|
I131 iodide cap, rx
|
$117.00 |
$117.00 |
$117.00 |
$71.70
|
|
Iadna legionella pneumophila amplified probe tq
|
$157.30 |
$157.30 |
$157.30 |
$109.80
|
|
Ibandronate 3 mg/3 ml intravenous syringe
|
$328.38 |
$328.38 |
$328.38 |
$684.45
|
|
Ibuprofen injection
|
$386.10 |
$386.10 |
$386.10 |
$256.76
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$131.00 |
$131.00 |
$131.00 |
$980.94
|
|
Icatibant injection
|
$8,695.05 |
$8,695.05 |
$8,695.05 |
$8,695.05
|
|
Icd cobalt xt dr MRI is1 df1
|
$26,325.00 |
$26,325.00 |
$26,325.00 |
$34,093.09
|
|
Icd crtd cobalt hf MRI is1 df1
|
$34,905.00 |
$34,905.00 |
$34,905.00 |
$39,070.50
|
|
Icd crtp serena MRI
|
$12,870.00 |
$12,870.00 |
$12,870.00 |
$14,360.25
|
|
Icd reliance df4 ib 64cm
|
$6,240.00 |
$6,240.00 |
$6,240.00 |
$9,264.83
|
|
Icut allergy test drug/bug
|
$105.95 |
$105.95 |
$105.95 |
$70.29
|
|
Idarubicin hcl injection
|
$36.15 |
$36.15 |
$36.15 |
$447.02
|
|
Idecabtagene vicleucel car
|
$33,955.69 |
$33,955.69 |
$33,955.69 |
$1,129,895.40
|
|
Identify sperm tissue
|
$1,053.00 |
$1,053.00 |
$1,053.00 |
$157.60
|
|
Idh1 common variants
|
$866.45 |
$866.45 |
$866.45 |
$415.35
|
|
Idh2 common variants
|
$1,326.65 |
$1,326.65 |
$1,326.65 |
$486.00
|
|
I&d upper arm/elbow deep abscess/hematoma
|
$8,557.25 |
$8,557.25 |
$8,557.25 |
$3,371.02
|
|
Idursulfase injection
|
$2,519.32 |
$2,519.32 |
$2,519.32 |
$5,646.08
|
|
I&d vag hemtma obst/postpart
|
$2,512.90 |
$2,512.90 |
$2,512.90 |
$3,370.52
|
|
Ifosfamide 1 gram intravenous solution
|
$335.53 |
$335.53 |
$335.53 |
$246.95
|
|
Igh gene rearrange amp meth
|
$887.90 |
$887.90 |
$887.90 |
$464.25
|
|
Igh@ var region somatic mutation analy
|
$1,320.80 |
$1,320.80 |
$1,320.80 |
$660.80
|
|
Igk rearrangeabn clonal pop
|
$774.80 |
$774.80 |
$774.80 |
$399.36
|
|
Ihc/icc per specimen each additional single antibody stain
|
$160.55 |
$160.55 |
$160.55 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$1,613.30 |
$1,613.30 |
$1,613.30 |
$331.20
|
|
Ihc/icc per specimen initial single antibody stain
|
$768.30 |
$768.30 |
$768.30 |
$277.90
|
|
Ikbkap gene
|
$176.15 |
$176.15 |
$176.15 |
$173.49
|
|
Iliac/fem angio cath insert
|
$4,478.50 |
$4,478.50 |
$4,478.50 |
$1,856.01
|
|
Imetelstat 188 mg intravenous solution
|
$32,477.90 |
$32,477.90 |
$32,477.90 |
$20,373.55
|
|
Immob elbow child sm
|
$50.31 |
$50.31 |
$50.31 |
$85.39
|
|
Immobilizer lwr extrem nylon 20in reinforc 21-35in
|
$122.85 |
$122.85 |
$122.85 |
$259.20
|
|
Immobilizer shldr cntor adlt
|
$331.50 |
$331.50 |
$331.50 |
$175.60
|
|
Immobilizer shldr dlx str 24-36in med
|
$40.30 |
$40.30 |
$40.30 |
$118.43
|
|
Immune complex assay
|
$109.20 |
$109.20 |
$109.20 |
$101.60
