|
Hydroxocobalamin im 10mcg
|
$329.59 |
$329.59 |
$329.59 |
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$60.61 |
$66.15 |
$159.25 |
|
|
Hysterosalpingography s&i
|
$680.80 |
$877.60 |
$1,132.80 |
|
|
I-123 iobenguane diag
|
$5,632.80 |
$5,632.80 |
$5,632.80 |
|
|
I-123 ioflupane diag
|
$5,440.80 |
$5,440.80 |
$5,440.80 |
|
|
I-123 sod iodide diag per 100 uci
|
$224.80 |
$224.80 |
$224.80 |
|
|
I125 iothalamate, dx
|
$2,307.20 |
$2,307.20 |
$2,307.20 |
|
|
I131 iodide cap, rx
|
$140.00 |
$140.00 |
$140.00 |
|
|
Iaadi respiratory synctial virus
|
$36.80 |
$48.00 |
$66.40 |
|
|
Ia infect ag ab qual/semiquant sgl step
|
$66.40 |
$66.40 |
$66.40 |
|
|
Ibandronate 3 mg/3 ml intravenous syringe
|
$105.87 |
$105.87 |
$749.80 |
|
|
Ibuprofen injection
|
$1,541.00 |
$1,541.00 |
$1,541.00 |
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$768.52 |
$768.52 |
$768.52 |
|
|
Icatibant injection
|
$7,661.86 |
$7,661.86 |
$7,661.86 |
|
|
Icd cobalt xt dr MRI is1 df1
|
$23,789.60 |
$23,789.60 |
$52,646.40 |
|
|
Icd crtd cobalt hf MRI is1 df1
|
$35,654.40 |
$35,654.40 |
$65,757.60 |
|
|
Icd crtp serena MRI
|
$14,430.40 |
$14,430.40 |
$34,408.00 |
|
|
Icd reliance df4 ib 64cm
|
$6,286.40 |
$6,286.40 |
$14,472.00 |
|
|
Idarubicin hcl injection
|
$2,573.17 |
$2,573.17 |
$2,573.17 |
|
|
I&d frarm&/wrst deep absc/hematoma
|
$5,554.40 |
$5,554.40 |
$5,554.40 |
|
|
I&d lacrimal sac
|
$1,768.80 |
$1,768.80 |
$2,738.40 |
|
|
I&d upper arm/elbow deep abscess/hematoma
|
$3,345.60 |
$3,345.60 |
$3,908.00 |
|
|
Ifosfamide 1 gram intravenous solution
|
$474.01 |
$474.01 |
$474.01 |
|
|
Ihc/icc per specimen each additional single antibody stain
|
$138.40 |
$159.20 |
$209.60 |
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$128.00 |
$403.20 |
$558.40 |
|
|
Ihc/icc per specimen initial single antibody stain
|
$156.80 |
$169.60 |
$281.60 |
|
|
Iliac/fem angio cath insert
|
$2,199.20 |
$2,199.20 |
$2,324.80 |
|
|
Imatinib 100 mg tab
|
$237.04 |
$237.04 |
$237.04 |
|
|
Imetelstat 188 mg intravenous solution
|
$27,653.88 |
$27,653.88 |
$27,653.88 |
|
|
Immob elbow child sm
|
$108.00 |
$108.00 |
$108.00 |
|
|
Immobilizer shldr cntor adlt
|
$38.40 |
$60.00 |
$278.40 |
|
|
Immobilizer shldr dlx str 24-36in med
|
$56.80 |
$71.20 |
$105.60 |
|
|
Immobilizer shldr sling med
|
$64.00 |
$64.00 |
$64.00 |
|
|
Immune complex assay
|
$59.20 |
$59.20 |
$59.20 |
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$3,383.04 |
$4,004.16 |
$5,811.84 |
|
|
Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution
|
$2,759.20 |
$2,759.20 |
$3,429.83 |
|
|
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution
|
$1,872.80 |
$1,872.80 |
$1,872.80 |
|
|
Immunoassay tumor antigen quantitative ca 125
|
$101.60 |
$101.60 |
$101.60 |
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$101.60 |
$101.60 |
$101.60 |
|
|
Immunodiff gel qual ea antigen/ab
|
$30.40 |
$46.40 |
$90.40 |
|
|
Immunofixation electrophoresis serum
|
$117.60 |
$158.40 |
$172.00 |
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$218.40 |
$218.40 |
$218.40 |
|
|
Immunofluorescence per specimen initial single antibody stain
|
$300.80 |
$300.80 |
$300.80 |
|
|
Impl ahmed 6x25x9.6mm glaucoma vlv w/sil ped ster
|
$3,360.00 |
$3,360.00 |
$3,360.00 |
|
|
Implant cartilage 10mm synthetic
|
$8,092.00 |
$8,092.00 |
$8,092.00 |
|
|
Implant cochlear osia osi300
|
$14,812.00 |
$14,812.00 |
$14,812.00 |
|
|
Implant tcat pulm vlv perq
|
$37,999.20 |
$37,999.20 |
$37,999.20 |
|
|
Implant ureth bulk agent
|
$2,760.00 |
$2,760.00 |
$4,800.00 |
|
|
Impl neurostim electr perc
|
$7,280.00 |
$7,280.00 |
$7,280.00 |
|
|
Imuglucerase injection
|
$4,560.80 |
$4,560.80 |
$4,560.80 |
|
|
In-111 autol wbc diag per dose
