|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$496.73 |
$496.73 |
$496.73 |
$980.94
|
|
Icatibant injection
|
$2,684.17 |
$2,684.17 |
$2,684.17 |
$8,695.05
|
|
Idarubicin hcl injection
|
$93.18 |
$93.18 |
$93.18 |
$447.02
|
|
Idh1 common variants
|
$117.36 |
$117.36 |
$117.36 |
$406.90
|
|
Idh2 common variants
|
$173.28 |
$173.28 |
$173.28 |
$486.00
|
|
Ifosfamide 1 gram intravenous solution
|
$64.58 |
$64.58 |
$64.58 |
$243.78
|
|
Igh gene rearrang dir probe
|
$55.68 |
$55.68 |
$55.68 |
$82.26
|
|
Igh@ var region somatic mutation analy
|
$172.56 |
$172.56 |
$172.56 |
$660.80
|
|
Ihc/icc per specimen each additional single antibody stain
|
$33.36 |
$33.36 |
$33.36 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$123.36 |
$123.36 |
$123.36 |
$328.79
|
|
Ihc/icc per specimen initial single antibody stain
|
$119.76 |
$119.76 |
$119.76 |
$274.86
|
|
Immune complex assay
|
$88.56 |
$88.56 |
$88.56 |
$109.20
|
|
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution
|
$587.38 |
$587.38 |
$587.38 |
$3,846.15
|
|
Immunoassay tumor antigen quantitative ca 125
|
$84.96 |
$84.96 |
$84.96 |
$130.00
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$84.96 |
$84.96 |
$84.96 |
$116.40
|
|
Immunofixation electrophoresis serum
|
$168.96 |
$168.96 |
$168.96 |
$138.60
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$119.76 |
$119.76 |
$119.76 |
$156.00
|
|
Immunofluorescence per specimen initial single antibody stain
|
$144.72 |
$144.72 |
$144.72 |
$232.05
|
|
Immunoglobulin assay
|
$45.84 |
$45.84 |
$45.84 |
$74.15
|
|
Impedence cardiogram
|
$39.60 |
$39.60 |
$39.60 |
$152.54
|
|
Implant neuroelectrodes
|
$2,966.64 |
$2,966.64 |
$2,966.64 |
$7,728.86
|
|
In-111 oxyquinolin per 0.5 mci
|
$1,366.27 |
$1,366.27 |
$1,366.27 |
$2,568.98
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$1,364.88 |
$1,364.88 |
$1,364.88 |
$2,080.80
|
|
Incision of breast lesion
|
$1,052.88 |
$1,052.88 |
$1,052.88 |
$2,577.85
|
|
Incision of burn scab initi
|
$238.08 |
$238.08 |
$238.08 |
$494.40
|
|
Incision of tongue fold
|
$983.76 |
$983.76 |
$983.76 |
$1,792.50
|
|
Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s)
|
$50.64 |
$50.64 |
$50.64 |
$131.20
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$167.28 |
$167.28 |
$167.28 |
$603.75
|
|
Infect ag ia direct hiv-1 antgn
|
$101.52 |
$101.52 |
$101.52 |
$95.55
|
|
Infect ag ia optc obs influenza
|
$69.60 |
$69.60 |
$69.60 |
$72.93
|
|
Infect ag if ea plyvlnt antsrm
|
$63.60 |
$63.60 |
$63.60 |
$65.10
|
|
Infect ag if legionella pneumophila
|
$38.88 |
$38.88 |
$38.88 |
$73.46
|
|
Infect ag if nos ea
|
$12.00 |
$12.00 |
$12.00 |
$74.10
|
|
Infect ag if pneumocystis carinii
|
$34.80 |
$34.80 |
$34.80 |
$67.46
|
|
Infect ag if varicella zoster
|
$27.36 |
$27.36 |
$27.36 |
$72.00
|
|
Infect ag na herpes simplex quant
|
$92.64 |
$92.64 |
$92.64 |
$169.65
|
|
Infect ag na orthopoxvirus amp prb each
|
$28.32 |
$28.32 |
$28.32 |
$99.36
|
|
Infect ag na resp virus 12-25 targets
|
$393.12 |
$393.12 |
$393.12 |
$859.44
|
|
Infect ag phenotype na hiv-1 1-10 drugs
|
$380.64 |
$380.64 |
$380.64 |
$855.60
|
|
Infect ag phenotype na hiv-1 ea addl drg
|
$20.16 |
$20.16 |
$20.16 |
$77.00
|
|
Infectious agent antigen immunoassay direct optical observation sars-cov-2
|
$35.52 |
$35.52 |
$35.52 |
$51.31
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$79.92 |
$79.92 |
$79.92 |
$82.00
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$39.12 |
$39.12 |
$39.12 |
$76.50
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$82.32 |
$82.32 |
$82.32 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$117.12 |
$117.12 |
$117.12 |
$96.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$44.88 |
$44.88 |
$44.88 |
$81.06
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$24.96 |
$24.96 |
$24.96 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$23.28 |
$23.28 |
$23.28 |
$127.80
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$126.24 |
$126.24 |
$126.24 |
$97.50
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$18.24 |
$18.24 |
