|
I131 iodide cap, rx
|
$23.13 |
$23.13 |
$23.13 |
$71.70
|
|
I131 iodide sol, rx
|
$20.88 |
$20.88 |
$20.88 |
$34.87
|
|
Iaadi respiratory synctial virus
|
$13.42 |
$13.42 |
$13.42 |
$54.58
|
|
Iadna legionella pneumophila amplified probe tq
|
$35.09 |
$35.09 |
$35.09 |
$109.80
|
|
Ia infect ag ab qual/semiquant sgl step
|
$18.09 |
$18.09 |
$18.09 |
$50.60
|
|
Ia nfct ab sarscov2 covid19
|
$45.28 |
$45.28 |
$45.28 |
$62.49
|
|
Ibmfs seq alys pnl 30 genes
|
$2,448.56 |
$2,448.56 |
$2,448.56 |
$2,828.00
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$219.06 |
$219.06 |
$219.06 |
$980.94
|
|
Icatibant injection
|
$116.41 |
$116.41 |
$116.41 |
$8,695.05
|
|
Icg angiography i&r uni/bi
|
$366.72 |
$366.72 |
$366.72 |
$610.80
|
|
Icut allergy test-delayed
|
$46.22 |
$46.22 |
$46.22 |
$46.45
|
|
Icut allergy test drug/bug
|
$69.95 |
$69.95 |
$69.95 |
$70.29
|
|
Icut allergy titrate-airborn
|
$28.84 |
$28.84 |
$28.84 |
$29.55
|
|
I&d abscss rtrphryngl/paraphryngl intraorl apprch
|
$3,819.23 |
$3,819.23 |
$3,819.23 |
$3,592.74
|
|
I&d/bursa/foot 28001
|
$1,908.09 |
$1,908.09 |
$1,908.09 |
$1,917.33
|
|
Idecabtagene vicleucel car
|
$541,260.45 |
$541,260.45 |
$541,260.45 |
$1,129,895.40
|
|
Identify sperm tissue
|
$62.92 |
$62.92 |
$62.92 |
$157.60
|
|
I&d frarm&/wrst deep absc/hematoma
|
$3,821.05 |
$3,821.05 |
$3,821.05 |
$3,839.54
|
|
Idh1 common variants
|
$193.25 |
$193.25 |
$193.25 |
$415.35
|
|
Idh2 common variants
|
$295.79 |
$295.79 |
$295.79 |
$486.00
|
|
I&d intramural/intramuscular/submuc abscess transanal anes
|
$3,229.60 |
$3,229.60 |
$3,229.60 |
$3,245.23
|
|
I&d lacrimal gland
|
$1,140.61 |
$1,140.61 |
$1,140.61 |
$1,435.20
|
|
I&d lacrimal sac
|
$2,747.43 |
$2,747.43 |
$2,747.43 |
$2,760.73
|
|
I&d upper arm/elbow deep abscess/hematoma
|
$3,370.52 |
$3,370.52 |
$3,370.52 |
$3,371.02
|
|
Idursulfase injection
|
$558.56 |
$558.56 |
$558.56 |
$5,646.08
|
|
I & d vag hematoma non-ob 57023
|
$3,370.52 |
$3,370.52 |
$3,370.52 |
$3,444.42
|
|
I&d vag hemtma obst/postpart
|
$3,370.52 |
$3,370.52 |
$3,370.52 |
$3,370.52
|
|
Ifnl3 gene
|
$73.37 |
$73.37 |
$73.37 |
$147.20
|
|
Igh@/bcl2 translocation alys
|
$207.31 |
$207.31 |
$207.31 |
$284.46
|
|
Igh gene rearrang dir probe
|
$68.55 |
$68.55 |
$68.55 |
$111.50
|
|
Igh gene rearrange amp meth
|
$197.99 |
$197.99 |
$197.99 |
$464.25
|
|
Igh@ var region somatic mutation analy
|
$294.52 |
$294.52 |
$294.52 |
$660.80
|
|
Igk rearrangeabn clonal pop
|
$172.73 |
$172.73 |
$172.73 |
$399.36
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$423.63 |
$423.63 |
$423.63 |
$331.20
|
|
