|
Idursulfase injection
|
$16,569.42 |
$16,569.42 |
$16,860.12 |
$5,583.80
|
|
Ifosfamide 1 gram intravenous solution
|
$171.96 |
$171.96 |
$548.46 |
$246.95
|
|
Igh@/bcl2 translocation alys
|
$277.80 |
$277.80 |
$277.80 |
$277.80
|
|
Igh gene rearrange amp meth
|
$228.00 |
$228.00 |
$228.00 |
$464.00
|
|
Igh@ var region somatic mutation analy
|
$1,298.40 |
$1,298.40 |
$1,298.40 |
$660.80
|
|
Igk rearrangeabn clonal pop
|
$175.80 |
$175.80 |
$175.80 |
$399.36
|
|
Ihc/icc per specimen each additional single antibody stain
|
$118.20 |
$118.20 |
$118.20 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$370.20 |
$370.20 |
$370.20 |
$328.79
|
|
Ihc/icc per specimen initial single antibody stain
|
$972.60 |
$972.60 |
$972.60 |
$272.30
|
|
Ikbkap gene
|
$331.80 |
$331.80 |
$331.80 |
$173.49
|
|
Imetelstat 188 mg intravenous solution
|
$48,716.88 |
$48,716.88 |
$48,716.88 |
$20,373.55
|
|
Immob elbow child sm
|
$1,611.46 |
$1,611.46 |
$1,611.46 |
$85.39
|
|
Immobilizer shldr cntor adlt
|
$993.42 |
$993.42 |
$993.42 |
$175.60
|
|
Immobilizer shldr dlx str 24-36in med
|
$1,147.91 |
$1,147.91 |
$1,147.91 |
$115.00
|
|
Immobilizer shldr sling med
|
$1,178.56 |
$1,178.56 |
$1,178.56 |
$126.00
|
|
Immune complex assay
|
$211.80 |
$211.80 |
$211.80 |
$106.14
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$4,557.36 |
$4,557.36 |
$8,957.52 |
$6,106.32
|
|
Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution
|
$11,676.96 |
$11,676.96 |
$11,881.80 |
$2,900.11
|
|
Immunoassay tumor antigen quantitative ca 125
|
$564.60 |
$564.60 |
$564.60 |
$130.39
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$22.80 |
$22.80 |
$22.80 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$22.20 |
$22.20 |
$22.20 |
$48.36
|
|
Immunodiffusion nes
|
$33.60 |
$33.60 |
$33.60 |
$48.57
|
|
Immunofixation electrophoresis serum
|
$225.00 |
$225.00 |
$225.00 |
$140.70
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$134.40 |
$134.40 |
$134.40 |
$156.00
|
|
Immunofluorescence per specimen initial single antibody stain
|
$536.40 |
$536.40 |
$536.40 |
$234.27
|
|
Immunoglobulin assay
|
$67.20 |
$67.20 |
$67.20 |
$74.15
|
|
Immunology procedure
|
$92.40 |
$92.40 |
$92.40 |
$115.20
|
|
Impl ahmed 6x25x9.6mm glaucoma vlv w/sil ped ster
|
$10,140.83 |
$10,140.83 |
$10,140.83 |
$3,776.96
|
|
Implant cartilage 10mm synthetic
|
$7,380.08 |
$7,380.08 |
$7,380.08 |
$9,248.00
|
|
Implant cochlear osia osi300
|
$49,671.00 |
$49,671.00 |
$49,671.00 |
$17,423.06
|
|
Implant neuroelectrodes
|
$79,984.67 |
$79,984.67 |
$79,984.67 |
$18,334.40
|
|
Implant neuroelectrodes
|
$77,529.79 |
$77,529.79 |
$77,529.79 |
$7,270.51
|
|
Implant ureth bulk agent
|
$8,146.04 |
$8,146.04 |
$8,146.04 |
$2,141.57
|
|
Impl ear abutment ba300 9mm
|
$9,718.46 |
$9,718.46 |
$9,718.46 |
$3,974.88
|
|
Impl neurostim electr perc
|
$19,654.82 |
$19,654.82 |
$19,654.82 |
$7,672.50
|
|
Implnt bio implnt for soft tiss reinforcement 15777
|
$67,226.92 |
$67,226.92 |
$67,226.92 |
$1,072.00
|
|
Implnt spinl canal catheter 62350
|
$57,033.46 |
$57,033.46 |
$57,033.46 |
$5,312.78
|
|
In-111 oxyquinolin per 0.5 mci
|
$8,840.94 |
$8,840.94 |
$8,840.94 |
$2,601.60
|
|
In-111 pentetate dtpa / 0.5 mci
|
$4,477.80 |
$4,477.80 |
$4,477.80 |
$2,598.17
|
|
In-111 pentetreotide
|
$7,598.40 |
$7,598.40 |
$7,598.40 |
$5,201.00
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$7,200.48 |
$7,200.48 |
$14,609.69 |
$2,080.80
|
|
Incision of breast lesion
|
$9,626.16 |
$9,626.16 |
$9,626.16 |
$2,577.85
|
|
Incision of foot tendon 28234
|
$2,724.00 |
$2,724.00 |
$2,724.00 |
$2,116.27
|
|
Incision of heel bone
|
$55,544.00 |
$55,544.00 |
$55,544.00 |
$5,110.00
|
|
Incision of iris
|
$15,440.51 |
$15,440.51 |
$15,440.51 |
$2,698.92
|
|
Incision of metatarsal
|
$60,195.80 |
$60,195.80 |
$60,195.80 |
$3,591.33
|
|
Incision of toe tendons 28011
|
$2,799.60 |
$2,799.60 |
$2,799.60 |
$2,119.12
|
|
Incision of tongue fold
|
$6,011.94 |
$6,011.94 |
$6,011.94 |
$1,792.50
|
|
Incision tendon sheath
|
$8,908.26 |
$8,908.26 |
$10,985.70 |
$3,073.20
|
|
Incisn of toe tndn
|
$2,667.00 |
$2,667.00 |
$2,667.00 |
$2,667.00
|
|
Incisn windpipe
|
$4,870.20 |
$4,870.20 |
