|
Hip X-ray
|
$119.71 |
$119.71 |
$119.71 |
$292.05
|
|
Histamine
|
$18.60 |
$18.60 |
$18.60 |
$125.40
|
|
Histochemical stains add-on
|
$32.35 |
$32.35 |
$32.35 |
$169.65
|
|
Hla class i&ii antibody qual
|
$213.95 |
$213.95 |
$213.95 |
$207.60
|
|
Hla ii typing 1 loc hr
|
$271.26 |
$271.26 |
$271.26 |
$323.40
|
|
Hla i low res one antigen equiv ea
|
$45.85 |
$45.85 |
$45.85 |
$164.00
|
|
Hla i typing high res 1 allele grp ea
|
$59.35 |
$59.35 |
$59.35 |
$307.53
|
|
Hla typing a b or c
|
$117.17 |
$117.17 |
$117.17 |
$309.40
|
|
Hocm 350-399mg/ml iodine,1ml
|
$18.07 |
$18.07 |
$18.07 |
$79.78
|
|
Home/res vst est high mdm 60
|
$103.92 |
$103.92 |
$103.92 |
$338.40
|
|
Home/res vst est mod mdm 40
|
$67.25 |
$67.25 |
$67.25 |
$233.60
|
|
Home/res vst est sf mdm 20
|
$27.26 |
$27.26 |
$27.26 |
$98.40
|
|
Home/res vst new high mdm 75
|
$122.52 |
$122.52 |
$122.52 |
$398.40
|
|
Home/res vst new low mdm 30
|
$51.96 |
$51.96 |
$51.96 |
$145.60
|
|
Home/res vst new mod mdm 60
|
$99.34 |
$99.34 |
$99.34 |
$327.20
|
|
Home/res vst new sf mdm 15
|
$35.41 |
$35.41 |
$35.41 |
$98.40
|
|
Home sleep test/type 3 porta
|
$125.32 |
$125.32 |
$125.32 |
$641.76
|
|
Home visit est patient 99348
|
$43.56 |
$43.56 |
$43.56 |
$151.20
|
|
Homocysteine
|
$33.12 |
$33.12 |
$33.12 |
$113.10
|
|
Homogenization tissue
|
$12.99 |
$12.99 |
$12.99 |
$39.00
|
|
Homovanillic acid (hva)
|
$11.47 |
$11.47 |
$11.47 |
$56.00
|
|
Hopd mntl hlt, 15-29 min
|
$24.46 |
$24.46 |
$24.46 |
$64.50
|
|
Hopd mntl hlt, 30-60 min
|
$62.66 |
$62.66 |
$62.66 |
$152.25
|
|
H pylori (c-13) breath
|
$47.12 |
$47.12 |
$47.12 |
$219.05
|
|
Hrdtry perph neurphy panel
|
$1,098.53 |
$1,098.53 |
$1,098.53 |
$1,263.50
|
|
Hydration IV infusion each additional hour
|
$48.40 |
$48.40 |
$48.40 |
$134.53
|
|
Hydration IV infusion initial 31minutes - 1 hour
|
$152.06 |
$152.06 |
$152.06 |
$394.40
|
|
Hydrogel drsg gel filler
|
$27.72 |
$27.72 |
$27.72 |
$25.08
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$17.64 |
$17.64 |
$17.64 |
$136.93
|
|
Hysterosalpingography s&i
|
$260.05 |
$260.05 |
$260.05 |
$629.46
|
|
Iadna legionella pneumophila amplified probe tq
|
$11.47 |
$11.47 |
$11.47 |
$125.25
|
|
Ia infect ag ab qual/semiquant sgl step
|
$25.47 |
$25.47 |
$25.47 |
$48.57
|
|
Icd cobalt xt dr MRI is1 df1
|
$12,836.88 |
$12,836.88 |
$12,836.88 |
$33,717.60
|
|
Icd crtd cobalt hf MRI is1 df1
|
$18,934.40 |
$18,934.40 |
$18,934.40 |
$35,650.00
|
|
Icd crtp serena MRI
|
$9,092.79 |
$9,092.79 |
$9,092.79 |
$14,360.25
|
|
Icd reliance df4 ib 64cm
|
$2,875.06 |
$2,875.06 |
$2,875.06 |
$8,612.50
|
|
Ihc/icc per specimen each additional single antibody stain
|
$72.85 |
$72.85 |
$72.85 |
$191.75
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$72.85 |
$72.85 |
$72.85 |
$339.73
|
|
Ihc/icc per specimen initial single antibody stain
|
$36.43 |
$36.43 |
$36.43 |
$266.76
|
|
Immobilizer shldr dlx str 24-36in med
|
$16.05 |
$16.05 |
$16.05 |
$90.86
|
|
Immunoassay tumor antigen quantitative ca 125
|
$9.17 |
$9.17 |
$9.17 |
$123.50
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$6.63 |
$6.63 |
$6.63 |
$116.40
|
|
Immunodiffusion nes
|
$28.53 |
$28.53 |
$28.53 |
$53.76
|
|
Immunofixation electrophoresis serum
|
$43.81 |
$43.81 |
$43.81 |
$133.38
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$34.39 |
$34.39 |
$34.39 |
$156.00
|
|
Immunofluorescence per specimen initial single antibody stain
|
$57.31 |
$57.31 |
$57.31 |
$250.00
|
|
Immunoglobulin assay
|
$10.70 |
$10.70 |
$10.70 |
$74.00
|
|
Implant cartilage 10mm synthetic
|
$1,044.27 |
$1,044.27 |
$1,044.27 |
$11,811.60
|
|
Implant ureth bulk agent
|
$263.31 |
$263.31 |
$263.31 |
$2,003.82
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$1,190.73 |
$1,190.73 |
$1,190.73 |
$2,261.20
|
|
Infect ag drug suscept pheno predict
|
$106.98 |
$106.98 |
$106.98 |
$325.00
|
|
Infect ag genotype na hiv-1 other region
|
$106.98 |
$106.98 |
$106.98 |
$301.50
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$134.74 |
$134.74 |
$134.74 |
$574.60
