|
Icd crtp serena MRI
|
$15,680.18 |
$15,680.18 |
$50,985.00 |
$14,360.25
|
|
Icd reliance df4 ib 64cm
|
$13,776.70 |
$13,776.70 |
$15,300.60 |
$9,264.83
|
|
Icg angiography i&r uni/bi
|
$788.39 |
$788.39 |
$788.39 |
$470.00
|
|
Icut allergy test-delayed
|
$64.87 |
$64.87 |
$64.87 |
$46.45
|
|
Icut allergy test drug/bug
|
$1.75 |
$1.75 |
$58.63 |
$70.29
|
|
I&d abscss rtrphryngl/paraphryngl intraorl apprch
|
$2,462.23 |
$2,462.23 |
$2,462.23 |
$3,592.74
|
|
Idarubicin hcl injection
|
$17.62 |
$17.62 |
$474.69 |
$447.02
|
|
I&d/bursa/foot 28001
|
$1,062.43 |
$1,062.43 |
$2,539.51 |
$1,917.33
|
|
Identify sperm tissue
|
$380.95 |
$380.95 |
$380.95 |
$157.60
|
|
I&d frarm&/wrst deep absc/hematoma
|
$2,539.68 |
$2,539.68 |
$2,539.68 |
$3,839.54
|
|
Idh1 common variants
|
$641.36 |
$641.36 |
$641.36 |
$415.35
|
|
Idh2 common variants
|
$981.65 |
$981.65 |
$981.65 |
$486.00
|
|
I&d intramural/intramuscular/submuc abscess transanal anes
|
$2,147.18 |
$2,147.18 |
$2,147.18 |
$3,245.23
|
|
I&d lacrimal gland
|
$551.57 |
$551.57 |
$551.57 |
$1,435.20
|
|
I&d lacrimal sac
|
$3,205.90 |
$3,205.90 |
$3,205.90 |
$2,760.73
|
|
I&d upper arm/elbow deep abscess/hematoma
|
$1,327.20 |
$1,327.20 |
$3,371.02 |
$3,371.02
|
|
I & d vag hematoma non-ob 57023
|
$525.18 |
$525.18 |
$3,325.14 |
$3,435.60
|
|
I&d vag hemtma obst/postpart
|
$525.18 |
$525.18 |
$1,606.08 |
$3,370.52
|
|
Ifosfamide 1 gram intravenous solution
|
$18.82 |
$18.82 |
$320.36 |
$246.95
|
|
Igh gene rearrang dir probe
|
$82.26 |
$82.26 |
$82.26 |
$111.50
|
|
Igh gene rearrange amp meth
|
$583.33 |
$583.33 |
$583.33 |
$464.25
|
|
Igh@ var region somatic mutation analy
|
$993.40 |
$993.40 |
$993.40 |
$660.80
|
|
Igk rearrangeabn clonal pop
|
$369.03 |
$369.03 |
$369.03 |
$399.36
|
|
Ihc/icc per specimen each additional single antibody stain
|
$141.05 |
$141.05 |
$153.27 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$198.45 |
$198.45 |
$276.19 |
$331.86
|
|
Ihc/icc per specimen initial single antibody stain
|
$165.20 |
$165.20 |
$351.07 |
$278.40
|
|
Ikbkap gene
|
$476.25 |
$476.25 |
$476.25 |
$172.70
|
|
Iliac/fem angio cath insert
|
$1,012.55 |
$1,012.55 |
$1,300.58 |
$1,856.01
|
|
Iliac revasc add-on 37222
|
$1,199.28 |
$1,199.28 |
$7,719.48 |
$6,082.65
|
|
Img rta detcj/mntr ds staff
|
$197.42 |
$197.42 |
$197.42 |
$70.29
|
|
Img rta detc/mntr ds phy/qhp
|
$44.93 |
$44.93 |
$44.93 |
$51.36
|
|
Img rta detc/mntr ds poc aly
|
$85.70 |
$85.70 |
$85.70 |
$71.25
|
|
Immob elbow child sm
|
$168.02 |
$168.02 |
$168.02 |
$85.39
|
|
Immobilizer lwr extrem nylon 20in reinforc 21-35in
|
$54.00 |
$54.00 |
$54.00 |
$259.20
|
|
Immobilizer shldr cntor adlt
|
$100.80 |
