|
I&d intramural/intramuscular/submuc abscess transanal anes
|
$461.50 |
$461.50 |
$461.50 |
$3,245.23
|
|
I&d lacrimal gland
|
$132.00 |
$132.00 |
$132.00 |
$1,435.20
|
|
I&d lacrimal sac
|
$155.50 |
$155.50 |
$155.50 |
$2,732.50
|
|
I&d upper arm/elbow deep abscess/hematoma
|
$229.00 |
$229.00 |
$229.00 |
$3,355.20
|
|
I & d vag hematoma non-ob 57023
|
$336.00 |
$336.00 |
$336.00 |
$3,444.42
|
|
Ifosfamide 1 gram intravenous solution
|
$41.50 |
$41.50 |
$41.50 |
$246.95
|
|
Igh@ var region somatic mutation analy
|
$465.00 |
$465.00 |
$465.00 |
$660.80
|
|
Ihc/icc per specimen each additional single antibody stain
|
$697.50 |
$697.50 |
$697.50 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$183.50 |
$183.50 |
$183.50 |
$328.79
|
|
Ihc/icc per specimen initial single antibody stain
|
$171.50 |
$171.50 |
$171.50 |
$272.30
|
|
Ileostomy/jejunostomy non-tube 44310
|
$1,108.50 |
$1,108.50 |
$1,108.50 |
$1,976.40
|
|
Imbrication/diaphragm/transthor/transabd 39545
|
$956.00 |
$956.00 |
$956.00 |
$2,181.60
|
|
Img rta detcj/mntr ds staff
|
$29.50 |
$29.50 |
$29.50 |
$70.29
|
|
Img rta detc/mntr ds poc aly
|
$57.00 |
$57.00 |
$57.00 |
$71.25
|
|
Immobilizer shldr cntor adlt
|
$92.88 |
$92.88 |
$92.88 |
$175.60
|
|
Immobilizer shldr dlx str 24-36in med
|
$37.50 |
$37.50 |
$37.50 |
$114.60
|
|
Immune complex assay
|
$157.00 |
$157.00 |
$157.00 |
$100.80
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$84.50 |
$84.50 |
$84.50 |
$6,106.32
|
|
Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution
|
$116.00 |
$116.00 |
$116.00 |
$2,900.11
|
|
Immune globulin ig human im use 90281
|
$143.00 |
$143.00 |
$143.00 |
$92.00
|
|
Immunoassay tumor antigen quantitative ca 125
|
$131.50 |
$131.50 |
$131.50 |
$131.95
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$135.00 |
$135.00 |
$135.00 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$9.00 |
$9.00 |
$9.00 |
$48.38
|
|
Immunofixation electrophoresis serum
|
$150.00 |
$150.00 |
$150.00 |
$142.50
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$128.00 |
$128.00 |
$128.00 |
$154.05
|
|
Immunofluorescence per specimen initial single antibody stain
|
$230.00 |
$230.00 |
$230.00 |
$231.40
|
|
Immunoglobulin assay
|
$54.00 |
$54.00 |
$54.00 |
$75.88
|
|
Immunology procedure
|
$72.00 |
$72.00 |
$72.00 |
$142.56
|
|
Impl absrb msh/prsth dly cls
|
$424.00 |
$424.00 |
$424.00 |
$750.40
|
|
Implant cartilage 10mm synthetic
|
$600.00 |
$600.00 |
$600.00 |
$8,184.00
|
|
Implant neuroelectrodes
|
$3,170.50 |
$3,170.50 |
$3,170.50 |
$8,763.11
|
|
Implant neuroelectrodes
|
$317.00 |
$317.00 |
$317.00 |
$7,766.27
|
|
Impl neurostim electr perc
|
$431.50 |
$431.50 |
$431.50 |
$7,672.50
|
|
Implnt spinl canal catheter 62350
|
$4,963.00 |
$4,963.00 |
$4,963.00 |
$5,095.20
|
|
Inactivated je vacc im
|
$531.50 |
$531.50 |
$531.50 |
$481.34
|
|
Incise/drain eyelid lining
|
$109.50 |
$109.50 |
$109.50 |
$1,271.00
|
|
Incise perq finger tendon 26060
|
$266.50 |
$266.50 |
$266.50 |
$1,893.86
|
|
Incise tear duct opening 68440
|
$98.50 |
$98.50 |
$98.50 |
$507.20
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$2,015.50 |
$2,015.50 |
$2,015.50 |
$2,056.93
|
|
Incision of anal sphincter
|
$168.00 |
$168.00 |
$168.00 |
$3,245.23
|
|
Incision of bile duct
|
$1,469.50 |
$1,469.50 |
$1,469.50 |
$3,352.00
|
|
Incision of bile duct 47420
|
$1,433.50 |
$1,433.50 |
$1,433.50 |
$2,788.80
|
|
Incision of breast lesion
|
$1,931.00 |
$1,931.00 |
$1,931.00 |
$2,560.80
|
|
Incision of eyelid
|
$97.00 |
$97.00 |
$97.00 |
$1,488.50
|
|
Incision of fibula
|
$424.50 |
$424.50 |
$424.50 |
$3,839.54
|
|
Incision of foot fascia
|
$306.00 |
$306.00 |
$306.00 |
$4,570.33
|
|
Incision of foot tendon 28234
|
$1,540.00 |
$1,540.00 |
$1,540.00 |
$2,116.27
|
|
