|
Idarubicin hcl injection
|
$3.91 |
$3.91 |
$3.91 |
$447.02
|
|
Idursulfase injection
|
$616.72 |
$616.72 |
$616.72 |
$5,646.08
|
|
Ifosfamide 1 gram intravenous solution
|
$56.46 |
$56.46 |
$56.46 |
$246.95
|
|
Igh gene rearrange amp meth
|
$339.25 |
$339.25 |
$339.25 |
$464.00
|
|
Ihc/icc per specimen each additional single antibody stain
|
$96.76 |
$96.76 |
$96.76 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$282.61 |
$282.61 |
$282.61 |
$328.79
|
|
Ihc/icc per specimen initial single antibody stain
|
$325.68 |
$325.68 |
$325.68 |
$272.30
|
|
Iliac revasc add-on 37222
|
$6,022.13 |
$6,022.13 |
$6,022.13 |
$6,082.65
|
|
Imetelstat 188 mg intravenous solution
|
$6,006.51 |
$6,006.51 |
$6,006.51 |
$20,373.55
|
|
Img rta detc/mntr ds phy/qhp
|
$64.31 |
$64.31 |
$64.31 |
$51.36
|
|
Immobilizer shldr cntor adlt
|
$186.27 |
$186.27 |
$186.27 |
$175.60
|
|
Immobilizer shldr dlx str 24-36in med
|
$109.15 |
$109.15 |
$109.15 |
$114.60
|
|
Immobilizer shldr sling med
|
$64.06 |
$64.06 |
$64.06 |
$126.00
|
|
Immune complex assay
|
$93.22 |
$93.22 |
$93.22 |
$100.80
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$5.53 |
$5.53 |
$5.53 |
$6,106.32
|
|
Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution
|
$776.65 |
$776.65 |
$776.65 |
$2,900.11
|
|
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution
|
$4.43 |
$4.43 |
$4.43 |
$3,846.15
|
|
Immunoassay tumor antigen quantitative ca 125
|
$130.39 |
$130.39 |
$130.39 |
$131.95
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$119.18 |
$119.18 |
$119.18 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$73.75 |
$73.75 |
$73.75 |
$48.38
|
|
Immunofixation electrophoresis serum
|
$136.29 |
$136.29 |
$136.29 |
$142.50
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$171.10 |
$171.10 |
$171.10 |
$154.05
|
|
Immunofluorescence per specimen initial single antibody stain
|
$313.88 |
$313.88 |
$313.88 |
$231.40
|
|
Implant cartilage 10mm synthetic
|
$4,340.93 |
$4,340.93 |
$4,340.93 |
$8,184.00
|
|
Implant cochlear osia osi300
|
$1,847.54 |
$1,847.54 |
$1,847.54 |
$16,200.89
|
|
Implant ureth bulk agent
|
$1,352.73 |
$1,352.73 |
$1,352.73 |
$2,168.00
|
|
Implnt spinl canal catheter 62350
|
$5,236.84 |
$5,236.84 |
$5,236.84 |
$5,095.20
|
|
In-111 pentetate dtpa / 0.5 mci
|
$2,311.03 |
$2,311.03 |
$2,311.03 |
$2,598.17
|
|
In-111 pentetreotide
|
$4,064.51 |
$4,064.51 |
$4,064.51 |
$5,201.00
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$1,128.08 |
$1,128.08 |
$1,128.08 |
$2,056.93
|
|
Incision tendon sheath
|
$1,902.75 |
$1,902.75 |
$1,902.75 |
$3,073.20
|
|
Incobotulinumtoxin a
|
$289.44 |
$289.44 |
$289.44 |
$1,339.57
|
|
Infec agen detec ampli probe
|
$15.34 |
$15.34 |
$15.34 |
$26.00
|
|
Infect ag eia influenza a or b ea
|
$73.16 |
$73.16 |
$73.16 |
$71.50
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$457.25 |
$457.25 |
$457.25 |
$603.75
|
|
Infect ag ia direct hiv-1 antgn
|
$58.41 |
$58.41 |
$58.41 |
$91.70
|
|
Infect ag if varicella zoster
|
$92.63 |
$92.63 |
$92.63 |
$70.70
|
|
Infect ag na hpv high-risk types
|
$115.05 |
$115.05 |
$115.05 |
$139.75
|
|
Infect ag na influenza r/amp 1st 2 types
|
$118.59 |
$118.59 |
$118.59 |
$219.70
|
|
Infect ag na resp virus 12-25 targets
|
$1,899.80 |
$1,899.80 |
$1,899.80 |
$835.80
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$173.46 |
$173.46 |
$173.46 |
$82.00
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$65.49 |
$65.49 |
$65.49 |
$72.80
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$86.73 |
$86.73 |
$86.73 |
$76.32
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$68.44 |
$68.44 |
$68.44 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$162.84 |
$162.84 |
$162.84 |
$100.02
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$104.43 |
$104.43 |
$104.43 |
$81.20
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$33.04 |
$33.04 |
$33.04 |
$60.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$64.90 |
$64.90 |
$64.90 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$244.26 |
$244.26 |
$244.26 |
$129.00
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$101.48 |
