|
I-123 iobenguane diag
|
$7,262.80 |
$7,262.80 |
$7,262.80 |
$5,170.70
|
|
I-123 sod iodide diag per 100 uci
|
$205.20 |
$205.20 |
$205.20 |
$144.24
|
|
I131 iodide cap, rx
|
$33.20 |
$33.20 |
$33.20 |
$71.70
|
|
Iaadi respiratory synctial virus
|
$31.20 |
$31.20 |
$31.20 |
$54.98
|
|
Ia infect ag ab qual/semiquant sgl step
|
$34.00 |
$34.00 |
$34.00 |
$50.60
|
|
Icd cobalt xt dr MRI is1 df1
|
$25,334.80 |
$25,334.80 |
$25,334.80 |
$34,681.07
|
|
Icd crtd cobalt hf MRI is1 df1
|
$30,186.80 |
$30,186.80 |
$30,186.80 |
$41,418.00
|
|
Icd crtp serena MRI
|
$11,588.00 |
$11,588.00 |
$11,588.00 |
$14,360.25
|
|
Icd reliance df4 ib 64cm
|
$5,964.00 |
$5,964.00 |
$5,964.00 |
$9,267.72
|
|
Idet 1 or more levels
|
$1,474.40 |
$1,474.40 |
$1,474.40 |
$4,649.60
|
|
Idet single level
|
$1,888.80 |
$1,888.80 |
$1,888.80 |
$3,347.50
|
|
Idh1 common variants
|
$139.60 |
$139.60 |
$139.60 |
$412.10
|
|
Idh2 common variants
|
$213.20 |
$213.20 |
$213.20 |
$486.00
|
|
Igh gene rearrange amp meth
|
$355.20 |
$355.20 |
$355.20 |
$464.00
|
|
Igh@ var region somatic mutation analy
|
$527.60 |
$527.60 |
$527.60 |
$660.80
|
|
Igk rearrangeabn clonal pop
|
$295.20 |
$295.20 |
$295.20 |
$399.36
|
|
Ihc/icc per specimen each additional single antibody stain
|
$92.40 |
$92.40 |
$92.40 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$657.60 |
$657.60 |
$657.60 |
$328.79
|
|
Ihc/icc per specimen initial single antibody stain
|
$248.40 |
$248.40 |
$248.40 |
$272.30
|
|
Ikbkap gene
|
$69.20 |
$69.20 |
$69.20 |
$173.49
|
|
Immob elbow child sm
|
$127.60 |
$127.60 |
$127.60 |
$85.39
|
|
Immobilizer lwr extrem nylon 20in reinforc 21-35in
|
$29.20 |
$29.20 |
$29.20 |
$259.20
|
|
Immobilizer shldr cntor adlt
|
$175.60 |
$175.60 |
$175.60 |
$175.60
|
|
Immobilizer shldr dlx str 24-36in med
|
$266.80 |
$266.80 |
$266.80 |
$114.60
|
|
Immobilizer shldr sling med
|
$143.20 |
$143.20 |
$143.20 |
$126.00
|
|
Immune complex assay
|
$56.00 |
$56.00 |
$56.00 |
$100.80
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$73.20 |
$73.20 |
$73.20 |
$6,106.32
|
|
Immunoassay tumor antigen quantitative ca 125
|
$53.20 |
$53.20 |
$53.20 |
$131.95
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$53.20 |
$53.20 |
$53.20 |
$116.40
|
|
Immunoassay tumor qual
|
$53.60 |
$53.60 |
$53.60 |
$66.50
|
|
Immunodiff gel qual ea antigen/ab
|
$31.20 |
$31.20 |
$31.20 |
$48.38
|
|
Immunodiffusion nes
|
$35.20 |
$35.20 |
$35.20 |
$48.57
|
|
Immunofixation electrophoresis serum
|
$51.60 |
$51.60 |
$51.60 |
$142.50
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$90.00 |
$90.00 |
$90.00 |
$154.05
|
|
Immunofluorescence per specimen initial single antibody stain
|
$906.00 |
$906.00 |
$906.00 |
$231.40
|
|
Immunoglobulin assay
|
$32.00 |
$32.00 |
$32.00 |
$75.88
|
|
Immunology procedure
|
$92.00 |
$92.00 |
$92.00 |
$142.56
|
|
Impedence cardiogram
|
$149.20 |
$149.20 |
$149.20 |
$152.54
|
|
Implant 11 volt lithium-ion backup battery for controller pocket
|
$1,754.00 |
$1,754.00 |
$1,754.00 |
$1,754.00
|
|
Implant cartilage 10mm synthetic
|
$5,033.60 |
$5,033.60 |
$5,033.60 |
$8,184.00
|
|
Implant cochlear osia osi300
|
$8,692.40 |
$8,692.40 |
$8,692.40 |
$16,200.89
|
|
Implant neuroelectrodes
|
$13,896.00 |
$13,896.00 |
$13,896.00 |
$8,763.11
|
|
Implant power module patient cable cable 14 volt
|
$3,380.00 |
$3,380.00 |
$3,380.00 |
$3,380.00
|
|
Implant ureth bulk agent
|
$3,152.00 |
$3,152.00 |
$3,152.00 |
$2,168.00
|
|
Impl neurostim electr perc
|
$13,946.40 |
$13,946.40 |
$13,946.40 |
$7,672.50
|
|
In-111 autol wbc diag per dose
|
$5,354.00 |
$5,354.00 |
$5,354.00 |
$3,523.65
|
|
In-111 oxyquinolin per 0.5 mci
|
$5,148.00 |
$5,148.00 |
$5,148.00 |
$2,581.82
|
|
In-111 pentetate dtpa / 0.5 mci
|
$5,374.00 |
$5,374.00 |
$5,374.00 |
$2,598.17
|
|
In-111 pentetreotide
|
$10,534.00 |
$10,534.00 |
$10,534.00 |
$5,201.00
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$780.40 |
$780.40 |
$780.40 |
$2,056.93
|
|
Incision of achilles tendon
|
$3,665.60 |
$3,665.60 |
