|
Immunoassay tumor antigen quantitative ca 19-9
|
$102.00 |
$102.00 |
$102.00 |
$115.84
|
|
Immunodiff gel qual ea antigen/ab
|
$67.50 |
$67.50 |
$67.50 |
$48.38
|
|
Immunodiffusion nes
|
$195.50 |
$195.50 |
$195.50 |
$48.57
|
|
Immunofixation electrophoresis serum
|
$47.00 |
$47.00 |
$47.00 |
$142.50
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$122.50 |
$122.50 |
$122.50 |
$154.05
|
|
Immunofluorescence per specimen initial single antibody stain
|
$165.00 |
$165.00 |
$165.00 |
$231.40
|
|
Immunoglobulin assay
|
$47.00 |
$47.00 |
$47.00 |
$75.88
|
|
Immunology procedure
|
$44.50 |
$44.50 |
$44.50 |
$136.00
|
|
Impl ahmed 6x25x9.6mm glaucoma vlv w/sil ped ster
|
$2,044.40 |
$2,044.40 |
$2,044.40 |
$3,036.25
|
|
Implant 11 volt lithium-ion backup battery for controller pocket
|
$3,609.56 |
$3,609.56 |
$3,609.56 |
$1,754.00
|
|
Implant cartilage 10mm synthetic
|
$1,267.50 |
$1,267.50 |
$1,267.50 |
$8,184.00
|
|
Implant neuroelectrodes
|
$10,305.50 |
$10,305.50 |
$10,305.50 |
$7,766.27
|
|
Implant power module patient cable cable 14 volt
|
$3,248.35 |
$3,248.35 |
$3,248.35 |
$3,380.00
|
|
Implant tcat pulm vlv perq
|
$24,934.50 |
$24,934.50 |
$24,934.50 |
$9,812.40
|
|
Impl neurostim electr perc
|
$6,932.50 |
$6,932.50 |
$6,932.50 |
$7,672.50
|
|
Implnt spinl canal catheter 62350
|
$3,609.50 |
$3,609.50 |
$3,609.50 |
$5,095.20
|
|
Implt neurostim elctr each
|
$350.35 |
$350.35 |
$350.35 |
$4,579.99
|
|
Impreg gauze no h20/sal/yard
|
$11.90 |
$11.90 |
$11.90 |
$11.90
|
|
In-111 autol wbc diag per dose
|
$2,063.00 |
$2,063.00 |
$2,063.00 |
$3,523.65
|
|
In-111 pentetate dtpa / 0.5 mci
|
$1,300.50 |
$1,300.50 |
$1,300.50 |
$2,598.17
|
|
In-111 pentetreotide
|
$2,019.50 |
$2,019.50 |
$2,019.50 |
$4,994.01
|
|
Incise/drain eyelid lining
|
$1,271.00 |
$1,271.00 |
$1,271.00 |
$1,271.00
|
|
Incise tear duct opening 68440
|
$318.00 |
$318.00 |
$318.00 |
$549.25
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$2,135.00 |
$2,135.00 |
$2,135.00 |
$2,056.93
|
|
Incision of breast lesion
|
$2,163.50 |
$2,163.50 |
$2,163.50 |
$2,560.80
|
|
Incision of burn scab initi
|
$363.50 |
$363.50 |
$363.50 |
$494.40
|
|
Incision of eardrum
|
$382.50 |
$382.50 |
$382.50 |
$552.75
|
|
Incision of eyelid
|
$1,488.50 |
$1,488.50 |
$1,488.50 |
$1,488.50
|
|
Incision of foot tendon 28234
|
$1,997.50 |
$1,997.50 |
$1,997.50 |
$2,116.27
|
|
Incision of tongue fold
|
$1,911.50 |
$1,911.50 |
$1,911.50 |
$1,792.50
|
|
Incision tendon sheath
|
$4,137.50 |
$4,137.50 |
$4,137.50 |
$3,073.20
|
|
Incisn of toe tndn
|
$2,972.00 |
$2,972.00 |
$2,972.00 |
$2,627.96
|
|
Induced ab 1+ vag sup w/dlv fetus
|
$1,512.50 |
$1,512.50 |
$1,512.50 |
$1,881.75
|
|
Infec agen detec ampli probe
|
$14.50 |
$14.50 |
$14.50 |
$26.00
|
|
Infect ag drug suscept pheno predict
|
$294.00 |
$294.00 |
$294.00 |
$323.20
|
|
Infect ag genotype na hiv-1 other region
|
$284.00 |
$284.00 |
$284.00 |
$386.40
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$545.50 |
$545.50 |
$545.50 |
$603.75
|
|
Infect ag ia direct hiv-1 antgn
|
$39.50 |
$39.50 |
$39.50 |
$91.70
|
|
Infect ag ia optc obs influenza
|
$149.00 |
$149.00 |
$149.00 |
$72.93
|
|
Infect ag if ea plyvlnt antsrm
|
$38.00 |
$38.00 |
$38.00 |
$62.80
|
|
Infect ag if legionella pneumophila
|
$58.00 |
$58.00 |
$58.00 |
$71.50
|
|
Infect ag na hep b amp
|
$120.50 |
$120.50 |
$120.50 |
$120.50
|
|
Infect ag na herpes simplex quant
|
$168.50 |
$168.50 |
$168.50 |
$169.65
|
|
Infect ag na hpv high-risk types
|
$156.00 |
$156.00 |
$156.00 |
$139.32
|
|
Infect ag na influenza r/amp 1st 2 types
|
$92.00 |
$92.00 |
$92.00 |
$218.90
|
|
Infect ag na orthopoxvirus amp prb each
|
$38.50 |
$38.50 |
$38.50 |
$99.36
|
|
Infect ag na resp virus 12-25 targets
|
$258.00 |
$258.00 |
$258.00 |
$835.80
|
|
Infect ag phenotype na hiv-1 1-10 drugs
|
$2,471.50 |
$2,471.50 |
$2,471.50 |
$922.37
|
|
Infect ag phenotype na hiv-1 ea addl drg
|
$135.00 |
$135.00 |
$135.00 |
$75.63
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$10.50 |
$10.50 |
$10.50 |
$81.90
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$39.50 |
$39.50 |
$39.50 |
$72.10
