|
Immobilizer shldr cntor adlt
|
$213.19 |
$213.19 |
$213.19 |
$171.43
|
|
Immobilizer shldr dlx str 24-36in med
|
$169.84 |
$169.84 |
$169.84 |
$102.00
|
|
Immobilizer shldr sling med
|
$258.30 |
$258.30 |
$258.30 |
$99.45
|
|
Immune complex assay
|
$361.20 |
$361.20 |
$361.20 |
$109.20
|
|
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution
|
$3,846.15 |
$3,846.15 |
$3,846.15 |
$3,846.15
|
|
Immunoassay tumor antigen quantitative ca 125
|
$330.45 |
$330.45 |
$330.45 |
$130.00
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$168.90 |
$168.90 |
$168.90 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$30.15 |
$30.15 |
$30.15 |
$48.50
|
|
Immunofixation electrophoresis serum
|
$279.00 |
$279.00 |
$279.00 |
$138.60
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$250.35 |
$250.35 |
$250.35 |
$156.00
|
|
Immunofluorescence per specimen initial single antibody stain
|
$231.30 |
$231.30 |
$963.60 |
$232.05
|
|
Immunoglobulin assay
|
$89.70 |
$89.70 |
$89.70 |
$74.15
|
|
Implant cartilage 10mm synthetic
|
$12,003.00 |
$12,003.00 |
$12,003.00 |
$10,050.00
|
|
Implant cochlear osia osi300
|
$18,003.00 |
$18,003.00 |
$18,003.00 |
$17,423.06
|
|
Implant pulse generator remede el
|
$30,600.00 |
$30,600.00 |
$30,600.00 |
$50,985.00
|
|
Implant ureth bulk agent
|
$2,760.00 |
$2,760.00 |
$2,760.00 |
$2,139.62
|
|
Impl ear abutment ba300 9mm
|
$8,016.00 |
$8,016.00 |
$8,016.00 |
$3,974.88
|
|
Impl neurostim electr perc
|
$7,672.50 |
$7,672.50 |
$7,672.50 |
$7,546.20
|
|
Impreg gauze no h20/sal/yard
|
$22.58 |
$22.58 |
$22.58 |
$11.90
|
|
Imuglucerase injection
|
$3,399.59 |
$3,399.59 |
$3,399.59 |
$3,399.59
|
|
In-111 pentetate dtpa / 0.5 mci
|
$2,926.65 |
$2,926.65 |
$2,926.65 |
$2,550.60
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$1,946.55 |
$1,946.55 |
$1,946.55 |
$2,080.80
|
|
Incision of breast lesion
|
$1,611.00 |
$1,611.00 |
$1,611.00 |
$2,577.85
|
|
Incision of tongue fold
|
$1,183.95 |
$1,183.95 |
$1,183.95 |
$1,792.50
|
|
Incobotulinumtoxin a
|
$1,011.78 |
$1,011.78 |
$1,011.78 |
$1,359.43
|
|
Induced ab 1+vag supp d&c
|
$3,668.10 |
$3,668.10 |
$3,668.10 |
$1,194.40
|
|
Induced ab 1+ vag sup w/dlv fetus
|
$3,668.10 |
$3,668.10 |
$3,668.10 |
$1,881.75
|
|
Induced abortion d&c
|
$1,907.85 |
$1,907.85 |
$1,907.85 |
$3,762.53
|
|
Infect ag drug suscept pheno predict
|
$295.95 |
$295.95 |
$295.95 |
$320.00
|
|
Infect ag eia influenza a or b ea
|
$192.45 |
$192.45 |
$192.45 |
$69.03
|
|
Infect ag genotype na hiv-1 other region
|
$552.00 |
$552.00 |
$552.00 |
$326.20
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$823.20 |
$823.20 |
$823.20 |
$603.75
|
|
Infect ag ia optc obs influenza
|
$225.45 |
$225.45 |
$225.45 |
$72.93
|
|
Infect ag if influenza a
|
$18.00 |
$18.00 |
$18.00 |
$40.61
|
|
Infect ag if influenza b
|
$18.00 |
$18.00 |
$18.00 |
$37.95
|
|
Infect ag if legionella pneumophila
|
$248.10 |
$248.10 |
$248.10 |
$73.46
|
|
Infect ag if nos ea
|
$158.40 |
$158.40 |
$158.40 |
$74.10
|
|
Infect ag if pneumocystis carinii
|
$71.40 |
$71.40 |
$71.40 |
$67.46
|
|
Infect ag if varicella zoster
|
$149.40 |
$149.40 |
$149.40 |
$72.00
|
|
Infect ag na herpes simplex quant
|
$330.00 |
$330.00 |
$330.00 |
$169.65
|
|
Infect ag na hpv high-risk types
|
$186.00 |
$186.00 |
$186.00 |
$139.20
|
|
Infect ag na influenza r/amp 1st 2 types
|
$309.30 |
$309.30 |
$309.30 |
$219.70
|
|
Infect ag na orthopoxvirus amp prb each
|
$209.10 |
$209.10 |
$209.10 |
$99.36
|
|
Infect ag na resp virus 12-25 targets
|
$1,340.70 |
$1,340.70 |
$1,340.70 |
$859.44
|
|
Infect ag phenotype na hiv-1 1-10 drugs
|
$1,291.65 |
$1,291.65 |
$1,291.65 |
$855.60
|
|
Infect ag phenotype na hiv-1 ea addl drg
|
$67.80 |
$67.80 |
$67.80 |
$77.00
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$347.10 |
$347.10 |
$347.10 |
$82.00
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$87.00 |
$87.00 |
$87.00 |
$69.44
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$105.00 |
$105.00 |
$105.00 |
$76.50
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$97.05 |
$97.05 |
$97.05 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$121.80 |
$121.80 |
$121.80 |
$96.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$169.50 |
