|
Ihc/icc per specimen initial single antibody stain
|
$330.60 |
$330.60 |
$330.60 |
$274.86
|
|
Immobilizer shldr cntor adlt
|
$145.80 |
$145.80 |
$145.80 |
$89.70
|
|
Immobilizer shldr dlx str 24-36in med
|
$72.60 |
$72.60 |
$72.60 |
$72.60
|
|
Immobilizer shldr sling med
|
$21.00 |
$21.00 |
$21.00 |
$29.14
|
|
Immune complex assay
|
$249.00 |
$249.00 |
$249.00 |
$89.25
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$6,572.65 |
$6,572.65 |
$6,572.65 |
$2,621.62
|
|
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution
|
$6,925.50 |
$6,925.50 |
$6,925.50 |
$3,132.49
|
|
Immunoassay tumor antigen quantitative ca 125
|
$316.20 |
$316.20 |
$316.20 |
$122.50
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$318.60 |
$318.60 |
$318.60 |
$117.00
|
|
Immunodiff gel qual ea antigen/ab
|
$58.80 |
$58.80 |
$58.80 |
$58.25
|
|
Immunodiffusion nes
|
$259.80 |
$259.80 |
$259.80 |
$63.57
|
|
Immunofixation electrophoresis serum
|
$397.20 |
$397.20 |
$397.20 |
$133.38
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$186.60 |
$186.60 |
$186.60 |
$185.00
|
|
Immunofluorescence per specimen initial single antibody stain
|
$447.00 |
$447.00 |
$447.00 |
$288.00
|
|
Implant cartilage 10mm synthetic
|
$4,710.00 |
$4,710.00 |
$4,710.00 |
$14,238.00
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$3,011.40 |
$3,011.40 |
$3,011.40 |
$2,056.93
|
|
Infect ag genotype na cytomegalovirus
|
$388.20 |
$388.20 |
$388.20 |
$577.60
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$1,171.20 |
$1,171.20 |
$1,171.20 |
$619.11
|
|
Infect ag ia direct hiv-1 antgn
|
$172.80 |
$172.80 |
$172.80 |
$95.55
|
|
Infect ag ia optc obs influenza
|
$210.60 |
$210.60 |
$210.60 |
$65.58
|
|
Infect ag if ea plyvlnt antsrm
|
$36.00 |
$36.00 |
$36.00 |
$47.70
|
|
Infect ag if legionella pneumophila
|
$259.80 |
$259.80 |
$259.80 |
$85.15
|
|
Infect ag na hep b amp
|
$447.00 |
$447.00 |
$447.00 |
$108.44
|
|
Infect ag na influenza r/amp 1st 2 types
|
$364.80 |
$364.80 |
$364.80 |
$248.80
|
|
Infect ag na influenza revr/amp ea type
|
$153.60 |
$153.60 |
$153.60 |
$151.80
|
|
Infect ag na resp virus 12-25 targets
|
$1,505.40 |
$1,505.40 |
$1,505.40 |
$878.20
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$282.00 |
$282.00 |
$282.00 |
$76.00
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$151.20 |
$151.20 |
$151.20 |
$76.00
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$139.80 |
$139.80 |
$139.80 |
$73.45
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$218.40 |
$218.40 |
$218.40 |
$96.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$195.00 |
$195.00 |
$195.00 |
$75.27
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$129.60 |
$129.60 |
$129.60 |
$60.95
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$198.60 |
$198.60 |
$198.60 |
$107.90
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$247.80 |
$247.80 |
$247.80 |
$132.60
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$279.00 |
$279.00 |
$279.00 |
$98.40
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$108.00 |
$108.00 |
$108.00 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$444.00 |
$444.00 |
$444.00 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$247.80 |
$247.80 |
$247.80 |
$144.00
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$200.40 |
$200.40 |
$200.40 |
$174.06
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$383.40 |
$383.40 |
$383.40 |
$181.35
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$273.60 |
$273.60 |
$273.60 |
$148.80
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$457.20 |
$457.20 |
$457.20 |
$217.10
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$249.00 |
$249.00 |
$249.00 |
$134.55
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$415.20 |
$415.20 |
$415.20 |
$109.18
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$127.20 |
$127.20 |
$127.20 |
$194.40
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$175.80 |
$175.80 |
$175.80 |
$135.00
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$1,060.80 |
$1,060.80 |
$1,060.80 |
$727.50
|
|
Infectious agent nucleic acid quantification bk virus
|
$604.80 |
$604.80 |
$604.80 |
$300.00
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$841.20 |
$841.20 |
$841.20 |
