|
Idarubicin hcl injection
|
$462.00 |
$462.00 |
$462.00 |
$447.02
|
|
I&d upper arm/elbow deep abscess/hematoma
|
$3,355.20 |
$3,355.20 |
$3,355.20 |
$3,371.02
|
|
Ifosfamide 1 gram intravenous solution
|
$268.20 |
$268.20 |
$268.20 |
$246.95
|
|
Igh@ var region somatic mutation analy
|
$2,169.00 |
$2,169.00 |
$2,169.00 |
$660.80
|
|
Igk rearrangeabn clonal pop
|
$930.00 |
$930.00 |
$930.00 |
$399.36
|
|
Ihc/icc per specimen each additional single antibody stain
|
$293.40 |
$293.40 |
$293.40 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$273.00 |
$273.00 |
$273.00 |
$331.20
|
|
Ihc/icc per specimen initial single antibody stain
|
$556.80 |
$556.80 |
$556.80 |
$277.90
|
|
Iliac revasc add-on 37222
|
$4,394.40 |
$4,394.40 |
$4,394.40 |
$6,082.65
|
|
Imetelstat 188 mg intravenous solution
|
$98.40 |
$98.40 |
$98.40 |
$20,373.55
|
|
Immobilizer shldr cntor adlt
|
$362.40 |
$362.40 |
$362.40 |
$175.60
|
|
Immobilizer shldr dlx str 24-36in med
|
$198.00 |
$198.00 |
$198.00 |
$118.43
|
|
Immune complex assay
|
$168.00 |
$168.00 |
$168.00 |
$101.60
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$623.20 |
$623.20 |
$623.20 |
$6,106.32
|
|
Immunoassay tumor antigen quantitative ca 125
|
$174.00 |
$174.00 |
$174.00 |
$132.00
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$174.60 |
$174.60 |
$174.60 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$232.20 |
$232.20 |
$232.20 |
$48.57
|
|
Immunodiffusion nes
|
$123.00 |
$123.00 |
$123.00 |
$53.76
|
|
Immunofixation electrophoresis serum
|
$219.60 |
$219.60 |
$219.60 |
$142.50
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$84.60 |
$84.60 |
$84.60 |
$154.05
|
|
Immunofluorescence per specimen initial single antibody stain
|
$84.60 |
$84.60 |
$84.60 |
$234.27
|
|
Immunoglobulin assay
|
$108.00 |
$108.00 |
$108.00 |
$78.00
|
|
Immunology procedure
|
$43.20 |
$43.20 |
$43.20 |
$150.70
|
|
Implant cartilage 10mm synthetic
|
$12,413.40 |
$12,413.40 |
$12,413.40 |
$8,332.51
|
|
Implant neuroelectrodes
|
$3,355.80 |
$3,355.80 |
$3,355.80 |
$8,836.80
|
|
Implant ureth bulk agent
|
$1,032.60 |
$1,032.60 |
$1,032.60 |
$2,168.00
|
|
Impl neurostim electr perc
|
$4,750.20 |
$4,750.20 |
$4,750.20 |
$7,672.50
|
|
Imported lipodox inj
|
$2,244.60 |
$2,244.60 |
$2,244.60 |
$528.86
|
|
In-111 oxyquinolin per 0.5 mci
|
$1,305.60 |
$1,305.60 |
$1,305.60 |
$2,753.23
|
|
In-111 pentetate dtpa / 0.5 mci
|
$544.20 |
$544.20 |
$544.20 |
$2,598.17
|
|
In-111 pentetreotide
|
$3,477.00 |
$3,477.00 |
$3,477.00 |
$5,294.90
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$3,349.80 |
$3,349.80 |
$3,349.80 |
$2,086.70
|
|
Incision of breast lesion
|
$4,599.00 |
$4,599.00 |
$4,599.00 |
$2,577.85
|
|
Incision of foot fascia
|
$5,397.60 |
$5,397.60 |
$5,397.60 |
$4,599.40
|
|
Incision of metatarsal
|
$204.00 |
$204.00 |
$204.00 |
$3,786.00
|
|
Incisn of toe tndn
|
$1,520.40 |
$1,520.40 |
$1,520.40 |
$2,667.00
|
|
Incisn windpipe
|
$2,216.40 |
$2,216.40 |
$2,216.40 |
$3,819.23
|
|
Infect ag drug suscept pheno predict
|
$1,390.80 |
$1,390.80 |
$1,390.80 |
$325.00
|
|
Infect ag eia influenza a or b ea
|
$141.60 |
$141.60 |
$141.60 |
$71.20
|
|
Infect ag genotype na cytomegalovirus
|
$1,484.40 |
$1,484.40 |
$1,484.40 |
$665.40
|
|
Infect ag genotype na dna hepatitis b
|
$368.40 |
$368.40 |
$368.40 |
$409.27
|
|
Infect ag genotype na hiv-1 other region
|
$1,390.80 |
$1,390.80 |
$1,390.80 |
$361.65
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$1,404.00 |
$1,404.00 |
$1,404.00 |
$603.83
|
|
Infect ag ia optc obs influenza
|
$13.20 |
$13.20 |
$13.20 |
$72.93
|
|
Infect ag if hep delta agent
|
$199.20 |
$199.20 |
$199.20 |
$125.97
|
|
Infect ag if influenza a
|
$150.60 |
$150.60 |
$150.60 |
$41.30
|
|
Infect ag if influenza b
|
$150.60 |
$150.60 |
$150.60 |
$37.95
|
|
Infect ag if pneumocystis carinii
|
$143.40 |
$143.40 |
$143.40 |
$66.06
|
|
Infect ag na herpes simplex quant
|
$440.40 |
$440.40 |
$440.40 |
$178.86
|
|
Infect ag na hpv high-risk types
|
$312.00 |
$312.00 |
$312.00 |
$139.20
|
|
Infect ag na influenza r/amp 1st 2 types
