|
Incision of jaw joint
|
$6,759.31 |
$6,759.31 |
$6,759.31 |
$4,558.89
|
|
Incision of knee joint
|
$4,735.61 |
$4,735.61 |
$4,735.61 |
$3,976.00
|
|
Incision of lymph channels
|
$4,570.46 |
$4,570.46 |
$4,570.46 |
$4,570.46
|
|
Incision of metatarsal
|
$4,176.43 |
$4,176.43 |
$4,176.43 |
$4,561.60
|
|
Incision of metatarsal
|
$2,945.02 |
$2,945.02 |
$2,945.02 |
$6,311.00
|
|
Incision of metatarsal
|
$3,510.64 |
$3,510.64 |
$3,510.64 |
$3,594.44
|
|
Incision of metatarsals
|
$4,896.31 |
$4,896.31 |
$4,896.31 |
$7,811.00
|
|
Incision of midfoot bones
|
$4,802.49 |
$4,802.49 |
$4,802.49 |
$5,855.00
|
|
Incision of palm tendon
|
$1,913.96 |
$1,913.96 |
$1,913.96 |
$3,839.54
|
|
Incision of prostate
|
$3,080.06 |
$3,080.06 |
$3,080.06 |
$4,081.37
|
|
Incision of rectal abscess
|
$3,050.39 |
$3,050.39 |
$3,050.39 |
$3,245.23
|
|
Incision of sperm duct
|
$2,738.14 |
$2,738.14 |
$2,738.14 |
$4,081.37
|
|
Incision of spinal nerve 64772
|
$3,333.43 |
$3,333.43 |
$3,333.43 |
$2,310.83
|
|
Incision of tendon & muscle
|
$4,786.42 |
$4,786.42 |
$4,786.42 |
$5,784.00
|
|
Incision of tendon sheath
|
$4,076.69 |
$4,076.69 |
$4,076.69 |
$2,211.05
|
|
Incision of thigh tendon
|
$4,775.63 |
$4,775.63 |
$4,775.63 |
$4,491.50
|
|
Incision of thigh tendons
|
$10,104.94 |
$10,104.94 |
$10,104.94 |
$5,278.00
|
|
Incision of thigh tendons
|
$3,206.33 |
$3,206.33 |
$3,206.33 |
$3,839.54
|
|
Incision of thigh tendons
|
$4,755.67 |
$4,755.67 |
$4,755.67 |
$4,499.12
|
|
Incision of tibia
|
$5,868.26 |
$5,868.26 |
$5,868.26 |
$5,886.74
|
|
Incision of tibia & fibula
|
$4,707.12 |
$4,707.12 |
$4,707.12 |
$11,971.85
|
|
Incision of toe tendons 28011
|
$2,119.12 |
$2,119.12 |
$2,119.12 |
$2,068.30
|
|
Incision of tongue fold
|
$1,865.58 |
$1,865.58 |
$1,865.58 |
$1,792.50
|
|
Incision of urethra
|
$3,344.14 |
$3,344.14 |
$3,344.14 |
$3,344.14
|
|
Incision of urethra
|
$5,283.79 |
$5,283.79 |
$5,283.79 |
$5,626.86
|
|
Incision of urethra
|
$3,452.25 |
$3,452.25 |
$3,452.25 |
$3,198.58
|
|
Incision of urethra
|
$2,484.76 |
$2,484.76 |
$2,484.76 |
$2,874.36
|
|
Incision of windpipe
|
$3,866.94 |
$3,866.94 |
$3,866.94 |
$6,465.11
|
|
Incision of windpipe
|
$5,014.64 |
$5,014.64 |
$5,014.64 |
$5,741.00
|
|
Incision of wrist capsule
|
$3,118.51 |
$3,118.51 |
$3,118.51 |
$3,839.54
|
|
Incision secondary cataract
|
$2,017.15 |
$2,017.15 |
$2,017.15 |
$2,524.45
|
|
Incision tendon sheath
|
$3,603.91 |
$3,603.91 |
$3,603.91 |
$3,073.20
|
|
Incisn of toe tndn
|
$2,940.04 |
$2,940.04 |
$2,940.04 |
$2,667.00
|
|
Incisn windpipe
|
$5,439.23 |
$5,439.23 |
$5,439.23 |
$3,819.23
|
|
Indigotindisulfonate 8 mg/ml soln 5 ml ampule
|
$1,080.00 |
$1,080.00 |
$1,080.00 |
$766.66
|
|
Induced ab 1+ vag sup w/dlv fetus
|
$3,108.89 |
$3,108.89 |
$3,108.89 |
$1,997.99
|
|
Induced abortion d&c
|
$3,075.83 |
$3,075.83 |
$3,075.83 |
$3,762.53
|
|
Induced abortion dilat&evac
|
$3,151.39 |
$3,151.39 |
$3,151.39 |
$4,451.18
|
|
Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s)
|
$154.87 |
$154.87 |
$154.87 |
$140.80
|
|
Infec agen detec ampli probe
|
$32.40 |
$32.40 |
$32.40 |
$28.05
|
|
Infect ag drug suscept pheno predict
|
$1,208.07 |
$1,208.07 |
$1,208.07 |
$325.00
|
|
Infect ag eia influenza a or b ea
|
$103.07 |
$103.07 |
$103.07 |
$71.50
|
|
Infect ag genotype na cytomegalovirus
|
$988.87 |
$988.87 |
$988.87 |
$665.40
|
|
Infect ag genotype na dna hepatitis b
|
$834.46 |
$834.46 |
$834.46 |
$409.27
|
|
Infect ag genotype na hiv-1 other region
|
$669.30 |
$669.30 |
$669.30 |
$361.65
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$499.13 |
$499.13 |
$499.13 |
$603.83
|
|
Infect ag ia optc obs influenza
|
$95.32 |
$95.32 |
$95.32 |
$72.93
|
|
Infect ag if ea plyvlnt antsrm
|
$112.12 |
$112.12 |
$112.12 |
$65.10
|
|
Infect ag if hep delta agent
|
$185.17 |
$185.17 |
$185.17 |
$125.97
|
|
Infect ag if influenza a
|
$86.30 |
$86.30 |
$86.30 |
$41.22
|
|
Infect ag if legionella pneumophila
|
$115.30 |
$115.30 |
$115.30 |
$73.45
|
|
Infect ag if pneumocystis carinii
|
$124.84 |
$124.84 |
$124.84 |
$66.60
|
|
Infect ag if varicella zoster
|
$92.78 |
$92.78 |
$92.78 |
$72.00
|
|
Infect ag na hep b amp
|
$175.44 |
