|
Ihc/icc per specimen each additional single antibody stain
|
$148.80 |
$148.80 |
$148.80 |
$187.20
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$400.20 |
$400.20 |
$400.20 |
$339.73
|
|
Ihc/icc per specimen initial single antibody stain
|
$546.00 |
$546.00 |
$546.00 |
$274.86
|
|
Iliac/fem angio cath insert
|
$2,062.80 |
$2,062.80 |
$2,062.80 |
$2,070.72
|
|
Iliac revasc add-on 37222
|
$23,197.80 |
$23,197.80 |
$23,197.80 |
$8,583.60
|
|
Immobilizer shldr cntor adlt
|
$54.60 |
$54.60 |
$54.60 |
$89.70
|
|
Immobilizer shldr dlx str 24-36in med
|
$73.20 |
$73.20 |
$73.20 |
$72.60
|
|
Immobilizer shldr sling med
|
$24.60 |
$24.60 |
$24.60 |
$29.14
|
|
Immune complex assay
|
$225.60 |
$225.60 |
$225.60 |
$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 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution
|
$2,568.72 |
$2,568.72 |
$2,568.72 |
$107.10
|
|
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
|
$306.60 |
$306.60 |
$306.60 |
$122.50
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$305.40 |
$305.40 |
$305.40 |
$117.00
|
|
Immunodiff gel qual ea antigen/ab
|
$89.40 |
$89.40 |
$89.40 |
$58.25
|
|
Immunodiffusion nes
|
$195.00 |
$195.00 |
$195.00 |
$63.57
|
|
Immunofixation electrophoresis serum
|
$226.80 |
$226.80 |
$226.80 |
$133.38
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$195.60 |
$195.60 |
$195.60 |
$185.00
|
|
Immunofluorescence per specimen initial single antibody stain
|
$328.20 |
$328.20 |
$328.20 |
$288.00
|
|
Immunoglobulin assay
|
$45.00 |
$45.00 |
$45.00 |
$74.15
|
|
Immunology procedure
|
$746.40 |
$746.40 |
$746.40 |
$321.98
|
|
Implant cartilage 10mm synthetic
|
$14,234.40 |
$14,234.40 |
$14,234.40 |
$14,238.00
|
|
In-111 autol wbc diag per dose
|
$3,567.60 |
$3,567.60 |
$3,567.60 |
$3,785.34
|
|
In-111 pentetreotide
|
$8,461.80 |
$8,461.80 |
$8,461.80 |
$6,862.70
|
|
In-111 satumomab pend
|
$2,835.00 |
$2,835.00 |
$2,835.00 |
$3,524.25
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$2,984.40 |
$2,984.40 |
$2,984.40 |
$2,056.93
|
|
Incisn of toe tndn
|
$5,721.00 |
$5,721.00 |
$5,721.00 |
$2,298.99
|
|
Infect ag genotype na cytomegalovirus
|
$385.80 |
$385.80 |
$385.80 |
$577.60
|
|
Infect ag genotype na hiv-1 other region
|
$894.00 |
$894.00 |
$894.00 |
$390.00
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$1,260.00 |
$1,260.00 |
$1,260.00 |
$619.11
|
|
Infect ag ia direct hiv-1 antgn
|
$172.20 |
$172.20 |
$172.20 |
$95.55
|
|
Infect ag ia optc obs influenza
|
$140.40 |
$140.40 |
$140.40 |
$65.58
|
|
Infect ag if ea plyvlnt antsrm
|
$42.60 |
$42.60 |
$42.60 |
$47.70
|
|
Infect ag if influenza a
|
$89.40 |
$89.40 |
$89.40 |
$51.20
|
|
Infect ag if influenza b
|
$109.20 |
$109.20 |
$109.20 |
$45.50
|
|
Infect ag if legionella pneumophila
|
$223.20 |
$223.20 |
$223.20 |
$85.15
|
|
Infect ag if nos ea
|
$124.20 |
$124.20 |
$124.20 |
$66.40
|
|
Infect ag if pneumocystis carinii
|
$209.40 |
$209.40 |
$209.40 |
$53.81
|
|
Infect ag na hep b amp
|
$376.80 |
$376.80 |
$376.80 |
$108.44
|
|
Infect ag na herpes simplex quant
|
$77.40 |
$77.40 |
$77.40 |
$145.20
|
|
Infect ag na hpv high-risk types
|
$310.20 |
$310.20 |
$310.20 |
$147.00
|
|
Infect ag na influenza r/amp 1st 2 types
|
$339.00 |
$339.00 |
$339.00 |
$248.80
|
|
Infect ag na influenza revr/amp ea type
|
$151.80 |
$151.80 |
$151.80 |
$151.80
|
|
Infect ag na resp virus 12-25 targets
|
$1,377.00 |
$1,377.00 |
$1,377.00 |
$878.20
|
|
Infect ag phenotype na hiv-1 1-10 drugs
|
$943.80 |
$943.80 |
$943.80 |
$843.26
|
|
Infect ag phenotype na hiv-1 ea addl drg
|
$62.40 |
$62.40 |
$62.40 |
$117.00
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$201.60 |
$201.60 |
$201.60 |
$76.00
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$180.00 |
$180.00 |
$180.00 |
$76.00
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$234.00 |
$234.00 |
$234.00 |
$73.45
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$276.00 |
$276.00 |
$276.00 |
$96.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$183.60 |
$183.60 |
$183.60 |
$75.27
