|
Htt gene detc abnor alleles
|
$447.60 |
$447.60 |
$447.60 |
$250.50
|
|
Hydralazine 20 mg/ml injection solution
|
$42.60 |
$42.60 |
$42.60 |
$46.74
|
|
Hydration IV infusion each additional hour
|
$72.00 |
$72.00 |
$72.00 |
$131.20
|
|
Hydration IV infusion initial 31minutes - 1 hour
|
$282.00 |
$282.00 |
$282.00 |
$383.00
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$47.40 |
$47.40 |
$47.40 |
$154.78
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$17.40 |
$17.40 |
$17.40 |
$131.47
|
|
Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge
|
$20.10 |
$20.10 |
$20.10 |
$294.92
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$72.00 |
$72.00 |
$72.00 |
$72.65
|
|
#hypersens-actinomyces ab
|
$16.80 |
$16.80 |
$16.80 |
$31.74
|
|
I-123 sod iodide diag per 100 uci
|
$154.20 |
$154.20 |
$154.20 |
$139.20
|
|
Ibandronate 3 mg/3 ml intravenous syringe
|
$1,672.20 |
$1,672.20 |
$1,672.20 |
$635.44
|
|
Igh@ var region somatic mutation analy
|
$1,246.20 |
$1,246.20 |
$1,246.20 |
$660.80
|
|
Ihc/icc per specimen each additional single antibody stain
|
$281.40 |
$281.40 |
$281.40 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$471.00 |
$471.00 |
$471.00 |
$328.79
|
|
Ihc/icc per specimen initial single antibody stain
|
$399.60 |
$399.60 |
$399.60 |
$274.86
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$15,268.20 |
$15,268.20 |
$15,268.20 |
$6,106.32
|
|
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution
|
$12,166.80 |
$12,166.80 |
$12,166.80 |
$3,846.15
|
|
Immunoassay tumor antigen quantitative ca 125
|
$640.80 |
$640.80 |
$640.80 |
$130.00
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$180.00 |
$180.00 |
$180.00 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$20.40 |
$20.40 |
$20.40 |
$48.50
|
|
Immunofixation electrophoresis serum
|
$339.00 |
$339.00 |
$339.00 |
$138.60
|
|
Implant cartilage 10mm synthetic
|
$1,764.00 |
$1,764.00 |
$1,764.00 |
$10,050.00
|
|
Implant ureth bulk agent
|
$1,852.20 |
$1,852.20 |
$1,852.20 |
$2,139.62
|
|
Imp neurosti pls gn any type
|
$20,552.36 |
$20,552.36 |
$20,552.36 |
$8,347.32
|
|
Infect ag drug suscept pheno predict
|
$319.80 |
$319.80 |
$319.80 |
$320.00
|
|
Infect ag genotype na dna hepatitis b
|
$979.80 |
$979.80 |
$979.80 |
$427.43
|
|
Infect ag ia optc obs influenza
|
$41.40 |
$41.40 |
$41.40 |
$72.93
|
|
Infect ag if pneumocystis carinii
|
$45.60 |
$45.60 |
$45.60 |
$67.46
|
|
Infect ag na hpv high-risk types
|
$77.40 |
$77.40 |
$77.40 |
$139.20
|
|
Infect ag na influenza r/amp 1st 2 types
|
$154.80 |
$154.80 |
$154.80 |
$219.70
|
|
Infect ag na orthopoxvirus amp prb each
|
$127.80 |
$127.80 |
$127.80 |
$99.36
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$255.00 |
$255.00 |
$255.00 |
$76.50
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$45.00 |
$45.00 |
$45.00 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$179.40 |
$179.40 |
$179.40 |
$96.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$231.60 |
$231.60 |
$231.60 |
$81.06
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$243.60 |
$243.60 |
$243.60 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$393.00 |
$393.00 |
$393.00 |
$127.80
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$45.60 |
$45.60 |
$45.60 |
$97.50
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$20.40 |
$20.40 |
$20.40 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$306.00 |
$306.00 |
$306.00 |
$267.50
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$60.00 |
$60.00 |
$60.00 |
$137.67
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$82.80 |
$82.80 |
$82.80 |
$167.05
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$956.40 |
$956.40 |
$956.40 |
$861.00
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$227.40 |
$227.40 |
$227.40 |
$181.35
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$91.20 |
$91.20 |
$91.20 |
$151.25
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$60.00 |
$60.00 |
$60.00 |
$135.80
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$146.40 |
$146.40 |
$146.40 |
$236.08
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$63.00 |
$63.00 |
$63.00 |
$94.53
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$60.00 |
$60.00 |
$60.00 |
$105.00
