|
Immunofluorescence per specimen each additional single antibody stain
|
$774.20 |
$774.20 |
$774.20 |
$156.00
|
|
Immunofluorescence per specimen initial single antibody stain
|
$1,062.78 |
$1,062.78 |
$1,062.78 |
$250.00
|
|
Immunology procedure
|
$943.28 |
$943.28 |
$943.28 |
$281.45
|
|
In-111 autol wbc diag per dose
|
$7,229.04 |
$7,229.04 |
$7,229.04 |
$3,704.00
|
|
In-111 ibritumomab tiux dx
|
$3,262.36 |
$3,262.36 |
$3,262.36 |
$3,217.50
|
|
In-111 oxyquinolin per 0.5 mci
|
$9,053.47 |
$9,053.47 |
$9,053.47 |
$2,808.00
|
|
In-111 pentetate dtpa / 0.5 mci
|
$13,574.48 |
$13,574.48 |
$13,574.48 |
$2,135.29
|
|
In-111 pentetreotide
|
$10,116.34 |
$10,116.34 |
$10,116.34 |
$6,617.05
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$6,047.57 |
$6,047.57 |
$6,047.57 |
$2,261.20
|
|
Infect ag drug suscept pheno predict
|
$1,135.24 |
$1,135.24 |
$1,135.24 |
$325.00
|
|
Infect ag eia influenza a or b ea
|
$1,461.96 |
$1,461.96 |
$1,461.96 |
$69.03
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$3,176.89 |
$3,176.89 |
$3,176.89 |
$574.60
|
|
Infect ag if pneumocystis carinii
|
$1,094.56 |
$1,094.56 |
$1,094.56 |
$62.29
|
|
Infect ag na chlamydia trachomatis qnt
|
$601.31 |
$601.31 |
$601.31 |
$58.82
|
|
Infect ag na influenza r/amp 1st 2 types
|
$1,339.92 |
$1,339.92 |
$1,339.92 |
$227.96
|
|
Infect ag na orthopoxvirus amp prb each
|
$223.75 |
$223.75 |
$223.75 |
$102.00
|
|
Infect ag na resp virus 12-25 targets
|
$879.72 |
$879.72 |
$879.72 |
$859.44
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$325.44 |
$325.44 |
$325.44 |
$81.44
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$714.45 |
$714.45 |
$714.45 |
$80.05
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$901.33 |
$901.33 |
$901.33 |
$77.28
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$941.20 |
$941.20 |
$941.20 |
$83.50
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$835.22 |
$835.22 |
$835.22 |
$77.72
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$536.48 |
$536.48 |
$536.48 |
$55.00
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$136.03 |
$136.03 |
$136.03 |
$141.48
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$303.84 |
$303.84 |
$303.84 |
$174.06
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$769.81 |
$769.81 |
$769.81 |
$855.45
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$3,461.66 |
$3,461.66 |
$3,461.66 |
$178.00
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$2,231.08 |
$2,231.08 |
$2,231.08 |
$210.00
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$136.03 |
$136.03 |
$136.03 |
$136.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$63.99 |
$63.99 |
$63.99 |
$103.20
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$597.50 |
$597.50 |
$597.50 |
$98.15
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$1,229.31 |
$1,229.31 |
$1,229.31 |
$727.50
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$2,064.53 |
$2,064.53 |
$2,064.53 |
$226.35
|
|
Influenza dna amp prob addl
|
$1,339.92 |
$1,339.92 |
$1,339.92 |
$69.60
|
|
Initiation & management bipap/cpap initial day
|
$7,789.34 |
$7,789.34 |
$7,789.34 |
$645.79
|
|
Inj calcitriol per 0.1 mcg
|
$196.18 |
$196.18 |
$196.18 |
$33.36
|
|
Inj cefazolin sodium, hikma
|
$22.52 |
$22.52 |
$22.52 |
$56.70
|
|
Inj, cefepime hcl (b braun)
|
$140.16 |
$140.16 |
$140.16 |
$81.41
|
|
Inj crotalidae im f(ab')2 eq
|
$2,173.88 |
$2,173.88 |
$2,173.88 |
$2,836.95
|
|
Inj, daptomycin (hospira)
|
$113.35 |
$113.35 |
$113.35 |
$167.85
|
|
Injection, renflexis
|
$1,936.87 |
$1,936.87 |
$1,936.87 |
$1,457.42
|
|
Inj heparin, pfizer, 1000u
|
$18.14 |
$18.14 |
$18.14 |
$24.28
|
|
Inj hydroxocobalamin IV 25mg
|
$2,111.08 |
$2,111.08 |
$2,111.08 |
$3,180.35
|
|
Inj ivig privigen 500 mg
|
$491.02 |
$491.02 |
$491.02 |
$7,298.71
|
|
Inj levocarnitine per 1 gm
|
$1,047.82 |
$1,047.82 |
$1,047.82 |
$138.96
|
|
Inj melpha hydroch nos 50 mg
|
$223.18 |
$223.18 |
$223.18 |
$1,518.68
|
|
Inj progesterone per 50 mg
|
$220.00 |
$220.00 |
$220.00 |
$48.51
|
|
Inj testosterone cypionate
|
$156.49 |
$156.49 |
$156.49 |
$77.15
|
|
Ins cath ren art 1st bi
|
$15,033.21 |
$15,033.21 |
$15,033.21 |
$6,033.75
|
|
Ins cath ren art 2nd+ bi
|
$25,917.80 |
$25,917.80 |
$25,917.80 |
$5,408.65
|
|
Ins cath ren art 2nd+ uni
|
$17,278.54 |
$17,278.54 |
$17,278.54 |
$5,528.94
