|
Hepatitis b core antibody total
|
$96.50 |
$96.50 |
$96.50 |
$77.50
|
|
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution
|
$2,238.24 |
$2,238.24 |
$2,238.24 |
$1,154.13
|
|
Hepatitis b surface antibody
|
$107.50 |
$107.50 |
$107.50 |
$81.12
|
|
Hepatitis c antibody
|
$124.00 |
$124.00 |
$124.00 |
$107.10
|
|
Hepatobiliary system imaging
|
$1,355.50 |
$1,355.50 |
$1,355.50 |
$1,446.00
|
|
Herpes simplex type 1 antibody igg
|
$98.00 |
$98.00 |
$98.00 |
$70.00
|
|
Herpes simplex type 2 antibody igg
|
$98.00 |
$98.00 |
$98.00 |
$87.10
|
|
Herpes simplex virus isolation
|
$120.00 |
$120.00 |
$120.00 |
$106.21
|
|
Heterophile antibodies screening
|
$107.00 |
$107.00 |
$107.00 |
$72.00
|
|
Hip X-ray
|
$203.50 |
$203.50 |
$203.50 |
$294.75
|
|
Histamine
|
$171.00 |
$171.00 |
$171.00 |
$114.84
|
|
Histochemical stains add-on
|
$146.50 |
$146.50 |
$146.50 |
$152.75
|
|
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 class i high defin qual
|
$544.50 |
$544.50 |
$544.50 |
$574.86
|
|
Hla ii typing 1 loc hr
|
$1,039.00 |
$1,039.00 |
$1,039.00 |
$290.94
|
|
Hla i typing high res 1 allele grp ea
|
$265.00 |
$265.00 |
$265.00 |
$293.15
|
|
Hla i typing low res one locus ea
|
$481.50 |
$481.50 |
$481.50 |
$321.60
|
|
Home sleep test/type 3 porta
|
$935.00 |
$935.00 |
$935.00 |
$608.40
|
|
Homocysteine
|
$126.50 |
$126.50 |
$126.50 |
$121.92
|
|
Homogenization tissue
|
$43.50 |
$43.50 |
$43.50 |
$39.00
|
|
Ho post-op hip abduction
|
$2,878.24 |
$2,878.24 |
$2,878.24 |
$1,897.50
|
|
Hpa-1 genotyping
|
$232.00 |
$232.00 |
$232.00 |
$174.40
|
|
H pylori (c-13) breath
|
$236.00 |
$236.00 |
$236.00 |
$212.25
|
|
H pylori drug admin
|
$61.00 |
$61.00 |
$61.00 |
$28.56
|
|
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
|
$137.50 |
$137.50 |
$137.50 |
$132.65
|
|
Hydration IV infusion initial 31minutes - 1 hour
|
$430.50 |
$430.50 |
$430.50 |
$385.16
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$696.80 |
$696.80 |
$696.80 |
$138.70
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$546.45 |
$546.45 |
$546.45 |
$121.31
|
|
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
|
$739.50 |
$739.50 |
$739.50 |
$651.85
|
|
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 |
$5,229.62
|
|
I-123 ioflupane diag
|
$3,591.50 |
$3,591.50 |
$3,591.50 |
$3,923.52
|
|
I-123 sod iodide diag per 100 uci
|
$227.71 |
$227.71 |
$227.71 |
$141.90
|
|
I131 iodide cap, rx
|
$6,861.02 |
$6,861.02 |
$6,861.02 |
$71.70
|
|
Iaadi respiratory synctial virus
|
$66.50 |
$66.50 |
$66.50 |
$49.40
|
|
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 |
$34,858.40
|
|
Icd crtd cobalt hf MRI is1 df1
|
$56,786.40 |
$56,786.40 |
$56,786.40 |
$39,070.50
|
|
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 |
$9,297.68
|
|
Icut allergy test drug/bug
|
$50.50 |
$50.50 |
$50.50 |
$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
|
$271.50 |
$271.50 |
$271.50 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$271.50 |
$271.50 |
$271.50 |
$328.79
|
|
Ihc/icc per specimen initial single antibody stain
|
$292.50 |
$292.50 |
$292.50 |
$272.30
|
|
Immobilizer shldr cntor adlt
|
$226.12 |
$226.12 |
$226.12 |
$175.60
|
|
Immobilizer shldr dlx str 24-36in med
|
$281.97 |
$281.97 |
