|
Hip and Pelvis X-ray (3 to 4 views, both hips)
|
$91.99 |
$91.99 |
$91.99 |
$424.80
|
|
Hip and Pelvis X-ray (single view, left side)
|
$63.68 |
$63.68 |
$63.68 |
$233.50
|
|
Hip X-ray
|
$77.35 |
$77.35 |
$77.35 |
$294.75
|
|
Histamine
|
$13.44 |
$13.44 |
$13.44 |
$115.00
|
|
Histochemical stains add-on
|
$76.21 |
$76.21 |
$76.21 |
$152.75
|
|
Hla class i high defin qual
|
$177.88 |
$177.88 |
$177.88 |
$631.15
|
|
Hla class ii high defin qual
|
$178.97 |
$178.97 |
$178.97 |
$569.25
|
|
Hla class i&ii antibody qual
|
$35.32 |
$35.32 |
$35.32 |
$255.00
|
|
Hla class ii phenotype qual
|
$45.02 |
$45.02 |
$45.02 |
$313.60
|
|
Hla class i phenotype qual
|
$52.52 |
$52.52 |
$52.52 |
$397.20
|
|
Hla i & ii type verify lr
|
$442.42 |
$442.42 |
$442.42 |
$742.50
|
|
Hla i & ii typing hr
|
$235.40 |
$235.40 |
$235.40 |
$804.00
|
|
Hla i & ii typing lr
|
$439.93 |
$439.93 |
$439.93 |
$1,407.51
|
|
Hla ii typing 1 loc hr
|
$135.29 |
$135.29 |
$135.29 |
$299.20
|
|
Hla i low res one antigen equiv ea
|
$81.49 |
$81.49 |
$81.49 |
$164.00
|
|
Hla i typing 1 locus hr
|
$120.76 |
$120.76 |
$120.76 |
$439.20
|
|
Hla i typing complete hr
|
$228.59 |
$228.59 |
$228.59 |
$607.86
|
|
Hla i typing complete lr
|
$441.52 |
$441.52 |
$441.52 |
$720.00
|
|
Hla i typing high res 1 allele grp ea
|
$185.91 |
$185.91 |
$185.91 |
$304.20
|
|
Hla i typing low res one locus ea
|
$139.38 |
$139.38 |
$139.38 |
$340.00
|
|
Hla x-math non-cytotoxic
|
$60.21 |
$60.21 |
$60.21 |
$364.80
|
|
Homocysteine
|
$8.76 |
$8.76 |
$8.76 |
$125.40
|
|
Homogenization tissue
|
$3.28 |
$3.28 |
$3.28 |
$41.30
|
|
Homovanillic acid (hva)
|
$10.27 |
$10.27 |
$10.27 |
$59.95
|
|
Hpv types 16 & 18 only
|
$22.20 |
$22.20 |
$22.20 |
$112.00
|
|
Human epididymis protein 4 (he4)
|
$17.75 |
$17.75 |
$17.75 |
$157.32
|
|
Hysterosalpingography s&i
|
$167.87 |
$167.87 |
$167.87 |
$669.12
|
|
I-123 iobenguane diag
|
$1,135.06 |
$1,135.06 |
$1,135.06 |
$5,170.70
|
|
I-123 ioflupane diag
|
$1,037.40 |
$1,037.40 |
$1,037.40 |
$4,158.00
|
|
I-123 sod iodide diag per 100 uci
|
$30.59 |
$30.59 |
$30.59 |
$147.46
|
|
I131 iodide cap, rx
|
$30.87 |
$30.87 |
$30.87 |
$71.70
|
|
Iaadi respiratory synctial virus
|
$10.92 |
$10.92 |
$10.92 |
$54.58
|
|
Iadna legionella pneumophila amplified probe tq
|
$19.29 |
$19.29 |
$19.29 |
$109.80
|
|
Ia nfct ab sarscov2 covid19
|
$24.89 |
$24.89 |
$24.89 |
$62.49
|
|
Icd cobalt xt dr MRI is1 df1
|
$36,530.31 |
$36,530.31 |
$36,530.31 |
$34,093.09
|
|
Icd crtd cobalt hf MRI is1 df1
|
$30,170.42 |
$30,170.42 |
$30,170.42 |
$39,070.50
|
|
Icd crtp serena MRI
|
$12,177.51 |
$12,177.51 |
$12,177.51 |
$14,360.25
|
|
Icd reliance df4 ib 64cm
|
$8,082.08 |
$8,082.08 |
$8,082.08 |
$9,264.83
|
|
Ifnl3 gene
|
$50.17 |
$50.17 |
$50.17 |
$147.20
|
|
Igh gene rearrange amp meth
|
$216.56 |
$216.56 |
$216.56 |
$464.25
|
|
Igh@ var region somatic mutation analy
|
$322.11 |
$322.11 |
$322.11 |
$660.80
|
|
Igk rearrangeabn clonal pop
|
$189.09 |
$189.09 |
$189.09 |
$399.36
|
|
Ihc/icc per specimen each additional single antibody stain
|
$59.35 |
$59.35 |
$59.35 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$166.88 |
$166.88 |
$166.88 |
$331.20
|
|
Ihc/icc per specimen initial single antibody stain
|
$79.94 |
$79.94 |
$79.94 |
$277.90
|
|
Iliac/fem angio cath insert
|
$545.49 |
$545.49 |
$545.49 |
$1,856.01
|
|
Iliac revasc add-on 37222
|
$2,907.92 |
$2,907.92 |
$2,907.92 |
$6,082.65
|
|
Immune complex assay
|
$13.54 |
$13.54 |
$13.54 |
$101.60
|
|
Immunoassay tumor antigen quantitative ca 125
|
$11.53 |
$11.53 |
$11.53 |
$132.00
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$11.53 |
$11.53 |
$11.53 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$6.59 |
$6.59 |
$6.59 |
$48.57
|
|
Immunodiffusion nes
|
$10.06 |
$10.06 |
$10.06 |
$53.76
|
|
Immunofixation electrophoresis serum
|
$25.99 |