|
$1,147.80 |
$1,147.80 |
$1,147.80 |
$219.70
|
|
Infect ag na resp virus 12-25 targets
|
$624.00 |
$624.00 |
$624.00 |
$854.70
|
|
Infectious agent antigen immunoassay direct optical observation sars-cov-2
|
$26.40 |
$26.40 |
$26.40 |
$53.00
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$103.20 |
$103.20 |
$103.20 |
$83.60
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$118.80 |
$118.80 |
$118.80 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$166.80 |
$166.80 |
$166.80 |
$103.40
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$723.60 |
$723.60 |
$723.60 |
$81.20
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$67.80 |
$67.80 |
$67.80 |
$60.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$197.40 |
$197.40 |
$197.40 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$407.40 |
$407.40 |
$407.40 |
$129.00
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$144.00 |
$144.00 |
$144.00 |
$98.58
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$115.80 |
$115.80 |
$115.80 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$292.80 |
$292.80 |
$292.80 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$276.00 |
$276.00 |
$276.00 |
$141.95
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$286.80 |
$286.80 |
$286.80 |
$167.05
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$582.60 |
$582.60 |
$582.60 |
$864.67
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$253.80 |
$253.80 |
$253.80 |
$181.35
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$453.60 |
$453.60 |
$453.60 |
$149.13
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$253.80 |
$253.80 |
$253.80 |
$212.16
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$276.00 |
$276.00 |
$276.00 |
$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 trichomonas vaginalis
|
$381.00 |
$381.00 |
$381.00 |
$112.45
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$145.80 |
$145.80 |
$145.80 |
$195.60
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$438.00 |
$438.00 |
$438.00 |
$727.50
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$581.40 |
$581.40 |
$581.40 |
$289.91
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$968.40 |
$968.40 |
$968.40 |
$432.63
|
|
Infectious agent nucleic acid quantification bk virus
|
$517.80 |
$517.80 |
$517.80 |
$283.00
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$513.60 |
$513.60 |
$513.60 |
$242.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$778.80 |
$778.80 |
$778.80 |
$253.00
|
|
Infectious agent nucleic acid quantification hiv-1
|
$1,066.20 |
$1,066.20 |
$1,066.20 |
$375.00
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$776.40 |
$776.40 |
$776.40 |
$304.20
|
|
Infliximab 100 mg intravenous solution
|
$720.80 |
$720.80 |
$720.80 |
$2,047.13
|
|
Infliximab-axxq 100 mg intravenous solution
|
$1,012.80 |
$1,012.80 |
$1,012.80 |
$1,062.00
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$4,383.60 |
$4,383.60 |
$4,383.60 |
$1,537.84
|
|
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
|
$133.80 |
$133.80 |
$133.80 |
$762.00
|
|
Inf thrc fascial pln blk bi w/wo image
|
$145.80 |
$145.80 |
$145.80 |
$523.25
|
|
Inf thrc fascial pln blk uni w/wo image
|
$138.60 |
$138.60 |
$138.60 |
$770.00
|
|
Inj, abilify maintena, 1 mg
|
$7,107.60 |
$7,107.60 |
$7,107.60 |
$5,355.30
|
|
Inj, adalimumab, 1 mg
|
$256.00 |
$256.00 |
$256.00 |
$12,098.05
|
|
Inj andexxa, 10 mg
|
$13,400.40 |
$13,400.40 |
$13,400.40 |
$4,370.80
|
|
Inj anifrolumab-fnia 1mg
|
$10,166.40 |
$10,166.40 |
$10,166.40 |
$10,052.58
|
|
Inj, aponvie, 1 mg
|
$3.00 |
$3.00 |
$3.00 |
$3.36
|
|
Inj, aspara, rylaze, 0.1 mg
|
$96.60 |
$96.60 |
$96.60 |
$10,458.00
|
|
Inj atezolizumb 5mg hya-tqjs
|
$54.00 |
$54.00 |
$54.00 |
$18,716.52
|
|
Inj aval alfa-nqpt 4mg
|
$5,052.80 |
$5,052.80 |
$5,052.80 |
$3,907.30
|
|
Inj., benralizumab, 1 mg
|
$568.00 |
$568.00 |
$568.00 |
$11,310.00
|
|
Inj, bezlotoxumab, 10 mg
|
$11,130.60 |
$11,130.60 |
$11,130.60 |
$7,612.43
|
|
Inj., brexanolone, 1 mg
|
$172.80 |
$172.80 |
$172.80 |
$13,019.44
|