$101.48 |
$101.48 |
$98.02
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$47.20 |
$47.20 |
$47.20 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$192.93 |
$192.93 |
$192.93 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$99.12 |
$99.12 |
$99.12 |
$139.68
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$94.40 |
$94.40 |
$94.40 |
$167.00
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$2,747.04 |
$2,747.04 |
$2,747.04 |
$861.00
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$176.41 |
$176.41 |
$176.41 |
$179.92
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$126.26 |
$126.26 |
$126.26 |
$147.55
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$285.56 |
$285.56 |
$285.56 |
$217.85
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$97.94 |
$97.94 |
$97.94 |
$136.03
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$90.27 |
$90.27 |
$90.27 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$220.66 |
$220.66 |
$220.66 |
$236.08
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$34.81 |
$34.81 |
$34.81 |
$92.50
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$120.36 |
$120.36 |
$120.36 |
$108.75
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$561.68 |
$561.68 |
$561.68 |
$727.50
|
|
Infectious agent nucleic acid quantification bk virus
|
$538.08 |
$538.08 |
$538.08 |
$279.40
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$352.82 |
$352.82 |
$352.82 |
$239.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$321.55 |
$321.55 |
$321.55 |
$252.00
|
|
Infectious agent nucleic acid quantification hiv-1
|
$543.98 |
$543.98 |
$543.98 |
$374.00
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$394.12 |
$394.12 |
$394.12 |
$303.59
|
|
Infliximab 100 mg intravenous solution
|
$664.58 |
$664.58 |
$664.58 |
$2,080.86
|
|
Infliximab-axxq 100 mg intravenous solution
|
$270.31 |
$270.31 |
$270.31 |
$1,062.00
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$289.62 |
$289.62 |
$289.62 |
$1,537.84
|
|
Influenza virus vaccine, live trivalent intranasal
|
$15.02 |
$15.02 |
$15.02 |
$36.50
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$149.27 |
$149.27 |
$149.27 |
$293.25
|
|
Initiation & management bipap/cpap initial day
|
$707.41 |
$707.41 |
$707.41 |
$576.00
|
|
Inj, abilify asimtufii, 1 mg
|
$940.37 |
$940.37 |
$940.37 |
$9,426.91
|
|
Inj, abilify maintena, 1 mg
|
$1,504.59 |
$1,504.59 |
$1,504.59 |
$5,355.30
|
|
Inj alymsys 10 mg
|
$53.52 |
$53.52 |
$53.52 |
$1,280.74
|
|
Inj anifrolumab-fnia 1mg
|
$1,542.67 |
$1,542.67 |
$1,542.67 |
$9,878.82
|
|
Inj, artesunate, 1mg
|
$3,173.32 |
$3,173.32 |
$3,173.32 |
$14,460.21
|
|
Inj, aspara, rylaze, 0.1 mg
|
$5,876.40 |
$5,876.40 |
$5,876.40 |
$10,458.00
|
|
Inj aval alfa-nqpt 4mg
|
$1,148.97 |
$1,148.97 |
$1,148.97 |
$3,907.30
|
|
Inj., benralizumab, 1 mg
|
$3,349.29 |
$3,349.29 |
$3,349.29 |
$11,239.97
|
|
Inj, bezlotoxumab, 10 mg
|
$2,242.00 |
$2,242.00 |
$2,242.00 |
$7,612.43
|
|
Inj, bortezomib freseniuskab
|
$692.31 |
$692.31 |
$692.31 |
$2,527.00
|
|
Inj cefazolin sodium, baxter
|
$0.07 |
$0.07 |
$0.07 |
$27.38
|
|
Inj cefazolin (wg crit care)
|
$1.94 |
$1.94 |
$1.94 |
$18.05
|
|
Inj. cefepime hcl (baxter)
|
$0.32 |
$0.32 |
$0.32 |
$86.84
|
|
Inj, cefepime hcl (b braun)
|
$16.11 |
$16.11 |
$16.11 |
$69.85
|
|
Inj, cefiderocol, 10 mg
|
$125.65 |
$125.65 |
$125.65 |
$544.85
|
|
Inj ceftolozane tazobactam
|
$94.09 |
$94.09 |
$94.09 |
$380.80
|
|
Inj, clevidipine butyrate
|
$0.94 |
$0.94 |
$0.94 |
$4.86
|
|
Inj, clindamycin (baxter)
|
$0.15 |
$0.15 |
$0.15 |
$48.96
|
|
Inj cntr knee arthro incl ct/mri
|
$216.53 |
$216.53 |
$216.53 |
$436.80
|
|
Inj crotalidae im f(ab')2 eq
|
$684.94 |
$684.94 |
$684.94 |
$2,613.60
|
|
Inj, donanemab-azbt, 2 mg
|
$20.53 |
$20.53 |
$20.53 |
$1,233.44
|
|
Inj dx for sinogram
|
$317.42 |
$317.42 |
$317.42 |
$422.59
|
|
Injection arthrography hip without anesthesia (both sides)
|
$591.18 |
$591.18 |
$591.18 |
$495.84
|
|
Injection, burosumab-twza 1m
|
$7,503.86 |
$7,503.86 |
$7,503.86 |
$20,002.09
|
|
Injection, cangrelor
|
$539.19 |
$539.19 |
$539.19 |
$1,889.78
|