|
Immunofixation electrophoresis serum
|
$79.05 |
$79.05 |
$79.05 |
$133.38
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$76.50 |
$76.50 |
$76.50 |
$156.00
|
|
Immunofluorescence per specimen initial single antibody stain
|
$334.56 |
$334.56 |
$334.56 |
$250.00
|
|
Immunoglobulin assay
|
$94.35 |
$94.35 |
$94.35 |
$74.00
|
|
Impl ahmed 6x25x9.6mm glaucoma vlv w/sil ped ster
|
$3,969.64 |
$3,969.64 |
$3,969.64 |
$5,036.12
|
|
Implant 11 volt lithium-ion backup battery for controller pocket
|
$1,893.38 |
$1,893.38 |
$1,893.38 |
$1,700.00
|
|
Implant cartilage 10mm synthetic
|
$4,908.75 |
$4,908.75 |
$4,908.75 |
$10,924.20
|
|
Implant cochlear osia osi300
|
$12,709.20 |
$12,709.20 |
$12,709.20 |
$16,910.93
|
|
Implant ureth bulk agent
|
$2,607.89 |
$2,607.89 |
$2,607.89 |
$1,933.10
|
|
Impl neurostim electr perc
|
$13,093.23 |
$13,093.23 |
$13,093.23 |
$7,636.00
|
|
Incise flexor carpi radialis
|
$6,740.16 |
$6,740.16 |
$6,740.16 |
$3,839.54
|
|
Incise hand/finger tendon
|
$3,248.19 |
$3,248.19 |
$3,248.19 |
$2,007.15
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$2,923.32 |
$2,923.32 |
$2,923.32 |
$2,261.20
|
|
Incision of breast lesion
|
$3,395.58 |
$3,395.58 |
$3,395.58 |
$3,029.60
|
|
Incision of burn scab initi
|
$844.56 |
$844.56 |
$844.56 |
$501.00
|
|
Incision of eardrum
|
$470.73 |
$470.73 |
$470.73 |
$470.73
|
|
Incision of tendon sheath
|
$3,248.19 |
$3,248.19 |
$3,248.19 |
$2,263.68
|
|
Incision of tongue fold
|
$4,293.18 |
$4,293.18 |
$4,293.18 |
$1,865.58
|
|
Incision of urethra
|
$4,200.87 |
$4,200.87 |
$4,200.87 |
$3,549.60
|
|
Incisn windpipe
|
$5,598.78 |
$5,598.78 |
$5,598.78 |
$3,837.72
|
|
Induced abortion d&c
|
$6,403.05 |
$6,403.05 |
$6,403.05 |
$3,649.80
|
|
Infect ag drug suscept pheno predict
|
$117.81 |
$117.81 |
$117.81 |
$325.00
|
|
Infect ag genotype na dna hepatitis b
|
$212.06 |
$212.06 |
$212.06 |
$500.40
|
|
Infect ag genotype na hiv-1 other region
|
$235.62 |
$235.62 |
$235.62 |
$301.50
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$117.81 |
$117.81 |
$117.81 |
$574.60
|
|
Infect ag ia direct hiv-1 antgn
|
$422.28 |
$422.28 |
$422.28 |
$95.55
|
|
Infect ag if ea plyvlnt antsrm
|
$33.15 |
$33.15 |
$33.15 |
$37.74
|
|
Infect ag if influenza a
|
$24.48 |
$24.48 |
$24.48 |
$40.61
|
|
Infect ag if influenza b
|
$24.48 |
$24.48 |
$24.48 |
$34.67
|
|
Infect ag if legionella pneumophila
|
$7.74 |
$7.74 |
$7.74 |
$75.79
|
|
Infect ag if pneumocystis carinii
|
$63.19 |
$63.19 |
$63.19 |
$62.29
|
|
Infect ag na herpes simplex quant
|
$82.88 |
$82.88 |
$82.88 |
$145.20
|
|
Infect ag na hpv high-risk types
|
$601.80 |
$601.80 |
$601.80 |
$139.75
|
|
Infect ag na influenza r/amp 1st 2 types
|
$466.14 |
$466.14 |
$466.14 |
$227.96
|
|
Infect ag na orthopoxvirus amp prb each
|
$24.99 |
$24.99 |
$24.99 |
$102.00
|
|
Infect ag na resp virus 12-25 targets
|
$2,246.55 |
$2,246.55 |
$2,246.55 |
$859.44
|
|
Infectious agent antigen immunoassay direct optical observation sars-cov-2
|
$73.44 |
$73.44 |
$73.44 |
$47.50
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$320.28 |
$320.28 |
$320.28 |
$81.44
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$320.28 |
$320.28 |
$320.28 |
$80.05
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$165.75 |
$165.75 |
$165.75 |
$77.28
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$73.95 |
$73.95 |
$73.95 |
$83.50
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$233.07 |
$233.07 |
$233.07 |
$77.72
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$12.46 |
$12.46 |
$12.46 |
$55.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$449.31 |
$449.31 |
$449.31 |
$101.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$140.25 |
$140.25 |
$140.25 |
$132.60
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$38.35 |
$38.35 |
$38.35 |
$97.50
|
|
Infectious agent nucleic acid amplified probe
|
$376.38 |
$376.38 |
$376.38 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$602.31 |
$602.31 |
$602.31 |
$141.48
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$1,217.37 |
$1,217.37 |
$1,217.37 |
$174.06
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$693.60 |
$693.60 |
$693.60 |
$855.45
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$72.68 |