Ihc/icc per specimen initial single antibody stain
|
$201.80 |
$201.80 |
$201.80 |
$277.90
|
|
Ikbkap gene
|
$39.31 |
$39.31 |
$39.31 |
$173.49
|
|
Imetelstat 188 mg intravenous solution
|
$57.02 |
$57.02 |
$57.02 |
$20,373.55
|
|
Img rta detcj/mntr ds staff
|
$69.95 |
$69.95 |
$69.95 |
$70.29
|
|
Img rta detc/mntr ds phy/qhp
|
$46.22 |
$46.22 |
$46.22 |
$51.36
|
|
Img rta detc/mntr ds poc aly
|
$69.95 |
$69.95 |
$69.95 |
$71.25
|
|
Immt breast prosthesis 19340
|
$7,680.06 |
$7,680.06 |
$7,680.06 |
$5,110.00
|
|
Immune complex assay
|
$24.37 |
$24.37 |
$24.37 |
$101.60
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$47.80 |
$47.80 |
$47.80 |
$6,106.32
|
|
Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution
|
$81.70 |
$81.70 |
$81.70 |
$2,900.11
|
|
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution
|
$48.38 |
$48.38 |
$48.38 |
$3,846.15
|
|
Immunoassay tumor antigen quantitative ca 125
|
$20.81 |
$20.81 |
$20.81 |
$132.00
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$20.81 |
$20.81 |
$20.81 |
$116.40
|
|
Immunoassay tumor qual
|
$25.57 |
$25.57 |
$25.57 |
$66.50
|
|
Immunodiff gel qual ea antigen/ab
|
$11.98 |
$11.98 |
$11.98 |
$48.57
|
|
Immunodiffusion nes
|
$14.05 |
$14.05 |
$14.05 |
$53.76
|
|
Immunofixation electrophoresis serum
|
$22.34 |
$22.34 |
$22.34 |
$142.50
|
|
Immunofluorescence per specimen initial single antibody stain
|
$201.80 |
$201.80 |
$201.80 |
$234.27
|
|
Immunoglobulin assay
|
$12.46 |
$12.46 |
$12.46 |
$78.00
|
|
Impact tooth remov part bony
|
$1,958.01 |
$1,958.01 |
$1,958.01 |
$1,300.00
|
|
Impedence cardiogram
|
$151.80 |
$151.80 |
$151.80 |
$152.54
|
|
Imp extar knee shck absrb
|
$21,657.23 |
$21,657.23 |
$21,657.23 |
$24,109.66
|
|
Implantation iris prosthesis
|
$19,332.98 |
$19,332.98 |
$19,332.98 |
$19,332.98
|
|
Implant cochlear device
|
$37,458.80 |
$37,458.80 |
$37,458.80 |
$34,229.98
|
|
Implant eye drug system
|
$18,094.55 |
$18,094.55 |
$18,094.55 |
$13,647.20
|
|
Implant hormone pellet(s) 11980
|
$469.93 |
$469.93 |
$469.93 |
$315.75
|
|
Implant neuroelectrodes
|
$25,254.20 |
$25,254.20 |
$25,254.20 |
$18,334.40
|
|
Implant neuroelectrodes
|
$14,685.79 |
$14,685.79 |
$14,685.79 |
$13,628.55
|
|
Implant neuroelectrodes
|
$7,728.86 |
$7,728.86 |
$7,728.86 |
$8,836.80
|
|
Implant neuroelectrodes
|
$7,728.86 |
$7,728.86 |
$7,728.86 |
$7,728.86
|
|
Implant neurostim arrays
|
$35,887.53 |
$35,887.53 |
$35,887.53 |
$23,262.40
|
|
Implant spinal canal cath
|
$8,412.89 |
$8,412.89 |
$8,412.89 |
$8,184.80
|
|
Implant spine infusion pump
|
$20,814.10 |
$20,814.10 |
$20,814.10 |
$17,262.84
|
|
