|
Hla ii typing 1 loc hr
|
$235.10 |
$235.10 |
$235.10 |
$299.20
|
|
Hla i low res one antigen equiv ea
|
$140.94 |
$140.94 |
$140.94 |
$164.00
|
|
Hla i typing low res one locus ea
|
$242.06 |
$242.06 |
$242.06 |
$340.00
|
|
Hla typing dr/dq
|
$67.25 |
$67.25 |
$67.25 |
$135.20
|
|
Hocm 350-399mg/ml iodine,1ml
|
$0.48 |
$0.48 |
$0.48 |
$79.78
|
|
Homocysteine
|
$35.73 |
$35.73 |
$35.73 |
$125.40
|
|
Homogenization tissue
|
$34.74 |
$34.74 |
$34.74 |
$41.30
|
|
Homovanillic acid (hva)
|
$41.89 |
$41.89 |
$41.89 |
$59.95
|
|
H pylori (c-13) breath
|
$125.05 |
$125.05 |
$125.05 |
$212.25
|
|
Hrdtry perph neurphy panel
|
$1,109.16 |
$1,109.16 |
$1,109.16 |
$1,569.60
|
|
Htt gene detc abnor alleles
|
$259.75 |
$259.75 |
$259.75 |
$250.50
|
|
Human epididymis protein 4 (he4)
|
$71.68 |
$71.68 |
$71.68 |
$157.32
|
|
Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge
|
$22.07 |
$22.07 |
$22.07 |
$294.92
|
|
Hysterosalpingography s&i
|
$351.26 |
$351.26 |
$351.26 |
$669.12
|
|
I-123 sod iodide diag per 100 uci
|
$143.02 |
$143.02 |
$143.02 |
$147.46
|
|
I131 iodide cap, rx
|
$34.96 |
$34.96 |
$34.96 |
$71.70
|
|
Iaadi respiratory synctial virus
|
$40.08 |
$40.08 |
$40.08 |
$54.58
|
|
Iadna legionella pneumophila amplified probe tq
|
$70.81 |
$70.81 |
$70.81 |
$109.80
|
|
Ia nfct ab sarscov2 covid19
|
$100.50 |
$100.50 |
$100.50 |
$62.49
|
|
Icd cobalt xt dr MRI is1 df1
|
$91,876.36 |
$91,876.36 |
$91,876.36 |
$34,093.09
|
|
Icd crtd cobalt hf MRI is1 df1
|
$65,614.54 |
$65,614.54 |
$65,614.54 |
$39,070.50
|
|
Icd crtp serena MRI
|
$30,627.32 |
$30,627.32 |
$30,627.32 |
$14,360.25
|
|
Icd reliance df4 ib 64cm
|
$17,576.89 |
$17,576.89 |
$17,576.89 |
$9,264.83
|
|
Ifnl3 gene
|
$139.67 |
$139.67 |
$139.67 |
$147.20
|
|
Igh gene rearrange amp meth
|
$375.41 |
$375.41 |
$375.41 |
$464.25
|
|
Igh@ var region somatic mutation analy
|
$558.69 |
$558.69 |
$558.69 |
$660.80
|
|
Igk rearrangeabn clonal pop
|
$328.01 |
$328.01 |
$328.01 |
$399.36
|
|
Ihc/icc per specimen each additional single antibody stain
|
$84.39 |
$84.39 |
$84.39 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$442.29 |
$442.29 |
$442.29 |
$331.20
|
|
Ihc/icc per specimen initial single antibody stain
|
$211.90 |
$211.90 |
$211.90 |
$277.90
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$14.98 |
$14.98 |
$14.98 |
$6,106.32
|
|
Immunoassay tumor antigen quantitative ca 125
|
$46.56 |
$46.56 |
$46.56 |
$132.00
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$46.56 |
$46.56 |
$46.56 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$41.38 |
$41.38 |
$41.38 |
$48.57
|
|
Immunodiffusion nes
|
$40.64 |
$40.64 |
$40.64 |
$53.76
|
|
Immunofixation electrophoresis serum
|
$104.94 |
$104.94 |
$104.94 |
$142.50
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$116.42 |
$116.42 |
$116.42 |
$154.05
|
|
Immunofluorescence per specimen initial single antibody stain
|
$211.90 |
$211.90 |
$211.90 |
$234.27
|
|
Immunoglobulin assay
|
$174.40 |
$174.40 |
$174.40 |
$78.00
|
|
Implant cartilage 10mm synthetic
|
$51,554.74 |
$51,554.74 |
$51,554.74 |
$8,332.51
|
|
Implant ureth bulk agent
|
$1,646.73 |
$1,646.73 |
$1,646.73 |
$2,168.00
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$272.63 |
$272.63 |
$272.63 |
$2,086.70
|
|
Infect ag drug suscept pheno predict
|
$261.86 |
$261.86 |
$261.86 |
$325.00
|
|
Infect ag eia influenza a or b ea
|
$28.72 |
$28.72 |
$28.72 |
$71.20
|
|
Infect ag genotype na cytomegalovirus
|
$516.36 |
$516.36 |
$516.36 |
$665.40
|
|
Infect ag genotype na hiv-1 other region
|
$258.52 |
$258.52 |
$258.52 |
$361.65
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$516.36 |
$516.36 |
$516.36 |
$603.83
|
|
Infect ag ia optc obs influenza
|
$33.40 |
$33.40 |
$33.40 |
$72.93
|
|
Infect ag if ea plyvlnt antsrm
|
$40.08 |
$40.08 |
$40.08 |
$68.40
|
|
Infect ag if influenza a
|
$40.08 |
$40.08 |
$40.08 |
$41.30
|
|
Infect ag if influenza b
|
$40.08 |
$40.08 |
$40.08 |
$37.95
|
|
Infect ag if pneumocystis carinii
|
$50.77 |
$50.77 |
$50.77 |
$66.06
|
|
Infect ag if varicella zoster
|
$40.08 |
