|
Ihc/icc per specimen each multiplex antibody stain
|
$311.59 |
$311.59 |
$311.59 |
$331.20
|
|
Ihc/icc per specimen initial single antibody stain
|
$259.51 |
$259.51 |
$259.51 |
$277.90
|
|
Ikbkap gene
|
$476.25 |
$476.25 |
$476.25 |
$173.49
|
|
Iliac/fem angio cath insert
|
$2,370.91 |
$2,370.91 |
$2,370.91 |
$1,856.01
|
|
Iliac revasc add-on 37222
|
$10,433.75 |
$10,433.75 |
$10,433.75 |
$6,082.65
|
|
Img rta detcj/mntr ds staff
|
$51.17 |
$51.17 |
$51.17 |
$70.29
|
|
Img rta detc/mntr ds poc aly
|
$66.79 |
$66.79 |
$66.79 |
$71.25
|
|
Immobilizer shldr cntor adlt
|
$382.08 |
$382.08 |
$382.08 |
$175.60
|
|
Immobilizer shldr dlx str 24-36in med
|
$299.33 |
$299.33 |
$299.33 |
$118.43
|
|
Immobilizer shldr sling med
|
$95.00 |
$95.00 |
$95.00 |
$126.00
|
|
Immune complex assay
|
$141.71 |
$141.71 |
$141.71 |
$101.60
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$6,106.32 |
$6,106.32 |
$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
|
|
Immunoassay tumor antigen quantitative ca 125
|
$190.18 |
$190.18 |
$3,239.73 |
$132.00
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$166.57 |
$166.57 |
$1,295.55 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$130.73 |
$130.73 |
$130.73 |
$48.57
|
|
Immunodiffusion nes
|
$142.83 |
$142.83 |
$216.21 |
$53.76
|
|
Immunofixation electrophoresis serum
|
$346.24 |
$346.24 |
$346.24 |
$142.50
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$1,007.00 |
$1,007.00 |
$1,007.00 |
$154.05
|
|
Immunofluorescence per specimen initial single antibody stain
|
$1,007.00 |
$1,007.00 |
$1,356.84 |
$234.27
|
|
Immunoglobulin assay
|
$1,036.73 |
$1,036.73 |
$1,036.73 |
$78.00
|
|
Immunology procedure
|
$289.39 |
$289.39 |
$289.39 |
$150.70
|
|
Impact tooth remov part bony
|
$656.56 |
$656.56 |
$656.56 |
$1,300.00
|
|
Implant 11 volt lithium-ion backup battery for controller pocket
|
$5,098.50 |
$5,098.50 |
$5,098.50 |
$1,754.00
|
|
Implant cartilage 10mm synthetic
|
$11,811.60 |
$11,811.60 |
$11,811.60 |
$8,332.51
|
|
Implant cochlear osia osi300
|
$21,892.96 |
$21,892.96 |
$21,892.96 |
$16,195.55
|
|
Implant neuroelectrodes
|
$5,629.40 |
$5,629.40 |
$5,629.40 |
$8,836.80
|
|
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
|
$7,266.13 |
$7,266.13 |
$7,266.13 |
$5,053.23
|
|
Implant tcat pulm vlv perq
|
$29,995.46 |
$29,995.46 |
$29,995.46 |
$12,623.60
|
|
Implant ureth bulk agent
|
$4,507.67 |
$4,507.67 |
$4,507.67 |
$2,168.00
|
|
Impl neurostim electr perc
|
$7,546.20 |
$7,546.20 |
$7,546.20 |
$7,672.50
|
|
Implnt spinl canal catheter 62350
|
$3,448.30 |
$3,448.30 |
$3,448.30 |
$5,095.20
|
|
Implt neurostim elctr each
|
$7,137.90 |
$7,137.90 |
$7,137.90 |
$4,320.00
|
|
Impres&prep intrm obt prosth
|
$2,803.51 |
$2,803.51 |
$2,803.51 |
$3,986.00
|
|
Impres&prep paltl aug prosth
|
$3,115.01 |
$3,115.01 |
$3,115.01 |
$3,837.72
|
|
Impres&prep paltl lft prosth
|
$2,429.71 |
$2,429.71 |
$2,429.71 |
$3,837.72
|
|
Impres&prep sp aid prosth
|
$2,709.12 |
$2,709.12 |
$2,709.12 |
$4,054.40
|
|
In-111 autol wbc diag per dose
|
$11,103.90 |
$11,103.90 |
$11,103.90 |
$3,493.75
|
|
In-111 oxyquinolin per 0.5 mci
|
$7,393.33 |
$7,393.33 |
$7,393.33 |
$2,753.23
|
|
In-111 pentetate dtpa / 0.5 mci
|
$10,780.92 |
$10,780.92 |
$10,780.92 |
$2,598.17
|
|
In-111 pentetreotide
|
$3,804.14 |
$3,804.14 |
$3,804.14 |
$5,294.90
|
|
Incise flexor carpi radialis
|
$3,098.15 |
$3,098.15 |
$3,098.15 |
$3,839.54
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$3,051.89 |
$3,051.89 |
$13,394.13 |
$2,086.70
|
|
Incision of breast lesion
|
$3,030.26 |
$3,030.26 |
$3,030.26 |
$2,577.85
|
|
Incision of burn scab initi
|
$693.60 |
$693.60 |
$693.60 |
$494.40
|
|
Incision of rectal abscess
|
$5,159.16 |
$5,159.16 |
$5,159.16 |
$3,245.23
|
|
Incision of tongue fold
|
$1,163.78 |
$1,163.78 |
$1,163.78 |
$1,792.50
|
|
Incisn of toe tndn
|
$2,298.99 |
$2,298.99 |
$2,298.99 |
