|
Ihc/icc per specimen each multiplex antibody stain
|
$84.60 |
$411.00 |
$886.60 |
|
|
Ihc/icc per specimen initial single antibody stain
|
$84.60 |
$303.00 |
$1,465.50 |
|
|
Iiv3 vacc no prsv 0.25 ml im
|
$16.50 |
$16.50 |
$24.00 |
|
|
Ikbkap gene
|
$552.60 |
$552.60 |
$600.60 |
|
|
Ileostomy/jejunostomy non-tube 44310
|
$1,809.00 |
$1,809.00 |
$1,809.00 |
|
|
Iliac/fem angio cath insert
|
$2,763.00 |
$2,881.20 |
$8,445.60 |
|
|
Iliac revasc add-on 37222
|
$533.50 |
$8,640.60 |
$15,442.20 |
|
|
Iloprost non-comp unit dose
|
$161.40 |
$161.40 |
$424.80 |
|
|
Imatinib 100 mg tab
|
$120.60 |
$248.00 |
$1,282.20 |
|
|
Imetelstat 188 mg intravenous solution
|
$98.40 |
$99.00 |
$99.00 |
|
|
Img rta detcj/mntr ds staff
|
$29.50 |
$29.50 |
$29.50 |
|
|
Img rta detc/mntr ds phy/qhp
|
$19.50 |
$19.50 |
$19.50 |
|
|
Img rta detc/mntr ds poc aly
|
$68.00 |
$68.00 |
$68.00 |
|
|
Immntx 4 sting insects
|
$71.50 |
$71.50 |
$71.50 |
|
|
Immntx 5 sting insects
|
$123.50 |
$123.50 |
$123.50 |
|
|
Immobilizer shldr cntor adlt
|
$21.00 |
$362.40 |
$631.80 |
|
|
Immobilizer shldr dlx str 24-36in med
|
$57.35 |
$250.40 |
$760.80 |
|
|
Immobilizer shldr sling med
|
$115.80 |
$115.80 |
$366.60 |
|
|
Immune complex assay
|
$88.80 |
$168.00 |
$421.80 |
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$232.00 |
$629.40 |
$18,293.40 |
|
|
Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution
|
$191.40 |
$2,854.20 |
$15,186.40 |
|
|
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution
|
$421.80 |
$920.40 |
$5,101.20 |
|
|
Immune globulin ig human im use 90281
|
$214.00 |
$214.00 |
$214.00 |
|
|
Immunoassay tumor antigen quantitative ca 125
|
$78.00 |
$133.20 |
$3,299.40 |
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$85.00 |
$159.00 |
$3,408.60 |
|
|
Immunoassay tumor qual
|
$153.00 |
$190.20 |
$233.40 |
|
|
Immunodiff gel qual ea antigen/ab
|
$21.00 |
$66.60 |
$595.80 |
|
|
Immunodiffusion nes
|
$81.00 |
$141.00 |
$238.80 |
|
|
Immunofixation electrophoresis serum
|
$57.60 |
$126.60 |
$1,809.60 |
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$72.60 |
$118.20 |
$903.60 |
|
|
Immunofluorescence per specimen initial single antibody stain
|
$55.20 |
$168.00 |
$664.80 |
|
|
Immunoglobulin assay
|
$19.50 |
$69.60 |
$684.60 |
|
|
Immunology procedure
|
$28.80 |
$72.00 |
$759.00 |
|
|
Implant 11 volt lithium-ion backup battery for controller pocket
|
$4,373.40 |
$4,373.40 |
$4,373.40 |
|
|
Implant cartilage 10mm synthetic
|
$2,374.20 |
$8,184.00 |
$31,672.20 |
|
|
Implant cochlear osia osi300
|
$4,652.40 |
$9,325.80 |
$13,955.40 |
|
|
Implant hormone pellet(s) 11980
|
$513.50 |
$513.50 |
$513.50 |
|
|
Implant neuroelectrodes
|
$2,198.67 |
$2,198.67 |
$2,198.67 |
|
|
Implant neuroelectrodes
|
$3,015.00 |
$3,621.50 |
$19,865.00 |
|
|
Implant neuroelectrodes
|
$3,621.50 |
$14,089.80 |
$19,225.60 |
|
|
Implant open hernia repair w/mesh 49568
|
$420.60 |
$632.40 |
$4,243.80 |
|
|
Implant single ventricular device 33975
|
$11,435.40 |
$11,435.40 |
$14,160.00 |
|
|
Implant spine infusion pump
|
$612.60 |
$612.60 |
$612.60 |
|
|
Implant spine infusion pump
|
$678.00 |
$678.00 |
$678.00 |
|
|
Implant tcat pulm vlv perq
|
$10,503.00 |
$10,503.00 |
$10,503.00 |
|
|
Implant ureter in bowel
|
$1,632.00 |
$1,632.00 |
$1,632.00 |
|
|
Implant ureth bulk agent
|
$445.80 |
$1,617.00 |
$4,710.00 |
|
|
Impl ear abutment ba300 9mm
|
$802.80 |
$802.80 |
$2,922.60 |
|
|
Impl neurostim electr perc
|
$785.40 |
