|
Iaadi respiratory synctial virus
|
$109.20 |
$109.20 |
$109.20 |
$54.98
|
|
Iadna legionella pneumophila amplified probe tq
|
$142.80 |
$142.80 |
$142.80 |
$109.00
|
|
Ibmfs seq alys pnl 30 genes
|
$5,656.70 |
$5,656.70 |
$5,656.70 |
$2,828.00
|
|
I&d frarm&/wrst deep absc/hematoma
|
$2,965.20 |
$2,965.20 |
$2,965.20 |
$3,839.54
|
|
I&d lacrimal sac
|
$4,734.80 |
$4,734.80 |
$4,734.80 |
$2,732.50
|
|
Igh gene rearrang dir probe
|
$777.70 |
$777.70 |
$777.70 |
$111.50
|
|
Igh gene rearrange amp meth
|
$891.10 |
$891.10 |
$891.10 |
$464.00
|
|
Igh@ var region somatic mutation analy
|
$749.70 |
$749.70 |
$749.70 |
$660.80
|
|
Ihc/icc per specimen each additional single antibody stain
|
$258.30 |
$258.30 |
$258.30 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$333.20 |
$333.20 |
$333.20 |
$328.79
|
|
Ihc/icc per specimen initial single antibody stain
|
$1,204.00 |
$1,204.00 |
$1,204.00 |
$272.30
|
|
Ikbkap gene
|
$1,662.50 |
$1,662.50 |
$1,662.50 |
$173.49
|
|
Iliac/fem angio cath insert
|
$3,850.00 |
$3,850.00 |
$3,850.00 |
$1,856.01
|
|
Immob elbow child sm
|
$126.70 |
$126.70 |
$126.70 |
$85.39
|
|
Immobilizer shldr dlx str 24-36in med
|
$32.90 |
$32.90 |
$32.90 |
$114.60
|
|
Immune complex assay
|
$135.10 |
$135.10 |
$135.10 |
$100.80
|
|
Immunoassay tumor antigen quantitative ca 125
|
$140.00 |
$140.00 |
$140.00 |
$131.95
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$98.00 |
$98.00 |
$98.00 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$61.60 |
$61.60 |
$61.60 |
$48.38
|
|
Immunodiffusion nes
|
$107.80 |
$107.80 |
$107.80 |
$48.57
|
|
Immunofixation electrophoresis serum
|
$151.20 |
$151.20 |
$151.20 |
$142.50
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$571.90 |
$571.90 |
$571.90 |
$154.05
|
|
Immunofluorescence per specimen initial single antibody stain
|
$285.60 |
$285.60 |
$285.60 |
$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 neuroelectrodes
|
$12,053.30 |
$12,053.30 |
$12,053.30 |
$8,763.11
|
|
Implant tcat pulm vlv perq
|
$8,855.00 |
$8,855.00 |
$8,855.00 |
$9,812.40
|
|
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 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
|
|
Incisn of toe tndn
|
$3,136.70 |
$3,136.70 |
$3,136.70 |
$2,627.96
|
|
Induced abortion d&c
|
$6,291.60 |
$6,291.60 |
$6,291.60 |
$3,762.53
|
|
Infect ag drug suscept pheno predict
|
$453.60 |
$453.60 |
$453.60 |
$323.20
|
|
Infect ag genotype na cytomegalovirus
|
$1,247.40 |
$1,247.40 |
$1,247.40 |
$661.80
|
|
Infect ag genotype na hiv-1 other region
|
$525.00 |
$525.00 |
$525.00 |
$386.40
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$821.80 |
$821.80 |
$821.80 |
$603.75
|
|
Infect ag if nos ea
|
$135.80 |
$135.80 |
$135.80 |
$74.88
|
|
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
|
$184.10 |
$184.10 |
$184.10 |
$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
|
$1,685.60 |
$1,685.60 |
$1,685.60 |
$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 helicobacter pylori stool
|
$116.20 |
$116.20 |
$116.20 |
$100.02
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$100.80 |
$100.80 |
$100.80 |
$81.20
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$77.70 |
$77.70 |
$77.70 |
$60.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$114.10 |
$114.10 |
$114.10 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$128.80 |
$128.80 |
$128.80 |
$129.00
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$47.60 |
$47.60 |
$47.60 |
$98.02
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$85.40 |
$85.40 |
$85.40 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$464.80 |
$464.80 |
$464.80 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$151.90 |
$151.90 |
$151.90 |
$139.68
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$51.10 |
$51.10 |
$51.10 |
$167.00
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$1,138.90 |
$1,138.90 |
$1,138.90 |
$861.00
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$200.20 |
$200.20 |
$200.20 |
$179.92
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$282.80 |
$282.80 |
$282.80 |
$147.55
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$261.80 |
$261.80 |
$261.80 |
$217.85
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$151.20 |
$151.20 |
$151.20 |
$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
|
$303.10 |
$303.10 |
$303.10 |
$211.00
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$239.40 |
$239.40 |
$239.40 |
$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
|
$712.60 |
$712.60 |
$712.60 |
$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
|
$317.80 |
$317.80 |
$317.80 |
$252.00
|
|
Infectious agent nucleic acid quantification hiv-1
|
$403.20 |
$403.20 |
$403.20 |
$374.00
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$716.80 |
$716.80 |
$716.80 |
$303.59
|
|
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
|
$449.40 |
$449.40 |
$449.40 |
$293.25
|
|
Initiation & management bipap/cpap initial day
|
$228.90 |
$228.90 |
$228.90 |
$576.00
|
|
Inj daptomycin (xellia)
|
$106.05 |
$106.05 |
$106.05 |
$56.04
|
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
|
$2,740.67 |
$2,740.67 |
$2,740.67 |
$1,214.78
|
|
Injection carpal tunnel therapeutic (both sides)
|
$423.50 |
$423.50 |
$423.50 |
$450.72
|
|
Injection epidural blood patch or clot
|
$2,688.52 |
$2,688.52 |
$2,688.52 |
$1,156.80
|
|
Injection eye drug
|
$3,068.80 |
$3,068.80 |
$3,068.80 |
$644.50
|
|
Injection for spleen x-ray
|
$2,619.40 |
$2,619.40 |
$2,619.40 |
$529.57
|
|
Injection for ureter x-ray
|
$1,450.40 |
$1,450.40 |
$1,450.40 |
$427.70
|
|
Injection into brain canal
|
$1,261.40 |
$1,261.40 |
$1,261.40 |
$1,289.60
|
|
Injection jugular
|
$4,524.10 |
$4,524.10 |
$4,524.10 |
$790.00
|
|
Injection,onabotulinumtoxina
|
$10.50 |
$10.50 |
$10.50 |
$2,277.65
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$2,058.00 |
$2,058.00 |
$2,058.00 |
$1,348.56
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$1,977.67 |
$1,977.67 |
$1,977.67 |
$1,023.50
|
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
|
$2,893.80 |
$2,893.80 |
$2,893.80 |
$1,952.40
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
|
$6,123.42 |
$6,123.42 |
$6,123.42 |
$1,029.45
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
|
$5,609.45 |
$5,609.45 |
$5,609.45 |
$1,814.40
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
|
$6,411.65 |
$6,411.65 |
$6,411.65 |
$1,017.90
|