|
Hysteroscopy biopsy
|
$7,215.72 |
$7,215.72 |
$7,215.72 |
$4,451.18
|
|
Hysteroscopy dx sep proc
|
$9,192.96 |
$9,192.96 |
$9,192.96 |
$3,568.50
|
|
Hysteroscopy remove fb
|
$6,120.46 |
$6,120.46 |
$6,120.46 |
$4,451.18
|
|
Hysteroscopy remove myoma
|
$7,531.88 |
$7,531.88 |
$7,531.88 |
$4,302.75
|
|
Hysteroscopy resect septum
|
$9,604.72 |
$9,604.72 |
$9,604.72 |
$4,023.33
|
|
Hzv zoster vacc recombinant adjuvanted im inj
|
$764.26 |
$764.26 |
$764.26 |
$394.13
|
|
I-123 iobenguane diag
|
$14,479.40 |
$14,479.40 |
$14,479.40 |
$5,730.40
|
|
I-123 sod iodide diag per 100 uci
|
$317.85 |
$317.85 |
$317.85 |
$157.09
|
|
I131 iodide cap, rx
|
$70.20 |
$70.20 |
$70.20 |
$117.00
|
|
I-131 sod iodide sol diag per mci
|
$178.10 |
$178.10 |
$178.10 |
$135.45
|
|
Iaadi respiratory synctial virus
|
$259.35 |
$259.35 |
$259.35 |
$46.02
|
|
Iadna legionella pneumophila amplified probe tq
|
$193.05 |
$193.05 |
$193.05 |
$109.00
|
|
Ibandronate 3 mg/3 ml intravenous syringe
|
$781.56 |
$781.56 |
$781.56 |
$768.06
|
|
Ibuprofen injection
|
$3,507.35 |
$3,507.35 |
$3,507.35 |
$150.00
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$2,448.98 |
$2,448.98 |
$2,448.98 |
$614.95
|
|
Icatibant injection
|
$3,256.50 |
$3,256.50 |
$3,256.50 |
$2,196.00
|
|
Icd reliance df4 ib 64cm
|
$30,875.00 |
$30,875.00 |
$30,875.00 |
$6,463.81
|
|
Idarubicin hcl injection
|
$317.95 |
$317.95 |
$317.95 |
$249.51
|
|
Idh1 common variants
|
$389.35 |
$389.35 |
$389.35 |
$406.90
|
|
Idh2 common variants
|
$429.65 |
$429.65 |
$429.65 |
$463.45
|
|
I&d intramural/intramuscular/submuc abscess transanal anes
|
$5,582.75 |
$5,582.75 |
$5,582.75 |
$2,147.18
|
|
Ifosfamide 1 gram intravenous solution
|
$428.53 |
$428.53 |
$428.53 |
$185.67
|
|
Igh gene rearrange amp meth
|
$153.40 |
$153.40 |
$153.40 |
$464.00
|
|
Igh@ var region somatic mutation analy
|
$870.35 |
$870.35 |
$870.35 |
$685.75
|
|
Igk rearrangeabn clonal pop
|
$115.70 |
$115.70 |
$115.70 |
$382.50
|
|
Ihc/icc per specimen each additional single antibody stain
|
$5,926.38 |
$5,926.38 |
$5,926.38 |
$187.20
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$7,386.57 |
$7,386.57 |
$7,386.57 |
$339.73
|
|
Ihc/icc per specimen initial single antibody stain
|
$5,638.78 |
$5,638.78 |
$5,638.78 |
$274.86
|
|
Iliac/fem angio cath insert
|
$5,707.00 |
$5,707.00 |
$5,707.00 |
$2,070.72
|
|
Imatinib 100 mg tab
|
$41.74 |
$41.74 |
$41.74 |
$211.70
|
|
Immobilizer shldr cntor adlt
|
$112.45 |
$112.45 |
$112.45 |
$89.70
|
|
Immobilizer shldr dlx str 24-36in med
|
$52.65 |
$52.65 |
$52.65 |
$72.60
|
|
Immune complex assay
|
$124.80 |
$124.80 |
$124.80 |
$89.25
|
|
Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution
|
$7,523.50 |
$7,523.50 |
$7,523.50 |
$107.10
|
|
Immunoassay tumor antigen quantitative ca 125
|
$143.00 |
$143.00 |
$143.00 |
$122.50
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$127.40 |
$127.40 |
$127.40 |
$117.00
|
|
Immunodiff gel qual ea antigen/ab
|
$108.55 |
$108.55 |
$108.55 |
$58.25
|
|
Immunodiffusion nes
|
$252.20 |
$252.20 |
$252.20 |
$63.57
|
|
Immunofixation electrophoresis serum
|
$143.65 |
$143.65 |
$143.65 |
$133.38
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$9,049.50 |
$9,049.50 |
$9,049.50 |
$185.00
|
|
Immunofluorescence per specimen initial single antibody stain
|
$9,049.50 |
$9,049.50 |
$9,049.50 |
$288.00
|
|
Immunoglobulin assay
|
$169.00 |
$169.00 |
$169.00 |
$74.15
|
|
Implant cartilage 10mm synthetic
|
$2,193.75 |
$2,193.75 |
$2,193.75 |
$14,238.00
|
|
Implant cochlear osia osi300
|
$4,862.00 |
$4,862.00 |
$4,862.00 |
$9,185.56
|
|
Implant hormone pellet(s) 11980
|
$234.65 |
$234.65 |
$234.65 |
$275.60
|
|
Implant neuroelectrode
|
$36,116.35 |
$36,116.35 |
$36,116.35 |
$2,308.31
|
|
Implant neuroelectrode
|
$39,354.62 |
$39,354.62 |
$39,354.62 |
$3,442.27
|
|
Implant neuroelectrodes
|
$32,149.97 |
$32,149.97 |
$32,149.97 |
$7,266.73
|
|
Implant neurostim arrays
|
$62,933.49 |
$62,933.49 |
$62,933.49 |
$22,759.70
|
|
Implant ureth bulk agent
|
$1,706.25 |
$1,706.25 |
$1,706.25 |
$2,342.17
|
|
Impl neurostim electr perc
|
$9,807.34 |
$9,807.34 |
$9,807.34 |
$7,636.00
|
