|
Icd crtp serena MRI
|
$70,132.98 |
$70,132.98 |
$70,132.98 |
$14,360.25
|
|
Icd reliance df4 ib 64cm
|
$82,866.69 |
$82,866.69 |
$82,866.69 |
$9,363.28
|
|
I&d abscss rtrphryngl/paraphryngl intraorl apprch
|
$4,709.40 |
$4,709.40 |
$4,709.40 |
$3,771.20
|
|
I&d/bursa/foot 28001
|
$2,604.00 |
$2,604.00 |
$2,604.00 |
$1,917.33
|
|
Idh1 common variants
|
$69.60 |
$69.60 |
$69.60 |
$416.25
|
|
Idh2 common variants
|
$69.60 |
$69.60 |
$69.60 |
$511.97
|
|
I&d upper arm/elbow deep abscess/hematoma
|
$4,537.80 |
$4,537.80 |
$4,537.80 |
$3,355.20
|
|
Igh gene rearrange amp meth
|
$316.80 |
$316.80 |
$316.80 |
$464.00
|
|
Igh@ var region somatic mutation analy
|
$423.60 |
$423.60 |
$423.60 |
$660.80
|
|
Igk rearrangeabn clonal pop
|
$370.20 |
$370.20 |
$370.20 |
$399.36
|
|
Ihc/icc per specimen each additional single antibody stain
|
$300.60 |
$300.60 |
$300.60 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$309.00 |
$309.00 |
$309.00 |
$322.55
|
|
Ihc/icc per specimen initial single antibody stain
|
$290.40 |
$290.40 |
$290.40 |
$272.30
|
|
Ikbkap gene
|
$228.00 |
$228.00 |
$228.00 |
$176.15
|
|
Iliac/fem angio cath insert
|
$91.80 |
$91.80 |
$91.80 |
$1,856.01
|
|
Immob elbow child sm
|
$1,872.46 |
$1,872.46 |
$1,872.46 |
$82.50
|
|
Immobilizer shldr cntor adlt
|
$963.05 |
$963.05 |
$963.05 |
$175.47
|
|
Immobilizer shldr dlx str 24-36in med
|
$1,112.82 |
$1,112.82 |
$1,112.82 |
$110.00
|
|
Immobilizer shldr sling med
|
$1,142.52 |
$1,142.52 |
$1,142.52 |
$125.26
|
|
Immune complex assay
|
$159.60 |
$159.60 |
$159.60 |
$109.20
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$16,699.80 |
$16,699.80 |
$16,699.80 |
$6,106.32
|
|
Immunoassay tumor antigen quantitative ca 125
|
$175.20 |
$175.20 |
$175.20 |
$131.57
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$100.80 |
$100.80 |
$100.80 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$37.20 |
$37.20 |
$37.20 |
$48.57
|
|
Immunodiffusion nes
|
$71.40 |
$71.40 |
$71.40 |
$53.76
|
|
Immunofixation electrophoresis serum
|
$181.20 |
$181.20 |
$181.20 |
$141.60
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$222.60 |
$222.60 |
$222.60 |
$156.00
|
|
Immunofluorescence per specimen initial single antibody stain
|
$374.40 |
$374.40 |
$374.40 |
$232.96
|
|
Immunoglobulin assay
|
$159.00 |
$159.00 |
$159.00 |
$74.15
|
|
Immunology procedure
|
$206.40 |
$206.40 |
$206.40 |
$106.20
|
|
Impedence cardiogram
|
$147.00 |
$147.00 |
$147.00 |
$152.54
|
|
Impl ahmed 6x25x9.6mm glaucoma vlv w/sil ped ster
|
$7,781.71 |
$7,781.71 |
$7,781.71 |
$3,840.76
|
|
Implant cartilage 10mm synthetic
|
$10,215.02 |
$10,215.02 |
$10,215.02 |
$9,261.00
|
|
Implant cochlear osia osi300
|
$38,115.75 |
$38,115.75 |
$38,115.75 |
$17,698.33
|
|
Implant neuroelectrodes
|
$19,185.17 |
$19,185.17 |
$19,185.17 |
$7,766.27
|
|
Implant neuroelectrodes
|
$26,502.88 |
$26,502.88 |
$26,502.88 |
$7,270.51
|
|
Implant ureth bulk agent
|
$6,250.99 |
$6,250.99 |
$6,250.99 |
$2,141.57
|
|
Impl ear abutment ba300 9mm
|
$11,292.54 |
$11,292.54 |
$11,292.54 |
$3,974.88
|
|
In-111 oxyquinolin per 0.5 mci
|
$1,978.20 |
$1,978.20 |
$1,978.20 |
$2,581.82
|
|
In-111 pentetate dtpa / 0.5 mci
|
$386.40 |
$386.40 |
$386.40 |
$2,565.10
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$1,137.00 |
$1,137.00 |
$1,137.00 |
$2,080.80
|
|
Incision of breast lesion
|
$1,212.00 |
$1,212.00 |
$1,212.00 |
$2,577.85
|
|
Incision of burn scab initi
|
$663.00 |
$663.00 |
$663.00 |
$494.40
|
|
Incision of toe tendons 28011
|
$7,317.00 |
$7,317.00 |
$7,317.00 |
$2,068.30
|
|
Incision of tongue fold
|
$2,367.00 |
$2,367.00 |
$2,367.00 |
$1,792.50
|
|
Incision tendon sheath
|
$9,787.08 |
$9,787.08 |
$9,787.08 |
$3,073.20
|
|
Incisn of toe tndn
|
$6,968.40 |
$6,968.40 |
$6,968.40 |
$2,539.80
|
|
Infect ag drug suscept pheno predict
|
$231.60 |
$231.60 |
$231.60 |
$323.20
|
|
Infect ag eia chlamydia trachomatis
|
$129.60 |
$129.60 |
$129.60 |
$74.25
|
|
Infect ag genotype na cytomegalovirus
|
$453.00 |
$453.00 |
$453.00 |
$661.80
|
|
Infect ag genotype na dna hepatitis b
|
$241.80 |
$241.80 |
$241.80 |
$409.27
|
|
Infect ag genotype na hiv-1 other region
|
$198.60 |
$198.60 |
$198.60 |
$340.00
