|
Immobilizer shldr dlx str 24-36in med
|
$102.00 |
$102.00 |
$102.00 |
$118.43
|
|
Immobilizer shldr sling med
|
$44.40 |
$44.40 |
$44.40 |
$126.00
|
|
Immt breast prosthesis 19340
|
$1,815.00 |
$1,815.00 |
$1,815.00 |
$5,110.00
|
|
Immune complex assay
|
$78.00 |
$78.00 |
$78.00 |
$101.60
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$9,307.69 |
$9,307.69 |
$9,307.69 |
$6,106.32
|
|
Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution
|
$4,061.21 |
$4,061.21 |
$4,061.21 |
$2,900.11
|
|
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution
|
$2,839.91 |
$2,839.91 |
$2,839.91 |
$3,846.15
|
|
Immune globulin ig human im use 90281
|
$36.60 |
$36.60 |
$36.60 |
$92.00
|
|
Immunoassay tumor antigen quantitative ca 125
|
$189.00 |
$189.00 |
$189.00 |
$132.00
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$141.60 |
$141.60 |
$141.60 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$45.60 |
$45.60 |
$45.60 |
$48.57
|
|
Immunofixation electrophoresis serum
|
$146.40 |
$146.40 |
$146.40 |
$142.50
|
|
Immunofluorescence per specimen initial single antibody stain
|
$215.40 |
$215.40 |
$215.40 |
$234.27
|
|
Impedence cardiogram
|
$154.20 |
$154.20 |
$154.20 |
$152.54
|
|
Implant biventricular device 33976
|
$3,444.60 |
$3,444.60 |
$3,444.60 |
$5,053.23
|
|
Implant cartilage 10mm synthetic
|
$12,203.40 |
$12,203.40 |
$12,203.40 |
$8,332.51
|
|
Implant hormone pellet(s) 11980
|
$199.80 |
$199.80 |
$199.80 |
$315.75
|
|
Implant open hernia repair w/mesh 49568
|
$557.40 |
$557.40 |
$557.40 |
$632.40
|
|
Implant single ventricular device 33975
|
$2,539.80 |
$2,539.80 |
$2,539.80 |
$5,053.23
|
|
Implant spine infusion pump
|
$816.60 |
$816.60 |
$816.60 |
$17,270.40
|
|
Implant ureth bulk agent
|
$2,587.80 |
$2,587.80 |
$2,587.80 |
$2,168.00
|
|
Impl neurostim electr perc
|
$2,535.60 |
$2,535.60 |
$2,535.60 |
$7,672.50
|
|
Implnt bio implnt for soft tiss reinforcement 15777
|
$214.20 |
$214.20 |
$214.20 |
$1,072.00
|
|
Implnt spinl canal catheter 62350
|
$763.20 |
$763.20 |
$763.20 |
$5,095.20
|
|
Implt brain chemotx add-on 61517
|
$160.80 |
$160.80 |
$160.80 |
$160.80
|
|
Impreg gauze no h20/sal/yard
|
$9.60 |
$9.60 |
$9.60 |
$11.90
|
|
In-111 autol wbc diag per dose
|
$1,725.00 |
$1,725.00 |
$1,725.00 |
$3,493.75
|
|
In-111 oxyquinolin per 0.5 mci
|
$1,725.00 |
$1,725.00 |
$1,725.00 |
$2,753.23
|
|
In-111 pentetreotide
|
$2,902.20 |
$2,902.20 |
$2,902.20 |
$5,294.90
|
|
Incis 1 vertebral seg lumbar
|
$2,073.60 |
$2,073.60 |
$2,073.60 |
$3,628.80
|
|
Incise perq finger tendon 26060
|
$502.80 |
$502.80 |
$502.80 |
$2,211.05
|
|
Incise tear duct opening 68440
|
$190.80 |
$190.80 |
$190.80 |
$841.43
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$2,001.00 |
$2,001.00 |
$2,001.00 |
$2,086.70
|
|
Incision & drainage open of deep abscess (subfascial) pos
|
$1,413.60 |
$1,413.60 |
$1,413.60 |
$2,312.00
|
|
Incision of anal sphincter
|
$463.80 |
$463.80 |
$463.80 |
$3,245.23
|
|
Incision of bile duct 47420
|
$2,521.80 |
$2,521.80 |
$2,521.80 |
$2,788.80
|
|
Incision of breast lesion
|
$1,859.40 |
$1,859.40 |
$1,859.40 |
$2,577.85
|
|
Incision of burn scab initi
|
$262.20 |
$262.20 |
$262.20 |
$494.40
|
|
Incision of eardrum
|
$375.60 |
$375.60 |
$375.60 |
$552.75
|
|
Incision of eardrum
|
$295.20 |
$295.20 |
$295.20 |
$3,837.72
|
|
Incision of foot fascia
|
$2,298.60 |
$2,298.60 |
$2,298.60 |
$4,599.40
|
|
Incision of foot tendon 28234
|
$781.80 |
$781.80 |
$781.80 |
$2,211.05
|
|
Incision of gallbladder 47480
|
$1,650.00 |
$1,650.00 |
$1,650.00 |
$1,650.00
|
|
Incision of heel bone
|
$1,263.60 |
$1,263.60 |
$1,263.60 |
$6,004.47
|
|
Incision of metatarsal
|
$1,168.80 |
$1,168.80 |
$1,168.80 |
$4,881.00
|
|
Incision of metatarsal
|
$1,065.60 |
$1,065.60 |
$1,065.60 |
$3,786.00
|
|
Incision of midfoot bones
|
$1,158.60 |
$1,158.60 |
$1,158.60 |
$6,004.47
|
|
Incision of pyloric muscle 43520
|
$1,306.20 |
$1,306.20 |
$1,306.20 |
$1,685.60
|
|
Incision of rectal abscess
|
$891.60 |
$891.60 |
$891.60 |
$3,245.23
|
|
Incision of small bowel 44010
|