$281.97 |
$115.00
|
|
Immune complex assay
|
$184.50 |
$184.50 |
$184.50 |
$106.14
|
|
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 |
$2,900.11
|
|
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
|
$160.00 |
$160.00 |
$160.00 |
$130.39
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$146.50 |
$146.50 |
$146.50 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$37.50 |
$37.50 |
$37.50 |
$48.36
|
|
Immunofixation electrophoresis serum
|
$156.50 |
$156.50 |
$156.50 |
$140.70
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$128.00 |
$128.00 |
$128.00 |
$156.00
|
|
Immunofluorescence per specimen initial single antibody stain
|
$220.50 |
$220.50 |
$220.50 |
$234.27
|
|
Immunoglobulin assay
|
$327.00 |
$327.00 |
$327.00 |
$74.15
|
|
Implant cochlear osia osi300
|
$35,580.73 |
$35,580.73 |
$35,580.73 |
$17,423.06
|
|
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 |
$2,601.60
|
|
In-111 pentetate dtpa / 0.5 mci
|
$2,598.17 |
$2,598.17 |
$2,598.17 |
$2,598.17
|
|
In-111 pentetreotide
|
$4,394.56 |
$4,394.56 |
$4,394.56 |
$5,201.00
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$1,044.00 |
$1,044.00 |
$1,044.00 |
$2,080.80
|
|
Incobotulinumtoxin a
|
$2,578.00 |
$2,578.00 |
$2,578.00 |
$1,339.57
|
|
Infect ag drug suscept pheno predict
|
$302.00 |
$302.00 |
$302.00 |
$323.20
|
|
Infect ag genotype na hiv-1 other region
|
$350.00 |
$350.00 |
$350.00 |
$346.50
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$529.50 |
$529.50 |
$529.50 |
$603.75
|
|
Infect ag if ea plyvlnt antsrm
|
$79.50 |
$79.50 |
$79.50 |
$55.80
|
|
Infect ag if influenza a
|
$46.50 |
$46.50 |
$46.50 |
$42.12
|
|
Infect ag if influenza b
|
$50.00 |
$50.00 |
$50.00 |
$40.52
|
|
Infect ag if pneumocystis carinii
|
$84.00 |
$84.00 |
$84.00 |
$67.19
|
|
Infect ag na herpes simplex quant
|
$237.50 |
$237.50 |
$237.50 |
$168.50
|
|
Infect ag na influenza r/amp 1st 2 types
|
$222.50 |
$222.50 |
$222.50 |
$217.88
|
|
Infect ag na orthopoxvirus amp prb each
|
$145.00 |
$145.00 |
$145.00 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$80.50 |
$80.50 |
$80.50 |
$81.90
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$81.50 |
$81.50 |
$81.50 |
$76.32
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$86.50 |
$86.50 |
$86.50 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$135.00 |
$135.00 |
$135.00 |
$95.34
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$62.00 |
$62.00 |
$62.00 |
$80.50
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$96.50 |
$96.50 |
$96.50 |
$60.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$75.50 |
$75.50 |
$75.50 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$334.00 |
$334.00 |
$334.00 |
$129.68
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$129.50 |
$129.50 |
$129.50 |
$98.02
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$69.50 |
$69.50 |
$69.50 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$118.00 |
$118.00 |
$118.00 |
$267.50
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$81.00 |
$81.00 |
$81.00 |
$137.67
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$133.00 |
$133.00 |
$133.00 |
$166.40
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$891.50 |
$891.50 |
$891.50 |
$861.00
|
