|
I&d upper arm/elbow deep abscess/hematoma
|
$15,178.00 |
$15,178.00 |
$15,178.00 |
$3,371.02
|
|
Idursulfase injection
|
$739.64 |
$739.64 |
$739.64 |
$5,646.08
|
|
I&d vag hemtma obst/postpart
|
$6,173.00 |
$6,173.00 |
$6,173.00 |
$3,370.52
|
|
Ifnl3 gene
|
$222.00 |
$222.00 |
$222.00 |
$147.20
|
|
Ifosfamide 1 gram intravenous solution
|
$48.66 |
$48.66 |
$48.66 |
$246.95
|
|
Igh@/bcl2 translocation alys
|
$447.50 |
$447.50 |
$447.50 |
$284.46
|
|
Igh gene rearrang dir probe
|
$168.50 |
$168.50 |
$168.50 |
$111.50
|
|
Igh gene rearrange amp meth
|
$941.00 |
$941.00 |
$941.00 |
$464.25
|
|
Igh@ var region somatic mutation analy
|
$1,072.00 |
$1,072.00 |
$1,072.00 |
$660.80
|
|
Igk rearrangeabn clonal pop
|
$1,683.50 |
$1,683.50 |
$1,683.50 |
$399.36
|
|
Ihc/icc per specimen each additional single antibody stain
|
$242.50 |
$242.50 |
$242.50 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$443.00 |
$443.00 |
$443.00 |
$331.20
|
|
Ihc/icc per specimen initial single antibody stain
|
$253.50 |
$253.50 |
$253.50 |
$277.90
|
|
Ikbkap gene
|
$485.00 |
$485.00 |
$485.00 |
$173.49
|
|
Iliac/fem angio cath insert
|
$256.00 |
$256.00 |
$256.00 |
$1,856.01
|
|
Imatinib 100 mg tab
|
$9.90 |
$9.90 |
$9.90 |
$248.00
|
|
Immob elbow child sm
|
$118.00 |
$118.00 |
$118.00 |
$85.39
|
|
Immobilizer shldr cntor adlt
|
$154.00 |
$154.00 |
$154.00 |
$175.60
|
|
Immobilizer shldr dlx str 24-36in med
|
$110.00 |
$110.00 |
$110.00 |
$118.43
|
|
Immobilizer shldr sling med
|
$117.50 |
$117.50 |
$117.50 |
$126.00
|
|
Immune complex assay
|
$187.50 |
$187.50 |
$187.50 |
$101.60
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$76.34 |
$76.34 |
$76.34 |
$6,106.32
|
|
Immunoassay tumor antigen quantitative ca 125
|
$180.50 |
$180.50 |
$180.50 |
$132.00
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$180.50 |
$180.50 |
$180.50 |
$116.40
|
|
Immunoassay tumor qual
|
$140.50 |
$140.50 |
$140.50 |
$66.50
|
|
Immunodiff gel qual ea antigen/ab
|
$118.50 |
$118.50 |
$118.50 |
$48.57
|
|
Immunodiffusion nes
|
$136.50 |
$136.50 |
$136.50 |
$53.76
|
|
Immunofixation electrophoresis serum
|
$192.50 |
$192.50 |
$192.50 |
$142.50
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$206.50 |
$206.50 |
$206.50 |
$154.05
|
|
Immunofluorescence per specimen initial single antibody stain
|
$212.50 |
$212.50 |
$212.50 |
$234.27
|
|
Immunoglobulin assay
|
$111.50 |
$111.50 |
$111.50 |
$78.00
|
|
Immunology procedure
|
$865.50 |
$865.50 |
$865.50 |
$150.70
|
|
Implant 11 volt lithium-ion backup battery for controller pocket
|
$1,700.00 |
$1,700.00 |
$1,700.00 |
$1,754.00
|
|
Implant cartilage 10mm synthetic
|
$10,235.00 |
$10,235.00 |
$10,235.00 |
$8,332.51
|
|
Implant cochlear osia osi300
|
$10,586.10 |
$10,586.10 |
$10,586.10 |
$16,195.55
|
|
Implant neuroelectrodes
|
$12,467.50 |
$12,467.50 |
$12,467.50 |
$8,836.80
|
|
Implant tcat pulm vlv perq
|
$5,517.00 |
$5,517.00 |
$5,517.00 |
$12,623.60
|
|
Implant ureth bulk agent
|
$1,517.08 |
$1,517.08 |
$1,517.08 |
$2,168.00
|
|
Impl neurostim electr perc
|
$7,636.00 |
$7,636.00 |
$7,636.00 |
$7,672.50
|
|
In-111 autol wbc diag per dose
|
$1,594.51 |
$1,594.51 |
$1,594.51 |
$3,493.75
|
|
In-111 pentetreotide
|
$879.73 |
$879.73 |
$879.73 |
$5,294.90
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$3,399.00 |
$3,399.00 |
$3,399.00 |
$2,086.70
|
|
Incision of breast lesion
|
$11,024.00 |
$11,024.00 |
$11,024.00 |
$2,577.85
|
|
Incision of tongue fold
|
$2,509.00 |
$2,509.00 |
$2,509.00 |
$1,792.50
|
|
Incision tendon sheath
|
$3,179.00 |
$3,179.00 |
$3,179.00 |
$3,073.20
|
|
Incisn of toe tndn
|
$8,657.50 |
$8,657.50 |
$8,657.50 |
$2,667.00
|
|
Incisn windpipe
|
$1,804.00 |
$1,804.00 |
$1,804.00 |
$3,819.23
|
|
Incobotulinumtoxin a
|
$6.46 |
$6.46 |
$6.46 |
$1,339.57
|
|
Indigotindisulfonate 8 mg/ml soln 5 ml ampule
|
$5.06 |
$5.06 |
$5.06 |
$766.66
|
|
Induced ab 1+ vag sup w/dlv fetus
|
$1,881.50 |
$1,881.50 |
$1,881.50 |
$1,997.99
|
|
Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s)
|
$463.00 |
$463.00 |
$463.00 |
$140.80
|
|
Infect ag drug suscept pheno predict
|
