|
Ihc/icc per specimen initial single antibody stain
|
$429.00 |
$429.00 |
$429.00 |
$266.76
|
|
Ikbkap gene
|
$880.75 |
$880.75 |
$880.75 |
$156.20
|
|
Immobilizer shldr dlx str 24-36in med
|
$29.31 |
$29.31 |
$29.31 |
$80.00
|
|
Immune complex assay
|
$113.10 |
$113.10 |
$113.10 |
$88.80
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$3,890.32 |
$3,890.32 |
$3,890.32 |
$5,617.36
|
|
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution
|
$1,170.65 |
$1,170.65 |
$1,170.65 |
$5,495.02
|
|
Immunoassay tumor antigen quantitative ca 125
|
$96.85 |
$96.85 |
$96.85 |
$123.50
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$41.60 |
$41.60 |
$41.60 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$55.25 |
$55.25 |
$55.25 |
$53.95
|
|
Immunofixation electrophoresis serum
|
$102.70 |
$102.70 |
$102.70 |
$133.38
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$146.90 |
$146.90 |
$146.90 |
$156.00
|
|
Immunofluorescence per specimen initial single antibody stain
|
$146.90 |
$146.90 |
$146.90 |
$250.00
|
|
Immunoglobulin assay
|
$83.85 |
$83.85 |
$83.85 |
$74.00
|
|
Implant neuroelectrodes
|
$7,112.95 |
$7,112.95 |
$7,112.95 |
$12,807.00
|
|
Implant neuroelectrodes
|
$7,112.95 |
$7,112.95 |
$7,112.95 |
$7,345.58
|
|
Implant neurostim arrays
|
$32,045.00 |
$32,045.00 |
$32,045.00 |
$32,045.00
|
|
Implant spine infusion pump
|
$32,747.65 |
$32,747.65 |
$32,747.65 |
$18,613.91
|
|
Implant ureth bulk agent
|
$2,296.10 |
$2,296.10 |
$2,296.10 |
$1,930.57
|
|
Implnt spinl canal catheter 62350
|
$7,247.50 |
$7,247.50 |
$7,247.50 |
$5,095.20
|
|
In-111 autol wbc diag per dose
|
$3,313.02 |
$3,313.02 |
$3,313.02 |
$3,704.00
|
|
In-111 oxyquinolin per 0.5 mci
|
$3,607.50 |
$3,607.50 |
$3,607.50 |
$2,808.00
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$2,740.40 |
$2,740.40 |
$2,740.40 |
$2,261.20
|
|
Incision of achilles tendon
|
$2,359.50 |
$2,359.50 |
$2,359.50 |
$3,306.48
|
|
Incision of breast lesion
|
$1,901.25 |
$1,901.25 |
$1,901.25 |
$3,029.60
|
|
Incision of burn scab initi
|
$353.60 |
$353.60 |
$353.60 |
$501.00
|
|
Incision of foot fascia
|
$3,900.00 |
$3,900.00 |
$3,900.00 |
$4,499.12
|
|
Incision of thigh tendon
|
$4,238.00 |
$4,238.00 |
$4,238.00 |
$4,499.12
|
|
Incision of thigh tendons
|
$4,290.00 |
$4,290.00 |
$4,290.00 |
$4,627.00
|
|
Incision of toe tendons 28011
|
$761.80 |
$761.80 |
$761.80 |
$2,068.30
|
|
Incision of tongue fold
|
$1,047.80 |
$1,047.80 |
$1,047.80 |
$1,865.58
|
|
Incisn of toe tndn
|
$761.80 |
$761.80 |
$761.80 |
$2,298.99
|
|
Incisn windpipe
|
$933.40 |
$933.40 |
$933.40 |
$3,837.72
|
|
Induced ab 1+ vag sup w/dlv fetus
|
$1,765.40 |
$1,765.40 |
$1,765.40 |
$1,997.99
|
|
Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s)
|
$81.90 |
$81.90 |
$81.90 |
$137.15
|
|
Infect ag drug suscept pheno predict
|
$493.35 |
$493.35 |
$493.35 |
$325.00
|
|
Infect ag eia influenza a or b ea
|
$37.70 |
$37.70 |
$37.70 |
$69.03
|
|
Infect ag genotype na cytomegalovirus
|
$1,331.20 |
$1,331.20 |
$1,331.20 |
$603.41
|
|
Infect ag genotype na dna hepatitis b
|
$922.35 |
$922.35 |
$922.35 |
$500.40
|
|
Infect ag genotype na hiv-1 other region
|
$855.40 |
$855.40 |
$855.40 |
$301.50
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$971.75 |
$971.75 |
$971.75 |
$574.60
|
|
Infect ag ia optc obs influenza
|
$118.30 |
$118.30 |
$118.30 |
$66.72
|
|
Infect ag if hep delta agent
|
$48.75 |
$48.75 |
$48.75 |
$125.97
|
|
Infect ag if legionella pneumophila
|
$38.35 |
$38.35 |
$38.35 |
$75.79
|
|
Infect ag if pneumocystis carinii
|
$254.80 |
$254.80 |
$254.80 |
$62.29
|
|
Infect ag na herpes simplex quant
|
$265.20 |
$265.20 |
$265.20 |
$145.20
|
|
Infect ag na hpv high-risk types
|
$107.25 |
$107.25 |
$107.25 |
$139.75
|
|
Infect ag na influenza r/amp 1st 2 types
|
$156.65 |
$156.65 |
$156.65 |
$227.96
|
|
Infect ag na orthopoxvirus amp prb each
|
$234.00 |
$234.00 |
$234.00 |
$102.00
|
|
Infect ag na resp virus 12-25 targets
|
$592.80 |
$592.80 |
$592.80 |
$859.44
|
|
Infect ag phenotype na hiv-1 1-10 drugs
|
$1,844.70 |
$1,844.70 |
$1,844.70 |
$714.67
|
|
Infect ag phenotype na hiv-1 ea addl drg
|
$97.50 |
$97.50 |
$97.50 |
$77.00
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$68.90 |
$68.90 |
