|
Heterophile antibodies screening
|
$106.56 |
$106.56 |
$106.56 |
$74.00
|
|
Hip X-ray
|
$221.04 |
$221.04 |
$221.04 |
$292.05
|
|
Histamine
|
$123.84 |
$123.84 |
$123.84 |
$115.00
|
|
Hla ii typing 1 loc hr
|
$583.20 |
$583.20 |
$583.20 |
$290.94
|
|
Hla i typing complete lr
|
$508.32 |
$508.32 |
$508.32 |
$728.88
|
|
Hla i typing high res 1 allele grp ea
|
$213.84 |
$213.84 |
$213.84 |
$293.15
|
|
Home sleep test/type 3 porta
|
$876.24 |
$876.24 |
$876.24 |
$579.26
|
|
Home sleep test/type 4 porta
|
$876.24 |
$876.24 |
$876.24 |
$613.60
|
|
Homocysteine
|
$169.20 |
$169.20 |
$169.20 |
$121.92
|
|
Homogenization tissue
|
$59.04 |
$59.04 |
$59.04 |
$39.20
|
|
Hpv types 16 & 18 only
|
$132.48 |
$132.48 |
$132.48 |
$110.70
|
|
H pylori (c-13) breath
|
$210.24 |
$210.24 |
$210.24 |
$213.00
|
|
Hrdtry brst ca-rlatd do 5+
|
$1,480.32 |
$1,480.32 |
$1,480.32 |
$1,702.08
|
|
Htt gene detc abnor alleles
|
$484.56 |
$484.56 |
$484.56 |
$250.50
|
|
Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution
|
$10.89 |
$10.89 |
$10.89 |
$5,836.20
|
|
Hydralazine 20 mg/ml injection solution
|
$51.84 |
$51.84 |
$51.84 |
$46.74
|
|
Hydration IV infusion each additional hour
|
$186.48 |
$186.48 |
$186.48 |
$131.20
|
|
Hydration IV infusion initial 31minutes - 1 hour
|
$493.20 |
$493.20 |
$493.20 |
$383.00
|
|
Hydrocolld drg <=16 without bdr
|
$7.92 |
$7.92 |
$7.92 |
$7.92
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$83.20 |
$83.20 |
$83.20 |
$154.78
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$2.87 |
$2.87 |
$2.87 |
$131.47
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$55.75 |
$55.75 |
$55.75 |
$72.65
|
|
Hydrxycorticsterds 17- (17-ohcs)
|
$43.92 |
$43.92 |
$43.92 |
$76.13
|
|
Hyperbaric oxygen therapy
|
$668.88 |
$668.88 |
$668.88 |
$802.00
|
|
Iadna legionella pneumophila amplified probe tq
|
$94.32 |
$94.32 |
$94.32 |
$109.80
|
|
I&d abscss rtrphryngl/paraphryngl intraorl apprch
|
$5,713.20 |
$5,713.20 |
$5,713.20 |
$3,771.20
|
|
Ihc/icc per specimen each additional single antibody stain
|
$241.92 |
$241.92 |
$241.92 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$567.36 |
$567.36 |
$567.36 |
$328.79
|
|
Ihc/icc per specimen initial single antibody stain
|
$269.28 |
$269.28 |
$269.28 |
$274.86
|
|
Immune complex assay
|
$68.40 |
$68.40 |
$68.40 |
$109.20
|
|
Immunoassay tumor antigen quantitative ca 125
|
$105.12 |
$105.12 |
$105.12 |
$130.00
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$253.44 |
$253.44 |
$253.44 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$35.28 |
$35.28 |
$35.28 |
$48.50
|
|
Immunofixation electrophoresis serum
|
$246.24 |
$246.24 |
$246.24 |
$138.60
|
|
Immunofluorescence per specimen initial single antibody stain
|
$216.00 |
$216.00 |
$216.00 |
$232.05
|
|
Implant cartilage 10mm synthetic
|
$2,376.00 |
$2,376.00 |
$2,376.00 |
$10,050.00
|
|
Impl neurostim electr perc
|
$7,087.68 |
$7,087.68 |
$7,087.68 |
$7,546.20
|
|
Impreg gauze no h20/sal/yard
|
$11.52 |
$11.52 |
$11.52 |
$11.90
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$1,749.60 |
$1,749.60 |
$1,749.60 |
$2,080.80
|
|
Infect ag drug suscept pheno predict
|
$392.40 |
$392.40 |
$392.40 |
$320.00
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$679.68 |
$679.68 |
$679.68 |
$603.75
|
|
Infect ag ia optc obs influenza
|
$224.64 |
$224.64 |
$224.64 |
$72.93
|
|
Infect ag if nos ea
|
$82.08 |
$82.08 |
$82.08 |
$74.10
|
|
Infect ag if varicella zoster
|
$31.68 |
$31.68 |
$31.68 |
$72.00
|
|
Infect ag na herpes simplex quant
|
$288.72 |
$288.72 |
$288.72 |
$169.65
|
|
Infect ag na hpv high-risk types
|
$271.44 |
$271.44 |
$271.44 |
$139.20
|
|
Infect ag na influenza r/amp 1st 2 types
|
$144.72 |
$144.72 |
$144.72 |
$219.70
|
|
Infect ag na orthopoxvirus amp prb each
|
$99.36 |
$99.36 |
$99.36 |
$99.36
|
|
Infect ag na resp virus 12-25 targets
|
$1,321.20 |
$1,321.20 |
$1,321.20 |
$859.44
|
|
Infectious agent antigen immunoassay direct optical observation sars-cov-2
|
$109.44 |
$109.44 |
$109.44 |
$51.31
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$230.40 |
$230.40 |
$230.40 |
$82.00
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$99.36 |
$99.36 |
$99.36 |
$69.44
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$95.04 |
$95.04 |
$95.04 |
$76.50
