|
Immunofixation electrophoresis serum
|
$51.60 |
$51.60 |
$86.44 |
$142.50
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$82.57 |
$90.00 |
$90.00 |
$154.05
|
|
Immunofluorescence per specimen initial single antibody stain
|
$110.83 |
$906.00 |
$906.00 |
$231.40
|
|
Immunoglobulin assay
|
$32.00 |
$32.00 |
$57.53 |
$75.88
|
|
Immunology procedure
|
$92.00 |
$92.00 |
$168.73 |
$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
|
$2,879.99 |
$5,033.60 |
$5,033.60 |
$8,184.00
|
|
Implant cochlear osia osi300
|
$8,692.40 |
$8,692.40 |
$10,826.27 |
$16,200.89
|
|
Implant neuroelectrodes
|
$2,709.69 |
$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 single ventricular device 33975
|
$1,026.72 |
$1,026.72 |
$1,026.72 |
$5,053.23
|
|
Implant ureth bulk agent
|
$2,527.34 |
$3,152.00 |
$3,456.00 |
$2,168.00
|
|
Impl neurostim electr perc
|
$3,440.42 |
$13,946.40 |
$13,946.40 |
$7,672.50
|
|
Implnt spinl canal catheter 62350
|
$2,200.87 |
$2,200.87 |
$2,200.87 |
$5,095.20
|
|
Imp neurosti pls gn any type
|
$24,692.62 |
$24,692.62 |
$24,692.62 |
$8,789.19
|
|
Impres&prep oral surg splint
|
$610.73 |
$610.73 |
$610.73 |
$1,751.20
|
|
Imuglucerase injection
|
$77.23 |
$77.23 |
$77.23 |
$3,399.59
|
|
In-111 autol wbc diag per dose
|
$402.48 |
$5,354.00 |
$5,354.00 |
$3,523.65
|
|
In-111 capromab pendet
|
$2,160.70 |
$2,160.70 |
$2,160.70 |
$3,141.45
|
|
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
|
$705.77 |
$5,374.00 |
$5,374.00 |
$2,598.17
|
|
In-111 pentetreotide
|
$4,011.92 |
$10,534.00 |
$10,534.00 |
$5,201.00
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$780.40 |
$780.40 |
$1,111.32 |
$2,056.93
|
|
Incision of achilles tendon
|
$3,665.60 |
$3,665.60 |
$3,665.60 |
$3,172.80
|
|
Incision of breast lesion
|
$1,031.35 |
$3,915.20 |
$3,915.20 |
$2,560.80
|
|
Incision of eardrum
|
$591.68 |
$591.68 |
$591.68 |
$552.75
|
|
Incision of foot tendon 28234
|
$1,145.04 |
$1,145.04 |
$1,145.04 |
$2,116.27
|
|
Incision of tendon & muscle
|
$6,033.20 |
$6,033.20 |
$6,033.20 |
$5,624.45
|
|
Incision of toe tendons 28011
|
$1,036.61 |
$3,780.40 |
$3,780.40 |
$2,119.12
|
|
Incision of tongue fold
|
$707.61 |
$1,599.60 |
$1,599.60 |
$1,792.50
|
|
Incision of urethra
|
$952.33 |
$952.33 |
$952.33 |
$2,899.60
|
|
Incision of windpipe
|
$4,859.08 |
$4,859.08 |
$4,859.08 |
$6,465.11
|
|
Incision of windpipe
|
$4,859.08 |
$4,859.08 |
$4,859.08 |
$5,855.00
|
|
Incision tendon sheath
|
$3,665.60 |
$3,665.60 |
$3,665.60 |
$3,073.20
|
|
Incisn of toe tndn
|
$1,145.04 |
$3,665.60 |
$3,665.60 |
$2,627.96
|
|
Incisn windpipe
|
$2,218.76 |
$3,718.80 |
$3,718.80 |
$3,810.50
|
|
Incobotulinumtoxin a
|
$8.40 |
$8.40 |
$995.92 |
$1,339.57
|
|
Indigotindisulfonate 8 mg/ml soln 5 ml ampule
|
$107.94 |
$107.94 |
$107.94 |
$766.66
|
|
Induced abortion 1+njx d&c
|
$3,106.40 |
$3,106.40 |
$3,106.40 |
$3,106.40
|
|
Induction of vomiting
|
$123.16 |
$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 |
$155.24 |
$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
|
$357.69 |
$363.20 |
$363.20 |
$405.30
|
|
Infect ag genotype na hiv-1 other region
|
$296.00 |
$296.00 |
$311.36 |
$386.40
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$434.70 |
$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 |
$74.28 |
$72.93
|
|
Infect ag if ea plyvlnt antsrm
|
$31.20 |
$31.20 |
$53.63 |
$62.80
|
|
Infect ag if hep delta agent
|
$247.17 |
$247.17 |
$247.17 |
$125.97
|
|
Infect ag if influenza a
|
$23.51 |
$33.20 |
$33.20 |
$41.30
|
|
Infect ag if influenza b
|
$20.77 |
$31.20 |
$31.20 |
$40.08
|
|
