|
Igh@ var region somatic mutation analy
|
$607.50 |
$607.50 |
$607.50 |
$660.80
|
|
Ihc/icc per specimen each additional single antibody stain
|
$309.75 |
$309.75 |
$309.75 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$291.00 |
$291.00 |
$291.00 |
$331.20
|
|
Ihc/icc per specimen initial single antibody stain
|
$312.00 |
$312.00 |
$312.00 |
$277.90
|
|
Immobilizer shldr cntor adlt
|
$134.01 |
$134.01 |
$134.01 |
$175.60
|
|
Immobilizer shldr dlx str 24-36in med
|
$67.77 |
$67.77 |
$67.77 |
$118.43
|
|
Immobilizer shldr sling med
|
$29.14 |
$29.14 |
$29.14 |
$126.00
|
|
Immune complex assay
|
$60.00 |
$60.00 |
$60.00 |
$101.60
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$2,613.77 |
$2,613.77 |
$2,613.77 |
$6,106.32
|
|
Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution
|
$2,778.42 |
$2,778.42 |
$2,778.42 |
$2,900.11
|
|
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution
|
$3,486.01 |
$3,486.01 |
$3,486.01 |
$3,846.15
|
|
Immunoassay tumor antigen quantitative ca 125
|
$87.00 |
$87.00 |
$87.00 |
$132.00
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$121.50 |
$121.50 |
$121.50 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$77.25 |
$77.25 |
$77.25 |
$48.57
|
|
Immunodiffusion nes
|
$170.25 |
$170.25 |
$170.25 |
$53.76
|
|
Immunofixation electrophoresis serum
|
$237.75 |
$237.75 |
$237.75 |
$142.50
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$367.50 |
$367.50 |
$367.50 |
$154.05
|
|
Immunofluorescence per specimen initial single antibody stain
|
$407.25 |
$407.25 |
$407.25 |
$234.27
|
|
Immunoglobulin assay
|
$231.75 |
$231.75 |
$231.75 |
$78.00
|
|
Implant 11 volt lithium-ion backup battery for controller pocket
|
$1,518.75 |
$1,518.75 |
$1,518.75 |
$1,754.00
|
|
Implant cartilage 10mm synthetic
|
$101,250.00 |
$101,250.00 |
$101,250.00 |
$8,332.51
|
|
Implant cochlear osia osi300
|
$20,655.00 |
$20,655.00 |
$20,655.00 |
$16,195.55
|
|
Implant hormone pellet(s) 11980
|
$519.00 |
$519.00 |
$519.00 |
$315.75
|
|
Implant neuroelectrodes
|
$10,672.50 |
$10,672.50 |
$10,672.50 |
$13,628.55
|
|
Implant neuroelectrodes
|
$7,279.50 |
$7,279.50 |
$7,279.50 |
$8,836.80
|
|
Implant neuroelectrodes
|
$6,447.00 |
$6,447.00 |
$6,447.00 |
$7,728.86
|
|
Implant power module patient cable cable 14 volt
|
$2,812.50 |
$2,812.50 |
$2,812.50 |
$3,695.42
|
|
Implant pulse generator remede el
|
$57,375.00 |
$57,375.00 |
$57,375.00 |
$43,752.80
|
|
Implant ureth bulk agent
|
$2,587.50 |
$2,587.50 |
$2,587.50 |
$2,168.00
|
|
Impl neurostim electr perc
|
$6,807.00 |
$6,807.00 |
$6,807.00 |
$7,672.50
|
|
Implnt spinl canal catheter 62350
|
$7,722.75 |
$7,722.75 |
$7,722.75 |
$5,095.20
|
|
In-111 oxyquinolin per 0.5 mci
|
$2,808.00 |
$2,808.00 |
$2,808.00 |
$2,753.23
|
|
In-111 pentetate dtpa / 0.5 mci
|
$2,156.25 |
$2,156.25 |
$2,156.25 |
$2,598.17
|
|
In-111 pentetreotide
|
$47,542.46 |
$47,542.46 |
$47,542.46 |
$5,294.90
|
|
Inactivated je vacc im
|
$2,069.33 |
$2,069.33 |
$2,069.33 |
$481.34
|
|
Incise/drain eyelid lining
|
$3,291.75 |
$3,291.75 |
$3,291.75 |
$1,271.00
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$2,496.00 |
$2,496.00 |
$2,496.00 |
$2,086.70
|
|
Incision of breast lesion
|
$1,959.00 |
$1,959.00 |
$1,959.00 |
$2,577.85
|
|
Incision of hip tendons
|
$3,126.75 |
$3,126.75 |
$3,126.75 |
$3,865.95
|
|
Incisn of toe tndn
|
$2,176.50 |
$2,176.50 |
$2,176.50 |
$2,667.00
|
|
Incobotulinumtoxin a
|
$1,889.43 |
$1,889.43 |
$1,889.43 |
$1,339.57
|
|
Indigotindisulfonate 8 mg/ml soln 5 ml ampule
|
$586.73 |
$586.73 |
$586.73 |
$766.66
|
|
Induced abortion dilat&evac
|
$7,136.25 |
$7,136.25 |
$7,136.25 |
$4,451.18
|
|
Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s)
|
$234.75 |
$234.75 |
$234.75 |
$140.80
|
|
Infect ag drug suscept pheno predict
|
$378.00 |
$378.00 |
$378.00 |
$325.00
|
|
Infect ag genotype na cytomegalovirus
|
$1,863.00 |
$1,863.00 |
$1,863.00 |
$665.40
|
|
Infect ag genotype na hiv-1 other region
|
$301.50 |
$301.50 |
$301.50 |
$361.65
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$603.75 |
$603.75 |
$603.75 |
$603.83
|
|
Infect ag ia optc obs influenza
|
$109.50 |
$109.50 |
$109.50 |
$72.93
|
|
Infect ag if hep delta agent
|
$136.50 |
$136.50 |
$136.50 |
$125.97
|
|
Infect ag if legionella pneumophila
|