$100.80 |
$382.08 |
$175.60
|
|
Immobilizer shldr dlx str 24-36in med
|
$77.18 |
$77.18 |
$299.33 |
$115.75
|
|
Immobilizer shldr sling med
|
$19.27 |
$19.27 |
$19.27 |
$126.00
|
|
Immt breast prosthesis 19340
|
$3,849.50 |
$3,849.50 |
$3,849.50 |
$4,883.20
|
|
Immune complex assay
|
$174.76 |
$174.76 |
$174.76 |
$101.60
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$515.60 |
$515.60 |
$6,106.32 |
$6,106.32
|
|
Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution
|
$4,040.28 |
$4,040.28 |
$4,040.28 |
$2,900.11
|
|
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution
|
$335.28 |
$335.28 |
$335.28 |
$3,846.15
|
|
Immunoassay tumor antigen quantitative ca 125
|
$61.43 |
$61.43 |
$139.88 |
$132.00
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$58.10 |
$58.10 |
$132.86 |
$116.50
|
|
Immunoassay tumor qual
|
$86.69 |
$86.69 |
$86.69 |
$66.50
|
|
Immunodiff gel qual ea antigen/ab
|
$41.13 |
$41.13 |
$134.46 |
$48.57
|
|
Immunodiffusion nes
|
$109.79 |
$109.79 |
$109.79 |
$53.76
|
|
Immunofixation electrophoresis serum
|
$61.25 |
$61.25 |
$346.24 |
$142.50
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$52.68 |
$52.68 |
$1,007.00 |
$154.05
|
|
Immunofluorescence per specimen initial single antibody stain
|
$127.58 |
$127.58 |
$1,007.00 |
$234.27
|
|
Immunoglobulin assay
|
$68.89 |
$68.89 |
$68.89 |
$78.00
|
|
Immunology procedure
|
$321.98 |
$321.98 |
$321.98 |
$154.95
|
|
Impedence cardiogram
|
$80.11 |
$80.11 |
$80.11 |
$152.54
|
|
Impl ahmed 6x25x9.6mm glaucoma vlv w/sil ped ster
|
$3,036.25 |
$3,036.25 |
$3,036.25 |
$2,946.00
|
|
Implant 11 volt lithium-ion backup battery for controller pocket
|
$5,000.40 |
$5,000.40 |
$5,000.40 |
$1,754.00
|
|
Implant cartilage 10mm synthetic
|
$2,850.40 |
$2,850.40 |
$11,811.60 |
$8,332.51
|
|
Implant cochlear device
|
$20,433.28 |
$20,433.28 |
$20,433.28 |
$34,229.98
|
|
Implant cochlear osia osi300
|
$12,552.75 |
$12,552.75 |
$21,892.96 |
$16,195.55
|
|
Implant eye drug system
|
$5,837.83 |
$5,837.83 |
$5,837.83 |
$10,009.03
|
|
Implant hormone pellet(s) 11980
|
$204.13 |
$204.13 |
$204.13 |
$315.75
|
|
Implant nerve end
|
$2,152.40 |
$2,152.40 |
$2,152.40 |
$4,760.00
|
|
Implant neuroelectrodes
|
$7,828.38 |
$7,828.38 |
$7,828.38 |
$18,334.40
|
|
Implant neuroelectrodes
|
$2,478.88 |
$2,478.88 |
$4,809.60 |
$8,836.80
|
|
Implant neuroelectrodes
|
$8,659.65 |
$8,659.65 |
$8,659.65 |
$7,728.86
|
|
Implant neurostim arrays
|
$13,881.20 |
$13,881.20 |
$13,881.20 |
$23,262.40
|
|
Implant open hernia repair w/mesh 49568
|
$3,046.32 |
$3,046.32 |
$3,046.32 |
$632.40
|
|
Implant power module patient cable cable 14 volt
|
$10,095.03 |
$10,095.03 |
$10,095.03 |
