|
Igk rearrangeabn clonal pop
|
$532.20 |
$532.20 |
$532.20 |
$399.36
|
|
Ihc/icc per specimen each additional single antibody stain
|
$230.40 |
$230.40 |
$230.40 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$256.20 |
$256.20 |
$256.20 |
$318.75
|
|
Ihc/icc per specimen initial single antibody stain
|
$211.80 |
$211.80 |
$211.80 |
$272.30
|
|
Ikbkap gene
|
$1,814.40 |
$1,814.40 |
$1,814.40 |
$176.15
|
|
Immobilizer lwr extrem nylon 20in reinforc 21-35in
|
$307.80 |
$307.80 |
$307.80 |
$307.80
|
|
Immobilizer shldr cntor adlt
|
$585.60 |
$585.60 |
$585.60 |
$175.47
|
|
Immobilizer shldr dlx str 24-36in med
|
$169.20 |
$169.20 |
$169.20 |
$109.15
|
|
Immobilizer shldr sling med
|
$307.80 |
$307.80 |
$307.80 |
$117.50
|
|
Immunoassay tumor antigen quantitative ca 125
|
$81.60 |
$81.60 |
$81.60 |
$131.95
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$377.40 |
$377.40 |
$377.40 |
$117.00
|
|
Immunodiff gel qual ea antigen/ab
|
$790.80 |
$790.80 |
$790.80 |
$48.57
|
|
Immunofixation electrophoresis serum
|
$334.20 |
$334.20 |
$334.20 |
$142.10
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$517.80 |
$517.80 |
$517.80 |
$157.30
|
|
Immunofluorescence per specimen initial single antibody stain
|
$609.00 |
$609.00 |
$609.00 |
$232.05
|
|
Immunoglobulin assay
|
$210.60 |
$210.60 |
$210.60 |
$74.15
|
|
Implant 11 volt lithium-ion backup battery for controller pocket
|
$6,455.40 |
$6,455.40 |
$6,455.40 |
$1,755.00
|
|
Impl neurostim electr perc
|
$11,613.60 |
$11,613.60 |
$11,613.60 |
$7,636.00
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$1,020.60 |
$1,020.60 |
$1,020.60 |
$2,080.80
|
|
Incision of breast lesion
|
$1,534.80 |
$1,534.80 |
$1,534.80 |
$2,520.96
|
|
Incision of burn scab initi
|
$432.00 |
$432.00 |
$432.00 |
$494.40
|
|
Incision of iris
|
$1,437.00 |
$1,437.00 |
$1,437.00 |
$2,698.92
|
|
Incision of toe tendons 28011
|
$2,581.80 |
$2,581.80 |
$2,581.80 |
$2,068.30
|
|
Infect ag drug suscept pheno predict
|
$644.40 |
$644.40 |
$644.40 |
$323.20
|
|
Infect ag eia chlamydia trachomatis
|
$125.40 |
$125.40 |
$125.40 |
$74.25
|
|
Infect ag eia influenza a or b ea
|
$135.00 |
$135.00 |
$135.00 |
$71.94
|
|
Infect ag genotype na hiv-1 other region
|
$1,171.20 |
$1,171.20 |
$1,171.20 |
$345.00
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$1,147.80 |
$1,147.80 |
$1,147.80 |
$603.75
|
|
Infect ag ia optc obs influenza
|
$126.60 |
$126.60 |
$126.60 |
$72.93
|
|
Infect ag if legionella pneumophila
|
$198.60 |
$198.60 |
$198.60 |
$73.45
|
|
Infect ag na influenza r/amp 1st 2 types
|
$325.20 |
$325.20 |
$325.20 |
$217.88
|
|
Infect ag na orthopoxvirus amp prb each
|
$209.40 |
$209.40 |
$209.40 |
$100.00
|
|
Infect ag na resp virus 12-25 targets
|
$672.60 |
$672.60 |
$672.60 |
$854.40
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$136.80 |
$136.80 |
$136.80 |
$82.50
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$294.00 |
$294.00 |
$294.00 |
$70.19
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$104.40 |
$104.40 |
$104.40 |
$76.50
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$122.40 |
$122.40 |
$122.40 |
$75.47
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$132.00 |
$132.00 |
$132.00 |
$97.20
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$223.80 |
$223.80 |
$223.80 |
$81.06
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$240.00 |
$240.00 |
$240.00 |
$60.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$202.20 |
$202.20 |
$202.20 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$363.00 |
$363.00 |
$363.00 |
$132.00
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$144.00 |
$144.00 |
$144.00 |
$99.00
|
|
Infectious agent nucleic acid amplified probe
|
$849.00 |
$849.00 |
$849.00 |
$275.06
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$871.20 |
$871.20 |
$871.20 |
$137.67
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$159.60 |
$159.60 |
$159.60 |
$167.05
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$1,156.20 |
$1,156.20 |
$1,156.20 |
$861.00
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$372.60 |
$372.60 |
$372.60 |
$184.50
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$202.20 |
$202.20 |
$202.20 |
$151.73
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$405.00 |
$405.00 |
$405.00 |
$210.00
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$220.20 |
$220.20 |
$220.20 |
$137.67
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$48.60 |
$48.60 |
