|
Impl oi implt sk tc esp<100
|
$16,752.80 |
$16,752.80 |
$16,752.80 |
$22,958.00
|
|
Impl oi implt skull perq esp
|
$80,625.38 |
$80,625.38 |
$80,625.38 |
$13,525.50
|
|
Imp neurosti pls gn any type
|
$181,071.60 |
$181,071.60 |
$181,071.60 |
$8,789.19
|
|
Imuglucerase injection
|
$70.52 |
$70.52 |
$9,883.82 |
$3,399.59
|
|
In-111 autol wbc diag per dose
|
$6,117.30 |
$6,117.30 |
$6,117.30 |
$3,493.75
|
|
In-111 capromab pendet
|
$3,196.38 |
$3,196.38 |
$3,196.38 |
$3,141.45
|
|
In-111 ibritumomab tiux dx
|
$3,125.43 |
$3,125.43 |
$4,630.00 |
$4,748.02
|
|
In-111 pentetate dtpa / 0.5 mci
|
$7,731.50 |
$7,731.50 |
$7,731.50 |
$2,598.17
|
|
In-111 pentetreotide
|
$2,636.37 |
$2,636.37 |
$10,985.80 |
$5,294.90
|
|
In-111 satumomab pend
|
$1,461.90 |
$1,461.90 |
$1,461.90 |
$3,113.04
|
|
Incise/drain eyelid lining
|
$55,929.86 |
$55,929.86 |
$55,929.86 |
$1,271.00
|
|
Incise inner eye adhesions
|
$29,720.93 |
$29,720.93 |
$29,720.93 |
$1,202.90
|
|
Incise inner eye adhesions
|
$13,628.15 |
$13,628.15 |
$13,628.15 |
$2,698.92
|
|
Incise inner eye adhesions
|
$46,902.25 |
$46,902.25 |
$46,902.25 |
$2,940.80
|
|
Incise inner eye adhesions
|
$57,709.43 |
$57,709.43 |
$57,709.43 |
$2,685.92
|
|
Incise nerve back of head
|
$41,796.85 |
$41,796.85 |
$41,796.85 |
$2,685.07
|
|
Incise skull/brain surgery
|
$167,128.19 |
$167,128.19 |
$167,128.19 |
$7,181.20
|
|
Incise tear duct opening 68440
|
$15,604.00 |
$15,604.00 |
$15,604.00 |
$841.43
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$1,780.00 |
$1,780.00 |
$5,876.50 |
$2,086.70
|
|
Incision of achilles tendon
|
$2,230.00 |
$2,230.00 |
$2,230.00 |
$3,318.90
|
|
Incision of anal sphincter
|
$11,659.59 |
$11,659.59 |
$11,659.59 |
$3,245.23
|
|
Incision of breast lesion
|
$1,617.70 |
$1,890.00 |
$2,090.00 |
$2,577.85
|
|
Incision of brow nerve
|
$41,576.21 |
$41,576.21 |
$41,576.21 |
$2,685.07
|
|
Incision of eardrum
|
$6,105.88 |
$6,105.88 |
$6,105.88 |
$552.75
|
|
Incision of eardrum
|
$72,357.89 |
$72,357.89 |
$72,357.89 |
$3,837.72
|
|
Incision of eye
|
$26,651.83 |
$26,651.83 |
$26,651.83 |
$4,306.85
|
|
Incision of facial nerve
|
$43,310.63 |
$43,310.63 |
$43,310.63 |
$3,230.76
|
|
Incision of foot fascia
|
$5,065.00 |
$5,065.00 |
$5,065.00 |
$4,599.40
|
|
Incision of hip tendon
|
$2,070.00 |
$2,070.00 |
$2,070.00 |
$3,885.29
|
|
Incision of iris
|
$36,217.31 |
$36,217.31 |
$36,217.31 |
$2,698.92
|
|
Incision of lymph channels
|
$33,801.12 |
$33,801.12 |
$33,801.12 |
$4,570.46
|
|
Incision of prostate
|
$21,586.90 |
$21,586.90 |
$21,586.90 |
$4,081.37
|
|
Incision of spinal nerve 64772
|
$25,572.78 |
$25,572.78 |
$25,572.78 |
$2,685.07
|
|
Incision of tendon & muscle
|
$6,385.40 |
$6,385.40 |
$8,540.00 |
$5,855.00
|
|
Incision of thigh tendon
|
$2,170.00 |
$2,170.00 |
$2,170.00 |
$4,491.50
|
|
Incision of thigh tendons
|
$4,345.00 |
$4,345.00 |
$4,345.00 |
$5,339.00
|
|
Incision of tongue fold
|
$2,961.70 |
$2,961.70 |
$2,961.70 |
$1,792.50
|
|
Incision of urethra
|
$42,032.72 |
$42,032.72 |
$42,032.72 |
$5,626.86
|
|
Incisn of toe tndn
|
$3,136.70 |
$3,136.70 |
$3,136.70 |
$2,667.00
|
|
Incisn windpipe
|
$2,366.70 |
$2,366.70 |
$2,366.70 |
$3,819.23
|
|
Indigotindisulfonate 8 mg/ml soln 5 ml ampule
|
$1,320.20 |
$1,320.20 |
$1,320.20 |
$766.66
|
|
Induced ab 1+vag supp d&c
|
$21,834.25 |
$21,834.25 |
$21,834.25 |
$1,194.40
|
|
Induced abortion 1+njx d&c
|
$9,415.57 |
$9,415.57 |
$9,415.57 |
$3,106.40
|
|
Induced abortion d&c
|
$14,017.39 |
$14,017.39 |
$14,017.39 |
$3,762.53
|
|
Induced abortion dilat&evac
|
$18,726.29 |
$18,726.29 |
$18,726.29 |
$4,451.18
|
|
Induction of vomiting
|
$131.67 |
$131.67 |
$131.67 |
$126.72
|
|
Infect ag drug suscept pheno predict
|
$182.49 |
$325.00 |
$1,327.90 |
$325.00
|
|
Infect ag genotype na cytomegalovirus
|
$695.00 |
$695.00 |
$2,814.00 |
$665.40
|
|
Infect ag genotype na dna hepatitis b
|
$482.30 |
$482.30 |
$482.30 |
$409.27
|
|
Infect ag genotype na hiv-1 other region
|
$75.57 |
$730.00 |
$1,179.50 |
$361.65
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$233.64 |
$975.00 |
$1,512.70 |
$603.83
|
|
Infect ag ia direct hiv-1 antgn
|
$28.38 |
$132.50 |
$132.50 |
$95.55
|
|
Infect ag ia optc obs influenza