$25.99 |
$25.99 |
$142.50
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$87.60 |
$87.60 |
$87.60 |
$154.05
|
|
Immunofluorescence per specimen initial single antibody stain
|
$115.19 |
$115.19 |
$115.19 |
$234.27
|
|
Immunoglobulin assay
|
$43.19 |
$43.19 |
$43.19 |
$78.00
|
|
Implant cartilage 10mm synthetic
|
$44,177.66 |
$44,177.66 |
$44,177.66 |
$8,332.51
|
|
Implant cochlear osia osi300
|
$8,620.82 |
$8,620.82 |
$8,620.82 |
$16,195.55
|
|
Implant spine infusion pump
|
$3,631.00 |
$3,631.00 |
$3,631.00 |
$17,270.40
|
|
Implant ureth bulk agent
|
$757.19 |
$757.19 |
$757.19 |
$2,168.00
|
|
Impl neurostim electr perc
|
$2,914.28 |
$2,914.28 |
$2,914.28 |
$7,672.50
|
|
Implnt bio implnt for soft tiss reinforcement 15777
|
$428.88 |
$428.88 |
$428.88 |
$1,072.00
|
|
Implnt spinl canal catheter 62350
|
$3,721.16 |
$3,721.16 |
$3,721.16 |
$5,095.20
|
|
In-111 autol wbc diag per dose
|
$600.21 |
$600.21 |
$600.21 |
$3,493.75
|
|
In-111 oxyquinolin per 0.5 mci
|
$361.57 |
$361.57 |
$361.57 |
$2,753.23
|
|
In-111 pentetate dtpa / 0.5 mci
|
$176.13 |
$176.13 |
$176.13 |
$2,598.17
|
|
In-111 pentetreotide
|
$1,512.40 |
$1,512.40 |
$1,512.40 |
$5,294.90
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$671.92 |
$671.92 |
$671.92 |
$2,086.70
|
|
Infect ag drug suscept pheno predict
|
$71.34 |
$71.34 |
$71.34 |
$325.00
|
|
Infect ag genotype na cytomegalovirus
|
$140.69 |
$140.69 |
$140.69 |
$665.40
|
|
Infect ag genotype na dna hepatitis b
|
$140.69 |
$140.69 |
$140.69 |
$409.27
|
|
Infect ag genotype na hiv-1 other region
|
$70.43 |
$70.43 |
$70.43 |
$361.65
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$140.69 |
$140.69 |
$140.69 |
$603.83
|
|
Infect ag ia optc obs influenza
|
$9.10 |
$9.10 |
$9.10 |
$72.93
|
|
Infect ag if ea plyvlnt antsrm
|
$10.92 |
$10.92 |
$10.92 |
$68.40
|
|
Infect ag if influenza a
|
$10.92 |
$10.92 |
$10.92 |
$41.30
|
|
Infect ag if influenza b
|
$10.92 |
$10.92 |
$10.92 |
$37.95
|
|
Infect ag if legionella pneumophila
|
$8.55 |
$8.55 |
$8.55 |
$73.45
|
|
Infect ag if pneumocystis carinii
|
$13.83 |
$13.83 |
$13.83 |
$66.06
|
|
Infect ag if varicella zoster
|
$10.92 |
$10.92 |
$10.92 |
$72.00
|
|
Infect ag na hep b amp
|
$24.57 |
$24.57 |
$24.57 |
$120.50
|
|
Infect ag na herpes simplex quant
|
$23.48 |
$23.48 |
$23.48 |
$178.86
|
|
Infect ag na hpv high-risk types
|
$19.29 |
$19.29 |
$19.29 |
$139.20
|
|
Infect ag na influenza r/amp 1st 2 types
|
$52.42 |
$52.42 |
$52.42 |
$219.70
|
|
Infect ag na orthopoxvirus amp prb each
|
$54.42 |
$54.42 |
$54.42 |
$100.00
|
|
Infect ag na resp virus 12-25 targets
|
$227.68 |
$227.68 |
$227.68 |
$854.70
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$10.92 |
$10.92 |
$10.92 |
$83.60
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$12.01 |
$12.01 |
$12.01 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$13.47 |
$13.47 |
$13.47 |
$103.40
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$42.04 |
$42.04 |
$42.04 |
$81.20
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$15.47 |
$15.47 |
$15.47 |
$60.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$15.83 |
$15.83 |
$15.83 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$28.57 |
$28.57 |
$28.57 |
$129.00
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$6.55 |
$6.55 |
$6.55 |
$98.58
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$11.65 |
$11.65 |
$11.65 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$76.62 |
$76.62 |
$76.62 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$20.93 |
$20.93 |
$20.93 |
$141.95
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$20.38 |
$20.38 |
$20.38 |
$167.05
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$227.68 |
$227.68 |
$227.68 |
$864.67
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$19.29 |
$19.29 |
$19.29 |
$181.35
|