$2,667.00
|
|
Incisn windpipe
|
$5,256.07 |
$5,256.07 |
$5,256.07 |
$3,819.23
|
|
Incobotulinumtoxin a
|
$2,759.40 |
$2,759.40 |
$2,759.40 |
$1,339.57
|
|
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
|
$1,997.99 |
$1,997.99 |
$1,997.99 |
$1,997.99
|
|
Induced abortion d&c
|
$3,645.12 |
$3,645.12 |
$3,645.12 |
$3,762.53
|
|
Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s)
|
$121.73 |
$121.73 |
$121.73 |
$140.80
|
|
Infec agen detec ampli probe
|
$34.02 |
$34.02 |
$34.02 |
$32.40
|
|
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
|
$121.93 |
$121.93 |
$121.93 |
$71.20
|
|
Infect ag genotype na cytomegalovirus
|
$1,328.66 |
$1,328.66 |
$1,328.66 |
$665.40
|
|
Infect ag genotype na dna hepatitis b
|
$727.04 |
$727.04 |
$1,074.23 |
$409.27
|
|
Infect ag genotype na hiv-1 other region
|
$187.27 |
$669.30 |
$669.30 |
$361.65
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$828.32 |
$828.32 |
$1,433.46 |
$603.83
|
|
Infect ag ia direct hiv-1 antgn
|
$175.15 |
$175.15 |
$175.15 |
$95.55
|
|
Infect ag ia optc obs influenza
|
$93.18 |
$93.18 |
$93.18 |
$72.93
|
|
Infect ag if ea plyvlnt antsrm
|
$83.03 |
$83.03 |
$772.91 |
$68.40
|
|
Infect ag if hep delta agent
|
$219.64 |
$219.64 |
$219.64 |
$125.97
|
|
Infect ag if influenza a
|
$82.46 |
$82.46 |
$82.46 |
$41.30
|
|
Infect ag if influenza b
|
$80.74 |
$80.74 |
$80.74 |
$37.95
|
|
Infect ag if legionella pneumophila
|
$126.02 |
$126.02 |
$808.66 |
$73.45
|
|
Infect ag if pneumocystis carinii
|
$154.04 |
$154.04 |
$1,913.53 |
$66.06
|
|
Infect ag if varicella zoster
|
$92.78 |
$92.78 |
$92.78 |
$72.00
|
|
Infect ag na hep b amp
|
$108.44 |
$108.44 |
$3,345.29 |
$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
|
$390.44 |
$390.44 |
$1,297.25 |
$219.70
|
|
Infect ag na influenza revr/amp ea type
|
$158.06 |
$158.06 |
$652.03 |
$156.60
|
|
Infect ag na orthopoxvirus amp prb each
|
$127.50 |
$127.50 |
$127.50 |
$100.00
|
|
Infect ag na resp virus 12-25 targets
|
$1,078.16 |
$1,078.16 |
$1,472.60 |
$854.70
|
|
Infect ag phenotype na hiv-1 1-10 drugs
|
$843.26 |
$843.26 |
$4,174.36 |
$954.00
|
|
Infect ag phenotype na hiv-1 ea addl drg
|
$199.73 |
$199.73 |
$4,174.36 |
$75.63
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$127.01 |
$127.01 |
$127.01 |
$83.60
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$86.83 |
$86.83 |
$1,058.91 |
$72.80
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$80.05 |
$80.05 |
$490.30 |
$76.00
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$93.89 |
$93.89 |
$490.30 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$140.84 |
$140.84 |
$1,247.89 |
$103.40
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$118.25 |
$118.25 |
$118.25 |
$81.20
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$93.38 |
$93.38 |
$93.38 |
$60.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$145.09 |
$145.09 |
$393.26 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$324.45 |
$324.45 |
$324.45 |
$129.00
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$153.61 |
$153.61 |
$153.61 |
$98.58
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$68.11 |
$68.11 |
$68.11 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$849.00 |
$849.00 |
$849.00 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$165.34 |
$165.34 |
$165.34 |
$141.95
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$215.18 |
$215.18 |
$215.18 |
$167.05
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$855.45 |
$855.45 |
$3,729.29 |
$864.67
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$652.67 |
$652.67 |
$1,898.21 |
$181.35
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$168.42 |
$168.42 |
$990.82 |
$149.13
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$345.17 |
$345.17 |
$1,813.08 |
$212.16
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$162.62 |
$162.62 |
$162.62 |
$137.67
|