|
Incision of neck of femur
|
$7,413.38 |
$7,413.38 |
$7,413.38 |
$4,651.40
|
|
Incision of palm tendon
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$3,839.54
|
|
Incision of prostate
|
$4,081.37 |
$4,081.37 |
$4,081.37 |
$4,081.37
|
|
Incision of rectal abscess
|
$3,245.23 |
$3,245.23 |
$3,245.23 |
$3,245.23
|
|
Incision of sperm duct
|
$4,081.37 |
$4,081.37 |
$4,081.37 |
$4,081.37
|
|
Incision of spinal nerve 64772
|
$2,310.83 |
$2,310.83 |
$2,310.83 |
$2,310.83
|
|
Incision of tendon & muscle
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$5,784.00
|
|
Incision of tendon sheath
|
$1,893.86 |
$1,893.86 |
$1,893.86 |
$2,211.05
|
|
Incision of thigh
|
$7,413.38 |
$7,413.38 |
$7,413.38 |
$2,847.35
|
|
Incision of thigh
|
$7,413.38 |
$7,413.38 |
$7,413.38 |
$4,998.40
|
|
Incision of thigh tendon
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$4,491.50
|
|
Incision of thigh tendon
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$3,839.54
|
|
Incision of thigh tendons
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$5,278.00
|
|
Incision of thigh tendons
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$3,839.54
|
|
Incision of thigh tendons
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$4,499.12
|
|
Incision of tibia
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$5,886.74
|
|
Incision of tibia & fibula
|
$15,226.08 |
$15,226.08 |
$15,226.08 |
$11,971.85
|
|
Incision of toe tendons 28011
|
$1,893.86 |
$1,893.86 |
$1,893.86 |
$2,068.30
|
|
Incision of tongue fold
|
$1,752.89 |
$1,752.89 |
$1,752.89 |
$1,792.50
|
|
Incision of tongue nerve
|
$2,310.83 |
$2,310.83 |
$2,310.83 |
$2,360.00
|
|
Incision of urethra
|
$2,424.12 |
$2,424.12 |
$2,424.12 |
$3,344.14
|
|
Incision of urethra
|
$6,015.75 |
$6,015.75 |
$6,015.75 |
$5,626.86
|
|
Incision of urethra
|
$2,424.12 |
$2,424.12 |
$2,424.12 |
$3,198.58
|
|
Incision of urethra
|
$2,424.12 |
$2,424.12 |
$2,424.12 |
$2,874.36
|
|
Incision of windpipe
|
$7,000.36 |
$7,000.36 |
$7,000.36 |
$6,465.11
|
|
Incision of windpipe
|
$7,000.36 |
$7,000.36 |
$7,000.36 |
$5,741.00
|
|
Incision of wrist capsule
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$3,839.54
|
|
Incision secondary cataract
|
$2,698.92 |
$2,698.92 |
$2,698.92 |
$2,524.45
|
|
Incision tendon sheath
|
$1,893.86 |
$1,893.86 |
$1,893.86 |
$3,073.20
|
|
Incisn of toe tndn
|
$1,893.86 |
$1,893.86 |
$1,893.86 |
$2,667.00
|
|
Incisn windpipe
|
$3,837.72 |
$3,837.72 |
$3,837.72 |
$3,819.23
|
|
Incis spine 3 column lumbar
|
$7,413.38 |
$7,413.38 |
$7,413.38 |
$5,801.60
|
|
Incis spine 3 column thorac
|
$7,413.38 |
$7,413.38 |
$7,413.38 |
$5,900.80
|
|
Incobotulinumtoxin a
|
$5.34 |
$5.34 |
$5.34 |
$1,339.57
|
|
Induced abortion d&c
|
$3,762.53 |
$3,762.53 |
$3,762.53 |
$3,762.53
|
|
Induced abortion dilat&evac
|
$3,762.53 |
$3,762.53 |
$3,762.53 |
$4,451.18
|
|
Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s)
|
$70.20 |
$70.20 |
$70.20 |
$140.80
|
|
Infect ag drug suscept pheno predict
|
$130.35 |
$130.35 |
$130.35 |
$325.00
|
|
Infect ag eia chlamydia trachomatis
|
$15.00 |
$15.00 |
$15.00 |
$67.20
|
|
Infect ag eia influenza a or b ea
|
$14.13 |
$14.13 |
$14.13 |
$71.50
|
|
Infect ag genotype na cytomegalovirus
|
$257.45 |
$257.45 |
$257.45 |
$665.40
|
|
Infect ag genotype na dna hepatitis b
|
$257.45 |
$257.45 |
$257.45 |
$409.27
|
|
Infect ag genotype na hiv-1 other region
|
$128.73 |
$128.73 |
$128.73 |
$361.65
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$257.45 |
$257.45 |
$257.45 |
$603.83
|
|
Infect ag ia direct hiv-1 antgn
|
$32.77 |
$32.77 |
$32.77 |
$95.55
|
|
Infect ag ia optc obs chlamydia trach
|
$35.29 |
$35.29 |
$35.29 |
$96.32
|
|
Infect ag ia optc obs influenza
|
$16.55 |
$16.55 |
$16.55 |
$72.93
|
|
Infect ag if ea plyvlnt antsrm
|
$11.98 |
$11.98 |
$11.98 |
$65.10
|
|
Infect ag if hep delta agent
|
$18.36 |
$18.36 |
$18.36 |
$125.97
|
|
Infect ag if influenza a
|
$16.07 |
$16.07 |
$16.07 |
$41.22
|
|
Infect ag if influenza b
|
$12.25 |
$12.25 |
$12.25 |
$37.95
|
|
Infect ag if legionella pneumophila
|
$15.60 |
$15.60 |
