|
Idh1 common variants
|
$216.72 |
$216.72 |
$216.72 |
$406.90
|
|
Idh2 common variants
|
$331.52 |
$331.52 |
$331.52 |
$463.45
|
|
Igh gene rearrange amp meth
|
$221.76 |
$221.76 |
$221.76 |
$464.00
|
|
Igh@ var region somatic mutation analy
|
$329.84 |
$329.84 |
$329.84 |
$685.75
|
|
Igk rearrangeabn clonal pop
|
$84.00 |
$84.00 |
$84.00 |
$382.50
|
|
Ihc/icc per specimen each additional single antibody stain
|
$122.64 |
$122.64 |
$122.64 |
$187.20
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$100.80 |
$100.80 |
$100.80 |
$339.73
|
|
Ihc/icc per specimen initial single antibody stain
|
$133.28 |
$133.28 |
$133.28 |
$274.86
|
|
Ikbkap gene
|
$36.40 |
$36.40 |
$36.40 |
$176.15
|
|
Iliac/fem angio cath insert
|
$1,905.12 |
$1,905.12 |
$1,905.12 |
$2,070.72
|
|
Iliac revasc add-on 37222
|
$8,810.48 |
$8,810.48 |
$8,810.48 |
$8,583.60
|
|
Immobilizer shldr dlx str 24-36in med
|
$59.92 |
$59.92 |
$59.92 |
$72.60
|
|
Immune complex assay
|
$50.96 |
$50.96 |
$50.96 |
$89.25
|
|
Immunoassay tumor antigen quantitative ca 125
|
$52.08 |
$52.08 |
$52.08 |
$122.50
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$53.20 |
$53.20 |
$53.20 |
$117.00
|
|
Immunodiff gel qual ea antigen/ab
|
$15.68 |
$15.68 |
$15.68 |
$58.25
|
|
Immunofixation electrophoresis serum
|
$71.12 |
$71.12 |
$71.12 |
$133.38
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$124.39 |
$124.39 |
$124.39 |
$185.00
|
|
Immunofluorescence per specimen initial single antibody stain
|
$233.52 |
$233.52 |
$233.52 |
$288.00
|
|
Immunoglobulin assay
|
$30.94 |
$30.94 |
$30.94 |
$74.15
|
|
Immunology procedure
|
$36.40 |
$36.40 |
$36.40 |
$321.98
|
|
Implant biventricular device 33976
|
$5,868.24 |
$5,868.24 |
$5,868.24 |
$5,053.23
|
|
Implant cartilage 10mm synthetic
|
$2,016.00 |
$2,016.00 |
$2,016.00 |
$14,238.00
|
|
Implant cochlear osia osi300
|
$5,314.40 |
$5,314.40 |
$5,314.40 |
$9,185.56
|
|
Implant single ventricular device 33975
|
$4,814.32 |
$4,814.32 |
$4,814.32 |
$4,438.75
|
|
Implant ureth bulk agent
|
$1,288.00 |
$1,288.00 |
$1,288.00 |
$2,342.17
|
|
In-111 autol wbc diag per dose
|
$2,262.40 |
$2,262.40 |
$2,262.40 |
$3,785.34
|
|
In-111 pentetate dtpa / 0.5 mci
|
$349.44 |
$349.44 |
$349.44 |
$2,156.25
|
|
In-111 pentetreotide
|
$4,193.28 |
$4,193.28 |
$4,193.28 |
$6,862.70
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$1,135.68 |
$1,135.68 |
$1,135.68 |
$2,056.93
|
|
Incision of achilles tendon
|
$1,795.92 |
$1,795.92 |
$1,795.92 |
$2,854.00
|
|
Incisn of toe tndn
|
$2,954.00 |
$2,954.00 |
$2,954.00 |
$2,298.99
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$157.92 |
$157.92 |
$157.92 |
$619.11
|
|
Infect ag ia optc obs influenza
|
$16.80 |
$16.80 |
$16.80 |
$65.58
|
|
Infect ag if ea plyvlnt antsrm
|
$35.28 |
$35.28 |
$35.28 |
$47.70
|
|
Infect ag if influenza a
|
$35.28 |
$35.28 |
$35.28 |
$51.20
|
|
Infect ag if influenza b
|
$35.28 |
$35.28 |
$35.28 |
$45.50
|
|
Infect ag if legionella pneumophila
|
$42.56 |
$42.56 |
$42.56 |
$85.15
|
|
Infect ag if pneumocystis carinii
|
$42.00 |
$42.00 |
$42.00 |
$53.81
|
|
Infect ag na hpv high-risk types
|
$42.00 |
$42.00 |
$42.00 |
$147.00
|
|
Infect ag na influenza r/amp 1st 2 types
|
$98.56 |
$98.56 |
$98.56 |
$248.80
|
|
Infect ag na resp virus 12-25 targets
|
$495.04 |
$495.04 |
$495.04 |
$878.20
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$22.40 |
$22.40 |
$22.40 |
$76.00
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$9.24 |
$9.24 |
$9.24 |
$76.00
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$25.20 |
$25.20 |
$25.20 |
$73.45
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$39.20 |
$39.20 |
$39.20 |
$75.27
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$59.36 |
$59.36 |
$59.36 |
$60.95
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$16.24 |
$16.24 |
$16.24 |
$107.90
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$77.82 |
$77.82 |
$77.82 |
$132.60
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$78.96 |
$78.96 |
$78.96 |
$98.40
|
|
Infectious agent nucleic acid amplified probe
|
$217.84 |
$217.84 |
$217.84 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$122.64 |
