|
Immunofluorescence per specimen initial single antibody stain
|
$110.00 |
$185.40 |
$750.60 |
|
|
Immunoglobulin assay
|
$98.50 |
$117.00 |
$126.50 |
|
|
Immunology procedure
|
$106.20 |
$106.20 |
$106.20 |
|
|
Impl ahmed 6x25x9.6mm glaucoma vlv w/sil ped ster
|
$1,319.50 |
$2,278.00 |
$16,001.04 |
|
|
Implant 11 volt lithium-ion backup battery for controller pocket
|
$3,299.00 |
$4,842.50 |
$7,365.50 |
|
|
Implant cartilage 10mm synthetic
|
$2,866.00 |
$3,882.00 |
$18,599.00 |
|
|
Implant cochlear device
|
$141,445.88 |
$141,445.88 |
$141,445.88 |
|
|
Implant cochlear osia osi300
|
$11,044.50 |
$27,808.00 |
$78,375.00 |
|
|
Implant hormone pellet(s) 11980
|
$216.00 |
$298.50 |
$298.50 |
|
|
Implant nerve end
|
$56,433.03 |
$56,433.03 |
$56,433.03 |
|
|
Implant neuroelectrodes
|
$190,879.81 |
$190,879.81 |
$190,879.81 |
|
|
Implant neuroelectrodes
|
$6,116.00 |
$8,456.50 |
$66,884.40 |
|
|
Implant neuroelectrodes
|
$7,204.50 |
$9,780.00 |
$124,089.10 |
|
|
Implant neurostim arrays
|
$252,297.04 |
$252,297.04 |
$252,297.04 |
|
|
Implant pulse generator remede el
|
$39,443.00 |
$39,443.00 |
$39,443.00 |
|
|
Implant spine infusion pump
|
$16,326.50 |
$22,574.50 |
$22,574.50 |
|
|
Implant tcat pulm vlv perq
|
$4,106.00 |
$5,069.50 |
$5,069.50 |
|
|
Implant ureth bulk agent
|
$2,495.00 |
$3,108.00 |
$12,853.50 |
|
|
Impl ear abutment ba300 9mm
|
$3,420.50 |
$3,737.50 |
$23,220.13 |
|
|
Impl neurostim electr perc
|
$8,397.00 |
$11,399.50 |
$190,446.53 |
|
|
Implnt bio implnt for soft tiss reinforcement 15777
|
$115,988.83 |
$115,988.83 |
$189,876.10 |
|
|
Implnt spinl canal catheter 62350
|
$2,579.00 |
$3,566.00 |
$3,566.00 |
|
|
Impl oi implt skull perq esp
|
$111,110.00 |
$111,110.00 |
$111,110.00 |
|
|
Impltj ntrstrml crnl rng seg
|
$3,205.50 |
$4,748.50 |
$4,748.50 |
|
|
Implt neurostim elctr each
|
$8,134.00 |
$8,134.00 |
$14,112.00 |
|
|
Imp neurosti pls gn any type
|
$3,818.00 |
$3,818.00 |
$3,818.00 |
|
|
Impres&prep auricular prosth
|
$7,515.00 |
$7,515.00 |
$7,515.00 |
|
|
Impres&prep def obt prosth
|
$8,608.50 |
$8,608.50 |
$8,608.50 |
|
|
Impres&prep facial prosth
|
$7,515.00 |
$7,515.00 |
$7,515.00 |
|
|
Impres&prep intrm obt prosth
|
$8,608.50 |
$8,608.50 |
$8,608.50 |
|
|
Impres&prep mndbl res prosth
|
$8,608.50 |
$8,608.50 |
$8,608.50 |
|
|
Impres&prep nasal prosth
|
$7,515.00 |
$7,515.00 |
$7,515.00 |
|
|
Impres&prep oral surg splint
|
$3,701.00 |
$3,701.00 |
$3,701.00 |
|
|
Impres&prep orbital prosth
|
$6,571.50 |
$6,571.50 |
$6,571.50 |
|
|
Impres&prep paltl aug prosth
|
$7,515.00 |
$7,515.00 |
$7,515.00 |
|
|
Impres&prep paltl lft prosth
|
$8,608.50 |
$8,608.50 |
$8,608.50 |
|
|
Impres&prep sp aid prosth
|
$7,515.00 |
$7,515.00 |
$7,515.00 |
|
|
Impres&prep surg obt prosth
|
$4,816.50 |
$4,816.50 |
$4,816.50 |
|
|
In-111 oxyquinolin per 0.5 mci
|
$2,145.75 |
$2,145.75 |
$2,145.75 |
|
|
In-111 pentetate dtpa / 0.5 mci
|
$3,027.60 |
$3,027.60 |
$3,027.60 |
|
|
In-111 pentetreotide
|
$3,778.80 |
$3,778.80 |
$3,778.80 |
|
|
Incise inner ear
|
$2,029.50 |
$2,755.50 |
$2,755.50 |
|
|
Incise inner eye adhesions
|
$410.00 |
$607.50 |
$607.50 |
|
|
Incise inner eye adhesions
|
$1,403.00 |
$2,079.00 |
$2,079.00 |
|
|
Incise nerve back of head
|
$1,055.00 |
$1,459.00 |
$1,459.00 |
|
|
Incise tear duct opening 68440
|
$284.00 |
$421.00 |
$421.00 |
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$726.50 |
$1,986.50 |
$12,408.56 |
|
|
Incision of breast lesion
|
$2,220.50 |
$3,070.00 |
$10,506.71 |
|
|
Incision of burn scab initi
|
$889.80 |
$889.80 |
$889.80 |
|
|
Incision of eardrum
|
$428.00 |
$592.00 |
$592.00 |
|
|
Incision of eardrum
|
