|
Img rta detcj/mntr ds staff
|
$120.00 |
$120.00 |
$120.00 |
$70.29
|
|
Img rta detc/mntr ds phy/qhp
|
$120.00 |
$120.00 |
$120.00 |
$46.45
|
|
Immobilizer shldr cntor adlt
|
$167.00 |
$167.00 |
$167.00 |
$134.01
|
|
Immobilizer shldr dlx str 24-36in med
|
$77.24 |
$77.24 |
$77.24 |
$80.00
|
|
Immune complex assay
|
$15.58 |
$15.60 |
$618.00 |
$88.80
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$2,547.75 |
$2,547.75 |
$9,947.93 |
$5,617.36
|
|
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution
|
$25,475.28 |
$25,475.28 |
$25,475.28 |
$5,495.02
|
|
Immunoassay tumor antigen quantitative ca 125
|
$157.41 |
$157.41 |
$573.00 |
$123.50
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$157.41 |
$157.41 |
$573.00 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$47.34 |
$47.34 |
$110.00 |
$53.95
|
|
Immunodiffusion nes
|
$16.39 |
$16.39 |
$99.00 |
$53.76
|
|
Immunofixation electrophoresis serum
|
$805.00 |
$805.00 |
$805.00 |
$133.38
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$510.00 |
$510.00 |
$510.00 |
$156.00
|
|
Immunofluorescence per specimen initial single antibody stain
|
$670.00 |
$670.00 |
$670.00 |
$250.00
|
|
Immunoglobulin assay
|
$166.00 |
$166.00 |
$166.00 |
$74.00
|
|
Immunology procedure
|
$264.00 |
$264.00 |
$264.00 |
$281.45
|
|
Implant hormone pellet(s) 11980
|
$1,024.00 |
$1,024.00 |
$1,024.00 |
$315.75
|
|
Implant neuroelectrodes
|
$22,562.00 |
$22,562.00 |
$22,562.00 |
$19,287.34
|
|
Implant neuroelectrodes
|
$12,465.00 |
$12,465.00 |
$12,465.00 |
$7,345.58
|
|
Implant neuroelectrodes
|
$23,503.00 |
$23,503.00 |
$23,503.00 |
$7,266.73
|
|
Implant single ventricular device 33975
|
$6,967.00 |
$6,967.00 |
$6,967.00 |
$5,053.23
|
|
Implant spine infusion pump
|
$21,730.00 |
$21,730.00 |
$21,730.00 |
$18,613.91
|
|
Implant tcat pulm vlv perq
|
$47,561.00 |
$47,561.00 |
$47,561.00 |
$18,494.40
|
|
Impl ear abutment ba300 9mm
|
$14,253.00 |
$14,253.00 |
$14,253.00 |
$2,446.55
|
|
Impl neurostim electr perc
|
$23,503.00 |
$23,503.00 |
$23,503.00 |
$7,636.00
|
|
In-111 oxyquinolin per 0.5 mci
|
$4,835.89 |
$4,835.89 |
$5,175.30 |
$2,808.00
|
|
In-111 pentetate dtpa / 0.5 mci
|
$1,197.89 |
$1,197.89 |
$1,282.35 |
$2,135.29
|
|
Incise/drain eyelid lining
|
$3,057.00 |
$3,057.00 |
$3,057.00 |
$1,215.48
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$5,498.00 |
$5,498.00 |
$5,498.00 |
$2,261.20
|
|
Incision of achilles tendon
|
$1,683.00 |
$1,683.00 |
$1,683.00 |
$3,306.48
|
|
Incision of breast lesion
|
$5,311.00 |
$5,311.00 |
$5,311.00 |
$3,029.60
|
|
Incision of burn scab initi
|
$1,305.00 |
$1,305.00 |
$1,305.00 |
$501.00
|
|
Incision of eardrum
|
$643.00 |
$643.00 |
$643.00 |
$470.73
|
|
Incision of eardrum
|
$10,326.00 |
$10,326.00 |
$10,326.00 |
$3,589.62
|
|
Incision of foot fascia
|
$9,074.00 |
$9,074.00 |
$9,074.00 |
$4,499.12
|
|
Incision of heel bone
|
$9,824.00 |
$9,824.00 |
$9,824.00 |
$6,004.47
|
|
Incision of metatarsal
|
$9,466.00 |
$9,466.00 |
$9,466.00 |
$3,594.44
|
|
Incision of midfoot bones
|
$5,086.00 |
$5,086.00 |
$5,086.00 |
$6,004.47
|
|
Incision of tendon sheath
|
$9,363.00 |
$9,363.00 |
$9,363.00 |
$2,263.68
|
|
Incision of thigh tendon
|
$3,491.00 |
$3,491.00 |
$3,491.00 |
$4,499.12
|
|
Incision of thigh tendons
|
$3,491.00 |
$3,491.00 |
$3,491.00 |
$4,627.00
|
|
Incision of tibia
|
$24,234.00 |
$24,234.00 |
$24,234.00 |
$5,886.74
|
|
Incision of toe tendons 28011
|
$4,270.00 |
$4,270.00 |
$4,270.00 |
$2,068.30
|
|
Incision of tongue fold
|
$5,107.00 |
$5,107.00 |
$5,107.00 |
$1,865.58
|
|
Incision of urethra
|
$6,759.00 |
$6,759.00 |
$6,759.00 |
$3,549.60
|
|
Incision tendon sheath
|
$9,270.00 |
$9,270.00 |
$9,270.00 |
$2,309.40
|
|
Incisn of toe tndn
|
$4,270.00 |
$4,270.00 |
$4,270.00 |
$2,298.99
|
|
Incisn windpipe
|
$8,332.00 |
$8,332.00 |
$8,332.00 |
$3,837.72
|
|
Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s)
|
$219.00 |
$219.00 |
$219.00 |
$137.15
|
|
Infect ag drug suscept pheno predict
|
$48.95 |
$48.95 |
$1,165.00 |
$325.00
|
|
Infect ag eia chlamydia trachomatis
|
$852.10 |
$852.10 |
$852.10 |
$16.50
|
|
Infect ag eia influenza a or b ea