$122.64 |
$122.64 |
$144.00
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$62.72 |
$62.72 |
$62.72 |
$174.06
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$132.16 |
$132.16 |
$132.16 |
$181.35
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$45.92 |
$45.92 |
$45.92 |
$148.80
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$127.68 |
$127.68 |
$127.68 |
$134.55
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$77.28 |
$77.28 |
$77.28 |
$109.18
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$45.36 |
$45.36 |
$45.36 |
$96.00
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$62.72 |
$62.72 |
$62.72 |
$135.00
|
|
Infectious agent nucleic acid quantification bk virus
|
$75.60 |
$75.60 |
$75.60 |
$300.00
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$45.64 |
$45.64 |
$45.64 |
$242.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$100.80 |
$100.80 |
$100.80 |
$280.20
|
|
Infectious agent nucleic acid quantification hiv-1
|
$199.92 |
$199.92 |
$199.92 |
$381.55
|
|
Influenza dna amp prob addl
|
$27.61 |
$27.61 |
$27.61 |
$75.80
|
|
Initiation & management bipap/cpap initial day
|
$1,650.32 |
$1,650.32 |
$1,650.32 |
$608.40
|
|
Inj cntr knee arthro incl ct/mri
|
$837.20 |
$837.20 |
$837.20 |
$505.20
|
|
Inj dx for sinogram
|
$675.36 |
$675.36 |
$675.36 |
$484.00
|
|
Injection arthrography hip without anesthesia (both sides)
|
$1,041.04 |
$1,041.04 |
$1,041.04 |
$609.20
|
|
Injection during cath supravalvular aortography
|
$2,461.76 |
$2,461.76 |
$2,461.76 |
$1,604.20
|
|
Injection epidural blood patch or clot
|
$883.12 |
$883.12 |
$883.12 |
$1,470.60
|
|
Injection for arthrography wrist (both sides)
|
$873.60 |
$873.60 |
$873.60 |
$521.18
|
|
Injection for bladder x-ray
|
$710.08 |
$710.08 |
$710.08 |
$585.00
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$658.56 |
$658.56 |
$658.56 |
$514.36
|
|
Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides)
|
$1,023.68 |
$1,023.68 |
$1,023.68 |
$1,066.24
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$680.40 |
$680.40 |
$680.40 |
$1,391.40
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$372.96 |
$372.96 |
$372.96 |
$1,017.28
|
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
|
$973.84 |
$973.84 |
$973.84 |
$1,842.00
|
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
|
$973.84 |
$973.84 |
$973.84 |
$1,758.12
|
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
|
$372.96 |
$372.96 |
$372.96 |
$460.94
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$108.64 |
$108.64 |
$108.64 |
$153.60
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$93.52 |
$93.52 |
$93.52 |
$150.00
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$108.64 |
$108.64 |
$108.64 |
$303.60
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$47.60 |
$47.60 |
$47.60 |
$130.19
|
|
Inj for ext venography
|
$3,021.20 |
$3,021.20 |
$3,021.20 |
$946.64
|
|
Inj for mammo ductogram
|
$790.72 |
$790.72 |
$790.72 |
$469.16
|
|
Inj hrt cath w/s&i nonsel p-art angrp
|
$2,461.76 |
$2,461.76 |
$2,461.76 |
$1,646.97
|
|
Inj hrt cath w/s&i sel right vent
|
$1,942.08 |
$1,942.08 |
$1,942.08 |
$1,352.65
|
|
Inj nephrosto/ureterogram w/img exstng access
|
$1,954.96 |
$1,954.96 |
$1,954.96 |
$1,522.56
|
|
Inj peritoneal venous shunt
|
$454.72 |
$454.72 |
$454.72 |
$329.49
|
|
Inj proc ankle arthr
|
$686.56 |
$686.56 |
$686.56 |
$405.60
|
|
Inj proc elbow arthro
|
$878.08 |
$878.08 |
$878.08 |
$483.15
|
|
Inj proc for lymphang
|
$382.48 |
$382.48 |
$382.48 |
$1,718.73
|
|
Inj proc myelogram lumbar
|
$1,569.12 |
$1,569.12 |
$1,569.12 |
$1,026.35
|
|
Inj w/fluor eval cv device
|
$227.36 |
$227.36 |
$227.36 |
$573.00
|
|
Ins cath ren art 1st bi
|
$9,943.92 |
$9,943.92 |
$9,943.92 |
$6,012.50
|
|
Ins cath ren art 1st uni
|
$5,225.36 |
$5,225.36 |
$5,225.36 |
$4,628.00
|
|
Ins cath ren art 2nd+ bi
|
$11,161.92 |
$11,161.92 |
$11,161.92 |
$5,251.20
|
|
Ins cath ren art 2nd+ uni
|
$7,185.36 |
$7,185.36 |
$7,185.36 |
$5,528.94
|
|
Insert cath pleura with image
|
$1,098.72 |
$1,098.72 |
$1,098.72 |
$2,239.02
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$2,987.60 |
$2,987.60 |
$2,987.60 |
$4,923.19
|