|
Icd crtd cobalt hf MRI is1 df1
|
$98,986.13 |
$98,986.13 |
$98,986.13 |
$32,098.95
|
|
Icd crtp serena MRI
|
$30,484.13 |
$30,484.13 |
$30,484.13 |
$12,663.00
|
|
Icd reliance df4 ib 64cm
|
$15,435.00 |
$15,435.00 |
$15,435.00 |
$7,292.40
|
|
Idarubicin hcl injection
|
$552.66 |
$552.66 |
$552.66 |
$544.37
|
|
Ifosfamide 1 gram intravenous solution
|
$409.57 |
$409.57 |
$409.57 |
$289.34
|
|
Igh gene rearrange amp meth
|
$2,522.85 |
$2,522.85 |
$2,522.85 |
$464.25
|
|
Ihc/icc per specimen each additional single antibody stain
|
$187.60 |
$187.60 |
$187.60 |
$191.75
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$296.45 |
$296.45 |
$2,554.52 |
$339.73
|
|
Ihc/icc per specimen initial single antibody stain
|
$272.30 |
$272.30 |
$272.30 |
$266.76
|
|
Iliac/fem angio cath insert
|
$1,571.50 |
$1,571.50 |
$1,571.50 |
$1,601.66
|
|
Iliac revasc add-on 37222
|
$1,487.15 |
$1,487.15 |
$1,487.15 |
$6,513.10
|
|
Imatinib 100 mg tab
|
$801.26 |
$801.26 |
$1,321.69 |
$219.53
|
|
Immobilizer shldr cntor adlt
|
$146.30 |
$146.30 |
$146.30 |
$134.01
|
|
Immobilizer shldr dlx str 24-36in med
|
$146.30 |
$146.30 |
$146.30 |
$80.00
|
|
Immune complex assay
|
$667.50 |
$775.45 |
$882.00 |
$88.80
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$1,497.37 |
$1,497.37 |
$1,497.37 |
$5,617.36
|
|
Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution
|
$2,037.52 |
$2,037.52 |
$2,037.52 |
$2,568.72
|
|
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution
|
$6,891.95 |
$6,891.95 |
$7,529.00 |
$5,495.02
|
|
Immunoassay tumor antigen quantitative ca 125
|
$126.00 |
$126.00 |
$901.00 |
$123.50
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$122.50 |
$122.50 |
$632.00 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$440.00 |
$440.00 |
$440.00 |
$53.95
|
|
Immunodiffusion nes
|
$780.00 |
$780.00 |
$780.00 |
$53.76
|
|
Immunofixation electrophoresis serum
|
$44.84 |
$138.60 |
$935.00 |
$133.38
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$277.55 |
$277.55 |
$664.00 |
$156.00
|
|
Immunofluorescence per specimen initial single antibody stain
|
$567.35 |
$567.35 |
$1,258.00 |
$250.00
|
|
Immunoglobulin assay
|
$59.85 |
$59.85 |
$59.85 |
$74.00
|
|
Immunology procedure
|
$1.40 |
$305.00 |
$924.47 |
$281.45
|
|
Impedence cardiogram
|
$102.20 |
$102.20 |
$102.20 |
$121.55
|
|
Implant 11 volt lithium-ion backup battery for controller pocket
|
$2,827.30 |
$2,827.30 |
$2,827.30 |
$1,683.63
|
|
Implant cartilage 10mm synthetic
|
$25,088.70 |
$25,088.70 |
$25,088.70 |
$9,261.00
|
|
Implant cochlear osia osi300
|
$20,396.25 |
$20,396.25 |
$20,396.25 |
$15,318.47
|
|
Implant neuroelectrodes
|
$2,614.85 |
$2,614.85 |
$2,614.85 |
$7,266.73
|
|
Implant power module patient cable cable 14 volt
|
$4,275.95 |
$4,275.95 |
$4,275.95 |
$2,839.56
|
|
Implant tcat pulm vlv perq
|
$8,654.45 |
$8,654.45 |
$92,827.40 |
$18,494.40
|
|
Implant ureth bulk agent
|
$3,950.63 |
$3,950.63 |
$3,950.63 |
$1,930.57
|
|
Imuglucerase injection
|
$3,965.20 |
$3,965.20 |
$3,965.20 |
$343.20
|
|
In-111 autologous plt stdy dx
|
$1,514.87 |
$1,514.87 |
$1,692.86 |
$1,494.95
|
|
In-111 autol wbc diag per dose
|
$3,927.00 |
$3,927.00 |
$23,543.00 |
$3,704.00
|
|
In-111 capromab pendet
|
$11,947.62 |
$11,947.62 |
$11,947.62 |
$3,941.34
|
|
In-111 pentetate dtpa / 0.5 mci
|
$1,541.75 |
$1,541.75 |
$3,122.79 |
$2,135.29
|
|
In-111 pentetreotide
|
$6,028.40 |
$6,028.40 |
$6,028.40 |
$6,617.05
|
|
In-111 satumomab pend
|
$8,090.22 |
$8,090.22 |
$8,090.22 |
$3,524.25
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$945.00 |
$945.00 |
$945.00 |
$2,261.20
|
|
Incision of breast lesion
|
$1,358.35 |
$1,358.35 |
$1,358.35 |
$3,029.60
|
|
Incisn windpipe
|
$2,828.70 |
$2,828.70 |
$2,828.70 |
$3,837.72
|
|
Incobotulinumtoxin a
|
$729.33 |
$729.33 |
$729.33 |
$1,339.57
|
|
Indigotindisulfonate 8 mg/ml soln 5 ml ampule
|
$1,714.99 |
$1,714.99 |
$1,714.99 |
$1,099.05
|
|
Infect ag drug suscept pheno predict
|
$1,008.87 |
$1,559.53 |
$2,752.00 |
$325.00
|
|
Infect ag eia influenza a or b ea
|
$112.00 |
$112.00 |
$112.00 |
$69.03
|
|
Infect ag genotype na dna hepatitis b
|
$702.10 |
$702.10 |
$702.10 |
$500.40
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$429.80 |
$429.80 |
$3,218.00 |
$574.60
|
|
