|
Hepatitis b core antibody total
|
$84.38 |
$84.38 |
$84.38 |
$77.50
|
|
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution
|
$2,238.24 |
$2,238.24 |
$2,238.24 |
$1,174.30
|
|
Hepatitis b surface antibody
|
$76.62 |
$76.62 |
$76.62 |
$82.55
|
|
Hepatitis c antibody
|
$108.25 |
$108.25 |
$108.25 |
$108.00
|
|
Hepatobiliary system imaging
|
$524.75 |
$524.75 |
$524.75 |
$1,494.00
|
|
Herpes simplex type 1 antibody igg
|
$50.38 |
$50.38 |
$50.38 |
$70.00
|
|
Herpes simplex type 2 antibody igg
|
$69.12 |
$69.12 |
$69.12 |
$87.36
|
|
Herpes simplex virus isolation
|
$63.62 |
$63.62 |
$63.62 |
$106.21
|
|
Heterophile antibodies screening
|
$57.75 |
$57.75 |
$57.75 |
$73.15
|
|
Hip X-ray
|
$167.25 |
$167.25 |
$167.25 |
$296.05
|
|
HIV prep, inj, cabotegravir
|
$9,840.63 |
$9,840.63 |
$9,840.63 |
$7,211.48
|
|
Hizentra injection
|
$1,351.25 |
$1,351.25 |
$1,351.25 |
$3,912.58
|
|
Hla i typing high res 1 allele grp ea
|
$234.00 |
$234.00 |
$234.00 |
$294.60
|
|
Hlth bhv assmt/reassessment
|
$49.88 |
$49.88 |
$49.88 |
$181.00
|
|
Hlth bhv ivntj indiv 1st 30
|
$34.12 |
$34.12 |
$34.12 |
$197.50
|
|
Home sleep test/type 3 porta
|
$175.00 |
$175.00 |
$175.00 |
$619.65
|
|
Homocysteine
|
$93.25 |
$93.25 |
$93.25 |
$121.92
|
|
Ho post-op hip abduction
|
$2,878.24 |
$2,878.24 |
$2,878.24 |
$1,834.25
|
|
H pylori (c-13) breath
|
$121.12 |
$121.12 |
$121.12 |
$212.25
|
|
Hyaluronidase 200 units/ml inj
|
$1,753.60 |
$1,753.60 |
$1,753.60 |
$239.37
|
|
Hyaluronidase, human recombinant 150 unit/ml injection solution
|
$221.86 |
$221.86 |
$221.86 |
$142.40
|
|
Hydralazine 20 mg/ml injection solution
|
$95.54 |
$95.54 |
$95.54 |
$46.01
|
|
Hydration IV infusion each additional hour
|
$86.38 |
$86.38 |
$86.38 |
$132.65
|
|
Hydration IV infusion initial 31minutes - 1 hour
|
$373.88 |
$373.88 |
$373.88 |
$385.16
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$696.80 |
$696.80 |
$696.80 |
$153.08
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$546.45 |
$546.45 |
$546.45 |
$129.02
|
|
Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge
|
$96.00 |
$96.00 |
$96.00 |
$294.92
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$124.18 |
$124.18 |
$124.18 |
$72.65
|
|
Hydroxyzine pamoate 25 mg capsule
|
$0.64 |
$0.64 |
$0.64 |
$1.28
|
|
Hysterosalpingography s&i
|
$367.38 |
$367.38 |
$367.38 |
$663.50
|
|
Hzv zoster vacc recombinant adjuvanted im inj
|
$422.96 |
$422.96 |
$422.96 |
$352.24
|
|
I-123 iobenguane diag
|
$5,163.50 |
$5,163.50 |
$5,163.50 |
$5,170.70
|
|
I-123 ioflupane diag
|
$3,591.50 |
$3,591.50 |
$3,591.50 |
$3,937.60
|
|
I-123 sod iodide diag per 100 uci
|
$227.71 |
$227.71 |
$227.71 |
$139.20
|
|
I131 iodide cap, rx
|
$6,861.02 |
$6,861.02 |
$6,861.02 |
$71.70
|
|
Ibandronate 3 mg/3 ml intravenous syringe
|
$492.16 |
$492.16 |
$492.16 |
$684.45
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$464.54 |
$464.54 |
$464.54 |
$980.94
|
|
Icatibant injection
|
$1,515.38 |
$1,515.38 |
$1,515.38 |
$8,695.05
|
|
Icd cobalt xt dr MRI is1 df1
|
$37,548.52 |
$37,548.52 |
$37,548.52 |
$35,347.68
|
|
Icd crtd cobalt hf MRI is1 df1
|
$56,786.40 |
$56,786.40 |
$56,786.40 |
$39,398.40
|
|
Icd crtp serena MRI
|
$19,320.00 |
$19,320.00 |
$19,320.00 |
$14,360.25
|
|
Icd reliance df4 ib 64cm
|
$10,030.00 |
$10,030.00 |
$10,030.00 |
$9,363.28
|
|
Icut allergy test-delayed
|
$13.00 |
$13.00 |
$13.00 |
$51.36
|
|
Icut allergy test drug/bug
|
$3.68 |
$3.68 |
$3.68 |
$70.29
|
|
Idarubicin hcl injection
|
$258.28 |
$258.28 |
$258.28 |
$447.02
|
|
Ifosfamide 1 gram intravenous solution
|
$246.95 |
$246.95 |
$246.95 |
$246.95
|
|
Ihc/icc per specimen each additional single antibody stain
|
$152.00 |
$152.00 |
$152.00 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$260.00 |
$260.00 |
$260.00 |
$322.55
|
|
Ihc/icc per specimen initial single antibody stain
|
$190.38 |
$190.38 |
$190.38 |
$272.30
|
|
Immntx 4 sting insects
|
$19.08 |
$19.08 |
$19.08 |
$71.50
|
|
Immntx 5 sting insects
|
$21.18 |
$21.18 |
$21.18 |
$123.50
|
|
Immobilizer shldr cntor adlt
|
$226.12 |
$226.12 |
$226.12 |
$175.47
|
|
Immobilizer shldr dlx str 24-36in med
|
$281.97 |
$281.97 |
