|
Hla ii typing 1 loc hr
|
$978.27 |
$978.27 |
$978.27 |
$334.80
|
|
Hla i low res one antigen equiv ea
|
$815.01 |
$815.01 |
$815.01 |
$164.00
|
|
Hocm 350-399mg/ml iodine,1ml
|
$68.86 |
$68.86 |
$68.86 |
$68.86
|
|
Homocysteine
|
$284.27 |
$284.27 |
$284.27 |
$112.00
|
|
H pylori (c-13) breath
|
$513.52 |
$513.52 |
$513.52 |
$213.00
|
|
Human epididymis protein 4 (he4)
|
$215.60 |
$215.60 |
$215.60 |
$139.13
|
|
Hyaluronidase 150 unit/ml injection solution
|
$141.87 |
$141.87 |
$141.87 |
$183.12
|
|
Hydralazine 20 mg/ml injection solution
|
$110.72 |
$110.72 |
$110.72 |
$54.51
|
|
Hydration IV infusion each additional hour
|
$427.37 |
$427.37 |
$427.37 |
$133.90
|
|
Hydration IV infusion initial 31minutes - 1 hour
|
$594.31 |
$594.31 |
$594.31 |
$390.00
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$378.84 |
$378.84 |
$378.84 |
$72.67
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$179.07 |
$179.07 |
$179.07 |
$80.11
|
|
Hyoscyamine sulfate inj
|
$644.61 |
$644.61 |
$644.61 |
$308.52
|
|
Hysterosalpingography s&i
|
$442.29 |
$442.29 |
$442.29 |
$576.89
|
|
Ibandronate 3 mg/3 ml intravenous syringe
|
$745.50 |
$745.50 |
$745.50 |
$839.85
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$706.08 |
$706.08 |
$706.08 |
$1,022.55
|
|
I&d frarm&/wrst deep absc/hematoma
|
$17,043.32 |
$17,043.32 |
$17,043.32 |
$3,591.33
|
|
I&d upper arm/elbow deep abscess/hematoma
|
$14,868.33 |
$14,868.33 |
$14,868.33 |
$3,345.60
|
|
Ihc/icc per specimen each additional single antibody stain
|
$151.96 |
$151.96 |
$151.96 |
$191.10
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$569.87 |
$569.87 |
$569.87 |
$339.64
|
|
Ihc/icc per specimen initial single antibody stain
|
$900.77 |
$900.77 |
$900.77 |
$265.60
|
|
Immune complex assay
|
$204.58 |
$204.58 |
$204.58 |
$89.25
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$2,568.86 |
$2,568.86 |
$2,568.86 |
$3,890.32
|
|
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution
|
$6,559.13 |
$6,559.13 |
$6,559.13 |
$5,702.80
|
|
Immunoassay tumor antigen quantitative ca 125
|
$337.27 |
$337.27 |
$337.27 |
$122.50
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$301.14 |
$301.14 |
$301.14 |
$116.40
|
|
Immunofixation electrophoresis serum
|
$552.11 |
$552.11 |
$552.11 |
$133.38
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$247.09 |
$247.09 |
$247.09 |
$161.85
|
|
Immunofluorescence per specimen initial single antibody stain
|
$1.22 |
$1.22 |
$1.22 |
$250.00
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$4,905.10 |
$4,905.10 |
$4,905.10 |
$2,111.40
|
|
Infect ag genotype na dna hepatitis b
|
$2,284.55 |
$2,284.55 |
$2,284.55 |
$533.91
|
|
Infect ag ia direct hiv-1 antgn
|
$170.80 |
$170.80 |
$170.80 |
$98.00
|
|
Infect ag ia optc obs influenza
|
$67.91 |
$67.91 |
$67.91 |
$65.60
|
|
Infect ag if varicella zoster
|
$194.20 |
$194.20 |
$194.20 |
$66.00
|
|
Infect ag na influenza r/amp 1st 2 types
|
$277.33 |
$277.33 |
$277.33 |
$228.68
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$125.39 |
$125.39 |
$125.39 |
$81.90
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$70.19 |
$70.19 |
$70.19 |
$63.70
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$81.18 |
$81.18 |
$81.18 |
$80.05
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$96.38 |
$96.38 |
$96.38 |
$76.45
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$326.87 |
$326.87 |
$326.87 |
$88.20
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$149.48 |
$149.48 |
$149.48 |
$77.72
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$150.17 |
$150.17 |
$150.17 |
$57.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$80.46 |
$80.46 |
$80.46 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$338.11 |
$338.11 |
$338.11 |
$138.05
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$344.41 |
$344.41 |
$344.41 |
$93.60
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$173.36 |
$173.36 |
$173.36 |
$60.00
|
|
Infectious agent nucleic acid amplified probe
|
$504.51 |
$504.51 |
$504.51 |
$278.95
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$386.68 |
$386.68 |
$386.68 |
$144.00
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$268.16 |
$268.16 |
$268.16 |
$171.60
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$1,022.76 |
$1,022.76 |
$1,022.76 |
$855.45
