|
Iadna legionella pneumophila amplified probe tq
|
$105.60 |
$105.60 |
$105.60 |
$109.80
|
|
Ia infect ag ab qual/semiquant sgl step
|
$64.20 |
$64.20 |
$64.20 |
$50.60
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$1,414.68 |
$1,414.68 |
$1,414.68 |
$980.94
|
|
Icd cobalt xt dr MRI is1 df1
|
$59,632.85 |
$59,632.85 |
$59,632.85 |
$34,234.20
|
|
Icd crtd cobalt hf MRI is1 df1
|
$57,866.40 |
$57,866.40 |
$57,866.40 |
$37,789.50
|
|
Icd crtp serena MRI
|
$46,699.20 |
$46,699.20 |
$46,699.20 |
$14,346.00
|
|
Icd reliance df4 ib 64cm
|
$55,178.15 |
$55,178.15 |
$55,178.15 |
$9,259.80
|
|
Idet 1 or more levels
|
$5,745.60 |
$5,745.60 |
$5,745.60 |
$4,754.40
|
|
Idet single level
|
$8,573.40 |
$8,573.40 |
$8,573.40 |
$3,947.04
|
|
Idh1 common variants
|
$384.60 |
$384.60 |
$384.60 |
$406.90
|
|
Idh2 common variants
|
$588.00 |
$588.00 |
$588.00 |
$486.00
|
|
I&d vag hemtma obst/postpart
|
$3,972.60 |
$3,972.60 |
$3,972.60 |
$3,334.38
|
|
Ifnl3 gene
|
$118.80 |
$118.80 |
$118.80 |
$143.40
|
|
Ifosfamide 1 gram intravenous solution
|
$146.64 |
$146.64 |
$146.64 |
$243.78
|
|
Igh gene rearrange amp meth
|
$727.20 |
$727.20 |
$727.20 |
$456.54
|
|
Igh@ var region somatic mutation analy
|
$529.20 |
$529.20 |
$529.20 |
$660.80
|
|
Igk rearrangeabn clonal pop
|
$549.60 |
$549.60 |
$549.60 |
$396.00
|
|
Ihc/icc per specimen each additional single antibody stain
|
$298.20 |
$298.20 |
$298.20 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$464.40 |
$464.40 |
$464.40 |
$328.79
|
|
Ihc/icc per specimen initial single antibody stain
|
$298.20 |
$298.20 |
$298.20 |
$274.86
|
|
Ikbkap gene
|
$228.00 |
$228.00 |
$228.00 |
$176.15
|
|
Imetelstat 188 mg intravenous solution
|
$41,534.28 |
$41,534.28 |
$41,534.28 |
$20,373.55
|
|
Immob elbow child sm
|
$4,839.08 |
$4,839.08 |
$4,839.08 |
$74.20
|
|
Immobilizer shldr cntor adlt
|
$2,415.41 |
$2,415.41 |
$2,415.41 |
$171.43
|
|
Immobilizer shldr dlx str 24-36in med
|
$2,791.05 |
$2,791.05 |
$2,791.05 |
$102.00
|
|
Immobilizer shldr sling med
|
$2,865.54 |
$2,865.54 |
$2,865.54 |
$99.45
|
|
Immune complex assay
|
$91.20 |
$91.20 |
$91.20 |
$109.20
|
|
Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution
|
$8,808.90 |
$8,808.90 |
$8,808.90 |
$3,593.90
|
|
Immunoassay tumor antigen quantitative ca 125
|
$96.00 |
$96.00 |
$96.00 |
$130.00
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$80.40 |
$80.40 |
$80.40 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$36.00 |
$36.00 |
$36.00 |
$48.50
|
|
Immunodiffusion nes
|
$63.00 |
$63.00 |
$63.00 |
$53.76
|
|
Immunofixation electrophoresis serum
|
$60.60 |
$60.60 |
$60.60 |
$138.60
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$210.00 |
$210.00 |
$210.00 |
$156.00
|
|
Immunofluorescence per specimen initial single antibody stain
|
$711.00 |
$711.00 |
$711.00 |
$232.05
|
|
Immunoglobulin assay
|
$35.40 |
$35.40 |
$35.40 |
$74.15
|
|
Immunology procedure
|
$122.40 |
$122.40 |
$122.40 |
$118.25
|
|
Impl ahmed 6x25x9.6mm glaucoma vlv w/sil ped ster
|
$11,449.55 |
$11,449.55 |
$11,449.55 |
$3,840.76
|
|
Implant cartilage 10mm synthetic
|
$8,332.51 |
$8,332.51 |
$8,332.51 |
$10,050.00
|
|
Implant cochlear osia osi300
|
$28,262.96 |
$28,262.96 |
$28,262.96 |
$17,423.06
|
|
Implant neuroelectrodes
|
$111,458.28 |
$111,458.28 |
$111,458.28 |
$18,334.40
|
|
Implant neuroelectrodes
|
$45,623.18 |
$45,623.18 |
$45,623.18 |
$7,766.27
|
|
Implant neuroelectrodes
|
$59,680.43 |
$59,680.43 |
$59,680.43 |
$7,728.86
|
|
Implant neurostim arrays
|
$58,383.19 |
$58,383.19 |
$58,383.19 |
$23,262.40
|
|
Implant ureth bulk agent
|
$9,197.33 |
$9,197.33 |
$9,197.33 |
$2,139.62
|
|
Impl ear abutment ba300 9mm
|
$13,091.71 |
$13,091.71 |
$13,091.71 |
$3,974.88
|
|
Impl neurostim electr perc
|
$35,710.09 |
$35,710.09 |
$35,710.09 |
$7,546.20
|
|
Implnt bio implnt for soft tiss reinforcement 15777
|
$104,161.84 |
$104,161.84 |
$104,161.84 |
$1,072.00
|
|
In-111 oxyquinolin per 0.5 mci
|
$7,577.94 |
$7,577.94 |
$7,577.94 |
$2,568.98
|
|
In-111 pentetate dtpa / 0.5 mci
|
$6,375.66 |
$6,375.66 |
$6,375.66 |
$2,550.60
