|
Immobilizer shldr cntor adlt
|
$10.40 |
$10.40 |
$10.40 |
$89.70
|
|
Immobilizer shldr dlx str 24-36in med
|
$33.80 |
$33.80 |
$33.80 |
$72.60
|
|
Immobilizer shldr sling med
|
$74.10 |
$74.10 |
$74.10 |
$29.14
|
|
Immune complex assay
|
$125.45 |
$125.45 |
$125.45 |
$89.25
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$6,832.49 |
$6,832.49 |
$6,832.49 |
$2,621.62
|
|
Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution
|
$4,520.11 |
$4,520.11 |
$4,520.11 |
$107.10
|
|
Immunoassay tumor antigen quantitative ca 125
|
$91.65 |
$91.65 |
$91.65 |
$122.50
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$142.35 |
$142.35 |
$142.35 |
$117.00
|
|
Immunodiff gel qual ea antigen/ab
|
$71.50 |
$71.50 |
$71.50 |
$58.25
|
|
Immunodiffusion nes
|
$76.70 |
$76.70 |
$76.70 |
$63.57
|
|
Immunofixation electrophoresis serum
|
$242.45 |
$242.45 |
$242.45 |
$133.38
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$5,725.00 |
$5,725.00 |
$5,725.00 |
$185.00
|
|
Immunofluorescence per specimen initial single antibody stain
|
$5,725.00 |
$5,725.00 |
$5,725.00 |
$288.00
|
|
Immunoglobulin assay
|
$94.25 |
$94.25 |
$94.25 |
$74.15
|
|
Impedence cardiogram
|
$228.80 |
$228.80 |
$228.80 |
$138.00
|
|
Implant 11 volt lithium-ion backup battery for controller pocket
|
$4,355.00 |
$4,355.00 |
$4,355.00 |
$1,518.75
|
|
Implant cochlear device
|
$67,429.91 |
$67,429.91 |
$67,429.91 |
$34,229.98
|
|
Implant hormone pellet(s) 11980
|
$275.60 |
$275.60 |
$275.60 |
$275.60
|
|
Implant neuroelectrodes
|
$60,476.23 |
$60,476.23 |
$60,476.23 |
$19,287.34
|
|
Implant neuroelectrodes
|
$7,269.60 |
$7,269.60 |
$7,269.60 |
$6,433.49
|
|
Implant neuroelectrodes
|
$38,053.36 |
$38,053.36 |
$38,053.36 |
$7,266.73
|
|
Implant neurostim arrays
|
$58,290.17 |
$58,290.17 |
$58,290.17 |
$22,759.70
|
|
Implant single ventricular device 33975
|
$4,908.80 |
$4,908.80 |
$4,908.80 |
$4,438.75
|
|
Implant spine infusion pump
|
$30,119.56 |
$30,119.56 |
$30,119.56 |
$10,558.55
|
|
Impl neurostim electr perc
|
$11,871.24 |
$11,871.24 |
$11,871.24 |
$7,636.00
|
|
Implnt spinl canal catheter 62350
|
$34,774.71 |
$34,774.71 |
$34,774.71 |
$4,558.10
|
|
Impl oi implt sk tc esp<100
|
$30,043.75 |
$30,043.75 |
$30,043.75 |
$17,653.66
|
|
Impl oi implt skull perq esp
|
$15,791.03 |
$15,791.03 |
$15,791.03 |
$10,629.07
|
|
Imuglucerase injection
|
$3,426.75 |
$3,426.75 |
$3,426.75 |
$82.80
|
|
In-111 autol wbc diag per dose
|
$2,729.35 |
$2,729.35 |
$2,729.35 |
$3,785.34
|
|
In-111 capromab pendet
|
$5,156.45 |
$5,156.45 |
$5,156.45 |
$3,941.34
|
|
In-111 ibritumomab tiux dx
|
$75,520.90 |
$75,520.90 |
$75,520.90 |
$4,630.00
|
|
In-111 oxyquinolin per 0.5 mci
|
$2,038.40 |
$2,038.40 |
$2,038.40 |
$2,441.34
|
|
In-111 pentetate dtpa / 0.5 mci
|
$1,581.45 |
$1,581.45 |
$1,581.45 |
$2,156.25
|
|
In-111 pentetreotide
|
$6,905.60 |
$6,905.60 |
$6,905.60 |
$6,862.70
|
|
Incise inner ear
|
$5,274.05 |
$5,274.05 |
$5,274.05 |
$2,186.08
|
|
Incise inner ear nerve
|
$26,323.11 |
$26,323.11 |
$26,323.11 |
$5,289.89
|
|
Incise inner eye adhesions
|
$2,476.50 |
$2,476.50 |
$2,476.50 |
$1,202.90
|
|
Incise inner eye adhesions
|
$9,926.59 |
$9,926.59 |
$9,926.59 |
$2,447.31
|
|
Incise inner eye adhesions
|
$20,998.06 |
$20,998.06 |
$20,998.06 |
$2,685.92
|
|
Incise inner eye adhesions
|
$12,141.42 |
$12,141.42 |
$12,141.42 |
$2,685.92
|
|
Incise nerve back of head
|
$21,660.07 |
$21,660.07 |
$21,660.07 |
$2,344.00
|
|
Incise tear duct opening 68440
|
$549.25 |
$549.25 |
$549.25 |
$507.20
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$1,824.55 |
$1,824.55 |
$1,824.55 |
$2,056.93
|
|
Incision of anal sphincter
|
$8,354.53 |
$8,354.53 |
$8,354.53 |
$3,035.44
|
|
Incision of eardrum
|
$7,381.67 |
$7,381.67 |
$7,381.67 |
$2,872.80
|
|
Incision of eyelid
|
$5,751.17 |
$5,751.17 |
$5,751.17 |
$1,150.40
|
|
Incision of iris
|
$11,388.22 |
$11,388.22 |
$11,388.22 |
$2,017.15
|
|
Incision of rectal abscess
|
$8,879.37 |
$8,879.37 |
$8,879.37 |
$3,050.39
|
|
Incision of sperm duct
|
$7,875.19 |
$7,875.19 |
$7,875.19 |
$2,738.14
|
|
Incision of spinal nerve 64772
|
$21,871.89 |
$21,871.89 |
$21,871.89 |
$2,163.32
|
|
Incision of tongue fold
|
$5,107.10 |