|
|
Infect ag ia optc obs chlamydia trach
|
$18.09 |
$18.09 |
$18.09 |
$48.70
|
|
Infect ag ia optc obs influenza
|
$24.71 |
$24.71 |
$24.71 |
$66.72
|
|
Infect ag na influenza r/amp 1st 2 types
|
$88.64 |
$88.64 |
$88.64 |
$227.96
|
|
Infect ag na orthopoxvirus amp prb each
|
$64.95 |
$64.95 |
$64.95 |
$102.00
|
|
Infectious agent antigen immunoassay direct optical observation sars-cov-2
|
$41.78 |
$41.78 |
$41.78 |
$47.50
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$34.64 |
$34.64 |
$34.64 |
$81.44
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$15.29 |
$15.29 |
$15.29 |
$80.05
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$9.17 |
$9.17 |
$9.17 |
$77.28
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$12.99 |
$12.99 |
$12.99 |
$83.50
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$28.02 |
$28.02 |
$28.02 |
$77.72
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$23.69 |
$23.69 |
$23.69 |
$55.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$97.05 |
$97.05 |
$97.05 |
$132.60
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$12.74 |
$12.74 |
$12.74 |
$60.00
|
|
Infectious agent nucleic acid amplified probe
|
$198.67 |
$198.67 |
$198.67 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$104.18 |
$104.18 |
$104.18 |
$141.48
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$107.49 |
$107.49 |
$107.49 |
$174.06
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$218.54 |
$218.54 |
$218.54 |
$855.45
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$44.07 |
$44.07 |
$44.07 |
$178.00
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$110.80 |
$110.80 |
$110.80 |
$150.15
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$47.89 |
$47.89 |
$47.89 |
$210.00
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$69.03 |
$69.03 |
$69.03 |
$136.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$63.43 |
$63.43 |
$63.43 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$101.12 |
$101.12 |
$101.12 |
$248.15
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$11.47 |
$11.47 |
$11.47 |
$98.15
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$57.06 |
$57.06 |
$57.06 |
$112.45
|
|
Infectious agent nucleic acid quantification bk virus
|
$91.44 |
$91.44 |
$91.44 |
$285.66
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$86.60 |
$86.60 |
$86.60 |
$226.35
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$232.29 |
$232.29 |
$232.29 |
$278.78
|
|
Infectious agent nucleic acid quantification hiv-1
|
$55.02 |
$55.02 |
$55.02 |
$381.55
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$122.01 |
$122.01 |
$122.01 |
$298.35
|
|
Initial nursing facility care/day 35 minutes
|
$96.79 |
$96.79 |
$96.79 |
$231.42
|
|
Initial nursing facility care/day 45 minutes
|
$119.20 |
$119.20 |
$119.20 |
$322.20
|
|
Initial nursing facility care/day low severity 99304
|
$73.10 |
$73.10 |
$73.10 |
$162.40
|
|
Initiation & management bipap/cpap initial day
|
$239.68 |
$239.68 |
$239.68 |
$645.79
|
|
Init pm e/m new pat 65+ yrs
|
$77.18 |
$77.18 |
$77.18 |
$196.88
|
|
Inj, cefiderocol, 10 mg
|
$411.13 |
$411.13 |
$411.13 |
$596.08
|
|
Inj cntr knee arthro incl ct/mri
|
$141.62 |
$141.62 |
$141.62 |
$464.28
|
|
Inj crotalidae im f(ab')2 eq
|
$2,470.60 |
$2,470.60 |
$2,470.60 |
$2,735.85
|
|
Inj disk cerv-thor ea lev
|
$440.89 |
$440.89 |
$440.89 |
$869.80
|
|
Inj dx for sinogram
|
$195.11 |
$195.11 |
$195.11 |
$436.00
|
|
Inject for sacroiliac joint
|
$475.78 |
$475.78 |
$475.78 |
$932.51
|
|
Injection arthrography hip without anesthesia (both sides)
|
$177.28 |
$177.28 |
$177.28 |
$507.10
|
|
Injection epidural blood patch or clot
|
$584.03 |
$584.03 |
$584.03 |
$1,473.12
|
|
Injection for arthrography wrist (both sides)
|
$153.84 |
$153.84 |
$153.84 |
$441.12
|
|
Injection for bladder x-ray
|
$224.14 |
$224.14 |
$224.14 |
$585.00
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$166.32 |
$166.32 |
$166.32 |
$504.00
|
|
Injection for ureter x-ray
|
$108.51 |
$108.51 |
$108.51 |
$515.21
|