|
$28.38 |
$85.00 |
$85.00 |
$72.93
|
|
Infect ag if legionella pneumophila
|
$42.24 |
$42.24 |
$224.00 |
$73.45
|
|
Infect ag if nos ea
|
$37.95 |
$37.95 |
$135.80 |
$74.88
|
|
Infect ag if pneumocystis carinii
|
$62.50 |
$62.50 |
$114.80 |
$66.06
|
|
Infect ag if varicella zoster
|
$32.67 |
$32.67 |
$32.67 |
$72.00
|
|
Infect ag na hep b amp
|
$173.60 |
$205.00 |
$205.00 |
$120.50
|
|
Infect ag na herpes simplex quant
|
$254.10 |
$254.10 |
$254.10 |
$178.86
|
|
Infect ag na hpv high-risk types
|
$42.24 |
$177.50 |
$295.40 |
$139.20
|
|
Infect ag na influenza r/amp 1st 2 types
|
$50.49 |
$227.50 |
$283.50 |
$219.70
|
|
Infect ag na orthopoxvirus amp prb each
|
$147.50 |
$147.50 |
$184.10 |
$100.00
|
|
Infect ag na resp virus 12-25 targets
|
$354.42 |
$405.00 |
$1,032.50 |
$854.70
|
|
Infect ag phenotype na hiv-1 1-10 drugs
|
$623.37 |
$1,770.00 |
$2,718.10 |
$954.00
|
|
Infect ag phenotype na hiv-1 ea addl drg
|
$30.03 |
$60.20 |
$140.00 |
$75.63
|
|
Infectious agent antigen immunoassay direct optical observation sars-cov-2
|
$42.00 |
$47.50 |
$47.50 |
$53.00
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$14.52 |
$57.50 |
$129.50 |
$83.60
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$23.10 |
$23.10 |
$72.80 |
$72.80
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$113.40 |
$113.40 |
$113.40 |
$76.00
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$31.68 |
$31.68 |
$113.40 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$67.50 |
$67.50 |
$245.00 |
$103.40
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$26.73 |
$72.50 |
$6,109.60 |
$81.20
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$67.50 |
$67.50 |
$435.40 |
$60.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$30.03 |
$112.50 |
$189.70 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$22.44 |
$105.00 |
$344.40 |
$129.00
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$60.06 |
$97.50 |
$123.90 |
$98.58
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$23.43 |
$60.00 |
$85.40 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$38.61 |
$267.50 |
$2,062.90 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$52.47 |
$180.00 |
$353.50 |
$141.95
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$41.58 |
$187.50 |
$260.40 |
$167.05
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$548.46 |
$1,370.00 |
$1,531.60 |
$864.67
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$46.20 |
$190.00 |
$380.80 |
$181.35
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$69.96 |
$177.50 |
$282.80 |
$149.13
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$203.28 |
$210.00 |
$1,171.10 |
$212.16
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$46.53 |
$180.00 |
$422.80 |
$137.67
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$67.65 |
$87.50 |
$125.30 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$140.00 |
$150.00 |
$187.77 |
$206.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$165.00 |
$165.00 |
$290.50 |
$236.08
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$46.53 |
$75.00 |
$122.50 |
$96.00
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$43.56 |
$135.00 |
$226.10 |
$112.45
|
|
Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae
|
$456.40 |
$456.40 |
$456.40 |
$217.60
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$185.00 |
$185.00 |
$239.40 |
$195.60
|
|
Infectious agent nucleic acid joint space pathogens multiplex amplified probe >= 26 targets
|
$490.70 |
$490.70 |
$490.70 |
$1,143.75
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$530.00 |
$530.00 |
$925.40 |
$727.50
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$171.27 |
$197.50 |
$310.80 |
$289.91
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$283.80 |
$283.80 |
$283.80 |
$432.63
|
|
Infectious agent nucleic acid quantification bk virus
|
$163.35 |
$225.00 |
$2,136.40 |
$283.00
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$97.02 |
$242.50 |
$1,099.70 |
$242.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$250.00 |
$250.00 |
$839.30 |
$253.00
|
|
Infectious agent nucleic acid quantification hiv-1
|
$79.86 |
$480.00 |
$737.80 |
$375.00
|