|
Immunoassay tumor antigen quantitative ca 125
|
$406.70 |
$406.70 |
$406.70 |
$131.95
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$183.40 |
$183.40 |
$183.40 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$121.80 |
$121.80 |
$121.80 |
$48.38
|
|
Immunodiffusion nes
|
$107.80 |
$107.80 |
$107.80 |
$48.57
|
|
Immunofixation electrophoresis serum
|
$364.70 |
$364.70 |
$364.70 |
$142.50
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$18,776.80 |
$18,776.80 |
$18,776.80 |
$154.05
|
|
Immunofluorescence per specimen initial single antibody stain
|
$18,776.80 |
$18,776.80 |
$18,776.80 |
$231.40
|
|
Immunoglobulin assay
|
$109.90 |
$109.90 |
$109.90 |
$75.88
|
|
Immunology procedure
|
$2,226.70 |
$2,226.70 |
$2,226.70 |
$142.56
|
|
Implant 11 volt lithium-ion backup battery for controller pocket
|
$7,286.52 |
$7,286.52 |
$7,286.52 |
$1,754.00
|
|
Implant cartilage 10mm synthetic
|
$57,946.60 |
$57,946.60 |
$57,946.60 |
$8,184.00
|
|
Implant cochlear osia osi300
|
$11,156.63 |
$11,156.63 |
$11,156.63 |
$16,200.89
|
|
Implant neuroelectrodes
|
$61,421.50 |
$61,421.50 |
$61,421.50 |
$8,763.11
|
|
Implant neuroelectrodes
|
$32,600.83 |
$32,600.83 |
$32,600.83 |
$7,766.27
|
|
Implant power module patient cable cable 14 volt
|
$24,038.00 |
$24,038.00 |
$24,038.00 |
$3,380.00
|
|
Implant tcat pulm vlv perq
|
$8,855.00 |
$8,855.00 |
$8,855.00 |
$9,812.40
|
|
Implant ureth bulk agent
|
$3,063.12 |
$3,063.12 |
$3,063.12 |
$2,168.00
|
|
Impl ear abutment ba300 9mm
|
$12,169.24 |
$12,169.24 |
$12,169.24 |
$3,974.88
|
|
Impl neurostim electr perc
|
$35,759.81 |
$35,759.81 |
$35,759.81 |
$7,672.50
|
|
In-111 autol wbc diag per dose
|
$6,117.30 |
$6,117.30 |
$6,117.30 |
$3,523.65
|
|
In-111 pentetate dtpa / 0.5 mci
|
$7,731.50 |
$7,731.50 |
$7,731.50 |
$2,598.17
|
|
In-111 pentetreotide
|
$10,985.80 |
$10,985.80 |
$10,985.80 |
$5,201.00
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$3,915.10 |
$3,915.10 |
$3,915.10 |
$2,056.93
|
|
Incision of anal sphincter
|
$9,392.84 |
$9,392.84 |
$9,392.84 |
$3,245.23
|
|
Incision of breast lesion
|
$3,588.90 |
$3,588.90 |
$3,588.90 |
$2,560.80
|
|
Incision of eardrum
|
$25,316.12 |
$25,316.12 |
$25,316.12 |
$3,827.50
|
|
Incision of spinal nerve 64772
|
$28,860.61 |
$28,860.61 |
$28,860.61 |
$2,310.83
|
|
Incision of tendon & muscle
|
$6,385.40 |
$6,385.40 |
$6,385.40 |
$5,624.45
|
|
Incision of tongue fold
|
$2,961.70 |
$2,961.70 |
$2,961.70 |
$1,792.50
|
|
Incision secondary cataract
|
$24,027.69 |
$24,027.69 |
$24,027.69 |
$2,492.56
|
|
Incisn of toe tndn
|
$3,136.70 |
$3,136.70 |
$3,136.70 |
$2,627.96
|
|
Incisn windpipe
|
$2,802.80 |
$2,802.80 |
$2,802.80 |
$3,810.50
|
|
Indigotindisulfonate 8 mg/ml soln 5 ml ampule
|
$1,489.07 |
$1,489.07 |
$1,489.07 |
$766.66
|
|
Induced abortion d&c
|
$19,137.69 |
$19,137.69 |
$19,137.69 |
$3,762.53
|
|
Induced abortion dilat&evac
|
$14,176.69 |
$14,176.69 |
$14,176.69 |
$4,446.00
|
|
Infect ag drug suscept pheno predict
|
$1,327.90 |
$1,327.90 |
$1,327.90 |
$323.20
|
|
Infect ag genotype na cytomegalovirus
|
$2,170.00 |
$2,170.00 |
$2,170.00 |
$661.80
|
|
Infect ag genotype na dna hepatitis b
|
$855.40 |
$855.40 |
$855.40 |
$405.30
|
|
Infect ag genotype na hiv-1 other region
|
$589.40 |
$589.40 |
$589.40 |
$386.40
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$1,166.20 |
$1,166.20 |
$1,166.20 |
$603.75
|
|
Infect ag if legionella pneumophila
|
$567.70 |
$567.70 |
$567.70 |
$72.58
|
|
Infect ag if nos ea
|
$135.80 |
$135.80 |
$135.80 |
$74.88
|
|
Infect ag if pneumocystis carinii
|
$114.80 |
$114.80 |
$114.80 |
$66.00
|
|
Infect ag na hep b amp
|
$173.60 |
$173.60 |
$173.60 |
$120.50
|
|
Infect ag na herpes simplex quant
|
$254.10 |
$254.10 |
$254.10 |
$169.65
|
|
Infect ag na hpv high-risk types
|
$245.70 |
$245.70 |
$245.70 |
$139.75
|
|
Infect ag na influenza r/amp 1st 2 types
|
$283.50 |
$283.50 |
$283.50 |
$219.70
|
|
Infect ag na orthopoxvirus amp prb each
|
$107.80 |
$107.80 |
$107.80 |
$99.36
|
|
Infect ag na resp virus 12-25 targets
|
$1,032.50 |
$1,032.50 |
$1,032.50 |
$835.80
|
|
Infect ag phenotype na hiv-1 1-10 drugs
|
$1,800.40 |
$1,800.40 |
$1,800.40 |
$943.80
|
|
Infectious agent antigen immunoassay direct optical observation sars-cov-2
|