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$40.85 |
$40.85 |
$40.85 |
$6,106.32
|
|
Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution
|
$5,326.31 |
$5,326.31 |
$5,326.31 |
$2,900.11
|
|
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution
|
$45.45 |
$45.45 |
$45.45 |
$3,846.15
|
|
Immunoassay tumor antigen quantitative ca 125
|
$93.60 |
$93.60 |
$93.60 |
$132.00
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$93.60 |
$93.60 |
$93.60 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$53.95 |
$53.95 |
$53.95 |
$48.57
|
|
Immunodiffusion nes
|
$63.05 |
$63.05 |
$63.05 |
$53.76
|
|
Immunofixation electrophoresis serum
|
$100.10 |
$100.10 |
$100.10 |
$142.50
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$161.85 |
$161.85 |
$161.85 |
$154.05
|
|
Immunofluorescence per specimen initial single antibody stain
|
$768.30 |
$768.30 |
$768.30 |
$234.27
|
|
Immunoglobulin assay
|
$55.90 |
$55.90 |
$55.90 |
$78.00
|
|
Implant cartilage 10mm synthetic
|
$54.60 |
$54.60 |
$54.60 |
$8,332.51
|
|
Implant hormone pellet(s) 11980
|
$778.05 |
$778.05 |
$778.05 |
$315.75
|
|
Implant neuroelectrodes
|
$8,897.85 |
$8,897.85 |
$8,897.85 |
$8,836.80
|
|
Implant neuroelectrodes
|
$15,876.90 |
$15,876.90 |
$15,876.90 |
$7,728.86
|
|
Implant ureth bulk agent
|
$343.85 |
$343.85 |
$343.85 |
$2,168.00
|
|
Impl neurostim electr perc
|
$16,515.85 |
$16,515.85 |
$16,515.85 |
$7,672.50
|
|
Implnt spinl canal catheter 62350
|
$16,998.15 |
$16,998.15 |
$16,998.15 |
$5,095.20
|
|
Impl oi implt sk tc esp<100
|
$33,453.55 |
$33,453.55 |
$33,453.55 |
$22,958.00
|
|
Imuglucerase injection
|
$4,098.43 |
$4,098.43 |
$4,098.43 |
$3,399.59
|
|
In-111 autol wbc diag per dose
|
$3,203.20 |
$3,203.20 |
$3,203.20 |
$3,493.75
|
|
In-111 oxyquinolin per 0.5 mci
|
$3,269.50 |
$3,269.50 |
$3,269.50 |
$2,753.23
|
|
In-111 pentetate dtpa / 0.5 mci
|
$2,936.70 |
$2,936.70 |
$2,936.70 |
$2,598.17
|
|
In-111 pentetreotide
|
$6,862.70 |
$6,862.70 |
$6,862.70 |
$5,294.90
|
|
In-111 satumomab pend
|
$1,937.00 |
$1,937.00 |
$1,937.00 |
$3,113.04
|
|
Inactivated je vacc im
|
$1,380.97 |
$1,380.97 |
$1,380.97 |
$481.34
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$3,159.65 |
$3,159.65 |
$3,159.65 |
$2,086.70
|
|
Incision of achilles tendon
|
$4,785.30 |
$4,785.30 |
$4,785.30 |
$3,318.90
|
|
Incision of breast lesion
|
$3,159.65 |
$3,159.65 |
$3,159.65 |
$2,577.85
|
|
Incision of foot fascia
|
$9,701.25 |
$9,701.25 |
$9,701.25 |
$4,599.40
|
|
Incision of tendon & muscle
|
$21,359.65 |
$21,359.65 |
$21,359.65 |
$5,855.00
|
|
Incision of tendon sheath
|
$4,785.30 |
$4,785.30 |
$4,785.30 |
$2,263.68
|
|
Incision of thigh tendon
|
$9,701.25 |
$9,701.25 |
$9,701.25 |
$4,491.50
|
|
