|
I-123 sod iodide diag per 100 uci
|
$48.00 |
$48.00 |
$48.00 |
$144.24
|
|
I-131 iobenguane sulf diag mibg
|
$646.80 |
$646.80 |
$646.80 |
$3,638.48
|
|
I131 iodide cap, rx
|
$71.70 |
$71.70 |
$71.70 |
$71.70
|
|
I131 iodide sol, rx
|
$32.40 |
$32.40 |
$32.40 |
$42.01
|
|
Iaadi respiratory synctial virus
|
$20.10 |
$20.10 |
$20.10 |
$54.98
|
|
Iadna legionella pneumophila amplified probe tq
|
$33.15 |
$33.15 |
$33.15 |
$109.00
|
|
Ia infect ag ab qual/semiquant sgl step
|
$22.65 |
$22.65 |
$22.65 |
$50.60
|
|
Ia nfct ab sarscov2 covid19
|
$13.20 |
$13.20 |
$13.20 |
$62.49
|
|
Ibmfs seq alys pnl 30 genes
|
$1,099.35 |
$1,099.35 |
$1,099.35 |
$2,828.00
|
|
I&d abscss rtrphryngl/paraphryngl intraorl apprch
|
$1,326.15 |
$1,326.15 |
$1,326.15 |
$3,592.74
|
|
I&d frarm&/wrst deep absc/hematoma
|
$1,444.95 |
$1,444.95 |
$1,444.95 |
$3,839.54
|
|
Idh1 common variants
|
$167.55 |
$167.55 |
$167.55 |
$412.10
|
|
Idh2 common variants
|
$256.35 |
$256.35 |
$256.35 |
$486.00
|
|
I&d upper arm/elbow deep abscess/hematoma
|
$757.65 |
$757.65 |
$757.65 |
$3,355.20
|
|
Ifosfamide 1 gram intravenous solution
|
$108.12 |
$108.12 |
$108.12 |
$246.95
|
|
Igh@/bcl2 translocation alys
|
$265.95 |
$265.95 |
$265.95 |
$277.80
|
|
Igh gene rearrange amp meth
|
$346.65 |
$346.65 |
$346.65 |
$464.00
|
|
Igh@ var region somatic mutation analy
|
$515.70 |
$515.70 |
$515.70 |
$660.80
|
|
Ihc/icc per specimen each additional single antibody stain
|
$60.45 |
$60.45 |
$60.45 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$52.50 |
$52.50 |
$52.50 |
$328.79
|
|
Ihc/icc per specimen initial single antibody stain
|
$54.90 |
$54.90 |
$54.90 |
$272.30
|
|
Ikbkap gene
|
$179.55 |
$179.55 |
$179.55 |
$173.49
|
|
Iliac/fem angio cath insert
|
$63.90 |
$63.90 |
$63.90 |
$1,856.01
|
|
Iliac revasc add-on 37222
|
$1,564.20 |
$1,564.20 |
$1,564.20 |
$6,082.65
|
|
Img rta detcj/mntr ds staff
|
$25.05 |
$25.05 |
$25.05 |
$70.29
|
|
Immobilizer shldr dlx str 24-36in med
|
$12.45 |
$12.45 |
$12.45 |
$114.60
|
|
Immobilizer shldr sling med
|
$21.75 |
$21.75 |
$21.75 |
$126.00
|
|
Immune complex assay
|
$42.75 |
$42.75 |
$42.75 |
$100.80
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$6,212.60 |
$6,212.60 |
$6,212.60 |
$6,106.32
|
|
Immunoassay tumor antigen quantitative ca 125
|
$36.45 |
$36.45 |
$36.45 |
$131.95
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$36.45 |
$36.45 |
$36.45 |
$116.40
|
|
Immunoassay tumor qual
|
$29.55 |
$29.55 |
$29.55 |
$66.50
|
|
Immunodiff gel qual ea antigen/ab
|
$21.00 |
$21.00 |
$21.00 |
$48.38
|
|
Immunodiffusion nes
|
$22.80 |
$22.80 |
$22.80 |
$48.57
|
|
Immunofixation electrophoresis serum
|
$39.15 |
$39.15 |
$39.15 |
$142.50
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$52.35 |
$52.35 |
$52.35 |
$154.05
|
|
Immunofluorescence per specimen initial single antibody stain
|
$93.75 |
$93.75 |
$93.75 |
$231.40
|
|
Immunoglobulin assay
|
$21.90 |
$21.90 |
$21.90 |
$75.88
|
|
Immunology procedure
|
$28.95 |
$28.95 |
$28.95 |
$142.56
|
|
Impl neurostim electr perc
|
$3,136.65 |
$3,136.65 |
$3,136.65 |
$7,672.50
|
|
In-111 autol wbc diag per dose
|
$654.30 |
$654.30 |
$654.30 |
$3,523.65
|
|
In-111 capromab pendet
|
$851.70 |
$851.70 |
$851.70 |
$3,141.45
|
|
In-111 ibritumomab tiux dx
|
$1,595.25 |
$1,595.25 |
$1,595.25 |
$4,748.02
|
|
In-111 pentetate dtpa / 0.5 mci
|
$592.95 |
$592.95 |
$592.95 |
$2,598.17
|
|
In-111 pentetreotide
|
$1,179.75 |
$1,179.75 |
$1,179.75 |
$5,201.00
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$471.15 |
$471.15 |
$471.15 |
$2,056.93
|
|
Incision of achilles tendon
|
$690.90 |
$690.90 |
$690.90 |
$3,172.80
|
|
Incision of breast lesion
|
$757.65 |
$757.65 |
$757.65 |
$2,560.80
|
|
Incision of burn scab initi
|
$63.15 |
$63.15 |
$63.15 |
$494.40
|
|
Incision of tongue fold
|
$670.95 |
$670.95 |
$670.95 |
$1,792.50
|
|
Incisn of toe tndn
|
$753.60 |
$753.60 |
$753.60 |
$2,627.96
|
|
Incisn windpipe
|
$1,298.70 |
$1,298.70 |
$1,298.70 |
