|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$10,901.00 |
$10,901.00 |
$10,901.00 |
$6,106.32
|
|
Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution
|
$173.50 |
$173.50 |
$173.50 |
$2,900.11
|
|
Immune globulin ig human im use 90281
|
$214.00 |
$214.00 |
$214.00 |
$92.00
|
|
Immunoassay tumor antigen quantitative ca 125
|
$100.50 |
$100.50 |
$100.50 |
$131.95
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$93.50 |
$93.50 |
$93.50 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$14.00 |
$14.00 |
$14.00 |
$48.38
|
|
Immunofixation electrophoresis serum
|
$150.00 |
$150.00 |
$150.00 |
$142.50
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$704.00 |
$704.00 |
$704.00 |
$154.05
|
|
Immunofluorescence per specimen initial single antibody stain
|
$230.00 |
$230.00 |
$230.00 |
$231.40
|
|
Immunoglobulin assay
|
$265.50 |
$265.50 |
$265.50 |
$75.88
|
|
Immunology procedure
|
$72.00 |
$72.00 |
$72.00 |
$142.56
|
|
Impl ahmed 6x25x9.6mm glaucoma vlv w/sil ped ster
|
$1,342.50 |
$1,342.50 |
$1,342.50 |
$3,036.25
|
|
Implant cartilage 10mm synthetic
|
$1,568.50 |
$1,568.50 |
$1,568.50 |
$8,184.00
|
|
Implant neuroelectrodes
|
$3,621.50 |
$3,621.50 |
$3,621.50 |
$8,763.11
|
|
Implant neuroelectrodes
|
$2,919.50 |
$2,919.50 |
$2,919.50 |
$7,766.27
|
|
Implant ureth bulk agent
|
$1,718.75 |
$1,718.75 |
$1,718.75 |
$2,168.00
|
|
Impl ear abutment ba300 9mm
|
$2,315.50 |
$2,315.50 |
$2,315.50 |
$3,974.88
|
|
Impl neurostim electr perc
|
$5,388.00 |
$5,388.00 |
$5,388.00 |
$7,672.50
|
|
Implnt bio implnt for soft tiss reinforcement 15777
|
$3,917.67 |
$3,917.67 |
$3,917.67 |
$1,072.00
|
|
Impl oi implt sk tc esp<100
|
$18,368.50 |
$18,368.50 |
$18,368.50 |
$22,958.00
|
|
In-111 autol wbc diag per dose
|
$1,948.50 |
$1,948.50 |
$1,948.50 |
$3,523.65
|
|
In-111 oxyquinolin per 0.5 mci
|
$701.00 |
$701.00 |
$701.00 |
$2,581.82
|
|
In-111 pentetate dtpa / 0.5 mci
|
$1,975.50 |
$1,975.50 |
$1,975.50 |
$2,598.17
|
|
In-111 pentetreotide
|
$2,769.50 |
$2,769.50 |
$2,769.50 |
$5,201.00
|
|
Inactivated je vacc im
|
$354.50 |
$354.50 |
$354.50 |
$481.34
|
|
Incise inner ear
|
$1,903.50 |
$1,903.50 |
$1,903.50 |
$2,186.08
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$2,628.00 |
$2,628.00 |
$2,628.00 |
$2,056.93
|
|
Incision of breast lesion
|
$3,192.00 |
$3,192.00 |
$3,192.00 |
$2,560.80
|
|
Incision of eardrum
|
$916.00 |
$916.00 |
$916.00 |
$552.75
|
|
Incision of eardrum
|
$3,811.00 |
$3,811.00 |
$3,811.00 |
$3,827.50
|
|
Incision of fibula
|
$2,200.33 |
$2,200.33 |
$2,200.33 |
$3,839.54
|
|
Incision of foot fascia
|
$3,212.00 |
$3,212.00 |
$3,212.00 |
$4,570.33
|
|
Incision of heel bone
|
$9,492.00 |
$9,492.00 |
$9,492.00 |
$5,339.00
|
|
Incision of hip tendon
|
$915.00 |
$915.00 |
$915.00 |
$3,839.54
|
|
Incision of metatarsal
|
$5,088.00 |
$5,088.00 |
$5,088.00 |
$3,591.33
|
|
Incision of rectal abscess
|
$2,856.00 |
$2,856.00 |
$2,856.00 |
$3,245.23
|
|
Incision of spinal nerve 64772
|
$19,030.50 |
$19,030.50 |
$19,030.50 |
$2,310.83
|
|
Incision of tendon sheath
|
$3,017.34 |
$3,017.34 |
$3,017.34 |
$2,211.05
|
|
Incision of toe tendons 28011
|
$1,848.50 |
$1,848.50 |
$1,848.50 |
$2,119.12
|
|
Incision of tongue fold
|
$2,268.50 |
$2,268.50 |
$2,268.50 |
$1,792.50
|
|
Incision of urethra
|
$2,002.00 |
$2,002.00 |
$2,002.00 |
$2,899.60
|
|
Incision tendon sheath
|
$3,686.50 |
$3,686.50 |
$3,686.50 |
$3,073.20
|
|
Incisn of toe tndn
|
$2,052.75 |
$2,052.75 |
$2,052.75 |
$2,627.96
|
|
Incisn windpipe
|
$3,810.50 |
$3,810.50 |
$3,810.50 |
$3,810.50
|
|
Incobotulinumtoxin a
|
$970.90 |
$970.90 |
$970.90 |
$1,339.57
|
|
Induced ab 1+ vag sup w/dlv fetus
|
$1,773.00 |
$1,773.00 |
$1,773.00 |
$1,881.75
|
|
Infect ag drug suscept pheno predict
|
$198.75 |
$198.75 |
$198.75 |
$323.20
|
|
Infect ag eia influenza a or b ea
|
$34.00 |
$34.00 |
$34.00 |
$71.50
|
|
Infect ag genotype na dna hepatitis b
|
$230.00 |
$230.00 |
$230.00 |
$405.30
|
|
Infect ag genotype na hiv-1 other region
|
$198.75 |
$198.75 |
$198.75 |
$386.40
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$198.75 |
$198.75 |
$198.75 |
$603.75
|
|
Infect ag ia optc obs influenza
|
$240.00 |
$240.00 |
$240.00 |
$72.93
|