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$76.50 |
$76.50 |
$76.50 |
$76.00
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$57.50 |
$57.50 |
$57.50 |
$74.40
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$75.50 |
$75.50 |
$75.50 |
$100.02
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$52.00 |
$52.00 |
$52.00 |
$81.06
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$124.00 |
$124.00 |
$124.00 |
$129.00
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$75.50 |
$75.50 |
$75.50 |
$97.50
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$38.00 |
$38.00 |
$38.00 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$538.00 |
$538.00 |
$538.00 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$168.50 |
$168.50 |
$168.50 |
$137.67
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$35.00 |
$35.00 |
$35.00 |
$167.00
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$463.50 |
$463.50 |
$463.50 |
$861.00
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$267.50 |
$267.50 |
$267.50 |
$179.55
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$146.50 |
$146.50 |
$146.50 |
$212.16
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$166.00 |
$166.00 |
$166.00 |
$135.85
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$54.00 |
$54.00 |
$54.00 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$125.00 |
$125.00 |
$125.00 |
$206.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$150.00 |
$150.00 |
$150.00 |
$236.08
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$166.00 |
$166.00 |
$166.00 |
$107.80
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$350.00 |
$350.00 |
$350.00 |
$727.50
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$116.50 |
$116.50 |
$116.50 |
$423.53
|
|
Infectious agent nucleic acid quantification bk virus
|
$618.50 |
$618.50 |
$618.50 |
$279.40
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$191.00 |
$191.00 |
$191.00 |
$238.80
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$199.50 |
$199.50 |
$199.50 |
$252.00
|
|
Infectious agent nucleic acid quantification hiv-1
|
$329.00 |
$329.00 |
$329.00 |
$372.45
|
|
Infuse radioactive materials
|
$931.00 |
$931.00 |
$931.00 |
$640.50
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$210.00 |
$210.00 |
$210.00 |
$293.15
|
|
Initial foot exam pt lops
|
$162.50 |
$162.50 |
$162.50 |
$155.50
|
|
Initiation & management bipap/cpap initial day
|
$507.50 |
$507.50 |
$507.50 |
$576.00
|
|
Inj bulking agent anal canal
|
$851.29 |
$851.29 |
$851.29 |
$9,525.70
|
|
Inj cntr knee arthro incl ct/mri
|
$89.00 |
$89.00 |
$89.00 |
$436.80
|
|
Inj disk cerv-thor ea lev
|
$1,892.00 |
$1,892.00 |
$1,892.00 |
$875.28
|
|
Inj dupuytren cord w/enzyme
|
$609.50 |
$609.50 |
$609.50 |
$416.00
|
|
Inj dx for sinogram
|
$875.50 |
$875.50 |
$875.50 |
$422.59
|
|
Inject for sacroiliac joint
|
$457.50 |
$457.50 |
$457.50 |
$1,025.77
|
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
|
$1,160.00 |
$1,160.00 |
$1,160.00 |
$1,214.78
|
|
Injection arthrography hip without anesthesia (both sides)
|
$399.00 |
$399.00 |
$399.00 |
$495.84
|
|
Injection carpal tunnel therapeutic (both sides)
|
$302.50 |
$302.50 |
$302.50 |
$453.58
|
|
Injection during cath supravalvular aortography
|
$1,966.00 |
$1,966.00 |
$1,966.00 |
$952.66
|
|
Injection epidural blood patch or clot
|
$1,033.50 |
$1,033.50 |
$1,033.50 |
$1,156.80
|
|
Injection eye drug
|
$644.50 |
$644.50 |
$644.50 |
$644.50
|
|
Injection for arthrography wrist (both sides)
|
$399.00 |
$399.00 |
$399.00 |
$428.40
|
|
Injection for bladder x-ray
|
$399.00 |
$399.00 |
$399.00 |
$459.20
|
|
Injection for hip x-ray
|
$222.50 |
$222.50 |
$222.50 |
$710.00
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$1,344.50 |
$1,344.50 |
$1,344.50 |
$494.65
|
|
Injection for spleen x-ray
|
$2,524.50 |
$2,524.50 |
$2,524.50 |
$529.57
|
|
Injection for tear sac x-ray
|
$1,045.50 |
$1,045.50 |
$1,045.50 |
$225.20
|
|
Injection for ureter x-ray
|
$1,915.00 |
$1,915.00 |
$1,915.00 |
$427.70
|
|
Injection for ureter x-ray
|
$1,412.50 |
$1,412.50 |
$1,412.50 |
$515.21
|
|
Injection into brain canal
|
$1,683.00 |
$1,683.00 |
$1,683.00 |
$836.40
|