|
Hemolysins/agglutinins auto
|
$108.72 |
$108.72 |
$108.72 |
$57.14
|
|
Hemophilus influenza antibdy
|
$305.28 |
$305.28 |
$305.28 |
$62.70
|
|
Heparin assay
|
$189.36 |
$189.36 |
$189.36 |
$140.10
|
|
Heparin bolus from bag
|
$25.20 |
$25.20 |
$25.20 |
$66.47
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$0.09 |
$0.09 |
$0.09 |
$10.61
|
|
Hepatitis a antibody igm
|
$118.80 |
$118.80 |
$118.80 |
$87.75
|
|
Hepatitis b core antibody igm
|
$98.64 |
$98.64 |
$98.64 |
$87.98
|
|
Hepatitis b core antibody total
|
$221.04 |
$221.04 |
$221.04 |
$77.50
|
|
Hepatitis b surface antibody
|
$192.96 |
$192.96 |
$192.96 |
$82.05
|
|
Hepatitis c antibody
|
$105.84 |
$105.84 |
$105.84 |
$108.00
|
|
Hepatobiliary system imaging
|
$1,170.00 |
$1,170.00 |
$1,170.00 |
$1,438.58
|
|
Hereditary colon ca dsordrs
|
$1,702.08 |
$1,702.08 |
$1,702.08 |
$1,799.45
|
|
Herpes simplex type 1 antibody igg
|
$166.32 |
$166.32 |
$166.32 |
$70.00
|
|
Herpes simplex type 2 antibody igg
|
$166.32 |
$166.32 |
$166.32 |
$87.10
|
|
Herpes simplex virus isolation
|
$199.44 |
$199.44 |
$199.44 |
$104.10
|
|
Heterophile antibodies screening
|
$115.92 |
$115.92 |
$115.92 |
$74.00
|
|
Hip X-ray
|
$336.96 |
$336.96 |
$336.96 |
$292.05
|
|
Histamine
|
$148.32 |
$148.32 |
$148.32 |
$115.00
|
|
Hla ii typing 1 loc hr
|
$294.48 |
$294.48 |
$294.48 |
$290.94
|
|
Home sleep test/type 3 porta
|
$303.12 |
$303.12 |
$303.12 |
$579.26
|
|
Homocysteine
|
$122.40 |
$122.40 |
$122.40 |
$121.92
|
|
Homogenization tissue
|
$68.40 |
$68.40 |
$68.40 |
$39.20
|
|
Homovanillic acid (hva)
|
$326.16 |
$326.16 |
$326.16 |
$59.95
|
|
Hpv types 16 & 18 only
|
$187.92 |
$187.92 |
$187.92 |
$110.70
|
|
H pylori (c-13) breath
|
$181.44 |
$181.44 |
$181.44 |
$213.00
|
|
Hrdtry brst ca-rlatd do 5+
|
$1,702.08 |
$1,702.08 |
$1,702.08 |
$1,702.08
|
|
Htt gene detc abnor alleles
|
$327.60 |
$327.60 |
$327.60 |
$250.50
|
|
Human epididymis protein 4 (he4)
|
$412.56 |
$412.56 |
$412.56 |
$157.32
|
|
Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution
|
$8.85 |
$8.85 |
$8.85 |
$5,836.20
|
|
Hydralazine 20 mg/ml injection solution
|
$25.20 |
$25.20 |
$25.20 |
$46.74
|
|
Hydration IV infusion each additional hour
|
$120.24 |
$120.24 |
$120.24 |
$131.20
|
|
Hydration IV infusion initial 31minutes - 1 hour
|
$419.04 |
$419.04 |
$419.04 |
$383.00
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$41.76 |
$41.76 |
$41.76 |
$154.78
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$25.20 |
$25.20 |
$25.20 |
$131.47
|
|
Iadna legionella pneumophila amplified probe tq
|
$94.32 |
$94.32 |
$94.32 |
$109.80
|
|
Igh@ var region somatic mutation analy
|
$468.00 |
$468.00 |
$468.00 |
$660.80
|
|
Ihc/icc per specimen each additional single antibody stain
|
$132.48 |
$132.48 |
$132.48 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$538.56 |
$538.56 |
$538.56 |
$328.79
|
|
Ihc/icc per specimen initial single antibody stain
|
$187.92 |
$187.92 |
$187.92 |
$274.86
|
|
Immunoassay tumor antigen quantitative ca 125
|
$249.84 |
$249.84 |
$249.84 |
$130.00
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$212.40 |
$212.40 |
$212.40 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$160.56 |
$160.56 |
$160.56 |
$48.50
|
|
Immunodiffusion nes
|
$108.00 |
$108.00 |
$108.00 |
$53.76
|
|
Immunofixation electrophoresis serum
|
$357.12 |
$357.12 |
$357.12 |
$138.60
|
|
Immunoglobulin assay
|
$155.52 |
$155.52 |
$155.52 |
$74.15
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$5,114.16 |
$5,114.16 |
$5,114.16 |
$2,080.80
|
|
Infect ag eia influenza a or b ea
|
$46.08 |
$46.08 |
$46.08 |
$69.03
|
|
Infect ag ia optc obs influenza
|
$54.72 |
$54.72 |
$54.72 |
$72.93
|
|
Infect ag if nos ea
|
$84.96 |
$84.96 |
$84.96 |
$74.10
|
|
Infect ag na herpes simplex quant
|
$299.52 |
$299.52 |
$299.52 |
$169.65
|
|
Infect ag na hpv high-risk types
|
$115.92 |
$115.92 |
