|
Hla typing a b or c
|
$352.50 |
$352.50 |
$352.50 |
$364.00
|
|
Hla x-match noncytotoxc addl
|
$130.00 |
$130.00 |
$130.00 |
$163.80
|
|
Hla x-math non-cytotoxic
|
$265.00 |
$265.00 |
$265.00 |
$364.80
|
|
Homocysteine
|
$100.00 |
$100.00 |
$100.00 |
$125.40
|
|
Homogenization tissue
|
$37.50 |
$37.50 |
$37.50 |
$41.30
|
|
Hpv types 16 & 18 only
|
$162.50 |
$162.50 |
$162.50 |
$112.00
|
|
H pylori (c-13) breath
|
$292.50 |
$292.50 |
$292.50 |
$212.25
|
|
H pylori drug admin
|
$62.50 |
$62.50 |
$62.50 |
$28.56
|
|
Htt gene detc abnor alleles
|
$160.00 |
$160.00 |
$160.00 |
$250.50
|
|
Human epididymis protein 4 (he4)
|
$202.50 |
$202.50 |
$202.50 |
$157.32
|
|
Hydralazine 20 mg/ml injection solution
|
$64.31 |
$64.31 |
$64.31 |
$48.00
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$88.99 |
$88.99 |
$88.99 |
$140.54
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$14.22 |
$14.22 |
$14.22 |
$112.66
|
|
Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge
|
$162.00 |
$162.00 |
$162.00 |
$294.92
|
|
Hydrxycorticsterds 17- (17-ohcs)
|
$122.50 |
$122.50 |
$122.50 |
$73.45
|
|
Hysterosalpingography s&i
|
$865.00 |
$865.00 |
$865.00 |
$669.12
|
|
I-123 sod iodide diag per 100 uci
|
$102.50 |
$102.50 |
$102.50 |
$147.46
|
|
I131 iodide cap, rx
|
$55.00 |
$55.00 |
$55.00 |
$71.70
|
|
Iadna legionella pneumophila amplified probe tq
|
$177.50 |
$177.50 |
$177.50 |
$109.80
|
|
Icd cobalt xt dr MRI is1 df1
|
$17,821.25 |
$17,821.25 |
$17,821.25 |
$34,093.09
|
|
Icd crtd cobalt hf MRI is1 df1
|
$21,856.25 |
$21,856.25 |
$21,856.25 |
$39,070.50
|
|
Idh1 common variants
|
$417.50 |
$417.50 |
$417.50 |
$415.35
|
|
Idh2 common variants
|
$417.50 |
$417.50 |
$417.50 |
$486.00
|
|
Igh gene rearrange amp meth
|
$1,035.00 |
$1,035.00 |
$1,035.00 |
$464.25
|
|
Igh@ var region somatic mutation analy
|
$960.00 |
$960.00 |
$960.00 |
$660.80
|
|
Ihc/icc per specimen each additional single antibody stain
|
$150.00 |
$150.00 |
$150.00 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$380.00 |
$380.00 |
$380.00 |
$331.20
|
|
Ihc/icc per specimen initial single antibody stain
|
$150.00 |
$150.00 |
$150.00 |
$277.90
|
|
Ikbkap gene
|
$140.00 |
$140.00 |
$140.00 |
$173.49
|
|
Iliac/fem angio cath insert
|
$1,915.00 |
$1,915.00 |
$1,915.00 |
$1,856.01
|
|
Iliac revasc add-on 37222
|
$5,885.00 |
$5,885.00 |
$5,885.00 |
$6,082.65
|
|
Immune complex assay
|
$185.00 |
$185.00 |
$185.00 |
$101.60
|
|
Immunoassay tumor antigen quantitative ca 125
|
$122.50 |
$122.50 |
$122.50 |
$132.00
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$105.00 |
$105.00 |
$105.00 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$65.00 |
$65.00 |
$65.00 |
$48.57
|
|
Immunofixation electrophoresis serum
|
$120.00 |
$120.00 |
$120.00 |
$142.50
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$185.00 |
$185.00 |
$185.00 |
$154.05
|
|
Immunofluorescence per specimen initial single antibody stain
|
$250.00 |
$250.00 |
$250.00 |
$234.27
|
|
Immunoglobulin assay
|
$97.50 |
$97.50 |
$97.50 |
$78.00
|
|
Implant ureth bulk agent
|
$2,052.75 |
$2,052.75 |
$2,052.75 |
$2,168.00
|
|
Impl neurostim electr perc
|
$5,965.00 |
$5,965.00 |
$5,965.00 |
$7,672.50
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$1,780.00 |
$1,780.00 |
$1,780.00 |
$2,086.70
|
|
Infect ag drug suscept pheno predict
|
$325.00 |
$325.00 |
$325.00 |
$325.00
|
|
Infect ag genotype na cytomegalovirus
|
$695.00 |
$695.00 |
$695.00 |
$665.40
|
|
Infect ag genotype na hiv-1 other region
|
$730.00 |
$730.00 |
$730.00 |
$361.65
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$975.00 |
$975.00 |
$975.00 |
$603.83
|
|
Infect ag ia direct hiv-1 antgn
|
$132.50 |
$132.50 |
$132.50 |
$95.55
|
|
Infect ag ia optc obs influenza
|
$85.00 |
$85.00 |
$85.00 |
$72.93
|
|
Infect ag if pneumocystis carinii
|
$62.50 |
$62.50 |
$62.50 |
$66.06
|
|
Infect ag na hep b amp
|
$205.00 |
$205.00 |
$205.00 |
$120.50
|
|
Infect ag na hpv high-risk types
|
$177.50 |
$177.50 |
$177.50 |
$139.20
|
|
Infect ag na influenza r/amp 1st 2 types
|
$227.50 |
$227.50 |
$227.50 |
$219.70
|
|
Infect ag na orthopoxvirus amp prb each
|
$147.50 |