$68.90 |
$81.44
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$37.70 |
$37.70 |
$37.70 |
$80.05
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$37.70 |
$37.70 |
$37.70 |
$77.28
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$44.20 |
$44.20 |
$44.20 |
$83.50
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$32.50 |
$32.50 |
$32.50 |
$77.72
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$32.50 |
$32.50 |
$32.50 |
$55.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$74.10 |
$74.10 |
$74.10 |
$101.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$37.70 |
$37.70 |
$37.70 |
$132.60
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$67.60 |
$67.60 |
$67.60 |
$97.50
|
|
Infectious agent nucleic acid amplified probe
|
$107.25 |
$107.25 |
$107.25 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$107.25 |
$107.25 |
$107.25 |
$141.48
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$107.25 |
$107.25 |
$107.25 |
$174.06
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$981.50 |
$981.50 |
$981.50 |
$855.45
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$107.25 |
$107.25 |
$107.25 |
$178.00
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$107.25 |
$107.25 |
$107.25 |
$150.15
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$356.85 |
$356.85 |
$356.85 |
$210.00
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$107.25 |
$107.25 |
$107.25 |
$136.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$126.10 |
$126.10 |
$126.10 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$236.60 |
$236.60 |
$236.60 |
$222.60
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$271.70 |
$271.70 |
$271.70 |
$248.15
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$96.85 |
$96.85 |
$96.85 |
$98.15
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$107.25 |
$107.25 |
$107.25 |
$112.45
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$107.25 |
$107.25 |
$107.25 |
$200.20
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$1,281.15 |
$1,281.15 |
$1,281.15 |
$727.50
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$365.30 |
$365.30 |
$365.30 |
$283.20
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$668.20 |
$668.20 |
$668.20 |
$489.50
|
|
Infectious agent nucleic acid quantification bk virus
|
$131.30 |
$131.30 |
$131.30 |
$285.66
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$131.30 |
$131.30 |
$131.30 |
$226.35
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$131.30 |
$131.30 |
$131.30 |
$278.78
|
|
Infectious agent nucleic acid quantification hiv-1
|
$261.30 |
$261.30 |
$261.30 |
$381.55
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$236.60 |
$236.60 |
$236.60 |
$298.35
|
|
Infliximab 100 mg intravenous solution
|
$3,721.02 |
$3,721.02 |
$3,721.02 |
$2,791.24
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$1,869.27 |
$1,869.27 |
$1,869.27 |
$1,654.83
|
|
Influenza dna amp prob addl
|
$64.35 |
$64.35 |
$64.35 |
$69.60
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$542.75 |
$542.75 |
$542.75 |
$359.64
|
|
Initiation & management bipap/cpap initial day
|
$371.15 |
$371.15 |
$371.15 |
$645.79
|
|
Inj., benralizumab, 1 mg
|
$18,984.78 |
$18,984.78 |
$18,984.78 |
$16,865.48
|
|
Inj, bupivacaine liposome
|
$1,040.36 |
$1,040.36 |
$1,040.36 |
$816.31
|
|
Inj, cefepime hcl (b braun)
|
$81.41 |
$81.41 |
$81.41 |
$81.41
|
|
Inj cntr knee arthro incl ct/mri
|
$128.05 |
$128.05 |
$128.05 |
$464.28
|
|
Inj disk cerv-thor ea lev
|
$413.40 |
$413.40 |
$413.40 |
$869.80
|
|
Inj, durolane 1 mg
|
$3,382.31 |
$3,382.31 |
$3,382.31 |
$3,382.31
|
|
Inj dx for sinogram
|
$179.40 |
$179.40 |
$179.40 |
$436.00
|
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
|
$2,360.80 |
$2,360.80 |
$2,360.80 |
$1,214.78
|
|
Injection arthrography hip without anesthesia (both sides)
|
$787.80 |
$787.80 |
$787.80 |
$507.10
|
|
Injection carpal tunnel therapeutic (both sides)
|
$975.00 |
$975.00 |
$975.00 |
$536.00
|
|
Injection epidural blood patch or clot
|
$1,082.90 |
$1,082.90 |
$1,082.90 |
$1,473.12
|
|
Injection for arthrography wrist (both sides)
|
$761.80 |
$761.80 |
$761.80 |
$441.12
|
|
Injection for bladder x-ray
|
$302.90 |
$302.90 |
$302.90 |
$585.00
|