|
Ihc/icc per specimen initial single antibody stain
|
$325.20 |
$325.20 |
$325.20 |
$272.30
|
|
Ikbkap gene
|
$1,811.40 |
$1,811.40 |
$1,811.40 |
$173.49
|
|
Iliac/fem angio cath insert
|
$2,262.60 |
$2,262.60 |
$2,262.60 |
$1,856.01
|
|
Immobilizer lwr extrem nylon 20in reinforc 21-35in
|
$307.80 |
$307.80 |
$307.80 |
$259.20
|
|
Immobilizer shldr cntor adlt
|
$585.60 |
$585.60 |
$585.60 |
$175.60
|
|
Immobilizer shldr dlx str 24-36in med
|
$169.20 |
$169.20 |
$169.20 |
$114.60
|
|
Immobilizer shldr sling med
|
$307.80 |
$307.80 |
$307.80 |
$126.00
|
|
Immunoassay tumor antigen quantitative ca 125
|
$231.60 |
$231.60 |
$231.60 |
$131.95
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$371.40 |
$371.40 |
$371.40 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$829.80 |
$829.80 |
$829.80 |
$48.38
|
|
Immunofixation electrophoresis serum
|
$344.40 |
$344.40 |
$344.40 |
$142.50
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$631.80 |
$631.80 |
$631.80 |
$154.05
|
|
Immunofluorescence per specimen initial single antibody stain
|
$744.60 |
$744.60 |
$744.60 |
$231.40
|
|
Immunoglobulin assay
|
$206.40 |
$206.40 |
$206.40 |
$75.88
|
|
Implant 11 volt lithium-ion backup battery for controller pocket
|
$6,455.40 |
$6,455.40 |
$6,455.40 |
$1,754.00
|
|
Implnt spinl canal catheter 62350
|
$6,588.60 |
$6,588.60 |
$6,588.60 |
$5,095.20
|
|
Inc dp bone crtx f/arm&/wrst
|
$1,353.60 |
$1,353.60 |
$1,353.60 |
$6,650.80
|
|
Incise wrist/forearm tendon
|
$604.80 |
$604.80 |
$604.80 |
$3,786.00
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$2,902.80 |
$2,902.80 |
$2,902.80 |
$2,056.93
|
|
Incision/fixation of femur
|
$2,407.80 |
$2,407.80 |
$2,407.80 |
$5,275.40
|
|
Incision of achilles tendon
|
$1,071.00 |
$1,071.00 |
$1,071.00 |
$3,172.80
|
|
Incision of achilles tendon
|
$651.60 |
$651.60 |
$651.60 |
$3,561.39
|
|
Incision of breast lesion
|
$4,363.80 |
$4,363.80 |
$4,363.80 |
$2,560.80
|
|
Incision of burn scab initi
|
$739.20 |
$739.20 |
$739.20 |
$494.40
|
|
Incision of fibula
|
$630.00 |
$630.00 |
$630.00 |
$3,839.54
|
|
Incision of foot fascia
|
$382.80 |
$382.80 |
$382.80 |
$4,570.33
|
|
Incision of foot tendon 28234
|
$5,624.40 |
$5,624.40 |
$5,624.40 |
$2,116.27
|
|
Incision of heel bone
|
$1,042.20 |
$1,042.20 |
$1,042.20 |
$5,339.00
|
|
Incision of knee joint
|
$1,609.20 |
$1,609.20 |
$1,609.20 |
$3,976.00
|
|
Incision of metatarsal
|
$996.00 |
$996.00 |
$996.00 |
$4,176.43
|
|
Incision of metatarsal
|
$772.20 |
$772.20 |
$772.20 |
$3,591.33
|
|
Incision of spinal nerve 64772
|
$1,102.20 |
$1,102.20 |
$1,102.20 |
$2,310.83
|
|
Incision of tendon & muscle
|
$1,000.80 |
$1,000.80 |
$1,000.80 |
$5,624.45
|
|
Incision of tendon sheath
|
$1,648.20 |
$1,648.20 |
$1,648.20 |
$2,211.05
|
|
Incision of thigh
|
$10,110.60 |
$10,110.60 |
$10,110.60 |
$3,016.00
|
|
Incision of tibia
|
$1,256.40 |
$1,256.40 |
$1,256.40 |
$7,907.11
|
|
Incision of tibia & fibula
|
$1,737.60 |
$1,737.60 |
$1,737.60 |
$13,148.80
|
|
Incision of tongue fold
|
$1,922.40 |
$1,922.40 |
$1,922.40 |
$1,792.50
|
|
Incision tendon sheath
|
$1,357.20 |
$1,357.20 |
$1,357.20 |
$3,073.20
|
|
Incisn of toe tndn
|
$3,960.00 |
$3,960.00 |
$3,960.00 |
$2,627.96
|
|
Infect ag drug suscept pheno predict
|
$664.80 |
$664.80 |
$664.80 |
$323.20
|
|
Infect ag eia chlamydia trachomatis
|
$169.80 |
$169.80 |
$169.80 |
$67.20
|
|
Infect ag genotype na hiv-1 other region
|
$1,405.20 |
$1,405.20 |
$1,405.20 |
$386.40
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$1,451.40 |
$1,451.40 |
$1,451.40 |
$603.75
|
|
Infect ag ia optc obs influenza
|
$163.80 |
$163.80 |
$163.80 |
$72.93
|
|
Infect ag if legionella pneumophila
|
$250.20 |
$250.20 |
$250.20 |
$72.58
|
|
Infect ag na influenza r/amp 1st 2 types
|
$376.20 |
$376.20 |
$376.20 |
$219.70
|
|
Infect ag na orthopoxvirus amp prb each
|
$211.80 |
$211.80 |
$211.80 |
$99.36
|
|
Infect ag na resp virus 12-25 targets
|
$774.60 |
$774.60 |
$774.60 |
$835.80
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$206.40 |
$206.40 |
$206.40 |
$82.00
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$126.60 |
$126.60 |
$126.60 |
$76.32
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$137.40 |
$137.40 |
$137.40 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$208.80 |