Infect ag ia direct hiv-1 antgn
|
$1,004.00 |
$1,004.00 |
$1,004.00 |
$95.55
|
|
Infect ag ia optc obs influenza
|
$51.10 |
$51.10 |
$134.52 |
$66.72
|
|
Infect ag if ea plyvlnt antsrm
|
$23.45 |
$23.45 |
$23.45 |
$37.74
|
|
Infect ag if hep delta agent
|
$83.65 |
$83.65 |
$83.65 |
$125.97
|
|
Infect ag if influenza a
|
$35.35 |
$35.35 |
$921.83 |
$40.61
|
|
Infect ag if influenza b
|
$33.60 |
$33.60 |
$365.30 |
$34.67
|
|
Infect ag if legionella pneumophila
|
$441.53 |
$441.53 |
$903.00 |
$75.79
|
|
Infect ag if pneumocystis carinii
|
$38.82 |
$38.82 |
$903.00 |
$62.29
|
|
Infect ag if varicella zoster
|
$35.00 |
$35.00 |
$772.81 |
$66.00
|
|
Infect ag na herpes simplex quant
|
$340.20 |
$340.20 |
$340.20 |
$145.20
|
|
Infect ag na influenza r/amp 1st 2 types
|
$184.80 |
$184.80 |
$1,742.12 |
$227.96
|
|
Infect ag na influenza revr/amp ea type
|
$100.10 |
$100.10 |
$100.10 |
$124.80
|
|
Infect ag na orthopoxvirus amp prb each
|
$60.90 |
$60.90 |
$119.00 |
$102.00
|
|
Infect ag na resp virus 12-25 targets
|
$764.75 |
$764.75 |
$4,028.00 |
$859.44
|
|
Infect ag phenotype na hiv-1 1-10 drugs
|
$3,961.65 |
$3,961.65 |
$3,961.65 |
$714.67
|
|
Infect ag phenotype na hiv-1 ea addl drg
|
$586.87 |
$586.87 |
$586.87 |
$77.00
|
|
Infectious agent antigen immunoassay direct optical observation sars-cov-2
|
$73.85 |
$73.85 |
$73.85 |
$47.50
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$81.90 |
$81.90 |
$364.00 |
$81.44
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$215.52 |
$215.52 |
$215.52 |
$63.60
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$31.89 |
$700.28 |
$903.00 |
$80.05
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$44.10 |
$44.10 |
$700.28 |
$77.28
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$40.60 |
$40.60 |
$568.00 |
$83.50
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$129.50 |
$129.50 |
$784.00 |
$77.72
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$54.95 |
$54.95 |
$2,149.63 |
$55.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$123.86 |
$135.45 |
$722.00 |
$101.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$81.55 |
$81.55 |
$81.55 |
$132.60
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$882.27 |
$882.27 |
$981.00 |
$97.50
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$147.15 |
$147.15 |
$2,396.00 |
$60.00
|
|
Infectious agent nucleic acid amplified probe
|
$278.95 |
$278.95 |
$278.95 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$136.85 |
$136.85 |
$322.00 |
$141.48
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$38.85 |
$38.85 |
$38.85 |
$174.06
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$1,471.90 |
$1,471.90 |
$4,028.00 |
$855.45
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$263.90 |
$263.90 |
$263.90 |
$178.00
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$69.65 |
$69.65 |
$7,018.00 |
$150.15
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$80.85 |
$591.19 |
$1,908.00 |
$210.00
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$138.47 |
$146.30 |
$374.00 |
$136.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$58.03 |
$58.03 |
$62.00 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$254.10 |
$254.10 |
$254.10 |
$222.60
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$248.15 |
$248.15 |
$248.15 |
$248.15
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$522.24 |
$522.24 |
$522.24 |
$98.15
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$172.12 |
$172.12 |
$1,804.00 |
$112.45
|
|
Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae
|
$2,105.00 |
$2,105.00 |
$2,105.00 |
$282.10
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$629.00 |
$629.00 |
$2,108.00 |
$200.20
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$1,002.05 |
$1,002.05 |
$1,002.05 |
$727.50
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$310.80 |
$310.80 |
$310.80 |
$283.20
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$631.40 |
$631.40 |
$631.40 |
$489.50
|
|
Infectious agent nucleic acid quantification bk virus
|
$364.35 |
$364.35 |
$1,804.00 |
$285.66
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$317.10 |
$317.10 |
$1,808.06 |
$226.35
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$510.30 |
$510.30 |
$510.30 |
$278.78
|