|
Ihc/icc per specimen each additional single antibody stain
|
$191.75 |
$191.75 |
$191.75 |
$187.20
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$189.80 |
$189.80 |
$189.80 |
$339.73
|
|
Ihc/icc per specimen initial single antibody stain
|
$1,010.10 |
$1,010.10 |
$1,010.10 |
$274.86
|
|
Immune complex assay
|
$84.50 |
$84.50 |
$84.50 |
$89.25
|
|
Immunoassay tumor antigen quantitative ca 125
|
$166.40 |
$166.40 |
$166.40 |
$122.50
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$98.80 |
$98.80 |
$98.80 |
$117.00
|
|
Immunodiff gel qual ea antigen/ab
|
$68.90 |
$68.90 |
$68.90 |
$58.25
|
|
Immunodiffusion nes
|
$102.70 |
$102.70 |
$102.70 |
$63.57
|
|
Immunofixation electrophoresis serum
|
$176.80 |
$176.80 |
$176.80 |
$133.38
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$171.60 |
$171.60 |
$171.60 |
$185.00
|
|
Immunofluorescence per specimen initial single antibody stain
|
$206.05 |
$206.05 |
$206.05 |
$288.00
|
|
Immunoglobulin assay
|
$114.40 |
$114.40 |
$114.40 |
$74.15
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$285.35 |
$285.35 |
$285.35 |
$2,056.93
|
|
Infect ag drug suscept pheno predict
|
$382.85 |
$382.85 |
$382.85 |
$382.20
|
|
Infect ag eia influenza a or b ea
|
$43.55 |
$43.55 |
$43.55 |
$64.00
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$689.65 |
$689.65 |
$689.65 |
$619.11
|
|
Infect ag ia direct hiv-1 antgn
|
$91.65 |
$91.65 |
$91.65 |
$95.55
|
|
Infect ag ia optc obs influenza
|
$63.05 |
$63.05 |
$63.05 |
$65.58
|
|
Infect ag if influenza a
|
$63.05 |
$63.05 |
$63.05 |
$51.20
|
|
Infect ag if influenza b
|
$85.80 |
$85.80 |
$85.80 |
$45.50
|
|
Infect ag if varicella zoster
|
$68.25 |
$68.25 |
$68.25 |
$68.25
|
|
Infect ag na herpes simplex quant
|
$210.60 |
$210.60 |
$210.60 |
$145.20
|
|
Infect ag na hpv high-risk types
|
$104.65 |
$104.65 |
$104.65 |
$147.00
|
|
Infect ag na influenza r/amp 1st 2 types
|
$219.70 |
$219.70 |
$219.70 |
$248.80
|
|
Infect ag na orthopoxvirus amp prb each
|
$139.10 |
$139.10 |
$139.10 |
$127.50
|
|
Infect ag na resp virus 12-25 targets
|
$629.20 |
$629.20 |
$629.20 |
$878.20
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$85.15 |
$85.15 |
$85.15 |
$76.00
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$78.65 |
$78.65 |
$78.65 |
$74.10
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$79.30 |
$79.30 |
$79.30 |
$76.00
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$63.70 |
$63.70 |
$63.70 |
$73.45
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$71.50 |
$71.50 |
$71.50 |
$96.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$53.95 |
$53.95 |
$53.95 |
$75.27
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$76.05 |
$76.05 |
$76.05 |
$60.95
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$83.85 |
$83.85 |
$83.85 |
$107.90
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$152.10 |
$152.10 |
$152.10 |
$132.60
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$93.60 |
$93.60 |
$93.60 |
$98.40
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$35.75 |
$35.75 |
$35.75 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$276.90 |
$276.90 |
$276.90 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$98.80 |
$98.80 |
$98.80 |
$144.00
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$145.60 |
$145.60 |
$145.60 |
$174.06
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$725.40 |
$725.40 |
$725.40 |
$855.45
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$181.35 |
$181.35 |
$181.35 |
$181.35
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$124.15 |
$124.15 |
$124.15 |
$148.80
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$246.35 |
$246.35 |
$246.35 |
$217.10
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$97.50 |
$97.50 |
$97.50 |
$134.55
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$139.10 |
$139.10 |
$139.10 |
$109.18
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$264.55 |
$264.55 |
$264.55 |
$194.40
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$362.05 |
$362.05 |
$362.05 |
$211.09
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$97.50 |
$97.50 |
$97.50 |
$96.00
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$130.00 |