$15.60 |
$73.45
|
|
Infect ag if nos ea
|
$16.10 |
$16.10 |
$16.10 |
$74.88
|
|
Infect ag if pneumocystis carinii
|
$11.98 |
$11.98 |
$11.98 |
$66.60
|
|
Infect ag if varicella zoster
|
$13.42 |
$13.42 |
$13.42 |
$72.00
|
|
Infect ag na chlamydia trachomatis qnt
|
$53.47 |
$53.47 |
$53.47 |
$100.70
|
|
Infect ag na hep b amp
|
$35.09 |
$35.09 |
$35.09 |
$120.50
|
|
Infect ag na herpes simplex quant
|
$42.84 |
$42.84 |
$42.84 |
$178.86
|
|
Infect ag na hpv high-risk types
|
$35.09 |
$35.09 |
$35.09 |
$139.20
|
|
Infect ag na influenza r/amp 1st 2 types
|
$95.80 |
$95.80 |
$95.80 |
$220.00
|
|
Infect ag na influenza revr/amp ea type
|
$51.31 |
$51.31 |
$51.31 |
$156.60
|
|
Infect ag na orthopoxvirus amp prb each
|
$51.31 |
$51.31 |
$51.31 |
$100.46
|
|
Infect ag na resp virus 12-25 targets
|
$416.78 |
$416.78 |
$416.78 |
$858.92
|
|
Infect ag phenotype na hiv-1 1-10 drugs
|
$488.66 |
$488.66 |
$488.66 |
$954.00
|
|
Infect ag phenotype na hiv-1 ea addl drg
|
$26.07 |
$26.07 |
$26.07 |
$75.63
|
|
Infectious agent antigen immunoassay direct optical observation sars-cov-2
|
$41.38 |
$41.38 |
$41.38 |
$53.00
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$11.98 |
$11.98 |
$11.98 |
$82.80
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$13.42 |
$13.42 |
$13.42 |
$72.10
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$13.82 |
$13.82 |
$13.82 |
$76.00
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$11.98 |
$11.98 |
$11.98 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$14.38 |
$14.38 |
$14.38 |
$102.82
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$10.33 |
$10.33 |
$10.33 |
$81.20
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$10.33 |
$10.33 |
$10.33 |
$60.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$24.08 |
$24.08 |
$24.08 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$11.98 |
$11.98 |
$11.98 |
$129.00
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$11.98 |
$11.98 |
$11.98 |
$98.40
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$11.98 |
$11.98 |
$11.98 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$35.09 |
$35.09 |
$35.09 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$35.09 |
$35.09 |
$35.09 |
$141.95
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$37.27 |
$37.27 |
$37.27 |
$167.05
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$416.78 |
$416.78 |
$416.78 |
$865.50
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$35.09 |
$35.09 |
$35.09 |
$181.80
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$35.09 |
$35.09 |
$35.09 |
$149.13
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$41.68 |
$41.68 |
$41.68 |
$212.01
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$35.09 |
$35.09 |
$35.09 |
$137.67
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$51.31 |
$51.31 |
$51.31 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$142.63 |
$142.63 |
$142.63 |
$208.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$142.63 |
$142.63 |
$142.63 |
$236.08
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$35.09 |
$35.09 |
$35.09 |
$96.00
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$35.09 |
$35.09 |
$35.09 |
$112.50
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$76.77 |
$76.77 |
$76.77 |
$200.20
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$416.78 |
$416.78 |
$416.78 |
$727.50
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$128.29 |
$128.29 |
$128.29 |
$289.91
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$262.99 |
$262.99 |
$262.99 |
$432.63
|
|
Infectious agent nucleic acid quantification bk virus
|
$42.84 |
$42.84 |
$42.84 |
$280.00
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$42.84 |
$42.84 |
$42.84 |
$242.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$42.84 |
$42.84 |
$42.84 |
$253.00
|
|
Infectious agent nucleic acid quantification hiv-1
|
$85.10 |
$85.10 |
$85.10 |
$375.00
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$142.63 |
$142.63 |
$142.63 |
$304.20
|
|
Infliximab 100 mg intravenous solution
|
$32.22 |
$32.22 |
$32.22 |
$2,043.22
|