|
Igh@ var region somatic mutation analy
|
$578.88 |
$578.88 |
$578.88 |
$660.80
|
|
Ihc/icc per specimen each additional single antibody stain
|
$285.12 |
$285.12 |
$285.12 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$173.50 |
$173.50 |
$173.50 |
$328.79
|
|
Ihc/icc per specimen initial single antibody stain
|
$132.29 |
$132.29 |
$132.29 |
$272.30
|
|
Iiv3 vacc no prsv 0.25 ml im
|
$20.16 |
$20.16 |
$20.16 |
$36.80
|
|
Ileostomy/jejunostomy non-tube 44310
|
$1,582.56 |
$1,582.56 |
$1,582.56 |
$1,976.40
|
|
Iliac bone graft microvasc
|
$4,021.44 |
$4,021.44 |
$4,021.44 |
$6,512.80
|
|
Immt breast prosthesis 19340
|
$1,164.00 |
$1,164.00 |
$1,164.00 |
$4,883.20
|
|
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution
|
$8,626.08 |
$8,626.08 |
$8,626.08 |
$3,846.15
|
|
Immunoassay tumor antigen quantitative ca 125
|
$97.69 |
$97.69 |
$97.69 |
$130.39
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$70.21 |
$70.21 |
$70.21 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$76.32 |
$76.32 |
$76.32 |
$48.36
|
|
Immunodiffusion nes
|
$76.32 |
$76.32 |
$76.32 |
$48.57
|
|
Immunofixation electrophoresis serum
|
$69.20 |
$69.20 |
$69.20 |
$140.70
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$154.41 |
$154.41 |
$154.41 |
$156.00
|
|
Immunofluorescence per specimen initial single antibody stain
|
$220.26 |
$220.26 |
$220.26 |
$234.27
|
|
Immunoglobulin assay
|
$23.77 |
$23.77 |
$23.77 |
$74.15
|
|
Implant hormone pellet(s) 11980
|
$144.00 |
$144.00 |
$144.00 |
$315.75
|
|
Implant neuroelectrodes
|
$9,901.92 |
$9,901.92 |
$9,901.92 |
$7,270.51
|
|
Impl neurostim electr perc
|
$3,475.20 |
$3,475.20 |
$3,475.20 |
$7,672.50
|
|
Implnt bio implnt for soft tiss reinforcement 15777
|
$324.48 |
$324.48 |
$324.48 |
$1,072.00
|
|
In-111 pentetreotide
|
$3,354.24 |
$3,354.24 |
$3,354.24 |
$5,201.00
|
|
Incise inner ear
|
$349.92 |
$349.92 |
$349.92 |
$2,186.08
|
|
Incise perq finger tendon 26060
|
$400.80 |
$400.80 |
$400.80 |
$1,893.86
|
|
Incise tendon(s) & muscle(s)
|
$1,126.08 |
$1,126.08 |
$1,126.08 |
$7,968.80
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$2,755.20 |
$2,755.20 |
$2,755.20 |
$2,080.80
|
|
Incision of achilles tendon
|
$503.52 |
$503.52 |
$503.52 |
$3,306.48
|
|
Incision of achilles tendon
|
$414.24 |
$414.24 |
$414.24 |
$3,561.39
|
|
Incision of anal sphincter
|
$5,429.76 |
$5,429.76 |
$5,429.76 |
$3,245.23
|
|
Incision of breast lesion
|
$2,358.72 |
$2,358.72 |
$2,358.72 |
$2,577.85
|
|
Incision of eardrum
|
$293.76 |
$293.76 |
$293.76 |
$548.25
|
|
Incision of eardrum
|
$234.24 |
$234.24 |
$234.24 |
$3,837.72
|
|
Incision of finger tendon
|
$716.64 |
$716.64 |
$716.64 |
$1,893.86
|
|
Incision of foot fascia
|
$652.80 |
$652.80 |
$652.80 |
$4,570.33
|
|
Incision of foot tendon 28234
|
$626.88 |
$626.88 |
$626.88 |
$2,116.27
|
|
Incision of heel bone
|
$1,002.72 |
$1,002.72 |
$1,002.72 |
$5,110.00
|
|
Incision of hip tendons
|
$1,104.00 |
$1,104.00 |
$1,104.00 |
$3,839.54
|
|
Incision of metatarsal
|
$934.56 |
$934.56 |
$934.56 |
$4,176.43
|
|
Incision of metatarsal
|
$875.04 |
$875.04 |
$875.04 |
$3,591.33
|
|
Incision of metatarsals
|
$1,391.52 |
$1,391.52 |
$1,391.52 |
$7,907.11
|
|
Incision of midfoot bones
|
$1,268.16 |
$1,268.16 |
$1,268.16 |
$6,311.00
|
|
Incision of palm tendon
|
$721.44 |
$721.44 |
$721.44 |
$3,821.05
|
|
Incision of prostate
|
$726.72 |
$726.72 |
$726.72 |
$4,081.37
|
|
Incision of pyloric muscle 43520
|
$1,058.40 |
$1,058.40 |
$1,058.40 |
$1,685.60
|
|
Incision of sperm duct
|
$587.04 |
$587.04 |
$587.04 |
$4,081.37
|
|
Incision of tendon & muscle
|
$952.32 |
$952.32 |
$952.32 |
$5,376.00
|
|
Incision of tendon sheath
|
$543.84 |
$543.84 |
$543.84 |
$2,176.80
|
|
Incision of thigh
|
$1,552.80 |
$1,552.80 |
$1,552.80 |
$3,798.60
|
|
Incision of tibia
|
$1,155.36 |
$1,155.36 |
$1,155.36 |
$7,907.11
|
|
Incision of tibia & fibula
|
$1,757.28 |
$1,757.28 |
$1,757.28 |
$13,148.80
|
|
Incision of toe tendons 28011
|
$486.24 |
$486.24 |
$486.24 |
$2,119.12
|
|
Incision of tongue fold
|
$332.16 |