|
$4,928.00 |
$4,928.00 |
$4,928.00 |
|
|
In-111 oxyquinolin per 0.5 mci
|
$4,940.80 |
$4,940.80 |
$4,940.80 |
|
|
In-111 pentetate dtpa / 0.5 mci
|
$5,174.40 |
$5,174.40 |
$5,174.40 |
|
|
In-111 pentetreotide
|
$8,008.00 |
$8,008.00 |
$8,008.00 |
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$2,383.20 |
$3,157.60 |
$3,730.40 |
|
|
Incision of achilles tendon
|
$4,111.20 |
$4,111.20 |
$4,111.20 |
|
|
Incision of breast lesion
|
$3,426.40 |
$3,426.40 |
$3,630.40 |
|
|
Incision of eardrum
|
$281.60 |
$281.60 |
$610.40 |
|
|
Incision of foot fascia
|
$4,407.20 |
$4,407.20 |
$4,407.20 |
|
|
Incision of hip tendons
|
$5,496.00 |
$5,496.00 |
$5,496.00 |
|
|
Incision of spinal nerve 64772
|
$4,342.40 |
$4,342.40 |
$4,342.40 |
|
|
Incision of tendon sheath
|
$4,433.60 |
$4,433.60 |
$4,433.60 |
|
|
Incision of toe tendons 28011
|
$2,971.20 |
$2,971.20 |
$2,971.20 |
|
|
Incision of tongue fold
|
$1,182.40 |
$1,182.40 |
$1,182.40 |
|
|
Incision of wrist capsule
|
$3,868.80 |
$3,868.80 |
$3,868.80 |
|
|
Incision tendon sheath
|
$3,634.40 |
$3,634.40 |
$3,634.40 |
|
|
Incisn of toe tndn
|
$3,640.00 |
$3,640.00 |
$3,640.00 |
|
|
Incobotulinumtoxin a
|
$2,819.20 |
$2,819.20 |
$2,819.20 |
|
|
Indigotindisulfonate 8 mg/ml soln 5 ml ampule
|
$608.40 |
$608.40 |
$608.40 |
|
|
Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s)
|
$90.40 |
$124.80 |
$187.20 |
|
|
Infect ag eia influenza a or b ea
|
$64.00 |
$64.80 |
$127.20 |
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$817.60 |
$880.80 |
$950.40 |
|
|
Infect ag ia optc obs influenza
|
$48.00 |
$49.60 |
$80.80 |
|
|
Infect ag if influenza a
|
$51.20 |
$70.40 |
$89.60 |
|
|
Infect ag if influenza b
|
$48.80 |
$70.40 |
$89.60 |
|
|
Infect ag if nos ea
|
$48.80 |
$55.20 |
$66.40 |
|
|
Infect ag if varicella zoster
|
$106.40 |
$106.40 |
$108.80 |
|
|
Infect ag na hpv high-risk types
|
$124.80 |
$136.00 |
$187.20 |
|
|
Infect ag na influenza r/amp 1st 2 types
|
$248.80 |
$248.80 |
$248.80 |
|
|
Infect ag na orthopoxvirus amp prb each
|
$143.20 |
$144.00 |
$151.20 |
|
|
Infect ag phenotype na hiv-1 1-10 drugs
|
$1,262.40 |
$1,262.40 |
$1,262.40 |
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$81.60 |
$116.00 |
$156.00 |
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$80.00 |
$108.00 |
$124.00 |
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$52.80 |
$80.80 |
$138.40 |
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$99.20 |
$186.40 |
$222.40 |
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$46.40 |
$84.00 |
$115.20 |
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$67.20 |
$67.20 |
$84.80 |
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$66.40 |
$98.40 |
$138.40 |
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$30.40 |
$164.00 |
$164.00 |
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$66.40 |
$87.20 |
$151.20 |
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$60.80 |
$96.00 |
$144.80 |
|
|
Infectious agent nucleic acid amplified probe
|
$125.60 |
$135.20 |
$257.60 |
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$162.40 |
$172.80 |
$181.60 |
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$113.60 |
$178.40 |
$216.80 |
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$1,310.40 |
$1,310.40 |
$1,397.60 |
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$148.80 |
$160.00 |
$304.00 |
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$91.20 |
$107.20 |
$127.20 |
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$170.40 |
$170.40 |
$201.60 |
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$99.20 |
$128.80 |
$153.60 |
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$124.80 |
$124.80 |
$124.80 |
|