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$265.80 |
$265.80 |
$265.80 |
$711.93
|
|
Infectious agent nucleic acid quantification bk virus
|
$239.40 |
$239.40 |
$239.40 |
$283.00
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$421.20 |
$421.20 |
$421.20 |
$238.80
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$180.60 |
$180.60 |
$180.60 |
$252.60
|
|
Infectious agent nucleic acid quantification hiv-1
|
$703.80 |
$703.80 |
$703.80 |
$374.50
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$262.80 |
$262.80 |
$262.80 |
$303.59
|
|
Infliximab 100 mg intravenous solution
|
$3,894.60 |
$3,894.60 |
$3,894.60 |
$2,080.86
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$3,155.40 |
$3,155.40 |
$3,155.40 |
$1,617.43
|
|
Influenza dna amp prob addl
|
$115.20 |
$115.20 |
$115.20 |
$64.26
|
|
Initiation & management bipap/cpap initial day
|
$498.60 |
$498.60 |
$498.60 |
$576.00
|
|
Inj, abilify maintena, 1 mg
|
$6,259.20 |
$6,259.20 |
$6,259.20 |
$5,355.30
|
|
Inj, acetaminophen (b braun)
|
$29.40 |
$29.40 |
$29.40 |
$32.79
|
|
Inj, adalimumab, 1 mg
|
$24,021.00 |
$24,021.00 |
$24,021.00 |
$12,098.05
|
|
Inj andexxa, 10 mg
|
$20,193.00 |
$20,193.00 |
$20,193.00 |
$4,370.80
|
|
Inj., aristada initio, 1 mg
|
$6,234.00 |
$6,234.00 |
$6,234.00 |
$4,052.45
|
|
Inj, biorphen, 20 micrograms
|
$20.40 |
$20.40 |
$20.40 |
$17.12
|
|
Inj, bupivacaine liposome
|
$1,500.90 |
$1,500.90 |
$1,500.90 |
$699.38
|
|
Inj, cefiderocol, 10 mg
|
$807.60 |
$807.60 |
$807.60 |
$544.85
|
|
Inj dx for sinogram
|
$116.40 |
$116.40 |
$116.40 |
$413.82
|
|
Injection, daratumumab 10 mg
|
$6,799.80 |
$6,799.80 |
$6,799.80 |
$5,164.24
|
|
Injection for bladder x-ray
|
$844.80 |
$844.80 |
$844.80 |
$459.20
|
|
Injection, fulvestrant
|
$627.00 |
$627.00 |
$627.00 |
$1,719.16
|
|
Injection,onabotulinumtoxina
|
$22.80 |
$22.80 |
$22.80 |
$2,241.61
|
|
Injection radioactive tracer sentinel node (both sides)
|
$616.80 |
$616.80 |
$616.80 |
$683.28
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$91.80 |
$91.80 |
$91.80 |
$166.38
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$91.80 |
$91.80 |
$91.80 |
$145.60
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$282.00 |
$282.00 |
$282.00 |
$261.00
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$86.40 |
$86.40 |
$86.40 |
$135.20
|
|
Inj fluphenazine hcl 1.25 mg
|
$772.20 |
$772.20 |
$772.20 |
$37.93
|
|
Inj fosnetupitant, palonoset
|
$2,460.00 |
$2,460.00 |
$2,460.00 |
$1,110.99
|
|
Inj., guselkumab, 1 mg
|
$55,353.00 |
$55,353.00 |
$55,353.00 |
$29,130.83
|
|
Inj ivig privigen 500 mg
|
$18,537.60 |
$18,537.60 |
$18,537.60 |
$6,967.29
|
|
Inj, lidocaine w epinephrine
|
$45.60 |
$45.60 |
$45.60 |
$44.96
|
|
Inj octafluoropropane mic,ml
|
$541.80 |
$541.80 |
$541.80 |
$211.40
|
|
Inj ogivri 10 mg
|
$13,574.40 |
$13,574.40 |
$13,574.40 |
$4,492.28
|
|
Inj., perseris, 0.5 mg
|
$10,179.60 |
$10,179.60 |
$10,179.60 |
$5,372.48
|
|
Inj retacrit esrd on dialysi
|
$810.60 |
$810.60 |
$810.60 |
$352.22
|
|
Inj, uzedy, 1 mg
|
$20,449.20 |
$20,449.20 |
$20,449.20 |
$11,475.96
|
|
Insert cath pleura without image
|
$2,257.80 |
$2,257.80 |
$2,257.80 |
$2,019.00
|
|
Insertion catheter bladder non indwelling
|
$155.40 |
$155.40 |
$155.40 |
$205.20
|
|
Insertion catheter bladder temporary simple
|
$155.40 |
$155.40 |
$155.40 |
$229.32
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$3,974.40 |
$3,974.40 |
$3,974.40 |
$2,511.00
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$1,953.60 |
$1,953.60 |
$1,953.60 |
$2,079.43
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$2,497.80 |
$2,497.80 |
$2,497.80 |
$2,414.10
|
|
In situ hybridization per specimen each additional single probe stain
|
$165.60 |
$165.60 |
$165.60 |
$243.60
|
|
In situ hybridization per specimen initial single probe stain
|
$165.60 |
$165.60 |
$165.60 |
$326.04
|
|
Instillation anticarcinogenic agent bladder
|
$664.20 |
$664.20 |
$664.20 |
$621.40
|
|
Ins tun cv cath wo subq prt/pm
|
$2,333.40 |
$2,333.40 |
$2,333.40 |
$5,324.80
|
|
Insulin total
|
$143.40 |
$143.40 |
$143.40 |
$66.64
|
|
Intrinsic factor antibody
|
$275.40 |
$275.40 |
$275.40 |
$66.60
|
|
Intubation endotracheal emergency procedure
|
$415.80 |
$415.80 |
$415.80 |
$589.60
|