|
Immunofixation electrophoresis serum
|
$163.98 |
$163.98 |
$163.98 |
$142.50
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$17.97 |
$17.97 |
$17.97 |
$154.05
|
|
Immunofluorescence per specimen initial single antibody stain
|
$97.20 |
$97.20 |
$97.20 |
$231.40
|
|
Immunoglobulin assay
|
$23.58 |
$23.58 |
$23.58 |
$75.88
|
|
Immunology procedure
|
$18.00 |
$18.00 |
$18.00 |
$142.56
|
|
Implant cartilage 10mm synthetic
|
$12,600.00 |
$12,600.00 |
$12,600.00 |
$8,184.00
|
|
Implant neuroelectrodes
|
$555.12 |
$555.12 |
$555.12 |
$18,334.40
|
|
Implant ureth bulk agent
|
$1,242.00 |
$1,242.00 |
$1,242.00 |
$2,168.00
|
|
Implnt bio implnt for soft tiss reinforcement 15777
|
$137.88 |
$137.88 |
$137.88 |
$1,072.00
|
|
In-111 autol wbc diag per dose
|
$1,191.96 |
$1,191.96 |
$1,191.96 |
$3,523.65
|
|
In-111 oxyquinolin per 0.5 mci
|
$673.74 |
$673.74 |
$673.74 |
$2,581.82
|
|
In-111 pentetate dtpa / 0.5 mci
|
$2,330.46 |
$2,330.46 |
$2,330.46 |
$2,598.17
|
|
In-111 pentetreotide
|
$1,546.38 |
$1,546.38 |
$1,546.38 |
$5,201.00
|
|
Inc dp opn b1 crtx hum/elbw
|
$353.34 |
$353.34 |
$353.34 |
$3,821.05
|
|
Incis 1 vertebral seg cerv
|
$1,167.12 |
$1,167.12 |
$1,167.12 |
$4,297.60
|
|
Incis 1 vertebral seg lumbar
|
$997.02 |
$997.02 |
$997.02 |
$3,628.80
|
|
Incis 1 vertebral seg thorac
|
$998.28 |
$998.28 |
$998.28 |
$3,619.20
|
|
Incis addl spine segment
|
$228.24 |
$228.24 |
$228.24 |
$880.00
|
|
Incise thigh tendon & fascia
|
$331.38 |
$331.38 |
$331.38 |
$3,839.54
|
|
Incise wrist/forearm tendon
|
$302.58 |
$302.58 |
$302.58 |
$3,786.00
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$1,751.76 |
$1,751.76 |
$1,751.76 |
$2,056.93
|
|
Incision & drainage open of deep abscess (subfascial) pos
|
$646.02 |
$646.02 |
$646.02 |
$2,312.00
|
|
Incision of anal sphincter
|
$89.10 |
$89.10 |
$89.10 |
$3,245.23
|
|
Incision of breast lesion
|
$181.26 |
$181.26 |
$181.26 |
$2,560.80
|
|
Incision of foot fascia
|
$749.88 |
$749.88 |
$749.88 |
$4,570.33
|
|
Incision of hip tendon
|
$266.22 |
$266.22 |
$266.22 |
$3,460.88
|
|
Incision of hip tendon
|
$408.60 |
$408.60 |
$408.60 |
$7,907.11
|
|
Incision of hip tendons
|
$484.56 |
$484.56 |
$484.56 |
$3,839.54
|
|
Incision of knee joint
|
$546.12 |
$546.12 |
$546.12 |
$3,976.00
|
|
Incision of tendon sheath
|
$244.80 |
$244.80 |
$244.80 |
$2,211.05
|
|
Incision of thigh tendon
|
$237.60 |
$237.60 |
$237.60 |
$4,491.50
|
|
Incision of tibia
|
$498.78 |
$498.78 |
$498.78 |
$7,907.11
|
|
Incision tendon sheath
|
$886.68 |
$886.68 |
$886.68 |
$3,073.20
|
|
Incisn of toe tndn
|
$514.98 |
$514.98 |
$514.98 |
$2,627.96
|
|
Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s)
|
$125.46 |
$125.46 |
$125.46 |
$137.15
|
|
Infect ag drug suscept pheno predict
|
$72.93 |
$72.93 |
$72.93 |
$323.20
|
|
Infect ag eia influenza a or b ea
|
$65.70 |
$65.70 |
$65.70 |
$71.50
|
|
Infect ag genotype na cytomegalovirus
|
$46.34 |
$46.34 |
$46.34 |
$661.80
|
|
Infect ag genotype na dna hepatitis b
|
$63.54 |
$63.54 |
$63.54 |
$405.30
|
|
Infect ag genotype na hiv-1 other region
|
$28.06 |
$28.06 |
$28.06 |
$386.40
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$76.18 |
$76.18 |
$76.18 |
$603.75
|
|
Infect ag ia optc obs influenza
|
$54.72 |
$54.72 |
$54.72 |
$72.93
|
|
Infect ag if hep delta agent
|
$22.50 |
$22.50 |
$22.50 |
$125.97
|
|
Infect ag if influenza a
|
$2.89 |
$2.89 |
$2.89 |
$41.30
|
|
Infect ag if influenza b
|
$35.10 |
$35.10 |
$35.10 |
$40.08
|
|
Infect ag if legionella pneumophila
|
$1.82 |
$1.82 |
$1.82 |
$72.58
|
|
Infect ag if nos ea
|
$1.82 |
$1.82 |
$1.82 |
$74.88
|
|
Infect ag if pneumocystis carinii
|
$66.60 |
$66.60 |
$66.60 |
$66.00
|
|
Infect ag if varicella zoster
|
$1.82 |
$1.82 |
$1.82 |
$70.70
|
|
Infect ag na hpv high-risk types
|
$125.46 |
$125.46 |
$125.46 |
$139.75
|
|
Infect ag na influenza r/amp 1st 2 types
|
$135.00 |
$135.00 |
$135.00 |
$219.70
|
|
Infect ag na orthopoxvirus amp prb each
|
$15.30 |
$15.30 |
$15.30 |
$99.36
|
|
Infect ag na resp virus 12-25 targets
|
$373.14 |
$373.14 |
$373.14 |
$835.80
|
|
Infect ag phenotype na hiv-1 1-10 drugs