$4,870.20 |
$3,819.23
|
|
Indigotindisulfonate 8 mg/ml soln 5 ml ampule
|
$2,256.00 |
$2,256.00 |
$2,256.00 |
$766.66
|
|
Infect ag drug suscept pheno predict
|
$618.00 |
$618.00 |
$618.00 |
$323.20
|
|
Infect ag eia chlamydia trachomatis
|
$96.00 |
$96.00 |
$96.00 |
$74.25
|
|
Infect ag genotype na dna hepatitis b
|
$280.80 |
$280.80 |
$280.80 |
$409.27
|
|
Infect ag genotype na hiv-1 other region
|
$496.20 |
$496.20 |
$496.20 |
$346.50
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$569.40 |
$569.40 |
$569.40 |
$603.75
|
|
Infect ag ia optc obs influenza
|
$29.40 |
$29.40 |
$36.00 |
$72.93
|
|
Infect ag if ea plyvlnt antsrm
|
$120.60 |
$120.60 |
$120.60 |
$55.80
|
|
Infect ag if influenza a
|
$14.40 |
$14.40 |
$14.40 |
$42.12
|
|
Infect ag if influenza b
|
$14.40 |
$14.40 |
$14.40 |
$40.52
|
|
Infect ag if legionella pneumophila
|
$52.20 |
$52.20 |
$52.20 |
$71.50
|
|
Infect ag if nos ea
|
$52.80 |
$52.80 |
$52.80 |
$74.88
|
|
Infect ag if pneumocystis carinii
|
$24.00 |
$24.00 |
$24.00 |
$67.19
|
|
Infect ag if varicella zoster
|
$82.80 |
$82.80 |
$82.80 |
$72.00
|
|
Infect ag na hpv high-risk types
|
$370.20 |
$370.20 |
$370.20 |
$139.20
|
|
Infect ag na influenza r/amp 1st 2 types
|
$118.20 |
$118.20 |
$118.20 |
$217.88
|
|
Infect ag na influenza revr/amp ea type
|
$73.20 |
$73.20 |
$73.20 |
$156.60
|
|
Infect ag na orthopoxvirus amp prb each
|
$96.00 |
$96.00 |
$96.00 |
$100.00
|
|
Infect ag na resp virus 12-25 targets
|
$766.80 |
$766.80 |
$766.80 |
$845.40
|
|
Infect ag phenotype na hiv-1 1-10 drugs
|
$2,154.60 |
$2,154.60 |
$2,154.60 |
$886.26
|
|
Infect ag phenotype na hiv-1 ea addl drg
|
$115.20 |
$115.20 |
$115.20 |
$75.63
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$55.20 |
$55.20 |
$55.20 |
$81.90
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$33.60 |
$33.60 |
$33.60 |
$69.44
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$61.20 |
$61.20 |
$61.20 |
$76.32
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$64.20 |
$64.20 |
$64.20 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$74.40 |
$74.40 |
$74.40 |
$95.34
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$148.20 |
$148.20 |
$148.20 |
$80.50
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$28.20 |
$28.20 |
$28.20 |
$60.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$98.40 |
$98.40 |
$98.40 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$225.00 |
$225.00 |
$225.00 |
$129.68
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$229.20 |
$229.20 |
$229.20 |
$98.02
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$28.80 |
$28.80 |
$28.80 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$321.60 |
$321.60 |
$321.60 |
$267.50
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$167.40 |
$167.40 |
$167.40 |
$137.67
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$132.60 |
$132.60 |
$132.60 |
$166.40
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$484.20 |
$484.20 |
$484.20 |
$861.00
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$231.60 |
$231.60 |
$231.60 |
$181.35
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$193.80 |
$193.80 |
$193.80 |
$150.15
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$270.00 |
$270.00 |
$270.00 |
$208.00
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$102.00 |
$102.00 |
$102.00 |
$135.80
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$105.60 |
$105.60 |
$105.60 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$171.00 |
$171.00 |
$260.40 |
$217.80
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$86.40 |
$86.40 |
$86.40 |
$92.50
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$88.20 |
$88.20 |
$88.20 |
$108.21
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$184.20 |
$184.20 |
$184.20 |
$185.00
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$545.40 |
$545.40 |
$545.40 |
$727.50
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$264.60 |
$264.60 |
$264.60 |
$283.20
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$264.60 |
$264.60 |
$264.60 |
$432.63
|
|
Infectious agent nucleic acid quantification bk virus
|
$214.20 |
$214.20 |
$214.20 |
$285.60
|