|
In-111 oxyquinolin per 0.5 mci
|
$3,596.45 |
$3,596.45 |
$3,596.45 |
$2,753.23
|
|
In-111 pentetate dtpa / 0.5 mci
|
$3,230.50 |
$3,230.50 |
$61,752.00 |
$2,598.17
|
|
In-111 pentetreotide
|
$7,549.10 |
$7,549.10 |
$9,921.00 |
$5,294.90
|
|
Inactivated je vacc im
|
$1,380.97 |
$1,380.97 |
$1,380.97 |
$481.34
|
|
Inc deep opng b1 crtx thorax
|
$1,612.00 |
$1,612.00 |
$1,612.00 |
$1,612.00
|
|
Incis 1 vertebral seg cerv
|
$6,598.80 |
$6,598.80 |
$6,598.80 |
$4,297.60
|
|
Incis 1 vertebral seg lumbar
|
$5,465.20 |
$5,465.20 |
$5,465.20 |
$3,628.80
|
|
Incis 1 vertebral seg thorac
|
$5,457.40 |
$5,457.40 |
$5,457.40 |
$3,619.20
|
|
Incis addl spine segment
|
$1,724.45 |
$1,724.45 |
$1,724.45 |
$880.00
|
|
Incise flexor carpi radialis
|
$985.40 |
$985.40 |
$985.40 |
$3,839.54
|
|
Incise hand/finger tendon
|
$930.80 |
$930.80 |
$930.80 |
$2,007.15
|
|
Incise inner ear
|
$4,813.90 |
$4,813.90 |
$4,813.90 |
$2,186.08
|
|
Incise inner eye adhesions
|
$2,050.75 |
$2,050.75 |
$2,050.75 |
$1,202.90
|
|
Incise skull for treatment
|
$6,029.40 |
$6,029.40 |
$6,029.40 |
$7,181.20
|
|
Incise skull repair
|
$6,586.45 |
$6,586.45 |
$6,586.45 |
$2,142.26
|
|
Incise skull/sutures
|
$6,060.60 |
$6,060.60 |
$6,060.60 |
$2,583.71
|
|
Incise spine nrv >2 segmnts
|
$29,417.70 |
$29,417.70 |
$29,417.70 |
$4,911.40
|
|
Incise spine nrv half segmnt
|
$21,046.35 |
$21,046.35 |
$21,046.35 |
$8,787.48
|
|
Incise tear duct opening 68440
|
$1,117.35 |
$1,117.35 |
$1,117.35 |
$841.43
|
|
Incise thigh tendon & fascia
|
$1,606.80 |
$1,606.80 |
$1,606.80 |
$3,839.54
|
|
Incise wrist/forearm tendon
|
$1,411.80 |
$1,411.80 |
$1,411.80 |
$3,839.54
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$3,949.40 |
$3,949.40 |
$3,949.40 |
$2,086.70
|
|
Incision & drainage open of deep abscess (subfascial) pos
|
$3,315.00 |
$3,315.00 |
$3,315.00 |
$2,312.00
|
|
Incision/fixation of femur
|
$5,275.40 |
$5,275.40 |
$5,275.40 |
$5,275.40
|
|
Incision of anal sphincter
|
$655.20 |
$655.20 |
$655.20 |
$3,245.23
|
|
Incision of bile duct 47420
|
$6,300.45 |
$6,300.45 |
$6,300.45 |
$2,788.80
|
|
Incision of breast lesion
|
$3,949.40 |
$3,949.40 |
$3,949.40 |
$2,577.85
|
|
Incision of eardrum
|
$754.65 |
$754.65 |
$754.65 |
$552.75
|
|
Incision of eardrum
|
$508.95 |
$508.95 |
$508.95 |
$3,837.72
|
|
Incision of eyelid
|
$3,619.85 |
$3,619.85 |
$3,619.85 |
$1,835.60
|
|
Incision of fibula
|
$1,242.80 |
$1,242.80 |
$1,242.80 |
$3,839.54
|
|
Incision of finger tendon
|
$977.60 |
$977.60 |
$977.60 |
$1,893.86
|
|
Incision of foot tendon 28234
|
$920.40 |
$920.40 |
$920.40 |
$2,211.05
|
|
Incision of gallbladder 47480
|
$3,445.00 |
