|
Hydrxycorticsterds 17- (17-ohcs)
|
$57.24 |
$57.24 |
$57.24 |
$76.13
|
|
#hypersens-actinomyces ab
|
$16.43 |
$16.43 |
$16.43 |
$19.60
|
|
I-123 iobenguane diag
|
$4,578.67 |
$4,578.67 |
$4,578.67 |
$5,730.40
|
|
Idh2 common variants
|
$271.36 |
$271.36 |
$271.36 |
$451.91
|
|
Igh gene rearrange amp meth
|
$141.51 |
$141.51 |
$141.51 |
$464.25
|
|
Igh@ var region somatic mutation analy
|
$308.99 |
$308.99 |
$308.99 |
$660.80
|
|
Ihc/icc per specimen each additional single antibody stain
|
$111.30 |
$111.30 |
$111.30 |
$191.75
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$339.73 |
$339.73 |
$339.73 |
$339.73
|
|
Ihc/icc per specimen initial single antibody stain
|
$113.42 |
$113.42 |
$113.42 |
$266.76
|
|
Ikbkap gene
|
$354.57 |
$354.57 |
$354.57 |
$156.20
|
|
Iliac/fem angio cath insert
|
$1,601.66 |
$1,601.66 |
$1,601.66 |
$1,601.66
|
|
Iliac revasc add-on 37222
|
$2,420.51 |
$2,420.51 |
$2,420.51 |
$6,513.10
|
|
Immobilizer shldr cntor adlt
|
$216.65 |
$216.65 |
$216.65 |
$134.01
|
|
Immunoassay tumor antigen quantitative ca 125
|
$71.55 |
$71.55 |
$71.55 |
$123.50
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$67.31 |
$67.31 |
$67.31 |
$116.40
|
|
Immunoassay tumor qual
|
$128.79 |
$128.79 |
$128.79 |
$39.35
|
|
Immunodiff gel qual ea antigen/ab
|
$39.22 |
$39.22 |
$39.22 |
$53.95
|
|
Immunofixation electrophoresis serum
|
$84.27 |
$84.27 |
$84.27 |
$133.38
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$216.24 |
$216.24 |
$216.24 |
$156.00
|
|
Immunofluorescence per specimen initial single antibody stain
|
$496.08 |
$496.08 |
$496.08 |
$250.00
|
|
Immunoglobulin assay
|
$69.96 |
$69.96 |
$69.96 |
$74.00
|
|
Implant single ventricular device 33975
|
$4,438.75 |
$4,438.75 |
$4,438.75 |
$5,053.23
|
|
Implant ureth bulk agent
|
$1,764.88 |
$1,764.88 |
$1,764.88 |
$1,930.57
|
|
In-111 autol wbc diag per dose
|
$4,709.05 |
$4,709.05 |
$4,709.05 |
$3,704.00
|
|
In-111 oxyquinolin per 0.5 mci
|
$4,929.53 |
$4,929.53 |
$4,929.53 |
$2,808.00
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$1,036.15 |
$1,036.15 |
$1,036.15 |
$2,261.20
|
|
Incision of achilles tendon
|
$3,554.18 |
$3,554.18 |
$3,554.18 |
$3,306.48
|
|
Incision of hip tendon
|
$3,945.32 |
$3,945.32 |
$3,945.32 |
$3,885.29
|
|
Incision of tendon & muscle
|
$4,505.53 |
$4,505.53 |
$4,505.53 |
$8,293.50
|
|
Infect ag drug suscept pheno predict
|
$295.74 |
$295.74 |
$295.74 |
$325.00
|
|
Infect ag eia influenza a or b ea
|
$42.40 |
$42.40 |
$42.40 |
$69.03
|
|
Infect ag genotype na hiv-1 other region
|
$836.87 |
$836.87 |
$836.87 |
$301.50
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$836.87 |
$836.87 |
$836.87 |
$574.60
|
|
Infect ag ia direct hiv-1 antgn
|
$66.25 |
$66.25 |
$66.25 |
$95.55
|
|
Infect ag ia optc obs influenza
|
$47.17 |
$47.17 |
$47.17 |
$66.72
|
|
Infect ag if ea plyvlnt antsrm
|
$49.82 |
$49.82 |
$49.82 |
$37.74
|
|
Infect ag if influenza a
|
$50.88 |
$50.88 |
$50.88 |
$40.61
|
|
Infect ag if influenza b
|
$50.88 |
$50.88 |
$50.88 |
$34.67
|
|
Infect ag if legionella pneumophila
|
$75.79 |
$75.79 |
$75.79 |
$75.79
|
|
Infect ag if pneumocystis carinii
|
$82.68 |
$82.68 |
$82.68 |
$62.29
|
|
Infect ag if varicella zoster
|
$42.93 |
$42.93 |
$42.93 |
$66.00
|
|
Infect ag na hpv high-risk types
|
$113.42 |
$113.42 |
$113.42 |
$139.75
|
|
Infect ag na influenza r/amp 1st 2 types
|
$198.75 |
$198.75 |
$198.75 |
$227.96
|
|
Infect ag na resp virus 12-25 targets
|
$448.91 |
$448.91 |
$448.91 |
$859.44
|
|
Infect ag phenotype na hiv-1 1-10 drugs
|
$536.36 |
$536.36 |
$536.36 |
$714.67
|
|
Infect ag phenotype na hiv-1 ea addl drg
|
$122.43 |
$122.43 |
$122.43 |
$77.00
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$78.44 |
$78.44 |
$78.44 |
$81.44
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$42.40 |
$42.40 |
$42.40 |
$80.05
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$42.40 |
$42.40 |
$42.40 |
$77.28
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$74.20 |
$74.20 |
$74.20 |
$83.50
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$44.52 |
$44.52 |
$44.52 |
$77.72
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$34.45 |
$34.45 |
$34.45 |
$55.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$64.66 |
$64.66 |
$64.66 |
