|
Icut allergy test drug/bug
|
$1,101.24 |
$1,101.24 |
$1,114.35 |
|
|
Idarubicin hcl injection
|
$3.05 |
$632.69 |
$1,280.44 |
|
|
I&d intramural/intramuscular/submuc abscess transanal anes
|
$496.30 |
$496.30 |
$496.30 |
|
|
I&d upper arm/elbow deep abscess/hematoma
|
$1,591.80 |
$1,591.80 |
$1,591.80 |
|
|
Idursulfase injection
|
$480.83 |
$6,585.25 |
$13,327.29 |
|
|
I & d vag hematoma non-ob 57023
|
$1,494.36 |
$1,494.36 |
$2,315.70 |
|
|
Ifnl3 gene
|
$162.88 |
$162.88 |
$162.88 |
|
|
Ifosfamide 1 gram intravenous solution
|
$44.02 |
$200.95 |
$406.69 |
|
|
Igh gene rearrange amp meth
|
$147.62 |
$456.54 |
$829.60 |
|
|
Igh@ var region somatic mutation analy
|
$651.51 |
$651.51 |
$651.51 |
|
|
Igk rearrangeabn clonal pop
|
$382.50 |
$382.50 |
$382.50 |
|
|
Ihc/icc per specimen each additional single antibody stain
|
$47.00 |
$219.66 |
$401.20 |
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$110.00 |
$219.66 |
$380.80 |
|
|
Ihc/icc per specimen initial single antibody stain
|
$88.78 |
$219.66 |
$377.40 |
|
|
Iliac/fem angio cath insert
|
$548.00 |
$892.92 |
$892.92 |
|
|
Iliac revasc add-on 37222
|
$2,869.86 |
$2,869.86 |
$12,214.84 |
|
|
Imetelstat 188 mg intravenous solution
|
$4,683.04 |
$21,379.10 |
$43,267.21 |
|
|
Img rta detc/mntr ds phy/qhp
|
$64.31 |
$64.31 |
$66.49 |
|
|
Immobilizer shldr cntor adlt
|
$70.30 |
$77.00 |
$186.27 |
|
|
Immobilizer shldr dlx str 24-36in med
|
$21.28 |
$50.88 |
$109.15 |
|
|
Immobilizer shldr sling med
|
$45.60 |
$49.95 |
$92.29 |
|
|
Immune complex assay
|
$93.22 |
$227.22 |
$391.85 |
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$4.31 |
$5,896.80 |
$11,934.00 |
|
|
Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution
|
$605.52 |
$2,764.32 |
$5,594.45 |
|
|
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution
|
$3.45 |
$4,725.00 |
$9,562.50 |
|
|
Immunoassay tumor antigen quantitative ca 125
|
$48.38 |
$110.04 |
$219.30 |
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$48.38 |
$209.95 |
$256.50 |
|
|
Immunodiff gel qual ea antigen/ab
|
$17.00 |
$43.01 |
$73.75 |
|
|
Immunodiffusion nes
|
$31.74 |
$168.30 |
$216.30 |
|
|
Immunofixation electrophoresis serum
|
$63.48 |
$173.46 |
$318.75 |
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$97.00 |
$212.52 |
$369.75 |
|
|
Immunofluorescence per specimen initial single antibody stain
|
$144.06 |
$155.50 |
$313.88 |
|
|
Immunoglobulin assay
|
$35.38 |
$179.34 |
$195.50 |
|
|
Implant biventricular device 33976
|
$2,435.70 |
$2,435.70 |
$2,647.50 |
|
|
Implant cartilage 10mm synthetic
|
$3,090.15 |
$3,678.75 |
$64,082.06 |
|
|
Implant cochlear osia osi300
|
$1,315.20 |
$1,440.46 |
$2,661.71 |
|
|
Implant neuroelectrodes
|
$4,966.50 |
$4,966.50 |
$4,966.50 |
|
|
Implant open hernia repair w/mesh 49568
|
$587.64 |
$594.72 |
$601.80 |
|
|
Implant pulse generator remede el
|
$20,527.50 |
$20,527.50 |
$20,527.50 |
|
|
Implant single ventricular device 33975
|
$14,352.24 |
$14,352.24 |
$14,352.24 |
|
|
Implant spine infusion pump
|
$863.74 |
$863.74 |
$863.74 |
|
|
Implant ureth bulk agent
|
$962.96 |
$1,146.38 |
$2,046.87 |
|
|
Impl neurostim electr perc
|
$8,416.24 |
$8,416.24 |
$8,416.24 |
|
|
Implnt spinl canal catheter 62350
|
$3,372.88 |
$3,372.88 |
$5,236.84 |
|
|
In-111 autol wbc diag per dose
|
$2,220.00 |
$3,932.04 |
$3,932.04 |
|
|
In-111 capromab pendet
|
$3,932.04 |
$3,932.04 |
$6,764.30 |
|
|
In-111 ibritumomab tiux dx
|
$3,641.40 |
$3,641.40 |
$3,641.40 |
|
|
In-111 oxyquinolin per 0.5 mci
|
$1,207.08 |
$1,207.08 |
$2,157.30 |
|
|
In-111 pentetate dtpa / 0.5 mci
|
$330.46 |
