|
Immunofluorescence per specimen each additional single antibody stain
|
$32.12 |
$32.12 |
$32.12 |
$156.00
|
|
Immunofluorescence per specimen initial single antibody stain
|
$118.80 |
$118.80 |
$118.80 |
$232.05
|
|
Immunoglobulin assay
|
$45.32 |
$45.32 |
$45.32 |
$74.15
|
|
Impl ahmed 6x25x9.6mm glaucoma vlv w/sil ped ster
|
$1,259.72 |
$1,259.72 |
$1,259.72 |
$3,840.76
|
|
Implant cartilage 10mm synthetic
|
$17,601.54 |
$17,601.54 |
$17,601.54 |
$10,050.00
|
|
Implant ureth bulk agent
|
$480.48 |
$480.48 |
$480.48 |
$2,139.62
|
|
Imuglucerase injection
|
$795.33 |
$795.33 |
$795.33 |
$3,399.59
|
|
In-111 autol wbc diag per dose
|
$944.90 |
$944.90 |
$944.90 |
$3,567.60
|
|
In-111 oxyquinolin per 0.5 mci
|
$977.90 |
$977.90 |
$977.90 |
$2,568.98
|
|
In-111 pentetate dtpa / 0.5 mci
|
$1,501.28 |
$1,501.28 |
$1,501.28 |
$2,550.60
|
|
In-111 pentetreotide
|
$2,014.10 |
$2,014.10 |
$2,014.10 |
$4,944.55
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$1,648.02 |
$1,648.02 |
$1,648.02 |
$2,080.80
|
|
Incision of hip tendon
|
$1,342.00 |
$1,342.00 |
$1,342.00 |
$2,861.60
|
|
Incisn windpipe
|
$212.08 |
$212.08 |
$212.08 |
$3,819.23
|
|
Induced ab 1+ vag sup w/dlv fetus
|
$286.22 |
$286.22 |
$286.22 |
$1,881.75
|
|
Infect ag drug suscept pheno predict
|
$45.54 |
$45.54 |
$45.54 |
$320.00
|
|
Infect ag eia influenza a or b ea
|
$50.82 |
$50.82 |
$50.82 |
$69.03
|
|
Infect ag genotype na cytomegalovirus
|
$95.96 |
$95.96 |
$95.96 |
$636.35
|
|
Infect ag genotype na hiv-1 other region
|
$45.10 |
$45.10 |
$45.10 |
$326.20
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$142.78 |
$142.78 |
$142.78 |
$603.75
|
|
Infect ag ia optc obs influenza
|
$34.98 |
$34.98 |
$34.98 |
$72.93
|
|
Infect ag if influenza a
|
$2.13 |
$2.13 |
$2.13 |
$40.61
|
|
Infect ag if influenza b
|
$2.13 |
$2.13 |
$2.13 |
$37.95
|
|
Infect ag if pneumocystis carinii
|
$3.08 |
$3.08 |
$3.08 |
$67.46
|
|
Infect ag na hpv high-risk types
|
$93.50 |
$93.50 |
$93.50 |
$139.20
|
|
Infect ag na influenza r/amp 1st 2 types
|
$177.76 |
$177.76 |
$177.76 |
$219.70
|
|
Infect ag na orthopoxvirus amp prb each
|
$18.70 |
$18.70 |
$18.70 |
$99.36
|
|
Infect ag na resp virus 12-25 targets
|
$1,226.50 |
$1,226.50 |
$1,226.50 |
$859.44
|
|
Infect ag phenotype na hiv-1 1-10 drugs
|
$170.94 |
$170.94 |
$170.94 |
$855.60
|
|
Infect ag phenotype na hiv-1 ea addl drg
|
$9.24 |
$9.24 |
$9.24 |
$77.00
|
|
Infectious agent antigen immunoassay direct optical observation sars-cov-2
|
$18.48 |
$18.48 |
$18.48 |
$51.31
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$52.36 |
$52.36 |
$52.36 |
$82.00
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$44.44 |
$44.44 |
$44.44 |
$76.50
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$39.82 |
$39.82 |
$39.82 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$62.70 |
$62.70 |
$62.70 |
$96.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$50.38 |
$50.38 |
$50.38 |
$81.06
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$18.48 |
$18.48 |
$18.48 |
$57.60
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$71.50 |
$71.50 |
$71.50 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$50.38 |
$50.38 |
$50.38 |
$127.80
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$86.90 |
$86.90 |
$86.90 |
$97.50
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$40.92 |
$40.92 |
$40.92 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$103.84 |
$103.84 |
$103.84 |
$267.50
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$88.66 |
$88.66 |
$88.66 |
$137.67
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$205.26 |
$205.26 |
$205.26 |
$167.05
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$1,795.42 |
$1,795.42 |
$1,795.42 |
$861.00
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$34.10 |
$34.10 |
$34.10 |
$181.35
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$166.98 |
$166.98 |
$166.98 |
$151.25
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$97.24 |
$97.24 |
$97.24 |
$201.60
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$88.66 |
$88.66 |
$88.66 |
$135.80
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$44.00 |
$44.00 |
$44.00 |