$42.00 |
$42.00 |
$42.00 |
$53.00
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$126.00 |
$126.00 |
$126.00 |
$82.00
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$72.80 |
$72.80 |
$72.80 |
$72.80
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$95.20 |
$95.20 |
$95.20 |
$76.32
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$98.00 |
$98.00 |
$98.00 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$116.20 |
$116.20 |
$116.20 |
$100.02
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$163.80 |
$163.80 |
$163.80 |
$81.20
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$435.40 |
$435.40 |
$435.40 |
$60.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$112.00 |
$112.00 |
$112.00 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$266.00 |
$266.00 |
$266.00 |
$129.00
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$148.40 |
$148.40 |
$148.40 |
$98.02
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$91.00 |
$91.00 |
$91.00 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$2,062.90 |
$2,062.90 |
$2,062.90 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$275.10 |
$275.10 |
$275.10 |
$139.68
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$218.40 |
$218.40 |
$218.40 |
$167.00
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$1,304.10 |
$1,304.10 |
$1,304.10 |
$861.00
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$234.50 |
$234.50 |
$234.50 |
$179.92
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$602.00 |
$602.00 |
$602.00 |
$147.55
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$520.10 |
$520.10 |
$520.10 |
$217.85
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$275.10 |
$275.10 |
$275.10 |
$136.03
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$125.30 |
$125.30 |
$125.30 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$140.00 |
$140.00 |
$140.00 |
$206.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$290.50 |
$290.50 |
$290.50 |
$236.08
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$122.50 |
$122.50 |
$122.50 |
$92.50
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$130.90 |
$130.90 |
$130.90 |
$108.75
|
|
Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae
|
$550.20 |
$550.20 |
$550.20 |
$211.00
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$215.60 |
$215.60 |
$215.60 |
$185.00
|
|
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
|
$747.60 |
$747.60 |
$747.60 |
$727.50
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$310.80 |
$310.80 |
$310.80 |
$286.06
|
|
Infectious agent nucleic acid quantification bk virus
|
$781.90 |
$781.90 |
$781.90 |
$279.40
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$1,099.70 |
$1,099.70 |
$1,099.70 |
$239.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$839.30 |
$839.30 |
$839.30 |
$252.00
|
|
Infectious agent nucleic acid quantification hiv-1
|
$1,141.70 |
$1,141.70 |
$1,141.70 |
$374.00
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$716.80 |
$716.80 |
$716.80 |
$303.59
|
|
Infliximab 100 mg intravenous solution
|
$5,383.00 |
$5,383.00 |
$5,383.00 |
$2,080.86
|
|
Infliximab-axxq 100 mg intravenous solution
|
$2,259.77 |
$2,259.77 |
$2,259.77 |
$1,062.00
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$2,190.65 |
$2,190.65 |
$2,190.65 |
$1,537.84
|
|
Infuse radioactive materials
|
$544.60 |
$544.60 |
$544.60 |
$640.50
|
|
Ingest challenge ea addl 60 min
|
$313.60 |
$313.60 |
$313.60 |
$289.64
|
|
Ingest challenge ini 120 min
|
$822.50 |
$822.50 |
$822.50 |
$764.78
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$322.00 |
$322.00 |
$322.00 |
$293.25
|
|
Initiation & management bipap/cpap initial day
|
$845.60 |
$845.60 |
$845.60 |
$576.00
|
|
Inj, abilify maintena, 1 mg
|
$12,248.07 |
$12,248.07 |
$12,248.07 |
$5,355.30
|
|
Inj, acetaminophen (b braun)
|
$18.37 |
$18.37 |
$18.37 |
$33.31
|
|
Inj acetaminophen -fresenius
|
$18.72 |
$18.72 |
$18.72 |
$36.60
|
|
Inj, acetaminophen (hikma)
|
$22.75 |
$22.75 |
$22.75 |
$58.50
|
|
Inj, adalimumab, 1 mg
|
$15,962.27 |
$15,962.27 |
$15,962.27 |
$12,098.05
|
|
Inj anifrolumab-fnia 1mg
|
$25,714.15 |
$25,714.15 |
$25,714.15 |
$9,878.82
|
|
Inj atezolizumb 5mg hya-tqjs
|
$55,328.52 |
$55,328.52 |
$55,328.52 |
$18,716.52
|