$115.92 |
$139.20
|
|
Infect ag na orthopoxvirus amp prb each
|
$86.40 |
$86.40 |
$86.40 |
$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
|
$99.36 |
$99.36 |
$99.36 |
$51.31
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$300.24 |
$300.24 |
$300.24 |
$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 giardia
|
$143.28 |
$143.28 |
$143.28 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$287.28 |
$287.28 |
$287.28 |
$96.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$169.92 |
$169.92 |
$169.92 |
$81.06
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$64.80 |
$64.80 |
$64.80 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$252.72 |
$252.72 |
$252.72 |
$127.80
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$230.40 |
$230.40 |
$230.40 |
$97.50
|
|
Infectious agent nucleic acid amplified probe
|
$262.80 |
$262.80 |
$262.80 |
$267.50
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$202.32 |
$202.32 |
$202.32 |
$137.67
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$115.20 |
$115.20 |
$115.20 |
$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
|
$401.76 |
$401.76 |
$401.76 |
$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 mycobacteria tuberculosis
|
$352.80 |
$352.80 |
$352.80 |
$201.60
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$89.28 |
$89.28 |
$89.28 |
$135.80
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$321.12 |
$321.12 |
$321.12 |
$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
|
$151.92 |
$151.92 |
$151.92 |
$94.53
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$53.28 |
$53.28 |
$53.28 |
$105.00
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$687.60 |
$687.60 |
$687.60 |
$711.93
|
|
Infectious agent nucleic acid quantification bk virus
|
$336.24 |
$336.24 |
$336.24 |
$283.00
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$388.80 |
$388.80 |
$388.80 |
$238.80
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$709.92 |
$709.92 |
$709.92 |
$252.60
|
|
Infectious agent nucleic acid quantification hiv-1
|
$294.48 |
$294.48 |
$294.48 |
$374.50
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$464.40 |
$464.40 |
$464.40 |
$303.59
|
|
Initiation & management bipap/cpap initial day
|
$382.32 |
$382.32 |
$382.32 |
$576.00
|
|
Inj, abilify maintena, 1 mg
|
$12.18 |
$12.18 |
$12.18 |
$5,355.30
|
|
Inj ceftolozane tazobactam
|
$15.07 |
$15.07 |
$15.07 |
$408.00
|
|
Injection epidural blood patch or clot
|
$1,557.36 |
$1,557.36 |
$1,557.36 |
$1,156.80
|
|
Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides)
|
$1,662.48 |
$1,662.48 |
$1,662.48 |
$1,582.12
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$1,496.16 |
$1,496.16 |
$1,496.16 |
$1,045.65
|
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
|
$637.92 |
$637.92 |
$637.92 |
$460.94
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$637.92 |
$637.92 |
$637.92 |
$517.24
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$302.40 |
$302.40 |
$302.40 |
$166.38
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$276.48 |
$276.48 |
$276.48 |
$145.60
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$418.32 |
$418.32 |
$418.32 |
$261.00
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$133.92 |
$133.92 |
$133.92 |
$135.20
|
|
Inj, releuko 1 mcg
|
$439.92 |
$439.92 |
$439.92 |
$461.20
|
|
Inj vancomycin (xellia) 10mg
|
$108.00 |
$108.00 |
$108.00 |
$79.21
|
|
Insertion catheter bladder non indwelling
|
$241.92 |
$241.92 |
$241.92 |
$205.20
|
|
Insertion catheter bladder temporary simple
|
$241.92 |
$241.92 |
$241.92 |
$229.32
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$5,911.92 |
$5,911.92 |
$5,911.92 |
$2,511.00
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$2,917.44 |
$2,917.44 |
$2,917.44 |
$2,079.43
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$3,607.20 |
$3,607.20 |
$3,607.20 |
$2,414.10
|