$6,504.60 |
$19,857.60 |
|
|
Implnt bio implnt for soft tiss reinforcement 15777
|
$351.60 |
$351.60 |
$351.60 |
|
|
Implnt spinl canal catheter 62350
|
$1,051.20 |
$1,051.20 |
$1,051.20 |
|
|
Impl oi implt skull perq esp
|
$1,911.00 |
$1,911.00 |
$1,911.00 |
|
|
Implt neurostim elctr each
|
$4,320.00 |
$6,956.40 |
$9,531.60 |
|
|
Imp neurosti pls gn any type
|
$32,951.40 |
$34,927.80 |
$72,580.80 |
|
|
Imported lipodox inj
|
$2,244.60 |
$3,159.60 |
$11,220.60 |
|
|
Impreg gauze no h20/sal/yard
|
$5.40 |
$5.40 |
$5.40 |
|
|
Impres&prep oral surg splint
|
$306.00 |
$306.00 |
$306.00 |
|
|
Imuglucerase injection
|
$249.60 |
$343.20 |
$343.20 |
|
|
In-111 autol wbc diag per dose
|
$3,218.00 |
$6,806.40 |
$6,836.00 |
|
|
In-111 capromab pendet
|
$8,101.20 |
$16,003.80 |
$16,003.80 |
|
|
In-111 ibritumomab tiux dx
|
$12,163.20 |
$14,202.00 |
$14,710.40 |
|
|
In-111 oxyquinolin per 0.5 mci
|
$1,127.40 |
$3,093.00 |
$10,690.80 |
|
|
In-111 pentetate dtpa / 0.5 mci
|
$544.20 |
$2,550.60 |
$6,989.60 |
|
|
In-111 pentetreotide
|
$265.20 |
$12,179.40 |
$18,255.00 |
|
|
In-111 satumomab pend
|
$905.40 |
$905.40 |
$1,095.20 |
|
|
Inactivated je vacc im
|
$354.50 |
$354.50 |
$354.50 |
|
|
Incise inner ear nerve
|
$7,720.20 |
$7,720.20 |
$7,720.20 |
|
|
Incise inner eye adhesions
|
$632.00 |
$632.00 |
$632.00 |
|
|
Incise perq finger tendon 26060
|
$1,848.00 |
$1,848.00 |
$1,848.00 |
|
|
Incise tear duct opening 68440
|
$365.00 |
$365.00 |
$365.00 |
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$514.20 |
$2,080.80 |
$6,134.40 |
|
|
Incision of achilles tendon
|
$327.00 |
$4,284.60 |
$4,284.60 |
|
|
Incision of achilles tendon
|
$607.80 |
$607.80 |
$3,760.50 |
|
|
Incision of anal sphincter
|
$1,637.50 |
$1,637.50 |
$1,637.50 |
|
|
Incision of bile duct 47420
|
$5,571.60 |
$5,571.60 |
$5,571.60 |
|
|
Incision of breast lesion
|
$1,635.60 |
$2,742.00 |
$4,599.00 |
|
|
Incision of burn scab initi
|
$467.00 |
$825.60 |
$4,147.80 |
|
|
Incision of eardrum
|
$153.00 |
$3,486.60 |
$4,707.60 |
|
|
Incision of eardrum
|
$3,810.50 |
$3,810.50 |
$3,810.50 |
|
|
Incision of eyelid
|
$1,146.00 |
$1,146.00 |
$1,146.00 |
|
|
Incision of finger tendon
|
$1,848.00 |
$1,848.00 |
$1,848.00 |
|
|
Incision of foot fascia
|
$557.40 |
$4,272.00 |
$5,397.60 |
|
|
Incision of foot tendon 28234
|
$495.00 |
$495.00 |
$495.00 |
|
|
Incision of heel bone
|
$1,222.20 |
$1,222.20 |
$4,445.75 |
|
|
Incision of hip tendon
|
$792.60 |
$4,284.60 |
$4,284.60 |
|
|
Incision of hip tendons
|
$2,590.40 |
$5,605.80 |
$5,605.80 |
|
|
Incision of metatarsal
|
$712.80 |
$767.40 |
$2,222.88 |
|
|
Incision of metatarsal
|
$204.00 |
$669.00 |
$719.40 |
|
|
Incision of midfoot bones
|
$1,027.80 |
$1,027.80 |
$4,237.34 |
|
|
Incision of prostate
|
$1,791.67 |
$1,791.67 |
$1,791.67 |
|
|
Incision of small bowel 44010
|
$1,488.60 |
$1,488.60 |
$1,488.60 |
|
|
Incision of spinal nerve 64772
|
$816.25 |
$816.25 |
$1,014.60 |
|
|
Incision of tendon & muscle
|
$5,438.00 |
$9,067.20 |
$9,067.20 |
|
|
Incision of tendon sheath
|
$787.80 |
$787.80 |
$1,848.00 |
|
|
Incision of thigh
|
$5,055.50 |
$5,055.50 |
$5,055.50 |
|
|
Incision of thigh tendon
|
$8,561.40 |
$8,561.40 |
$8,561.40 |
|
|
Incision of thigh tendons
|
$8,561.40 |
$8,561.40 |
$8,561.40 |
|
|
Incision of thigh tendons
|
$1,019.40 |
$1,019.40 |
$1,019.40 |
|
|
Incision of tibia & fibula
|
$2,137.80 |
$2,137.80 |
$2,137.80 |
|
|
Incision of toe tendons 28011
|
$573.00 |
$573.00 |
$1,848.00 |
|
