|
Hla class i phenotype qual
|
$152.11 |
$152.11 |
$152.11 |
$397.20
|
|
Hla i & ii type verify lr
|
$1,407.03 |
$1,407.03 |
$1,407.03 |
$742.50
|
|
Hla i & ii typing hr
|
$1,201.88 |
$1,201.88 |
$1,201.88 |
$804.00
|
|
Hla i & ii typing lr
|
$1,398.91 |
$1,398.91 |
$1,398.91 |
$1,407.51
|
|
Hla ii typing 1 loc hr
|
$431.15 |
$431.15 |
$431.15 |
$299.20
|
|
Hla i low res one antigen equiv ea
|
$258.46 |
$258.46 |
$258.46 |
$164.00
|
|
Hla i typing 1 locus hr
|
$616.59 |
$616.59 |
$616.59 |
$439.20
|
|
Hla i typing complete hr
|
$1,167.11 |
$1,167.11 |
$1,167.11 |
$607.86
|
|
Hla i typing complete lr
|
$1,403.55 |
$1,403.55 |
$1,403.55 |
$720.00
|
|
Hla i typing high res 1 allele grp ea
|
$591.09 |
$591.09 |
$591.09 |
$304.20
|
|
Hla i typing low res one locus ea
|
$443.90 |
$443.90 |
$443.90 |
$340.00
|
|
Hla x-math non-cytotoxic
|
$174.37 |
$174.37 |
$174.37 |
$364.80
|
|
Homocysteine
|
$32.54 |
$32.54 |
$32.54 |
$125.40
|
|
Homogenization tissue
|
$10.08 |
$10.08 |
$10.08 |
$41.30
|
|
Homovanillic acid (hva)
|
$38.15 |
$38.15 |
$38.15 |
$59.95
|
|
Hpv types 16 & 18 only
|
$68.32 |
$68.32 |
$68.32 |
$112.00
|
|
Human epididymis protein 4 (he4)
|
$51.41 |
$51.41 |
$51.41 |
$157.32
|
|
Hysterosalpingography s&i
|
$669.12 |
$669.12 |
$669.12 |
$669.12
|
|
Iaadi respiratory synctial virus
|
$33.60 |
$33.60 |
$33.60 |
$54.58
|
|
Iadna legionella pneumophila amplified probe tq
|
$59.36 |
$59.36 |
$59.36 |
$109.80
|
|
Ia nfct ab sarscov2 covid19
|
$72.08 |
$72.08 |
$72.08 |
$62.49
|
|
Icd cobalt xt dr MRI is1 df1
|
$88,718.72 |
$88,718.72 |
$88,718.72 |
$34,093.09
|
|
Icd crtd cobalt hf MRI is1 df1
|
$67,454.20 |
$67,454.20 |
$67,454.20 |
$39,070.50
|
|
Icd crtp serena MRI
|
$29,574.71 |
$29,574.71 |
$29,574.71 |
$14,360.25
|
|
Icd reliance df4 ib 64cm
|
$18,069.70 |
$18,069.70 |
$18,069.70 |
$9,264.83
|
|
I&d intramural/intramuscular/submuc abscess transanal anes
|
$538.35 |
$538.35 |
$538.35 |
$3,245.23
|
|
Ifnl3 gene
|
$256.14 |
$256.14 |
$256.14 |
$147.20
|
|
Igh gene rearrange amp meth
|
$688.45 |
$688.45 |
$688.45 |
$464.25
|
|
Igh@ var region somatic mutation analy
|
$1,024.56 |
$1,024.56 |
$1,024.56 |
$660.80
|
|
Igk rearrangeabn clonal pop
|
$601.52 |
$601.52 |
$601.52 |
$399.36
|
|
Ihc/icc per specimen each additional single antibody stain
|
$93.41 |
$93.41 |
$93.41 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$453.39 |
$453.39 |
$453.39 |
$331.20
|
|
Ihc/icc per specimen initial single antibody stain
|
$217.17 |
$217.17 |
$217.17 |
$277.90
|
|
Immune complex assay
|
$39.22 |
$39.22 |
$39.22 |
$101.60
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$144.51 |
$144.51 |
$144.51 |
$6,106.32
|
|
Immunoassay tumor antigen quantitative ca 125
|
$33.39 |
$33.39 |
$33.39 |
$132.00
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$33.39 |
$33.39 |
$33.39 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$19.08 |
$19.08 |
$19.08 |
$48.57
|
|
Immunodiffusion nes
|
$29.15 |
$29.15 |
$29.15 |
$53.76
|
|
Immunofixation electrophoresis serum
|
$75.26 |
$75.26 |
$75.26 |
$142.50
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$112.46 |
$112.46 |
$112.46 |
$154.05
|
|
Immunofluorescence per specimen initial single antibody stain
|
$217.17 |
$217.17 |
$217.17 |
$234.27
|
|
Immunoglobulin assay
|
$125.08 |
$125.08 |
$125.08 |
$78.00
|
|
Implant cartilage 10mm synthetic
|
$53,000.20 |
$53,000.20 |
$53,000.20 |
$8,332.51
|
|
Implant ureth bulk agent
|
$1,692.90 |
$1,692.90 |
$1,692.90 |
$2,168.00
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$145.07 |
$145.07 |
$145.07 |
$2,086.70
|
|
Incision of anal sphincter
|
$195.94 |
$195.94 |
$195.94 |
$3,245.23
|
|
Incision of breast lesion
|
$816.27 |
$816.27 |
$816.27 |
$2,577.85
|
|
Incision of rectal abscess
|
$591.58 |
$591.58 |
$591.58 |
$3,245.23
|
|
Incision tendon sheath
|
$353.25 |
$353.25 |
$353.25 |
$3,073.20
|
|
Infect ag drug suscept pheno predict
|
$219.52 |
$219.52 |
$219.52 |
$325.00
|
|
Infect ag genotype na cytomegalovirus
|
$432.88 |
$432.88 |
$432.88 |