|
|
In-111 pentetreotide
|
$3,550.20 |
$3,550.20 |
$3,550.20 |
$4,944.55
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$16,845.54 |
$16,845.54 |
$16,845.54 |
$2,080.80
|
|
Incision of eardrum
|
$12,903.39 |
$12,903.39 |
$12,903.39 |
$3,827.50
|
|
Incision of foot fascia
|
$41,498.63 |
$41,498.63 |
$41,498.63 |
$4,570.33
|
|
Incision of foot tendon 28234
|
$75,663.39 |
$75,663.39 |
$75,663.39 |
$2,116.27
|
|
Incision of heel bone
|
$84,971.58 |
$84,971.58 |
$84,971.58 |
$5,110.00
|
|
Incision of metatarsal
|
$70,809.52 |
$70,809.52 |
$70,809.52 |
$3,591.33
|
|
Incision of midfoot bones
|
$75,663.39 |
$75,663.39 |
$75,663.39 |
$6,311.00
|
|
Incision of toe tendons 28011
|
$2,858.40 |
$2,858.40 |
$2,858.40 |
$2,068.30
|
|
Incision of tongue fold
|
$21,637.90 |
$21,637.90 |
$21,637.90 |
$1,792.50
|
|
Incision of urethra
|
$20,730.78 |
$20,730.78 |
$20,730.78 |
$5,626.86
|
|
Incisn of toe tndn
|
$2,858.40 |
$2,858.40 |
$2,858.40 |
$2,493.15
|
|
Incisn windpipe
|
$3,961.20 |
$3,961.20 |
$3,961.20 |
$3,819.23
|
|
Infect ag drug suscept pheno predict
|
$231.60 |
$231.60 |
$231.60 |
$320.00
|
|
Infect ag eia chlamydia trachomatis
|
$100.80 |
$100.80 |
$100.80 |
$74.88
|
|
Infect ag genotype na dna hepatitis b
|
$398.40 |
$398.40 |
$398.40 |
$427.43
|
|
Infect ag genotype na hiv-1 other region
|
$313.20 |
$313.20 |
$313.20 |
$326.20
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$405.60 |
$405.60 |
$405.60 |
$603.75
|
|
Infect ag ia optc obs influenza
|
$68.40 |
$68.40 |
$68.40 |
$72.93
|
|
Infect ag if ea plyvlnt antsrm
|
$126.60 |
$126.60 |
$126.60 |
$65.10
|
|
Infect ag if hep delta agent
|
$178.80 |
$178.80 |
$178.80 |
$125.97
|
|
Infect ag if influenza a
|
$19.20 |
$19.20 |
$19.20 |
$40.61
|
|
Infect ag if influenza b
|
$19.20 |
$19.20 |
$19.20 |
$37.95
|
|
Infect ag if legionella pneumophila
|
$66.00 |
$66.00 |
$66.00 |
$73.46
|
|
Infect ag if nos ea
|
$33.60 |
$33.60 |
$33.60 |
$74.10
|
|
Infect ag if pneumocystis carinii
|
$23.40 |
$23.40 |
$23.40 |
$67.46
|
|
Infect ag if varicella zoster
|
$73.20 |
$73.20 |
$73.20 |
$72.00
|
|
Infect ag na hpv high-risk types
|
$153.60 |
$153.60 |
$153.60 |
$139.20
|
|
Infect ag na influenza r/amp 1st 2 types
|
$63.00 |
$63.00 |
$63.00 |
$219.70
|
|
Infect ag na orthopoxvirus amp prb each
|
$96.00 |
$96.00 |
$96.00 |
$99.36
|
|
Infect ag na resp virus 12-25 targets
|
$544.80 |
$544.80 |
$544.80 |
$859.44
|
|
Infect ag phenotype na hiv-1 1-10 drugs
|
$558.00 |
$558.00 |
$558.00 |
$855.60
|
|
Infect ag phenotype na hiv-1 ea addl drg
|
$39.60 |
$39.60 |
$39.60 |
$77.00
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$188.40 |
$188.40 |
$188.40 |
$82.00
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$83.40 |
$83.40 |
$83.40 |
$69.44
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$58.20 |
$58.20 |
$58.20 |
$76.50
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$96.60 |
$96.60 |
$96.60 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$157.80 |
$157.80 |
$157.80 |
$96.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$126.60 |
$126.60 |
$126.60 |
$81.06
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$70.80 |
$70.80 |
$70.80 |
$57.60
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$64.80 |
$64.80 |
$64.80 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$127.80 |
$127.80 |
$127.80 |
$127.80
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$150.00 |
$150.00 |
$150.00 |
$97.50
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$81.00 |
$81.00 |
$81.00 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$189.60 |
$189.60 |
$189.60 |
$267.50
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$114.00 |
$114.00 |
$114.00 |
$137.67
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$213.00 |
$213.00 |
$213.00 |
$167.05
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$1,971.00 |
$1,971.00 |
$1,971.00 |
$861.00
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$210.60 |
$210.60 |
$210.60 |
$181.35
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$172.80 |
$172.80 |
$172.80 |
$151.25
|
