|
Hip and Pelvis X-ray (single view, left side)
|
$473.75 |
$473.75 |
$473.75 |
$233.50
|
|
Hip X-ray
|
$473.75 |
$473.75 |
$473.75 |
$294.75
|
|
Histamine
|
$302.10 |
$302.10 |
$302.10 |
$115.00
|
|
Histochemical stains add-on
|
$185.75 |
$185.75 |
$185.75 |
$152.75
|
|
HIV prep, ftc/tdf 200/300mg
|
$3.95 |
$3.95 |
$3.95 |
$31.80
|
|
HIV prep, inj, cabotegravir
|
$10,595.19 |
$10,595.19 |
$10,595.19 |
$7,320.13
|
|
Hla class i high defin qual
|
$1,383.20 |
$1,383.20 |
$1,383.20 |
$631.15
|
|
Hla class ii high defin qual
|
$1,338.20 |
$1,338.20 |
$1,338.20 |
$569.25
|
|
Hla i typing high res 1 allele grp ea
|
$1,130.20 |
$1,130.20 |
$1,130.20 |
$304.20
|
|
Hla typing a b or c
|
$277.70 |
$277.70 |
$277.70 |
$364.00
|
|
Hocm 350-399mg/ml iodine,1ml
|
$72.54 |
$72.54 |
$72.54 |
$79.78
|
|
Home/res vst est high mdm 60
|
$376.65 |
$376.65 |
$376.65 |
$338.40
|
|
Home/res vst est mod mdm 40
|
$270.00 |
$270.00 |
$270.00 |
$233.60
|
|
Home/res vst est sf mdm 20
|
$123.35 |
$123.35 |
$123.35 |
$93.24
|
|
Home/res vst new high mdm 75
|
$466.65 |
$466.65 |
$466.65 |
$398.40
|
|
Home/res vst new low mdm 30
|
$179.90 |
$179.90 |
$179.90 |
$145.60
|
|
Home/res vst new mod mdm 60
|
$385.60 |
$385.60 |
$385.60 |
$327.20
|
|
Home/res vst new sf mdm 15
|
$124.70 |
$124.70 |
$124.70 |
$98.40
|
|
Home visit est patient 99348
|
$185.10 |
$185.10 |
$185.10 |
$140.00
|
|
Homocysteine
|
$198.45 |
$198.45 |
$198.45 |
$125.40
|
|
Homovanillic acid (hva)
|
$185.40 |
$185.40 |
$185.40 |
$59.95
|
|
Hrdtry brst ca-rlatd do 5+
|
$5,492.05 |
$5,492.05 |
$5,492.05 |
$1,702.08
|
|
Hrdtry perph neurphy panel
|
$9,691.05 |
$9,691.05 |
$9,691.05 |
$1,569.60
|
|
Human epididymis protein 4 (he4)
|
$97.75 |
$97.75 |
$97.75 |
$157.32
|
|
Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution
|
$4,145.72 |
$4,145.72 |
$4,145.72 |
$5,568.57
|
|
Hyaluronidase, human recombinant 150 unit/ml injection solution
|
$197.73 |
$197.73 |
$197.73 |
$142.40
|
|
Hydralazine 20 mg/ml injection solution
|
$42.53 |
$42.53 |
$42.53 |
$48.00
|
|
Hydrocolld drg >16<=48 w/bdr
|
$41.00 |
$41.00 |
$41.00 |
$25.70
|
|
Hydrocolld drg <=16 in w/bdr
|
$47.00 |
$47.00 |
$47.00 |
$5.57
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$278.46 |
$278.46 |
$278.46 |
$140.54
|
|
Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge
|
$194.39 |
$194.39 |
$194.39 |
$294.92
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$391.93 |
$391.93 |
$391.93 |
$72.65
|
|
Hysterosalpingography s&i
|
$723.50 |
$723.50 |
$723.50 |
$669.12
|
|
I-123 sod iodide diag per 100 uci
|
$705.90 |
$705.90 |
$705.90 |
$147.46
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$1,983.71 |
$1,983.71 |
$1,983.71 |
$980.94
|
|
Icatibant injection
|
$8,028.11 |
$8,028.11 |
$8,028.11 |
$8,695.05
|
|
Igh gene rearrange amp meth
|
$860.05 |
$860.05 |
$860.05 |
$464.25
|
|
Igh@ var region somatic mutation analy
|
$1,960.95 |
$1,960.95 |
$1,960.95 |
$660.80
|
|
Igk rearrangeabn clonal pop
|
$754.95 |
$754.95 |
$754.95 |
$399.36
|
|
Ihc/icc per specimen each additional single antibody stain
|
$413.05 |
$413.05 |
$413.05 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$762.60 |
$762.60 |
$762.60 |
$331.20
|
|
Ihc/icc per specimen initial single antibody stain
|
$412.05 |
$412.05 |
$412.05 |
$277.90
|
|
Ikbkap gene
|
$199.95 |
$199.95 |
$199.95 |
$173.49
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$13,788.26 |
$13,788.26 |
$13,788.26 |
$6,106.32
|
|
Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution
|
$5,991.42 |
$5,991.42 |
$5,991.42 |
$2,900.11
|
|
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution
|
$10,226.10 |
$10,226.10 |
$10,226.10 |
$3,846.15
|
|
Immunoassay tumor antigen quantitative ca 125
|
$230.85 |
$230.85 |
$230.85 |
$132.00
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$230.85 |
$230.85 |
$230.85 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$137.30 |
$137.30 |
$137.30 |
$48.57
|
|
Immunofixation electrophoresis serum
|
$512.90 |
$512.90 |
$512.90 |
$142.50
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$141.10 |
$141.10 |
$141.10 |
$154.05
|
|
Immunofluorescence per specimen initial single antibody stain
|
$264.25 |
$264.25 |
$264.25 |
$234.27
|
|