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$122.40 |
$122.40 |
$122.40 |
$60.95
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$179.40 |
$179.40 |
$179.40 |
$107.90
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$268.20 |
$268.20 |
$268.20 |
$132.60
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$264.00 |
$264.00 |
$264.00 |
$98.40
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$42.60 |
$42.60 |
$42.60 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$399.00 |
$399.00 |
$399.00 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$177.00 |
$177.00 |
$177.00 |
$144.00
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$309.00 |
$309.00 |
$309.00 |
$174.06
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$438.60 |
$438.60 |
$438.60 |
$181.35
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$265.20 |
$265.20 |
$265.20 |
$148.80
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$447.00 |
$447.00 |
$447.00 |
$217.10
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$177.00 |
$177.00 |
$177.00 |
$134.55
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$412.80 |
$412.80 |
$412.80 |
$109.18
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$126.60 |
$126.60 |
$126.60 |
$194.40
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$399.00 |
$399.00 |
$399.00 |
$135.00
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$1,048.20 |
$1,048.20 |
$1,048.20 |
$727.50
|
|
Infectious agent nucleic acid quantification bk virus
|
$535.20 |
$535.20 |
$535.20 |
$300.00
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$777.00 |
$777.00 |
$777.00 |
$242.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$893.40 |
$893.40 |
$893.40 |
$280.20
|
|
Infectious agent nucleic acid quantification hiv-1
|
$379.20 |
$379.20 |
$379.20 |
$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
|
$61.80 |
$61.80 |
$61.80 |
$75.80
|
|
Infuse radioactive materials
|
$1,332.60 |
$1,332.60 |
$1,332.60 |
$624.60
|
|
Initiation & management bipap/cpap initial day
|
$789.00 |
$789.00 |
$789.00 |
$608.40
|
|
Inj cefazolin sodium, hikma
|
$104.18 |
$104.18 |
$104.18 |
$66.38
|
|
Inj ceftolozane tazobactam
|
$239.31 |
$239.31 |
$239.31 |
$248.93
|
|
Inj cntr knee arthro incl ct/mri
|
$1,066.80 |
$1,066.80 |
$1,066.80 |
$505.20
|
|
Inj dx for sinogram
|
$636.60 |
$636.60 |
$636.60 |
$484.00
|
|
Injection arthrography hip without anesthesia (both sides)
|
$782.40 |
$782.40 |
$782.40 |
$609.20
|
|
Injection during cath supravalvular aortography
|
$2,935.20 |
$2,935.20 |
$2,935.20 |
$1,604.20
|
|
Injection epidural blood patch or clot
|
$2,373.60 |
$2,373.60 |
$2,373.60 |
$1,470.60
|
|
Injection for arthrography wrist (both sides)
|
$498.60 |
$498.60 |
$498.60 |
$521.18
|
|
Injection for bladder x-ray
|
$593.40 |
$593.40 |
$593.40 |
$585.00
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$711.60 |
$711.60 |
$711.60 |
$514.36
|
|
Injection, fulvestrant
|
$1,660.11 |
$1,660.11 |
$1,660.11 |
$166.25
|
|
Injection, inclisiran, 1 mg
|
$5,431.58 |
$5,431.58 |
$5,431.58 |
$12.72
|
|
Injection, isavuconazonium
|
$634.28 |
$634.28 |
$634.28 |
$634.28
|
|
Injection, necitumumab, 1 mg
|
$8.12 |
$8.12 |
$8.12 |
$5.73
|
|
Injection,onabotulinumtoxina
|
$12.88 |
$12.88 |
$12.88 |
$12.88
|
|
Injection, peramivir
|
$857.20 |
$857.20 |
$857.20 |
$857.20
|
|
Injection radioactive tracer sentinel node (both sides)
|
$1,711.20 |
$1,711.20 |
$1,711.20 |
$787.50
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$679.80 |
$679.80 |
$679.80 |
$1,017.28
|
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
|
$760.20 |
$760.20 |
$760.20 |
$460.94
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$220.80 |
$220.80 |
$220.80 |
$153.60
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$157.80 |
$157.80 |
$157.80 |
$150.00
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$313.80 |
$313.80 |
$313.80 |
$303.60
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$172.20 |
$172.20 |
$172.20 |
$130.19
|
|
Inject sacroiliac joint
|
$2,460.00 |
$2,460.00 |
$2,460.00 |
$1,028.95
|