|
Hepatitis b surface antibody
|
$81.08 |
$81.08 |
$81.08 |
$83.79
|
|
Hepatitis c antibody
|
$393.40 |
$393.40 |
$393.40 |
$108.00
|
|
Hepatobiliary system imaging
|
$3,615.06 |
$3,615.06 |
$3,615.06 |
$1,521.10
|
|
Herpes simplex type 1 antibody igg
|
$171.83 |
$171.83 |
$171.83 |
$70.00
|
|
Herpes simplex type 2 antibody igg
|
$171.83 |
$171.83 |
$171.83 |
$87.10
|
|
Herpes simplex virus isolation
|
$106.53 |
$106.53 |
$106.53 |
$93.32
|
|
Heterophile antibodies screening
|
$295.33 |
$295.33 |
$295.33 |
$73.60
|
|
Hhv-6 dna quant
|
$394.99 |
$394.99 |
$394.99 |
$200.25
|
|
Hip X-ray
|
$334.43 |
$334.43 |
$334.43 |
$292.05
|
|
Hla i low res one antigen equiv ea
|
$830.61 |
$830.61 |
$830.61 |
$164.00
|
|
Hocm 350-399mg/ml iodine,1ml
|
$70.11 |
$70.11 |
$70.11 |
$68.86
|
|
Home sleep test/type 3 porta
|
$6,218.82 |
$6,218.82 |
$6,218.82 |
$632.40
|
|
Homocysteine
|
$289.71 |
$289.71 |
$289.71 |
$113.10
|
|
Homogenization tissue
|
$78.28 |
$78.28 |
$78.28 |
$39.00
|
|
H pylori (c-13) breath
|
$523.35 |
$523.35 |
$523.35 |
$219.05
|
|
Hyaluronidase 150 unit/ml injection solution
|
$416.69 |
$416.69 |
$416.69 |
$152.81
|
|
Hydralazine 20 mg/ml injection solution
|
$292.58 |
$292.58 |
$292.58 |
$57.02
|
|
Hydration IV infusion each additional hour
|
$713.65 |
$713.65 |
$713.65 |
$134.53
|
|
Hydration IV infusion initial 31minutes - 1 hour
|
$1,351.33 |
$1,351.33 |
$1,351.33 |
$394.40
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$1,332.25 |
$1,332.25 |
$1,332.25 |
$112.22
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$534.43 |
$534.43 |
$534.43 |
$86.47
|
|
Hyoscyamine sulfate inj
|
$2,008.10 |
$2,008.10 |
$2,008.10 |
$215.75
|
|
Hysterosalpingography s&i
|
$498.00 |
$498.00 |
$498.00 |
$629.46
|
|
Iaadi respiratory synctial virus
|
$167.76 |
$167.76 |
$167.76 |
$42.48
|
|
Iadna legionella pneumophila amplified probe tq
|
$231.10 |
$231.10 |
$231.10 |
$125.25
|
|
Ibandronate 3 mg/3 ml intravenous syringe
|
$2,297.77 |
$2,297.77 |
$2,297.77 |
$839.85
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$2,202.68 |
$2,202.68 |
$2,202.68 |
$891.89
|
|
Igh gene rearrange amp meth
|
$1,051.56 |
$1,051.56 |
$1,051.56 |
$464.25
|
|
Igh@ var region somatic mutation analy
|
$2,432.28 |
$2,432.28 |
$2,432.28 |
$660.80
|
|
Igk rearrangeabn clonal pop
|
$829.22 |
$829.22 |
$829.22 |
$373.16
|
|
Ihc/icc per specimen each additional single antibody stain
|
$166.37 |
$166.37 |
$166.37 |
$191.75
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$558.06 |
$558.06 |
$558.06 |
$339.73
|
|
Ihc/icc per specimen initial single antibody stain
|
$963.25 |
$963.25 |
$963.25 |
$266.76
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$23,221.50 |
$23,221.50 |
$23,221.50 |
$5,617.36
|
|
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution
|
$59,446.21 |
$59,446.21 |
$59,446.21 |
$5,495.02
|
|
Immunoassay tumor antigen quantitative ca 125
|
$343.72 |
$343.72 |
$343.72 |
$123.50
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$306.90 |
$306.90 |
$306.90 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$125.16 |
$125.16 |
$125.16 |
$53.95
|
|
Immunofixation electrophoresis serum
|
$207.11 |
$207.11 |
$207.11 |
$133.38
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$4,616.05 |
$4,616.05 |
$4,616.05 |
$2,261.20
|
|
Infect ag drug suscept pheno predict
|
$1,111.06 |
$1,111.06 |
$1,111.06 |
$325.00
|
|
Infect ag genotype na hiv-1 other region
|
$987.19 |
$987.19 |
$987.19 |
$301.50
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$1,085.16 |
$1,085.16 |
$1,085.16 |
$574.60
|
|
Infect ag ia direct hiv-1 antgn
|
$214.53 |
$214.53 |
$214.53 |
$95.55
|
|
Infect ag ia optc obs influenza
|
$261.81 |
$261.81 |
$261.81 |
$66.72
|
|
Infect ag if influenza a
|
$124.56 |
$124.56 |
$124.56 |
$40.61
|
|
Infect ag if influenza b
|
$102.04 |
$102.04 |
$102.04 |
$34.67
|
|
Infect ag if nos ea
|
$201.26 |
$201.26 |
$201.26 |
$60.40
|
|
Infect ag if pneumocystis carinii
|
$80.86 |
$80.86 |
$80.86 |
$62.29
|
|
Infect ag na hpv high-risk types
|
$412.05 |
$412.05 |
$412.05 |
$139.75
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$278.65 |
$278.65 |
$278.65 |
$81.44
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$110.41 |
$110.41 |
$110.41 |
$63.60
