|
Immunofluorescence per specimen initial single antibody stain
|
$231.30 |
$231.30 |
$1,007.00 |
$234.27
|
|
Immunoglobulin assay
|
$89.70 |
$961.20 |
$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 |
$12,003.00 |
$12,003.00 |
$8,332.51
|
|
Implant cochlear osia osi300
|
$18,003.00 |
$18,003.00 |
$21,892.96 |
$16,195.55
|
|
Implant neuroelectrodes
|
$45,520.80 |
$45,520.80 |
$45,520.80 |
$18,334.40
|
|
Implant neuroelectrodes
|
$5,629.40 |
$5,629.40 |
$10,493.25 |
$8,836.80
|
|
Implant neuroelectrodes
|
$13,782.15 |
$13,782.15 |
$13,782.15 |
$7,728.86
|
|
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
|
$30,600.00 |
$30,600.00 |
$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
|
$2,760.00 |
$2,760.00 |
$4,507.67 |
$2,168.00
|
|
Impl ear abutment ba300 9mm
|
$8,016.00 |
$8,016.00 |
$8,016.00 |
$3,974.88
|
|
Impl neurostim electr perc
|
$7,546.20 |
$7,546.20 |
$7,672.50 |
$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
|
|
Impreg gauze no h20/sal/yard
|
$22.58 |
$22.58 |
$22.58 |
$11.90
|
|
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
|
|
Imuglucerase injection
|
$3,399.59 |
$3,399.59 |
$3,399.59 |
$3,399.59
|
|
In-111 pentetate dtpa / 0.5 mci
|
$2,926.65 |
$2,926.65 |
$2,926.65 |
$2,598.17
|
|
Incise flexor carpi radialis
|
$3,098.15 |
$3,098.15 |
$3,098.15 |
$3,839.54
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$1,946.55 |
$1,946.55 |
$3,051.89 |
$2,086.70
|
|
Incision of breast lesion
|
$1,611.00 |
$1,611.00 |
$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 |
$1,183.95 |
$1,792.50
|
|
Incision tendon sheath
|
$3,451.50 |
$3,451.50 |
$3,451.50 |
$3,073.20
|
|
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
|
$1,011.78 |
$1,011.78 |
$1,011.78 |
$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 supp d&c
|
$3,668.10 |
$3,668.10 |
$3,668.10 |
$1,194.40
|
|
Induced ab 1+ vag sup w/dlv fetus
|
$1,997.99 |
$1,997.99 |
$3,668.10 |
$1,997.99
|
|
Induced abortion d&c
|
$1,907.85 |
$1,907.85 |
$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
|
$992.67 |
$992.67 |
$1,208.07 |
$325.00
|
|
Infect ag eia influenza a or b ea
|
$121.93 |
$192.45 |
$192.45 |
$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 |
$727.04 |
$409.27
|
|
Infect ag genotype na hiv-1 other region
|
$552.00 |
$552.00 |
$669.30 |
$361.65
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$823.20 |
$823.20 |
$828.32 |
$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 |
$121.80 |
$225.45 |
$72.93
|
|
Infect ag if ea plyvlnt antsrm
|
$83.03 |
$83.03 |
$83.03 |
$68.40
|
|
Infect ag if hep delta agent
|
$219.64 |
$219.64 |
$219.64 |
$125.97
|
|
Infect ag if influenza a
|
$18.00 |
$18.00 |
$82.46 |
$41.30
|
|
Infect ag if influenza b
|
$18.00 |
$18.00 |
$80.74 |
$37.95
|
|
Infect ag if legionella pneumophila
|
$126.02 |
$248.10 |
$248.10 |
$73.45
|
|
Infect ag if nos ea
|
$71.40 |
$71.40 |
$158.40 |
$74.88
|
|
Infect ag if pneumocystis carinii
|
$71.40 |
$133.95 |
$154.04 |
$66.06
|
|
Infect ag if varicella zoster
|
$92.78 |
$92.78 |
$149.40 |
$72.00
|
|
Infect ag na hep b amp
|
$108.44 |
$108.44 |
$108.44 |
$120.50
|
|
Infect ag na herpes simplex quant
|
$284.06 |
$284.06 |
$284.06 |
$178.86
|
|
Infect ag na hpv high-risk types
|
$186.00 |
$186.00 |
$615.00 |
$139.20
|
|
Infect ag na influenza r/amp 1st 2 types
|
$309.30 |
$309.30 |
$390.44 |
$219.70
|
|
Infect ag na influenza revr/amp ea type
|
$158.06 |
$158.06 |
$158.06 |
$156.60
|
|
Infect ag na orthopoxvirus amp prb each
|
$127.50 |
$209.10 |
$209.10 |
$100.00
|
|
Infect ag na resp virus 12-25 targets
|
$1,078.16 |
$1,078.16 |
$1,340.70 |
$854.70
|
|
Infect ag phenotype na hiv-1 1-10 drugs
|
$843.26 |
$843.26 |
$1,291.65 |
$954.00
|
|
Infect ag phenotype na hiv-1 ea addl drg
|
$67.80 |
$67.80 |
$199.73 |
$75.63
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$127.01 |
$347.10 |
$347.10 |
$83.60
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$86.83 |
$86.83 |
$86.83 |
$72.80
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$50.10 |
$80.05 |
$105.00 |
$76.00
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$93.89 |
$97.05 |
$97.05 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$121.80 |
$121.80 |
$140.84 |
$103.40
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$118.25 |
$169.50 |
$169.50 |
$81.20
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$93.38 |
$192.45 |
$192.45 |
$60.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$145.09 |
$174.90 |
$174.90 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$229.05 |
$324.45 |
$405.90 |
$129.00
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$153.61 |
$199.20 |
$199.20 |
$98.58
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$68.11 |
$68.11 |
$89.10 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$796.80 |
$796.80 |
$849.00 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$165.34 |
$230.40 |
$230.40 |
$141.95
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$215.18 |
$233.25 |
$233.25 |
$167.05
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$855.45 |
$855.45 |
$1,568.70 |
$864.67
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$405.90 |
$405.90 |
$652.67 |
$181.35
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$168.42 |
$232.50 |
$344.55 |
$149.13
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$345.17 |
$543.15 |
$543.15 |
$212.16
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$162.62 |
$183.30 |
$183.30 |
$137.67
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$140.00 |
$140.00 |
$900.00 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$61.45 |
$61.45 |
$61.45 |
$206.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$104.93 |
$285.00 |
$285.00 |
$236.08
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$126.60 |
$137.10 |
$137.10 |
$96.00
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$87.45 |
$87.45 |
$162.85 |
$112.45
|
|
Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae
|
$327.95 |
$327.95 |
$327.95 |
$217.60
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$248.18 |
$248.18 |
$248.18 |
$195.60
|
|
Infectious agent nucleic acid joint space pathogens multiplex amplified probe >= 26 targets
|
$1,069.61 |
$1,069.61 |
$1,069.61 |
$1,143.75
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$727.50 |
$727.50 |
$930.00 |
$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
|
$362.25 |
$362.25 |
$515.40 |
$432.63
|
|
Infectious agent nucleic acid quantification bk virus
|
$277.95 |
$730.05 |
$1,105.50 |
$283.00
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$278.70 |
$278.70 |
$331.97 |
$242.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$334.20 |
$334.20 |
$381.92 |
$253.00
|
