|
Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution
|
$3.39 |
$3.39 |
$3.39 |
$3.39
|
|
Hyaluronidase, human recombinant 150 unit/ml injection solution
|
$180.48 |
$180.48 |
$180.48 |
$180.48
|
|
Hydralazine 20 mg/ml injection solution
|
$46.01 |
$46.01 |
$46.01 |
$46.01
|
|
Hydration IV infusion each additional hour
|
$145.20 |
$145.20 |
$145.20 |
$125.45
|
|
Hydration IV infusion initial 31minutes - 1 hour
|
$577.80 |
$577.80 |
$577.80 |
$388.70
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$43.68 |
$43.68 |
$43.68 |
$63.24
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$315.18 |
$315.18 |
$315.18 |
$47.18
|
|
Hysterosalpingography s&i
|
$325.80 |
$325.80 |
$325.80 |
$555.39
|
|
I-123 sod iodide diag per 100 uci
|
$63.00 |
$63.00 |
$63.00 |
$157.09
|
|
I131 iodide cap, rx
|
$42.60 |
$42.60 |
$42.60 |
$117.00
|
|
Ibandronate 3 mg/3 ml intravenous syringe
|
$1,098.28 |
$1,098.28 |
$1,098.28 |
$768.06
|
|
Idarubicin hcl injection
|
$25.30 |
$25.30 |
$25.30 |
$249.51
|
|
Idh1 common variants
|
$546.60 |
$546.60 |
$546.60 |
$406.90
|
|
Idh2 common variants
|
$835.80 |
$835.80 |
$835.80 |
$463.45
|
|
Igh gene rearrange amp meth
|
$318.60 |
$318.60 |
$318.60 |
$464.00
|
|
Igh@ var region somatic mutation analy
|
$889.20 |
$889.20 |
$889.20 |
$685.75
|
|
Igk rearrangeabn clonal pop
|
$507.00 |
$507.00 |
$507.00 |
$382.50
|
|
Ihc/icc per specimen each additional single antibody stain
|
$160.80 |
$160.80 |
$160.80 |
$187.20
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$429.60 |
$429.60 |
$429.60 |
$339.73
|
|
Ihc/icc per specimen initial single antibody stain
|
$398.40 |
$398.40 |
$398.40 |
$274.86
|
|
Iliac revasc add-on 37222
|
$23,263.20 |
$23,263.20 |
$23,263.20 |
$8,583.60
|
|
Immobilizer shldr cntor adlt
|
$160.20 |
$160.20 |
$160.20 |
$89.70
|
|
Immobilizer shldr dlx str 24-36in med
|
$78.00 |
$78.00 |
$78.00 |
$72.60
|
|
Immune complex assay
|
$254.40 |
$254.40 |
$254.40 |
$89.25
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$6,572.65 |
$6,572.65 |
$6,572.65 |
$2,621.62
|
|
Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution
|
$2,568.72 |
$2,568.72 |
$2,568.72 |
$107.10
|
|
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution
|
$6,925.50 |
$6,925.50 |
$6,925.50 |
$3,132.49
|
|
Immunoassay tumor antigen quantitative ca 125
|
$224.40 |
$224.40 |
$224.40 |
$122.50
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$312.60 |
$312.60 |
$312.60 |
$117.00
|
|
Immunodiff gel qual ea antigen/ab
|
$257.40 |
$257.40 |
$257.40 |
$58.25
|
|
Immunofixation electrophoresis serum
|
$302.40 |
$302.40 |
$302.40 |
$133.38
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$201.00 |
$201.00 |
$201.00 |
$185.00
|
|
Immunofluorescence per specimen initial single antibody stain
|
$353.40 |
$353.40 |
$353.40 |
$288.00
|
|
Immunology procedure
|
$750.00 |
$750.00 |
$750.00 |
$321.98
|
|
Implant cartilage 10mm synthetic
|
$21,303.60 |
$21,303.60 |
$21,303.60 |
$14,238.00
|
|
Implant cochlear osia osi300
|
$4,142.40 |
$4,142.40 |
$4,142.40 |
$9,185.56
|
|
Implant ureth bulk agent
|
$3,049.20 |
$3,049.20 |
$3,049.20 |
$2,342.17
|
|
In-111 autol wbc diag per dose
|
$3,567.60 |
$3,567.60 |
$3,567.60 |
$3,785.34
|
|
In-111 pentetate dtpa / 0.5 mci
|
$2,106.00 |
$2,106.00 |
$2,106.00 |
$2,156.25
|
|
In-111 pentetreotide
|
$8,461.80 |
$8,461.80 |
$8,461.80 |
$6,862.70
|
|
In-111 satumomab pend
|
$2,835.00 |
$2,835.00 |
$2,835.00 |
$3,524.25
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$2,841.00 |
$2,841.00 |
$2,841.00 |
$2,056.93
|
|
Incisn of toe tndn
|
$3,164.40 |
$3,164.40 |
$3,164.40 |
$2,298.99
|
|
Incobotulinumtoxin a
|
$10.72 |
$10.72 |
$10.72 |
$5.34
|
|
Infect ag genotype na cytomegalovirus
|
$385.80 |
$385.80 |
$385.80 |
$577.60
|
|
Infect ag genotype na hiv-1 other region
|
$963.00 |
$963.00 |
$963.00 |
$390.00
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$1,374.60 |
$1,374.60 |
$1,374.60 |
$619.11
|
|
Infect ag ia direct hiv-1 antgn
|
$172.20 |
$172.20 |
$172.20 |
$95.55
|
|
Infect ag ia optc obs influenza
|
$79.80 |
$79.80 |
$79.80 |
$65.58
|
|
Infect ag if ea plyvlnt antsrm
|
$38.40 |
$38.40 |
$38.40 |
$47.70
|
|
Infect ag if legionella pneumophila
|
$227.40 |
