|
Implant cartilage 10mm synthetic
|
$45,435.42 |
$45,435.42 |
$45,435.42 |
$8,332.51
|
|
Implant cochlear osia osi300
|
$8,925.46 |
$8,925.46 |
$8,925.46 |
$16,195.55
|
|
Implant hormone pellet(s) 11980
|
$440.81 |
$440.81 |
$440.81 |
$315.75
|
|
Implant neuroelectrodes
|
$9,307.82 |
$9,307.82 |
$9,307.82 |
$13,628.55
|
|
Implant power module patient cable cable 14 volt
|
$9,652.50 |
$9,652.50 |
$9,652.50 |
$3,695.42
|
|
Implant spine infusion pump
|
$10,406.19 |
$10,406.19 |
$10,406.19 |
$17,270.40
|
|
Implant tcat pulm vlv perq
|
$21,540.15 |
$21,540.15 |
$21,540.15 |
$12,623.60
|
|
Implant ureth bulk agent
|
$411.03 |
$411.03 |
$411.03 |
$2,168.00
|
|
Impl neurostim electr perc
|
$9,307.82 |
$9,307.82 |
$9,307.82 |
$7,672.50
|
|
Implnt spinl canal catheter 62350
|
$11,663.44 |
$11,663.44 |
$11,663.44 |
$5,095.20
|
|
Impres&prep facial prosth
|
$6,004.78 |
$6,004.78 |
$6,004.78 |
$5,028.40
|
|
In-111 oxyquinolin per 0.5 mci
|
$587.24 |
$587.24 |
$587.24 |
$2,753.23
|
|
In-111 pentetate dtpa / 0.5 mci
|
$6,071.94 |
$6,071.94 |
$6,071.94 |
$2,598.17
|
|
In-111 pentetreotide
|
$13,998.44 |
$13,998.44 |
$13,998.44 |
$5,294.90
|
|
In-111 satumomab pend
|
$2,908.33 |
$2,908.33 |
$2,908.33 |
$3,113.04
|
|
Incise/drain eyelid lining
|
$2,183.25 |
$2,183.25 |
$2,183.25 |
$1,271.00
|
|
Incise tear duct opening 68440
|
$918.99 |
$918.99 |
$918.99 |
$841.43
|
|
Incise tendon(s) & muscle(s)
|
$10,599.52 |
$10,599.52 |
$10,599.52 |
$7,968.80
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$4,582.16 |
$4,582.16 |
$4,582.16 |
$2,086.70
|
|
Incision of achilles tendon
|
$5,136.30 |
$5,136.30 |
$5,136.30 |
$3,318.90
|
|
Incision of breast lesion
|
$4,582.16 |
$4,582.16 |
$4,582.16 |
$2,577.85
|
|
Incision of eardrum
|
$533.22 |
$533.22 |
$533.22 |
$552.75
|
|
Incision of foot fascia
|
$7,939.45 |
$7,939.45 |
$7,939.45 |
$4,599.40
|
|
Incision of hip tendon
|
$5,136.30 |
$5,136.30 |
$5,136.30 |
$3,885.29
|
|
Incision of hip tendons
|
$7,939.45 |
$7,939.45 |
$7,939.45 |
$3,865.95
|
|
Incision of tendon & muscle
|
$14,590.10 |
$14,590.10 |
$14,590.10 |
$5,855.00
|
|
Incision of thigh tendon
|
$7,939.45 |
$7,939.45 |
$7,939.45 |
$4,491.50
|
|
Incision of thigh tendons
|
$7,939.45 |
$7,939.45 |
$7,939.45 |
$5,339.00
|
|
Incision of toe tendons 28011
|
$3,413.24 |
$3,413.24 |
$3,413.24 |
$2,119.12
|
|
Incision of tongue fold
|
$2,785.18 |
$2,785.18 |
$2,785.18 |
$1,792.50
|
|
Incision of windpipe
|
$10,989.17 |
$10,989.17 |
$10,989.17 |
$5,855.00
|
|
Incision secondary cataract
|
$4,946.91 |
$4,946.91 |
$4,946.91 |
$2,524.45
|
|
Incision tendon sheath
|
$3,251.90 |
$3,251.90 |
$3,251.90 |
$3,073.20
|
|
Incisn of toe tndn
|
$4,572.13 |
$4,572.13 |
$4,572.13 |
$2,667.00
|
|
Incisn windpipe
|
$5,971.77 |
$5,971.77 |
$5,971.77 |
$3,819.23
|
|
Incobotulinumtoxin a
|
$10.80 |
$10.80 |
$10.80 |
$1,339.57
|
|
Induced ab 1+vag supp d&c
|
$6,482.18 |
$6,482.18 |
$6,482.18 |
$1,194.40
|
|
Induced abortion dilat&evac
|
$6,206.72 |
$6,206.72 |
$6,206.72 |
$4,451.18
|
|
Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s)
|
$146.13 |
$146.13 |
$146.13 |
$140.80
|
|
Infect ag drug suscept pheno predict
|
$471.70 |
$471.70 |
$471.70 |
$325.00
|
|
Infect ag eia influenza a or b ea
|
$43.39 |
$43.39 |
$43.39 |
$71.20
|
|
Infect ag genotype na cytomegalovirus
|
$535.91 |
$535.91 |
$535.91 |
$665.40
|
|
Infect ag genotype na dna hepatitis b
|
$887.32 |
$887.32 |
$887.32 |
$409.27
|
|
Infect ag genotype na hiv-1 other region
|
$465.84 |
$465.84 |
$465.84 |
$361.65
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$931.68 |
$931.68 |
$931.68 |
$603.83
|
|
Infect ag ia optc obs influenza
|
$48.52 |
$48.52 |
$48.52 |
$72.93
|
|
Infect ag if ea plyvlnt antsrm
|
$43.39 |
$43.39 |
$43.39 |
$68.40
|
|
Infect ag if hep delta agent
|
$59.39 |
$59.39 |
$59.39 |
$125.97
|
|
Infect ag if nos ea
|
$33.51 |
$33.51 |
$33.51 |
$74.88
|
|
Infect ag if pneumocystis carinii
|
$43.39 |
$43.39 |
$43.39 |
$66.06
|
|
Infect ag if varicella zoster
|
$43.39 |
$43.39 |
$43.39 |
$72.00
|
|
Infect ag na hpv high-risk types
|
$127.02 |
$127.02 |
$127.02 |
$139.20
|
|
Infect ag na influenza r/amp 1st 2 types
|
