|
Igh@ var region somatic mutation analy
|
$589.20 |
$589.20 |
$656.40 |
$660.80
|
|
Ihc/icc per specimen each additional single antibody stain
|
$81.60 |
$81.60 |
$91.20 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$247.80 |
$247.80 |
$247.80 |
$331.86
|
|
Ihc/icc per specimen initial single antibody stain
|
$124.20 |
$124.20 |
$138.00 |
$278.40
|
|
Ileostomy/jejunostomy non-tube 44310
|
$1,882.20 |
$1,882.20 |
$1,976.40 |
$1,976.40
|
|
Iliac revasc add-on 37222
|
$4,083.00 |
$4,083.00 |
$4,544.40 |
$6,082.65
|
|
Imatinib 100 mg tab
|
$207.25 |
$207.25 |
$514.08 |
$248.00
|
|
Imbrication/diaphragm/transthor/transabd 39545
|
$1,645.80 |
$1,645.80 |
$1,728.00 |
$1,728.00
|
|
Imetelstat 188 mg intravenous solution
|
$18,478.85 |
$18,478.85 |
$18,478.85 |
$20,373.55
|
|
Immobilizer shldr cntor adlt
|
$6.60 |
$6.60 |
$7.20 |
$175.60
|
|
Immobilizer shldr dlx str 24-36in med
|
$97.20 |
$97.20 |
$102.00 |
$115.75
|
|
Immobilizer shldr sling med
|
$42.00 |
$42.00 |
$44.40 |
$126.00
|
|
Immt breast prosthesis 19340
|
$1,728.60 |
$1,728.60 |
$1,815.00 |
$4,883.20
|
|
Immune complex assay
|
$69.60 |
$69.60 |
$78.00 |
$101.60
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$8,608.42 |
$8,608.42 |
$9,307.69 |
$6,106.32
|
|
Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution
|
$3,848.85 |
$3,848.85 |
$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
|
$34.80 |
$34.80 |
$36.60 |
$92.00
|
|
Immunoassay tumor antigen quantitative ca 125
|
$180.00 |
$180.00 |
$189.00 |
$132.00
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$126.60 |
$126.60 |
$141.60 |
$116.50
|
|
Immunodiff gel qual ea antigen/ab
|
$178.20 |
$178.20 |
$187.20 |
$48.57
|
|
Immunodiffusion nes
|
$84.00 |
$84.00 |
$93.60 |
$53.76
|
|
Immunoelectrophoresis assay
|
$285.00 |
$285.00 |
$285.00 |
$32.91
|
|
Immunofixation electrophoresis serum
|
$155.40 |
$155.40 |
$163.20 |
$142.50
|
|
Immunofluorescence per specimen initial single antibody stain
|
$267.60 |
$267.60 |
$298.20 |
$234.27
|
|
Immunoglobulin assay
|
$78.00 |
$78.00 |
$87.00 |
$78.00
|
|
Immunology procedure
|
$653.40 |
$653.40 |
$686.40 |
$154.95
|
|
Impedence cardiogram
|
$138.00 |
$138.00 |
$154.20 |
$152.54
|
|
Implant biventricular device 33976
|
$3,280.80 |
$3,280.80 |
$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
|
$190.20 |
$190.20 |
$199.80 |
$315.75
|
|
Implant open hernia repair w/mesh 49568
|
$531.00 |
$531.00 |
$557.40 |
$632.40
|
|
Implant single ventricular device 33975
|
$6,750.60 |
$6,750.60 |
$7,797.00 |
$5,053.23
|
|
Implant spine infusion pump
|
$777.60 |
$777.60 |
$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
|
$7,296.00 |
$7,296.00 |
$8,427.00 |
$7,672.50
|
|
Implnt bio implnt for soft tiss reinforcement 15777
|
$204.00 |
$204.00 |
$214.20 |
$1,072.00
|
|
Implnt spinl canal catheter 62350
|
$726.60 |
$726.60 |
$763.20 |
$5,095.20
|
|
Implt brain chemotx add-on 61517
|
$153.00 |
$153.00 |
$160.80 |
$153.00
|
|
Impreg gauze no h20/sal/yard
|
$9.00 |
$9.00 |
$9.60 |
$11.90
|
|
In-111 autol wbc diag per dose
|
$1,642.80 |
$1,642.80 |
$1,725.00 |
$3,493.75
|
|
In-111 ibritumomab tiux dx
|
$3,093.00 |
$3,093.00 |
$3,247.80 |
$4,748.02
|
|
In-111 oxyquinolin per 0.5 mci
|
$1,642.80 |
$1,642.80 |
$1,725.00 |
$2,753.23
|
|
In-111 pentetreotide
|
$2,763.60 |
$2,763.60 |
$2,902.20 |
$5,294.90
|
|
In-111 satumomab pend
|
$2,197.20 |
$2,197.20 |
$2,307.60 |
$3,113.04
|
|
Incis 1 vertebral seg lumbar
|
$2,073.60 |
$2,073.60 |
$2,073.60 |
$3,628.80
|
|
Incise perq finger tendon 26060
|
$478.80 |
$478.80 |
$502.80 |
$2,211.05
|
|
Incise tear duct opening 68440
|
$181.80 |
$181.80 |
$190.80 |
$841.43
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$1,657.20 |
$1,657.20 |
$2,001.00 |
$2,089.40
|
|
Incision & drainage open of deep abscess (subfascial) pos
|
$1,346.40 |
$1,346.40 |
