|
Homocysteine
|
$148.00 |
$148.00 |
$148.00 |
$113.10
|
|
Homogenization tissue
|
$26.51 |
$26.51 |
$26.51 |
$39.00
|
|
Homovanillic acid (hva)
|
$23.22 |
$23.22 |
$23.22 |
$56.00
|
|
Hpv types 16 & 18 only
|
$118.13 |
$118.13 |
$118.13 |
$93.60
|
|
H pylori (c-13) breath
|
$204.69 |
$204.69 |
$204.69 |
$219.05
|
|
H pylori drug admin
|
$20.63 |
$20.63 |
$20.63 |
$31.99
|
|
Human epididymis protein 4 (he4)
|
$267.04 |
$267.04 |
$267.04 |
$131.84
|
|
Hyaluronidase 150 unit/ml injection solution
|
$81.00 |
$81.00 |
$81.00 |
$152.81
|
|
Hydralazine 20 mg/ml injection solution
|
$59.07 |
$59.07 |
$59.07 |
$57.02
|
|
Hydration IV infusion each additional hour
|
$321.91 |
$321.91 |
$321.91 |
$134.53
|
|
Hydration IV infusion initial 31minutes - 1 hour
|
$965.64 |
$965.64 |
$965.64 |
$394.40
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$371.13 |
$371.13 |
$371.13 |
$112.22
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$100.28 |
$100.28 |
$100.28 |
$86.47
|
|
Hyoscyamine sulfate inj
|
$341.55 |
$341.55 |
$341.55 |
$215.75
|
|
Hysterosalpingography s&i
|
$1,386.85 |
$1,386.85 |
$1,386.85 |
$629.46
|
|
Iaadi respiratory synctial virus
|
$1.48 |
$1.48 |
$1.48 |
$42.48
|
|
Iadna legionella pneumophila amplified probe tq
|
$221.22 |
$221.22 |
$221.22 |
$125.25
|
|
Ibandronate 3 mg/3 ml intravenous syringe
|
$388.97 |
$388.97 |
$388.97 |
$839.85
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$373.40 |
$373.40 |
$373.40 |
$891.89
|
|
Igh@ var region somatic mutation analy
|
$1,022.84 |
$1,022.84 |
$1,022.84 |
$660.80
|
|
Ihc/icc per specimen each additional single antibody stain
|
$668.60 |
$668.60 |
$668.60 |
$191.75
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$393.99 |
$393.99 |
$393.99 |
$339.73
|
|
Ihc/icc per specimen initial single antibody stain
|
$583.25 |
$583.25 |
$583.25 |
$266.76
|
|
Iliac/fem angio cath insert
|
$949.48 |
$949.48 |
$949.48 |
$1,601.66
|
|
Iliac revasc add-on 37222
|
$19,357.44 |
$19,357.44 |
$19,357.44 |
$6,513.10
|
|
Immune complex assay
|
$84.64 |
$84.64 |
$84.64 |
$88.80
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$6,236.81 |
$6,236.81 |
$6,236.81 |
$5,617.36
|
|
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution
|
$15,952.25 |
$15,952.25 |
$15,952.25 |
$5,495.02
|
|
Immunoassay tumor antigen quantitative ca 125
|
$428.64 |
$428.64 |
$428.64 |
$123.50
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$428.64 |
$428.64 |
$428.64 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$76.11 |
$76.11 |
$76.11 |
$53.95
|
|
Immunofixation electrophoresis serum
|
$78.06 |
$78.06 |
$78.06 |
$133.38
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$138.92 |
$138.92 |
$138.92 |
$156.00
|
|
Immunofluorescence per specimen initial single antibody stain
|
$811.46 |
$811.46 |
$811.46 |
$250.00
|
|
Immunoglobulin assay
|
$74.00 |
$74.00 |
$74.00 |
$74.00
|
|
Implant single ventricular device 33975
|
$5,554.23 |
$5,554.23 |
$5,554.23 |
$5,053.23
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$3,108.62 |
$3,108.62 |
$3,108.62 |
$2,261.20
|
|
Infect ag drug suscept pheno predict
|
$452.69 |
$452.69 |
$452.69 |
$325.00
|
|
Infect ag genotype na dna hepatitis b
|
$879.62 |
$879.62 |
$879.62 |
$500.40
|
|
Infect ag genotype na hiv-1 other region
|
$434.55 |
$434.55 |
$434.55 |
$301.50
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$538.63 |
$538.63 |
$538.63 |
$574.60
|
|
Infect ag ia direct hiv-1 antgn
|
$203.99 |
$203.99 |
$203.99 |
$95.55
|
|
Infect ag if influenza a
|
$37.23 |
$37.23 |
$37.23 |
$40.61
|
|
Infect ag if influenza b
|
$37.23 |
$37.23 |
$37.23 |
$34.67
|
|
Infect ag if nos ea
|
$46.59 |
$46.59 |
$46.59 |
$60.40
|
|
Infect ag if pneumocystis carinii
|
$153.96 |
$153.96 |
$153.96 |
$62.29
|
|
Infect ag na herpes simplex quant
|
$983.91 |
$983.91 |
$983.91 |
$145.20
|
|
Infect ag na hpv high-risk types
|
$180.78 |
$180.78 |
$180.78 |
$139.75
|
|
Infect ag na influenza r/amp 1st 2 types
|
$510.92 |
$510.92 |
$510.92 |
$227.96
|
|
Infect ag na orthopoxvirus amp prb each
|
$296.99 |
$296.99 |
$296.99 |
$102.00
|
|
Infect ag na resp virus 12-25 targets
|
$2,011.17 |
$2,011.17 |
$2,011.17 |
$859.44
|
|
Infect ag phenotype na hiv-1 1-10 drugs
|
