.97 |
$167.05
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$1,001.18 |
$1,001.18 |
$1,001.18 |
$864.67
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$143.47 |
$143.47 |
$143.47 |
$181.35
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$121.87 |
$121.87 |
$121.87 |
$149.13
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$1,228.03 |
$1,228.03 |
$1,228.03 |
$212.16
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$128.02 |
$128.02 |
$128.02 |
$137.67
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$141.36 |
$141.36 |
$141.36 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$321.46 |
$321.46 |
$321.46 |
$206.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$336.10 |
$336.10 |
$336.10 |
$236.08
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$75.26 |
$75.26 |
$75.26 |
$96.00
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$176.78 |
$176.78 |
$176.78 |
$112.45
|
|
Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae
|
$89.86 |
$89.86 |
$89.86 |
$217.60
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$336.10 |
$336.10 |
$336.10 |
$195.60
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$289.58 |
$289.58 |
$289.58 |
$432.63
|
|
Infectious agent nucleic acid quantification bk virus
|
$171.41 |
$171.41 |
$171.41 |
$283.00
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$134.50 |
$134.50 |
$134.50 |
$242.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$148.56 |
$148.56 |
$148.56 |
$253.00
|
|
Infectious agent nucleic acid quantification hiv-1
|
$139.01 |
$139.01 |
$139.01 |
$375.00
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$321.46 |
$321.46 |
$321.46 |
$304.20
|
|
Infliximab 100 mg intravenous solution
|
$1,927.02 |
$1,927.02 |
$1,927.02 |
$2,047.13
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$834.90 |
$834.90 |
$834.90 |
$1,537.84
|
|
Infuse radioactive materials
|
$264.58 |
$264.58 |
$264.58 |
$739.50
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$217.20 |
$217.20 |
$217.20 |
$296.00
|
|
Init ak ischal plstr direct
|
$3,744.77 |
$3,744.77 |
$3,744.77 |
$2,609.60
|
|
Init bk ptb plaster direct
|
$2,662.03 |
$2,662.03 |
$2,662.03 |
$2,148.48
|
|
Initial custom socket insert
|
$2,374.56 |
$2,374.56 |
$2,374.56 |
$1,453.20
|
|
Inj, abilify asimtufii, 1 mg
|
$7,168.55 |
$7,168.55 |
$7,168.55 |
$9,426.91
|
|
Inj, abilify maintena, 1 mg
|
$4,211.19 |
$4,211.19 |
$4,211.19 |
$5,355.30
|
|
Inj, acetaminophen (b braun)
|
$26.53 |
$26.53 |
$26.53 |
$32.79
|
|
Inj acetaminophen -fresenius
|
$31.37 |
$31.37 |
$31.37 |
$36.60
|
|
Inj, acetaminophen (hikma)
|
$40.78 |
$40.78 |
$40.78 |
$56.70
|
|
Inj. acthar gel to 40 units
|
$2,625.63 |
$2,625.63 |
$2,625.63 |
$7,918.32
|
|
Inj, adalimumab, 1 mg
|
$5,549.27 |
$5,549.27 |
$5,549.27 |
$12,098.05
|
|
Inj, alfentanil hcl, 500mcg
|
$58.30 |
$58.30 |
$58.30 |
$35.94
|
|
Inj allopurinol sodium 1 mg
|
$1,884.81 |
$1,884.81 |
$1,884.81 |
$6,968.99
|