|
Ihc/icc per specimen each additional single antibody stain
|
$263.20 |
$263.20 |
$307.20 |
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$184.80 |
$184.80 |
$184.80 |
|
|
Ihc/icc per specimen initial single antibody stain
|
$216.00 |
$216.00 |
$307.20 |
|
|
Ileostomy/jejunostomy non-tube 44310
|
$1,531.20 |
$1,531.20 |
$1,531.20 |
|
|
Iliac/fem angio cath insert
|
$1,772.80 |
$1,772.80 |
$1,772.80 |
|
|
Iliac revasc add-on 37222
|
$9,512.80 |
$9,512.80 |
$9,512.80 |
|
|
Img rta detcj/mntr ds staff
|
$26.40 |
$26.40 |
$26.40 |
|
|
Img rta detc/mntr ds phy/qhp
|
$44.80 |
$44.80 |
$44.80 |
|
|
Immobilizer lwr extrem nylon 20in reinforc 21-35in
|
$258.89 |
$258.89 |
$258.89 |
|
|
Immobilizer shldr cntor adlt
|
$167.18 |
$167.18 |
$167.18 |
|
|
Immobilizer shldr dlx str 24-36in med
|
$132.30 |
$132.30 |
$132.30 |
|
|
Immune complex assay
|
$149.60 |
$149.60 |
$149.60 |
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$5,809.22 |
$5,809.22 |
$5,809.22 |
|
|
Immunoassay tumor antigen quantitative ca 125
|
$88.00 |
$88.00 |
$122.40 |
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$124.00 |
$124.00 |
$124.00 |
|
|
Immunodiff gel qual ea antigen/ab
|
$122.40 |
$122.40 |
$122.40 |
|
|
Immunofixation electrophoresis serum
|
$120.80 |
$120.80 |
$120.80 |
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$395.20 |
$395.20 |
$627.20 |
|
|
Immunofluorescence per specimen initial single antibody stain
|
$344.00 |
$344.00 |
$716.80 |
|
|
Impl ahmed 6x25x9.6mm glaucoma vlv w/sil ped ster
|
$3,776.96 |
$3,776.96 |
$3,776.96 |
|
|
Implant 11 volt lithium-ion backup battery for controller pocket
|
$1,296.00 |
$1,296.00 |
$1,296.00 |
|
|
Implant cartilage 10mm synthetic
|
$9,248.00 |
$9,248.00 |
$9,248.00 |
|
|
Implant cochlear osia osi300
|
$13,402.35 |
$13,402.35 |
$13,402.35 |
|
|
Implant hormone pellet(s) 11980
|
$140.80 |
$140.80 |
$140.80 |
|
|
Implant neuroelectrodes
|
$1,062.40 |
$1,062.40 |
$1,062.40 |
|
|
Implant ureth bulk agent
|
$1,722.00 |
$1,722.00 |
$1,722.00 |
|
|
Impl neurostim electr perc
|
$12,980.80 |
$12,980.80 |
$12,980.80 |
|
|
Imuglucerase injection
|
$4,585.34 |
$4,585.34 |
$4,585.34 |
|
|
Incise/drain eyelid lining
|
$1,100.00 |
$1,100.00 |
$1,331.20 |
|
|
Incise flexor carpi radialis
|
$4,108.00 |
$4,108.00 |
$4,108.00 |
|
|
Incise hand/finger tendon
|
$1,980.00 |
$1,980.00 |
$1,980.00 |
|
|
Incise inner ear
|
$339.20 |
$339.20 |
$339.20 |
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$1,200.80 |
$1,200.80 |
$3,240.80 |
|
|
Incision of anal sphincter
|
$433.60 |
$433.60 |
$433.60 |
|
|
Incision of breast lesion
|
$703.20 |
$703.20 |
$2,764.80 |
|
|
Incision of burn scab initi
|
$515.20 |
$515.20 |
$515.20 |
|
|
Incision of eardrum
|
$284.00 |
$284.00 |
$287.20 |
|
|
Incision of finger tendon
|
$691.20 |
$691.20 |
$691.20 |
|
|
Incision of foot tendon 28234
|
$609.60 |
$609.60 |
$609.60 |
|
|
Incision of gallbladder 47480
|
$1,297.60 |
$1,297.60 |
$1,297.60 |
|
|
Incision of metatarsal
|
$836.80 |
$836.80 |
$836.80 |
|
|
Incision of prostate
|
$714.40 |
$714.40 |
$714.40 |
|
|
Incision of rectal abscess
|
$737.60 |
$737.60 |
$737.60 |
|
|
Incision of spinal nerve 64772
|
$827.20 |
$827.20 |
$827.20 |
|
|
Incision of tendon & muscle
|
$933.60 |
$933.60 |
$933.60 |
|
|
Incision of tendon sheath
|
$511.20 |
$511.20 |
$1,980.00 |
|
|
Incision of tibia
|
$1,119.20 |
$1,119.20 |
$1,119.20 |
|
|
Incision of toe tendons 28011
|
$479.20 |
$479.20 |
$479.20 |
|
|
Incision of tongue fold
|
$1,016.80 |
$1,016.80 |
$1,145.60 |
|
|
Incision of urethra
|
$216.00 |
$216.00 |
$216.00 |
|
|
Incision of urethra
|
$2,559.20 |
$2,559.20 |
$2,559.20 |
|
|
Incision tendon sheath
|
$890.40 |
$890.40 |
$890.40 |
|
|
Incisn of toe tndn