$18.24 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$396.48 |
$396.48 |
$396.48 |
$267.50
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$63.36 |
$63.36 |
$63.36 |
$137.67
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$37.92 |
$37.92 |
$37.92 |
$167.05
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$422.16 |
$422.16 |
$422.16 |
$861.00
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$60.00 |
$60.00 |
$60.00 |
$181.35
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$37.92 |
$37.92 |
$37.92 |
$151.25
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$238.56 |
$238.56 |
$238.56 |
$201.60
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$88.08 |
$88.08 |
$88.08 |
$135.80
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$44.64 |
$44.64 |
$44.64 |
$100.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$120.24 |
$120.24 |
$120.24 |
$217.70
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$120.24 |
$120.24 |
$120.24 |
$236.08
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$37.92 |
$37.92 |
$37.92 |
$94.53
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$36.48 |
$36.48 |
$36.48 |
$105.00
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$55.20 |
$55.20 |
$55.20 |
$184.80
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$372.72 |
$372.72 |
$372.72 |
$711.93
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$103.20 |
$103.20 |
$103.20 |
$283.20
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$213.12 |
$213.12 |
$213.12 |
$429.50
|
|
Infectious agent nucleic acid quantification bk virus
|
$415.44 |
$415.44 |
$415.44 |
$283.00
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$273.60 |
$273.60 |
$273.60 |
$238.80
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$213.12 |
$213.12 |
$213.12 |
$252.60
|
|
Infectious agent nucleic acid quantification hiv-1
|
$323.04 |
$323.04 |
$323.04 |
$374.50
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$111.12 |
$111.12 |
$111.12 |
$303.59
|
|
Infliximab 100 mg intravenous solution
|
$316.22 |
$316.22 |
$316.22 |
$2,080.86
|
|
Initiation & management bipap/cpap initial day
|
$343.92 |
$343.92 |
$343.92 |
$576.00
|
|
Inj, acetaminophen (b braun)
|
$10.17 |
$10.17 |
$10.17 |
$32.79
|
|
Inj acetaminophen -fresenius
|
$10.08 |
$10.08 |
$10.08 |
$38.87
|
|
Inj, acetaminophen (hikma)
|
$7.56 |
$7.56 |
$7.56 |
$68.30
|
|
Inj allopurinol sodium 1 mg
|
$1,581.92 |
$1,581.92 |
$1,581.92 |
$6,968.99
|
|
Inj, bortezomib freseniuskab
|
$854.35 |
$854.35 |
$854.35 |
$2,464.14
|
|
Inj, bortezomib, hospira
|
$33.24 |
$33.24 |
$33.24 |
$175.35
|
|
Inj calcitriol per 0.1 mcg
|
$10.90 |
$10.90 |
$10.90 |
$22.69
|
|
Inj cefazolin sodium, baxter
|
$20.88 |
$20.88 |
$20.88 |
$27.38
|
|
Inj cefazolin sodium, hikma
|
$8.74 |
$8.74 |
$8.74 |
$29.10
|
|
Inj cefazolin (wg crit care)
|
$6.48 |
$6.48 |
$6.48 |
$18.30
|
|
Inj. cefepime hcl (baxter)
|
$95.76 |
$95.76 |
$95.76 |
$86.84
|
|
Inj, cefepime hcl (b braun)
|
$49.71 |
$49.71 |
$49.71 |
$69.85
|
|
Inj, clindamycin (baxter)
|
$10.98 |
$10.98 |
$10.98 |
$48.39
|
|
Inj cntr knee arthro incl ct/mri
|
$113.76 |
$113.76 |
$113.76 |
$436.80
|
|
Inj cyclophos dr.reddy's 5mg
|
$2,520.00 |
$2,520.00 |
$2,520.00 |
$4,725.00
|
|
Inj cyclophosphamd auromedic
|
$167.84 |
$167.84 |
$167.84 |
$249.68
|
|
Inj cyclophosphamd (ingenus)
|
$975.79 |
$975.79 |
$975.79 |
$742.72
|
|
Inj, daptomycin (hospira)
|
$59.11 |
$59.11 |
$59.11 |
$110.83
|
|
Inj daptomycin (xellia)
|
$21.65 |
$21.65 |
$21.65 |
$56.04
|
|
Inj, decitabine (sun pharma)
|
$66.61 |
$66.61 |
$66.61 |
$295.94
|
|
Injection arthrography hip without anesthesia (both sides)
|
$132.00 |
$132.00 |
$132.00 |
$500.50
|
|
Injection carpal tunnel therapeutic (both sides)
|
$119.76 |
$119.76 |
$119.76 |
$504.90
|
|
Injection, doxercalciferol
|
$6.66 |
$6.66 |
$6.66 |
$23.12
|
|
Injection, edaravone, 1 mg
|
$239.76 |
$239.76 |
$239.76 |
$1,136.59
|
|
Injection epidural blood patch or clot
|
$338.88 |
$338.88 |
$338.88 |
$1,156.80
|
|
Injection eye drug
|
$112.32 |
$112.32 |
$112.32 |
$644.50
|