|
Idh2 common variants
|
$295.79 |
$325.37 |
$325.37 |
|
|
I&d intramural/intramuscular/submuc abscess transanal anes
|
$2,997.10 |
$3,986.00 |
$6,839.00 |
|
|
I&d lacrimal gland
|
$1,058.50 |
$3,986.00 |
$6,839.00 |
|
|
I&d lacrimal sac
|
$2,549.65 |
$3,986.00 |
$6,839.00 |
|
|
I&d upper arm/elbow deep abscess/hematoma
|
$3,127.88 |
$3,986.00 |
$6,839.00 |
|
|
Idursulfase injection
|
$537.93 |
$558.56 |
$558.56 |
|
|
I & d vag hematoma non-ob 57023
|
$3,127.88 |
$3,986.00 |
$6,839.00 |
|
|
I&d vag hemtma obst/postpart
|
$3,127.88 |
$3,986.00 |
$6,839.00 |
|
|
Ifnl3 gene
|
$73.37 |
$80.71 |
$80.71 |
|
|
Igh@/bcl2 translocation alys
|
$207.31 |
$228.04 |
$228.04 |
|
|
Igh gene rearrang dir probe
|
$68.55 |
$75.41 |
$75.41 |
|
|
Igh gene rearrange amp meth
|
$197.99 |
$217.79 |
$1,053.50 |
|
|
Igh@ var region somatic mutation analy
|
$294.52 |
$323.97 |
$323.97 |
|
|
Igk rearrangeabn clonal pop
|
$172.73 |
$190.00 |
$190.00 |
|
|
Ihc/icc per specimen each additional single antibody stain
|
$66.17 |
$71.51 |
$90.56 |
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$93.26 |
$155.56 |
$423.63 |
|
|
Ihc/icc per specimen initial single antibody stain
|
$84.62 |
$121.94 |
$201.80 |
|
|
Ikbkap gene
|
$39.31 |
$43.24 |
$43.24 |
|
|
Iliac/fem angio cath insert
|
$921.57 |
$1,420.94 |
$1,477.66 |
|
|
Iliac revasc add-on 37222
|
$3,786.00 |
$4,627.00 |
$6,311.00 |
|
|
Imetelstat 188 mg intravenous solution
|
$54.15 |
$57.02 |
$57.02 |
|
|
Img rta detcj/mntr ds staff
|
$64.92 |
$65.75 |
$69.95 |
|
|
Img rta detc/mntr ds phy/qhp
|
$42.90 |
$43.44 |
$46.22 |
|
|
Img rta detc/mntr ds poc aly
|
$64.92 |
$65.75 |
$69.95 |
|
|
Immobilizer shldr cntor adlt
|
$19.57 |
$22.96 |
$32.37 |
|
|
Immobilizer shldr dlx str 24-36in med
|
$8.47 |
$9.94 |
$14.02 |
|
|
Immobilizer shldr sling med
|
$15.74 |
$18.47 |
$26.03 |
|
|
Immt breast prosthesis 19340
|
$3,786.00 |
$6,311.00 |
$7,680.06 |
|
|
Immune complex assay
|
$24.37 |
$26.81 |
$26.81 |
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$47.80 |
$47.80 |
$49.69 |
|
|
Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution
|
$81.70 |
$81.70 |
$82.19 |
|
|
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution
|
$48.38 |
$48.38 |
$49.00 |
|
|
Immunoassay tumor antigen quantitative ca 125
|
$20.81 |
$22.89 |
$22.89 |
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$20.81 |
$22.89 |
$22.89 |
|
|
Immunoassay tumor qual
|
$25.57 |
$28.13 |
$28.13 |
|
|
Immunodiff gel qual ea antigen/ab
|
$11.98 |
$13.18 |
$13.18 |
|
|
Immunodiffusion nes
|
$14.05 |
$15.46 |
$15.46 |
|
|
Immunoelectrophoresis assay
|
$32.91 |
$32.91 |
$32.91 |
|
|
Immunofixation electrophoresis serum
|
$22.34 |
$24.57 |
$24.57 |
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$24.12 |
$55.94 |
$141.43 |
|
|
Immunofluorescence per specimen initial single antibody stain
|
$38.18 |
$143.97 |
$201.80 |
|
|
Immunoglobulin assay
|
$12.46 |
$13.71 |
$13.71 |
|
|
Immunology procedure
|
$28.22 |
$66.63 |
$203.27 |
|
|
Impact tooth remov part bony
|
$1,817.06 |
$1,840.30 |
$1,958.01 |
|
|
Impedence cardiogram
|
$31.63 |
$142.67 |
$151.80 |
|
|
Imp extar knee shck absrb
|
$20,098.12 |
$20,355.21 |
$21,657.23 |
|
|
Implant 11 volt lithium-ion backup battery for controller pocket
|
$1,949.65 |
$2,287.55 |
$3,223.73 |
|
|
Implantation iris prosthesis
|
$17,941.20 |
$18,170.70 |
$19,332.98 |
|
|
Implant cochlear device
|
$3,786.00 |
$6,311.00 |
$37,458.80 |
|
|
Implant cochlear osia osi300
|