$100.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$297.88 |
$297.88 |
$297.88 |
$236.08
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$88.66 |
$88.66 |
$88.66 |
$94.53
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$102.74 |
$102.74 |
$102.74 |
$105.00
|
|
Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae
|
$88.66 |
$88.66 |
$88.66 |
$250.50
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$91.08 |
$91.08 |
$91.08 |
$184.80
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$868.34 |
$868.34 |
$868.34 |
$711.93
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$267.74 |
$267.74 |
$267.74 |
$283.20
|
|
Infectious agent nucleic acid quantification bk virus
|
$26.84 |
$26.84 |
$26.84 |
$283.00
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$24.20 |
$24.20 |
$24.20 |
$238.80
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$43.56 |
$43.56 |
$43.56 |
$252.60
|
|
Infectious agent nucleic acid quantification hiv-1
|
$50.38 |
$50.38 |
$50.38 |
$374.50
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$448.80 |
$448.80 |
$448.80 |
$303.59
|
|
Infliximab 100 mg intravenous solution
|
$668.89 |
$668.89 |
$668.89 |
$2,080.86
|
|
Infliximab-axxq 100 mg intravenous solution
|
$336.36 |
$336.36 |
$336.36 |
$1,095.60
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$595.70 |
$595.70 |
$595.70 |
$1,617.43
|
|
Influenza dna amp prob addl
|
$44.88 |
$44.88 |
$44.88 |
$64.26
|
|
Initiation & management bipap/cpap initial day
|
$304.48 |
$304.48 |
$304.48 |
$576.00
|
|
Inj, abilify asimtufii, 1 mg
|
$835.50 |
$835.50 |
$835.50 |
$9,426.91
|
|
Inj alymsys 10 mg
|
$1,483.29 |
$1,483.29 |
$1,483.29 |
$1,483.29
|
|
Inj aval alfa-nqpt 4mg
|
$868.54 |
$868.54 |
$868.54 |
$3,907.30
|
|
Inj., benralizumab, 1 mg
|
$3,596.79 |
$3,596.79 |
$3,596.79 |
$11,604.71
|
|
Inj ceftolozane tazobactam
|
$163.41 |
$163.41 |
$163.41 |
$408.00
|
|
Inj cntr knee arthro incl ct/mri
|
$687.06 |
$687.06 |
$687.06 |
$436.80
|
|
Inj crotalidae im f(ab')2 eq
|
$609.84 |
$609.84 |
$609.84 |
$2,613.60
|
|
Inj cyclophosphamd (ingenus)
|
$3.63 |
$3.63 |
$3.63 |
$742.72
|
|
Inj, donanemab-azbt, 2 mg
|
$413.54 |
$413.54 |
$413.54 |
$1,233.44
|
|
Inj dx for sinogram
|
$462.00 |
$462.00 |
$462.00 |
$413.82
|
|
Injection arthrography hip without anesthesia (both sides)
|
$377.30 |
$377.30 |
$377.30 |
$500.50
|
|
Injection, cangrelor
|
$842.71 |
$842.71 |
$842.71 |
$1,889.78
|
|
Injection carpal tunnel therapeutic (both sides)
|
$36.52 |
$36.52 |
$36.52 |
$504.90
|
|
Injection during cath supravalvular aortography
|
$933.02 |
$933.02 |
$933.02 |
$904.17
|
|
Injection epidural blood patch or clot
|
$823.02 |
$823.02 |
$823.02 |
$1,156.80
|
|
Injection for arthrography wrist (both sides)
|
$572.00 |
$572.00 |
$572.00 |
$441.12
|
|
Injection for bladder x-ray
|
$633.16 |
$633.16 |
$633.16 |
$459.20
|
|
Injection for hip x-ray
|
$214.50 |
$214.50 |
$214.50 |
$669.24
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$502.04 |
$502.04 |
$502.04 |
$494.65
|
|
Injection for ureter x-ray
|
$296.78 |
$296.78 |
$296.78 |
$415.80
|
|
Injection, fulvestrant
|
$66.49 |
$66.49 |
$66.49 |
$1,719.16
|
|
Injection, inclisiran, 1 mg
|
$4,007.61 |
$4,007.61 |
$4,007.61 |
$6,679.35
|
|
Injection jugular
|
$561.44 |
$561.44 |
$561.44 |
$790.00
|
|
Injection,onabotulinumtoxina
|
$602.06 |
$602.06 |
$602.06 |
$2,241.61
|
|
Injection radioactive tracer sentinel node (both sides)
|
$500.28 |
$500.28 |
$500.28 |
$683.28
|
|
Injection, renflexis
|
$477.35 |
$477.35 |
$477.35 |
$1,341.52
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$432.96 |
$432.96 |
$432.96 |
$1,045.65
|
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
|
$1,658.58 |
$1,658.58 |
$1,658.58 |
$1,939.60
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
|
$1,431.76 |
$1,431.76 |
$1,431.76 |
$1,064.70
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
|
$1,071.18 |
$1,071.18 |
$1,071.18 |
$1,961.05
|
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
|
$510.40 |
$510.40 |
$510.40 |
$1,704.78
|
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
|
$492.80 |
$492.80 |
$492.80 |
$460.94
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$326.04 |
$326.04 |
$326.04 |
$517.24
|