|
Hysteroscopy remove fb
|
$3,180.00 |
$3,180.00 |
$3,180.00 |
$4,719.18
|
|
Hysteroscopy remove myoma
|
$4,246.00 |
$4,246.00 |
$4,246.00 |
$5,417.29
|
|
Hzv zoster vacc recombinant adjuvanted im inj
|
$174.50 |
$174.50 |
$174.50 |
$352.24
|
|
I-123 sod iodide diag per 100 uci
|
$92.50 |
$92.50 |
$92.50 |
$144.24
|
|
I131 iodide cap, rx
|
$38.00 |
$38.00 |
$38.00 |
$71.70
|
|
I131 max 100uci
|
$60.00 |
$60.00 |
$60.00 |
$53.39
|
|
Iadna legionella pneumophila amplified probe tq
|
$32.50 |
$32.50 |
$32.50 |
$109.00
|
|
Ia infect ag ab qual/semiquant sgl step
|
$53.50 |
$53.50 |
$53.50 |
$50.60
|
|
Icd cobalt xt dr MRI is1 df1
|
$13,650.50 |
$13,650.50 |
$13,650.50 |
$34,681.07
|
|
Icd crtd cobalt hf MRI is1 df1
|
$20,814.50 |
$20,814.50 |
$20,814.50 |
$41,418.00
|
|
Icd crtp serena MRI
|
$8,606.00 |
$8,606.00 |
$8,606.00 |
$14,360.25
|
|
Icd reliance df4 ib 64cm
|
$6,313.50 |
$6,313.50 |
$6,313.50 |
$9,267.72
|
|
I&d lacrimal sac
|
$3,996.50 |
$3,996.50 |
$3,996.50 |
$2,732.50
|
|
Ifosfamide 1 gram intravenous solution
|
$62.00 |
$62.00 |
$62.00 |
$246.95
|
|
Igh gene rearrange amp meth
|
$618.50 |
$618.50 |
$618.50 |
$464.00
|
|
Igh@ var region somatic mutation analy
|
$626.50 |
$626.50 |
$626.50 |
$660.80
|
|
Igk rearrangeabn clonal pop
|
$541.00 |
$541.00 |
$541.00 |
$399.36
|
|
Ihc/icc per specimen each additional single antibody stain
|
$325.50 |
$325.50 |
$325.50 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$578.00 |
$578.00 |
$578.00 |
$328.79
|
|
Ihc/icc per specimen initial single antibody stain
|
$132.50 |
$132.50 |
$132.50 |
$272.30
|
|
Iiv3 vacc no prsv 0.25 ml im
|
$16.50 |
$16.50 |
$16.50 |
$37.44
|
|
Img rta detcj/mntr ds staff
|
$29.50 |
$29.50 |
$29.50 |
$70.29
|
|
Img rta detc/mntr ds phy/qhp
|
$19.50 |
$19.50 |
$19.50 |
$51.36
|
|
Img rta detc/mntr ds poc aly
|
$31.00 |
$31.00 |
$31.00 |
$71.25
|
|
Immntx 4 sting insects
|
$71.50 |
$71.50 |
$71.50 |
$71.50
|
|
Immntx 5 sting insects
|
$123.50 |
$123.50 |
$123.50 |
$123.50
|
|
Immobilizer shldr cntor adlt
|
$67.00 |
$67.00 |
$67.00 |
$175.60
|
|
Immune complex assay
|
$157.00 |
$157.00 |
$157.00 |
$100.80
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$126.50 |
$126.50 |
$126.50 |
$6,106.32
|
|
Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution
|
$173.50 |
$173.50 |
$173.50 |
$2,900.11
|
|
Immune globulin ig human im use 90281
|
$214.00 |
$214.00 |
$214.00 |
$92.00
|
|
Immunoassay tumor antigen quantitative ca 125
|
$41.50 |
$41.50 |
$41.50 |
$131.95
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$46.00 |
$46.00 |
$46.00 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$10.50 |
$10.50 |
$10.50 |
$48.38
|
|
Immunodiffusion nes
|
$52.00 |
$52.00 |
$52.00 |
$48.57
|
|
Immunofixation electrophoresis serum
|
$297.00 |
$297.00 |
$297.00 |
$142.50
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$151.00 |
$151.00 |
$151.00 |
$154.05
|
|
Immunofluorescence per specimen initial single antibody stain
|
$230.00 |
$230.00 |
$230.00 |
$231.40
|
|
Immunoglobulin assay
|
$143.00 |
$143.00 |
$143.00 |
$75.88
|
|
Immunology procedure
|
$89.50 |
$89.50 |
$89.50 |
$142.56
|
|
Impl ahmed 6x25x9.6mm glaucoma vlv w/sil ped ster
|
$1,183.50 |
$1,183.50 |
$1,183.50 |
$3,036.25
|
|
Implant cartilage 10mm synthetic
|
$571.00 |
$571.00 |
$571.00 |
$8,184.00
|
|
Implant cochlear osia osi300
|
$2,898.00 |
$2,898.00 |
$2,898.00 |
$16,200.89
|
|
Implant hormone pellet(s) 11980
|
$714.00 |
$714.00 |
$714.00 |
$315.75
|
|
Implant neuroelectrodes
|
$3,538.50 |
$3,538.50 |
$3,538.50 |
$8,763.11
|
|
Implant neuroelectrodes
|
$21,298.00 |
$21,298.00 |
$21,298.00 |
$7,766.27
|
|
Impl ear abutment ba300 9mm
|
$2,380.00 |
$2,380.00 |
$2,380.00 |
$3,974.88
|
|
Impl neurostim electr perc
|
$3,538.50 |
$3,538.50 |
$3,538.50 |
$7,672.50
|
|
Impres&prep oral surg splint
|
$394.50 |
$394.50 |
$394.50 |
$1,751.20
|
|
In-111 autol wbc diag per dose
|
$1,160.00 |