$3,665.60 |
$3,172.80
|
|
Incision of breast lesion
|
$3,915.20 |
$3,915.20 |
$3,915.20 |
$2,560.80
|
|
Incision of tendon & muscle
|
$6,033.20 |
$6,033.20 |
$6,033.20 |
$5,624.45
|
|
Incision of toe tendons 28011
|
$3,780.40 |
$3,780.40 |
$3,780.40 |
$2,119.12
|
|
Incision of tongue fold
|
$1,599.60 |
$1,599.60 |
$1,599.60 |
$1,792.50
|
|
Incision tendon sheath
|
$3,665.60 |
$3,665.60 |
$3,665.60 |
$3,073.20
|
|
Incisn of toe tndn
|
$3,665.60 |
$3,665.60 |
$3,665.60 |
$2,627.96
|
|
Incisn windpipe
|
$3,718.80 |
$3,718.80 |
$3,718.80 |
$3,810.50
|
|
Induced abortion 1+njx d&c
|
$3,106.40 |
$3,106.40 |
$3,106.40 |
$3,106.40
|
|
Induction of vomiting
|
$221.60 |
$221.60 |
$221.60 |
$126.72
|
|
Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s)
|
$195.60 |
$195.60 |
$195.60 |
$137.15
|
|
Infect ag drug suscept pheno predict
|
$111.60 |
$111.60 |
$111.60 |
$323.20
|
|
Infect ag eia influenza a or b ea
|
$31.20 |
$31.20 |
$31.20 |
$71.50
|
|
Infect ag genotype na cytomegalovirus
|
$599.60 |
$599.60 |
$599.60 |
$661.80
|
|
Infect ag genotype na dna hepatitis b
|
$363.20 |
$363.20 |
$363.20 |
$405.30
|
|
Infect ag genotype na hiv-1 other region
|
$296.00 |
$296.00 |
$296.00 |
$386.40
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$599.60 |
$599.60 |
$599.60 |
$603.75
|
|
Infect ag ia direct hiv-1 antgn
|
$36.40 |
$36.40 |
$36.40 |
$91.70
|
|
Infect ag ia optc obs influenza
|
$33.20 |
$33.20 |
$33.20 |
$72.93
|
|
Infect ag if ea plyvlnt antsrm
|
$31.20 |
$31.20 |
$31.20 |
$62.80
|
|
Infect ag if influenza a
|
$33.20 |
$33.20 |
$33.20 |
$41.30
|
|
Infect ag if influenza b
|
$31.20 |
$31.20 |
$31.20 |
$40.08
|
|
Infect ag if legionella pneumophila
|
$32.40 |
$32.40 |
$32.40 |
$72.58
|
|
Infect ag if pneumocystis carinii
|
$31.20 |
$31.20 |
$31.20 |
$66.00
|
|
Infect ag if varicella zoster
|
$31.20 |
$31.20 |
$31.20 |
$70.70
|
|
Infect ag na herpes simplex quant
|
$108.00 |
$108.00 |
$108.00 |
$169.65
|
|
Infect ag na hpv high-risk types
|
$49.20 |
$49.20 |
$49.20 |
$139.75
|
|
Infect ag na influenza r/amp 1st 2 types
|
$197.60 |
$197.60 |
$197.60 |
$219.70
|
|
Infect ag na influenza revr/amp ea type
|
$92.00 |
$92.00 |
$92.00 |
$158.06
|
|
Infect ag na orthopoxvirus amp prb each
|
$103.20 |
$103.20 |
$103.20 |
$99.36
|
|
Infect ag na resp virus 12-25 targets
|
$446.40 |
$446.40 |
$446.40 |
$835.80
|
|
Infect ag phenotype na hiv-1 1-10 drugs
|
$785.20 |
$785.20 |
$785.20 |
$943.80
|
|
Infect ag phenotype na hiv-1 ea addl drg
|
$60.40 |
$60.40 |
$60.40 |
$75.63
|
|
Infectious agent antigen immunoassay direct optical observation sars-cov-2
|
$72.40 |
$72.40 |
$72.40 |
$53.00
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$31.20 |
$31.20 |
$31.20 |
$82.00
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$31.20 |
$31.20 |
$31.20 |
$76.32
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$31.20 |
$31.20 |
$31.20 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$33.20 |
$33.20 |
$33.20 |
$100.02
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$26.00 |
$26.00 |
$26.00 |
$81.20
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$26.00 |
$26.00 |
$26.00 |
$60.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$50.40 |
$50.40 |
$50.40 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$31.20 |
$31.20 |
$31.20 |
$129.00
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$31.20 |
$31.20 |
$31.20 |
$98.02
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$31.20 |
$31.20 |
$31.20 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$81.60 |
$81.60 |
$81.60 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$68.40 |
$68.40 |
$68.40 |
$139.68
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$68.40 |
$68.40 |
$68.40 |
$167.00
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$734.00 |
$734.00 |
$734.00 |
$861.00
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$81.60 |
$81.60 |
$81.60 |
$179.92
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$88.40 |
$88.40 |
$88.40 |
$217.85
|