|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$58.50 |
$58.50 |
$58.50 |
$82.00
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$13.50 |
$13.50 |
$13.50 |
$76.32
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$74.00 |
$74.00 |
$74.00 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$231.00 |
$231.00 |
$231.00 |
$100.02
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$202.50 |
$202.50 |
$202.50 |
$81.20
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$64.00 |
$64.00 |
$64.00 |
$60.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$79.00 |
$79.00 |
$79.00 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$124.00 |
$124.00 |
$124.00 |
$129.00
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$11.00 |
$11.00 |
$11.00 |
$98.02
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$45.00 |
$45.00 |
$45.00 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$433.50 |
$433.50 |
$433.50 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$133.00 |
$133.00 |
$133.00 |
$139.68
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$292.50 |
$292.50 |
$292.50 |
$167.00
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$274.00 |
$274.00 |
$274.00 |
$861.00
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$82.50 |
$82.50 |
$82.50 |
$179.92
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$126.00 |
$126.00 |
$126.00 |
$147.55
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$296.00 |
$296.00 |
$296.00 |
$217.85
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$133.00 |
$133.00 |
$133.00 |
$136.03
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$450.00 |
$450.00 |
$450.00 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$197.00 |
$197.00 |
$197.00 |
$206.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$227.00 |
$227.00 |
$227.00 |
$236.08
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$80.50 |
$80.50 |
$80.50 |
$92.50
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$86.50 |
$86.50 |
$86.50 |
$108.75
|
|
Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae
|
$16.50 |
$16.50 |
$16.50 |
$211.00
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$138.00 |
$138.00 |
$138.00 |
$185.00
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$654.00 |
$654.00 |
$654.00 |
$727.50
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$397.50 |
$397.50 |
$397.50 |
$423.53
|
|
Infectious agent nucleic acid quantification bk virus
|
$171.50 |
$171.50 |
$171.50 |
$279.40
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$102.00 |
$102.00 |
$102.00 |
$239.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$79.00 |
$79.00 |
$79.00 |
$252.00
|
|
Infectious agent nucleic acid quantification hiv-1
|
$60.00 |
$60.00 |
$60.00 |
$374.00
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$1,192.37 |
$1,192.37 |
$1,192.37 |
$1,537.84
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$157.00 |
$157.00 |
$157.00 |
$293.25
|
|
Initiation & management bipap/cpap initial day
|
$1,581.50 |
$1,581.50 |
$1,581.50 |
$576.00
|
|
Inj, aponvie, 1 mg
|
$116.25 |
$116.25 |
$116.25 |
$3.00
|
|
Inj, bupivacaine liposome
|
$775.00 |
$775.00 |
$775.00 |
$699.38
|
|
Inj cefazolin sodium, hikma
|
$562.25 |
$562.25 |
$562.25 |
$28.08
|
|
Injection during cath supravalvular aortography
|
$151.00 |
$151.00 |
$151.00 |
$952.66
|
|
Injection,onabotulinumtoxina
|
$820.37 |
$820.37 |
$820.37 |
$2,277.65
|
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
|
$445.50 |
$445.50 |
$445.50 |
$472.76
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$230.50 |
$230.50 |
$230.50 |
$166.38
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$230.50 |
$230.50 |
$230.50 |
$145.60
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$230.50 |
$230.50 |
$230.50 |
$249.32
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$168.50 |
$168.50 |
$168.50 |
$135.60
|
|
Inject sacroiliac joint
|
$1,107.50 |
$1,107.50 |
$1,107.50 |
$1,028.95
|
|
Inj hrt cath w/s&i nonsel p-art angrp
|
$185.00 |
$185.00 |
$185.00 |
$1,439.90
|
|
Inj levocarnitine per 1 gm
|
$81.75 |
$81.75 |
$81.75 |
$136.62
|
|
Inj mepivacaine hcl/10 ml
|
$29.62 |
$29.62 |
$29.62 |