$307.96 |
$307.96 |
$307.96 |
$219.70
|
|
Infect ag na orthopoxvirus amp prb each
|
$78.08 |
$78.08 |
$78.08 |
$100.00
|
|
Infect ag na resp virus 12-25 targets
|
$1,055.35 |
$1,055.35 |
$1,055.35 |
$854.70
|
|
Infect ag phenotype na hiv-1 1-10 drugs
|
$1,768.39 |
$1,768.39 |
$1,768.39 |
$954.00
|
|
Infect ag phenotype na hiv-1 ea addl drg
|
$94.33 |
$94.33 |
$94.33 |
$75.63
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$43.39 |
$43.39 |
$43.39 |
$83.60
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$39.34 |
$39.34 |
$39.34 |
$72.80
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$43.39 |
$43.39 |
$43.39 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$52.06 |
$52.06 |
$52.06 |
$103.40
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$37.38 |
$37.38 |
$37.38 |
$81.20
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$37.38 |
$37.38 |
$37.38 |
$60.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$87.15 |
$87.15 |
$87.15 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$43.39 |
$43.39 |
$43.39 |
$129.00
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$43.39 |
$43.39 |
$43.39 |
$98.58
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$43.39 |
$43.39 |
$43.39 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$127.02 |
$127.02 |
$127.02 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$127.02 |
$127.02 |
$127.02 |
$141.95
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$127.02 |
$127.02 |
$127.02 |
$167.05
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$1,508.29 |
$1,508.29 |
$1,508.29 |
$864.67
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$82.65 |
$82.65 |
$82.65 |
$181.35
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$77.79 |
$77.79 |
$77.79 |
$149.13
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$127.02 |
$127.02 |
$127.02 |
$212.16
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$127.02 |
$127.02 |
$127.02 |
$137.67
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$143.24 |
$143.24 |
$143.24 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$335.96 |
$335.96 |
$335.96 |
$206.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$316.20 |
$316.20 |
$316.20 |
$236.08
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$127.02 |
$127.02 |
$127.02 |
$96.00
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$68.43 |
$68.43 |
$68.43 |
$112.45
|
|
Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae
|
$136.85 |
$136.85 |
$136.85 |
$217.60
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$981.72 |
$981.72 |
$981.72 |
$727.50
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$464.39 |
$464.39 |
$464.39 |
$289.91
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$734.19 |
$734.19 |
$734.19 |
$432.63
|
|
Infectious agent nucleic acid quantification bk virus
|
$155.01 |
$155.01 |
$155.01 |
$283.00
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$155.01 |
$155.01 |
$155.01 |
$242.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$155.01 |
$155.01 |
$155.01 |
$253.00
|
|
Infectious agent nucleic acid quantification hiv-1
|
$307.96 |
$307.96 |
$307.96 |
$375.00
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$464.26 |
$464.26 |
$464.26 |
$304.20
|
|
Infliximab 100 mg intravenous solution
|
$238.93 |
$238.93 |
$238.93 |
$2,047.13
|
|
Infliximab-axxq 100 mg intravenous solution
|
$100.30 |
$100.30 |
$100.30 |
$1,062.00
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$119.34 |
$119.34 |
$119.34 |
$1,537.84
|
|
Influenza virus vaccine, inact hemagglutinin tiv pf inj
|
$169.88 |
$169.88 |
$169.88 |
$111.51
|
|
Influenza virus vaccine, live trivalent intranasal
|
$51.68 |
$51.68 |
$51.68 |
$36.50
|
|
Ingest challenge ea addl 60 min
|
$416.55 |
$416.55 |
$416.55 |
$289.64
|
|
Ingest challenge ini 120 min
|
$1,454.78 |
$1,454.78 |
$1,454.78 |
$764.78
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$527.84 |
$527.84 |
$527.84 |
$296.00
|
|
Init pm e/m new pat 65+ yrs
|
$406.48 |
$406.48 |
$406.48 |
$189.15
|
|
Init/sub psych care m 1st 30
|
$62.44 |
$62.44 |
$62.44 |
$94.34
|
|
Inj, abilify asimtufii, 1 mg
|
$11.37 |
$11.37 |
$11.37 |
$9,426.91
|