$101.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$71.55 |
$71.55 |
$71.55 |
$132.60
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$56.18 |
$56.18 |
$56.18 |
$97.50
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$45.58 |
$45.58 |
$45.58 |
$60.00
|
|
Infectious agent nucleic acid amplified probe
|
$143.10 |
$143.10 |
$143.10 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$113.42 |
$113.42 |
$113.42 |
$141.48
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$109.71 |
$109.71 |
$109.71 |
$174.06
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$776.45 |
$776.45 |
$776.45 |
$855.45
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$126.67 |
$126.67 |
$126.67 |
$178.00
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$109.71 |
$109.71 |
$109.71 |
$150.15
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$152.11 |
$152.11 |
$152.11 |
$210.00
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$113.42 |
$113.42 |
$113.42 |
$136.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$109.18 |
$109.18 |
$109.18 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$222.60 |
$222.60 |
$222.60 |
$222.60
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$143.10 |
$143.10 |
$143.10 |
$98.15
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$143.10 |
$143.10 |
$143.10 |
$112.45
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$289.91 |
$289.91 |
$289.91 |
$283.20
|
|
Infectious agent nucleic acid quantification bk virus
|
$197.69 |
$197.69 |
$197.69 |
$285.66
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$136.21 |
$136.21 |
$136.21 |
$226.35
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$190.80 |
$190.80 |
$190.80 |
$278.78
|
|
Infectious agent nucleic acid quantification hiv-1
|
$297.33 |
$297.33 |
$297.33 |
$381.55
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$233.20 |
$233.20 |
$233.20 |
$298.35
|
|
Initiation & management bipap/cpap initial day
|
$213.06 |
$213.06 |
$213.06 |
$645.79
|
|
Inj cntr knee arthro incl ct/mri
|
$464.28 |
$464.28 |
$464.28 |
$464.28
|
|
Inj dx for sinogram
|
$311.64 |
$311.64 |
$311.64 |
$436.00
|
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
|
$1,724.09 |
$1,724.09 |
$1,724.09 |
$1,214.78
|
|
Injection during cath supravalvular aortography
|
$495.55 |
$495.55 |
$495.55 |
$1,148.80
|
|
Injection epidural blood patch or clot
|
$756.31 |
$756.31 |
$756.31 |
$1,473.12
|
|
Injection for bladder x-ray
|
$456.33 |
$456.33 |
$456.33 |
$585.00
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$341.32 |
$341.32 |
$341.32 |
$504.00
|
|
Injection into brain canal
|
$657.20 |
$657.20 |
$657.20 |
$933.60
|
|
Injection of sinus tract
|
$1,015.48 |
$1,015.48 |
$1,015.48 |
$1,651.20
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$1,596.89 |
$1,596.89 |
$1,596.89 |
$1,471.50
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$655.08 |
$655.08 |
$655.08 |
$1,017.28
|
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
|
$930.68 |
$930.68 |
$930.68 |
$2,251.00
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
|
$663.56 |
$663.56 |
$663.56 |
$1,131.41
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
|
$1,423.05 |
$1,423.05 |
$1,423.05 |
$1,961.05
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
|
$643.42 |
$643.42 |
$643.42 |
$1,119.88
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
|
$1,453.79 |
$1,453.79 |
$1,453.79 |
$2,154.68
|
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
|
$1,487.71 |
$1,487.71 |
$1,487.71 |
$1,829.28
|
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
|
$1,053.64 |
$1,053.64 |
$1,053.64 |
$1,758.12
|
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
|
$657.20 |
$657.20 |
$657.20 |
$472.76
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$260.23 |
$260.23 |
$260.23 |
$552.60
|
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
|
$384.25 |
$384.25 |
$384.25 |
$670.00
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$148.93 |
$148.93 |
$148.93 |
$168.05
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$109.18 |
$109.18 |
$109.18 |
$154.05
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$395.91 |
$395.91 |
$395.91 |
$271.65
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$342.38 |
$342.38 |
$342.38 |
$141.60
|