|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$169.00 |
$169.00 |
$169.00 |
$6,106.32
|
|
Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution
|
$5,326.31 |
$5,326.31 |
$5,326.31 |
$2,900.11
|
|
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution
|
$45.45 |
$45.45 |
$45.45 |
$3,846.15
|
|
Immunoassay tumor antigen quantitative ca 125
|
$59.80 |
$59.80 |
$59.80 |
$132.00
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$76.70 |
$76.70 |
$76.70 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$34.45 |
$34.45 |
$34.45 |
$48.57
|
|
Immunofixation electrophoresis serum
|
$42.25 |
$42.25 |
$42.25 |
$142.50
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$192.40 |
$192.40 |
$192.40 |
$154.05
|
|
Immunofluorescence per specimen initial single antibody stain
|
$243.10 |
$243.10 |
$243.10 |
$234.27
|
|
Immunoglobulin assay
|
$45.50 |
$45.50 |
$45.50 |
$78.00
|
|
Immunology procedure
|
$204.10 |
$204.10 |
$204.10 |
$150.70
|
|
Impl absrb msh/prsth dly cls
|
$1,833.00 |
$1,833.00 |
$1,833.00 |
$750.40
|
|
Implantation iris prosthesis
|
$3,051.75 |
$3,051.75 |
$3,051.75 |
$19,332.98
|
|
Implant cartilage 10mm synthetic
|
$84.50 |
$84.50 |
$84.50 |
$8,332.51
|
|
Implant neuroelectrodes
|
$19,846.45 |
$19,846.45 |
$19,846.45 |
$7,728.86
|
|
Implant neurostim arrays
|
$2,839.85 |
$2,839.85 |
$2,839.85 |
$23,262.40
|
|
Implant spinal canal cath
|
$3,031.60 |
$3,031.60 |
$3,031.60 |
$8,184.80
|
|
Implant spine infusion pump
|
$1,300.00 |
$1,300.00 |
$1,300.00 |
$17,262.84
|
|
Implant ureter in bowel
|
$4,693.00 |
$4,693.00 |
$4,693.00 |
$2,898.56
|
|
Implant ureth bulk agent
|
$390.00 |
$390.00 |
$390.00 |
$2,168.00
|
|
Implnt bio implnt for soft tiss reinforcement 15777
|
$949.00 |
$949.00 |
$949.00 |
$1,072.00
|
|
Implnt spinl canal catheter 62350
|
$1,730.30 |
$1,730.30 |
$1,730.30 |
$5,095.20
|
|
Impl oi implt sk tc esp>=100
|
$2,592.20 |
$2,592.20 |
$2,592.20 |
$15,226.08
|
|
Imuglucerase injection
|
$4,098.43 |
$4,098.43 |
$4,098.43 |
$3,399.59
|
|
In-111 autol wbc diag per dose
|
$3,523.65 |
$3,523.65 |
$3,523.65 |
$3,493.75
|
|
In-111 capromab pendet
|
$2,624.70 |
$2,624.70 |
$2,624.70 |
$3,141.45
|
|
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 |
$3,230.50 |
$2,598.17
|
|
In-111 pentetreotide
|
$7,549.10 |
$7,549.10 |
$7,549.10 |
$5,294.90
|
|
Inactivated je vacc im
|
$1,380.97 |
$1,380.97 |
$1,380.97 |
$481.34
|
|
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 thigh tendon & fascia
|
$1,606.80 |
$1,606.80 |
$1,606.80 |
$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 of anal sphincter
|
$655.20 |
$655.20 |
$655.20 |
$3,245.23
|
|
Incision of breast lesion
|
$2,711.80 |
$2,711.80 |
$2,711.80 |
$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 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 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 spinal nerve 64772
|
$2,038.40 |
$2,038.40 |
$2,038.40 |
$2,685.07
|
|
Incision of tendon sheath
|
$923.00 |
$923.00 |
$923.00 |
$2,263.68
|
|
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
|
$7,656.35 |
$7,656.35 |
$7,656.35 |
$3,198.58
|
|
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 adl seg
|
$2,511.60 |
$2,511.60 |
$2,511.60 |
$1,416.00
|
|
Incis spine 3 column thorac
|
$9,666.80 |
$9,666.80 |
$9,666.80 |
$5,900.80
|
|
Incobotulinumtoxin a
|