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$1,395.95 |
$1,395.95 |
$1,395.95 |
$175.00
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$325.61 |
$325.61 |
$325.61 |
$137.04
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$488.44 |
$488.44 |
$488.44 |
$102.57
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$638.14 |
$638.14 |
$638.14 |
$222.60
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$425.43 |
$425.43 |
$425.43 |
$248.15
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$444.42 |
$444.42 |
$444.42 |
$112.50
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$1,395.95 |
$1,395.95 |
$1,395.95 |
$727.50
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$396.03 |
$396.03 |
$396.03 |
$283.20
|
|
Infectious agent nucleic acid quantification bk virus
|
$626.56 |
$626.56 |
$626.56 |
$300.00
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$750.19 |
$750.19 |
$750.19 |
$234.21
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$976.13 |
$976.13 |
$976.13 |
$278.78
|
|
Infectious agent nucleic acid quantification hiv-1
|
$690.96 |
$690.96 |
$690.96 |
$381.55
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$1,348.43 |
$1,348.43 |
$1,348.43 |
$300.46
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$1,359.99 |
$1,359.99 |
$1,359.99 |
$359.64
|
|
Initiation & management bipap/cpap initial day
|
$1,351.48 |
$1,351.48 |
$1,351.48 |
$627.00
|
|
Inj., benralizumab, 1 mg
|
$31,499.49 |
$31,499.49 |
$31,499.49 |
$16,770.41
|
|
Inj, bezlotoxumab, 10 mg
|
$7,067.39 |
$7,067.39 |
$7,067.39 |
$8,360.00
|
|
Inj cefazolin sodium, hikma
|
$84.83 |
$84.83 |
$84.83 |
$50.45
|
|
Inj, durolane 1 mg
|
$3,338.21 |
$3,338.21 |
$3,338.21 |
$3,382.31
|
|
Injection, daratumumab 10 mg
|
$22,737.86 |
$22,737.86 |
$22,737.86 |
$3,863.11
|
|
Injection epidural blood patch or clot
|
$1,097.05 |
$1,097.05 |
$1,097.05 |
$1,457.85
|
|
Injection for bladder x-ray
|
$649.30 |
$649.30 |
$649.30 |
$585.00
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$325.91 |
$325.91 |
$325.91 |
$504.55
|
|
Injection, fulvestrant
|
$14,517.80 |
$14,517.80 |
$14,517.80 |
$2,766.34
|
|
Injection, inclisiran, 1 mg
|
$22,282.95 |
$22,282.95 |
$22,282.95 |
$9,094.90
|
|
Injection radioactive tracer sentinel node (both sides)
|
$329.69 |
$329.69 |
$329.69 |
$787.50
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$1,568.09 |
$1,568.09 |
$1,568.09 |
$1,471.50
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$701.09 |
$701.09 |
$701.09 |
$1,017.28
|
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
|
$3,297.43 |
$3,297.43 |
$3,297.43 |
$2,251.00
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
|
$2,220.28 |
$2,220.28 |
$2,220.28 |
$1,119.88
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
|
$6,728.13 |
$6,728.13 |
$6,728.13 |
$2,035.20
|
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
|
$3,422.75 |
$3,422.75 |
$3,422.75 |
$1,821.60
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$304.49 |
$304.49 |
$304.49 |
$175.35
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$304.49 |
$304.49 |
$304.49 |
$154.05
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$304.49 |
$304.49 |
$304.49 |
$271.65
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$143.08 |
$143.08 |
$143.08 |
$140.34
|
|
Inject sacroiliac joint
|
$3,364.07 |
$3,364.07 |
$3,364.07 |
$1,071.68
|
|
Inj efgart-alfa 2mg hya-qvfc
|
$101,827.08 |
$101,827.08 |
$101,827.08 |
$66,229.74
|
|
Inj, fulvestrant (fresenius)
|
$2,895.86 |
$2,895.86 |
$2,895.86 |
$1,713.99
|
|
Inj glycopyrrolate fres kabi
|
$56.66 |
$56.66 |
$56.66 |
$82.85
|
|
Inj ivig privigen 500 mg
|
$6,942.77 |
$6,942.77 |
$6,942.77 |
$7,173.90
|
|
Inj mepivacaine hcl/10 ml
|
$17.00 |
$17.00 |
$17.00 |
$22.38
|
|
Inj multihance
|
$410.96 |
$410.96 |
$410.96 |
$120.00
|
|
Inj secukinumab intrav 1mg
|
$13,941.85 |
$13,941.85 |
$13,941.85 |
$9,077.39
|
|
Inj, spesolimab-sbzo, 1 mg
|
$336,669.92 |
$336,669.92 |
$336,669.92 |
$218,949.63
|
|
Inj testosterone cypionate
|
$113.42 |
$113.42 |
$113.42 |
$82.58
|
|
Inj, tislelizumab-jsgr
|
$80,414.13 |
$80,414.13 |
$80,414.13 |
$45,038.47
|
|
Inj, vancomycin hcl (mylan)
|
$46.08 |
$46.08 |
$46.08 |
$63.82
|
|
Inj, vegzelma, 10 mg
|
$22,434.17 |
$22,434.17 |
$22,434.17 |
$12,762.71
|
|
Insertion catheter bladder non indwelling
|
$705.50 |
$705.50 |
$705.50 |
$237.13
|