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$17,278.54 |
$17,278.54 |
$17,278.54 |
$7,088.54
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$10,022.13 |
$10,022.13 |
$10,022.13 |
$2,618.40
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$70,290.96 |
$70,290.96 |
$70,290.96 |
$14,158.20
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$70,290.96 |
$70,290.96 |
$70,290.96 |
$12,813.28
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$103,441.73 |
$103,441.73 |
$103,441.73 |
$29,997.52
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$54,318.95 |
$54,318.95 |
$54,318.95 |
$7,572.47
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$36,033.84 |
$36,033.84 |
$36,033.84 |
$7,673.12
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$58,536.53 |
$58,536.53 |
$58,536.53 |
$9,793.46
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$17,619.66 |
$17,619.66 |
$17,619.66 |
$5,470.54
|
|
Insert pm/icd lead dual
|
$36,033.84 |
$36,033.84 |
$36,033.84 |
$7,562.63
|
|
Insert/repl sq defib w/eltrd
|
$175,006.71 |
$175,006.71 |
$175,006.71 |
$33,948.20
|
|
Insert sq defib electrode
|
$26,712.21 |
$26,712.21 |
$26,712.21 |
$8,167.68
|
|
Insert swan-ganz cath
|
$9,876.35 |
$9,876.35 |
$9,876.35 |
$2,164.52
|
|
Insert tunneled cv 2cath 2sits without port/pmp 36565
|
$10,022.13 |
$10,022.13 |
$10,022.13 |
$4,705.13
|
|
Insert vad art access left hrt arterial access
|
$371,342.27 |
$371,342.27 |
$371,342.27 |
$5,062.80
|
|
Ins icd gen exist mlt leads
|
$103,441.73 |
$103,441.73 |
$103,441.73 |
$31,286.77
|
|
Ins icd gen exist sgl lead
|
$172,772.15 |
$172,772.15 |
$172,772.15 |
$24,159.72
|
|
In situ hybridization per specimen each additional single probe stain
|
$216.12 |
$216.12 |
$216.12 |
$251.55
|
|
In situ hybridization per specimen initial single probe stain
|
$216.12 |
$216.12 |
$216.12 |
$338.40
|
|
Ins lv lead exist pm/icd
|
$42,603.12 |
$42,603.12 |
$42,603.12 |
$12,384.25
|
|
Ins pm gen exist dual lead
|
$74,113.55 |
$74,113.55 |
$74,113.55 |
$24,696.00
|
|
Ins pq tunnld ip cath w/img
|
$8,726.00 |
$8,726.00 |
$8,726.00 |
$5,593.60
|
|
Ins/rpl ldless pm right vent w img & eval
|
$129,450.34 |
$129,450.34 |
$129,450.34 |
$24,135.54
|
|
Ins/rpl pm gen exist dual lead
|
$33,574.73 |
$33,574.73 |
$33,574.73 |
$11,593.70
|
|
Ins/rpl pm gen exist sgl lead
|
$26,712.21 |
$26,712.21 |
$26,712.21 |
$9,746.29
|
|
Ins/rpl pm w/tv ld atrl
|
$33,574.73 |
$33,574.73 |
$33,574.73 |
$12,384.25
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$91,385.15 |
$91,385.15 |
$91,385.15 |
$25,106.90
|
|
Ins tun cv cath wo subq prt/pm
|
$18,456.78 |
$18,456.78 |
$18,456.78 |
$4,748.00
|
|
Insulin total
|
$991.59 |
$991.59 |
$991.59 |
$67.60
|
|
Integra os putty 2.5cc - cost per 0.5cc
|
$9,891.00 |
$9,891.00 |
$9,891.00 |
$3,160.50
|
|
Intracard echo interv w/s&i
|
$3,361.61 |
$3,361.61 |
$3,361.61 |
$3,982.59
|
|
Intracran angioplsty w/stent
|
$89,306.71 |
$89,306.71 |
$89,306.71 |
$11,364.78
|
|
Intracranial complete study
|
$1,473.52 |
$1,473.52 |
$1,473.52 |
$883.30
|
|
Intrapul surf admin endo tube
|
$998.20 |
$998.20 |
$998.20 |
$239.52
|
|
Intrinsic factor antibody
|
$504.70 |
$504.70 |
$504.70 |
$59.95
|
|
Intro cath dialysis circuit
|
$5,035.57 |
$5,035.57 |
$5,035.57 |
$2,317.80
|
|
Intro cath dialysis circuit w/pta
|
$24,018.58 |
$24,018.58 |
$24,018.58 |
$8,761.00
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$48,540.22 |
$48,540.22 |
$48,540.22 |
$15,625.00
|
|
Iodine i-123 sod iodide mil
|
$395.40 |
$395.40 |
$395.40 |
$677.98
|
|
Ipratropium bromide non-comp
|
$9.07 |
$9.07 |
$9.07 |
$7.57
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$911.74 |
$911.74 |
$911.74 |
$227.39
|
|
Iron
|
$1,127.61 |
$1,127.61 |
$1,127.61 |
$70.72
|
|
Iron binding capacity
|
$1,559.85 |
$1,559.85 |
$1,559.85 |
$63.00
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$290.30 |
$290.30 |
$290.30 |
$198.01
|
|
Irradiation of blood product each unit reference
|
$366.12 |
$366.12 |
$366.12 |
$124.24
|
|
Irrigation implantable venous access device for drug delivery systems
|
$166.34 |
$166.34 |
$166.34 |
$154.50
|
|
Ivc venogram s&i
|
$9,748.80 |
$9,748.80 |
$9,748.80 |
$3,332.55
|
|
IV inj ra drug dx study
|
$790.80 |
$790.80 |
$790.80 |
$560.00
|
|
Ivp w/wo kub w/wo tomography
|
$5,808.03 |
$5,808.03 |
$5,808.03 |
$713.05
|