|
$250.00 |
$250.00 |
$250.00 |
$69.03
|
|
Infect ag genotype na cytomegalovirus
|
$2,300.00 |
$2,300.00 |
$2,300.00 |
$603.41
|
|
Infect ag genotype na dna hepatitis b
|
$1,226.00 |
$1,226.00 |
$1,226.00 |
$500.40
|
|
Infect ag genotype na hiv-1 other region
|
$326.00 |
$326.00 |
$326.00 |
$301.50
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$96.37 |
$96.70 |
$530.00 |
$574.60
|
|
Infect ag ia direct hiv-1 antgn
|
$285.00 |
$285.00 |
$285.00 |
$95.55
|
|
Infect ag ia optc obs influenza
|
$445.00 |
$1,537.58 |
$1,572.30 |
$66.72
|
|
Infect ag if ea plyvlnt antsrm
|
$18.45 |
$18.45 |
$18.45 |
$37.74
|
|
Infect ag if influenza a
|
$11.18 |
$11.20 |
$57.00 |
$40.61
|
|
Infect ag if influenza b
|
$11.18 |
$11.20 |
$57.00 |
$34.67
|
|
Infect ag if legionella pneumophila
|
$34.10 |
$34.10 |
$155.00 |
$75.79
|
|
Infect ag if nos ea
|
$11.30 |
$11.30 |
$254.00 |
$60.40
|
|
Infect ag if pneumocystis carinii
|
$56.93 |
$56.93 |
$188.00 |
$62.29
|
|
Infect ag if varicella zoster
|
$16.50 |
$63.77 |
$540.00 |
$66.00
|
|
Infect ag na hep b amp
|
$137.05 |
$137.05 |
$201.00 |
$108.44
|
|
Infect ag na herpes simplex quant
|
$941.00 |
$941.00 |
$941.00 |
$145.20
|
|
Infect ag na hpv high-risk types
|
$415.00 |
$415.00 |
$415.00 |
$139.75
|
|
Infect ag na influenza r/amp 1st 2 types
|
$197.92 |
$197.92 |
$198.55 |
$227.96
|
|
Infect ag na influenza revr/amp ea type
|
$219.78 |
$220.50 |
$1,057.00 |
$124.80
|
|
Infect ag na orthopoxvirus amp prb each
|
$91.48 |
$91.80 |
$418.00 |
$102.00
|
|
Infect ag na resp virus 12-25 targets
|
$495.13 |
$495.13 |
$2,736.00 |
$859.44
|
|
Infect ag phenotype na hiv-1 1-10 drugs
|
$864.10 |
$864.10 |
$2,797.00 |
$714.67
|
|
Infect ag phenotype na hiv-1 ea addl drg
|
$716.00 |
$716.00 |
$716.00 |
$77.00
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$242.00 |
$242.00 |
$242.00 |
$81.44
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$93.00 |
$93.00 |
$155.00 |
$63.60
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$211.00 |
$211.00 |
$211.00 |
$80.05
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$21.41 |
$21.41 |
$211.00 |
$77.28
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$461.00 |
$461.00 |
$461.00 |
$83.50
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$79.33 |
$79.33 |
$525.00 |
$77.72
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$116.00 |
$116.00 |
$116.00 |
$55.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$28.61 |
$101.00 |
$656.00 |
$101.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$575.00 |
$575.00 |
$575.00 |
$132.60
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$210.00 |
$210.00 |
$1,209.00 |
$97.50
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$103.00 |
$103.00 |
$239.26 |
$60.00
|
|
Infectious agent nucleic acid amplified probe
|
$1,322.00 |
$1,322.00 |
$1,322.00 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$380.00 |
$380.00 |
$380.00 |
$141.48
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$77.65 |
$77.65 |
$844.00 |
$174.06
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$2,733.00 |
$2,733.00 |
$2,733.00 |
$855.45
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$38.71 |
$38.71 |
$983.00 |
$178.00
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$582.00 |
$582.00 |
$582.00 |
$150.15
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$118.80 |
$119.20 |
$320.00 |
$210.00
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$380.00 |
$380.00 |
$380.00 |
$136.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$243.83 |
$299.00 |
$343.00 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$708.00 |
$708.00 |
$708.00 |
$222.60
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$807.00 |
$807.00 |
$807.00 |
$248.15
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$555.00 |
$555.00 |
$555.00 |
$98.15
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$41.69 |
$43.65 |
$467.00 |
$112.45
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$557.00 |
$557.00 |
$557.00 |
$200.20
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$2,007.00 |
$2,007.00 |
$2,007.00 |
$727.50
|
