|
Immunofluorescence per specimen initial single antibody stain
|
$368.00 |
$368.00 |
$368.00 |
$231.40
|
|
Immunology procedure
|
$115.20 |
$115.20 |
$115.20 |
$142.56
|
|
Impl absrb msh/prsth dly cls
|
$675.20 |
$675.20 |
$675.20 |
$750.40
|
|
Implant neuroelectrodes
|
$532.80 |
$532.80 |
$532.80 |
$8,763.11
|
|
Implant neuroelectrodes
|
$500.00 |
$500.00 |
$500.00 |
$7,766.27
|
|
Impl neurostim electr perc
|
$680.80 |
$680.80 |
$680.80 |
$7,672.50
|
|
Inactivated je vacc im
|
$850.40 |
$850.40 |
$850.40 |
$481.34
|
|
Incise/drain eyelid lining
|
$164.80 |
$164.80 |
$164.80 |
$1,271.00
|
|
Incise perq finger tendon 26060
|
$425.60 |
$425.60 |
$425.60 |
$1,893.86
|
|
Incise tear duct opening 68440
|
$155.20 |
$155.20 |
$155.20 |
$507.20
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$2,531.20 |
$2,531.20 |
$2,531.20 |
$2,056.93
|
|
Incision of anal sphincter
|
$275.20 |
$275.20 |
$275.20 |
$3,245.23
|
|
Incision of bile duct
|
$2,419.20 |
$2,419.20 |
$2,419.20 |
$3,352.00
|
|
Incision of bile duct 47420
|
$2,329.60 |
$2,329.60 |
$2,329.60 |
$2,788.80
|
|
Incision of breast lesion
|
$564.00 |
$564.00 |
$564.00 |
$2,560.80
|
|
Incision of eyelid
|
$149.60 |
$149.60 |
$149.60 |
$1,488.50
|
|
Incision of fibula
|
$692.80 |
$692.80 |
$692.80 |
$3,839.54
|
|
Incision of foot fascia
|
$490.40 |
$490.40 |
$490.40 |
$4,570.33
|
|
Incision of foot tendon 28234
|
$2,464.00 |
$2,464.00 |
$2,464.00 |
$2,116.27
|
|
Incision of gallbladder 47480
|
$1,545.60 |
$1,545.60 |
$1,545.60 |
$1,650.00
|
|
Incision of heel bone
|
$1,104.80 |
$1,104.80 |
$1,104.80 |
$5,339.00
|
|
Incision of metatarsal
|
$689.60 |
$689.60 |
$689.60 |
$4,176.43
|
|
Incision of metatarsal
|
$888.80 |
$888.80 |
$888.80 |
$6,839.00
|
|
Incision of metatarsal
|
$658.40 |
$658.40 |
$658.40 |
$3,591.33
|
|
Incision of rectal abscess
|
$873.60 |
$873.60 |
$873.60 |
$3,245.23
|
|
Incision of spinal nerve 64772
|
$932.80 |
$932.80 |
$932.80 |
$2,310.83
|
|
Incision of tendon & muscle
|
$1,034.40 |
$1,034.40 |
$1,034.40 |
$5,624.45
|
|
Incision of tendon sheath
|
$1,580.80 |
$1,580.80 |
$1,580.80 |
$2,211.05
|
|
Incision of thigh
|
$1,692.80 |
$1,692.80 |
$1,692.80 |
$3,798.60
|
|
Incision of thigh tendon
|
$749.60 |
$749.60 |
$749.60 |
$3,839.54
|
|
Incision of tibia
|
$1,255.20 |
$1,255.20 |
$1,255.20 |
$7,907.11
|
|
Incision of toe tendons 28011
|
$3,528.00 |
$3,528.00 |
$3,528.00 |
$2,119.12
|
|
Incision of tongue fold
|
$177.60 |
$177.60 |
$177.60 |
$1,792.50
|
|
Incision of urethra
|
$502.40 |
$502.40 |
$502.40 |
$5,626.86
|
|
Incision of urethra
|
$158.40 |
$158.40 |
$158.40 |
$2,899.60
|
|
Incision tendon sheath
|
$2,412.80 |
$2,412.80 |
$2,412.80 |
$3,073.20
|
|
Incisn of toe tndn
|
$3,156.00 |
$3,156.00 |
$3,156.00 |
$2,627.96
|
|
Incisn windpipe
|
$5,080.80 |
$5,080.80 |
$5,080.80 |
$3,810.50
|
|
Incobotulinumtoxin a
|
$13.60 |
$13.60 |
$13.60 |
$1,339.57
|
|
Infect ag drug suscept pheno predict
|
$101.60 |
$101.60 |
$101.60 |
$323.20
|
|
Infect ag eia influenza a or b ea
|
$45.60 |
$45.60 |
$45.60 |
$71.50
|
|
Infect ag genotype na dna hepatitis b
|
$368.00 |
$368.00 |
$368.00 |
$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
|
$363.20 |
$363.20 |
$363.20 |
$603.75
|
|
Infect ag ia optc obs influenza
|
$62.40 |
$62.40 |
$62.40 |
$72.93
|
|
Infect ag if varicella zoster
|
$123.20 |
$123.20 |
$123.20 |
$70.70
|
|
Infect ag na hpv high-risk types
|
$80.00 |
$80.00 |
$80.00 |
$139.75
|
|
Infect ag na influenza r/amp 1st 2 types
|
$84.80 |
$84.80 |
$84.80 |
$219.70
|
|
Infect ag na orthopoxvirus amp prb each
|
$144.00 |
$144.00 |
$144.00 |
$99.36
|
|
Infect ag na resp virus 12-25 targets
|
$854.40 |
$854.40 |
$854.40 |
$835.80
|
|
Infectious agent antigen immunoassay direct optical observation sars-cov-2
|
$107.20 |
$107.20 |
$107.20 |
$53.00
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$128.80 |
$128.80 |
$128.80 |
$82.00
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$196.00 |
$196.00 |
$196.00 |
$76.32
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$67.20 |
