|
I125 iothalamate, dx
|
$878.87 |
$878.87 |
$1,673.51 |
$634.90
|
|
I-131 iobenguane sulf diag mibg
|
$817.99 |
$817.99 |
$2,912.12 |
$3,638.48
|
|
I131 iodide cap, rx
|
$40.65 |
$387.07 |
$536.87 |
$71.70
|
|
I131 iodide sol, rx
|
$6,037.40 |
$6,037.40 |
$6,037.40 |
$34.87
|
|
I-131 sod iodide sol diag per mci
|
$6,037.40 |
$6,037.40 |
$6,037.40 |
$114.60
|
|
Iaadi respiratory synctial virus
|
$96.50 |
$96.50 |
$337.23 |
$54.58
|
|
Iadna legionella pneumophila amplified probe tq
|
$73.00 |
$73.00 |
$1,440.87 |
$109.80
|
|
Ia infect ag ab qual/semiquant sgl step
|
$85.80 |
$85.80 |
$85.80 |
$50.60
|
|
Ia nfct ab sarscov2 covid19
|
$58.03 |
$60.50 |
$95.90 |
$62.49
|
|
Ibandronate 3 mg/3 ml intravenous syringe
|
$833.58 |
$833.58 |
$949.32 |
$684.45
|
|
Ibmfs seq alys pnl 30 genes
|
$9,377.40 |
$9,377.40 |
$9,377.40 |
$2,828.00
|
|
Ibuprofen injection
|
$56.75 |
$56.75 |
$91.74 |
$256.76
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$987.93 |
$1,086.73 |
$6,828.76 |
$980.94
|
|
Icatibant injection
|
$20,065.49 |
$20,065.49 |
$22,072.04 |
$8,695.05
|
|
Icd cobalt xt dr MRI is1 df1
|
$27,000.00 |
$27,000.00 |
$29,402.10 |
$34,093.09
|
|
Icd crtd cobalt hf MRI is1 df1
|
$30,006.00 |
$30,006.00 |
$35,622.20 |
$39,070.50
|
|
Icd crtp serena MRI
|
$14,346.00 |
$14,346.00 |
$50,985.00 |
$14,360.25
|
|
Icd reliance df4 ib 64cm
|
$10,584.49 |
$10,584.49 |
$10,944.00 |
$9,264.83
|
|
Icg angiography i&r uni/bi
|
$788.39 |
$788.39 |
$788.39 |
$610.80
|
|
Icut allergy test drug/bug
|
$57.42 |
$57.42 |
$57.42 |
$70.29
|
|
Idarubicin hcl injection
|
$447.02 |
$447.02 |
$474.69 |
$447.02
|
|
I&d/bursa/foot 28001
|
$1,814.47 |
$1,814.47 |
$1,814.47 |
$1,917.33
|
|
Idecabtagene vicleucel car
|
$1,543,957.19 |
$1,543,957.19 |
$5,955,080.00 |
$1,129,895.40
|
|
Idh1 common variants
|
$142.20 |
$285.00 |
$641.36 |
$415.35
|
|
Idh2 common variants
|
$427.50 |
$427.50 |
$981.65 |
$486.00
|
|
I&d intramural/intramuscular/submuc abscess transanal anes
|
$2,329.35 |
$2,329.35 |
$2,329.35 |
$3,245.23
|
|
I&d lacrimal gland
|
$953.40 |
$953.40 |
$953.40 |
$1,435.20
|
|
I&d upper arm/elbow deep abscess/hematoma
|
$6,101.64 |
$6,101.64 |
$6,101.64 |
$3,371.02
|
|
Ifnl3 gene
|
$90.53 |
$90.53 |
$90.53 |
$147.20
|
|
Ifosfamide 1 gram intravenous solution
|
$128.25 |
$128.25 |
$320.36 |
$246.95
|
|
Igh gene rearrang dir probe
|
$111.50 |
$111.50 |
$111.50 |
$111.50
|
|
Igh gene rearrange amp meth
|
$282.00 |
$289.05 |
$2,744.59 |
$464.25
|
|
Igh@ var region somatic mutation analy
|
$371.50 |
$795.25 |
$1,833.37 |
$660.80
|
|
Igk rearrangeabn clonal pop
|
$250.00 |
$250.00 |
$648.88 |
$399.36
|
|
Ihc/icc per specimen each additional single antibody stain