$3,445.00 |
$3,445.00 |
$1,650.00
|
|
Incision of liver duct
|
$9,453.60 |
$9,453.60 |
$9,453.60 |
$3,027.14
|
|
Incision of lymph channels
|
$1,770.60 |
$1,770.60 |
$1,770.60 |
$4,570.46
|
|
Incision of metatarsal
|
$1,424.80 |
$1,424.80 |
$1,424.80 |
$3,786.00
|
|
Incision of palm tendon
|
$985.40 |
$985.40 |
$985.40 |
$3,839.54
|
|
Incision of prostate
|
$2,022.80 |
$2,022.80 |
$2,022.80 |
$4,081.37
|
|
Incision of rectal abscess
|
$10,249.85 |
$10,249.85 |
$10,249.85 |
$3,245.23
|
|
Incision of small bowel 44010
|
$3,707.60 |
$3,707.60 |
$3,707.60 |
$1,362.00
|
|
Incision of spinal nerve 64772
|
$2,038.40 |
$2,038.40 |
$2,038.40 |
$2,685.07
|
|
Incision of stomach nerves
|
$3,913.00 |
$3,913.00 |
$3,913.00 |
$1,312.64
|
|
Incision of tendon & muscle
|
$2,220.40 |
$2,220.40 |
$2,220.40 |
$5,855.00
|
|
Incision of tendon sheath
|
$923.00 |
$923.00 |
$923.00 |
$2,263.68
|
|
Incision of thigh
|
$3,798.60 |
$3,798.60 |
$3,798.60 |
$4,998.40
|
|
Incision of tibia
|
$2,823.60 |
$2,823.60 |
$2,823.60 |
$6,311.00
|
|
Incision of toe tendons 28011
|
$5,981.95 |
$5,981.95 |
$5,981.95 |
$2,119.12
|
|
Incision of tongue fold
|
$5,536.70 |
$5,536.70 |
$5,536.70 |
$1,792.50
|
|
Incision of urethra
|
$1,157.00 |
$1,157.00 |
$1,157.00 |
$5,626.86
|
|
Incision of urethra
|
$7,656.35 |
$7,656.35 |
$7,656.35 |
$3,198.58
|
|
Incision of windpipe
|
$3,120.00 |
$3,120.00 |
$3,120.00 |
$5,855.00
|
|
Incision of wrist capsule
|
$1,466.40 |
$1,466.40 |
$1,466.40 |
$3,839.54
|
|
Incision tendon sheath
|
$5,981.95 |
$5,981.95 |
$5,981.95 |
$3,073.20
|
|
Incisn of toe tndn
|
$5,981.95 |
$5,981.95 |
$5,981.95 |
$2,667.00
|
|
Incisn windpipe
|
$12,121.20 |
$12,121.20 |
$12,121.20 |
$3,819.23
|
|
Incis spine 3 column lumbar
|
$9,536.80 |
$9,536.80 |
$9,536.80 |
$5,801.60
|
|
Incobotulinumtoxin a
|
$1,195.74 |
$1,195.74 |
$1,195.74 |
$1,339.57
|
|
Inc&subq plmt crnl bone grf
|
$361.40 |
$361.40 |
$361.40 |
$205.60
|
|
Indigotindisulfonate 8 mg/ml soln 5 ml ampule
|
$187.20 |
$187.20 |
$187.20 |
$766.66
|
|
Induced ab 1+ vag sup w/dlv fetus
|
$1,671.80 |
$1,671.80 |
$1,671.80 |
$1,997.99
|
|
Induction of vomiting
|
$149.50 |
$149.50 |
$149.50 |
$126.72
|
|
Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s)
|
$295.75 |
$295.75 |
$295.75 |
$140.80
|
|
Infect ag drug suscept pheno predict
|
$258.05 |
$258.05 |
$258.05 |
$325.00
|
|
Infect ag eia chlamydia trachomatis
|
$16.00 |
$16.00 |
$16.00 |
$67.20
|
|
Infect ag eia influenza a or b ea
|
$48.10 |
$48.10 |
$48.10 |
$71.20
|
|
Infect ag genotype na cytomegalovirus
|
$636.35 |
$636.35 |
$636.35 |
$665.40
|
|
Infect ag genotype na dna hepatitis b
|