$1,195.74 |
$1,195.74 |
$1,195.74 |
$1,339.57
|
|
Indigotindisulfonate 8 mg/ml soln 5 ml ampule
|
$187.20 |
$187.20 |
$187.20 |
$766.66
|
|
Induced ab 1+ vag sup w/dlv fetus
|
$2,352.35 |
$2,352.35 |
$2,352.35 |
$1,997.99
|
|
Induced abortion d&c
|
$782.60 |
$782.60 |
$782.60 |
$3,762.53
|
|
Induction of vomiting
|
$53.30 |
$53.30 |
$53.30 |
$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 influenza a or b ea
|
$48.10 |
$48.10 |
$48.10 |
$71.20
|
|
Infect ag genotype na cytomegalovirus
|
$461.50 |
$461.50 |
$461.50 |
$665.40
|
|
Infect ag genotype na dna hepatitis b
|
$788.45 |
$788.45 |
$788.45 |
$409.27
|
|
Infect ag genotype na hiv-1 other region
|
$289.90 |
$289.90 |
$289.90 |
$361.65
|
|
Infect ag ia optc obs influenza
|
$70.20 |
$70.20 |
$70.20 |
$72.93
|
|
Infect ag na herpes simplex quant
|
$474.50 |
$474.50 |
$474.50 |
$178.86
|
|
Infect ag na hpv high-risk types
|
$57.20 |
$57.20 |
$57.20 |
$139.20
|
|
Infect ag na influenza r/amp 1st 2 types
|
$403.00 |
$403.00 |
$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
|
$338.65 |
$338.65 |
$338.65 |
$854.70
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$70.85 |
$70.85 |
$70.85 |
$83.60
|
|
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
|
$36.40 |
$36.40 |
$36.40 |
$103.40
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$65.65 |
$65.65 |
$65.65 |
$81.20
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$44.20 |
$44.20 |
$44.20 |
$60.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$120.90 |
$120.90 |
$120.90 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$161.85 |
$161.85 |
$161.85 |
$129.00
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$14.30 |
$14.30 |
$14.30 |
$98.58
|
|
Infectious agent nucleic acid amplified probe
|
$332.80 |
$332.80 |
$332.80 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$102.05 |
$102.05 |
$102.05 |
$141.95
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$225.55 |
$225.55 |
$225.55 |
$167.05
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$699.40 |
$699.40 |
$699.40 |
$864.67
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$190.45 |
$190.45 |
$190.45 |
$181.35
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$163.15 |
$163.15 |
$163.15 |
$149.13
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$217.10 |
$217.10 |
$217.10 |
$212.16
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$69.55 |
$69.55 |
$69.55 |
$137.67
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$216.45 |
$216.45 |
$216.45 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$601.25 |
$601.25 |
$601.25 |
$206.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$364.00 |
$364.00 |
$364.00 |
$236.08
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$63.70 |
$63.70 |
$63.70 |
$96.00
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$48.75 |
$48.75 |
$48.75 |
$112.45
|
|
Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae
|
$314.60 |
$314.60 |
$314.60 |
$217.60
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$323.05 |
$323.05 |
$323.05 |
$195.60
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$1,698.45 |
$1,698.45 |
$1,698.45 |
$727.50
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$540.80 |
$540.80 |
$540.80 |
$289.91
|
|
Infectious agent nucleic acid quantification bk virus
|
$211.90 |
$211.90 |
$211.90 |
$283.00
|