|
Hyqvia 100mg immuneglobulin
|
$15,066.45 |
$15,066.45 |
$15,066.45 |
$13,494.15
|
|
Hysterosalpingography s&i
|
$536.60 |
$536.60 |
$536.60 |
$669.12
|
|
Hysteroscopy biopsy
|
$3,044.63 |
$3,044.63 |
$3,044.63 |
$5,419.00
|
|
Hysteroscopy dx sep proc
|
$3,997.50 |
$3,997.50 |
$3,997.50 |
$3,997.50
|
|
Hysteroscopy remove fb
|
$4,719.18 |
$4,719.18 |
$4,719.18 |
$4,719.18
|
|
Hzv zoster vacc recombinant adjuvanted im inj
|
$438.33 |
$438.33 |
$438.33 |
$352.24
|
|
I-123 iobenguane diag
|
$15,325.25 |
$15,325.25 |
$15,325.25 |
$5,170.70
|
|
I-123 ioflupane diag
|
$3,887.10 |
$3,887.10 |
$3,887.10 |
$4,158.00
|
|
I125 iothalamate, dx
|
$1,125.00 |
$1,125.00 |
$1,125.00 |
$634.90
|
|
I131 iodide cap, rx
|
$21,093.75 |
$21,093.75 |
$21,093.75 |
$71.70
|
|
I131 max 100uci
|
$126.45 |
$126.45 |
$126.45 |
$53.39
|
|
I131 serum albumin, dx
|
$2,025.00 |
$2,025.00 |
$2,025.00 |
$847.84
|
|
Iadna legionella pneumophila amplified probe tq
|
$59.20 |
$59.20 |
$59.20 |
$109.80
|
|
Ibandronate 3 mg/3 ml intravenous syringe
|
$578.75 |
$578.75 |
$578.75 |
$684.45
|
|
Ibmfs seq alys pnl 30 genes
|
$5,329.65 |
$5,329.65 |
$5,329.65 |
$2,828.00
|
|
Ibuprofen injection
|
$80.23 |
$80.23 |
$80.23 |
$256.76
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$226.25 |
$226.25 |
$226.25 |
$980.94
|
|
Icatibant injection
|
$22,295.00 |
$22,295.00 |
$22,295.00 |
$8,695.05
|
|
Icd reliance df4 ib 64cm
|
$2,850.00 |
$2,850.00 |
$2,850.00 |
$9,264.83
|
|
Idarubicin hcl injection
|
$766.15 |
$766.15 |
$766.15 |
$447.02
|
|
Idecabtagene vicleucel car
|
$1,584,640.30 |
$1,584,640.30 |
$1,584,640.30 |
$1,129,895.40
|
|
Identify sperm tissue
|
$76.40 |
$76.40 |
$76.40 |
$157.60
|
|
I&d frarm&/wrst deep absc/hematoma
|
$2,606.20 |
$2,606.20 |
$2,606.20 |
$3,839.54
|
|
Idh1 common variants
|
$420.65 |
$420.65 |
$420.65 |
$415.35
|
|
Idh2 common variants
|
$643.83 |
$643.83 |
$643.83 |
$486.00
|
|
I&d upper arm/elbow deep abscess/hematoma
|
$2,870.83 |
$2,870.83 |
$2,870.83 |
$3,371.02
|
|
Idursulfase injection
|
$6,472.30 |
$6,472.30 |
$6,472.30 |
$5,646.08
|
|
Ifosfamide 1 gram intravenous solution
|
$243.78 |
$243.78 |
$243.78 |
$246.95
|
|
Igh gene rearrange amp meth
|
$528.83 |
$528.83 |
$528.83 |
$464.25
|
|
Igh@ var region somatic mutation analy
|
$344.65 |
$344.65 |
$344.65 |
$660.80
|
|
Igk rearrangeabn clonal pop
|
$456.55 |
$456.55 |
$456.55 |
$399.36
|
|
Ihc/icc per specimen each additional single antibody stain
|
$254.95 |
$254.95 |
$254.95 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$558.15 |
$558.15 |
$558.15 |
$331.20
|
|
Ihc/icc per specimen initial single antibody stain
|
$336.95 |
$336.95 |
$336.95 |
$277.90
|
|
Ikbkap gene
|
$296.45 |
$296.45 |
$296.45 |