Infect ag if legionella pneumophila
|
$32.40 |
$32.40 |
$55.97 |
$72.58
|
|
Infect ag if nos ea
|
$64.38 |
$64.38 |
$64.38 |
$74.88
|
|
Infect ag if pneumocystis carinii
|
$31.20 |
$31.20 |
$59.89 |
$66.00
|
|
Infect ag if varicella zoster
|
$31.20 |
$31.20 |
$51.77 |
$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 |
$154.29 |
$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
|
$56.24 |
$103.20 |
$103.20 |
$99.36
|
|
Infect ag na resp virus 12-25 targets
|
$446.40 |
$446.40 |
$741.90 |
$835.80
|
|
Infect ag phenotype na hiv-1 1-10 drugs
|
$424.84 |
$785.20 |
$785.20 |
$943.80
|
|
Infect ag phenotype na hiv-1 ea addl drg
|
$59.88 |
$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 |
$52.82 |
$82.00
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$38.95 |
$38.95 |
$38.95 |
$72.80
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$31.20 |
$31.20 |
$90.94 |
$76.32
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$31.20 |
$31.20 |
$55.55 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$33.20 |
$33.20 |
$151.71 |
$100.02
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$26.00 |
$26.00 |
$55.55 |
$81.20
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$26.00 |
$26.00 |
$81.62 |
$60.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$50.40 |
$50.40 |
$73.59 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$31.20 |
$31.20 |
$68.37 |
$129.00
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$31.20 |
$31.20 |
$64.83 |
$98.02
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$31.20 |
$31.20 |
$46.87 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$81.60 |
$81.60 |
$130.59 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$68.40 |
$68.40 |
$134.13 |
$139.68
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$68.40 |
$68.40 |
$131.70 |
$167.00
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$428.79 |
$734.00 |
$734.00 |
$861.00
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$81.60 |
$81.60 |
$182.63 |
$179.92
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$134.13 |
$134.13 |
$134.13 |
$147.55
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$88.40 |
$88.40 |
$162.15 |
$217.85
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$68.40 |
$68.40 |
$134.13 |
$136.03
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$49.68 |
$142.40 |
$142.40 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$177.60 |
$177.60 |
$177.60 |
$206.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$289.20 |
$289.20 |
$289.20 |
$236.08
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$65.25 |
$79.60 |
$79.60 |
$92.50
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$40.00 |
$40.00 |
$71.86 |
$108.75
|
|
Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae
|
$137.20 |
$137.20 |
$137.20 |
$211.00
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$162.15 |
$213.60 |
$213.60 |
$185.00
|
|
Infectious agent nucleic acid joint space pathogens multiplex amplified probe >= 26 targets
|
$941.20 |
$941.20 |
$941.20 |
$1,143.75
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$525.71 |
$535.20 |
$535.20 |
$727.50
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$137.20 |
$137.20 |
$268.12 |
$286.06
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$184.00 |
$389.60 |
$389.60 |
$423.53
|
|
Infectious agent nucleic acid quantification bk virus
|
$99.60 |
$99.60 |
$242.76 |
$279.40
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$99.60 |
$99.60 |
$334.36 |
$239.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$99.60 |
$99.60 |
$203.01 |
$252.00
|