$130.00 |
$130.00 |
$135.00
|
|
Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae
|
$167.70 |
$167.70 |
$167.70 |
$296.71
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$609.05 |
$609.05 |
$609.05 |
$727.50
|
|
Infectious agent nucleic acid quantification bk virus
|
$404.95 |
$404.95 |
$404.95 |
$300.00
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$127.40 |
$127.40 |
$127.40 |
$242.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$131.30 |
$131.30 |
$131.30 |
$280.20
|
|
Infectious agent nucleic acid quantification hiv-1
|
$232.70 |
$232.70 |
$232.70 |
$381.55
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$338.65 |
$338.65 |
$338.65 |
$303.59
|
|
Initiation & management bipap/cpap initial day
|
$795.60 |
$795.60 |
$795.60 |
$608.40
|
|
Inj. denosumab-bbdz, 1 mg
|
$3,655.90 |
$3,655.90 |
$3,655.90 |
$6,618.42
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$245.70 |
$245.70 |
$245.70 |
$1,017.28
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$120.90 |
$120.90 |
$120.90 |
$153.60
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$120.90 |
$120.90 |
$120.90 |
$150.00
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$120.90 |
$120.90 |
$120.90 |
$303.60
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$94.90 |
$94.90 |
$94.90 |
$130.19
|
|
Inj meropenem (wg crit care)
|
$14.67 |
$14.67 |
$14.67 |
$20.78
|
|
Inj multihance
|
$91.53 |
$91.53 |
$91.53 |
$86.40
|
|
Insertion catheter bladder non indwelling
|
$90.35 |
$90.35 |
$90.35 |
$230.40
|
|
Insertion catheter bladder temporary simple
|
$139.10 |
$139.10 |
$139.10 |
$245.00
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$439.40 |
$439.40 |
$439.40 |
$2,457.24
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$1,309.75 |
$1,309.75 |
$1,309.75 |
$2,079.43
|
|
Insitu hybridization auto
|
$310.05 |
$310.05 |
$310.05 |
$328.79
|
|
In situ hybridization per specimen each additional single probe stain
|
$241.15 |
$241.15 |
$241.15 |
$291.00
|
|
In situ hybridization per specimen initial single probe stain
|
$245.05 |
$245.05 |
$245.05 |
$364.00
|
|
Insulin total
|
$58.50 |
$58.50 |
$58.50 |
$72.15
|
|
Intrinsic factor antibody
|
$61.10 |
$61.10 |
$61.10 |
$76.77
|
|
Intubation endotracheal emergency procedure
|
$453.70 |
$453.70 |
$453.70 |
$565.00
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$78.42 |
$78.42 |
$78.42 |
$145.52
|
|
Iron
|
$40.30 |
$40.30 |
$40.30 |
$67.50
|
|
Iron binding capacity
|
$56.55 |
$56.55 |
$56.55 |
$55.00
|
|
Irradiation of blood product each unit reference
|
$116.35 |
$116.35 |
$116.35 |
$127.49
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$153.40 |
$153.40 |
$153.40 |
$186.55
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$153.40 |
$153.40 |
$153.40 |
$170.94
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$153.40 |
$153.40 |
$153.40 |
$153.40
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$153.40 |
$153.40 |
$153.40 |
$476.50
|
|
John cunningham antibody
|
$1,005.55 |
$1,005.55 |
$1,005.55 |
$39.65
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$77.35 |
$77.35 |
$77.35 |
$52.50
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$20.16 |
$20.16 |
$20.16 |
$17.11
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$474.50 |
$474.50 |
$474.50 |
$618.54
|
|
Knee X-ray
|
$312.65 |
$312.65 |
$312.65 |
$387.20
|
|
Kras gene addl variants
|
$346.45 |
$346.45 |
$346.45 |
$366.56
|
|
Kras gene variants exon 2
|
$552.50 |
$552.50 |
$552.50 |
$495.00
|
|
Lab draw <3 yrs scalp vein 36405
|
$59.15 |
$59.15 |
$59.15 |
$58.40
|
|
Lactate dehydrogenase (ldh)
|
$61.75 |
$61.75 |
$61.75 |
$50.55
|
|
Lactated ringers intravenous solution
|
$37.50 |
$37.50 |
$37.50 |
$46.35
|
|
Lactic acid
|
$195.65 |
$195.65 |
$195.65 |
$85.20
|
|
Laparo cholecystectomy/graph
|
$1,427.40 |
$1,427.40 |
$1,427.40 |
$6,870.89
|
|
Lap ing hernia repair init
|
$919.10 |
$919.10 |
$919.10 |
$6,457.82
|
|
Lap ing hernia repair recur
|
$1,406.60 |
$1,406.60 |
$1,406.60 |
$6,376.26
|
|
Lead capillary
|
$61.75 |
$61.75 |
$61.75 |
$66.32
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$877.50 |
$877.50 |
$877.50 |
$1,053.00
|