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$380.40 |
$380.40 |
$380.40 |
$603.75
|
|
Infect ag ia optc obs influenza
|
$160.20 |
$160.20 |
$160.20 |
$72.93
|
|
Infect ag if ea plyvlnt antsrm
|
$70.20 |
$70.20 |
$70.20 |
$68.40
|
|
Infect ag if legionella pneumophila
|
$174.60 |
$174.60 |
$174.60 |
$72.58
|
|
Infect ag if nos ea
|
$151.20 |
$151.20 |
$151.20 |
$74.88
|
|
Infect ag if varicella zoster
|
$174.60 |
$174.60 |
$174.60 |
$73.20
|
|
Infect ag na hpv high-risk types
|
$122.40 |
$122.40 |
$122.40 |
$139.32
|
|
Infect ag na influenza r/amp 1st 2 types
|
$212.40 |
$212.40 |
$212.40 |
$217.88
|
|
Infect ag na orthopoxvirus amp prb each
|
$96.00 |
$96.00 |
$96.00 |
$100.46
|
|
Infect ag na resp virus 12-25 targets
|
$717.60 |
$717.60 |
$717.60 |
$845.40
|
|
Infect ag phenotype na hiv-1 1-10 drugs
|
$954.00 |
$954.00 |
$954.00 |
$886.26
|
|
Infect ag phenotype na hiv-1 ea addl drg
|
$155.40 |
$155.40 |
$155.40 |
$75.63
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$88.80 |
$88.80 |
$88.80 |
$82.50
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$57.60 |
$57.60 |
$57.60 |
$72.00
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$40.80 |
$40.80 |
$40.80 |
$76.45
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$52.80 |
$52.80 |
$52.80 |
$75.40
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$66.00 |
$66.00 |
$66.00 |
$96.50
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$130.80 |
$130.80 |
$130.80 |
$81.06
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$51.60 |
$51.60 |
$51.60 |
$60.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$93.00 |
$93.00 |
$93.00 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$89.40 |
$89.40 |
$89.40 |
$130.90
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$180.00 |
$180.00 |
$180.00 |
$99.00
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$135.00 |
$135.00 |
$135.00 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$345.00 |
$345.00 |
$345.00 |
$275.00
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$99.60 |
$99.60 |
$99.60 |
$137.67
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$207.00 |
$207.00 |
$207.00 |
$167.05
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$805.20 |
$805.20 |
$805.20 |
$861.00
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$525.60 |
$525.60 |
$525.60 |
$184.50
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$148.80 |
$148.80 |
$148.80 |
$151.25
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$500.40 |
$500.40 |
$500.40 |
$210.00
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$118.20 |
$118.20 |
$118.20 |
$136.03
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$147.00 |
$147.00 |
$147.00 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$273.60 |
$273.60 |
$273.60 |
$217.80
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$361.80 |
$361.80 |
$361.80 |
$92.50
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$100.80 |
$100.80 |
$100.80 |
$110.50
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$184.80 |
$184.80 |
$184.80 |
$184.80
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$1,689.60 |
$1,689.60 |
$1,689.60 |
$727.50
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$448.80 |
$448.80 |
$448.80 |
$283.20
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$432.60 |
$432.60 |
$432.60 |
$429.93
|
|
Infectious agent nucleic acid quantification bk virus
|
$230.40 |
$230.40 |
$230.40 |
$285.66
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$301.20 |
$301.20 |
$301.20 |
$238.80
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$311.40 |
$311.40 |
$311.40 |
$253.00
|
|
Infectious agent nucleic acid quantification hiv-1
|
$411.60 |
$411.60 |
$411.60 |
$375.00
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$561.60 |
$561.60 |
$561.60 |
$303.59
|
|
Infliximab 100 mg intravenous solution
|
$3,503.46 |
$3,503.46 |
$3,503.46 |
$2,080.85
|
|
Infliximab-axxq 100 mg intravenous solution
|
$1,500.00 |
$1,500.00 |
$1,500.00 |
$1,062.00
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$2,838.84 |
$2,838.84 |
$2,838.84 |
$1,537.84
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$157.80 |
$157.80 |
$157.80 |
$293.25
|