|
$67.50 |
$217.04 |
$1,600.60 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$56.50 |
$226.95 |
$1,600.60 |
$331.20
|
|
Ihc/icc per specimen initial single antibody stain
|
$168.50 |
$168.50 |
$522.60 |
$277.90
|
|
Ikbkap gene
|
$36.00 |
$36.00 |
$476.25 |
$173.49
|
|
Iliac/fem angio cath insert
|
$205.20 |
$1,625.50 |
$2,370.91 |
$1,856.01
|
|
Iliac revasc add-on 37222
|
$10,413.45 |
$10,413.45 |
$10,433.75 |
$6,082.65
|
|
Imatinib 100 mg tab
|
$431.49 |
$431.49 |
$431.49 |
$248.00
|
|
Img rta detcj/mntr ds staff
|
$51.17 |
$51.17 |
$51.17 |
$70.29
|
|
Img rta detc/mntr ds phy/qhp
|
$36.00 |
$36.00 |
$36.00 |
$51.36
|
|
Img rta detc/mntr ds poc aly
|
$66.79 |
$66.79 |
$66.79 |
$71.25
|
|
Immob elbow child sm
|
$53.78 |
$53.78 |
$53.78 |
$85.39
|
|
Immobilizer lwr extrem nylon 20in reinforc 21-35in
|
$799.50 |
$799.50 |
$799.50 |
$259.20
|
|
Immobilizer shldr cntor adlt
|
$62.39 |
$62.39 |
$382.08 |
$175.60
|
|
Immobilizer shldr dlx str 24-36in med
|
$14.80 |
$14.80 |
$299.33 |
$118.43
|
|
Immobilizer shldr sling med
|
$258.30 |
$258.30 |
$258.30 |
$126.00
|
|
Immune complex assay
|
$16.50 |
$16.50 |
$173.25 |
$101.60
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$2,200.12 |
$2,200.12 |
$9,844.72 |
$6,106.32
|
|
Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution
|
$4,040.28 |
$4,040.28 |
$4,040.28 |
$2,900.11
|
|
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution
|
$2,447.62 |
$2,447.62 |
$3,846.15 |
$3,846.15
|
|
Immunoassay tumor antigen quantitative ca 125
|
$173.50 |
$173.50 |
$330.45 |
$132.00
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$166.57 |
$263.00 |
$2,626.80 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$8.50 |
$8.50 |
$130.73 |
$48.57
|
|
Immunodiffusion nes
|
$142.83 |
$142.83 |
$830.98 |
$53.76
|
|
Immunofixation electrophoresis serum
|
$245.70 |
$346.24 |
$407.00 |
$142.50
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$250.35 |
$315.50 |
$1,007.00 |
$154.05
|
|
Immunofluorescence per specimen initial single antibody stain
|
$231.30 |
$557.50 |
$4,654.97 |
$234.27
|
|
Immunoglobulin assay
|
$516.00 |
$516.00 |
$1,036.73 |
$78.00
|
|
Immunology procedure
|
$124.95 |
$289.39 |
$1,527.99 |
$150.70
|
|
Impact tooth remov part bony
|
$656.56 |
$656.56 |
$656.56 |
$1,300.00
|
|
Implant 11 volt lithium-ion backup battery for controller pocket
|
$5,098.50 |
$5,098.50 |
$5,098.50 |
$1,754.00
|
|
Implant cartilage 10mm synthetic
|
$11,811.60 |
$11,811.60 |
$12,003.00 |
$8,332.51
|
|
Implant cochlear osia osi300
|
$18,003.00 |
$21,892.96 |
$165,510.00 |
$16,195.55
|
|
Implant neuroelectrodes
|
$5,629.40 |
$5,629.40 |
$10,493.25 |
$8,836.80
|
|
