|
Homovanillic acid (hva)
|
$29.01 |
$29.01 |
$29.01 |
$56.00
|
|
Hpv types 16 & 18 only
|
$53.58 |
$53.58 |
$53.58 |
$93.60
|
|
H pylori (c-13) breath
|
$56.84 |
$56.84 |
$56.84 |
$219.05
|
|
Htt gene detc abnor alleles
|
$162.80 |
$162.80 |
$162.80 |
$252.45
|
|
Human epididymis protein 4 (he4)
|
$140.01 |
$140.01 |
$140.01 |
$131.84
|
|
Hyaluronidase, human recombinant 150 unit/ml injection solution
|
$74.71 |
$74.71 |
$74.71 |
$203.61
|
|
Hydralazine 20 mg/ml injection solution
|
$20.98 |
$20.98 |
$20.98 |
$56.70
|
|
Hydration IV infusion each additional hour
|
$136.76 |
$136.76 |
$136.76 |
$134.53
|
|
Hydration IV infusion initial 31minutes - 1 hour
|
$225.56 |
$225.56 |
$225.56 |
$394.40
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$58.71 |
$58.71 |
$58.71 |
$120.06
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$156.99 |
$156.99 |
$156.99 |
$139.25
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$38.99 |
$38.99 |
$38.99 |
$87.60
|
|
Hydrxycorticsterds 17- (17-ohcs)
|
$23.68 |
$23.68 |
$23.68 |
$76.13
|
|
#hypersens-actinomyces ab
|
$16.58 |
$16.58 |
$16.58 |
$19.60
|
|
Hysterosalpingography s&i
|
$226.74 |
$226.74 |
$226.74 |
$629.46
|
|
Hzv zoster vacc recombinant adjuvanted im inj
|
$194.77 |
$194.77 |
$194.77 |
$331.10
|
|
I-123 iobenguane diag
|
$3,192.96 |
$3,192.96 |
$3,192.96 |
$5,730.40
|
|
I-123 sod iodide diag per 100 uci
|
$42.63 |
$42.63 |
$42.63 |
$158.05
|
|
I-131 iobenguane sulf diag mibg
|
$742.96 |
$742.96 |
$742.96 |
$5,062.20
|
|
I131 iodide cap, rx
|
$23.68 |
$23.68 |
$23.68 |
$91.83
|
|
Iadna legionella pneumophila amplified probe tq
|
$157.18 |
$157.18 |
$157.18 |
$125.25
|
|
Ibandronate 3 mg/3 ml intravenous syringe
|
$656.96 |
$656.96 |
$656.96 |
$839.85
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$123.22 |
$123.22 |
$123.22 |
$990.35
|
|
Icatibant injection
|
$2,236.00 |
$2,236.00 |
$2,236.00 |
$4,000.00
|
|
Icd cobalt xt dr MRI is1 df1
|
$0.30 |
$0.30 |
$0.30 |
$31,352.76
|
|
Icd crtd cobalt hf MRI is1 df1
|
$0.30 |
$0.30 |
$0.30 |
$34,585.61
|
|
Icd reliance df4 ib 64cm
|
$0.30 |
$0.30 |
$0.30 |
$7,817.85
|
|
Idarubicin hcl injection
|
$406.94 |
$406.94 |
$406.94 |
$544.37
|
|
Ifosfamide 1 gram intravenous solution
|
$346.38 |
$346.38 |
$346.38 |
$294.81
|
|
Ihc/icc per specimen each additional single antibody stain
|
$130.24 |
$130.24 |
$130.24 |
$191.75
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$410.26 |
$410.26 |
$410.26 |
$339.73
|
|
Ihc/icc per specimen initial single antibody stain
|
$207.20 |
$207.20 |
$207.20 |
$266.76
|
|
Iliac/fem angio cath insert
|
$1,360.12 |
$1,360.12 |
$1,360.12 |
$1,601.66
|
|
Iliac revasc add-on 37222
|
$4,791.95 |
$4,791.95 |
$4,791.95 |
$6,513.10
|
|
Immune complex assay
|
$168.72 |
$168.72 |
$168.72 |
$88.80
|
|
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution
|
$4,389.57 |
$4,389.57 |
$4,389.57 |
$6,272.93
|
|
Immunoassay tumor antigen quantitative ca 125
|
$60.68 |
$60.68 |
$60.68 |
$123.50
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$39.08 |
$39.08 |
$39.08 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$22.80 |
$22.80 |
$22.80 |
$53.95
|
|
Immunofixation electrophoresis serum
|
$80.52 |
$80.52 |
$80.52 |
$133.38
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$24.28 |
$24.28 |
$24.28 |
$156.00
|
|
Immunofluorescence per specimen initial single antibody stain
|
$311.99 |
$311.99 |
$311.99 |
$250.00
|
|
Immunoglobulin assay
|
$46.18 |
$46.18 |
$46.18 |
$74.00
|
|
Immunology procedure
|
$31.08 |
$31.08 |
$31.08 |
$281.45
|
|
Implant ureth bulk agent
|
$236.51 |
$236.51 |
$236.51 |
$2,098.54
|
|
In-111 autol wbc diag per dose
|
$2,444.37 |
$2,444.37 |
$2,444.37 |
$3,704.00
|
|
In-111 pentetate dtpa / 0.5 mci
|
$1,863.62 |
$1,863.62 |
$1,863.62 |
$2,135.29
|
|
In-111 pentetreotide
|
$3,153.00 |
$3,153.00 |
$3,153.00 |
$6,617.05
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$800.68 |
$800.68 |
$800.68 |
$2,261.20
|
|
Incision of burn scab initi
|
$437.20 |
$437.20 |
$437.20 |
$501.00
|
|
Incision of small bowel 44010
|
$310.80 |
$310.80 |
$310.80 |
$1,488.60
|
|
Incision tendon sheath
|
$1,648.72 |
$1,648.72 |