$33.86
|
|
Inj retacrit esrd on dialysi
|
$210.25 |
$210.25 |
$210.25 |
$349.45
|
|
Inj sulf hexa lipid microsph
|
$269.75 |
$269.75 |
$269.75 |
$256.14
|
|
Insertion catheter bladder temporary simple
|
$190.50 |
$190.50 |
$190.50 |
$232.25
|
|
Insert swan-ganz cath
|
$1,855.50 |
$1,855.50 |
$1,855.50 |
$2,210.50
|
|
Insitu hybridization auto
|
$155.50 |
$155.50 |
$155.50 |
$377.37
|
|
Insitu hybridization (fish)
|
$366.00 |
$366.00 |
$366.00 |
$481.60
|
|
Insitu hybridization manual
|
$325.50 |
$325.50 |
$325.50 |
$401.28
|
|
In situ hybridization per specimen each additional single probe stain
|
$154.50 |
$154.50 |
$154.50 |
$241.15
|
|
In situ hybridization per specimen initial single probe stain
|
$401.50 |
$401.50 |
$401.50 |
$331.69
|
|
Instillation anticarcinogenic agent bladder
|
$358.00 |
$358.00 |
$358.00 |
$621.40
|
|
Insulin total
|
$8.00 |
$8.00 |
$8.00 |
$66.64
|
|
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm
|
$1,698.00 |
$1,698.00 |
$1,698.00 |
$8,629.72
|
|
Interrog dev eval icpms ip
|
$83.50 |
$83.50 |
$83.50 |
$103.50
|
|
Interrog evl pm/ldls pm ip
|
$383.00 |
$383.00 |
$383.00 |
$124.80
|
|
Intra-atrial pacing
|
$122.00 |
$122.00 |
$122.00 |
$4,780.80
|
|
Intra-atrial recording
|
$2,345.00 |
$2,345.00 |
$2,345.00 |
$5,252.30
|
|
Intracard echo interv w/s&i
|
$5,801.50 |
$5,801.50 |
$5,801.50 |
$3,461.04
|
|
Intracranial complete study
|
$1,122.00 |
$1,122.00 |
$1,122.00 |
$874.99
|
|
Intracranial limited study
|
$819.00 |
$819.00 |
$819.00 |
$465.01
|
|
Intrapul surf admin endo tube
|
$95.50 |
$95.50 |
$95.50 |
$220.80
|
|
Intraventricular pacing
|
$4,127.00 |
$4,127.00 |
$4,127.00 |
$5,456.17
|
|
Intrinsic factor antibody
|
$12.50 |
$12.50 |
$12.50 |
$63.15
|
|
Intro long gi tube w/mult fluo
|
$608.50 |
$608.50 |
$608.50 |
$466.00
|
|
Ionm in operatng room 15 min
|
$231.00 |
$231.00 |
$231.00 |
$200.16
|
|
Ionm remote/>1 pt or per hr
|
$923.00 |
$923.00 |
$923.00 |
$622.70
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$120.25 |
$120.25 |
$120.25 |
$170.06
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$223.75 |
$223.75 |
$223.75 |
$288.11
|
|
Iron
|
$176.00 |
$176.00 |
$176.00 |
$72.29
|
|
Iron binding capacity
|
$176.00 |
$176.00 |
$176.00 |
$63.60
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$120.87 |
$120.87 |
$120.87 |
$187.06
|
|
Irradiation of blood product each unit reference
|
$47.50 |
$47.50 |
$47.50 |
$114.40
|
|
Irrigation implantable venous access device for drug delivery systems
|
$263.00 |
$263.00 |
$263.00 |
$144.62
|
|
Ivc venogram s&i
|
$3,066.00 |
$3,066.00 |
$3,066.00 |
$3,316.95
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$171.50 |
$171.50 |
$171.50 |
$190.56
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$171.50 |
$171.50 |
$171.50 |
$159.00
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$171.50 |
$171.50 |
$171.50 |
$153.60
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$434.50 |
$434.50 |
$434.50 |
$437.45
|
|
IV inj ra drug dx study
|
$2,071.50 |
$2,071.50 |
$2,071.50 |
$552.60
|
|
Ivp w/wo kub w/wo tomography
|
$756.50 |
$756.50 |
$756.50 |
$692.18
|
|
Jak2 targeted sequence analysis
|
$131.50 |
$131.50 |
$131.50 |
$393.43
|
|
John cunningham antibody
|
$184.00 |
$184.00 |
$184.00 |
$66.31
|
|
Ketamine and metabolite screen - quest
|
$82.50 |
$82.50 |
$82.50 |
$72.14
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$70.00 |
$70.00 |
$70.00 |
$58.50
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$10.62 |
$10.62 |
$10.62 |
$23.77
|
|
Kidney function study
|
$863.00 |
$863.00 |
$863.00 |
$968.50
|
|
Kidney imaging morphology
|
$602.50 |
$602.50 |
$602.50 |
$785.00
|
|
Kidney imag w/bld flow multi
|
$1,047.00 |
$1,047.00 |
$1,047.00 |
$1,557.41
|
|
Kidney img w/bldflw sgl without rx
|
$920.00 |
$920.00 |
$920.00 |
$1,425.00
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$708.00 |
$708.00 |
$708.00 |
$673.36
|
|
Kit gene analys d816 variant
|
$210.00 |
$210.00 |
$210.00 |
$366.03
|
|
Knee MRI (with and without contrast)
|
$3,171.50 |
$3,171.50 |
$3,171.50 |
$3,008.26
|
|
Knee MRI (with contrast)
|
$2,805.50 |
$2,805.50 |
$2,805.50 |
$2,394.58
|