$40.08 |
$40.08 |
$72.00
|
|
Infect ag na hep b amp
|
$90.18 |
$90.18 |
$90.18 |
$120.50
|
|
Infect ag na hpv high-risk types
|
$70.81 |
$70.81 |
$70.81 |
$139.20
|
|
Infect ag na influenza r/amp 1st 2 types
|
$192.38 |
$192.38 |
$192.38 |
$219.70
|
|
Infect ag na orthopoxvirus amp prb each
|
$102.87 |
$102.87 |
$102.87 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$40.08 |
$40.08 |
$40.08 |
$83.60
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$28.06 |
$28.06 |
$28.06 |
$76.00
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$44.09 |
$44.09 |
$44.09 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$50.10 |
$50.10 |
$50.10 |
$103.40
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$154.31 |
$154.31 |
$154.31 |
$81.20
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$56.78 |
$56.78 |
$56.78 |
$60.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$58.12 |
$58.12 |
$58.12 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$104.88 |
$104.88 |
$104.88 |
$129.00
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$24.05 |
$24.05 |
$24.05 |
$98.58
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$42.75 |
$42.75 |
$42.75 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$281.23 |
$281.23 |
$281.23 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$76.82 |
$76.82 |
$76.82 |
$141.95
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$74.82 |
$74.82 |
$74.82 |
$167.05
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$835.67 |
$835.67 |
$835.67 |
$864.67
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$70.81 |
$70.81 |
$70.81 |
$181.35
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$70.81 |
$70.81 |
$70.81 |
$149.13
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$84.17 |
$84.17 |
$84.17 |
$212.16
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$70.81 |
$70.81 |
$70.81 |
$137.67
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$102.87 |
$102.87 |
$102.87 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$64.13 |
$64.13 |
$64.13 |
$206.00
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$70.81 |
$70.81 |
$70.81 |
$96.00
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$74.15 |
$74.15 |
$74.15 |
$112.45
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$835.67 |
$835.67 |
$835.67 |
$727.50
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$257.18 |
$257.18 |
$257.18 |
$289.91
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$527.05 |
$527.05 |
$527.05 |
$432.63
|
|
Infectious agent nucleic acid quantification bk virus
|
$183.70 |
$183.70 |
$183.70 |
$283.00
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$86.17 |
$86.17 |
$86.17 |
$242.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$98.20 |
$98.20 |
$98.20 |
$253.00
|
|
Infectious agent nucleic acid quantification hiv-1
|
$171.01 |
$171.01 |
$171.01 |
$375.00
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$285.90 |
$285.90 |
$285.90 |
$304.20
|
|
Inj cntr knee arthro incl ct/mri
|
$174.41 |
$174.41 |
$174.41 |
$436.80
|
|
Inj, durolane 1 mg
|
$7.70 |
$7.70 |
$7.70 |
$1,950.93
|
|
Inj dx for sinogram
|
$173.00 |
$173.00 |
$173.00 |
$436.00
|
|
Injection arthrography hip without anesthesia (both sides)
|
$265.88 |
$265.88 |
$265.88 |
$503.50
|
|
Injection epidural blood patch or clot
|
$682.77 |
$682.77 |
$682.77 |
$1,182.33
|
|
Injection for arthrography wrist (both sides)
|
$343.86 |
$343.86 |
$343.86 |
$436.00
|
|
Injection for bladder x-ray
|
$258.08 |
$258.08 |
$258.08 |
$459.20
|
|
Injection for hip x-ray
|
$274.38 |
$274.38 |
$274.38 |
$763.60
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$411.93 |
$411.93 |
$411.93 |
$497.76
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$213.89 |
$213.89 |
$213.89 |
$1,391.40
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$172.28 |
$172.28 |
$172.28 |
$1,043.72
|
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
|
$2,706.96 |
$2,706.96 |
$2,706.96 |
$2,040.36
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
|
$1,905.08 |
$1,905.08 |
$1,905.08 |
$1,043.20
|