$67.20 |
$67.20 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$60.00 |
$60.00 |
$60.00 |
$100.02
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$14.40 |
$14.40 |
$14.40 |
$81.20
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$40.00 |
$40.00 |
$40.00 |
$60.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$94.40 |
$94.40 |
$94.40 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$156.80 |
$156.80 |
$156.80 |
$129.00
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$89.60 |
$89.60 |
$89.60 |
$98.02
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$91.20 |
$91.20 |
$91.20 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$1,230.40 |
$1,230.40 |
$1,230.40 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$121.60 |
$121.60 |
$121.60 |
$139.68
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$104.00 |
$104.00 |
$104.00 |
$167.00
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$683.20 |
$683.20 |
$683.20 |
$861.00
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$209.60 |
$209.60 |
$209.60 |
$179.92
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$126.40 |
$126.40 |
$126.40 |
$147.55
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$371.20 |
$371.20 |
$371.20 |
$217.85
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$121.60 |
$121.60 |
$121.60 |
$136.03
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$108.00 |
$108.00 |
$108.00 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$286.40 |
$286.40 |
$286.40 |
$206.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$448.80 |
$448.80 |
$448.80 |
$236.08
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$74.40 |
$74.40 |
$74.40 |
$92.50
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$121.60 |
$121.60 |
$121.60 |
$108.75
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$468.80 |
$468.80 |
$468.80 |
$185.00
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$1,376.00 |
$1,376.00 |
$1,376.00 |
$727.50
|
|
Infectious agent nucleic acid quantification bk virus
|
$463.20 |
$463.20 |
$463.20 |
$279.40
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$444.80 |
$444.80 |
$444.80 |
$239.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$280.80 |
$280.80 |
$280.80 |
$252.00
|
|
Infectious agent nucleic acid quantification hiv-1
|
$174.40 |
$174.40 |
$174.40 |
$374.00
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$253.60 |
$253.60 |
$253.60 |
$303.59
|
|
Infliximab-axxq 100 mg intravenous solution
|
$6,703.20 |
$6,703.20 |
$6,703.20 |
$1,062.00
|
|
Influenza virus vaccine, live trivalent intranasal
|
$58.40 |
$58.40 |
$58.40 |
$36.50
|
|
Inf thrc fascial pln blk bi w/wo image
|
$426.40 |
$426.40 |
$426.40 |
$593.50
|
|
Inf thrc fascial pln blk uni w/wo image
|
$250.40 |
$250.40 |
$250.40 |
$780.00
|
|
Initial hosp neonate 28 d/less than not critically ill 99477
|
$540.80 |
$540.80 |
$540.80 |
$629.60
|
|
Initial nursing facility care/day 35 minutes
|
$230.40 |
$230.40 |
$230.40 |
$188.50
|
|
Initial nursing facility care/day 45 minutes
|
$296.00 |
$296.00 |
$296.00 |
$236.80
|
|
Initial nursing facility care/day low severity 99304
|
$128.00 |
$128.00 |
$128.00 |
$128.00
|
|
Initiation & management bipap/cpap initial day
|
$386.40 |
$386.40 |
$386.40 |
$576.00
|
|
Init pm e/m new pat 65+ yrs
|
$196.00 |
$196.00 |
$196.00 |
$185.90
|
|
Init/sub psych care m 1st 30
|
$61.60 |
$61.60 |
$61.60 |
$94.34
|
|
Inj, abilify asimtufii, 1 mg
|
$13.60 |
$13.60 |
$13.60 |
$9,426.91
|
|
Inj, abilify maintena, 1 mg
|
$16.00 |
$16.00 |
$16.00 |
$5,355.30
|
|
Inj, acetaminophen (b braun)
|
$11.52 |
$11.52 |
$11.52 |
$33.31
|
|
Inj acetaminophen -fresenius
|
$9.36 |
$9.36 |
$9.36 |
$36.60
|
|
Inj, adstiladrin, per tx dos
|
$110,736.00 |
$110,736.00 |
$110,736.00 |
$63,354.77
|
|
Inj, aflibercept hd, 1 mg
|
$550.40 |
$550.40 |
$550.40 |
$2,794.18
|
|
Inj anifrolumab-fnia 1mg
|
$44.00 |
$44.00 |
$44.00 |
$9,878.82
|
|
Inj avacincaptad pegol 0.1mg
|
$252.00 |
$252.00 |
$252.00 |
$3,409.64
|