|
I-123 iobenguane diag
|
$6,571.39 |
$6,571.39 |
$6,571.39 |
$5,730.40
|
|
I-123 ioflupane diag
|
$5,067.98 |
$5,067.98 |
$5,067.98 |
$3,887.10
|
|
I131 iodide cap, rx
|
$187.13 |
$187.13 |
$187.13 |
$117.00
|
|
Iaadi respiratory synctial virus
|
$49.40 |
$49.40 |
$49.40 |
$46.02
|
|
Iadna legionella pneumophila amplified probe tq
|
$99.70 |
$99.70 |
$99.70 |
$109.00
|
|
Ibandronate 3 mg/3 ml intravenous syringe
|
$322.20 |
$322.20 |
$322.20 |
$768.06
|
|
Ibuprofen injection
|
$350.58 |
$350.58 |
$350.58 |
$150.00
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$649.85 |
$649.85 |
$649.85 |
$614.95
|
|
I&d abscss rtrphryngl/paraphryngl intraorl apprch
|
$1,814.67 |
$1,814.67 |
$1,814.67 |
$2,812.80
|
|
Idarubicin hcl injection
|
$80.36 |
$80.36 |
$80.36 |
$249.51
|
|
Idh1 common variants
|
$130.61 |
$130.61 |
$130.61 |
$406.90
|
|
Idh2 common variants
|
$196.01 |
$196.01 |
$196.01 |
$463.45
|
|
I&d intramural/intramuscular/submuc abscess transanal anes
|
$1,262.35 |
$1,262.35 |
$1,262.35 |
$2,147.18
|
|
Ifosfamide 1 gram intravenous solution
|
$77.90 |
$77.90 |
$77.90 |
$185.67
|
|
Igh gene rearrange amp meth
|
$209.51 |
$209.51 |
$209.51 |
$464.00
|
|
Igh@ var region somatic mutation analy
|
$326.71 |
$326.71 |
$326.71 |
$685.75
|
|
Ihc/icc per specimen each additional single antibody stain
|
$59.85 |
$59.85 |
$59.85 |
$187.20
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$105.45 |
$105.45 |
$105.45 |
$339.73
|
|
Ihc/icc per specimen initial single antibody stain
|
$339.66 |
$339.66 |
$339.66 |
$274.86
|
|
Iliac/fem angio cath insert
|
$1,588.41 |
$1,588.41 |
$1,588.41 |
$2,070.72
|
|
Iliac revasc add-on 37222
|
$13,424.34 |
$13,424.34 |
$13,424.34 |
$8,583.60
|
|
Immobilizer shldr dlx str 24-36in med
|
$52.60 |
$52.60 |
$52.60 |
$72.60
|
|
Immune complex assay
|
$224.15 |
$224.15 |
$224.15 |
$89.25
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$2,621.62 |
$2,621.62 |
$2,621.62 |
$2,621.62
|
|
Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution
|
$185.91 |
$185.91 |
$185.91 |
$107.10
|
|
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution
|
$141.04 |
$141.04 |
$141.04 |
$3,132.49
|
|
Immunoassay tumor antigen quantitative ca 125
|
$65.68 |
$65.68 |
$65.68 |
$122.50
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$65.95 |
$65.95 |
$65.95 |
$117.00
|
|
Immunodiff gel qual ea antigen/ab
|
$50.78 |
$50.78 |
$50.78 |
$58.25
|
|
Immunofixation electrophoresis serum
|
$77.70 |
$77.70 |
$77.70 |
$133.38
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$90.56 |
$90.56 |
$90.56 |
$185.00
|
|
Immunofluorescence per specimen initial single antibody stain
|
$126.73 |
$126.73 |
$126.73 |
$288.00
|
|
Implant cochlear osia osi300
|
$9,185.56 |
$9,185.56 |
$9,185.56 |
$9,185.56
|
|
Implant ureth bulk agent
|
$2,342.17 |
$2,342.17 |
$2,342.17 |
$2,342.17
|
|
Impl ear abutment ba300 9mm
|
$2,446.55 |
$2,446.55 |
$2,446.55 |
$2,446.55
|
|
In-111 autol wbc diag per dose
|
$4,097.94 |
$4,097.94 |
$4,097.94 |
$3,785.34
|
|
In-111 oxyquinolin per 0.5 mci
|
$5,512.17 |
$5,512.17 |
$5,512.17 |
$2,441.34
|
|
In-111 pentetate dtpa / 0.5 mci
|
$4,266.29 |
$4,266.29 |
$4,266.29 |
$2,156.25
|
|
In-111 pentetreotide
|
$6,865.44 |
$6,865.44 |
$6,865.44 |
$6,862.70
|
|
In-111 satumomab pend
|
$3,089.69 |
$3,089.69 |
$3,089.69 |
$3,524.25
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$1,272.52 |
$1,272.52 |
$1,272.52 |
$2,056.93
|
|
Incision of breast lesion
|
$3,863.36 |
$3,863.36 |
$3,863.36 |
$2,715.60
|
|
Incision of tongue fold
|
$1,021.85 |
$1,021.85 |
$1,021.85 |
$1,792.50
|
|
Incisn windpipe
|
$3,093.57 |
$3,093.57 |
$3,093.57 |
$3,723.23
|
|
Infect ag drug suscept pheno predict
|
$158.55 |
$158.55 |
$158.55 |
$382.20
|
|
Infect ag genotype na cytomegalovirus
|
$358.99 |
$358.99 |
$358.99 |
$577.60
|
|
Infect ag genotype na dna hepatitis b
|
$202.30 |
$202.30 |
$202.30 |
$533.91
|
|
Infect ag genotype na hiv-1 other region
|
$310.41 |
$310.41 |
$310.41 |
$390.00
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$367.32 |
$367.32 |
$367.32 |
$619.11
|
|
Infect ag ia optc obs influenza
|
$65.58 |
$65.58 |
$65.58 |