$281.97 |
$110.00
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$5,930.00 |
$5,930.00 |
$5,930.00 |
$6,106.32
|
|
Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution
|
$3,809.32 |
$3,809.32 |
$3,809.32 |
$3,092.46
|
|
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution
|
$6,977.00 |
$6,977.00 |
$6,977.00 |
$3,846.15
|
|
Immunoassay tumor antigen quantitative ca 125
|
$111.88 |
$111.88 |
$111.88 |
$131.57
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$108.62 |
$108.62 |
$108.62 |
$116.40
|
|
Immunofixation electrophoresis serum
|
$114.50 |
$114.50 |
$114.50 |
$141.60
|
|
Implant cochlear osia osi300
|
$35,580.73 |
$35,580.73 |
$35,580.73 |
$17,698.33
|
|
Implant pulse generator remede el
|
$68,750.00 |
$68,750.00 |
$68,750.00 |
$46,034.74
|
|
Implant ureth bulk agent
|
$3,680.00 |
$3,680.00 |
$3,680.00 |
$2,141.57
|
|
In-111 oxyquinolin per 0.5 mci
|
$29.84 |
$29.84 |
$29.84 |
$2,581.82
|
|
In-111 pentetate dtpa / 0.5 mci
|
$2,598.17 |
$2,598.17 |
$2,598.17 |
$2,565.10
|
|
In-111 pentetreotide
|
$4,394.56 |
$4,394.56 |
$4,394.56 |
$4,961.43
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$2,527.00 |
$2,527.00 |
$2,527.00 |
$2,080.80
|
|
Incision of breast lesion
|
$163.62 |
$163.62 |
$163.62 |
$2,577.85
|
|
Incobotulinumtoxin a
|
$2,578.00 |
$2,578.00 |
$2,578.00 |
$1,339.57
|
|
Infect ag drug suscept pheno predict
|
$153.38 |
$153.38 |
$153.38 |
$323.20
|
|
Infect ag na orthopoxvirus amp prb each
|
$116.00 |
$116.00 |
$116.00 |
$100.46
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$70.75 |
$70.75 |
$70.75 |
$82.50
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$44.38 |
$44.38 |
$44.38 |
$76.45
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$54.88 |
$54.88 |
$54.88 |
$75.40
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$88.75 |
$88.75 |
$88.75 |
$96.50
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$58.00 |
$58.00 |
$58.00 |
$81.06
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$57.50 |
$57.50 |
$57.50 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$78.38 |
$78.38 |
$78.38 |
$130.90
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$45.50 |
$45.50 |
$45.50 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$96.88 |
$96.88 |
$96.88 |
$275.00
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$79.50 |
$79.50 |
$79.50 |
$137.67
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$102.25 |
$102.25 |
$102.25 |
$167.05
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$129.38 |
$129.38 |
$129.38 |
$184.50
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$60.00 |
$60.00 |
$60.00 |
$151.25
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$94.50 |
$94.50 |
$94.50 |
$136.03
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$75.00 |
$75.00 |
$75.00 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$144.62 |
$144.62 |
$144.62 |
$217.80
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$178.29 |
$178.29 |
$178.29 |
$236.08
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$43.86 |
$43.86 |
$43.86 |
$92.50
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$56.75 |
$56.75 |
$56.75 |
$110.50
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$604.00 |
$604.00 |
$604.00 |
$727.50
|
|
Infectious agent nucleic acid quantification bk virus
|
$110.12 |
$110.12 |
$110.12 |
$285.66
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$117.88 |
$117.88 |
$117.88 |
$238.80
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$187.25 |
$187.25 |
$187.25 |
$253.00
|
|
Infectious agent nucleic acid quantification hiv-1
|
$166.25 |
$166.25 |
$166.25 |
$375.00
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$216.25 |
$216.25 |
$216.25 |
$303.59
|
|
Infliximab 100 mg intravenous solution
|
$1,986.92 |
$1,986.92 |
$1,986.92 |
$2,080.85
|
|
Infliximab-axxq 100 mg intravenous solution
|
$1,226.50 |
$1,226.50 |
$1,226.50 |
$1,062.00
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$1,128.50 |
$1,128.50 |
$1,128.50 |
$1,537.84
|
|
Ingest challenge ea addl 60 min
|
$30.28 |
$30.28 |
$30.28 |
$289.64
|
|
Ingest challenge ini 120 min
|
$40.25 |
$40.25 |
$40.25 |
$640.00
|
