|
Hepatobiliary system imaging
|
$696.00 |
$696.00 |
$696.00 |
$1,438.58
|
|
Herpes simplex type 1 antibody igg
|
$115.80 |
$115.80 |
$115.80 |
$70.00
|
|
Herpes simplex type 2 antibody igg
|
$109.80 |
$109.80 |
$109.80 |
$87.10
|
|
Heterophile antibodies screening
|
$95.40 |
$95.40 |
$95.40 |
$74.00
|
|
Hip X-ray
|
$235.80 |
$235.80 |
$235.80 |
$292.05
|
|
Histamine
|
$166.20 |
$166.20 |
$166.20 |
$115.00
|
|
Hla i low res one antigen equiv ea
|
$109.80 |
$109.80 |
$109.80 |
$161.70
|
|
Hocm 350-399mg/ml iodine,1ml
|
$296.40 |
$296.40 |
$296.40 |
$79.78
|
|
Home health re-certification physician g0179
|
$42.00 |
$42.00 |
$42.00 |
$88.80
|
|
Home sleep test/type 3 porta
|
$487.20 |
$487.20 |
$487.20 |
$579.26
|
|
Homocysteine
|
$223.20 |
$223.20 |
$223.20 |
$121.92
|
|
H pylori (c-13) breath
|
$346.80 |
$346.80 |
$346.80 |
$213.00
|
|
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
|
$75.00 |
$75.00 |
$75.00 |
$131.20
|
|
Hydration IV infusion initial 31minutes - 1 hour
|
$289.20 |
$289.20 |
$289.20 |
$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
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$72.00 |
$72.00 |
$72.00 |
$72.65
|
|
Hyperbaric oxygen therapy
|
$235.80 |
$235.80 |
$235.80 |
$802.00
|
|
Hysterosalpingography s&i
|
$413.40 |
$413.40 |
$413.40 |
$651.85
|
|
I-123 sod iodide diag per 100 uci
|
$154.20 |
$154.20 |
$154.20 |
$139.20
|
|
I131 max 100uci
|
$57.60 |
$57.60 |
$57.60 |
$53.39
|
|
Ihc/icc per specimen each additional single antibody stain
|
$273.60 |
$273.60 |
$273.60 |
$191.52
|
|
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
|
|
Immunoassay tumor antigen quantitative ca 125
|
$624.00 |
$624.00 |
$624.00 |
$130.00
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$168.00 |
$168.00 |
$168.00 |
$116.40
|
|
Immunofixation electrophoresis serum
|
$332.40 |
$332.40 |
$332.40 |
$138.60
|
|
Implant cartilage 10mm synthetic
|
$1,764.00 |
$1,764.00 |
$1,764.00 |
$10,050.00
|
|
Imp neurosti pls gn any type
|
$18,964.76 |
$18,964.76 |
$18,964.76 |
$8,347.32
|
|
Infect ag drug suscept pheno predict
|
$319.80 |
$319.80 |
$319.80 |
$320.00
|
|
Infect ag genotype na dna hepatitis b
|
$960.60 |
$960.60 |
$960.60 |
$427.43
|
|
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
|
$17.40 |
$17.40 |
$17.40 |
$76.50
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$47.40 |
$47.40 |
$47.40 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$180.00 |
$180.00 |
$180.00 |
$96.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$216.00 |
$216.00 |
$216.00 |
$81.06
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$225.00 |
$225.00 |
$225.00 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$385.80 |
$385.80 |
$385.80 |
$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
|
$337.80 |
$337.80 |
$337.80 |
$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)
|
$82.20 |
$82.20 |
$82.20 |
$167.05
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$928.80 |
$928.80 |
$928.80 |
$861.00
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$230.40 |
$230.40 |
$230.40 |
$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
|
$279.00 |
$279.00 |
$279.00 |
$711.93
|
|
Infectious agent nucleic acid quantification bk virus
|
$239.40 |
$239.40 |
$239.40 |
$283.00
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$425.40 |
$425.40 |
$425.40 |
$238.80
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$181.20 |
$181.20 |
$181.20 |
$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
|
|
Initial hosp neonate 28 d/less than not critically ill 99477
|
$354.00 |
$354.00 |
$354.00 |
$629.60
|
|
Initial nursing facility care/day 35 minutes
|
$136.80 |
$136.80 |
$136.80 |
$188.50
|
|
Initial nursing facility care/day low severity 99304
|
$96.00 |
$96.00 |
$96.00 |
$128.00
|
|
Initiation & management bipap/cpap initial day
|
$493.80 |
$493.80 |
$493.80 |
$576.00
|
|
Inj, acetaminophen (b braun)
|
$29.40 |
$29.40 |
$29.40 |
$32.79
|
|
Inj andexxa, 10 mg
|
$20,193.00 |
$20,193.00 |
$20,193.00 |
$4,370.80
|
|
Inj anifrolumab-fnia 1mg
|
$17,743.20 |
$17,743.20 |
$17,743.20 |
$10,052.58
|
|
Inj, bupivacaine liposome
|
$1,500.90 |
$1,500.90 |
$1,500.90 |
$699.38
|
|
Inj cyclophosphamd auromedic
|
$1,005.00 |
$1,005.00 |
$1,005.00 |
$249.68
|
|
Inj cyclophosphamd (ingenus)
|
$5,889.00 |
$5,889.00 |
$5,889.00 |
$742.72
|
|
Inj daptomycin (xellia)
|
$154.80 |
$154.80 |
$154.80 |
$56.04
|
|
Injection during cath supravalvular aortography
|
$4,284.60 |
$4,284.60 |
$4,284.60 |
$904.17
|
|
Injection epidural blood patch or clot
|
$927.00 |
$927.00 |
$927.00 |
$1,156.80
|
|
Injection for bladder x-ray
|
$844.80 |
$844.80 |
$844.80 |
$459.20
|
|
Injection, inclisiran, 1 mg
|
$12,534.00 |
$12,534.00 |
$12,534.00 |
$6,679.35
|
|
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(s) tendon sheath/ligament aponeurosis single (both sides)
|
$67.80 |
$67.80 |
$67.80 |
$460.94
|
|
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
|
$226.80 |
$226.80 |
$226.80 |
$261.00
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$84.60 |
$84.60 |
$84.60 |
$135.20
|
|
Inj., guselkumab, 1 mg
|
$55,353.00 |
$55,353.00 |
$55,353.00 |
$29,130.83
|
|
Inj intralesional <= 7 lsn(s)
|
$43.20 |
$43.20 |
$43.20 |
$235.13
|
|
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 vancomycin (xellia) 10mg
|
$458.40 |
$458.40 |
$458.40 |
$79.21
|
|
Inj, vasopressin (baxter)
|
$299.40 |
$299.40 |
$299.40 |
$245.96
|
|
Inj w/fluor eval cv device
|
$178.80 |
$178.80 |
$178.80 |
$463.40
|
|
Ins cath ren art 1st bi
|
$4,527.60 |
$4,527.60 |
$4,527.60 |
$5,741.00
|
|
Insertion catheter bladder non indwelling
|
$159.00 |
$159.00 |
$159.00 |
$205.20
|
|
Insertion catheter bladder temporary simple
|
$198.00 |
$198.00 |
$198.00 |
$229.32
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$3,976.20 |
$3,976.20 |
$3,976.20 |
$2,511.00
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$1,759.20 |
$1,759.20 |
$1,759.20 |
$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
|