Immunoglobulin assay
|
$386.25 |
$386.25 |
$386.25 |
$78.00
|
|
Impreg gauze no h20/sal/yard
|
$8.00 |
$8.00 |
$8.00 |
$11.90
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$324.40 |
$324.40 |
$324.40 |
$2,086.70
|
|
Incision of breast lesion
|
$2,377.90 |
$2,377.90 |
$2,377.90 |
$2,577.85
|
|
Incision of burn scab initi
|
$584.10 |
$584.10 |
$584.10 |
$494.40
|
|
Incision of tongue fold
|
$342.85 |
$342.85 |
$342.85 |
$1,792.50
|
|
Infect ag drug suscept pheno predict
|
$386.25 |
$386.25 |
$386.25 |
$325.00
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$634.65 |
$634.65 |
$634.65 |
$603.83
|
|
Infect ag ia optc obs influenza
|
$29.00 |
$29.00 |
$29.00 |
$72.93
|
|
Infect ag na hpv high-risk types
|
$260.45 |
$260.45 |
$260.45 |
$139.20
|
|
Infect ag na influenza r/amp 1st 2 types
|
$249.70 |
$249.70 |
$249.70 |
$219.70
|
|
Infect ag na orthopoxvirus amp prb each
|
$407.65 |
$407.65 |
$407.65 |
$100.00
|
|
Infectious agent antigen immunoassay direct optical observation sars-cov-2
|
$89.00 |
$89.00 |
$89.00 |
$53.00
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$92.10 |
$92.10 |
$92.10 |
$83.60
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$153.85 |
$153.85 |
$153.85 |
$76.00
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$153.85 |
$153.85 |
$153.85 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$129.60 |
$129.60 |
$129.60 |
$103.40
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$143.00 |
$143.00 |
$143.00 |
$81.20
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$143.00 |
$143.00 |
$143.00 |
$60.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$248.35 |
$248.35 |
$248.35 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$160.60 |
$160.60 |
$160.60 |
$129.00
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$153.85 |
$153.85 |
$153.85 |
$98.58
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$60.80 |
$60.80 |
$60.80 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$124.75 |
$124.75 |
$124.75 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$275.35 |
$275.35 |
$275.35 |
$141.95
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$275.35 |
$275.35 |
$275.35 |
$167.05
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$275.35 |
$275.35 |
$275.35 |
$181.35
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$730.90 |
$730.90 |
$730.90 |
$212.16
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$275.35 |
$275.35 |
$275.35 |
$137.67
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$107.00 |
$107.00 |
$107.00 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$166.60 |
$166.60 |
$166.60 |
$206.00
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$274.05 |
$274.05 |
$274.05 |
$112.45
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$342.10 |
$342.10 |
$342.10 |
$195.60
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$1,702.10 |
$1,702.10 |
$1,702.10 |
$727.50
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$608.80 |
$608.80 |
$608.80 |
$289.91
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$1,207.30 |
$1,207.30 |
$1,207.30 |
$432.63
|
|
Infectious agent nucleic acid quantification bk virus
|
$310.30 |
$310.30 |
$310.30 |
$283.00
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$391.85 |
$391.85 |
$391.85 |
$242.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$421.70 |
$421.70 |
$421.70 |
$253.00
|
|
Infectious agent nucleic acid quantification hiv-1
|
$530.40 |
$530.40 |
$530.40 |
$375.00
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$629.70 |
$629.70 |
$629.70 |
$304.20
|
|
Infliximab 100 mg intravenous solution
|
$3,073.94 |
$3,073.94 |
$3,073.94 |
$2,047.13
|
|
Infliximab-axxq 100 mg intravenous solution
|
$1,771.70 |
$1,771.70 |
$1,771.70 |
$1,062.00
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$3,353.05 |
$3,353.05 |
$3,353.05 |
$1,537.84
|
|
Inf lwr xtr fscl pln blk uni w/wo image
|
$1,073.10 |
$1,073.10 |
$1,073.10 |
$762.00
|
|
Inf thrc fascial pln blk bi w/wo image
|
$1,241.30 |
$1,241.30 |
$1,241.30 |
$523.25
|
|
Inf thrc fascial pln blk uni w/wo image
|
$1,241.30 |
$1,241.30 |
$1,241.30 |
$770.00
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$452.65 |
$452.65 |
$452.65 |
$296.00
|