$1,160.00 |
$1,160.00 |
$3,523.65
|
|
In-111 oxyquinolin per 0.5 mci
|
$2,255.50 |
$2,255.50 |
$2,255.50 |
$2,581.82
|
|
In-111 pentetreotide
|
$2,980.00 |
$2,980.00 |
$2,980.00 |
$5,201.00
|
|
Inactivated je vacc im
|
$354.50 |
$354.50 |
$354.50 |
$481.34
|
|
Incise inner eye adhesions
|
$1,003.00 |
$1,003.00 |
$1,003.00 |
$1,202.90
|
|
Incise perq finger tendon 26060
|
$2,711.50 |
$2,711.50 |
$2,711.50 |
$1,893.86
|
|
Incise tear duct opening 68440
|
$417.00 |
$417.00 |
$417.00 |
$507.20
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$5,722.00 |
$5,722.00 |
$5,722.00 |
$2,056.93
|
|
Incision of achilles tendon
|
$2,711.50 |
$2,711.50 |
$2,711.50 |
$3,172.80
|
|
Incision of achilles tendon
|
$5,626.00 |
$5,626.00 |
$5,626.00 |
$3,561.39
|
|
Incision of breast lesion
|
$2,623.00 |
$2,623.00 |
$2,623.00 |
$2,560.80
|
|
Incision of eardrum
|
$109.50 |
$109.50 |
$109.50 |
$552.75
|
|
Incision of eardrum
|
$5,378.00 |
$5,378.00 |
$5,378.00 |
$3,827.50
|
|
Incision of eyelid
|
$1,509.50 |
$1,509.50 |
$1,509.50 |
$1,488.50
|
|
Incision of finger tendon
|
$2,711.50 |
$2,711.50 |
$2,711.50 |
$1,893.86
|
|
Incision of foot fascia
|
$8,018.00 |
$8,018.00 |
$8,018.00 |
$4,570.33
|
|
Incision of heel bone
|
$3,605.50 |
$3,605.50 |
$3,605.50 |
$5,339.00
|
|
Incision of metatarsal
|
$6,788.00 |
$6,788.00 |
$6,788.00 |
$3,591.33
|
|
Incision of midfoot bones
|
$3,605.50 |
$3,605.50 |
$3,605.50 |
$6,839.00
|
|
Incision of tendon sheath
|
$4,656.00 |
$4,656.00 |
$4,656.00 |
$2,211.05
|
|
Incision of tibia
|
$9,108.00 |
$9,108.00 |
$9,108.00 |
$7,907.11
|
|
Incision of toe tendons 28011
|
$2,010.00 |
$2,010.00 |
$2,010.00 |
$2,119.12
|
|
Incision of urethra
|
$2,002.00 |
$2,002.00 |
$2,002.00 |
$2,899.60
|
|
Incision tendon sheath
|
$2,360.00 |
$2,360.00 |
$2,360.00 |
$3,073.20
|
|
Incisn of toe tndn
|
$2,010.00 |
$2,010.00 |
$2,010.00 |
$2,627.96
|
|
Incisn windpipe
|
$3,810.50 |
$3,810.50 |
$3,810.50 |
$3,810.50
|
|
Incobotulinumtoxin a
|
$5.50 |
$5.50 |
$5.50 |
$1,339.57
|
|
Induced abortion d&c
|
$5,344.50 |
$5,344.50 |
$5,344.50 |
$3,762.53
|
|
Infect ag drug suscept pheno predict
|
$63.50 |
$63.50 |
$63.50 |
$323.20
|
|
Infect ag eia influenza a or b ea
|
$29.50 |
$29.50 |
$29.50 |
$71.50
|
|
Infect ag genotype na dna hepatitis b
|
$230.00 |
$230.00 |
$230.00 |
$405.30
|
|
Infect ag genotype na hiv-1 other region
|
$185.00 |
$185.00 |
$185.00 |
$386.40
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$364.00 |
$364.00 |
$364.00 |
$603.75
|
|
Infect ag ia optc obs influenza
|
$49.00 |
$49.00 |
$49.00 |
$72.93
|
|
Infect ag if legionella pneumophila
|
$59.00 |
$59.00 |
$59.00 |
$72.58
|
|
Infect ag if varicella zoster
|
$77.00 |
$77.00 |
$77.00 |
$70.70
|
|
Infect ag na herpes simplex quant
|
$81.50 |
$81.50 |
$81.50 |
$169.65
|
|
Infect ag na hpv high-risk types
|
$419.00 |
$419.00 |
$419.00 |
$139.75
|
|
Infect ag na influenza r/amp 1st 2 types
|
$232.50 |
$232.50 |
$232.50 |
$219.70
|
|
Infect ag na orthopoxvirus amp prb each
|
$90.00 |
$90.00 |
$90.00 |
$99.36
|
|
Infect ag na resp virus 12-25 targets
|
$1,298.50 |
$1,298.50 |
$1,298.50 |
$835.80
|
|
Infectious agent antigen immunoassay direct optical observation sars-cov-2
|
$67.00 |
$67.00 |
$67.00 |
$53.00
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$19.00 |
$19.00 |
$19.00 |
$82.00
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$40.00 |
$40.00 |
$40.00 |
$76.32
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$19.50 |
$19.50 |
$19.50 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$32.50 |
$32.50 |
$32.50 |
$100.02
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$13.50 |
$13.50 |
$13.50 |
$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
|
$34.50 |
$34.50 |
$34.50 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$98.00 |
$98.00 |
$98.00 |
$129.00
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$56.00 |
$56.00 |
$56.00 |
$98.02
|