$850.85 |
$850.85 |
$850.85 |
$409.27
|
|
Infect ag genotype na hiv-1 other region
|
$289.90 |
$289.90 |
$289.90 |
$361.65
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$447.00 |
$447.00 |
$507.65 |
$603.83
|
|
Infect ag ia direct hiv-1 antgn
|
$111.80 |
$111.80 |
$111.80 |
$95.55
|
|
Infect ag ia optc obs influenza
|
$70.20 |
$70.20 |
$70.20 |
$72.93
|
|
Infect ag if ea plyvlnt antsrm
|
$79.95 |
$79.95 |
$79.95 |
$68.40
|
|
Infect ag if hep delta agent
|
$38.65 |
$38.65 |
$97.50 |
$125.97
|
|
Infect ag if influenza a
|
$446.00 |
$446.00 |
$446.00 |
$41.30
|
|
Infect ag if influenza b
|
$446.00 |
$446.00 |
$446.00 |
$37.95
|
|
Infect ag if legionella pneumophila
|
$107.00 |
$107.00 |
$107.00 |
$73.45
|
|
Infect ag if pneumocystis carinii
|
$333.00 |
$333.00 |
$333.00 |
$66.06
|
|
Infect ag if varicella zoster
|
$66.95 |
$66.95 |
$66.95 |
$72.00
|
|
Infect ag na hep b amp
|
$84.00 |
$84.00 |
$107.90 |
$120.50
|
|
Infect ag na herpes simplex quant
|
$474.50 |
$474.50 |
$474.50 |
$178.86
|
|
Infect ag na hpv high-risk types
|
$105.30 |
$105.30 |
$105.30 |
$139.20
|
|
Infect ag na influenza r/amp 1st 2 types
|
$346.00 |
$346.00 |
$403.00 |
$219.70
|
|
Infect ag na orthopoxvirus amp prb each
|
$118.95 |
$118.95 |
$118.95 |
$100.00
|
|
Infect ag na resp virus 12-25 targets
|
$377.00 |
$377.00 |
$885.00 |
$854.70
|
|
Infect ag phenotype na hiv-1 1-10 drugs
|
$2,234.70 |
$2,234.70 |
$2,234.70 |
$954.00
|
|
Infect ag phenotype na hiv-1 ea addl drg
|
$85.15 |
$85.15 |
$85.15 |
$75.63
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$70.85 |
$70.85 |
$683.00 |
$83.60
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$11.00 |
$11.00 |
$42.25 |
$72.80
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$33.80 |
$33.80 |
$33.80 |
$76.00
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$48.75 |
$48.75 |
$48.75 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$45.50 |
$45.50 |
$991.00 |
$103.40
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$103.35 |
$103.35 |
$103.35 |
$81.20
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$79.30 |
$79.30 |
$79.30 |
$60.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$143.00 |
$143.00 |
$143.00 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$415.35 |
$415.35 |
$415.35 |
$129.00
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$22.75 |
$22.75 |
$22.75 |
$98.58
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$94.90 |
$94.90 |
$94.90 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$473.20 |
$473.20 |
$473.20 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$217.10 |
$217.10 |
$217.10 |
$141.95
|