$169.50 |
$169.50 |
$81.06
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$192.45 |
$192.45 |
$192.45 |
$57.60
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$174.90 |
$174.90 |
$174.90 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$405.90 |
$405.90 |
$405.90 |
$127.80
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$199.20 |
$199.20 |
$199.20 |
$97.50
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$89.10 |
$89.10 |
$89.10 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$798.00 |
$798.00 |
$798.00 |
$267.50
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$230.40 |
$230.40 |
$230.40 |
$137.67
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$233.25 |
$233.25 |
$233.25 |
$167.05
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$1,568.70 |
$1,568.70 |
$1,568.70 |
$861.00
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$405.90 |
$405.90 |
$405.90 |
$181.35
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$344.55 |
$344.55 |
$344.55 |
$151.25
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$512.55 |
$512.55 |
$1,399.80 |
$201.60
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$183.30 |
$183.30 |
$183.30 |
$135.80
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$140.00 |
$140.00 |
$140.00 |
$100.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$285.00 |
$285.00 |
$285.00 |
$236.08
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$137.10 |
$137.10 |
$137.10 |
$94.53
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$87.45 |
$87.45 |
$87.45 |
$105.00
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$930.00 |
$930.00 |
$930.00 |
$711.93
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$362.25 |
$362.25 |
$362.25 |
$429.50
|
|
Infectious agent nucleic acid quantification bk virus
|
$730.05 |
$730.05 |
$798.00 |
$283.00
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$278.70 |
$278.70 |
$278.70 |
$238.80
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$334.20 |
$334.20 |
$334.20 |
$252.60
|
|
Infectious agent nucleic acid quantification hiv-1
|
$307.95 |
$307.95 |
$307.95 |
$374.50
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$418.50 |
$418.50 |
$418.50 |
$303.59
|
|
Infliximab 100 mg intravenous solution
|
$2,312.29 |
$2,312.29 |
$2,312.29 |
$2,080.86
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$1,873.64 |
$1,873.64 |
$1,873.64 |
$1,617.43
|
|
Inf lwr xtr fscl pln blk uni w/wo image
|
$2,202.30 |
$2,202.30 |
$2,202.30 |
$780.00
|
|
Inf thrc fascial pln blk bi w/wo image
|
$2,262.60 |
$2,262.60 |
$2,262.60 |
$523.25
|
|
Inf thrc fascial pln blk uni w/wo image
|
$2,202.30 |
$2,202.30 |
$2,202.30 |
$780.00
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$271.35 |
$271.35 |
$271.35 |
$293.04
|
|
Initiation & management bipap/cpap initial day
|
$1,305.00 |
$1,305.00 |
$1,305.00 |
$576.00
|
|
Inj, abilify maintena, 1 mg
|
$5,583.29 |
$5,583.29 |
$5,583.29 |
$5,355.30
|
|
Inj allopurinol sodium 1 mg
|
$7,722.00 |
$7,722.00 |
$7,722.00 |
$6,968.99
|
|
Inj alymsys 10 mg
|
$5,691.32 |
$5,691.32 |
$5,691.32 |
$1,483.29
|
|
Inj anifrolumab-fnia 1mg
|
$10,052.58 |
$10,052.58 |
$10,052.58 |
$10,052.58
|
|
Inj, aponvie, 1 mg
|
$848.15 |
$848.15 |
$848.15 |
$3.00
|
|
Inj., benralizumab, 1 mg
|
$11,239.97 |
$11,239.97 |
$11,239.97 |
$11,604.71
|
|
Inj, bezlotoxumab, 10 mg
|
$7,524.00 |
$7,524.00 |
$7,524.00 |
$7,612.43
|
|
Inj, biorphen, 20 micrograms
|
$13.68 |
$13.68 |
$13.68 |
$17.12
|
|
Inj calcitriol per 0.1 mcg
|
$8.20 |
$8.20 |
$8.20 |
$22.69
|
|
Inj cefazolin sodium, hikma
|
$24.01 |
$24.01 |
$24.01 |
$29.10
|
|
Inj, cefiderocol, 10 mg
|
$474.47 |
$474.47 |
$474.47 |
$544.85
|
|
Inj ceftolozane tazobactam
|
$342.69 |
$342.69 |
$342.69 |
$408.00
|
|
Inj, clindamycin (baxter)
|
$35.69 |
$35.69 |
$35.69 |
$48.39
|
|
Inj crotalidae im f(ab')2 eq
|
$2,613.60 |
$2,613.60 |
$2,613.60 |
$2,613.60
|
|
Inj dx for sinogram
|
$460.50 |
$460.50 |
$460.50 |
$413.82
|
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
|
$1,141.35 |
$1,141.35 |
$1,141.35 |
$1,214.78
|
|
Injection arthrography hip without anesthesia (both sides)
|
$724.65 |
$724.65 |
$724.65 |
$500.50
|