$3,810.50
|
|
Indigotindisulfonate 8 mg/ml soln 5 ml ampule
|
$355.08 |
$355.08 |
$355.08 |
$766.66
|
|
Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s)
|
$30.15 |
$30.15 |
$30.15 |
$137.15
|
|
Infect ag drug suscept pheno predict
|
$228.15 |
$228.15 |
$228.15 |
$323.20
|
|
Infect ag genotype na cytomegalovirus
|
$388.80 |
$388.80 |
$388.80 |
$661.80
|
|
Infect ag genotype na dna hepatitis b
|
$388.80 |
$388.80 |
$388.80 |
$405.30
|
|
Infect ag genotype na hiv-1 other region
|
$178.05 |
$178.05 |
$178.05 |
$386.40
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$388.35 |
$388.35 |
$388.35 |
$603.75
|
|
Infect ag ia direct hiv-1 antgn
|
$42.00 |
$42.00 |
$42.00 |
$91.70
|
|
Infect ag ia optc obs influenza
|
$20.10 |
$20.10 |
$20.10 |
$72.93
|
|
Infect ag if hep delta agent
|
$28.80 |
$28.80 |
$28.80 |
$125.97
|
|
Infect ag if influenza a
|
$10.35 |
$10.35 |
$10.35 |
$41.30
|
|
Infect ag if influenza b
|
$10.35 |
$10.35 |
$10.35 |
$40.08
|
|
Infect ag if legionella pneumophila
|
$20.10 |
$20.10 |
$20.10 |
$72.58
|
|
Infect ag if nos ea
|
$20.10 |
$20.10 |
$20.10 |
$74.88
|
|
Infect ag if varicella zoster
|
$20.10 |
$20.10 |
$20.10 |
$70.70
|
|
Infect ag na hep b amp
|
$61.50 |
$61.50 |
$61.50 |
$120.50
|
|
Infect ag na herpes simplex quant
|
$75.15 |
$75.15 |
$75.15 |
$169.65
|
|
Infect ag na hpv high-risk types
|
$30.75 |
$30.75 |
$30.75 |
$139.75
|
|
Infect ag na influenza r/amp 1st 2 types
|
$148.95 |
$148.95 |
$148.95 |
$219.70
|
|
Infect ag na influenza revr/amp ea type
|
$89.85 |
$89.85 |
$89.85 |
$158.06
|
|
Infect ag na orthopoxvirus amp prb each
|
$15.00 |
$15.00 |
$15.00 |
$99.36
|
|
Infect ag na resp virus 12-25 targets
|
$374.85 |
$374.85 |
$374.85 |
$835.80
|
|
Infect ag phenotype na hiv-1 1-10 drugs
|
$855.60 |
$855.60 |
$855.60 |
$943.80
|
|
Infect ag phenotype na hiv-1 ea addl drg
|
$45.75 |
$45.75 |
$45.75 |
$75.63
|
|
Infectious agent antigen immunoassay direct optical observation sars-cov-2
|
$12.15 |
$12.15 |
$12.15 |
$53.00
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$20.10 |
$20.10 |
$20.10 |
$82.00
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$20.10 |
$20.10 |
$20.10 |
$72.80
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$20.10 |
$20.10 |
$20.10 |
$76.32
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$21.00 |
$21.00 |
$21.00 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$25.20 |
$25.20 |
$25.20 |
$100.02
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$17.40 |
$17.40 |
$17.40 |
$81.20
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$17.40 |
$17.40 |
$17.40 |
$60.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$42.15 |
$42.15 |
$42.15 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$20.10 |
$20.10 |
$20.10 |
$129.00
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$20.10 |
$20.10 |
$20.10 |
$98.02
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$20.10 |
$20.10 |
$20.10 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$61.50 |
$61.50 |
$61.50 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$61.50 |
$61.50 |
$61.50 |
$139.68
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$61.50 |
$61.50 |
$61.50 |
$167.00
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$733.80 |
$733.80 |
$733.80 |
$861.00
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$61.50 |
$61.50 |
$61.50 |
$179.92
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$61.50 |
$61.50 |
$61.50 |
$147.55
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$61.50 |
$61.50 |
$61.50 |
$217.85
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$61.50 |
$61.50 |
$61.50 |
$136.03
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$15.00 |
$15.00 |
$15.00 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$47.10 |
$47.10 |
$47.10 |
$206.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$61.50 |
$61.50 |
$61.50 |
$236.08
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$61.50 |
$61.50 |
$61.50 |
$92.50
|
