|
Immunoassay tumor antigen quantitative ca 19-9
|
$35.10 |
$65.95 |
$185.00 |
|
|
Immunodiff gel qual ea antigen/ab
|
$50.78 |
$50.78 |
$108.55 |
|
|
Immunodiffusion nes
|
$105.95 |
$105.95 |
$252.20 |
|
|
Immunofixation electrophoresis serum
|
$77.70 |
$143.65 |
$242.00 |
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$90.56 |
$148.85 |
$9,183.04 |
|
|
Immunofluorescence per specimen initial single antibody stain
|
$126.73 |
$126.73 |
$9,183.04 |
|
|
Immunoglobulin assay
|
$156.00 |
$159.90 |
$255.00 |
|
|
Impedence cardiogram
|
$119.60 |
$119.60 |
$214.50 |
|
|
Implant cartilage 10mm synthetic
|
$1,755.00 |
$1,755.00 |
$2,193.75 |
|
|
Implant cochlear osia osi300
|
$4,862.00 |
$9,185.56 |
$9,185.56 |
|
|
Implant hormone pellet(s) 11980
|
$234.65 |
$234.65 |
$234.65 |
|
|
Implant neuroelectrode
|
$36,116.35 |
$36,116.35 |
$36,116.35 |
|
|
Implant neuroelectrode
|
$39,354.62 |
$39,354.62 |
$39,354.62 |
|
|
Implant neuroelectrodes
|
$7,203.30 |
$7,203.30 |
$7,203.30 |
|
|
Implant neuroelectrodes
|
$32,149.97 |
$32,149.97 |
$33,831.84 |
|
|
Implant neurostim arrays
|
$62,933.49 |
$62,933.49 |
$62,933.49 |
|
|
Implant ureth bulk agent
|
$1,365.00 |
$2,342.17 |
$2,342.17 |
|
|
Impl ear abutment ba300 9mm
|
$2,446.55 |
$2,446.55 |
$2,446.55 |
|
|
Impl neurostim electr perc
|
$9,807.34 |
$9,807.34 |
$13,189.91 |
|
|
Implnt spinl canal catheter 62350
|
$3,625.05 |
$7,569.90 |
$11,362.65 |
|
|
In-111 autol wbc diag per dose
|
$2,623.40 |
$4,097.94 |
$4,630.60 |
|
|
In-111 capromab pendet
|
$5,441.15 |
$5,441.15 |
$5,441.15 |
|
|
In-111 oxyquinolin per 0.5 mci
|
$1,638.65 |
$4,823.65 |
$5,512.17 |
|
|
In-111 pentetate dtpa / 0.5 mci
|
$1,393.60 |
$1,878.50 |
$4,266.29 |
|
|
In-111 pentetreotide
|
$3,699.80 |
$5,294.90 |
$8,146.00 |
|
|
In-111 satumomab pend
|
$3,089.69 |
$3,089.69 |
$3,089.69 |
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$280.15 |
$1,272.52 |
$8,307.65 |
|
|
Incision of anal sphincter
|
$4,542.45 |
$4,542.45 |
$6,531.51 |
|
|
Incision of breast lesion
|
$3,863.36 |
$3,863.36 |
$3,863.36 |
|
|
Incision of rectal abscess
|
$5,385.66 |
$5,385.66 |
$5,385.66 |
|
|
Incision of spinal nerve 64772
|
$9,181.58 |
$9,181.58 |
$9,181.58 |
|
|
Incision of tongue fold
|
$1,021.85 |
$1,021.85 |
$3,283.23 |
|
|
Incision tendon sheath
|
$1,185.60 |
$1,185.60 |
$1,185.60 |
|
|
Incisn of toe tndn
|
$2,081.30 |
$2,081.30 |
$2,081.30 |
|
|
Incisn windpipe
|
$3,093.57 |
$3,093.57 |
$3,093.57 |
|
|
Incobotulinumtoxin a
|
$3,328.14 |
$3,328.14 |
$3,328.14 |
|
|
Indigotindisulfonate 8 mg/ml soln 5 ml ampule
|
$73.12 |
$73.12 |
$1,749.80 |
|
|
Infect ag drug suscept pheno predict
|
$158.55 |
$322.40 |
$616.85 |
|
|
Infect ag eia influenza a or b ea
|
$61.00 |
$94.25 |
$217.75 |
|
|
Infect ag genotype na cytomegalovirus
|
$358.99 |
$358.99 |
$358.99 |
|
|
Infect ag genotype na dna hepatitis b
|
$202.30 |
$202.30 |
$202.30 |
|
|
Infect ag genotype na hiv-1 other region
|
$310.41 |
$310.41 |
$748.00 |
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$367.32 |
$367.32 |
$846.00 |
|
|
Infect ag ia direct hiv-1 antgn
|
$89.70 |
$93.60 |
$176.15 |
|
|
Infect ag ia optc obs influenza
|
$49.00 |
$65.58 |
$201.50 |
|
|
Infect ag if ea plyvlnt antsrm
|
$18.78 |
$18.78 |
$18.78 |
|
|
Infect ag if hep delta agent
|
$78.26 |
$78.26 |
$78.26 |
|
|
Infect ag if influenza a
|
$36.40 |
$40.61 |
$66.00 |
|
|
Infect ag if influenza b
|
$43.38 |
$43.38 |
$89.05 |
|
|
Infect ag if legionella pneumophila
|
$64.75 |
$64.75 |
$64.75 |
|
|
Infect ag if nos ea
|
$60.40 |
$60.40 |
$60.40 |
|
|
Infect ag if pneumocystis carinii
|
$56.15 |
$56.15 |
$56.15 |
|
|
Infect ag if varicella zoster
|
$68.25 |
$75.40 |
$116.00 |
|
|
Infect ag na herpes simplex quant
|
$190.46 |
$190.46 |
$190.46 |
|
|