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$97.88 |
$97.88 |
$97.88 |
$80.05
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$98.23 |
$98.23 |
$98.23 |
$77.28
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$234.20 |
$234.20 |
$234.20 |
$83.50
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$152.33 |
$152.33 |
$152.33 |
$77.72
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$103.04 |
$103.04 |
$103.04 |
$55.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$105.01 |
$105.01 |
$105.01 |
$101.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$344.58 |
$344.58 |
$344.58 |
$132.60
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$205.57 |
$205.57 |
$205.57 |
$97.50
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$176.67 |
$176.67 |
$176.67 |
$60.00
|
|
Infectious agent nucleic acid amplified probe
|
$514.17 |
$514.17 |
$514.17 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$394.08 |
$394.08 |
$394.08 |
$141.48
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$277.29 |
$277.29 |
$277.29 |
$174.06
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$1,277.84 |
$1,277.84 |
$1,277.84 |
$855.45
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$402.44 |
$402.44 |
$402.44 |
$178.00
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$574.13 |
$574.13 |
$574.13 |
$150.15
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$541.32 |
$541.32 |
$541.32 |
$210.00
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$95.42 |
$95.42 |
$95.42 |
$136.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$631.24 |
$631.24 |
$631.24 |
$222.60
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$441.87 |
$441.87 |
$441.87 |
$248.15
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$452.93 |
$452.93 |
$452.93 |
$112.45
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$530.00 |
$530.00 |
$530.00 |
$200.20
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$1,423.27 |
$1,423.27 |
$1,423.27 |
$727.50
|
|
Infectious agent nucleic acid quantification bk virus
|
$510.24 |
$510.24 |
$510.24 |
$285.66
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$501.02 |
$501.02 |
$501.02 |
$226.35
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$560.84 |
$560.84 |
$560.84 |
$278.78
|
|
Infectious agent nucleic acid quantification hiv-1
|
$542.71 |
$542.71 |
$542.71 |
$381.55
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$1,374.24 |
$1,374.24 |
$1,374.24 |
$298.35
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$1,386.01 |
$1,386.01 |
$1,386.01 |
$359.64
|
|
Initiation & management bipap/cpap initial day
|
$2,282.24 |
$2,282.24 |
$2,282.24 |
$645.79
|
|
Inj., benralizumab, 1 mg
|
$69,648.47 |
$69,648.47 |
$69,648.47 |
$16,865.48
|
|
Inj, bezlotoxumab, 10 mg
|
$15,613.05 |
$15,613.05 |
$15,613.05 |
$9,702.65
|
|
Inj cefazolin sodium, hikma
|
$205.49 |
$205.49 |
$205.49 |
$56.70
|
|
Inj cntr knee arthro incl ct/mri
|
$717.23 |
$717.23 |
$717.23 |
$464.28
|
|
Inj, durolane 1 mg
|
$7,365.38 |
$7,365.38 |
$7,365.38 |
$3,382.31
|
|
Inj dx for sinogram
|
$1,492.82 |
$1,492.82 |
$1,492.82 |
$436.00
|
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
|
$1,831.40 |
$1,831.40 |
$1,831.40 |
$1,214.78
|
|
Injection arthrography hip without anesthesia (both sides)
|
$968.70 |
$968.70 |
$968.70 |
$507.10
|
|
Injection, daratumumab 10 mg
|
$9,751.89 |
$9,751.89 |
$9,751.89 |
$7,107.73
|
|
Injection epidural blood patch or clot
|
$3,498.89 |
$3,498.89 |
$3,498.89 |
$1,473.12
|
|
Injection for arthrography wrist (both sides)
|
$265.03 |
$265.03 |
$265.03 |
$441.12
|
|
Injection for bladder x-ray
|
$1,273.92 |
$1,273.92 |
$1,273.92 |
$585.00
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$332.15 |
$332.15 |
$332.15 |
$504.00
|
|
Injection for ureter x-ray
|
$1,285.98 |
$1,285.98 |
$1,285.98 |
$444.95
|
|
Injection, fulvestrant
|
$6,158.08 |
$6,158.08 |
$6,158.08 |
$2,756.47
|
|
Injection, inclisiran, 1 mg
|
$49,264.64 |
$49,264.64 |
$49,264.64 |
$10,366.61
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$3,774.56 |
$3,774.56 |
$3,774.56 |
$1,471.50
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$1,831.40 |
$1,831.40 |
$1,831.40 |
$1,017.28
|
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
|
$4,291.52 |
$4,291.52 |
$4,291.52 |
$2,251.00
|
