|
Ihc/icc per specimen each additional single antibody stain
|
$60.28 |
$79.13 |
$110.40 |
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$132.43 |
$146.65 |
$184.76 |
|
|
Ihc/icc per specimen initial single antibody stain
|
$132.23 |
$146.42 |
$184.47 |
|
|
Iliac/fem angio cath insert
|
$1,301.96 |
$1,301.96 |
$1,441.68 |
|
|
Iliac revasc add-on 37222
|
$4,316.48 |
$4,316.48 |
$4,779.72 |
|
|
Immob elbow child sm
|
$142.89 |
$158.22 |
$199.35 |
|
|
Immobilizer lwr extrem nylon 20in reinforc 21-35in
|
$471.91 |
$522.56 |
$658.38 |
|
|
Immobilizer shldr cntor adlt
|
$163.80 |
$181.38 |
$228.52 |
|
|
Immobilizer shldr dlx str 24-36in med
|
$142.89 |
$158.22 |
$199.35 |
|
|
Immobilizer shldr sling med
|
$163.80 |
$181.38 |
$228.52 |
|
|
Immune complex assay
|
$42.62 |
$87.95 |
$122.70 |
|
|
Immunoassay tumor antigen quantitative ca 125
|
$36.29 |
$47.56 |
$66.36 |
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$36.29 |
$54.74 |
$76.37 |
|
|
Immunodiff gel qual ea antigen/ab
|
$32.26 |
$57.20 |
$79.80 |
|
|
Immunodiffusion nes
|
$10.87 |
$12.04 |
$31.68 |
|
|
Immunofixation electrophoresis serum
|
$65.40 |
$72.42 |
$91.24 |
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$83.16 |
$145.55 |
$203.06 |
|
|
Immunofluorescence per specimen initial single antibody stain
|
$145.55 |
$160.60 |
$203.06 |
|
|
Immunoglobulin assay
|
$31.37 |
$34.74 |
$135.94 |
|
|
Implant cartilage 10mm synthetic
|
$42,241.07 |
$46,774.26 |
$55,409.30 |
|
|
Implant ureth bulk agent
|
$1,042.63 |
$1,154.53 |
$1,769.85 |
|
|
Implnt bio implnt for soft tiss reinforcement 15777
|
$663.79 |
$663.79 |
$663.79 |
|
|
In-111 capromab pendet
|
$1,153.54 |
$1,277.33 |
$1,609.33 |
|
|
In-111 oxyquinolin per 0.5 mci
|
$51.74 |
$51.74 |
$51.74 |
|
|
In-111 pentetate dtpa / 0.5 mci
|
$225.30 |
$249.48 |
$1,065.50 |
|
|
In-111 pentetreotide
|
$618.28 |
$684.64 |
$2,283.60 |
|
|
Incise perq finger tendon 26060
|
$645.96 |
$645.96 |
$645.96 |
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$964.12 |
$1,067.59 |
$1,345.06 |
|
|
Incision of achilles tendon
|
$847.88 |
$847.88 |
$847.88 |
|
|
Incision of toe tendons 28011
|
$847.88 |
$847.88 |
$938.88 |
|
|
Incision of windpipe
|
$3,757.65 |
$3,757.65 |
$4,160.91 |
|
|
Incisn of toe tndn
|
$847.88 |
$847.88 |
$938.88 |
|
|
Incisn windpipe
|
$1,870.83 |
$1,870.83 |
$2,071.61 |
|
|
Incobotulinumtoxin a
|
$547.97 |
$547.97 |
$606.78 |
|
|
Infect ag drug suscept pheno predict
|
$63.96 |
$70.83 |
$89.24 |
|
|
Infect ag eia influenza a or b ea
|
$10.46 |
$11.58 |
$22.83 |
|
|
Infect ag genotype na cytomegalovirus
|
$173.64 |
$192.27 |
$410.46 |
|
|
Infect ag genotype na dna hepatitis b
|
$172.20 |
$190.68 |
$410.46 |
|
|
Infect ag genotype na hiv-1 other region
|
$205.50 |
$298.07 |
$415.85 |
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$258.30 |
$286.02 |
$410.46 |
|
|
Infect ag ia optc obs influenza
|
$26.55 |
$41.62 |
$58.06 |
|
|
Infect ag if ea plyvlnt antsrm
|
$31.86 |
$31.86 |
$31.86 |
|
|
Infect ag if hep delta agent
|
$92.93 |
$92.93 |
$92.93 |
|
|
Infect ag if influenza a
|
$31.86 |
$31.86 |
$31.86 |
|
|
Infect ag if influenza b
|
$9.43 |
$10.45 |
$31.86 |
|
|
Infect ag if legionella pneumophila
|
$8.41 |
$9.31 |
$11.73 |
|
|
Infect ag if nos ea
|
$15.99 |
$17.71 |
$22.31 |
|
|
Infect ag if pneumocystis carinii
|
$36.29 |
$40.18 |
$50.63 |
|
|
Infect ag if varicella zoster
|
$31.86 |
$31.86 |
$31.86 |
|
|
Infect ag na hep b amp
|
$71.68 |
$71.68 |
$71.68 |
|
|
Infect ag na herpes simplex quant
|
$29.11 |
$32.24 |
$68.50 |
|
|
Infect ag na hpv high-risk types
|
$56.29 |
$56.29 |
$56.29 |
|
|
Infect ag na influenza r/amp 1st 2 types
|
$80.98 |