$175.44 |
$175.44 |
$120.50
|
|
Infect ag na herpes simplex quant
|
$284.06 |
$284.06 |
$284.06 |
$178.86
|
|
Infect ag na hpv high-risk types
|
$615.00 |
$615.00 |
$615.00 |
$139.20
|
|
Infect ag na influenza r/amp 1st 2 types
|
$137.07 |
$137.07 |
$137.07 |
$220.00
|
|
Infect ag na influenza revr/amp ea type
|
$241.20 |
$241.20 |
$241.20 |
$156.60
|
|
Infect ag na orthopoxvirus amp prb each
|
$127.50 |
$127.50 |
$127.50 |
$100.46
|
|
Infect ag na resp virus 12-25 targets
|
$1,250.48 |
$1,250.48 |
$1,250.48 |
$858.92
|
|
Infect ag phenotype na hiv-1 1-10 drugs
|
$2,190.08 |
$2,190.08 |
$2,190.08 |
$954.00
|
|
Infect ag phenotype na hiv-1 ea addl drg
|
$199.73 |
$199.73 |
$199.73 |
$75.63
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$119.91 |
$119.91 |
$119.91 |
$82.80
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$94.66 |
$94.66 |
$94.66 |
$72.10
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$83.28 |
$83.28 |
$83.28 |
$76.00
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$88.61 |
$88.61 |
$88.61 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$107.24 |
$107.24 |
$107.24 |
$102.82
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$104.75 |
$104.75 |
$104.75 |
$81.20
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$94.22 |
$94.22 |
$94.22 |
$60.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$145.09 |
$145.09 |
$145.09 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$309.00 |
$309.00 |
$309.00 |
$129.00
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$127.10 |
$127.10 |
$127.10 |
$98.40
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$55.31 |
$55.31 |
$55.31 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$849.00 |
$849.00 |
$849.00 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$173.60 |
$173.60 |
$173.60 |
$141.95
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$157.88 |
$157.88 |
$157.88 |
$167.05
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$1,174.80 |
$1,174.80 |
$1,174.80 |
$865.50
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$250.22 |
$250.22 |
$250.22 |
$181.80
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$162.84 |
$162.84 |
$162.84 |
$149.13
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$328.73 |
$328.73 |
$328.73 |
$212.01
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$170.75 |
$170.75 |
$170.75 |
$137.67
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$111.78 |
$111.78 |
$111.78 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$61.45 |
$61.45 |
$61.45 |
$208.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$104.93 |
$104.93 |
$104.93 |
$236.08
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$142.07 |
$142.07 |
$142.07 |
$96.00
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$142.20 |
$142.20 |
$142.20 |
$112.50
|
|
Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae
|
$344.35 |
$344.35 |
$344.35 |
$217.60
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$281.79 |
$281.79 |
$281.79 |
$200.20
|
|
Infectious agent nucleic acid joint space pathogens multiplex amplified probe >= 26 targets
|
$1,240.55 |
$1,240.55 |
$1,240.55 |
$1,143.75
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$727.50 |
$727.50 |
$727.50 |
$727.50
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$375.00 |
$375.00 |
$375.00 |
$289.91
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$556.63 |
$556.63 |
$556.63 |
$432.63
|
|
Infectious agent nucleic acid quantification bk virus
|
$1,105.50 |
$1,105.50 |
$1,105.50 |
$280.00
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$274.97 |
$274.97 |
$274.97 |
$242.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$351.14 |
$351.14 |
$351.14 |
$253.00
|
|
Infectious agent nucleic acid quantification hiv-1
|
$327.28 |
$327.28 |
$327.28 |
$375.00
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$363.10 |
$363.10 |
$363.10 |
$304.20
|
|
Infliximab 100 mg intravenous solution
|
$2,102.08 |
$2,102.08 |
$2,102.08 |
$2,043.22
|
|
Influenza dna amp prob addl
|
$32.29 |
$32.29 |
$32.29 |
$64.26
|
|
Inf thrc fascial pln blk uni w/wo image
|
$1,321.38 |
$1,321.38 |
$1,321.38 |
$780.00
|