|
Hepatitis b surface antibody
|
$128.12 |
$128.12 |
$128.12 |
$83.79
|
|
Hepatitis c antibody
|
$284.91 |
$284.91 |
$284.91 |
$108.00
|
|
Herpes simplex type 1 antibody igg
|
$263.34 |
$263.34 |
$263.34 |
$70.00
|
|
Herpes simplex type 2 antibody igg
|
$386.33 |
$386.33 |
$386.33 |
$87.10
|
|
Herpes simplex virus isolation
|
$143.40 |
$143.40 |
$143.40 |
$93.32
|
|
Heterophile antibodies screening
|
$103.42 |
$103.42 |
$103.42 |
$73.60
|
|
Hhv-6 dna quant
|
$833.73 |
$833.73 |
$833.73 |
$200.25
|
|
Hip X-ray
|
$1,762.86 |
$1,762.86 |
$1,762.86 |
$292.05
|
|
Histamine
|
$589.58 |
$589.58 |
$589.58 |
$125.40
|
|
Hla class i&ii antibody qual
|
$1,281.56 |
$1,281.56 |
$1,281.56 |
$207.60
|
|
Hla class ii semiquant panel
|
$6,447.89 |
$6,447.89 |
$6,447.89 |
$696.87
|
|
Hla class i semiquant panel
|
$7,138.68 |
$7,138.68 |
$7,138.68 |
$697.50
|
|
Hla ii typing 1 loc hr
|
$2,469.27 |
$2,469.27 |
$2,469.27 |
$323.40
|
|
Hla ii typing ag equiv lr
|
$4,407.07 |
$4,407.07 |
$4,407.07 |
$354.24
|
|
Hla i low res one antigen equiv ea
|
$1,484.01 |
$1,484.01 |
$1,484.01 |
$164.00
|
|
Hla i typing high res 1 allele grp ea
|
$3,392.06 |
$3,392.06 |
$3,392.06 |
$307.53
|
|
Hla i typing low res one locus ea
|
$2,544.15 |
$2,544.15 |
$2,544.15 |
$340.00
|
|
Hla typing dr/dq
|
$602.35 |
$602.35 |
$602.35 |
$135.20
|
|
Hocm 350-399mg/ml iodine,1ml
|
$75.24 |
$75.24 |
$75.24 |
$68.86
|
|
Homocysteine
|
$357.78 |
$357.78 |
$357.78 |
$113.10
|
|
Homogenization tissue
|
$141.13 |
$141.13 |
$141.13 |
$39.00
|
|
H pylori (c-13) breath
|
$1,344.84 |
$1,344.84 |
$1,344.84 |
$219.05
|
|
H pylori drug admin
|
$30.26 |
$30.26 |
$30.26 |
$31.99
|
|
Hyaluronidase 150 unit/ml injection solution
|
$281.87 |
$281.87 |
$281.87 |
$152.81
|
|
Hydralazine 20 mg/ml injection solution
|
$200.84 |
$200.84 |
$200.84 |
$57.02
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$773.69 |
$773.69 |
$773.69 |
$112.22
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$359.07 |
$359.07 |
$359.07 |
$86.47
|
|
Hyoscyamine sulfate inj
|
$1,325.28 |
$1,325.28 |
$1,325.28 |
$215.75
|
|
Iaadi respiratory synctial virus
|
$267.93 |
$267.93 |
$267.93 |
$42.48
|
|
Ibandronate 3 mg/3 ml intravenous syringe
|
$1,515.20 |
$1,515.20 |
$1,515.20 |
$839.85
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$1,452.85 |
$1,452.85 |
$1,452.85 |
$891.89
|
|
Ihc/icc per specimen each additional single antibody stain
|
$99.25 |
$99.25 |
$99.25 |
$191.75
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$5,414.72 |
$5,414.72 |
$5,414.72 |
$339.73
|
|
Ihc/icc per specimen initial single antibody stain
|
$2,743.40 |
$2,743.40 |
$2,743.40 |
$266.76
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$12,075.48 |
$12,075.48 |
$12,075.48 |
$5,617.36
|
|
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution
|
$30,899.14 |
$30,899.14 |
$30,899.14 |
$5,495.02
|
|
Immunoassay tumor antigen quantitative ca 125
|
$415.48 |
$415.48 |
$415.48 |
$123.50
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$415.48 |
$415.48 |
$415.48 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$239.18 |
$239.18 |
$239.18 |
$53.95
|
|
Immunofixation electrophoresis serum
|
$127.52 |
$127.52 |
$127.52 |
$133.38
|
|
Incision of foot tendon 28234
|
$5,450.61 |
$5,450.61 |
$5,450.61 |
$2,116.27
|
|
Infect ag drug suscept pheno predict
|
$2,602.45 |
$2,602.45 |
$2,602.45 |
$325.00
|
|
Infect ag genotype na hiv-1 other region
|
$2,570.11 |
$2,570.11 |
$2,570.11 |
$301.50
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$5,139.99 |
$5,139.99 |
$5,139.99 |
$574.60
|
|
Infect ag ia optc obs influenza
|
$330.43 |
$330.43 |
$330.43 |
$66.72
|
|
Infect ag if influenza a
|
$320.85 |
$320.85 |
$320.85 |
$40.61
|
|
Infect ag if influenza b
|
$244.57 |
$244.57 |
$244.57 |
$34.67
|
|
Infect ag if nos ea
|
$321.44 |
$321.44 |
$321.44 |
$60.40
|
|
Infect ag if pneumocystis carinii
|
$239.18 |
$239.18 |
$239.18 |
$62.29
|
|
Infect ag na influenza r/amp 1st 2 types
|
$1,912.65 |
$1,912.65 |
$1,912.65 |
$227.96
|
|
Infect ag na orthopoxvirus amp prb each
|
$197.55 |
$197.55 |
$197.55 |
$102.00
|
|
Infect ag na resp virus 12-25 targets
|
$8,321.02 |
$8,321.02 |
$8,321.02 |
$859.44