|
Infect ag if legionella pneumophila
|
$68.00 |
$68.00 |
$68.00 |
$72.58
|
|
Infect ag if nos ea
|
$83.50 |
$83.50 |
$83.50 |
$74.88
|
|
Infect ag if varicella zoster
|
$77.00 |
$77.00 |
$77.00 |
$70.70
|
|
Infect ag na herpes simplex quant
|
$93.50 |
$93.50 |
$93.50 |
$169.65
|
|
Infect ag na hpv high-risk types
|
$471.50 |
$471.50 |
$471.50 |
$139.75
|
|
Infect ag na influenza r/amp 1st 2 types
|
$172.00 |
$172.00 |
$172.00 |
$219.70
|
|
Infect ag na orthopoxvirus amp prb each
|
$90.00 |
$90.00 |
$90.00 |
$99.36
|
|
Infect ag na resp virus 12-25 targets
|
$526.00 |
$526.00 |
$526.00 |
$835.80
|
|
Infect ag phenotype na hiv-1 1-10 drugs
|
$606.00 |
$606.00 |
$606.00 |
$943.80
|
|
Infect ag phenotype na hiv-1 ea addl drg
|
$140.00 |
$140.00 |
$140.00 |
$75.63
|
|
Infectious agent antigen immunoassay direct optical observation sars-cov-2
|
$67.00 |
$67.00 |
$67.00 |
$53.00
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$102.50 |
$102.50 |
$102.50 |
$82.00
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$71.50 |
$71.50 |
$71.50 |
$76.32
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$97.50 |
$97.50 |
$97.50 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$32.50 |
$32.50 |
$32.50 |
$100.02
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$83.00 |
$83.00 |
$83.00 |
$81.20
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$240.50 |
$240.50 |
$240.50 |
$60.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$59.50 |
$59.50 |
$59.50 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$98.00 |
$98.00 |
$98.00 |
$129.00
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$107.50 |
$107.50 |
$107.50 |
$98.02
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$201.00 |
$201.00 |
$201.00 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$552.00 |
$552.00 |
$552.00 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$76.00 |
$76.00 |
$76.00 |
$139.68
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$166.00 |
$166.00 |
$166.00 |
$167.00
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$480.00 |
$480.00 |
$480.00 |
$861.00
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$299.00 |
$299.00 |
$299.00 |
$179.92
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$152.00 |
$152.00 |
$152.00 |
$147.55
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$365.00 |
$365.00 |
$365.00 |
$217.85
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$99.50 |
$99.50 |
$99.50 |
$136.03
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$107.50 |
$107.50 |
$107.50 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$71.50 |
$71.50 |
$71.50 |
$206.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$375.00 |
$375.00 |
$375.00 |
$236.08
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$124.50 |
$124.50 |
$124.50 |
$92.50
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$149.00 |
$149.00 |
$149.00 |
$108.75
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$293.00 |
$293.00 |
$293.00 |
$185.00
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$615.50 |
$615.50 |
$615.50 |
$727.50
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$215.63 |
$215.63 |
$215.63 |
$423.53
|
|
Infectious agent nucleic acid quantification bk virus
|
$336.00 |
$336.00 |
$336.00 |
$279.40
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$187.00 |
$187.00 |
$187.00 |
$239.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$307.50 |
$307.50 |
$307.50 |
$252.00
|
|
Infectious agent nucleic acid quantification hiv-1
|
$564.00 |
$564.00 |
$564.00 |
$374.00
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$233.50 |
$233.50 |
$233.50 |
$303.59
|
|
Infliximab 100 mg intravenous solution
|
$13,516.68 |
$13,516.68 |
$13,516.68 |
$2,080.86
|
|
Infliximab-axxq 100 mg intravenous solution
|
$6,284.25 |
$6,284.25 |
$6,284.25 |
$1,062.00
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$7,476.98 |
$7,476.98 |
$7,476.98 |
$1,537.84
|
|
Influenza virus vaccine, live trivalent intranasal
|
$24.50 |
$24.50 |
$24.50 |
$36.50
|
|
Inf thrc fascial pln blk bi w/wo image
|
$320.00 |
$320.00 |
$320.00 |
$593.50
|
|
Inf thrc fascial pln blk uni w/wo image
|
$187.50 |
$187.50 |
$187.50 |
$780.00
|