|
Ia infect ag ab qual/semiquant sgl step
|
$66.69 |
$66.69 |
$66.69 |
$48.57
|
|
Ibandronate 3 mg/3 ml intravenous syringe
|
$38.76 |
$38.76 |
$38.76 |
$768.24
|
|
Ihc/icc per specimen each additional single antibody stain
|
$190.38 |
$190.38 |
$190.38 |
$191.75
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$205.20 |
$205.20 |
$205.20 |
$339.73
|
|
Ihc/icc per specimen initial single antibody stain
|
$182.97 |
$182.97 |
$182.97 |
$266.76
|
|
Immob elbow child sm
|
$269.04 |
$269.04 |
$269.04 |
$78.19
|
|
Immobilizer shldr cntor adlt
|
$86.57 |
$86.57 |
$86.57 |
$154.00
|
|
Immobilizer shldr dlx str 24-36in med
|
$157.32 |
$157.32 |
$157.32 |
$90.86
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$138.93 |
$138.93 |
$138.93 |
$5,816.40
|
|
Immunoassay tumor antigen quantitative ca 125
|
$73.53 |
$73.53 |
$73.53 |
$123.50
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$73.53 |
$73.53 |
$73.53 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$18.24 |
$18.24 |
$18.24 |
$53.95
|
|
Immunofixation electrophoresis serum
|
$102.60 |
$102.60 |
$102.60 |
$133.38
|
|
Immunoglobulin assay
|
$21.09 |
$21.09 |
$21.09 |
$74.00
|
|
Implant neuroelectrodes
|
$1,752.18 |
$1,752.18 |
$1,752.18 |
$19,287.34
|
|
Implant ureth bulk agent
|
$664.93 |
$664.93 |
$664.93 |
$2,003.82
|
|
Impl neurostim electr perc
|
$4,159.86 |
$4,159.86 |
$4,159.86 |
$7,636.00
|
|
Inc dp opn b1 crtx hum/elbw
|
$713.64 |
$713.64 |
$713.64 |
$3,594.44
|
|
Incise inner ear
|
$1,226.07 |
$1,226.07 |
$1,226.07 |
$2,133.48
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$2,641.95 |
$2,641.95 |
$2,641.95 |
$2,261.20
|
|
Incision of anal sphincter
|
$231.42 |
$231.42 |
$231.42 |
$3,061.53
|
|
Incision of breast lesion
|
$954.75 |
$954.75 |
$954.75 |
$3,029.60
|
|
Incision of foot fascia
|
$485.07 |
$485.07 |
$485.07 |
$4,499.12
|
|
Incision of heel bone
|
$1,146.84 |
$1,146.84 |
$1,146.84 |
$6,004.47
|
|
Incision of metatarsal
|
$677.73 |
$677.73 |
$677.73 |
$5,110.00
|
|
Incision of metatarsal
|
$595.65 |
$595.65 |
$595.65 |
$3,594.44
|
|
Incision of midfoot bones
|
$930.81 |
$930.81 |
$930.81 |
$6,004.47
|
|
Incision of tendon sheath
|
$1,068.75 |
$1,068.75 |
$1,068.75 |
$2,263.68
|
|
Incision tendon sheath
|
$1,745.34 |
$1,745.34 |
$1,745.34 |
$2,309.40
|
|
Infect ag drug suscept pheno predict
|
$259.92 |
$259.92 |
$259.92 |
$325.00
|
|
Infect ag genotype na hiv-1 other region
|
$580.26 |
$580.26 |
$580.26 |
$301.50
|
|
Infect ag ia direct hiv-1 antgn
|
$55.86 |
$55.86 |
$55.86 |
$95.55
|
|
Infect ag if legionella pneumophila
|
$35.91 |
$35.91 |
$35.91 |
$75.79
|
|
Infect ag na hpv high-risk types
|
$83.79 |
$83.79 |
$83.79 |
$139.75
|
|
Infect ag na influenza r/amp 1st 2 types
|
$167.58 |
$167.58 |
$167.58 |
$227.96
|
|
Infect ag na resp virus 12-25 targets
|
$482.79 |
$482.79 |
$482.79 |
$859.44
|
|
Infect ag phenotype na hiv-1 1-10 drugs
|
$974.70 |
$974.70 |
$974.70 |
$714.67
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$140.22 |
$140.22 |
$140.22 |
$81.44
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$23.37 |
$23.37 |
$23.37 |
$80.05
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$19.38 |
$19.38 |
$19.38 |
$77.28
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$42.18 |
$42.18 |
$42.18 |
$83.50
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$38.19 |
$38.19 |
$38.19 |
$77.72
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$79.80 |
$79.80 |
$79.80 |
$101.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$235.41 |
$235.41 |
$235.41 |
$132.60
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$43.32 |
$43.32 |
$43.32 |
$97.50
|
|
Infectious agent nucleic acid amplified probe
|
$259.92 |
$259.92 |
$259.92 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$156.75 |
$156.75 |
$156.75 |
$141.48
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$118.56 |
$118.56 |
$118.56 |
$174.06
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$1,095.54 |
$1,095.54 |
$1,095.54 |
$855.45
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$115.14 |
$115.14 |
$115.14 |
$178.00
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$110.01 |
$110.01 |
$110.01 |
$150.15
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$70.68 |
$70.68 |
$70.68 |
$210.00
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$156.75 |