$1,648.72 |
$2,309.40
|
|
Incisn windpipe
|
$3,105.34 |
$3,105.34 |
$3,105.34 |
$3,837.72
|
|
Incobotulinumtoxin a
|
$1,217.44 |
$1,217.44 |
$1,217.44 |
$1,339.57
|
|
Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s)
|
$85.55 |
$85.55 |
$85.55 |
$137.15
|
|
Infect ag drug suscept pheno predict
|
$174.64 |
$174.64 |
$174.64 |
$325.00
|
|
Infect ag genotype na dna hepatitis b
|
$427.43 |
$427.43 |
$427.43 |
$500.40
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$286.83 |
$286.83 |
$286.83 |
$574.60
|
|
Infect ag ia optc obs influenza
|
$57.43 |
$57.43 |
$57.43 |
$66.72
|
|
Infect ag if legionella pneumophila
|
$18.36 |
$18.36 |
$18.36 |
$75.79
|
|
Infect ag if nos ea
|
$133.80 |
$133.80 |
$133.80 |
$60.40
|
|
Infect ag na influenza r/amp 1st 2 types
|
$142.97 |
$142.97 |
$142.97 |
$227.96
|
|
Infect ag na orthopoxvirus amp prb each
|
$51.80 |
$51.80 |
$51.80 |
$102.00
|
|
Infect ag na resp virus 12-25 targets
|
$646.47 |
$646.47 |
$646.47 |
$859.44
|
|
Infect ag phenotype na hiv-1 1-10 drugs
|
$596.15 |
$596.15 |
$596.15 |
$714.67
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$33.45 |
$33.45 |
$33.45 |
$81.44
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$96.80 |
$96.80 |
$96.80 |
$63.60
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$116.04 |
$116.04 |
$116.04 |
$80.05
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$118.70 |
$118.70 |
$118.70 |
$77.28
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$39.08 |
$39.08 |
$39.08 |
$83.50
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$46.18 |
$46.18 |
$46.18 |
$77.72
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$54.76 |
$54.76 |
$54.76 |
$101.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$71.64 |
$71.64 |
$71.64 |
$132.60
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$17.17 |
$17.17 |
$17.17 |
$97.50
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$26.64 |
$26.64 |
$26.64 |
$60.00
|
|
Infectious agent nucleic acid amplified probe
|
$165.17 |
$165.17 |
$165.17 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$116.33 |
$116.33 |
$116.33 |
$141.48
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$86.44 |
$86.44 |
$86.44 |
$174.06
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$740.00 |
$740.00 |
$740.00 |
$855.45
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$52.40 |
$52.40 |
$52.40 |
$178.00
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$86.73 |
$86.73 |
$86.73 |
$150.15
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$152.44 |
$152.44 |
$152.44 |
$210.00
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$80.81 |
$80.81 |
$80.81 |
$136.00
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$44.70 |
$44.70 |
$44.70 |
$112.45
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$93.24 |
$93.24 |
$93.24 |
$200.20
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$543.16 |
$543.16 |
$543.16 |
$727.50
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$206.61 |
$206.61 |
$206.61 |
$283.20
|
|
Infectious agent nucleic acid quantification bk virus
|
$79.63 |
$79.63 |
$79.63 |
$285.66
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$124.32 |
$124.32 |
$124.32 |
$226.35
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$213.12 |
$213.12 |
$213.12 |
$278.78
|
|
Infectious agent nucleic acid quantification hiv-1
|
$143.86 |
$143.86 |
$143.86 |
$381.55
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$168.72 |
$168.72 |
$168.72 |
$298.35
|
|
Infliximab 100 mg intravenous solution
|
$2,518.17 |
$2,518.17 |
$2,518.17 |
$2,801.88
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$1,051.19 |
$1,051.19 |
$1,051.19 |
$1,713.99
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$388.65 |
$388.65 |
$388.65 |
$359.64
|
|
Initiation & management bipap/cpap initial day
|
$145.04 |
$145.04 |
$145.04 |
$645.79
|
|
Inj alymsys 10 mg
|
$1,573.14 |
$1,573.14 |
$1,573.14 |
$928.80
|
|
Inj anifrolumab-fnia 1mg
|
$6,342.84 |
$6,342.84 |
$6,342.84 |
$9,648.88
|
|
Inj., benralizumab, 1 mg
|
$10,815.10 |
$10,815.10 |
$10,815.10 |
$16,865.48
|
|
Inj, bezlotoxumab, 10 mg
|
$8,205.67 |
$8,205.67 |
$8,205.67 |
$9,201.20
|