$1,723.47 |
$2,022.17 |
$2,849.74 |
|
|
Implant eye drug system
|
$3,786.00 |
$6,311.00 |
$18,094.55 |
|
|
Implant hormone pellet(s) 11980
|
$436.10 |
$3,986.00 |
$6,839.00 |
|
|
Implant neuroelectrodes
|
$3,786.00 |
$6,311.00 |
$25,254.20 |
|
|
Implant neuroelectrodes
|
$3,786.00 |
$6,311.00 |
$14,685.79 |
|
|
Implant neuroelectrodes
|
$3,786.00 |
$6,311.00 |
$7,728.86 |
|
|
Implant neuroelectrodes
|
$3,786.00 |
$6,311.00 |
$7,728.86 |
|
|
Implant neurostim arrays
|
$3,786.00 |
$6,311.00 |
$35,887.53 |
|
|
Implant power module patient cable cable 14 volt
|
$2,234.92 |
$2,622.26 |
$3,695.42 |
|
|
Implant spinal canal cath
|
$3,786.00 |
$6,311.00 |
$8,412.89 |
|
|
Implant spine infusion pump
|
$3,786.00 |
$6,311.00 |
$20,814.10 |
|
|
Implant spine infusion pump
|
$3,786.00 |
$6,311.00 |
$20,814.10 |
|
|
Implant ureth bulk agent
|
$466.41 |
$547.24 |
$771.20 |
|
|
Impl ear abutment ba300 9mm
|
$680.22 |
$798.12 |
$1,124.75 |
|
|
Impl neurostim electr perc
|
$3,786.00 |
$6,311.00 |
$7,728.86 |
|
|
Implnt spinl canal catheter 62350
|
$3,786.00 |
$6,311.00 |
$7,541.82 |
|
|
Impl oi implt sk tc esp<100
|
$3,786.00 |
$6,311.00 |
$15,152.74 |
|
|
Impl oi implt sk tc esp>=100
|
$3,786.00 |
$6,311.00 |
$15,152.74 |
|
|
Impl oi implt skull perq esp
|
$3,786.00 |
$6,311.00 |
$15,152.74 |
|
|
Impltj ntrstrml crnl rng seg
|
$3,786.00 |
$4,627.00 |
$6,839.00 |
|
|
Imp neurosti pls gn any type
|
$7,254.70 |
$8,512.02 |
$11,995.56 |
|
|
Imported lipodox inj
|
$528.86 |
$528.86 |
$528.86 |
|
|
Impres&prep auricular prosth
|
$3,544.29 |
$3,986.00 |
$6,839.00 |
|
|
Impres&prep def obt prosth
|
$3,544.29 |
$3,986.00 |
$6,839.00 |
|
|
Impres&prep facial prosth
|
$3,544.29 |
$3,986.00 |
$6,839.00 |
|
|
Impres&prep intrm obt prosth
|
$3,544.29 |
$3,986.00 |
$6,839.00 |
|
|
Impres&prep mndbl res prosth
|
$3,786.00 |
$6,311.00 |
$6,966.64 |
|
|
Impres&prep nasal prosth
|
$3,786.00 |
$6,311.00 |
$6,966.64 |
|
|
Impres&prep oral surg splint
|
$253.79 |
$3,986.00 |
$6,839.00 |
|
|
Impres&prep orbital prosth
|
$3,786.00 |
$6,311.00 |
$6,966.64 |
|
|
Impres&prep paltl aug prosth
|
$3,544.29 |
$3,986.00 |
$6,839.00 |
|
|
Impres&prep paltl lft prosth
|
$3,544.29 |
$3,986.00 |
$6,839.00 |
|
|
Impres&prep sp aid prosth
|
$3,544.29 |
$3,986.00 |
$6,839.00 |
|
|
Impres&prep surg obt prosth
|
$1,618.86 |
$3,986.00 |
$6,839.00 |
|
|
Imuglucerase injection
|
$43.29 |
$43.29 |
$43.62 |
|
|
In-111 autol wbc diag per dose
|
$1,031.39 |
$1,031.39 |
$1,031.39 |
|
|
In-111 ibritumomab tiux dx
|
$798.02 |
$798.02 |
$798.02 |
|
|
In-111 oxyquinolin per 0.5 mci
|
$772.64 |
$772.64 |
$772.64 |
|
|
In-111 pentetate dtpa / 0.5 mci
|
$715.29 |
$715.29 |
$715.29 |
|
|
In-111 pentetreotide
|
$1,914.61 |
$1,914.61 |
$1,914.61 |
|
|
Inactivated je vacc im
|
$117.52 |
$123.08 |
$288.36 |
|
|
Inc dp bone crtx f/arm&/wrst
|
$3,786.00 |
$6,311.00 |
$8,412.89 |
|
|
Inc dp opn b1 crtx hum/elbw
|
$3,545.97 |
$3,986.00 |
$6,839.00 |
|
|
Incise diaphragm nerve
|
$2,134.14 |
$3,986.00 |
$6,839.00 |
|
|
Incise/drain eyelid lining
|
$1,058.50 |
$3,986.00 |
$6,839.00 |
|
|
Incise flexor carpi radialis
|
$3,545.97 |
$3,986.00 |
$6,839.00 |
|
|
Incise hand/finger tendon
|
$1,749.06 |
$3,986.00 |
$6,839.00 |
|
|
Incise hip/thigh nerve
|
$2,134.14 |
$3,986.00 |
$6,839.00 |
|
|
Incise hip/thigh nerve
|
$2,134.14 |
$3,986.00 |
$6,839.00 |
|
|
Incise inner ear
|
$1,618.86 |
$3,986.00 |
$6,839.00 |
|
|
Incise inner ear nerve
|
$3,544.29 |
$3,986.00 |
$6,839.00 |
|