$907.05 |
$907.05 |
$907.05 |
$714.67
|
|
Infect ag phenotype na hiv-1 ea addl drg
|
$48.46 |
$48.46 |
$48.46 |
$77.00
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$140.58 |
$140.58 |
$140.58 |
$81.44
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$164.80 |
$164.80 |
$164.80 |
$80.05
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$212.69 |
$212.69 |
$212.69 |
$77.28
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$62.04 |
$62.04 |
$62.04 |
$83.50
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$63.67 |
$63.67 |
$63.67 |
$77.72
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$36.40 |
$36.40 |
$36.40 |
$55.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$73.17 |
$73.17 |
$73.17 |
$101.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$277.73 |
$277.73 |
$277.73 |
$132.60
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$123.87 |
$123.87 |
$123.87 |
$97.50
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$134.96 |
$134.96 |
$134.96 |
$60.00
|
|
Infectious agent nucleic acid amplified probe
|
$453.52 |
$453.52 |
$453.52 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$335.18 |
$335.18 |
$335.18 |
$141.48
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$335.18 |
$335.18 |
$335.18 |
$174.06
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$2,111.74 |
$2,111.74 |
$2,111.74 |
$855.45
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$77.57 |
$77.57 |
$77.57 |
$178.00
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$234.95 |
$234.95 |
$234.95 |
$150.15
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$148.08 |
$148.08 |
$148.08 |
$210.00
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$335.18 |
$335.18 |
$335.18 |
$136.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$382.88 |
$382.88 |
$382.88 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$497.26 |
$497.26 |
$497.26 |
$222.60
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$528.57 |
$528.57 |
$528.57 |
$248.15
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$106.65 |
$106.65 |
$106.65 |
$98.15
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$158.57 |
$158.57 |
$158.57 |
$112.45
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$2,011.17 |
$2,011.17 |
$2,011.17 |
$727.50
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$371.29 |
$371.29 |
$371.29 |
$283.20
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$776.91 |
$776.91 |
$776.91 |
$489.50
|
|
Infectious agent nucleic acid quantification bk virus
|
$155.14 |
$155.14 |
$155.14 |
$285.66
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$194.51 |
$194.51 |
$194.51 |
$226.35
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$193.94 |
$193.94 |
$193.94 |
$278.78
|
|
Infectious agent nucleic acid quantification hiv-1
|
$1,083.66 |
$1,083.66 |
$1,083.66 |
$381.55
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$644.16 |
$644.16 |
$644.16 |
$359.64
|
|
Initiation & management bipap/cpap initial day
|
$737.26 |
$737.26 |
$737.26 |
$645.79
|
|
Inj., benralizumab, 1 mg
|
$12,232.46 |
$12,232.46 |
$12,232.46 |
$16,865.48
|
|
Inj, bezlotoxumab, 10 mg
|
$2,751.90 |
$2,751.90 |
$2,751.90 |
$9,702.65
|
|
Inj cefazolin sodium, hikma
|
$44.92 |
$44.92 |
$44.92 |
$56.70
|
|
Inj cntr knee arthro incl ct/mri
|
$385.89 |
$385.89 |
$385.89 |
$464.28
|
|
Inj, durolane 1 mg
|
$1,304.84 |
$1,304.84 |
$1,304.84 |
$3,382.31
|
|
Inj dx for sinogram
|
$385.89 |
$385.89 |
$385.89 |
$436.00
|
|
Injection arthrography hip without anesthesia (both sides)
|
$769.83 |
$769.83 |
$769.83 |
$507.10
|
|
Injection, daratumumab 10 mg
|
$8,099.14 |
$8,099.14 |
$8,099.14 |
$7,107.73
|
|
Injection during cath supravalvular aortography
|
$910.42 |
$910.42 |
$910.42 |
$1,148.80
|
|
Injection epidural blood patch or clot
|
$684.71 |
$684.71 |
$684.71 |
$1,473.12
|
|
Injection for bladder x-ray
|
$189.66 |
$189.66 |
$189.66 |
$585.00
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$210.12 |
$210.12 |
$210.12 |
$504.00
|
|
Injection for ureter x-ray
|
$1,052.53 |
$1,052.53 |
$1,052.53 |
$444.95
|
|
Injection for ureter x-ray
|
$382.69 |
$382.69 |
$382.69 |
$515.21
|
|
Injection, fulvestrant
|
$5,375.67 |
$5,375.67 |
$5,375.67 |
$2,756.47
|