|
Implnt spinl canal catheter 62350
|
$7,569.90 |
$7,569.90 |
$7,569.90 |
$4,558.10
|
|
In-111 autol wbc diag per dose
|
$3,493.75 |
$3,493.75 |
$3,493.75 |
$3,785.34
|
|
In-111 capromab pendet
|
$5,441.15 |
$5,441.15 |
$5,441.15 |
$3,941.34
|
|
In-111 pentetate dtpa / 0.5 mci
|
$1,393.60 |
$1,393.60 |
$1,393.60 |
$2,156.25
|
|
In-111 pentetreotide
|
$4,545.45 |
$4,545.45 |
$4,545.45 |
$6,862.70
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$8,307.65 |
$8,307.65 |
$8,307.65 |
$2,056.93
|
|
Incision of anal sphincter
|
$4,542.45 |
$4,542.45 |
$4,542.45 |
$3,035.44
|
|
Incision of rectal abscess
|
$5,385.66 |
$5,385.66 |
$5,385.66 |
$3,050.39
|
|
Incision of spinal nerve 64772
|
$9,181.58 |
$9,181.58 |
$9,181.58 |
$2,163.32
|
|
Incision of tongue fold
|
$3,283.23 |
$3,283.23 |
$3,283.23 |
$1,792.50
|
|
Incisn of toe tndn
|
$2,081.30 |
$2,081.30 |
$2,081.30 |
$2,298.99
|
|
Incobotulinumtoxin a
|
$3,328.14 |
$3,328.14 |
$3,328.14 |
$5.34
|
|
Indigotindisulfonate 8 mg/ml soln 5 ml ampule
|
$1,749.80 |
$1,749.80 |
$1,749.80 |
$73.12
|
|
Infect ag drug suscept pheno predict
|
$616.85 |
$616.85 |
$616.85 |
$382.20
|
|
Infect ag eia influenza a or b ea
|
$217.75 |
$217.75 |
$217.75 |
$64.00
|
|
Infect ag genotype na hiv-1 other region
|
$604.50 |
$604.50 |
$604.50 |
$390.00
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$499.85 |
$499.85 |
$499.85 |
$619.11
|
|
Infect ag ia direct hiv-1 antgn
|
$176.15 |
$176.15 |
$176.15 |
$95.55
|
|
Infect ag ia optc obs influenza
|
$201.50 |
$201.50 |
$201.50 |
$65.58
|
|
Infect ag if influenza a
|
$53.30 |
$53.30 |
$53.30 |
$51.20
|
|
Infect ag if influenza b
|
$89.05 |
$89.05 |
$89.05 |
$45.50
|
|
Infect ag if varicella zoster
|
$79.30 |
$79.30 |
$79.30 |
$68.25
|
|
Infect ag na hpv high-risk types
|
$154.05 |
$154.05 |
$154.05 |
$147.00
|
|
Infect ag na influenza r/amp 1st 2 types
|
$226.20 |
$226.20 |
$226.20 |
$248.80
|
|
Infect ag na orthopoxvirus amp prb each
|
$128.70 |
$128.70 |
$128.70 |
$127.50
|
|
Infect ag na resp virus 12-25 targets
|
$1,180.40 |
$1,180.40 |
$1,180.40 |
$878.20
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$122.85 |
$122.85 |
$122.85 |
$76.00
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$116.35 |
$116.35 |
$116.35 |
$74.10
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$75.40 |
$75.40 |
$75.40 |
$76.00
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$88.40 |
$88.40 |
$88.40 |
$73.45
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$130.00 |
$130.00 |
$130.00 |
$96.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$80.60 |
$80.60 |
$80.60 |
$75.27
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$84.50 |
$84.50 |
$84.50 |
$60.95
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$48.75 |
$48.75 |
$48.75 |
$107.90
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$224.25 |
$224.25 |
$224.25 |
$132.60
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$398.45 |
$398.45 |
$398.45 |
$98.40
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$65.00 |
$65.00 |
$65.00 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$405.60 |
$405.60 |
$405.60 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$387.40 |
$387.40 |
$387.40 |
$144.00
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$127.40 |
$127.40 |
$127.40 |
$174.06
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$1,146.60 |
$1,146.60 |
$1,146.60 |
$855.45
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$227.50 |
$227.50 |
$227.50 |
$181.35
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$100.75 |
$100.75 |
$100.75 |
$148.80
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$185.25 |
$185.25 |
$185.25 |
$217.10
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$393.25 |
$393.25 |
$393.25 |
$134.55
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$130.00 |
$130.00 |
$130.00 |
$109.18
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$178.75 |
$178.75 |
$178.75 |
$194.40
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$256.75 |
$256.75 |
$256.75 |
$211.09
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$109.20 |
$109.20 |
$109.20 |
$96.00
|