$173.49
|
|
Iliac revasc add-on 37222
|
$6,082.65 |
$6,082.65 |
$6,082.65 |
$6,082.65
|
|
Imetelstat 188 mg intravenous solution
|
$20,373.55 |
$20,373.55 |
$20,373.55 |
$20,373.55
|
|
Img rta detc/mntr ds phy/qhp
|
$70.68 |
$70.68 |
$70.68 |
$51.36
|
|
Immobilizer shldr cntor adlt
|
$40.96 |
$40.96 |
$40.96 |
$175.60
|
|
Immobilizer shldr dlx str 24-36in med
|
$43.00 |
$43.00 |
$43.00 |
$118.43
|
|
Immune complex assay
|
$63.15 |
$63.15 |
$63.15 |
$101.60
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$5,907.20 |
$5,907.20 |
$5,907.20 |
$6,106.32
|
|
Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution
|
$2,709.95 |
$2,709.95 |
$2,709.95 |
$2,900.11
|
|
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution
|
$5,089.25 |
$5,089.25 |
$5,089.25 |
$3,846.15
|
|
Immunoassay tumor antigen quantitative ca 125
|
$183.35 |
$183.35 |
$183.35 |
$132.00
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$187.85 |
$187.85 |
$187.85 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$58.25 |
$58.25 |
$58.25 |
$48.57
|
|
Immunofixation electrophoresis serum
|
$127.30 |
$127.30 |
$127.30 |
$142.50
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$249.98 |
$249.98 |
$249.98 |
$154.05
|
|
Immunofluorescence per specimen initial single antibody stain
|
$311.48 |
$311.48 |
$311.48 |
$234.27
|
|
Immunoglobulin assay
|
$74.15 |
$74.15 |
$74.15 |
$78.00
|
|
Impl ahmed 6x25x9.6mm glaucoma vlv w/sil ped ster
|
$712.50 |
$712.50 |
$712.50 |
$2,946.00
|
|
Implant cartilage 10mm synthetic
|
$15,000.00 |
$15,000.00 |
$15,000.00 |
$8,332.51
|
|
Implant hormone pellet(s) 11980
|
$268.85 |
$268.85 |
$268.85 |
$315.75
|
|
Implant neuroelectrodes
|
$9,698.38 |
$9,698.38 |
$9,698.38 |
$8,836.80
|
|
Implant neuroelectrodes
|
$220.45 |
$220.45 |
$220.45 |
$7,728.86
|
|
Implant spine infusion pump
|
$10,558.55 |
$10,558.55 |
$10,558.55 |
$17,270.40
|
|
Implant tcat pulm vlv perq
|
$7,281.10 |
$7,281.10 |
$7,281.10 |
$12,623.60
|
|
Implant ureth bulk agent
|
$525.00 |
$525.00 |
$525.00 |
$2,168.00
|
|
Impl neurostim electr perc
|
$7,191.63 |
$7,191.63 |
$7,191.63 |
$7,672.50
|
|
Imuglucerase injection
|
$3,480.78 |
$3,480.78 |
$3,480.78 |
$3,399.59
|
|
In-111 autol wbc diag per dose
|
$12,629.90 |
$12,629.90 |
$12,629.90 |
$3,493.75
|
|
In-111 pentetate dtpa / 0.5 mci
|
$2,656.50 |
$2,656.50 |
$2,656.50 |
$2,598.17
|
|
In-111 pentetreotide
|
$11,610.00 |
$11,610.00 |
$11,610.00 |
$5,294.90
|
|
Inactivated je vacc im
|
$360.73 |
$360.73 |
$360.73 |
$481.34
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$1,667.38 |
$1,667.38 |
$1,667.38 |
$2,086.70
|
|
Incision of achilles tendon
|
$2,854.00 |
$2,854.00 |
$2,854.00 |
$3,318.90
|
|
Incision of breast lesion