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$46.12 |
$46.12 |
$46.12 |
$81.44
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$267.93 |
$267.93 |
$267.93 |
$63.60
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$253.23 |
$253.23 |
$253.23 |
$80.05
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$181.67 |
$181.67 |
$181.67 |
$77.28
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$120.75 |
$120.75 |
$120.75 |
$83.50
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$206.25 |
$206.25 |
$206.25 |
$77.72
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$157.82 |
$157.82 |
$157.82 |
$55.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$144.27 |
$144.27 |
$144.27 |
$101.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$354.02 |
$354.02 |
$354.02 |
$132.60
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$239.18 |
$239.18 |
$239.18 |
$97.50
|
|
Infectious agent nucleic acid amplified probe
|
$700.58 |
$700.58 |
$700.58 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$700.58 |
$700.58 |
$700.58 |
$141.48
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$744.11 |
$744.11 |
$744.11 |
$174.06
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$8,321.02 |
$8,321.02 |
$8,321.02 |
$855.45
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$700.58 |
$700.58 |
$700.58 |
$178.00
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$700.58 |
$700.58 |
$700.58 |
$150.15
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$832.14 |
$832.14 |
$832.14 |
$210.00
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$700.58 |
$700.58 |
$700.58 |
$136.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$1,024.41 |
$1,024.41 |
$1,024.41 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$2,847.61 |
$2,847.61 |
$2,847.61 |
$222.60
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$2,847.61 |
$2,847.61 |
$2,847.61 |
$248.15
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$700.58 |
$700.58 |
$700.58 |
$112.45
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$1,941.57 |
$1,941.57 |
$1,941.57 |
$727.50
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$2,561.32 |
$2,561.32 |
$2,561.32 |
$283.20
|
|
Infectious agent nucleic acid quantification bk virus
|
$855.31 |
$855.31 |
$855.31 |
$285.66
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$855.31 |
$855.31 |
$855.31 |
$226.35
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$855.31 |
$855.31 |
$855.31 |
$278.78
|
|
Infectious agent nucleic acid quantification hiv-1
|
$1,699.03 |
$1,699.03 |
$1,699.03 |
$381.55
|
|
Initiation & management bipap/cpap initial day
|
$3,340.92 |
$3,340.92 |
$3,340.92 |
$645.79
|
|
Inj., benralizumab, 1 mg
|
$60,621.46 |
$60,621.46 |
$60,621.46 |
$16,865.48
|
|
Inj, bezlotoxumab, 10 mg
|
$13,593.41 |
$13,593.41 |
$13,593.41 |
$9,702.65
|
|
Inj cefazolin sodium, hikma
|
$146.88 |
$146.88 |
$146.88 |
$56.70
|
|
Inj, durolane 1 mg
|
$6,415.30 |
$6,415.30 |
$6,415.30 |
$3,382.31
|
|
Inj dx for sinogram
|
$1,215.28 |
$1,215.28 |
$1,215.28 |
$436.00
|
|
Injection, daratumumab 10 mg
|
$26,963.49 |
$26,963.49 |
$26,963.49 |
$7,107.73
|
|
Injection epidural blood patch or clot
|
$8,907.79 |
$8,907.79 |
$8,907.79 |
$1,473.12
|
|
Injection, fulvestrant
|
$17,313.41 |
$17,313.41 |
$17,313.41 |
$2,756.47
|
|
Injection, inclisiran, 1 mg
|
$42,881.02 |
$42,881.02 |
$42,881.02 |
$10,366.61
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$2,162.88 |
$2,162.88 |
$2,162.88 |
$1,471.50
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
|
$1,123.97 |
$1,123.97 |
$1,123.97 |
$1,119.88
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$179.38 |
$179.38 |
$179.38 |
$141.60
|
|
Inj efgart-alfa 2mg hya-qvfc
|
$195,991.27 |
$195,991.27 |
$195,991.27 |
$66,229.74
|
|
Inj, fulvestrant (fresenius)
|
$3,468.01 |
$3,468.01 |
$3,468.01 |
$1,713.99
|
|
Inj glycopyrrolate fres kabi
|
$102.35 |
$102.35 |
$102.35 |
$96.70
|
|
Inj ivig privigen 500 mg
|
$32,708.92 |
$32,708.92 |
$32,708.92 |
$7,298.71
|
|
Inj mepivacaine hcl/10 ml
|
$22.38 |
$22.38 |
$22.38 |
$28.41
|
|
Inj multihance
|
$449.06 |
$449.06 |
$449.06 |
$119.25
|
|
Inj secukinumab intrav 1mg
|
$26,825.69 |
$26,825.69 |
$26,825.69 |
$9,077.39
|