$156.75 |
$156.75 |
$136.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$110.01 |
$110.01 |
$110.01 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$239.40 |
$239.40 |
$239.40 |
$222.60
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$395.01 |
$395.01 |
$395.01 |
$248.15
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$59.85 |
$59.85 |
$59.85 |
$112.45
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$243.39 |
$243.39 |
$243.39 |
$283.20
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$638.40 |
$638.40 |
$638.40 |
$489.50
|
|
Infectious agent nucleic acid quantification bk virus
|
$129.39 |
$129.39 |
$129.39 |
$285.66
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$178.98 |
$178.98 |
$178.98 |
$226.35
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$150.48 |
$150.48 |
$150.48 |
$278.78
|
|
Infectious agent nucleic acid quantification hiv-1
|
$295.83 |
$295.83 |
$295.83 |
$381.55
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$234.84 |
$234.84 |
$234.84 |
$298.35
|
|
Infliximab 100 mg intravenous solution
|
$72.96 |
$72.96 |
$72.96 |
$2,102.08
|
|
Influenza dna amp prob addl
|
$39.90 |
$39.90 |
$39.90 |
$69.60
|
|
Influenza virus vaccine, inact hemagglutinin tiv pf inj
|
$79.80 |
$79.80 |
$79.80 |
$76.00
|
|
Influenza virus vaccine, live trivalent intranasal
|
$30.78 |
$30.78 |
$30.78 |
$40.89
|
|
Initial nursing facility care/day 35 minutes
|
$231.42 |
$231.42 |
$231.42 |
$231.42
|
|
Initial nursing facility care/day low severity 99304
|
$165.30 |
$165.30 |
$165.30 |
$162.40
|
|
Initiation & management bipap/cpap initial day
|
$547.77 |
$547.77 |
$547.77 |
$645.79
|
|
Inj, clevidipine butyrate
|
$6.47 |
$6.47 |
$6.47 |
$4.86
|
|
Inj cntr knee arthro incl ct/mri
|
$817.95 |
$817.95 |
$817.95 |
$464.28
|
|
Inj, durolane 1 mg
|
$16.53 |
$16.53 |
$16.53 |
$2,181.77
|
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
|
$578.55 |
$578.55 |
$578.55 |
$1,214.78
|
|
Injection arthrography hip without anesthesia (both sides)
|
$925.68 |
$925.68 |
$925.68 |
$507.10
|
|
Injection carpal tunnel therapeutic (both sides)
|
$208.05 |
$208.05 |
$208.05 |
$536.00
|
|
Injection epidural blood patch or clot
|
$1,100.10 |
$1,100.10 |
$1,100.10 |
$1,473.12
|
|
Injection for arthrography wrist (both sides)
|
$760.38 |
$760.38 |
$760.38 |
$441.12
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$778.62 |
$778.62 |
$778.62 |
$504.00
|
|
Injection, fulvestrant
|
$39.39 |
$39.39 |
$39.39 |
$1,817.65
|
|
Injection,onabotulinumtoxina
|
$11.56 |
$11.56 |
$11.56 |
$2,154.07
|
|
Injection radioactive tracer sentinel node (both sides)
|
$1,071.60 |
$1,071.60 |
$1,071.60 |
$717.20
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$1,016.31 |
$1,016.31 |
$1,016.31 |
$1,471.50
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$1,047.66 |
$1,047.66 |
$1,047.66 |
$1,017.28
|
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
|
$836.76 |
$836.76 |
$836.76 |
$2,251.00
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
|
$1,007.19 |
$1,007.19 |
$1,007.19 |
$1,131.41
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
|
$1,344.06 |
$1,344.06 |
$1,344.06 |
$1,961.05
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
|
$783.18 |
$783.18 |
$783.18 |
$1,119.88
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
|
$1,344.06 |
$1,344.06 |
$1,344.06 |
$2,154.68
|
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
|
$1,946.55 |
$1,946.55 |
$1,946.55 |
$1,829.28
|
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
|
$1,946.55 |
$1,946.55 |
$1,946.55 |
$1,758.12
|
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
|
$542.64 |
$542.64 |
$542.64 |
$472.76
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$473.67 |
$473.67 |
$473.67 |
$552.60
|
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
|
$534.66 |
$534.66 |
$534.66 |
$670.00
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$189.24 |
$189.24 |
$189.24 |
$168.05
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$189.24 |
$189.24 |
$189.24 |
$154.05
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$189.24 |
$189.24 |
$189.24 |
$271.65
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$129.39 |
$129.39 |
$129.39 |
$141.60
|
|
Inject sacroiliac joint
|
$1,248.87 |
$1,248.87 |
$1,248.87 |
$1,090.00
|