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$110.16 |
$110.16 |
$110.16 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$246.96 |
$246.96 |
$246.96 |
$96.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$132.48 |
$132.48 |
$132.48 |
$81.06
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$329.04 |
$329.04 |
$329.04 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$105.12 |
$105.12 |
$105.12 |
$127.80
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$167.76 |
$167.76 |
$167.76 |
$97.50
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$57.60 |
$57.60 |
$57.60 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$387.36 |
$387.36 |
$387.36 |
$267.50
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$234.72 |
$234.72 |
$234.72 |
$137.67
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$185.76 |
$185.76 |
$185.76 |
$167.05
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$1,341.36 |
$1,341.36 |
$1,341.36 |
$861.00
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$215.28 |
$215.28 |
$215.28 |
$181.35
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$217.44 |
$217.44 |
$217.44 |
$151.25
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$207.36 |
$207.36 |
$207.36 |
$135.80
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$367.20 |
$367.20 |
$367.20 |
$100.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$346.32 |
$346.32 |
$346.32 |
$217.70
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$396.00 |
$396.00 |
$396.00 |
$236.08
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$192.96 |
$192.96 |
$192.96 |
$94.53
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$193.68 |
$193.68 |
$193.68 |
$105.00
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$694.08 |
$694.08 |
$694.08 |
$711.93
|
|
Infectious agent nucleic acid quantification bk virus
|
$186.48 |
$186.48 |
$186.48 |
$283.00
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$244.80 |
$244.80 |
$244.80 |
$238.80
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$439.20 |
$439.20 |
$439.20 |
$252.60
|
|
Infectious agent nucleic acid quantification hiv-1
|
$237.60 |
$237.60 |
$237.60 |
$374.50
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$464.40 |
$464.40 |
$464.40 |
$303.59
|
|
Infliximab 100 mg intravenous solution
|
$403.60 |
$403.60 |
$403.60 |
$2,080.86
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$327.04 |
$327.04 |
$327.04 |
$1,617.43
|
|
Initiation & management bipap/cpap initial day
|
$362.88 |
$362.88 |
$362.88 |
$576.00
|
|
Inj., benralizumab, 1 mg
|
$673.58 |
$673.58 |
$673.58 |
$11,604.71
|
|
Inj, biorphen, 20 micrograms
|
$2.59 |
$2.59 |
$2.59 |
$17.12
|
|
Inj cntr knee arthro incl ct/mri
|
$144.72 |
$144.72 |
$144.72 |
$436.80
|
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
|
$1,426.32 |
$1,426.32 |
$1,426.32 |
$1,214.78
|
|
Injection arthrography hip without anesthesia (both sides)
|
$399.60 |
$399.60 |
$399.60 |
$500.50
|
|
Injection carpal tunnel therapeutic (both sides)
|
$576.00 |
$576.00 |
$576.00 |
$504.90
|
|
Injection epidural blood patch or clot
|
$780.48 |
$780.48 |
$780.48 |
$1,156.80
|
|
Injection for arthrography wrist (both sides)
|
$246.96 |
$246.96 |
$246.96 |
$441.12
|
|
Injection for bladder x-ray
|
$980.64 |
$980.64 |
$980.64 |
$459.20
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$399.60 |
$399.60 |
$399.60 |
$494.65
|
|
Injection,onabotulinumtoxina
|
$22.50 |
$22.50 |
$22.50 |
$2,241.61
|
|
Injection radioactive tracer sentinel node (both sides)
|
$1,054.08 |
$1,054.08 |
$1,054.08 |
$683.28
|
|
Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides)
|
$1,943.28 |
$1,943.28 |
$1,943.28 |
$1,582.12
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$1,538.64 |
$1,538.64 |
$1,538.64 |
$1,391.40
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$1,942.56 |
$1,942.56 |
$1,942.56 |
$1,045.65
|
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
|
$2,150.64 |
$2,150.64 |
$2,150.64 |
$1,939.60
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
|
$896.40 |
$896.40 |
$896.40 |
$1,029.45
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
|
$2,103.84 |
$2,103.84 |
$2,103.84 |
$1,777.50
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
|
$885.60 |
$885.60 |
$885.60 |
$1,064.70
|