|
$2,577.85 |
$2,577.85 |
$2,577.85 |
$2,577.85
|
|
Incision of burn scab initi
|
$350.98 |
$350.98 |
$350.98 |
$494.40
|
|
Incision of tongue fold
|
$1,604.13 |
$1,604.13 |
$1,604.13 |
$1,792.50
|
|
Incision tendon sheath
|
$3,689.78 |
$3,689.78 |
$3,689.78 |
$3,073.20
|
|
Incisn windpipe
|
$3,428.80 |
$3,428.80 |
$3,428.80 |
$3,819.23
|
|
Incobotulinumtoxin a
|
$1,923.65 |
$1,923.65 |
$1,923.65 |
$1,339.57
|
|
Indigotindisulfonate 8 mg/ml soln 5 ml ampule
|
$785.83 |
$785.83 |
$785.83 |
$766.66
|
|
Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s)
|
$182.58 |
$182.58 |
$182.58 |
$140.80
|
|
Infect ag drug suscept pheno predict
|
$172.05 |
$172.05 |
$172.05 |
$325.00
|
|
Infect ag genotype na cytomegalovirus
|
$542.38 |
$542.38 |
$542.38 |
$665.40
|
|
Infect ag genotype na dna hepatitis b
|
$269.23 |
$269.23 |
$269.23 |
$409.27
|
|
Infect ag genotype na hiv-1 other region
|
$273.95 |
$273.95 |
$273.95 |
$361.65
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$476.25 |
$476.25 |
$476.25 |
$603.83
|
|
Infect ag ia direct hiv-1 antgn
|
$51.10 |
$51.10 |
$51.10 |
$95.55
|
|
Infect ag ia optc obs influenza
|
$43.40 |
$43.40 |
$43.40 |
$72.93
|
|
Infect ag if ea plyvlnt antsrm
|
$144.00 |
$144.00 |
$144.00 |
$68.40
|
|
Infect ag if legionella pneumophila
|
$184.78 |
$184.78 |
$184.78 |
$73.45
|
|
Infect ag if pneumocystis carinii
|
$212.68 |
$212.68 |
$212.68 |
$66.06
|
|
Infect ag na herpes simplex quant
|
$124.50 |
$124.50 |
$124.50 |
$178.86
|
|
Infect ag na hpv high-risk types
|
$182.58 |
$182.58 |
$182.58 |
$139.20
|
|
Infect ag na influenza r/amp 1st 2 types
|
$380.00 |
$380.00 |
$380.00 |
$219.70
|
|
Infect ag na orthopoxvirus amp prb each
|
$44.43 |
$44.43 |
$44.43 |
$100.00
|
|
Infect ag na resp virus 12-25 targets
|
$528.80 |
$528.80 |
$528.80 |
$854.70
|
|
Infectious agent antigen immunoassay direct optical observation sars-cov-2
|
$57.68 |
$57.68 |
$57.68 |
$53.00
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$67.93 |
$67.93 |
$67.93 |
$83.60
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$81.73 |
$81.73 |
$81.73 |
$76.00
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$81.73 |
$81.73 |
$81.73 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$252.98 |
$252.98 |
$252.98 |
$103.40
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$110.58 |
$110.58 |
$110.58 |
$81.20
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$120.00 |
$120.00 |
$120.00 |
$60.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$172.08 |
$172.08 |
$172.08 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$151.55 |
$151.55 |
$151.55 |
$129.00
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$156.63 |
$156.63 |
$156.63 |
$98.58
|