$60.75 |
$60.75 |
$60.75 |
$73.45
|
|
Infect ag na herpes simplex quant
|
$225.75 |
$225.75 |
$225.75 |
$178.86
|
|
Infect ag na hpv high-risk types
|
$247.50 |
$247.50 |
$247.50 |
$139.20
|
|
Infect ag na influenza r/amp 1st 2 types
|
$228.75 |
$228.75 |
$228.75 |
$219.70
|
|
Infect ag na orthopoxvirus amp prb each
|
$180.00 |
$180.00 |
$180.00 |
$100.00
|
|
Infect ag na resp virus 12-25 targets
|
$812.25 |
$812.25 |
$812.25 |
$854.70
|
|
Infect ag phenotype na hiv-1 1-10 drugs
|
$108.00 |
$108.00 |
$108.00 |
$954.00
|
|
Infect ag phenotype na hiv-1 ea addl drg
|
$1,288.50 |
$1,288.50 |
$1,288.50 |
$75.63
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$203.25 |
$203.25 |
$203.25 |
$83.60
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$60.75 |
$60.75 |
$60.75 |
$72.80
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$69.00 |
$69.00 |
$69.00 |
$76.00
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$90.00 |
$90.00 |
$90.00 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$48.00 |
$48.00 |
$48.00 |
$81.20
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$60.75 |
$60.75 |
$60.75 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$303.00 |
$303.00 |
$303.00 |
$129.00
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$130.50 |
$130.50 |
$130.50 |
$98.58
|
|
Infectious agent nucleic acid amplified probe
|
$751.50 |
$751.50 |
$751.50 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$186.00 |
$186.00 |
$186.00 |
$141.95
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$202.50 |
$202.50 |
$202.50 |
$167.05
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$836.25 |
$836.25 |
$836.25 |
$864.67
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$310.50 |
$310.50 |
$310.50 |
$181.35
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$147.00 |
$147.00 |
$147.00 |
$149.13
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$670.50 |
$670.50 |
$670.50 |
$212.16
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$186.00 |
$186.00 |
$186.00 |
$137.67
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$141.00 |
$141.00 |
$141.00 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$299.25 |
$299.25 |
$299.25 |
$206.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$299.25 |
$299.25 |
$299.25 |
$236.08
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$78.75 |
$78.75 |
$78.75 |
$96.00
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$108.75 |
$108.75 |
$108.75 |
$112.45
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$357.75 |
$357.75 |
$357.75 |
$195.60
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$984.00 |
$984.00 |
$984.00 |
$727.50
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$436.50 |
$436.50 |
$436.50 |
$289.91
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$255.00 |
$255.00 |
$255.00 |
$432.63
|
|
Infectious agent nucleic acid quantification bk virus
|
$1,008.75 |
$1,008.75 |
$1,008.75 |
$283.00
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$305.25 |
$305.25 |
$305.25 |
$242.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$934.50 |
$934.50 |
$934.50 |
$253.00
|
|
Infectious agent nucleic acid quantification hiv-1
|
$680.25 |
$680.25 |
$680.25 |
$375.00
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$358.50 |
$358.50 |
$358.50 |
$304.20
|
|
Infliximab 100 mg intravenous solution
|
$1,702.78 |
$1,702.78 |
$1,702.78 |
$2,047.13
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$1,713.99 |
$1,713.99 |
$1,713.99 |
$1,537.84
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$322.50 |
$322.50 |
$322.50 |
$296.00
|
|
Init pm e/m new pat 65+ yrs
|
$148.50 |
$148.50 |
$148.50 |
$189.15
|
|
Inj, abilify maintena, 1 mg
|
$9,281.66 |
$9,281.66 |
$9,281.66 |
$5,355.30
|
|
Inj, acetaminophen (b braun)
|
$20.71 |
$20.71 |
$20.71 |
$32.79
|
|
Inj acetaminophen -fresenius
|
$14.79 |
$14.79 |
$14.79 |
$36.60
|
|
Inj, adalimumab, 1 mg
|
$24,828.50 |
$24,828.50 |
$24,828.50 |
$12,098.05
|
|
Inj allopurinol sodium 1 mg
|
$5,937.23 |
$5,937.23 |
$5,937.23 |
$6,968.99
|
|
Inj anifrolumab-fnia 1mg
|
$20,116.77 |
$20,116.77 |
$20,116.77 |
$10,052.58
|
|
Inj, artesunate, 1mg
|
$39,774.01 |
$39,774.01 |
$39,774.01 |
$14,460.21
|
|
Inj., benralizumab, 1 mg
|
$19,707.27 |
$19,707.27 |
$19,707.27 |
$11,310.00
|