$72.68 |
$72.68 |
$178.00
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$608.94 |
$608.94 |
$608.94 |
$150.15
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$364.65 |
$364.65 |
$364.65 |
$210.00
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$602.31 |
$602.31 |
$602.31 |
$136.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$104.55 |
$104.55 |
$104.55 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$1,397.40 |
$1,397.40 |
$1,397.40 |
$222.60
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$131.07 |
$131.07 |
$131.07 |
$248.15
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$301.92 |
$301.92 |
$301.92 |
$98.15
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$290.70 |
$290.70 |
$290.70 |
$112.45
|
|
Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae
|
$104.04 |
$104.04 |
$104.04 |
$282.10
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$970.53 |
$970.53 |
$970.53 |
$489.50
|
|
Infectious agent nucleic acid quantification bk virus
|
$190.74 |
$190.74 |
$190.74 |
$285.66
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$165.75 |
$165.75 |
$165.75 |
$226.35
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$215.22 |
$215.22 |
$215.22 |
$278.78
|
|
Infectious agent nucleic acid quantification hiv-1
|
$150.45 |
$150.45 |
$150.45 |
$381.55
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$1,397.40 |
$1,397.40 |
$1,397.40 |
$298.35
|
|
Infliximab-axxq 100 mg intravenous solution
|
$1,166.66 |
$1,166.66 |
$1,166.66 |
$1,200.75
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$503.88 |
$503.88 |
$503.88 |
$359.64
|
|
Initiation & management bipap/cpap initial day
|
$483.99 |
$483.99 |
$483.99 |
$645.79
|
|
Inj anifrolumab-fnia 1mg
|
$11,775.45 |
$11,775.45 |
$11,775.45 |
$9,151.40
|
|
Inj, bezlotoxumab, 10 mg
|
$9,201.20 |
$9,201.20 |
$9,201.20 |
$8,282.30
|
|
Inj calcitriol per 0.1 mcg
|
$84.15 |
$84.15 |
$84.15 |
$31.69
|
|
Inj cefazolin sodium, hikma
|
$84.15 |
$84.15 |
$84.15 |
$36.11
|
|
Inj, cefiderocol, 10 mg
|
$722.32 |
$722.32 |
$722.32 |
$596.08
|
|
Inj ceftolozane tazobactam
|
$616.62 |
$616.62 |
$616.62 |
$431.36
|
|
Inj cntr knee arthro incl ct/mri
|
$9,150.93 |
$9,150.93 |
$9,150.93 |
$464.28
|
|
Inj crotalidae im f(ab')2 eq
|
$2,859.84 |
$2,859.84 |
$2,859.84 |
$2,735.85
|
|
Inj cyclophosphamd auromedic
|
$1,043.72 |
$1,043.72 |
$1,043.72 |
$1.87
|
|
Inj cyclophosphamd (ingenus)
|
$1,107.62 |
$1,107.62 |
$1,107.62 |
$523.02
|
|
Inj, daptomycin (hospira)
|
$170.47 |
$170.47 |
$170.47 |
$132.80
|
|
Inj dx for sinogram
|
$6,806.46 |
$6,806.46 |
$6,806.46 |
$436.00
|
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
|
$1,459.62 |
$1,459.62 |
$1,459.62 |
$1,214.78
|
|
Injection arthrography hip without anesthesia (both sides)
|
$6,478.02 |
$6,478.02 |
$6,478.02 |
$507.10
|
|
Injection carpal tunnel therapeutic (both sides)
|
$616.08 |
$616.08 |
$616.08 |
$536.00
|
|
Injection, daratumumab 10 mg
|
$8,808.01 |
$8,808.01 |
$8,808.01 |
$5,324.34
|
|
Injection, doxercalciferol
|
$84.15 |
$84.15 |
$84.15 |
$31.83
|
|
Injection during cath supravalvular aortography
|
$138.72 |
$138.72 |
$138.72 |
$1,148.80
|
|
Injection, edaravone, 1 mg
|
$2,870.79 |
$2,870.79 |
$2,870.79 |
$1,516.44
|
|
Injection epidural blood patch or clot
|
$2,506.14 |
$2,506.14 |
$2,506.14 |
$1,473.12
|
|
Injection eye drug
|
$507.45 |
$507.45 |
$507.45 |
$648.90
|
|
Injection for arthrography wrist (both sides)
|
$6,478.02 |
$6,478.02 |
$6,478.02 |
$441.12
|
|
Injection for bladder x-ray
|
$7,450.08 |
$7,450.08 |
$7,450.08 |
$585.00
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$7,450.08 |
$7,450.08 |
$7,450.08 |
$504.00
|
|
Injection for ureter x-ray
|
$7,450.08 |
$7,450.08 |
$7,450.08 |
$515.21
|
|
Injection, fulvestrant
|
$375.64 |
$375.64 |
$375.64 |
$2,295.03
|
|
Injection into hemorrhoid(s)
|
$1,881.90 |
$1,881.90 |
$1,881.90 |
$1,278.72
|
|
Injection,onabotulinumtoxina
|
$1,771.49 |
$1,771.49 |
$1,771.49 |
$2,085.72
|
|
Injection radioactive tracer sentinel node (both sides)
|
$2,093.55 |
$2,093.55 |
$2,093.55 |
$717.20
|
|
Injection, renflexis
|
$1,170.67 |
$1,170.67 |
$1,170.67 |
$1,356.10
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$6,599.40 |
$6,599.40 |
$6,599.40 |
$1,471.50
|