|
$340.00 |
$340.00 |
$340.00 |
|
|
Incisn windpipe
|
$5,720.00 |
$5,720.00 |
$5,720.00 |
|
|
Indigotindisulfonate 8 mg/ml soln 5 ml ampule
|
$1,053.17 |
$1,053.17 |
$1,053.17 |
|
|
Induced ab 1+vag supp d&c
|
$734.40 |
$734.40 |
$734.40 |
|
|
Induced abortion d&c
|
$372.80 |
$372.80 |
$3,901.60 |
|
|
Infect ag eia influenza a or b ea
|
$134.40 |
$134.40 |
$134.40 |
|
|
Infect ag genotype na hiv-1 other region
|
$536.00 |
$536.00 |
$536.00 |
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$698.40 |
$698.40 |
$698.40 |
|
|
Infect ag ia direct hiv-1 antgn
|
$83.20 |
$83.20 |
$83.20 |
|
|
Infect ag ia optc obs influenza
|
$51.20 |
$51.20 |
$51.20 |
|
|
Infect ag if ea plyvlnt antsrm
|
$53.60 |
$53.60 |
$53.60 |
|
|
Infect ag if legionella pneumophila
|
$81.60 |
$81.60 |
$98.40 |
|
|
Infect ag if pneumocystis carinii
|
$114.40 |
$114.40 |
$118.40 |
|
|
Infect ag if varicella zoster
|
$110.40 |
$110.40 |
$110.40 |
|
|
Infect ag na hpv high-risk types
|
$129.60 |
$129.60 |
$145.60 |
|
|
Infect ag na influenza r/amp 1st 2 types
|
$214.40 |
$214.40 |
$284.80 |
|
|
Infect ag na orthopoxvirus amp prb each
|
$122.40 |
$122.40 |
$122.40 |
|
|
Infect ag na resp virus 12-25 targets
|
$1,088.00 |
$1,088.00 |
$1,736.80 |
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$48.00 |
$48.00 |
$51.20 |
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$51.20 |
$51.20 |
$51.20 |
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$71.20 |
$71.20 |
$94.40 |
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$92.80 |
$92.80 |
$96.80 |
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$72.00 |
$72.00 |
$79.20 |
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$51.20 |
$51.20 |
$63.20 |
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$98.40 |
$98.40 |
$98.40 |
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$78.40 |
$78.40 |
$84.80 |
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$276.00 |
$276.00 |
$276.00 |
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$91.20 |
$91.20 |
$91.20 |
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$110.40 |
$110.40 |
$110.40 |
|
|
Infectious agent nucleic acid amplified probe
|
$208.80 |
$208.80 |
$399.20 |
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$92.80 |
$92.80 |
$104.00 |
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$176.00 |
$176.00 |
$237.60 |
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$170.40 |
$170.40 |
$768.80 |
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$169.60 |
$169.60 |
$169.60 |
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$154.40 |
$154.40 |
$168.00 |
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$598.40 |
$598.40 |
$598.40 |
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$92.80 |
$92.80 |
$109.60 |
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$108.00 |
$108.00 |
$117.60 |
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$390.40 |
$390.40 |
$390.40 |
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$445.60 |
$445.60 |
$468.00 |
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$56.80 |
$56.80 |
$56.80 |
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$44.00 |
$44.00 |
$44.00 |
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$844.80 |
$844.80 |
$844.80 |
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$844.80 |
$844.80 |
$844.80 |
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$420.80 |
$420.80 |
$459.20 |
|
|
Infectious agent nucleic acid quantification bk virus
|
$485.60 |
$485.60 |
$485.60 |
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$276.00 |
$276.00 |
$276.00 |
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$1,024.00 |
$1,024.00 |
$1,024.00 |
|