$1,430.40 |
$1,430.40 |
$1,430.40 |
$1,362.00
|
|
Incision of spinal nerve 64772
|
$1,095.60 |
$1,095.60 |
$1,095.60 |
$2,685.07
|
|
Incision of tendon sheath
|
$487.80 |
$487.80 |
$487.80 |
$2,263.68
|
|
Incision of toe tendons 28011
|
$525.60 |
$525.60 |
$525.60 |
$2,119.12
|
|
Incision of tongue fold
|
$401.40 |
$401.40 |
$401.40 |
$1,792.50
|
|
Incision tendon sheath
|
$1,060.20 |
$1,060.20 |
$1,060.20 |
$3,073.20
|
|
Incisn of toe tndn
|
$408.00 |
$408.00 |
$408.00 |
$2,667.00
|
|
Incisn windpipe
|
$771.00 |
$771.00 |
$771.00 |
$3,819.23
|
|
Incobotulinumtoxin a
|
$917.50 |
$917.50 |
$917.50 |
$1,339.57
|
|
Induced ab 1+vag supp d&c
|
$1,003.20 |
$1,003.20 |
$1,003.20 |
$1,194.40
|
|
Induced ab 1+ vag sup w/dlv fetus
|
$853.20 |
$853.20 |
$853.20 |
$1,997.99
|
|
Induced abortion d&c
|
$511.20 |
$511.20 |
$511.20 |
$3,762.53
|
|
Induced abortion dilat&evac
|
$784.20 |
$784.20 |
$784.20 |
$4,451.18
|
|
Infect ag drug suscept pheno predict
|
$447.60 |
$447.60 |
$447.60 |
$325.00
|
|
Infect ag genotype na hiv-1 other region
|
$454.80 |
$454.80 |
$454.80 |
$361.65
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$937.20 |
$937.20 |
$937.20 |
$603.83
|
|
Infect ag ia optc obs influenza
|
$67.20 |
$67.20 |
$67.20 |
$72.93
|
|
Infect ag if ea plyvlnt antsrm
|
$152.40 |
$152.40 |
$152.40 |
$68.40
|
|
Infect ag if influenza a
|
$43.20 |
$43.20 |
$43.20 |
$41.30
|
|
Infect ag if influenza b
|
$33.60 |
$33.60 |
$33.60 |
$37.95
|
|
Infect ag if legionella pneumophila
|
$54.60 |
$54.60 |
$54.60 |
$73.45
|
|
Infect ag if nos ea
|
$43.20 |
$43.20 |
$43.20 |
$74.88
|
|
Infect ag if pneumocystis carinii
|
$54.00 |
$54.00 |
$54.00 |
$66.06
|
|
Infect ag if varicella zoster
|
$72.00 |
$72.00 |
$72.00 |
$72.00
|
|
Infect ag na hep b amp
|
$295.20 |
$295.20 |
$295.20 |
$120.50
|
|
Infect ag na herpes simplex quant
|
$162.00 |
$162.00 |
$162.00 |
$178.86
|
|
Infect ag na hpv high-risk types
|
$93.60 |
$93.60 |
$93.60 |
$139.20
|
|
Infect ag na influenza r/amp 1st 2 types
|
$295.20 |
$295.20 |
$295.20 |
$219.70
|
|
Infect ag na influenza revr/amp ea type
|
$57.00 |
$57.00 |
$57.00 |
$156.60
|
|
Infect ag na orthopoxvirus amp prb each
|
$78.00 |
$78.00 |
$78.00 |
$100.00
|
|
Infect ag na resp virus 12-25 targets
|
$835.80 |
$835.80 |
$835.80 |
$854.70
|
|
Infect ag phenotype na hiv-1 1-10 drugs
|
$1,675.80 |
$1,675.80 |
$1,675.80 |
$954.00
|
|
Infect ag phenotype na hiv-1 ea addl drg
|
$99.00 |
$99.00 |
$99.00 |
$75.63
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$103.80 |
$103.80 |
$103.80 |
$83.60
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$84.60 |
$84.60 |
$84.60 |
$76.00
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$65.40 |
$65.40 |
$65.40 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$183.60 |
$183.60 |
$183.60 |
$103.40
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$65.40 |
$65.40 |
$65.40 |
$81.20
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$85.80 |
$85.80 |
$85.80 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$149.40 |
$149.40 |
$149.40 |
$129.00
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$99.00 |
$99.00 |
$99.00 |
$98.58
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$54.60 |
$54.60 |
$54.60 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$373.80 |
$373.80 |
$373.80 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$151.20 |
$151.20 |
$151.20 |
$141.95
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$132.60 |
$132.60 |
$132.60 |
$167.05
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$835.80 |
$835.80 |
$835.80 |
$864.67
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$224.40 |
$224.40 |
$224.40 |
$181.35
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$141.00 |
$141.00 |
$141.00 |
$149.13
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$127.80 |
$127.80 |
$127.80 |
$212.16
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$133.20 |
$133.20 |
$133.20 |
$137.67
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$136.80 |
$136.80 |
$136.80 |
$103.20
|