$1,124.50 |
$1,124.50 |
$1,124.50 |
$325.00
|
|
Infect ag eia chlamydia trachomatis
|
$177.50 |
$177.50 |
$177.50 |
$67.20
|
|
Infect ag eia influenza a or b ea
|
$108.50 |
$108.50 |
$108.50 |
$71.20
|
|
Infect ag genotype na cytomegalovirus
|
$1,349.50 |
$1,349.50 |
$1,349.50 |
$665.40
|
|
Infect ag genotype na dna hepatitis b
|
$1,349.50 |
$1,349.50 |
$1,349.50 |
$409.27
|
|
Infect ag genotype na hiv-1 other region
|
$777.00 |
$777.00 |
$777.00 |
$361.65
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$1,792.00 |
$1,792.00 |
$1,792.00 |
$603.83
|
|
Infect ag ia direct hiv-1 antgn
|
$172.00 |
$172.00 |
$172.00 |
$95.55
|
|
Infect ag ia optc obs chlamydia trach
|
$190.00 |
$190.00 |
$190.00 |
$96.32
|
|
Infect ag ia optc obs influenza
|
$134.50 |
$134.50 |
$134.50 |
$72.93
|
|
Infect ag if ea plyvlnt antsrm
|
$141.00 |
$141.00 |
$141.00 |
$68.40
|
|
Infect ag if hep delta agent
|
$208.00 |
$208.00 |
$208.00 |
$125.97
|
|
Infect ag if influenza a
|
$157.00 |
$157.00 |
$157.00 |
$41.30
|
|
Infect ag if influenza b
|
$177.50 |
$177.50 |
$177.50 |
$37.95
|
|
Infect ag if legionella pneumophila
|
$126.00 |
$126.00 |
$126.00 |
$73.45
|
|
Infect ag if nos ea
|
$126.00 |
$126.00 |
$126.00 |
$74.88
|
|
Infect ag if pneumocystis carinii
|
$150.50 |
$150.50 |
$150.50 |
$66.06
|
|
Infect ag if varicella zoster
|
$126.00 |
$126.00 |
$126.00 |
$72.00
|
|
Infect ag na chlamydia trachomatis qnt
|
$172.00 |
$172.00 |
$172.00 |
$107.20
|
|
Infect ag na hep b amp
|
$414.50 |
$414.50 |
$414.50 |
$120.50
|
|
Infect ag na herpes simplex quant
|
$190.00 |
$190.00 |
$190.00 |
$178.86
|
|
Infect ag na hpv high-risk types
|
$253.00 |
$253.00 |
$253.00 |
$139.20
|
|
Infect ag na influenza r/amp 1st 2 types
|
$383.00 |
$383.00 |
$383.00 |
$219.70
|
|
Infect ag na influenza revr/amp ea type
|
$380.50 |
$380.50 |
$380.50 |
$156.60
|
|
Infect ag na orthopoxvirus amp prb each
|
$101.00 |
$101.00 |
$101.00 |
$100.00
|
|
Infect ag na resp virus 12-25 targets
|
$1,981.00 |
$1,981.00 |
$1,981.00 |
$854.70
|
|
Infect ag phenotype na hiv-1 1-10 drugs
|
$5,496.50 |
$5,496.50 |
$5,496.50 |
$954.00
|
|
Infect ag phenotype na hiv-1 ea addl drg
|
$722.50 |
$722.50 |
$722.50 |
$75.63
|
|
Infectious agent antigen immunoassay direct optical observation sars-cov-2
|
$53.00 |
$53.00 |
$53.00 |
$53.00
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$138.00 |
$138.00 |
$138.00 |
$83.60
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$126.00 |
$126.00 |
$126.00 |
$72.80
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$125.50 |
$125.50 |
$125.50 |
$76.00
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$113.00 |
$113.00 |
$113.00 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$222.00 |
$222.00 |
$222.00 |
$103.40
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$104.00 |
$104.00 |
$104.00 |
$81.20
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$104.00 |
$104.00 |
$104.00 |
$60.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$207.50 |
$207.50 |
$207.50 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$168.00 |
$168.00 |
$168.00 |
$129.00
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$85.00 |
$85.00 |
$85.00 |
$98.58
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$73.00 |
$73.00 |
$73.00 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$320.50 |
$320.50 |
$320.50 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$245.50 |
$245.50 |
$245.50 |
$141.95
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$204.00 |
$204.00 |
$204.00 |
$167.05
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$1,403.50 |
$1,403.50 |
$1,403.50 |
$864.67
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$265.00 |
$265.00 |
$265.00 |
$181.35
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$238.00 |
$238.00 |
$238.00 |
$149.13
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$254.50 |
$254.50 |
$254.50 |
$212.16
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$245.50 |
$245.50 |
$245.50 |
$137.67
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$100.00 |
$100.00 |
$100.00 |
$103.20
|