$147.50 |
$147.50 |
$100.00
|
|
Infect ag na resp virus 12-25 targets
|
$405.00 |
$405.00 |
$405.00 |
$854.70
|
|
Infect ag phenotype na hiv-1 1-10 drugs
|
$1,770.00 |
$1,770.00 |
$1,770.00 |
$954.00
|
|
Infect ag phenotype na hiv-1 ea addl drg
|
$140.00 |
$140.00 |
$140.00 |
$75.63
|
|
Infectious agent antigen immunoassay direct optical observation sars-cov-2
|
$47.50 |
$47.50 |
$47.50 |
$53.00
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$57.50 |
$57.50 |
$57.50 |
$83.60
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$67.50 |
$67.50 |
$67.50 |
$103.40
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$72.50 |
$72.50 |
$72.50 |
$81.20
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$67.50 |
$67.50 |
$67.50 |
$60.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$112.50 |
$112.50 |
$112.50 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$105.00 |
$105.00 |
$105.00 |
$129.00
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$97.50 |
$97.50 |
$97.50 |
$98.58
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$60.00 |
$60.00 |
$60.00 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$267.50 |
$267.50 |
$267.50 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$180.00 |
$180.00 |
$180.00 |
$141.95
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$187.50 |
$187.50 |
$187.50 |
$167.05
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$1,370.00 |
$1,370.00 |
$1,370.00 |
$864.67
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$190.00 |
$190.00 |
$190.00 |
$181.35
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$177.50 |
$177.50 |
$177.50 |
$149.13
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$210.00 |
$210.00 |
$210.00 |
$212.16
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$180.00 |
$180.00 |
$180.00 |
$137.67
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$87.50 |
$87.50 |
$87.50 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$150.00 |
$150.00 |
$150.00 |
$206.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$165.00 |
$165.00 |
$165.00 |
$236.08
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$75.00 |
$75.00 |
$75.00 |
$96.00
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$135.00 |
$135.00 |
$135.00 |
$112.45
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$185.00 |
$185.00 |
$185.00 |
$195.60
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$530.00 |
$530.00 |
$530.00 |
$727.50
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$197.50 |
$197.50 |
$197.50 |
$289.91
|
|
Infectious agent nucleic acid quantification bk virus
|
$225.00 |
$225.00 |
$225.00 |
$283.00
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$242.50 |
$242.50 |
$242.50 |
$242.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$250.00 |
$250.00 |
$250.00 |
$253.00
|
|
Infectious agent nucleic acid quantification hiv-1
|
$480.00 |
$480.00 |
$480.00 |
$375.00
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$288.98 |
$288.98 |
$288.98 |
$1,537.84
|
|
Inf lwr xtr fscl pln blk uni w/wo image
|
$780.00 |
$780.00 |
$780.00 |
$762.00
|
|
Inf thrc fascial pln blk bi w/wo image
|
$780.00 |
$780.00 |
$780.00 |
$523.25
|
|
Inf thrc fascial pln blk uni w/wo image
|
$780.00 |
$780.00 |
$780.00 |
$770.00
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$275.00 |
$275.00 |
$275.00 |
$296.00
|
|
Inj, bupivacaine liposome
|
$4.26 |
$4.26 |
$4.26 |
$699.38
|
|
Inj cefazolin sodium, hikma
|
$24.84 |
$24.84 |
$24.84 |
$27.38
|
|
Inj, cefiderocol, 10 mg
|
$6.90 |
$6.90 |
$6.90 |
$544.85
|
|
Inj ceftolozane tazobactam
|
$456.46 |
$456.46 |
$456.46 |
$364.86
|
|
Inj cntr knee arthro incl ct/mri
|
$332.50 |
$332.50 |
$332.50 |
$436.80
|
|
Inj dx for sinogram
|
$250.00 |
$250.00 |
$250.00 |
$436.00
|
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
|
$565.00 |
$565.00 |
$565.00 |
$1,214.78
|
|
Injection arthrography hip without anesthesia (both sides)
|
$332.50 |
$332.50 |
$332.50 |
$503.50
|
|
Injection carpal tunnel therapeutic (both sides)
|
$345.00 |
$345.00 |
$345.00 |
$458.15
|
|
Injection during cath supravalvular aortography
|
$570.00 |
$570.00 |
$570.00 |
$1,027.26
|