$5,107.10 |
$5,107.10 |
$1,792.50
|
|
Incision of urethra
|
$6,086.60 |
$6,086.60 |
$6,086.60 |
$3,452.25
|
|
Incision secondary cataract
|
$12,456.76 |
$12,456.76 |
$12,456.76 |
$2,120.00
|
|
Incisn windpipe
|
$3,138.85 |
$3,138.85 |
$3,138.85 |
$3,723.23
|
|
Incobotulinumtoxin a
|
$1,999.54 |
$1,999.54 |
$1,999.54 |
$5.34
|
|
Infect ag drug suscept pheno predict
|
$284.70 |
$284.70 |
$284.70 |
$382.20
|
|
Infect ag eia influenza a or b ea
|
$136.50 |
$136.50 |
$136.50 |
$64.00
|
|
Infect ag genotype na hiv-1 other region
|
$391.30 |
$391.30 |
$391.30 |
$390.00
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$549.90 |
$549.90 |
$549.90 |
$619.11
|
|
Infect ag ia direct hiv-1 antgn
|
$88.40 |
$88.40 |
$88.40 |
$95.55
|
|
Infect ag ia optc obs influenza
|
$60.45 |
$60.45 |
$60.45 |
$65.58
|
|
Infect ag if influenza a
|
$94.90 |
$94.90 |
$94.90 |
$51.20
|
|
Infect ag if influenza b
|
$94.90 |
$94.90 |
$94.90 |
$45.50
|
|
Infect ag if varicella zoster
|
$70.85 |
$70.85 |
$70.85 |
$68.25
|
|
Infect ag na hpv high-risk types
|
$117.00 |
$117.00 |
$117.00 |
$147.00
|
|
Infect ag na influenza r/amp 1st 2 types
|
$245.05 |
$245.05 |
$245.05 |
$248.80
|
|
Infect ag na orthopoxvirus amp prb each
|
$104.00 |
$104.00 |
$104.00 |
$127.50
|
|
Infect ag na resp virus 12-25 targets
|
$637.65 |
$637.65 |
$637.65 |
$878.20
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$167.05 |
$167.05 |
$167.05 |
$76.00
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$252.20 |
$252.20 |
$252.20 |
$74.10
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$59.80 |
$59.80 |
$59.80 |
$76.00
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$59.80 |
$59.80 |
$59.80 |
$73.45
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$135.20 |
$135.20 |
$135.20 |
$96.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$71.50 |
$71.50 |
$71.50 |
$75.27
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$60.45 |
$60.45 |
$60.45 |
$60.95
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$81.25 |
$81.25 |
$81.25 |
$107.90
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$202.80 |
$202.80 |
$202.80 |
$132.60
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$83.85 |
$83.85 |
$83.85 |
$98.40
|
|
Infectious agent nucleic acid amplified probe
|
$352.95 |
$352.95 |
$352.95 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$193.70 |
$193.70 |
$193.70 |
$144.00
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$195.65 |
$195.65 |
$195.65 |
$174.06
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$1,021.15 |
$1,021.15 |
$1,021.15 |
$855.45
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$380.90 |
$380.90 |
$380.90 |
$181.35
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$146.25 |
$146.25 |
$146.25 |
$148.80
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$180.05 |
$180.05 |
$180.05 |
$217.10
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$121.55 |
$121.55 |
$121.55 |
$134.55
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$146.25 |
$146.25 |
$146.25 |
$109.18
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$208.00 |
$208.00 |
$208.00 |
$194.40
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$283.40 |
$283.40 |
$283.40 |
$211.09
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$85.15 |
$85.15 |
$85.15 |
$96.00
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$90.35 |
$90.35 |
$90.35 |
$135.00
|
|
Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae
|
$274.30 |
$274.30 |
$274.30 |
$296.71
|
|
Infectious agent nucleic acid joint space pathogens multiplex amplified probe >= 26 targets
|
$397.80 |
$397.80 |
$397.80 |
$1,069.61
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$542.10 |
$542.10 |
$542.10 |
$727.50
|
|
Infectious agent nucleic acid quantification bk virus
|
$468.00 |
$468.00 |
$468.00 |
$300.00
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$168.35 |
$168.35 |
$168.35 |
$242.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$492.05 |
$492.05 |
$492.05 |
$280.20
|
|
Infectious agent nucleic acid quantification hiv-1
|
$369.85 |
$369.85 |
$369.85 |
$381.55
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$298.35 |
$298.35 |
$298.35 |
$303.59
|