$227.40 |
$227.40 |
$85.15
|
|
Infect ag if nos ea
|
$130.80 |
$130.80 |
$130.80 |
$66.40
|
|
Infect ag if pneumocystis carinii
|
$225.60 |
$225.60 |
$225.60 |
$53.81
|
|
Infect ag na hep b amp
|
$469.20 |
$469.20 |
$469.20 |
$108.44
|
|
Infect ag na herpes simplex quant
|
$77.40 |
$77.40 |
$77.40 |
$145.20
|
|
Infect ag na hpv high-risk types
|
$156.60 |
$156.60 |
$156.60 |
$147.00
|
|
Infect ag na influenza r/amp 1st 2 types
|
$210.60 |
$210.60 |
$210.60 |
$248.80
|
|
Infect ag na influenza revr/amp ea type
|
$152.40 |
$152.40 |
$152.40 |
$151.80
|
|
Infect ag na resp virus 12-25 targets
|
$870.00 |
$870.00 |
$870.00 |
$878.20
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$21.00 |
$21.00 |
$21.00 |
$76.00
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$132.60 |
$132.60 |
$132.60 |
$76.00
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$142.80 |
$142.80 |
$142.80 |
$73.45
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$96.00 |
$96.00 |
$96.00 |
$96.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$126.60 |
$126.60 |
$126.60 |
$75.27
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$148.20 |
$148.20 |
$148.20 |
$60.95
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$203.40 |
$203.40 |
$203.40 |
$107.90
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$241.80 |
$241.80 |
$241.80 |
$132.60
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$278.40 |
$278.40 |
$278.40 |
$98.40
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$39.00 |
$39.00 |
$39.00 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$469.20 |
$469.20 |
$469.20 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$100.20 |
$100.20 |
$100.20 |
$144.00
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$184.20 |
$184.20 |
$184.20 |
$174.06
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$198.00 |
$198.00 |
$198.00 |
$181.35
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$283.20 |
$283.20 |
$283.20 |
$148.80
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$454.20 |
$454.20 |
$454.20 |
$217.10
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$99.60 |
$99.60 |
$99.60 |
$134.55
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$412.80 |
$412.80 |
$412.80 |
$109.18
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$126.60 |
$126.60 |
$126.60 |
$194.40
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$210.60 |
$210.60 |
$210.60 |
$135.00
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$998.40 |
$998.40 |
$998.40 |
$727.50
|
|
Infectious agent nucleic acid quantification bk virus
|
$621.60 |
$621.60 |
$621.60 |
$300.00
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$556.80 |
$556.80 |
$556.80 |
$242.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$918.60 |
$918.60 |
$918.60 |
$280.20
|
|
Infectious agent nucleic acid quantification hiv-1
|
$970.20 |
$970.20 |
$970.20 |
$381.55
|
|
Infliximab 100 mg intravenous solution
|
$27.79 |
$27.79 |
$27.79 |
$178.95
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$20.66 |
$20.66 |
$20.66 |
$157.14
|
|
Influenza dna amp prob addl
|
$65.40 |
$65.40 |
$65.40 |
$75.80
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$398.40 |
$398.40 |
$398.40 |
$344.50
|
|
Initiation & management bipap/cpap initial day
|
$893.40 |
$893.40 |
$893.40 |
$608.40
|
|
Inj., benralizumab, 1 mg
|
$8,674.10 |
$8,674.10 |
$8,674.10 |
$12,417.10
|
|
Inj cefazolin sodium, hikma
|
$104.18 |
$104.18 |
$104.18 |
$66.38
|
|
Inj ceftolozane tazobactam
|
$239.31 |
$239.31 |
$239.31 |
$248.93
|
|
Inj cntr knee arthro incl ct/mri
|
$696.00 |
$696.00 |
$696.00 |
$505.20
|
|
Inj dx for sinogram
|
$636.60 |
$636.60 |
$636.60 |
$484.00
|
|
Injection arthrography hip without anesthesia (both sides)
|
$844.20 |
$844.20 |
$844.20 |
$609.20
|
|
Injection, burosumab-twza 1m
|
$590.52 |
$590.52 |
$590.52 |
$481.57
|
|
Injection, doxercalciferol
|
$30.35 |
$30.35 |
$30.35 |
$30.35
|
|
Injection during cath supravalvular aortography
|
$3,318.00 |
$3,318.00 |
$3,318.00 |
$1,604.20
|
|
Injection epidural blood patch or clot
|
$2,034.00 |
$2,034.00 |
$2,034.00 |
$1,470.60
|
|
Injection for arthrography wrist (both sides)
|
$787.80 |
$787.80 |
$787.80 |
$521.18
|