Implant spine infusion pump
|
$20,814.10 |
$20,814.10 |
$20,814.10 |
$17,270.40
|
|
Impl neurostim electr perc
|
$7,728.86 |
$7,728.86 |
$7,728.86 |
$7,672.50
|
|
Implnt spinl canal catheter 62350
|
$7,541.82 |
$7,541.82 |
$7,541.82 |
$5,095.20
|
|
Impl oi implt sk tc esp<100
|
$15,152.74 |
$15,152.74 |
$15,152.74 |
$22,958.00
|
|
Impl oi implt sk tc esp>=100
|
$15,152.74 |
$15,152.74 |
$15,152.74 |
$15,226.08
|
|
Impl oi implt skull perq esp
|
$15,152.74 |
$15,152.74 |
$15,152.74 |
$13,525.50
|
|
Impltj ntrstrml crnl rng seg
|
$4,737.56 |
$4,737.56 |
$4,737.56 |
$5,683.61
|
|
Imported lipodox inj
|
$528.86 |
$528.86 |
$528.86 |
$528.86
|
|
Impres&prep auricular prosth
|
$3,819.23 |
$3,819.23 |
$3,819.23 |
$6,557.24
|
|
Impres&prep def obt prosth
|
$3,819.23 |
$3,819.23 |
$3,819.23 |
$4,881.00
|
|
Impres&prep facial prosth
|
$3,819.23 |
$3,819.23 |
$3,819.23 |
$5,028.40
|
|
Impres&prep intrm obt prosth
|
$3,819.23 |
$3,819.23 |
$3,819.23 |
$3,986.00
|
|
Impres&prep mndbl res prosth
|
$6,966.64 |
$6,966.64 |
$6,966.64 |
$7,000.36
|
|
Impres&prep nasal prosth
|
$6,966.64 |
$6,966.64 |
$6,966.64 |
$7,000.36
|
|
Impres&prep oral surg splint
|
$273.48 |
$273.48 |
$273.48 |
$1,751.20
|
|
Impres&prep orbital prosth
|
$6,966.64 |
$6,966.64 |
$6,966.64 |
$7,000.36
|
|
Impres&prep paltl aug prosth
|
$3,819.23 |
$3,819.23 |
$3,819.23 |
$3,837.72
|
|
Impres&prep paltl lft prosth
|
$3,819.23 |
$3,819.23 |
$3,819.23 |
$3,837.72
|
|
Impres&prep sp aid prosth
|
$3,819.23 |
$3,819.23 |
$3,819.23 |
$4,054.40
|
|
Impres&prep surg obt prosth
|
$1,744.44 |
$1,744.44 |
$1,744.44 |
$2,945.12
|
|
Imuglucerase injection
|
$43.29 |
$43.29 |
$43.29 |
$3,399.59
|
|
In-111 autol wbc diag per dose
|
$1,031.39 |
$1,031.39 |
$1,031.39 |
$3,493.75
|
|
In-111 ibritumomab tiux dx
|
$798.02 |
$798.02 |
$798.02 |
$4,748.02
|
|
In-111 oxyquinolin per 0.5 mci
|
$772.64 |
$772.64 |
$772.64 |
$2,753.23
|
|
In-111 pentetate dtpa / 0.5 mci
|
$715.29 |
$715.29 |
$715.29 |
$2,598.17
|
|
In-111 pentetreotide
|
$1,914.61 |
$1,914.61 |
$1,914.61 |
$5,294.90
|
|
Inc dp bone crtx f/arm&/wrst
|
$8,412.89 |
$8,412.89 |
$8,412.89 |
$6,650.80
|
|
Inc dp opn b1 crtx hum/elbw
|
$3,821.05 |
$3,821.05 |
$3,821.05 |
$3,839.54
|
|
Incise diaphragm nerve
|
$2,299.70 |
$2,299.70 |
$2,299.70 |
$2,421.48
|
|
Incise/drain eyelid lining
|
$1,140.61 |
$1,140.61 |
$1,140.61 |
$1,271.00
|
|
Incise flexor carpi radialis
|
$3,821.05 |
$3,821.05 |
$3,821.05 |
$3,839.54
|
|
Incise hand/finger tendon
|
$1,884.74 |
$1,884.74 |
$1,884.74 |
$2,007.15
|
|
Incise hip/thigh nerve
|
$2,299.70 |
$2,299.70 |
$2,299.70 |
$2,500.80
|
