|
Igh@ var region somatic mutation analy
|
$515.70 |
$515.70 |
$515.70 |
$660.80
|
|
Ihc/icc per specimen each additional single antibody stain
|
$60.45 |
$60.45 |
$60.45 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$52.50 |
$52.50 |
$52.50 |
$328.79
|
|
Ihc/icc per specimen initial single antibody stain
|
$54.90 |
$54.90 |
$54.90 |
$274.86
|
|
Ikbkap gene
|
$179.55 |
$179.55 |
$179.55 |
$176.15
|
|
Iliac/fem angio cath insert
|
$63.90 |
$63.90 |
$63.90 |
$1,827.35
|
|
Iliac revasc add-on 37222
|
$1,564.20 |
$1,564.20 |
$1,564.20 |
$6,082.65
|
|
Img rta detcj/mntr ds staff
|
$25.05 |
$25.05 |
$25.05 |
$70.29
|
|
Immobilizer shldr dlx str 24-36in med
|
$12.45 |
$12.45 |
$12.45 |
$102.00
|
|
Immobilizer shldr sling med
|
$21.75 |
$21.75 |
$21.75 |
$99.45
|
|
Immune complex assay
|
$42.75 |
$42.75 |
$42.75 |
$109.20
|
|
Immunoassay tumor antigen quantitative ca 125
|
$36.45 |
$36.45 |
$36.45 |
$130.00
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$36.45 |
$36.45 |
$36.45 |
$116.40
|
|
Immunoassay tumor qual
|
$29.55 |
$29.55 |
$29.55 |
$86.69
|
|
Immunodiff gel qual ea antigen/ab
|
$21.00 |
$21.00 |
$21.00 |
$48.50
|
|
Immunodiffusion nes
|
$22.80 |
$22.80 |
$22.80 |
$53.76
|
|
Immunofixation electrophoresis serum
|
$39.15 |
$39.15 |
$39.15 |
$138.60
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$52.35 |
$52.35 |
$52.35 |
$156.00
|
|
Immunofluorescence per specimen initial single antibody stain
|
$93.75 |
$93.75 |
$93.75 |
$232.05
|
|
Immunoglobulin assay
|
$21.90 |
$21.90 |
$21.90 |
$74.15
|
|
Immunology procedure
|
$28.95 |
$28.95 |
$28.95 |
$118.25
|
|
Impl neurostim electr perc
|
$3,136.65 |
$3,136.65 |
$3,136.65 |
$7,546.20
|
|
In-111 autol wbc diag per dose
|
$654.30 |
$654.30 |
$654.30 |
$3,567.60
|
|
In-111 capromab pendet
|
$851.70 |
$851.70 |
$851.70 |
$3,141.45
|
|
In-111 ibritumomab tiux dx
|
$1,595.25 |
$1,595.25 |
$1,595.25 |
$5,260.84
|
|
In-111 pentetate dtpa / 0.5 mci
|
$592.95 |
$592.95 |
$592.95 |
$2,550.60
|
|
In-111 pentetreotide
|
$1,179.75 |
$1,179.75 |
$1,179.75 |
$4,944.55
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$471.15 |
$471.15 |
$471.15 |
$2,080.80
|
|
Incision of achilles tendon
|
$690.90 |
$690.90 |
$690.90 |
$2,854.00
|
|
Incision of breast lesion
|
$757.65 |
$757.65 |
$757.65 |
$2,577.85
|
|
Incision of burn scab initi
|
$63.15 |
$63.15 |
$63.15 |
$494.40
|
|
Incision of tongue fold
|
$670.95 |
$670.95 |
$670.95 |
$1,792.50
|
|
Incisn of toe tndn
|
$753.60 |
$753.60 |
$753.60 |
$2,493.15
|
|
Incisn windpipe
|
$1,298.70 |
$1,298.70 |
$1,298.70 |
$3,819.23
|
|
Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s)
|
$30.15 |
$30.15 |
$30.15 |
$131.20
|
|
Infect ag drug suscept pheno predict
|
$228.15 |
$228.15 |
$228.15 |
$320.00
|
|
Infect ag genotype na cytomegalovirus
|
$388.80 |
$388.80 |
$388.80 |
$636.35
|
|
Infect ag genotype na dna hepatitis b
|
$388.80 |
$388.80 |
$388.80 |
$427.43
|
|
Infect ag genotype na hiv-1 other region
|
$178.05 |
$178.05 |
$178.05 |
$326.20
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$388.35 |
$388.35 |
$388.35 |
$603.75
|
|
Infect ag ia direct hiv-1 antgn
|
$42.00 |
$42.00 |
$42.00 |
$95.55
|
|
Infect ag ia optc obs influenza
|
$20.10 |
$20.10 |
$20.10 |
$72.93
|
|
Infect ag if hep delta agent
|
$28.80 |
$28.80 |
$28.80 |
$125.97
|
|
Infect ag if influenza a
|
$10.35 |
$10.35 |
$10.35 |
$40.61
|
|
Infect ag if influenza b
|
$10.35 |
$10.35 |
$10.35 |
$37.95
|
|
Infect ag if legionella pneumophila
|
$20.10 |
$20.10 |
$20.10 |
$73.46
|
|
Infect ag if nos ea
|
$20.10 |
$20.10 |
$20.10 |
$74.10
|
|
Infect ag if varicella zoster
|
$20.10 |
$20.10 |
$20.10 |
$72.00
|
|
Infect ag na hep b amp
|
$61.50 |
$61.50 |
$61.50 |
$108.44
|
|
Infect ag na herpes simplex quant
|
$75.15 |
$75.15 |
$75.15 |
$169.65
|
|
Infect ag na hpv high-risk types
|
$30.75 |
$30.75 |
$30.75 |
$139.20
|
|
Infect ag na influenza r/amp 1st 2 types
|
$148.95 |
$148.95 |
$148.95 |
$219.70
|
|
Infect ag na influenza revr/amp ea type
|
$89.85 |
$89.85 |
$89.85 |
$153.60
|
|