$89.67 |
$152.93 |
|
|
Infect ag na orthopoxvirus amp prb each
|
$61.50 |
$68.10 |
$85.80 |
|
|
Infect ag na resp virus 12-25 targets
|
$430.50 |
$476.70 |
$664.28 |
|
|
Infect ag phenotype na hiv-1 1-10 drugs
|
$46.33 |
$51.31 |
$64.64 |
|
|
Infect ag phenotype na hiv-1 ea addl drg
|
$46.33 |
$51.31 |
$64.64 |
|
|
Infectious agent antigen immunoassay direct optical observation sars-cov-2
|
$21.53 |
$23.84 |
$30.03 |
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$16.61 |
$18.39 |
$31.86 |
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$22.76 |
$25.20 |
$31.75 |
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$22.30 |
$39.98 |
$55.77 |
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$17.43 |
$19.30 |
$35.05 |
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$33.83 |
$37.46 |
$47.19 |
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$35.88 |
$39.73 |
$122.66 |
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$36.29 |
$40.18 |
$50.63 |
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$22.14 |
$24.52 |
$46.20 |
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$83.37 |
$129.77 |
$181.04 |
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$15.38 |
$17.03 |
$21.45 |
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$22.76 |
$25.20 |
$33.98 |
|
|
Infectious agent nucleic acid amplified probe
|
$196.80 |
$217.92 |
$275.06 |
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$35.26 |
$39.05 |
$61.07 |
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$59.47 |
$73.80 |
$102.96 |
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$316.52 |
$350.49 |
$664.28 |
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$56.29 |
$63.35 |
$88.38 |
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$27.68 |
$30.65 |
$56.29 |
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$66.91 |
$197.62 |
$275.71 |
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$35.26 |
$39.05 |
$56.29 |
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$67.86 |
$75.14 |
$94.67 |
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$50.98 |
$50.98 |
$50.98 |
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$31.98 |
$35.42 |
$56.29 |
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$29.52 |
$32.69 |
$58.94 |
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$23.78 |
$26.34 |
$33.18 |
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$161.13 |
$178.43 |
$664.28 |
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$126.08 |
$139.61 |
$175.89 |
|
|
Infectious agent nucleic acid quantification bk virus
|
$130.38 |
$144.38 |
$181.90 |
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$63.35 |
$68.50 |
$88.38 |
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$63.35 |
$70.15 |
$88.38 |
|
|
Infectious agent nucleic acid quantification hiv-1
|
$65.81 |
$72.87 |
$135.94 |
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$121.57 |
$134.62 |
$227.27 |
|
|
Infliximab 100 mg intravenous solution
|
$920.45 |
$920.45 |
$920.45 |
|
|
Inj, adalimumab, 1 mg
|
$1,414.44 |
$1,414.44 |
$1,414.44 |
|
|
Inj allopurinol sodium 1 mg
|
$1,471.08 |
$1,471.08 |
$1,628.96 |
|
|
Inj andexxa, 10 mg
|
$303.81 |
$303.81 |
$336.42 |
|
|
Inj, artesunate, 1mg
|
$2,034.83 |
$2,034.83 |
$2,034.83 |
|
|
Inj, bezlotoxumab, 10 mg
|
$1,402.20 |
$1,402.20 |
$1,552.68 |
|
|
Inj, bortezomib, dr. reddy's
|
$660.72 |
$660.72 |
$731.63 |
|
|
Inj, bupivacaine liposome
|
$348.09 |
$348.09 |
$385.45 |
|
|
Inj calcitriol per 0.1 mcg
|
$11.07 |
$11.07 |
$12.26 |
|
|
Inj. cefepime hcl (baxter)
|
$24.60 |
$24.60 |
$24.60 |
|
|
Inj, cefiderocol, 10 mg
|
$202.54 |
$224.28 |
$282.57 |
|