$6,500.34 |
$11,182.60 |
|
|
In-111 pentetreotide
|
$1,667.13 |
$4,751.88 |
$8,177.00 |
|
|
In-111 satumomab pend
|
$2,415.00 |
$2,764.86 |
$2,764.86 |
|
|
Incise bile duct sphincter
|
$2,836.11 |
$2,870.28 |
$2,904.45 |
|
|
Incise spine nrv >2 segmnts
|
$1,738.80 |
$1,738.80 |
$1,738.80 |
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$294.31 |
$1,049.16 |
$1,216.78 |
|
|
Incision of anal sphincter
|
$673.96 |
$682.08 |
$690.20 |
|
|
Incision of breast lesion
|
$1,896.72 |
$2,006.34 |
$2,083.30 |
|
|
Incision of burn scab initi
|
$309.58 |
$309.58 |
$336.50 |
|
|
Incision of eardrum
|
$166.34 |
$166.34 |
$443.22 |
|
|
Incision of eardrum
|
$206.11 |
$206.11 |
$206.11 |
|
|
Incision of tendon & muscle
|
$3,439.38 |
$3,439.38 |
$3,439.38 |
|
|
Incision of thigh tendon
|
$1,488.90 |
$1,488.90 |
$1,488.90 |
|
|
Incision of thigh tendons
|
$2,339.40 |
$2,339.40 |
$2,339.40 |
|
|
Incision of toe tendons 28011
|
$2,077.00 |
$2,077.00 |
$2,077.00 |
|
|
Incision of tongue fold
|
$819.72 |
$976.50 |
$1,087.02 |
|
|
Incision of windpipe
|
$1,030.86 |
$1,043.28 |
$1,055.70 |
|
|
Incision of windpipe
|
$2,232.70 |
$2,259.60 |
$2,286.50 |
|
|
Incision tendon sheath
|
$787.08 |
$1,199.94 |
$1,902.75 |
|
|
Incisn of toe tndn
|
$544.48 |
$544.48 |
$1,354.50 |
|
|
Incisn windpipe
|
$688.90 |
$1,986.60 |
$2,806.61 |
|
|
Incobotulinumtoxin a
|
$225.66 |
$1,030.18 |
$2,084.88 |
|
|
Infec agen detec ampli probe
|
$12.18 |
$13.00 |
$28.05 |
|
|
Infect ag drug suscept pheno predict
|
$176.50 |
$389.76 |
$645.15 |
|
|
Infect ag eia influenza a or b ea
|
$31.54 |
$129.36 |
$134.30 |
|
|
Infect ag genotype na cytomegalovirus
|
$531.05 |
$531.05 |
$531.05 |
|
|
Infect ag genotype na dna hepatitis b
|
$531.05 |
$531.05 |
$531.05 |
|
|
Infect ag genotype na hiv-1 other region
|
$197.00 |
$389.76 |
$629.52 |
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$176.50 |
$706.44 |
$1,213.80 |
|
|
Infect ag ia direct hiv-1 antgn
|
$57.95 |
$109.20 |
$227.42 |
|
|
Infect ag ia optc obs influenza
|
$22.00 |
$158.34 |
$228.65 |
|
|
Infect ag if ea plyvlnt antsrm
|
$41.22 |
$41.22 |
$41.22 |
|
|
Infect ag if influenza a
|
$41.22 |
$41.22 |
$41.22 |
|
|
Infect ag if influenza b
|
$41.22 |
$41.22 |
$41.22 |
|
|
Infect ag if legionella pneumophila
|
$54.74 |
$186.06 |
$186.06 |
|
|
Infect ag if nos ea
|
$123.00 |
$123.00 |
$123.00 |
|
|
Infect ag if pneumocystis carinii
|
$25.00 |
$108.78 |
$226.95 |
|
|
Infect ag if varicella zoster
|
$41.22 |
$133.56 |
$224.40 |
|
|
Infect ag na hep b amp
|
$92.75 |
$92.75 |
$92.75 |
|
|
Infect ag na hpv high-risk types
|
$72.82 |
$141.96 |
$275.40 |
|
|
Infect ag na influenza r/amp 1st 2 types
|
$118.59 |
$238.14 |
$409.70 |
|
|
Infect ag na orthopoxvirus amp prb each
|
$105.80 |
$105.80 |
$105.80 |
|
|
Infect ag na resp virus 12-25 targets
|
$505.69 |
$1,017.24 |
$1,941.40 |
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$32.33 |
$191.52 |
$235.45 |
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$54.90 |
$116.76 |
$207.50 |
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$21.96 |
$89.88 |
$162.35 |
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$17.94 |
$101.22 |
$181.05 |
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$51.53 |
$95.34 |
$234.60 |
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$30.82 |
$81.06 |
$164.90 |
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$24.36 |
$28.52 |
$64.74 |
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$33.58 |
$113.82 |
$204.00 |
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$107.86 |
$174.72 |
$694.45 |
|