Implant power module patient cable cable 14 volt
|
$10,095.03 |
$10,095.03 |
$20,514.00 |
$3,695.42
|
|
Implant pulse generator remede el
|
$30,600.00 |
$30,600.00 |
$50,985.00 |
$43,752.80
|
|
Implant single ventricular device 33975
|
$7,266.13 |
$7,266.13 |
$7,266.13 |
$5,053.23
|
|
Implant tcat pulm vlv perq
|
$29,995.46 |
$29,995.46 |
$91,623.60 |
$12,623.60
|
|
Implant ureth bulk agent
|
$2,760.00 |
$2,760.00 |
$4,507.67 |
$2,168.00
|
|
Impl ear abutment ba300 9mm
|
$8,016.00 |
$8,016.00 |
$8,016.00 |
$3,974.88
|
|
Impl neurostim electr perc
|
$7,546.20 |
$7,546.20 |
$7,546.20 |
$7,672.50
|
|
Implnt spinl canal catheter 62350
|
$3,448.30 |
$3,448.30 |
$3,448.30 |
$5,095.20
|
|
Implt neurostim elctr each
|
$7,137.90 |
$7,137.90 |
$7,137.90 |
$4,320.00
|
|
Impreg gauze no h20/sal/yard
|
$22.58 |
$22.58 |
$22.58 |
$11.90
|
|
Impres&prep intrm obt prosth
|
$2,803.51 |
$2,803.51 |
$2,803.51 |
$3,986.00
|
|
Impres&prep paltl aug prosth
|
$3,115.01 |
$3,115.01 |
$3,115.01 |
$3,837.72
|
|
Impres&prep paltl lft prosth
|
$2,429.71 |
$2,429.71 |
$2,429.71 |
$3,837.72
|
|
Impres&prep sp aid prosth
|
$2,709.12 |
$2,709.12 |
$2,709.12 |
$4,054.40
|
|
Imuglucerase injection
|
$3,399.59 |
$3,399.59 |
$42,694.98 |
$3,399.59
|
|
In-111 autol wbc diag per dose
|
$10,999.15 |
$10,999.15 |
$10,999.15 |
$3,493.75
|
|
In-111 capromab pendet
|
$22,596.16 |
$22,596.16 |
$22,596.16 |
$3,141.45
|
|
In-111 ibritumomab tiux dx
|
$28,550.53 |
$28,550.53 |
$28,550.53 |
$4,748.02
|
|
In-111 oxyquinolin per 0.5 mci
|
$2,229.00 |
$2,229.00 |
$2,229.00 |
$2,753.23
|
|
In-111 pentetate dtpa / 0.5 mci
|
$2,926.65 |
$8,014.25 |
$8,123.54 |
$2,598.17
|
|
In-111 pentetreotide
|
$8,581.25 |
$8,581.25 |
$12,732.70 |
$5,294.90
|
|
In-111 satumomab pend
|
$30,583.00 |
$30,583.00 |
$30,583.00 |
$3,113.04
|
|
Incise flexor carpi radialis
|
$3,098.15 |
$3,098.15 |
$3,098.15 |
$3,839.54
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$1,946.55 |
$3,051.89 |
$11,619.57 |
$2,086.70
|
|
Incision of breast lesion
|
$1,611.00 |
$1,611.00 |
$3,030.26 |
$2,577.85
|
|
Incision of burn scab initi
|
$693.60 |
$693.60 |
$693.60 |
$494.40
|
|
Incision of rectal abscess
|
$5,159.16 |
$5,159.16 |
$5,159.16 |
$3,245.23
|
|
Incision of tongue fold
|
$1,163.78 |
$1,163.78 |
$1,183.95 |
$1,792.50
|
|
Incisn of toe tndn
|
$2,298.99 |
$2,298.99 |
$2,298.99 |
$2,667.00
|
|
Incisn windpipe
|
$5,256.07 |
$5,256.07 |
$5,256.07 |
$3,819.23
|
|
Incobotulinumtoxin a
|
$1,011.78 |
$1,011.78 |
$2,924.96 |
$1,339.57
|
|
Indigotindisulfonate 8 mg/ml soln 5 ml ampule
|
$744.00 |
$744.00 |
$1,080.00 |
$766.66
|
|
Induced ab 1+ vag sup w/dlv fetus
|
$1,997.99 |
$1,997.99 |
$3,668.10 |
$1,997.99
|
