|
Immobilizer shldr dlx str 24-36in med
|
$146.30 |
$146.30 |
$146.30 |
$80.00
|
|
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 |
$6,891.95 |
$5,495.02
|
|
Immunoassay tumor antigen quantitative ca 125
|
$126.00 |
$126.00 |
$126.00 |
$123.50
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$122.50 |
$122.50 |
$122.50 |
$116.40
|
|
Immunofixation electrophoresis serum
|
$138.60 |
$138.60 |
$138.60 |
$133.38
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$277.55 |
$277.55 |
$277.55 |
$156.00
|
|
Immunofluorescence per specimen initial single antibody stain
|
$567.35 |
$567.35 |
$567.35 |
$250.00
|
|
Immunoglobulin assay
|
$59.85 |
$59.85 |
$59.85 |
$74.00
|
|
Immunology procedure
|
$1.40 |
$1.40 |
$1.40 |
$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 |
$8,654.45 |
$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 autol wbc diag per dose
|
$3,927.00 |
$3,927.00 |
$3,927.00 |
$3,704.00
|
|
In-111 pentetate dtpa / 0.5 mci
|
$1,541.75 |
$1,541.75 |
$1,541.75 |
$2,135.29
|
|
In-111 pentetreotide
|
$6,028.40 |
$6,028.40 |
$6,028.40 |
$6,617.05
|
|
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
|
|
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 |
$429.80 |
$574.60
|
|
Infect ag ia optc obs influenza
|
$51.10 |
$51.10 |
$51.10 |
$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 |
$35.35 |
$40.61
|
|
Infect ag if influenza b
|
$33.60 |
$33.60 |
$33.60 |
$34.67
|
|
Infect ag if varicella zoster
|
$35.00 |
$35.00 |
$35.00 |
$66.00
|
|
Infect ag na influenza r/amp 1st 2 types
|
$184.80 |
$184.80 |
$184.80 |
$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 |
$60.90 |
$102.00
|
|
Infect ag na resp virus 12-25 targets
|
$764.75 |
$764.75 |
$764.75 |
$859.44
|
|
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 |
$81.90 |
$81.44
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$44.10 |
$44.10 |
$44.10 |
$77.28
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$40.60 |
$40.60 |
$40.60 |
$83.50
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$129.50 |
$129.50 |
$129.50 |
$77.72
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$54.95 |
$54.95 |
$54.95 |
$55.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$135.45 |
$135.45 |
$135.45 |
$101.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$81.55 |
$81.55 |
$81.55 |
$132.60
|
|
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 |
$136.85 |
$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 hsv-1
|
$263.90 |
$263.90 |
$263.90 |
$178.00
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$69.65 |
$69.65 |
$69.65 |
$150.15
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$80.85 |
$80.85 |
$80.85 |
$210.00
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$146.30 |
$146.30 |
$146.30 |
$136.00
|
|
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 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 |
$364.35 |
$285.66
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$317.10 |
$317.10 |
$317.10 |
$226.35
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$510.30 |
$510.30 |
$510.30 |
$278.78
|
|
Infectious agent nucleic acid quantification hiv-1
|
$303.45 |
$303.45 |
$303.45 |
$381.55
|
|
Infliximab 100 mg intravenous solution
|
$2,977.56 |
$2,977.56 |
$2,977.56 |
$2,791.24
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$1,242.96 |
$1,242.96 |
$1,242.96 |
$1,654.83
|
|
Influenza dna amp prob addl
|
$57.40 |
$57.40 |
$57.40 |
$69.60
|
|
Influenza virus vaccine, live trivalent intranasal
|
$8.70 |
$8.70 |
$8.70 |
$40.89
|
|
Inf lwr xtr fscl pln blk uni w/wo image
|
$390.60 |
$390.60 |
$390.60 |
$780.00
|
|
Inf thrc fascial pln blk bi w/wo image
|
$520.80 |
$520.80 |
$520.80 |
$624.00
|
|
Inf thrc fascial pln blk uni w/wo image
|
$390.60 |
$390.60 |
$390.60 |
$820.80
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$396.90 |
$396.90 |
$396.90 |
$359.64
|
|
Initiation & management bipap/cpap initial day
|
$754.60 |
$754.60 |
$754.60 |
$645.79
|
|
Inj, adstiladrin, per tx dos
|
$141,923.56 |
$141,923.56 |
$141,923.56 |
$63,354.77
|
|
Inj alymsys 10 mg
|
$1,860.13 |
$1,860.13 |
$1,860.13 |
$928.80
|
|
Inj anifrolumab-fnia 1mg
|
$7,499.98 |
$7,499.98 |
$7,499.98 |
$9,878.82
|
|
Inj, bezlotoxumab, 10 mg
|
$9,702.65 |
$9,702.65 |
$9,702.65 |
$9,702.65
|
|
Inj, bortezomib freseniuskab
|
$2,099.22 |
$2,099.22 |
$2,099.22 |
$16.50
|
|
Inj calcitriol per 0.1 mcg
|
$31.69 |
$31.69 |
$31.69 |
$33.36
|
|
Inj cefazolin sodium, hikma
|
$26.21 |
$26.21 |
$26.21 |
$56.70
|
|
Inj cefazolin (wg crit care)
|
$33.94 |
$33.94 |
$33.94 |
$32.05
|
|
Inj, cefiderocol, 10 mg
|
$315.28 |
$315.28 |
$315.28 |
$718.84
|
|
Inj ceftolozane tazobactam
|
$233.01 |
$233.01 |
$233.01 |
$447.36
|
|
Inj cntr knee arthro incl ct/mri
|
$55.30 |
$55.30 |
$55.30 |
$464.28
|
|
Inj crotalidae im f(ab')2 eq
|
$17,124.69 |
$17,124.69 |
$17,124.69 |
$2,836.95
|
|
Inj, cyclophosphamd, sandoz
|
$423.66 |
$423.66 |
$423.66 |
$4.34
|
|
Inj, daptomycin (hospira)
|
$205.21 |
$205.21 |
$205.21 |
$167.85
|
|
Inj, donanemab-azbt, 2 mg
|
$1,044.16 |
$1,044.16 |
$1,044.16 |
$121.74
|
|
Inj dx for sinogram
|
$295.05 |
$295.05 |
$295.05 |
$436.00
|
|
Injection arthrography hip without anesthesia (both sides)
|
$386.05 |
$386.05 |
$386.05 |
$507.10
|
|
Injection, belinostat, 10mg
|
$5,276.22 |
$5,276.22 |
$5,276.22 |
$5,341.40
|
|
Injection, cangrelor
|
$1,303.21 |
$1,303.21 |
$1,303.21 |
$2,546.20
|
|
Injection, daratumumab 10 mg
|
$1,907.11 |
$1,907.11 |
$1,907.11 |
$7,107.73
|
|
Injection, doxercalciferol
|
$30.62 |
$30.62 |
$30.62 |
$30.35
|
|
Injection during cath supravalvular aortography
|
$1,364.30 |
$1,364.30 |
$1,364.30 |
$1,148.80
|
|
Injection epidural blood patch or clot
|
$862.05 |
$862.05 |
$862.05 |
$1,473.12
|
|
Injection for arthrography wrist (both sides)
|
$158.90 |
$158.90 |
$158.90 |
$441.12
|
|
Injection for bladder x-ray
|
$471.80 |
$471.80 |
$471.80 |
$585.00
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$503.30 |
$503.30 |
$503.30 |
$504.00
|
|
Injection for ureter x-ray
|
$51.10 |
$51.10 |
$51.10 |
$515.21
|