Incision of thigh tendons
|
$9,701.25 |
$9,701.25 |
$9,701.25 |
$5,339.00
|
|
Incision of tongue fold
|
$4,429.10 |
$4,429.10 |
$4,429.10 |
$1,792.50
|
|
Incision of urethra
|
$6,124.95 |
$6,124.95 |
$6,124.95 |
$3,198.58
|
|
Incision tendon sheath
|
$4,785.30 |
$4,785.30 |
$4,785.30 |
$3,073.20
|
|
Incisn of toe tndn
|
$4,785.30 |
$4,785.30 |
$4,785.30 |
$2,667.00
|
|
Incisn windpipe
|
$9,696.70 |
$9,696.70 |
$9,696.70 |
$3,819.23
|
|
Incobotulinumtoxin a
|
$1,195.74 |
$1,195.74 |
$1,195.74 |
$1,339.57
|
|
Indigotindisulfonate 8 mg/ml soln 5 ml ampule
|
$187.20 |
$187.20 |
$187.20 |
$766.66
|
|
Induced ab 1+ vag sup w/dlv fetus
|
$1,881.75 |
$1,881.75 |
$1,881.75 |
$1,997.99
|
|
Induced abortion d&c
|
$8,266.70 |
$8,266.70 |
$8,266.70 |
$3,762.53
|
|
Induced abortion dilat&evac
|
$8,266.70 |
$8,266.70 |
$8,266.70 |
$4,451.18
|
|
Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s)
|
$314.60 |
$314.60 |
$314.60 |
$140.80
|
|
Infect ag drug suscept pheno predict
|
$584.35 |
$584.35 |
$584.35 |
$325.00
|
|
Infect ag genotype na cytomegalovirus
|
$1,154.40 |
$1,154.40 |
$1,154.40 |
$665.40
|
|
Infect ag genotype na dna hepatitis b
|
$1,154.40 |
$1,154.40 |
$1,154.40 |
$409.27
|
|
Infect ag genotype na hiv-1 other region
|
$577.20 |
$577.20 |
$577.20 |
$361.65
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$1,154.40 |
$1,154.40 |
$1,154.40 |
$603.83
|
|
Infect ag ia optc obs influenza
|
$74.10 |
$74.10 |
$74.10 |
$72.93
|
|
Infect ag if hep delta agent
|
$82.55 |
$82.55 |
$82.55 |
$125.97
|
|
Infect ag na hep b amp
|
$157.30 |
$157.30 |
$157.30 |
$120.50
|
|
Infect ag na hpv high-risk types
|
$157.30 |
$157.30 |
$157.30 |
$139.20
|
|
Infect ag na influenza r/amp 1st 2 types
|
$429.65 |
$429.65 |
$429.65 |
$219.70
|
|
Infect ag na orthopoxvirus amp prb each
|
$230.10 |
$230.10 |
$230.10 |
$100.00
|
|
Infect ag na resp virus 12-25 targets
|
$1,869.40 |
$1,869.40 |
$1,869.40 |
$854.70
|
|
Infect ag phenotype na hiv-1 1-10 drugs
|
$2,191.80 |
$2,191.80 |
$2,191.80 |
$954.00
|
|
Infect ag phenotype na hiv-1 ea addl drg
|
$117.00 |
$117.00 |
$117.00 |
$75.63
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$53.95 |
$53.95 |
$53.95 |
$83.60
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$61.75 |
$61.75 |
$61.75 |
$76.00
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$53.95 |
$53.95 |
$53.95 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$64.35 |
$64.35 |
$64.35 |
$103.40
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$46.15 |
$46.15 |
$46.15 |
$81.20
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$46.15 |
$46.15 |
$46.15 |
$60.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$107.90 |
$107.90 |
$107.90 |
$100.00
|