|
Ibandronate 3 mg/3 ml intravenous syringe
|
$1,750.20 |
$1,750.20 |
$1,750.20 |
$684.45
|
|
Icatibant injection
|
$1,130.40 |
$1,130.40 |
$1,130.40 |
$8,695.05
|
|
Idarubicin hcl injection
|
$2,307.20 |
$2,307.20 |
$2,307.20 |
$447.02
|
|
Ifosfamide 1 gram intravenous solution
|
$1,398.40 |
$1,398.40 |
$1,398.40 |
$246.95
|
|
Igh gene rearrange amp meth
|
$606.00 |
$606.00 |
$606.00 |
$464.25
|
|
Igh@ var region somatic mutation analy
|
$1,397.40 |
$1,397.40 |
$1,397.40 |
$660.80
|
|
Igk rearrangeabn clonal pop
|
$975.00 |
$975.00 |
$975.00 |
$399.36
|
|
Ihc/icc per specimen each additional single antibody stain
|
$134.40 |
$134.40 |
$134.40 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$181.80 |
$181.80 |
$181.80 |
$331.20
|
|
Ihc/icc per specimen initial single antibody stain
|
$181.80 |
$181.80 |
$181.80 |
$277.90
|
|
Immobilizer shldr cntor adlt
|
$37.20 |
$37.20 |
$37.20 |
$175.60
|
|
Immobilizer shldr dlx str 24-36in med
|
$459.60 |
$459.60 |
$459.60 |
$118.43
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$440.00 |
$440.00 |
$440.00 |
$6,106.32
|
|
Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution
|
$408.60 |
$408.60 |
$408.60 |
$2,900.11
|
|
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution
|
$421.80 |
$421.80 |
$421.80 |
$3,846.15
|
|
Immunoassay tumor antigen quantitative ca 125
|
$159.60 |
$159.60 |
$159.60 |
$132.00
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$159.60 |
$159.60 |
$159.60 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$102.60 |
$102.60 |
$102.60 |
$48.57
|
|
Immunodiffusion nes
|
$226.20 |
$226.20 |
$226.20 |
$53.76
|
|
Immunofixation electrophoresis serum
|
$129.60 |
$129.60 |
$129.60 |
$142.50
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$118.20 |
$118.20 |
$118.20 |
$154.05
|
|
Immunology procedure
|
$31.20 |
$31.20 |
$31.20 |
$150.70
|
|
Implant cartilage 10mm synthetic
|
$7,237.80 |
$7,237.80 |
$7,237.80 |
$8,332.51
|
|
In-111 oxyquinolin per 0.5 mci
|
$1,408.20 |
$1,408.20 |
$1,408.20 |
$2,753.23
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$1,399.20 |
$1,399.20 |
$1,399.20 |
$2,086.70
|
|
Incision of breast lesion
|
$3,508.20 |
$3,508.20 |
$3,508.20 |
$2,577.85
|
|
Incisn of toe tndn
|
$1,663.20 |
$1,663.20 |
$1,663.20 |
$2,667.00
|
|
Incobotulinumtoxin a
|
$36.00 |
$36.00 |
$36.00 |
$1,339.57
|
|
Infect ag drug suscept pheno predict
|
$1,281.00 |
$1,281.00 |
$1,281.00 |
$325.00
|
|
Infect ag genotype na dna hepatitis b
|
$618.60 |
$618.60 |
$618.60 |
$409.27
|
|
Infect ag genotype na hiv-1 other region
|
$1,114.20 |
$1,114.20 |
$1,114.20 |
$361.65
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$1,823.40 |
$1,823.40 |
$1,823.40 |
$603.83
|
|
Infect ag if hep delta agent
|
$153.00 |
$153.00 |
$153.00 |
$125.97
|
|
Infect ag na herpes simplex quant
|
$466.80 |
$466.80 |
$466.80 |
$178.86
|
|
Infect ag na hpv high-risk types
|
$268.20 |
$268.20 |
$268.20 |
$139.20
|
|
Infect ag na influenza r/amp 1st 2 types
|
$517.20 |
$517.20 |
$517.20 |
$219.70
|
|
Infect ag na orthopoxvirus amp prb each
|
$317.40 |
$317.40 |
$317.40 |
$100.00
|
|
Infect ag na resp virus 12-25 targets
|
$2,801.40 |
$2,801.40 |
$2,801.40 |
$854.70
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$100.20 |
$100.20 |
$100.20 |
$83.60
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$60.00 |
$60.00 |
$60.00 |
$76.00
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$102.60 |
$102.60 |
$102.60 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$115.80 |
$115.80 |
$115.80 |
$103.40
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$105.00 |
$105.00 |
$105.00 |
$81.20
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$169.20 |
$169.20 |
$169.20 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$91.20 |
$91.20 |
$91.20 |
$129.00
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$106.20 |
$106.20 |
$106.20 |
$98.58
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$105.00 |
$105.00 |
$105.00 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$317.40 |
$317.40 |
$317.40 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$272.40 |
$272.40 |
$272.40 |
$141.95
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$342.00 |