$665.40
|
|
Infect ag genotype na dna hepatitis b
|
$432.88 |
$432.88 |
$432.88 |
$409.27
|
|
Infect ag genotype na hiv-1 other region
|
$216.72 |
$216.72 |
$216.72 |
$361.65
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$432.88 |
$432.88 |
$432.88 |
$603.83
|
|
Infect ag ia optc obs influenza
|
$28.00 |
$28.00 |
$28.00 |
$72.93
|
|
Infect ag if ea plyvlnt antsrm
|
$33.60 |
$33.60 |
$33.60 |
$68.40
|
|
Infect ag if influenza a
|
$33.60 |
$33.60 |
$33.60 |
$41.30
|
|
Infect ag if influenza b
|
$33.60 |
$33.60 |
$33.60 |
$37.95
|
|
Infect ag if legionella pneumophila
|
$26.32 |
$26.32 |
$26.32 |
$73.45
|
|
Infect ag if pneumocystis carinii
|
$42.56 |
$42.56 |
$42.56 |
$66.06
|
|
Infect ag if varicella zoster
|
$33.60 |
$33.60 |
$33.60 |
$72.00
|
|
Infect ag na hep b amp
|
$75.60 |
$75.60 |
$75.60 |
$120.50
|
|
Infect ag na herpes simplex quant
|
$72.24 |
$72.24 |
$72.24 |
$178.86
|
|
Infect ag na hpv high-risk types
|
$59.36 |
$59.36 |
$59.36 |
$139.20
|
|
Infect ag na influenza r/amp 1st 2 types
|
$161.28 |
$161.28 |
$161.28 |
$219.70
|
|
Infect ag na orthopoxvirus amp prb each
|
$86.24 |
$86.24 |
$86.24 |
$100.00
|
|
Infect ag na resp virus 12-25 targets
|
$700.56 |
$700.56 |
$700.56 |
$854.70
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$33.60 |
$33.60 |
$33.60 |
$83.60
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$36.96 |
$36.96 |
$36.96 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$41.44 |
$41.44 |
$41.44 |
$103.40
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$129.36 |
$129.36 |
$129.36 |
$81.20
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$47.60 |
$47.60 |
$47.60 |
$60.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$48.72 |
$48.72 |
$48.72 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$87.92 |
$87.92 |
$87.92 |
$129.00
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$20.16 |
$20.16 |
$20.16 |
$98.58
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$35.84 |
$35.84 |
$35.84 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$235.76 |
$235.76 |
$235.76 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$64.40 |
$64.40 |
$64.40 |
$141.95
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$62.72 |
$62.72 |
$62.72 |
$167.05
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$700.56 |
$700.56 |
$700.56 |
$864.67
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$59.36 |
$59.36 |
$59.36 |
$181.35
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$59.36 |
$59.36 |
$59.36 |
$149.13
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$70.56 |
$70.56 |
$70.56 |
$212.16
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$59.36 |
$59.36 |
$59.36 |
$137.67
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$86.24 |
$86.24 |
$86.24 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$53.76 |
$53.76 |
$53.76 |
$206.00
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$59.36 |
$59.36 |
$59.36 |
$96.00
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$62.16 |
$62.16 |
$62.16 |
$112.45
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$700.56 |
$700.56 |
$700.56 |
$727.50
|
|
Infectious agent nucleic acid quantification bk virus
|
$154.00 |
$154.00 |
$154.00 |
$283.00
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$72.24 |
$72.24 |
$72.24 |
$242.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$82.32 |
$82.32 |
$82.32 |
$253.00
|
|
Infectious agent nucleic acid quantification hiv-1
|
$143.36 |
$143.36 |
$143.36 |
$375.00
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$239.68 |
$239.68 |
$239.68 |
$304.20
|
|
Injection arthrography hip without anesthesia (both sides)
|
$228.77 |
$228.77 |
$228.77 |
$503.50
|
|
Injection epidural blood patch or clot
|
$536.12 |
$536.12 |
$536.12 |
$1,182.33
|
|
Injection for arthrography wrist (both sides)
|
$248.46 |
$248.46 |
$248.46 |
$436.00
|
|
Injection for bladder x-ray
|
$268.66 |
$268.66 |
$268.66 |
$459.20
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$257.55 |
$257.55 |
$257.55 |
$497.76
|