$1,413.60 |
$2,312.00
|
|
Incision of anal sphincter
|
$441.60 |
$441.60 |
$463.80 |
$3,245.23
|
|
Incision of bile duct 47420
|
$2,401.80 |
$2,401.80 |
$2,521.80 |
$2,788.80
|
|
Incision of breast lesion
|
$1,539.60 |
$1,539.60 |
$1,859.40 |
$2,577.85
|
|
Incision of burn scab initi
|
$226.80 |
$226.80 |
$262.20 |
$494.40
|
|
Incision of eardrum
|
$357.60 |
$357.60 |
$375.60 |
$548.25
|
|
Incision of eardrum
|
$281.40 |
$281.40 |
$295.20 |
$3,837.72
|
|
Incision of foot fascia
|
$786.60 |
$786.60 |
$2,298.60 |
$4,599.40
|
|
Incision of foot tendon 28234
|
$744.60 |
$744.60 |
$781.80 |
$2,116.27
|
|
Incision of gallbladder 47480
|
$1,571.40 |
$1,571.40 |
$1,650.00 |
$1,650.00
|
|
Incision of heel bone
|
$1,203.60 |
$1,203.60 |
$1,263.60 |
$5,855.00
|
|
Incision of metatarsal
|
$1,113.00 |
$1,113.00 |
$1,168.80 |
$4,561.60
|
|
Incision of metatarsal
|
$1,014.60 |
$1,014.60 |
$1,065.60 |
$3,594.44
|
|
Incision of midfoot bones
|
$1,158.60 |
$1,158.60 |
$1,158.60 |
$5,855.00
|
|
Incision of pyloric muscle 43520
|
$1,243.80 |
$1,243.80 |
$1,306.20 |
$1,685.60
|
|
Incision of rectal abscess
|
$849.00 |
$849.00 |
$891.60 |
$3,245.23
|
|
Incision of small bowel 44010
|
$1,362.00 |
$1,362.00 |
$1,430.40 |
$1,152.33
|
|
Incision of spinal nerve 64772
|
$1,043.40 |
$1,043.40 |
$1,095.60 |
$2,310.83
|
|
Incision of tendon sheath
|
$487.80 |
$487.80 |
$487.80 |
$2,211.05
|
|
Incision of toe tendons 28011
|
$500.40 |
$500.40 |
$525.60 |
$2,068.30
|
|
Incision of tongue fold
|
$382.20 |
$382.20 |
$401.40 |
$1,792.50
|
|
Incision tendon sheath
|
$1,009.80 |
$1,009.80 |
$2,309.40 |
$3,073.20
|
|
Incisn of toe tndn
|
$388.80 |
$388.80 |
$408.00 |
$2,667.00
|
|
Incisn windpipe
|
$734.40 |
$734.40 |
$771.00 |
$3,819.23
|
|
Incobotulinumtoxin a
|
$890.93 |
$890.93 |
$917.50 |
$1,339.57
|
|
Induced ab 1+vag supp d&c
|
$955.20 |
$955.20 |
$1,003.20 |
$1,194.40
|
|
Induced ab 1+ vag sup w/dlv fetus
|
$812.40 |
$812.40 |
$853.20 |
$1,997.99
|
|
Induced abortion d&c
|
$486.60 |
$486.60 |
$511.20 |
$3,762.53
|
|
Induced abortion dilat&evac
|
$747.00 |
$747.00 |
$784.20 |
$4,451.18
|
|
Infect ag drug suscept pheno predict
|
$426.00 |
$426.00 |
$447.60 |
$325.00
|
|
Infect ag eia chlamydia trachomatis
|
$104.40 |
$104.40 |
$116.40 |
$67.20
|
|
Infect ag genotype na hiv-1 other region
|
$420.60 |
$420.60 |
$454.80 |
$361.65
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$841.80 |
$841.80 |
$937.20 |
$603.83
|
|
Infect ag ia optc obs influenza
|
$34.80 |
$34.80 |
$67.20 |
$72.93
|
|
Infect ag if ea plyvlnt antsrm
|
$136.20 |
$136.20 |
$152.40 |
$65.10
|
|
Infect ag if influenza a
|
$38.40 |
$38.40 |
$43.20 |
$41.22
|
|
Infect ag if influenza b
|
$30.00 |
$30.00 |
$33.60 |
$37.95
|
|
Infect ag if legionella pneumophila
|
$94.20 |
$94.20 |
$105.00 |
$73.45
|
|
Infect ag if nos ea
|
$67.80 |
$67.80 |
$75.60 |
$74.88
|
|
Infect ag if pneumocystis carinii
|
$124.20 |
$124.20 |
$138.00 |
$66.60
|
|
Infect ag if varicella zoster
|
$64.80 |
$64.80 |
$72.00 |
$72.00
|
|
Infect ag na hep b amp
|
$280.80 |
$280.80 |
$295.20 |
$120.50
|
|
Infect ag na herpes simplex quant
|
$145.20 |
$145.20 |
$162.00 |
$178.86
|
|
Infect ag na hpv high-risk types
|
$88.80 |
$88.80 |
$93.60 |
$139.20
|
|
Infect ag na influenza r/amp 1st 2 types
|
$280.80 |
$280.80 |
$295.20 |
$220.00
|
|
Infect ag na influenza revr/amp ea type
|
$54.00 |
$54.00 |
$57.00 |
$156.60
|
|
Infect ag na orthopoxvirus amp prb each
|
$69.60 |
$69.60 |
$78.00 |
$100.46
|
|
Infect ag na resp virus 12-25 targets
|
$750.60 |
$750.60 |
$835.80 |
$858.92
|
|
Infect ag phenotype na hiv-1 1-10 drugs
|
$1,596.00 |
$1,596.00 |
$1,675.80 |
$954.00
|
|
Infect ag phenotype na hiv-1 ea addl drg
|
$94.20 |
$94.20 |
$99.00 |
$75.63
|
|
Infectious agent antigen immunoassay direct optical observation sars-cov-2
|
$33.00 |
$33.00 |
$36.60 |
$53.00
|