Infect ag na hpv high-risk types
|
$85.15 |
$117.65 |
$154.05 |
|
|
Infect ag na influenza r/amp 1st 2 types
|
$172.25 |
$268.45 |
$294.06 |
|
|
Infect ag na influenza revr/amp ea type
|
$121.55 |
$121.55 |
$121.55 |
|
|
Infect ag na orthopoxvirus amp prb each
|
$105.30 |
$143.65 |
$221.00 |
|
|
Infect ag na resp virus 12-25 targets
|
$336.15 |
$336.15 |
$1,180.40 |
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$40.70 |
$97.50 |
$173.00 |
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$51.15 |
$65.00 |
$116.35 |
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$42.90 |
$58.00 |
$75.40 |
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$42.90 |
$59.00 |
$88.40 |
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$112.85 |
$125.45 |
$226.00 |
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$35.80 |
$57.00 |
$87.75 |
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$21.46 |
$21.46 |
$84.50 |
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$32.28 |
$48.75 |
$75.00 |
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$98.51 |
$120.90 |
$225.00 |
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$71.41 |
$100.75 |
$398.45 |
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$48.10 |
$53.95 |
$83.00 |
|
|
Infectious agent nucleic acid amplified probe
|
$87.00 |
$386.17 |
$500.50 |
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$92.04 |
$128.00 |
$387.40 |
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$77.42 |
$127.40 |
$157.30 |
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$372.96 |
$514.80 |
$1,146.60 |
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$102.70 |
$157.62 |
$227.50 |
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$13.60 |
$100.75 |
$155.00 |
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$150.15 |
$165.58 |
$185.25 |
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$84.00 |
$92.04 |
$393.25 |
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$37.46 |
$130.00 |
$200.00 |
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$178.75 |
$243.75 |
$275.00 |
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$256.75 |
$332.80 |
$395.00 |
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$65.00 |
$84.50 |
$109.20 |
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$58.74 |
$118.30 |
$242.00 |
|
|
Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae
|
$125.45 |
$210.60 |
$282.10 |
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$143.00 |
$143.00 |
$220.00 |
|
|
Infectious agent nucleic acid joint space pathogens multiplex amplified probe >= 26 targets
|
$483.60 |
$483.60 |
$483.60 |
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$462.63 |
$462.63 |
$676.00 |
|
|
Infectious agent nucleic acid quantification bk virus
|
$197.40 |
$273.65 |
$587.00 |
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$168.00 |
$235.30 |
$459.00 |
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$169.00 |
$222.28 |
$369.20 |
|
|
Infectious agent nucleic acid quantification hiv-1
|
$190.45 |
$200.08 |
$332.00 |
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$285.35 |
$367.90 |
$443.35 |
|
|
Infliximab 100 mg intravenous solution
|
$178.95 |
$178.95 |
$4,301.80 |
|
|
Infliximab-axxq 100 mg intravenous solution
|
$1,469.00 |
$1,469.00 |
$1,862.25 |
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$96.50 |
$96.50 |
$3,492.51 |
|
|
Influenza dna amp prob addl
|
$75.80 |
$75.80 |
$75.80 |
|
|
Inf thrc fascial pln blk uni w/wo image
|
$1,682.20 |
$1,682.20 |
$1,682.20 |
|
|
Ingest challenge ea addl 60 min
|
$289.90 |
$289.90 |
$289.90 |
|
|
Ingest challenge ini 120 min
|
$863.85 |
$863.85 |
$863.85 |
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$523.90 |
$523.90 |
$523.90 |
|