Infect ag na orthopoxvirus amp prb each
|
$15.00 |
$15.00 |
$15.00 |
$99.36
|
|
Infect ag na resp virus 12-25 targets
|
$374.85 |
$374.85 |
$374.85 |
$859.44
|
|
Infect ag phenotype na hiv-1 1-10 drugs
|
$855.60 |
$855.60 |
$855.60 |
$855.60
|
|
Infect ag phenotype na hiv-1 ea addl drg
|
$45.75 |
$45.75 |
$45.75 |
$77.00
|
|
Infectious agent antigen immunoassay direct optical observation sars-cov-2
|
$12.15 |
$12.15 |
$12.15 |
$51.31
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$20.10 |
$20.10 |
$20.10 |
$82.00
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$20.10 |
$20.10 |
$20.10 |
$69.44
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$20.10 |
$20.10 |
$20.10 |
$76.50
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$21.00 |
$21.00 |
$21.00 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$25.20 |
$25.20 |
$25.20 |
$96.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$17.40 |
$17.40 |
$17.40 |
$81.06
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$17.40 |
$17.40 |
$17.40 |
$57.60
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$42.15 |
$42.15 |
$42.15 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$20.10 |
$20.10 |
$20.10 |
$127.80
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$20.10 |
$20.10 |
$20.10 |
$97.50
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$20.10 |
$20.10 |
$20.10 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$61.50 |
$61.50 |
$61.50 |
$267.50
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$61.50 |
$61.50 |
$61.50 |
$137.67
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$61.50 |
$61.50 |
$61.50 |
$167.05
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$733.80 |
$733.80 |
$733.80 |
$861.00
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$61.50 |
$61.50 |
$61.50 |
$181.35
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$61.50 |
$61.50 |
$61.50 |
$151.25
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$61.50 |
$61.50 |
$61.50 |
$201.60
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$61.50 |
$61.50 |
$61.50 |
$135.80
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$15.00 |
$15.00 |
$15.00 |
$100.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$47.10 |
$47.10 |
$47.10 |
$217.70
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$61.50 |
$61.50 |
$61.50 |
$236.08
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$61.50 |
$61.50 |
$61.50 |
$94.53
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$30.90 |
$30.90 |
$30.90 |
$105.00
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$34.80 |
$34.80 |
$34.80 |
$184.80
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$402.60 |
$402.60 |
$402.60 |
$711.93
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$224.10 |
$224.10 |
$224.10 |
$283.20
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$372.75 |
$372.75 |
$372.75 |
$429.50
|
|
Infectious agent nucleic acid quantification bk virus
|
$75.15 |
$75.15 |
$75.15 |
$283.00
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$75.15 |
$75.15 |
$75.15 |
$238.80
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$75.15 |
$75.15 |
$75.15 |
$252.60
|
|
Infectious agent nucleic acid quantification hiv-1
|
$148.95 |
$148.95 |
$148.95 |
$374.50
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$124.20 |
$124.20 |
$124.20 |
$303.59
|
|
Influenza dna amp prob addl
|
$36.45 |
$36.45 |
$36.45 |
$64.26
|
|
Infuse radioactive materials
|
$418.80 |
$418.80 |
$418.80 |
$744.00
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$53.55 |
$53.55 |
$53.55 |
$293.04
|
|
Initial nursing facility care/day 35 minutes
|
$64.95 |
$64.95 |
$64.95 |
$188.50
|
|
Initial nursing facility care/day 45 minutes
|
$82.95 |
$82.95 |
$82.95 |
$236.80
|
|
Initial nursing facility care/day low severity 99304
|
$48.00 |
$48.00 |
$48.00 |
$128.00
|
|
Initiation & management bipap/cpap initial day
|
$234.75 |
$234.75 |
$234.75 |
$576.00
|
|
Init pm e/m new pat 65+ yrs
|
$76.50 |
$76.50 |
$76.50 |
$180.77
|
|
Inj ceftolozane tazobactam
|
$189.44 |
$189.44 |
$189.44 |
$408.00
|