|
$105.74 |
$105.74 |
$105.74 |
$943.80
|
|
Infect ag phenotype na hiv-1 ea addl drg
|
$7.74 |
$7.74 |
$7.74 |
$75.63
|
|
Infectious agent antigen immunoassay direct optical observation sars-cov-2
|
$23.04 |
$23.04 |
$23.04 |
$53.00
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$192.96 |
$192.96 |
$192.96 |
$82.00
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$39.96 |
$39.96 |
$39.96 |
$72.80
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$59.22 |
$59.22 |
$59.22 |
$76.32
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$38.34 |
$38.34 |
$38.34 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$2.60 |
$2.60 |
$2.60 |
$100.02
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$76.50 |
$76.50 |
$76.50 |
$81.20
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$56.52 |
$56.52 |
$56.52 |
$60.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$118.26 |
$118.26 |
$118.26 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$192.96 |
$192.96 |
$192.96 |
$129.00
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$71.46 |
$71.46 |
$71.46 |
$98.02
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$1.59 |
$1.59 |
$1.59 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$128.70 |
$128.70 |
$128.70 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$139.86 |
$139.86 |
$139.86 |
$139.68
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$132.12 |
$132.12 |
$132.12 |
$167.00
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$281.88 |
$281.88 |
$281.88 |
$861.00
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$30.06 |
$30.06 |
$30.06 |
$179.92
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$142.02 |
$142.02 |
$142.02 |
$147.55
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$128.70 |
$128.70 |
$128.70 |
$217.85
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$139.86 |
$139.86 |
$139.86 |
$136.03
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$72.18 |
$72.18 |
$72.18 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$115.56 |
$115.56 |
$115.56 |
$236.08
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$123.30 |
$123.30 |
$123.30 |
$92.50
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$6.32 |
$6.32 |
$6.32 |
$108.75
|
|
Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae
|
$139.86 |
$139.86 |
$139.86 |
$211.00
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$128.70 |
$128.70 |
$128.70 |
$185.00
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$495.18 |
$495.18 |
$495.18 |
$727.50
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$20.53 |
$20.53 |
$20.53 |
$286.06
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$150.48 |
$150.48 |
$150.48 |
$423.53
|
|
Infectious agent nucleic acid quantification bk virus
|
$97.02 |
$97.02 |
$97.02 |
$279.40
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$6.85 |
$6.85 |
$6.85 |
$239.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$109.62 |
$109.62 |
$109.62 |
$252.00
|
|
Infectious agent nucleic acid quantification hiv-1
|
$16.83 |
$16.83 |
$16.83 |
$374.00
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$91.62 |
$91.62 |
$91.62 |
$303.59
|
|
Infliximab 100 mg intravenous solution
|
$1,123.16 |
$1,123.16 |
$1,123.16 |
$2,080.86
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$930.01 |
$930.01 |
$930.01 |
$1,537.84
|
|
Infuse radioactive materials
|
$279.72 |
$279.72 |
$279.72 |
$640.50
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$156.06 |
$156.06 |
$156.06 |
$293.25
|
|
Initial nursing facility care/day 35 minutes
|
$62.28 |
$62.28 |
$62.28 |
$188.50
|
|
Initial nursing facility care/day 45 minutes
|
$84.78 |
$84.78 |
$84.78 |
$236.80
|
|
Initial nursing facility care/day low severity 99304
|
$37.44 |
$37.44 |
$37.44 |
$128.00
|
|
Initiation & management bipap/cpap initial day
|
$1,255.32 |
$1,255.32 |
$1,255.32 |
$576.00
|
|
Init pm e/m new pat 65+ yrs
|
$45.90 |
$45.90 |
$45.90 |
$185.90
|
|
Inj, abilify maintena, 1 mg
|
$2,854.49 |
$2,854.49 |
$2,854.49 |
$5,355.30
|
|
Inj allopurinol sodium 1 mg
|
$502.79 |
$502.79 |
$502.79 |
$6,968.99
|