$342.00 |
$342.00 |
$167.05
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$1,402.80 |
$1,402.80 |
$1,402.80 |
$864.67
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$440.40 |
$440.40 |
$440.40 |
$181.35
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$348.00 |
$348.00 |
$348.00 |
$149.13
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$371.40 |
$371.40 |
$371.40 |
$212.16
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$272.40 |
$272.40 |
$272.40 |
$137.67
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$75.00 |
$75.00 |
$75.00 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$210.00 |
$210.00 |
$210.00 |
$236.08
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$333.00 |
$333.00 |
$333.00 |
$96.00
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$223.80 |
$223.80 |
$223.80 |
$112.45
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$147.00 |
$147.00 |
$147.00 |
$195.60
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$454.20 |
$454.20 |
$454.20 |
$727.50
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$728.40 |
$728.40 |
$728.40 |
$432.63
|
|
Infectious agent nucleic acid quantification bk virus
|
$321.00 |
$321.00 |
$321.00 |
$283.00
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$666.60 |
$666.60 |
$666.60 |
$242.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$583.80 |
$583.80 |
$583.80 |
$253.00
|
|
Infectious agent nucleic acid quantification hiv-1
|
$642.60 |
$642.60 |
$642.60 |
$375.00
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$505.20 |
$505.20 |
$505.20 |
$304.20
|
|
Infliximab 100 mg intravenous solution
|
$387.20 |
$387.20 |
$387.20 |
$2,047.13
|
|
Infliximab-axxq 100 mg intravenous solution
|
$1,062.00 |
$1,062.00 |
$1,062.00 |
$1,062.00
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$203.20 |
$203.20 |
$203.20 |
$1,537.84
|
|
Influenza dna amp prob addl
|
$207.00 |
$207.00 |
$207.00 |
$64.26
|
|
Influenza virus vaccine, inact hemagglutinin tiv pf inj
|
$40.00 |
$40.00 |
$40.00 |
$111.51
|
|
Inf lwr xtr fscl pln blk uni w/wo image
|
$135.00 |
$135.00 |
$135.00 |
$762.00
|
|
Inf thrc fascial pln blk bi w/wo image
|
$147.00 |
$147.00 |
$147.00 |
$523.25
|
|
Inf thrc fascial pln blk uni w/wo image
|
$139.80 |
$139.80 |
$139.80 |
$770.00
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$462.60 |
$462.60 |
$462.60 |
$296.00
|
|
Inj, abilify maintena, 1 mg
|
$16.60 |
$16.60 |
$16.60 |
$5,355.30
|
|
Inj andexxa, 10 mg
|
$751.80 |
$751.80 |
$751.80 |
$4,370.80
|
|
Inj anifrolumab-fnia 1mg
|
$34.80 |
$34.80 |
$34.80 |
$10,052.58
|
|
Inj, aponvie, 1 mg
|
$3.00 |
$3.00 |
$3.00 |
$3.36
|
|
Inj atezolizumb 5mg hya-tqjs
|
$54.60 |
$54.60 |
$54.60 |
$18,716.52
|
|
Inj aval alfa-nqpt 4mg
|
$157.20 |
$157.20 |
$157.20 |
$3,907.30
|
|
Inj, bezlotoxumab, 10 mg
|
$11,010.60 |
$11,010.60 |
$11,010.60 |
$7,612.43
|
|
Inj., brexanolone, 1 mg
|
$180.60 |
$180.60 |
$180.60 |
$13,019.44
|
|
Inj, bupivacaine liposome
|
$2.40 |
$2.40 |
$2.40 |
$699.38
|
|
Inj cefazolin sodium, baxter
|
$19.80 |
$19.80 |
$19.80 |
$27.38
|
|
Inj, cimerli, 0.1 mg
|
$519.00 |
$519.00 |
$519.00 |
$201.01
|
|
Inj, clindamycin (baxter)
|
$7.20 |
$7.20 |
$7.20 |
$48.30
|
|
Inj cntr knee arthro incl ct/mri
|
$154.80 |
$154.80 |
$154.80 |
$436.80
|
|
Inj., copanlisib, 1 mg
|
$189.60 |
$189.60 |
$189.60 |
$9,204.29
|
|
Inj cyclophosphamd (ingenus)
|
$1.80 |
$1.80 |
$1.80 |
$742.72
|
|
Inj, donanemab-azbt, 2 mg
|
$7.20 |
$7.20 |
$7.20 |
$1,233.44
|
|
Inj dx for sinogram
|
$360.60 |
$360.60 |
$360.60 |
$436.00
|
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
|
$520.20 |
$520.20 |
$520.20 |
$1,214.78
|
|
Injection arthrography hip without anesthesia (both sides)
|
$360.60 |
$360.60 |
$360.60 |
$503.50
|
|
Injection, caplacizumab-yhdp
|
$19,956.00 |
$19,956.00 |
$19,956.00 |
$16,319.16
|
|
Injection, daratumumab 10 mg
|
$131.40 |
$131.40 |
$131.40 |
$5,324.34
|
|
Injection, edaravone, 1 mg
|
$1,401.00 |
$1,401.00 |
$1,401.00 |
$1,136.59
|
|
Injection epidural blood patch or clot
|
$1,839.60 |
$1,839.60 |
$1,839.60 |
$1,182.33
|
|
Injection for arthrography wrist (both sides)
|
$428.40 |
$428.40 |
$428.40 |
$436.00
|