$65.58
|
|
Infect ag if ea plyvlnt antsrm
|
$18.78 |
$18.78 |
$18.78 |
$47.70
|
|
Infect ag if hep delta agent
|
$78.26 |
$78.26 |
$78.26 |
$125.97
|
|
Infect ag if influenza a
|
$40.61 |
$40.61 |
$40.61 |
$51.20
|
|
Infect ag if influenza b
|
$43.38 |
$43.38 |
$43.38 |
$45.50
|
|
Infect ag if legionella pneumophila
|
$64.75 |
$64.75 |
$64.75 |
$85.15
|
|
Infect ag if nos ea
|
$60.40 |
$60.40 |
$60.40 |
$66.40
|
|
Infect ag if pneumocystis carinii
|
$56.15 |
$56.15 |
$56.15 |
$53.81
|
|
Infect ag na herpes simplex quant
|
$190.46 |
$190.46 |
$190.46 |
$145.20
|
|
Infect ag na hpv high-risk types
|
$136.25 |
$136.25 |
$136.25 |
$147.00
|
|
Infect ag na influenza r/amp 1st 2 types
|
$294.06 |
$294.06 |
$294.06 |
$248.80
|
|
Infect ag na influenza revr/amp ea type
|
$121.55 |
$121.55 |
$121.55 |
$151.80
|
|
Infect ag na resp virus 12-25 targets
|
$336.15 |
$336.15 |
$336.15 |
$878.20
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$40.70 |
$40.70 |
$40.70 |
$76.00
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$51.15 |
$51.15 |
$51.15 |
$74.10
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$43.38 |
$43.38 |
$43.38 |
$76.00
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$44.77 |
$44.77 |
$44.77 |
$73.45
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$112.85 |
$112.85 |
$112.85 |
$96.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$35.80 |
$35.80 |
$35.80 |
$75.27
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$21.46 |
$21.46 |
$21.46 |
$60.95
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$32.28 |
$32.28 |
$32.28 |
$107.90
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$98.51 |
$98.51 |
$98.51 |
$132.60
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$71.41 |
$71.41 |
$71.41 |
$98.40
|
|
Infectious agent nucleic acid amplified probe
|
$386.17 |
$386.17 |
$386.17 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$92.04 |
$92.04 |
$92.04 |
$144.00
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$77.42 |
$77.42 |
$77.42 |
$174.06
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$372.96 |
$372.96 |
$372.96 |
$855.45
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$157.62 |
$157.62 |
$157.62 |
$181.35
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$13.60 |
$13.60 |
$13.60 |
$148.80
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$165.58 |
$165.58 |
$165.58 |
$217.10
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$92.04 |
$92.04 |
$92.04 |
$134.55
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$37.46 |
$37.46 |
$37.46 |
$109.18
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$58.74 |
$58.74 |
$58.74 |
$135.00
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$462.63 |
$462.63 |
$462.63 |
$727.50
|
|
Infectious agent nucleic acid quantification bk virus
|
$197.40 |
$197.40 |
$197.40 |
$300.00
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$203.50 |
$203.50 |
$203.50 |
$242.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$222.28 |
$222.28 |
$222.28 |
$280.20
|
|
Infectious agent nucleic acid quantification hiv-1
|
$200.08 |
$200.08 |
$200.08 |
$381.55
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$443.35 |
$443.35 |
$443.35 |
$303.59
|
|
Infliximab 100 mg intravenous solution
|
$178.95 |
$178.95 |
$178.95 |
$178.95
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$96.50 |
$96.50 |
$96.50 |
$157.14
|
|
Influenza dna amp prob addl
|
$75.80 |
$75.80 |
$75.80 |
$75.80
|
|
Initial foot exam pt lops
|
$142.17 |
$142.17 |
$142.17 |
$142.64
|
|
Initiation & management bipap/cpap initial day
|
$103.69 |
$103.69 |
$103.69 |
$608.40
|
|
Inj, abilify maintena, 1 mg
|
$2,488.27 |
$2,488.27 |
$2,488.27 |
$3,138.28
|
|
Inj, bezlotoxumab, 10 mg
|
$46.58 |
$46.58 |
$46.58 |
$39.83
|
|
Inj calcitriol per 0.1 mcg
|
$11.21 |
$11.21 |
$11.21 |
$11.21
|
|
Inj ceftolozane tazobactam
|
$164.93 |
$164.93 |
$164.93 |
$248.93
|
|
Inj, clevidipine butyrate
|
$17.45 |
$17.45 |
$17.45 |
$4.86
|
|
Inj dx for sinogram
|
$139.12 |
$139.12 |
$139.12 |
$484.00
|
|
Injection arthrography hip without anesthesia (both sides)
|
$212.66 |
$212.66 |
$212.66 |
$609.20
|