Incision of gallbladder 47480
|
$937.50 |
$937.50 |
$937.50 |
$1,650.00
|
|
Incision of heel bone
|
$685.50 |
$685.50 |
$685.50 |
$5,339.00
|
|
Incision of metatarsal
|
$425.00 |
$425.00 |
$425.00 |
$4,176.43
|
|
Incision of metatarsal
|
$547.00 |
$547.00 |
$547.00 |
$6,839.00
|
|
Incision of metatarsal
|
$403.00 |
$403.00 |
$403.00 |
$3,591.33
|
|
Incision of rectal abscess
|
$509.00 |
$509.00 |
$509.00 |
$3,245.23
|
|
Incision of spinal nerve 64772
|
$587.00 |
$587.00 |
$587.00 |
$2,310.83
|
|
Incision of tendon & muscle
|
$647.00 |
$647.00 |
$647.00 |
$5,624.45
|
|
Incision of tendon sheath
|
$1,275.50 |
$1,275.50 |
$1,275.50 |
$2,211.05
|
|
Incision of thigh
|
$1,064.50 |
$1,064.50 |
$1,064.50 |
$3,798.60
|
|
Incision of thigh tendon
|
$478.00 |
$478.00 |
$478.00 |
$3,839.54
|
|
Incision of tibia
|
$784.00 |
$784.00 |
$784.00 |
$7,907.11
|
|
Incision of toe tendons 28011
|
$2,058.00 |
$2,058.00 |
$2,058.00 |
$2,119.12
|
|
Incision of tongue fold
|
$111.00 |
$111.00 |
$111.00 |
$1,792.50
|
|
Incision of urethra
|
$309.50 |
$309.50 |
$309.50 |
$5,626.86
|
|
Incision of urethra
|
$100.50 |
$100.50 |
$100.50 |
$2,899.60
|
|
Incision tendon sheath
|
$2,775.50 |
$2,775.50 |
$2,775.50 |
$3,073.20
|
|
Incisn of toe tndn
|
$215.50 |
$215.50 |
$215.50 |
$2,627.96
|
|
Incisn windpipe
|
$3,175.50 |
$3,175.50 |
$3,175.50 |
$3,810.50
|
|
Incobotulinumtoxin a
|
$8.50 |
$8.50 |
$8.50 |
$1,339.57
|
|
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 hiv-1 other region
|
$185.00 |
$185.00 |
$185.00 |
$386.40
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$125.00 |
$125.00 |
$125.00 |
$603.75
|
|
Infect ag ia optc obs influenza
|
$180.00 |
$180.00 |
$180.00 |
$72.93
|
|
Infect ag if varicella zoster
|
$77.00 |
$77.00 |
$77.00 |
$70.70
|
|
Infect ag na hpv high-risk types
|
$410.00 |
$410.00 |
$410.00 |
$139.75
|
|
Infect ag na orthopoxvirus amp prb each
|
$90.00 |
$90.00 |
$90.00 |
$99.36
|
|
Infect ag na resp virus 12-25 targets
|
$1,165.00 |
$1,165.00 |
$1,165.00 |
$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
|
$56.00 |
$56.00 |
$56.00 |
$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
|
$117.50 |
$117.50 |
$117.50 |
$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
|
$60.50 |
$60.50 |
$60.50 |
$81.20
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$60.00 |
$60.00 |
$60.00 |
$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
|
$157.00 |
$157.00 |
$157.00 |
$98.02
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$51.00 |
$51.00 |
$51.00 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$435.00 |
$435.00 |
$435.00 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$81.50 |
$81.50 |
$81.50 |
$139.68
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$117.50 |
$117.50 |
$117.50 |
$167.00
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$519.50 |
$519.50 |
$519.50 |
$861.00
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$63.50 |
$63.50 |
$63.50 |
$179.92
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$150.00 |
$150.00 |
$150.00 |
$147.55
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$188.50 |
$188.50 |
$188.50 |
$217.85
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$122.00 |
$122.00 |
$122.00 |
$136.03
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$71.50 |
$71.50 |
$71.50 |
$206.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$267.00 |
$267.00 |
$267.00 |
$236.08
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$94.50 |
$94.50 |
$94.50 |
$92.50
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$76.00 |
$76.00 |
$76.00 |
$108.75
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$293.00 |
$293.00 |
$293.00 |
$185.00
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$620.50 |
$620.50 |
$620.50 |
$727.50
|