$2,081.50 |
$2,878.50 |
$2,878.50 |
|
|
Incision of eyelid
|
$1,011.50 |
$1,399.00 |
$1,399.00 |
|
|
Incision of foot fascia
|
$10,786.84 |
$10,786.84 |
$10,786.84 |
|
|
Incision of foot tendon 28234
|
$9,921.75 |
$9,921.75 |
$9,921.75 |
|
|
Incision of heel bone
|
$29,648.09 |
$29,648.09 |
$29,648.09 |
|
|
Incision of lymph channels
|
$2,464.00 |
$3,407.00 |
$3,407.00 |
|
|
Incision of metatarsal
|
$149,034.32 |
$149,034.32 |
$149,034.32 |
|
|
Incision of metatarsal
|
$73,946.70 |
$73,946.70 |
$73,946.70 |
|
|
Incision of metatarsals
|
$10,411.25 |
$10,411.25 |
$10,411.25 |
|
|
Incision of midfoot bones
|
$29,648.09 |
$29,648.09 |
$29,648.09 |
|
|
Incision of spinal nerve 64772
|
$79,568.61 |
$79,568.61 |
$79,568.61 |
|
|
Incision of tendon sheath
|
$14,959.21 |
$14,959.21 |
$14,959.21 |
|
|
Incision of tongue fold
|
$1,096.00 |
$1,515.50 |
$8,883.25 |
|
|
Incision tendon sheath
|
$952.20 |
$2,876.50 |
$39,725.01 |
|
|
Incisn windpipe
|
$3,010.50 |
$3,010.50 |
$7,040.40 |
|
|
Induced abortion d&c
|
$2,385.50 |
$3,298.50 |
$13,515.91 |
|
|
Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s)
|
$30.00 |
$30.00 |
$210.60 |
|
|
Infect ag drug suscept pheno predict
|
$64.00 |
$165.00 |
$676.00 |
|
|
Infect ag genotype na cytomegalovirus
|
$772.20 |
$1,183.50 |
$1,325.50 |
|
|
Infect ag genotype na dna hepatitis b
|
$772.20 |
$772.20 |
$772.20 |
|
|
Infect ag genotype na hiv-1 other region
|
$346.00 |
$473.50 |
$1,596.50 |
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$693.50 |
$1,317.50 |
$2,489.50 |
|
|
Infect ag ia optc obs influenza
|
$95.40 |
$125.45 |
$232.00 |
|
|
Infect ag if hep delta agent
|
$181.50 |
$246.50 |
$278.50 |
|
|
Infect ag if influenza a
|
$49.80 |
$52.00 |
$662.00 |
|
|
Infect ag if influenza b
|
$48.60 |
$48.60 |
$662.00 |
|
|
Infect ag if legionella pneumophila
|
$66.00 |
$116.50 |
$189.00 |
|
|
Infect ag if nos ea
|
$57.00 |
$57.00 |
$57.00 |
|
|
Infect ag if pneumocystis carinii
|
$120.60 |
$120.60 |
$120.60 |
|
|
Infect ag if varicella zoster
|
$40.80 |
$40.80 |
$408.00 |
|
|
Infect ag na herpes simplex quant
|
$160.00 |
$220.00 |
$246.00 |
|
|
Infect ag na hpv high-risk types
|
$44.00 |
$149.50 |
$501.00 |
|
|
Infect ag na influenza r/amp 1st 2 types
|
$115.00 |
$158.00 |
$307.80 |
|
|
Infect ag na influenza revr/amp ea type
|
$198.00 |
$198.00 |
$198.00 |
|
|
Infect ag na orthopoxvirus amp prb each
|
$73.20 |
$171.50 |
$202.15 |
|
|
Infect ag na resp virus 12-25 targets
|
$407.00 |
$520.50 |
$1,767.00 |
|
|
Infect ag phenotype na hiv-1 1-10 drugs
|
$3,386.00 |
$3,386.00 |
$3,386.00 |
|
|
Infect ag phenotype na hiv-1 ea addl drg
|
$103.00 |
$103.00 |
$103.00 |
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$28.00 |
$191.50 |
$350.00 |
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$60.60 |
$60.60 |
$60.60 |
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$41.40 |
$111.80 |
$640.00 |
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$61.20 |
$96.00 |
$640.00 |
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$115.80 |
$255.00 |
$626.00 |
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$94.50 |
$183.00 |
$297.00 |
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$26.00 |
$36.00 |
$152.40 |
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$61.00 |
$101.40 |
$207.00 |
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$64.80 |
$388.00 |
$433.00 |
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$131.95 |
$131.95 |
$131.95 |
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$73.20 |
$73.20 |
$73.20 |
|
|
Infectious agent nucleic acid amplified probe
|
$318.50 |
$567.50 |
$1,156.00 |
|