$242.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$938.40 |
$938.40 |
$938.40 |
$280.20
|
|
Infectious agent nucleic acid quantification hiv-1
|
$991.80 |
$991.80 |
$991.80 |
$381.55
|
|
Infliximab 100 mg intravenous solution
|
$23.58 |
$23.58 |
$23.58 |
$178.95
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$20.66 |
$20.66 |
$20.66 |
$157.14
|
|
Influenza dna amp prob addl
|
$79.20 |
$79.20 |
$79.20 |
$75.80
|
|
Initiation & management bipap/cpap initial day
|
$891.60 |
$891.60 |
$891.60 |
$608.40
|
|
Inj., benralizumab, 1 mg
|
$8,674.10 |
$8,674.10 |
$8,674.10 |
$12,417.10
|
|
Inj cefazolin sodium, hikma
|
$104.18 |
$104.18 |
$104.18 |
$66.38
|
|
Inj cntr knee arthro incl ct/mri
|
$474.00 |
$474.00 |
$474.00 |
$505.20
|
|
Injection arthrography hip without anesthesia (both sides)
|
$781.80 |
$781.80 |
$781.80 |
$609.20
|
|
Injection epidural blood patch or clot
|
$1,894.80 |
$1,894.80 |
$1,894.80 |
$1,470.60
|
|
Injection for arthrography wrist (both sides)
|
$609.00 |
$609.00 |
$609.00 |
$521.18
|
|
Injection for bladder x-ray
|
$775.80 |
$775.80 |
$775.80 |
$585.00
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$766.20 |
$766.20 |
$766.20 |
$514.36
|
|
Injection, fulvestrant
|
$1,660.11 |
$1,660.11 |
$1,660.11 |
$166.25
|
|
Injection,onabotulinumtoxina
|
$12.88 |
$12.88 |
$12.88 |
$12.88
|
|
Injection radioactive tracer sentinel node (both sides)
|
$1,741.80 |
$1,741.80 |
$1,741.80 |
$787.50
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
|
$826.20 |
$826.20 |
$826.20 |
$1,131.41
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
|
$2,295.60 |
$2,295.60 |
$2,295.60 |
$1,985.61
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
|
$826.20 |
$826.20 |
$826.20 |
$1,119.88
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
|
$2,295.60 |
$2,295.60 |
$2,295.60 |
$1,961.05
|
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
|
$645.60 |
$645.60 |
$645.60 |
$460.94
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$670.20 |
$670.20 |
$670.20 |
$517.24
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$191.40 |
$191.40 |
$191.40 |
$153.60
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$150.00 |
$150.00 |
$150.00 |
$150.00
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$271.80 |
$271.80 |
$271.80 |
$303.60
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$135.60 |
$135.60 |
$135.60 |
$130.19
|
|
Injection torsemide 10 mg/ml
|
$40.94 |
$40.94 |
$40.94 |
$40.67
|
|
Inject sacroiliac joint
|
$5,196.00 |
$5,196.00 |
$5,196.00 |
$1,028.95
|
|
Inj intralesional <= 7 lsn(s)
|
$222.60 |
$222.60 |
$222.60 |
$238.77
|
|
Inj ivig privigen 500 mg
|
$5,204.56 |
$5,204.56 |
$5,204.56 |
$6,144.00
|
|
Inj., meropenem, vaborbactam
|
$426.85 |
$426.85 |
$426.85 |
$426.85
|
|
Inj proc ankle arthr
|
$511.20 |
$511.20 |
$511.20 |
$405.60
|
|
Inj proc elbow arthro
|
$609.00 |
$609.00 |
$609.00 |
$483.15
|
|
Inj proc myelogram lumbar
|
$1,739.40 |
$1,739.40 |
$1,739.40 |
$1,026.35
|
|
Inj retro urethrocysto
|
$899.40 |
$899.40 |
$899.40 |
$569.60
|
|
Inj testosterone cypionate
|
$77.15 |
$77.15 |
$77.15 |
$78.79
|
|
Insert cath pleura with image
|
$3,429.00 |
$3,429.00 |
$3,429.00 |
$2,239.02
|
|
Insertion catheter bladder non indwelling
|
$399.60 |
$399.60 |
$399.60 |
$230.40
|
|
Insertion catheter bladder temporary simple
|
$444.60 |
$444.60 |
$444.60 |
$245.00
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$4,586.40 |
$4,586.40 |
$4,586.40 |
$2,457.24
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$3,433.80 |
$3,433.80 |
$3,433.80 |
$2,367.00
|
|
Insitu hybridization auto
|
$743.40 |
$743.40 |
$743.40 |
$328.79
|
|
Insitu hybridization manual
|
$1,145.40 |
$1,145.40 |
$1,145.40 |
$407.11
|
|
In situ hybridization per specimen each additional single probe stain
|
$285.60 |
$285.60 |
$285.60 |
$291.00
|
|
In situ hybridization per specimen initial single probe stain
|
$985.80 |
$985.80 |
$985.80 |
$364.00
|
|
Insti hexaminolevulinate hcl
|
$2,356.80 |
$2,356.80 |
$2,356.80 |
$2,356.80
|
|
Insulin total
|
$232.80 |
$232.80 |
$232.80 |
$72.15
|
|
Intens cardiac rehab no exer
|
$160.20 |
$160.20 |
$160.20 |
$139.49
|
|
Intens cardiac rehab w/exerc
|
$160.20 |
$160.20 |
$160.20 |
$160.20
|
|
Interferon alfa-2b inj
|
$51.21 |
$51.21 |
$51.21 |
$51.21
|