$48.60 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$262.80 |
$262.80 |
$262.80 |
$236.08
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$138.00 |
$138.00 |
$138.00 |
$92.50
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$145.80 |
$145.80 |
$145.80 |
$110.53
|
|
Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae
|
$72.60 |
$72.60 |
$72.60 |
$220.35
|
|
Infectious agent nucleic acid joint space pathogens multiplex amplified probe >= 26 targets
|
$1,717.20 |
$1,717.20 |
$1,717.20 |
$1,240.55
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$1,134.60 |
$1,134.60 |
$1,134.60 |
$727.50
|
|
Infectious agent nucleic acid quantification bk virus
|
$861.60 |
$861.60 |
$861.60 |
$285.66
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$597.60 |
$597.60 |
$597.60 |
$238.80
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$384.00 |
$384.00 |
$384.00 |
$253.00
|
|
Infectious agent nucleic acid quantification hiv-1
|
$234.00 |
$234.00 |
$234.00 |
$375.00
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$273.00 |
$273.00 |
$273.00 |
$303.59
|
|
Influenza dna amp prob addl
|
$72.00 |
$72.00 |
$72.00 |
$64.26
|
|
Infuse radioactive materials
|
$1,810.20 |
$1,810.20 |
$1,810.20 |
$744.00
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$73.20 |
$73.20 |
$73.20 |
$293.25
|
|
Initiation & management bipap/cpap initial day
|
$316.20 |
$316.20 |
$316.20 |
$570.50
|
|
Inj cntr knee arthro incl ct/mri
|
$416.40 |
$416.40 |
$416.40 |
$436.80
|
|
Inj dx for sinogram
|
$1,051.20 |
$1,051.20 |
$1,051.20 |
$418.59
|
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
|
$1,330.80 |
$1,330.80 |
$1,330.80 |
$1,214.78
|
|
Injection arthrography hip without anesthesia (both sides)
|
$412.80 |
$412.80 |
$412.80 |
$504.00
|
|
Injection carpal tunnel therapeutic (both sides)
|
$361.80 |
$361.80 |
$361.80 |
$493.15
|
|
Injection epidural blood patch or clot
|
$753.00 |
$753.00 |
$753.00 |
$1,156.80
|
|
Injection for arthrography wrist (both sides)
|
$418.80 |
$418.80 |
$418.80 |
$445.80
|
|
Injection for bladder x-ray
|
$1,231.20 |
$1,231.20 |
$1,231.20 |
$459.20
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$1,167.00 |
$1,167.00 |
$1,167.00 |
$497.76
|
|
Injection radioactive tracer sentinel node (both sides)
|
$2,403.00 |
$2,403.00 |
$2,403.00 |
$699.68
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$909.60 |
$909.60 |
$909.60 |
$1,391.40
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$1,941.60 |
$1,941.60 |
$1,941.60 |
$1,043.72
|
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
|
$1,941.60 |
$1,941.60 |
$1,941.60 |
$1,939.97
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
|
$2,450.40 |
$2,450.40 |
$2,450.40 |
$1,029.45
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
|
$2,648.40 |
$2,648.40 |
$2,648.40 |
$1,777.50
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
|
$2,450.40 |
$2,450.40 |
$2,450.40 |
$1,017.90
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
|
$2,648.40 |
$2,648.40 |
$2,648.40 |
$1,961.05
|
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
|
$2,479.80 |
$2,479.80 |
$2,479.80 |
$1,808.64
|
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
|
$2,479.80 |
$2,479.80 |
$2,479.80 |
$1,685.00
|
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
|
$223.20 |
$223.20 |
$223.20 |
$473.85
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$465.00 |
$465.00 |
$465.00 |
$538.00
|
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
|
$682.80 |
$682.80 |
$682.80 |
$637.92
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$211.80 |
$211.80 |
$211.80 |
$168.00
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$203.40 |
$203.40 |
$203.40 |
$145.60
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$237.00 |
$237.00 |
$237.00 |
$257.24
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$145.20 |
$145.20 |
$145.20 |
$135.85
|
|
Inject sacroiliac joint
|
$1,846.80 |
$1,846.80 |
$1,846.80 |
$990.00
|
|
Inj epidural sgl cerv-thor without img
|
$1,295.40 |
$1,295.40 |
$1,295.40 |
$1,311.74
|
|
Inj epidural sgl lumb-sacral without img
|
$1,295.40 |
$1,295.40 |
$1,295.40 |
$1,415.50
|
|
Inj for mammo ductogram
|
$373.20 |
$373.20 |
$373.20 |
$397.00
|
|
Inj multihance
|
$13.80 |
$13.80 |
$13.80 |
$73.49
|
|
Inj non-compmd foam sclrsnt mlt trncl veins same leg
|
$1,179.00 |
$1,179.00 |
$1,179.00 |
$2,484.00
|
|
Inj non-compmd foam sclrsnt sgl trncl vein
|
$1,179.00 |
$1,179.00 |
$1,179.00 |
$2,373.55
|