$3,695.42
|
|
Implant pulse generator remede el
|
$50,985.00 |
$50,985.00 |
$50,985.00 |
$43,752.80
|
|
Implant single ventricular device 33975
|
$634.03 |
$634.03 |
$2,684.54 |
$5,053.23
|
|
Implant spinal canal cath
|
$6,060.97 |
$6,060.97 |
$6,060.97 |
$7,913.97
|
|
Implant spine infusion pump
|
$15,743.44 |
$15,743.44 |
$15,743.44 |
$17,262.84
|
|
Implant spine infusion pump
|
$9,507.88 |
$9,507.88 |
$9,507.88 |
$17,270.40
|
|
Implant tcat pulm vlv perq
|
$3,255.77 |
$3,255.77 |
$3,255.77 |
$10,895.04
|
|
Implant ureth bulk agent
|
$1,333.85 |
$1,333.85 |
$4,507.67 |
$2,168.00
|
|
Impl ear abutment ba300 9mm
|
$3,632.51 |
$3,632.51 |
$3,632.51 |
$3,974.88
|
|
Impl neurostim electr perc
|
$1,819.48 |
$1,819.48 |
$8,199.74 |
$7,672.50
|
|
Implnt bio implnt for soft tiss reinforcement 15777
|
$3,775.97 |
$3,775.97 |
$3,775.97 |
$1,072.00
|
|
Implnt spinl canal catheter 62350
|
$3,314.62 |
$3,314.62 |
$3,314.62 |
$5,095.20
|
|
Impl oi implt skull perq esp
|
$8,374.55 |
$8,374.55 |
$8,374.55 |
$13,525.50
|
|
Implt neurostim elctr each
|
$7,137.90 |
$7,137.90 |
$7,137.90 |
$4,320.00
|
|
Imp neurosti pls gn any type
|
$14,886.73 |
$14,886.73 |
$14,886.73 |
$8,789.19
|
|
Impreg gauze no h20/sal/yard
|
$34.14 |
$34.14 |
$34.14 |
$11.90
|
|
Impres&prep auricular prosth
|
$7,212.97 |
$7,212.97 |
$7,212.97 |
$6,557.24
|
|
Impres&prep def obt prosth
|
$8,434.87 |
$8,434.87 |
$8,434.87 |
$4,558.89
|
|
Impres&prep intrm obt prosth
|
$7,481.86 |
$7,481.86 |
$7,481.86 |
$3,837.72
|
|
Impres&prep mndbl res prosth
|
$7,481.86 |
$7,481.86 |
$7,481.86 |
$6,966.64
|
|
Impres&prep nasal prosth
|
$7,183.00 |
$7,183.00 |
$7,183.00 |
$6,966.64
|
|
Impres&prep oral surg splint
|
$1,736.03 |
$1,736.03 |
$1,736.03 |
$1,751.20
|
|
Impres&prep orbital prosth
|
$5,827.35 |
$5,827.35 |
$5,827.35 |
$7,000.36
|
|
Impres&prep sp aid prosth
|
$6,759.31 |
$6,759.31 |
$6,759.31 |
$4,054.40
|
|
Impres&prep surg obt prosth
|
$3,239.63 |
$3,239.63 |
$3,239.63 |
$2,945.12
|
|
In-111 capromab pendet
|
$1,564.68 |
$1,564.68 |
$1,564.68 |
$3,141.45
|
|
In-111 oxyquinolin per 0.5 mci
|
$456.58 |
$456.58 |
$456.58 |
$2,753.23
|
|
In-111 pentetate dtpa / 0.5 mci
|
$192.50 |
$192.50 |
$192.50 |
$2,598.17
|
|
In-111 pentetreotide
|
$1,646.40 |
$1,646.40 |
$1,646.40 |
$5,294.90
|
|
In-111 satumomab pend
|
$1,160.78 |
$1,160.78 |
$1,160.78 |
$3,113.04
|
|
Inc dp bone crtx f/arm&/wrst
|
$4,624.52 |
$4,624.52 |
$4,624.52 |
$6,311.00
|
|
Inc dp opn b1 crtx hum/elbw
|
$3,526.97 |
$3,526.97 |
$3,526.97 |
$3,839.54
|
|
Incise/drain eyelid lining
|
$880.69 |
$880.69 |
$880.69 |
$1,271.00
|
|
Incise flexor carpi radialis
|
$3,041.84 |
$3,041.84 |
$3,041.84 |
$3,839.54
|