$208.80 |
$208.80 |
$100.02
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$268.80 |
$268.80 |
$268.80 |
$81.20
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$284.40 |
$284.40 |
$284.40 |
$60.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$224.40 |
$224.40 |
$224.40 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$400.80 |
$400.80 |
$400.80 |
$129.00
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$279.60 |
$279.60 |
$279.60 |
$98.02
|
|
Infectious agent nucleic acid amplified probe
|
$946.20 |
$946.20 |
$946.20 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$899.40 |
$899.40 |
$899.40 |
$139.68
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$277.80 |
$277.80 |
$277.80 |
$167.00
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$1,161.00 |
$1,161.00 |
$1,161.00 |
$861.00
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$447.00 |
$447.00 |
$447.00 |
$179.92
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$256.80 |
$256.80 |
$256.80 |
$147.55
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$408.60 |
$408.60 |
$408.60 |
$217.85
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$198.60 |
$198.60 |
$198.60 |
$136.03
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$48.00 |
$48.00 |
$48.00 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$267.60 |
$267.60 |
$267.60 |
$236.08
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$58.80 |
$58.80 |
$58.80 |
$92.50
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$148.80 |
$148.80 |
$148.80 |
$108.75
|
|
Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae
|
$72.60 |
$72.60 |
$72.60 |
$211.00
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$97.20 |
$97.20 |
$97.20 |
$185.00
|
|
Infectious agent nucleic acid joint space pathogens multiplex amplified probe >= 26 targets
|
$1,717.20 |
$1,717.20 |
$1,717.20 |
$1,143.75
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$1,171.20 |
$1,171.20 |
$1,171.20 |
$727.50
|
|
Infectious agent nucleic acid quantification bk virus
|
$889.20 |
$889.20 |
$889.20 |
$279.40
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$439.20 |
$439.20 |
$439.20 |
$239.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$582.00 |
$582.00 |
$582.00 |
$252.00
|
|
Infectious agent nucleic acid quantification hiv-1
|
$586.80 |
$586.80 |
$586.80 |
$374.00
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$274.20 |
$274.20 |
$274.20 |
$303.59
|
|
Infuse radioactive materials
|
$2,622.00 |
$2,622.00 |
$2,622.00 |
$640.50
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$192.60 |
$192.60 |
$192.60 |
$293.25
|
|
Initial hosp neonate 28 d/less than not critically ill 99477
|
$1,232.40 |
$1,232.40 |
$1,232.40 |
$629.60
|
|
Initiation & management bipap/cpap initial day
|
$426.00 |
$426.00 |
$426.00 |
$576.00
|
|
Init nb em per day non-fac
|
$168.60 |
$168.60 |
$168.60 |
$109.15
|
|
Inj cntr knee arthro incl ct/mri
|
$995.40 |
$995.40 |
$995.40 |
$436.80
|
|
Inj disk cerv-thor ea lev
|
$2,110.80 |
$2,110.80 |
$2,110.80 |
$875.28
|
|
Inj dx for sinogram
|
$1,052.40 |
$1,052.40 |
$1,052.40 |
$422.59
|
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
|
$2,675.40 |
$2,675.40 |
$2,675.40 |
$1,214.78
|
|
Injection arthrography hip without anesthesia (both sides)
|
$685.20 |
$685.20 |
$685.20 |
$495.84
|
|
Injection carpal tunnel therapeutic (both sides)
|
$1,249.80 |
$1,249.80 |
$1,249.80 |
$450.72
|
|
Injection during cath supravalvular aortography
|
$2,235.00 |
$2,235.00 |
$2,235.00 |
$952.66
|
|
Injection epidural blood patch or clot
|
$1,921.80 |
$1,921.80 |
$1,921.80 |
$1,156.80
|
|
Injection for arthrography wrist (both sides)
|
$790.80 |
$790.80 |
$790.80 |
$428.40
|
|
Injection for bladder x-ray
|
$883.80 |
$883.80 |
$883.80 |
$459.20
|
|
Injection for hip x-ray
|
$859.20 |
$859.20 |
$859.20 |
$710.00
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$841.80 |
$841.80 |
$841.80 |
$494.65
|
|
Injection for ureter x-ray
|
$731.40 |
$731.40 |
$731.40 |
$427.70
|
|
Injection for ureter x-ray
|
$399.00 |
$399.00 |
$399.00 |
$515.21
|
|
Injection into brain canal
|
$2,229.60 |
$2,229.60 |
$2,229.60 |
$1,289.60
|
|
Injection into brain canal
|
$828.00 |
$828.00 |
$828.00 |
$836.40
|