$332.16 |
$332.16 |
$1,792.50
|
|
Incision of urethra
|
$227.52 |
$227.52 |
$227.52 |
$2,874.36
|
|
Incision of urethra
|
$456.96 |
$456.96 |
$456.96 |
$5,626.86
|
|
Incision of urethra
|
$146.40 |
$146.40 |
$146.40 |
$3,198.58
|
|
Incision tendon sheath
|
$906.24 |
$906.24 |
$906.24 |
$3,073.20
|
|
Incisn of toe tndn
|
$360.96 |
$360.96 |
$360.96 |
$2,667.00
|
|
Incisn windpipe
|
$461.76 |
$461.76 |
$461.76 |
$3,819.23
|
|
Induced abortion d&c
|
$387.36 |
$387.36 |
$387.36 |
$3,762.53
|
|
Infec agen detec ampli probe
|
$13.23 |
$13.23 |
$13.23 |
$26.00
|
|
Infect ag drug suscept pheno predict
|
$199.96 |
$199.96 |
$199.96 |
$323.20
|
|
Infect ag genotype na hiv-1 other region
|
$199.96 |
$199.96 |
$199.96 |
$346.50
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$199.96 |
$199.96 |
$199.96 |
$603.75
|
|
Infect ag ia optc obs influenza
|
$67.67 |
$67.67 |
$67.67 |
$72.93
|
|
Infect ag if ea plyvlnt antsrm
|
$22.86 |
$22.86 |
$22.86 |
$55.80
|
|
Infect ag if pneumocystis carinii
|
$68.69 |
$68.69 |
$68.69 |
$67.19
|
|
Infect ag na hpv high-risk types
|
$79.88 |
$79.88 |
$79.88 |
$139.20
|
|
Infect ag na influenza r/amp 1st 2 types
|
$193.34 |
$193.34 |
$193.34 |
$217.88
|
|
Infect ag na orthopoxvirus amp prb each
|
$108.88 |
$108.88 |
$108.88 |
$100.00
|
|
Infect ag na resp virus 12-25 targets
|
$327.36 |
$327.36 |
$327.36 |
$845.40
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$24.93 |
$24.93 |
$24.93 |
$81.90
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$38.16 |
$38.16 |
$38.16 |
$76.32
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$47.32 |
$47.32 |
$47.32 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$66.14 |
$66.14 |
$66.14 |
$95.34
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$51.39 |
$51.39 |
$51.39 |
$80.50
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$65.13 |
$65.13 |
$65.13 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$71.74 |
$71.74 |
$71.74 |
$129.68
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$44.27 |
$44.27 |
$44.27 |
$98.02
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$23.91 |
$23.91 |
$23.91 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$108.88 |
$108.88 |
$108.88 |
$267.50
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$90.06 |
$90.06 |
$90.06 |
$137.67
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$92.09 |
$92.09 |
$92.09 |
$166.40
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$198.94 |
$198.94 |
$198.94 |
$861.00
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$85.48 |
$85.48 |
$85.48 |
$181.35
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$68.96 |
$68.96 |
$68.96 |
$150.15
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$155.18 |
$155.18 |
$155.18 |
$208.00
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$91.58 |
$91.58 |
$91.58 |
$135.80
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$70.72 |
$70.72 |
$70.72 |
$103.20
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$65.64 |
$65.64 |
$65.64 |
$108.21
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$501.60 |
$501.60 |
$501.60 |
$432.63
|
|
Infectious agent nucleic acid quantification bk virus
|
$157.22 |
$157.22 |
$157.22 |
$285.60
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$243.84 |
$243.84 |
$243.84 |
$237.70
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$170.96 |
$170.96 |
$170.96 |
$252.00
|
|
Infectious agent nucleic acid quantification hiv-1
|
$279.84 |
$279.84 |
$279.84 |
$373.60
|
|
Infliximab 100 mg intravenous solution
|
$2,626.55 |
$2,626.55 |
$2,626.55 |
$2,043.22
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$2,137.39 |
$2,137.39 |
$2,137.39 |
$1,537.84
|
|
Influenza virus vaccine, live trivalent intranasal
|
$26.40 |
$26.40 |
$26.40 |
$36.50
|
|
Initial hosp neonate 28 d/less than not critically ill 99477
|
$428.64 |
$428.64 |
$428.64 |
$629.60
|
|
Initial nursing facility care/day 35 minutes
|
$169.92 |
$169.92 |
$169.92 |
$188.50
|
|
Initial nursing facility care/day 45 minutes
|
$231.84 |
$231.84 |
$231.84 |
$236.80
|