|
Hepatitis c antibody
|
$374.85 |
$374.85 |
$374.85 |
$108.25
|
|
Herpes simplex type 1 antibody igg
|
$128.35 |
$128.35 |
$128.35 |
$69.12
|
|
Herpes simplex type 2 antibody igg
|
$185.40 |
$185.40 |
$185.40 |
$87.36
|
|
Heterophile antibodies screening
|
$59.40 |
$59.40 |
$59.40 |
$73.87
|
|
Hexa gene
|
$366.85 |
$366.85 |
$366.85 |
$150.82
|
|
Hfo nontorsion jnts pre cst
|
$353.65 |
$353.65 |
$353.65 |
$110.88
|
|
Hip and Pelvis X-ray (2 views, both hips)
|
$504.15 |
$504.15 |
$504.15 |
$374.40
|
|
Hip and Pelvis X-ray (3 to 4 views, both hips)
|
$504.15 |
$504.15 |
$504.15 |
$424.80
|
|
Hip and Pelvis X-ray (single view, left side)
|
$304.60 |
$304.60 |
$304.60 |
$233.50
|
|
Hip X-ray
|
$304.60 |
$304.60 |
$304.60 |
$294.75
|
|
Histamine
|
$302.10 |
$302.10 |
$302.10 |
$115.00
|
|
HIV prep, ftc/tdf 200/300mg
|
$118.29 |
$118.29 |
$118.29 |
$31.80
|
|
Hla class i high defin qual
|
$1,942.50 |
$1,942.50 |
$1,942.50 |
$631.15
|
|
Hla class ii high defin qual
|
$1,954.80 |
$1,954.80 |
$1,954.80 |
$569.25
|
|
Hocm 350-399mg/ml iodine,1ml
|
$606.57 |
$606.57 |
$606.57 |
$79.78
|
|
Home sleep test/type 3 porta
|
$464.85 |
$464.85 |
$464.85 |
$570.00
|
|
Homocysteine
|
$186.00 |
$186.00 |
$186.00 |
$125.40
|
|
Homovanillic acid (hva)
|
$159.80 |
$159.80 |
$159.80 |
$59.95
|
|
Human epididymis protein 4 (he4)
|
$129.85 |
$129.85 |
$129.85 |
$157.32
|
|
Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution
|
$4,790.21 |
$4,790.21 |
$4,790.21 |
$5,568.57
|
|
Hyaluronidase, human recombinant 150 unit/ml injection solution
|
$282.86 |
$282.86 |
$282.86 |
$142.40
|
|
Hydralazine 20 mg/ml injection solution
|
$21.29 |
$21.29 |
$21.29 |
$48.00
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$759.59 |
$759.59 |
$759.59 |
$140.54
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$472.18 |
$472.18 |
$472.18 |
$112.66
|
|
Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge
|
$92.29 |
$92.29 |
$92.29 |
$294.92
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$81.58 |
$81.58 |
$81.58 |
$72.65
|
|
Hysterosalpingography s&i
|
$700.95 |
$700.95 |
$700.95 |
$669.12
|
|
I-123 sod iodide diag per 100 uci
|
$342.35 |
$342.35 |
$342.35 |
$147.46
|
|
Ia infect ag ab qual/semiquant sgl step
|
$74.00 |
$74.00 |
$74.00 |
$50.60
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$1,702.67 |
$1,702.67 |
$1,702.67 |
$980.94
|
|
Ifosfamide 1 gram intravenous solution
|
$186.24 |
$186.24 |
$186.24 |
$246.95
|
|
Igh@ var region somatic mutation analy
|
$2,333.50 |
$2,333.50 |
$2,333.50 |
$660.80
|
|
Ihc/icc per specimen each additional single antibody stain
|
$276.35 |
$276.35 |
$276.35 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$460.35 |
$460.35 |
$460.35 |
$331.20
|
|
Ihc/icc per specimen initial single antibody stain
|
$273.70 |
$273.70 |
$273.70 |
$277.90
|
|
Ikbkap gene
|
$280.30 |
$280.30 |
$280.30 |
$173.49
|
|
Immob elbow child sm
|
$155.00 |
$155.00 |
$155.00 |
$85.39
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$10,621.18 |
$10,621.18 |
$10,621.18 |
$6,106.32
|
|
Immunoassay tumor antigen quantitative ca 125
|
$226.50 |
$226.50 |
$226.50 |
$132.00
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$226.50 |
$226.50 |
$226.50 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$74.80 |
$74.80 |
$74.80 |
$48.57
|
|
Immunofixation electrophoresis serum
|
$244.45 |
$244.45 |
$244.45 |
$142.50
|
|
Immunofluorescence per specimen initial single antibody stain
|
$293.90 |
$293.90 |
$293.90 |
$234.27
|
|
Immunoglobulin assay
|
$199.50 |
$199.50 |
$199.50 |
$78.00
|
|
Implant cartilage 10mm synthetic
|
$1,050.00 |
$1,050.00 |
$1,050.00 |
$8,332.51
|
|
Impl neurostim electr perc
|
$20,264.90 |
$20,264.90 |
$20,264.90 |
$7,672.50
|
|
Implnt spinl canal catheter 62350
|
$18,960.10 |
$18,960.10 |
$18,960.10 |
$5,095.20
|
|
In-111 autol wbc diag per dose
|
$5,215.50 |
$5,215.50 |
$5,215.50 |
$3,493.75
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$2,089.40 |
$2,089.40 |
$2,089.40 |
$2,086.70
|
|
Incision of breast lesion
|
$4,684.45 |
$4,684.45 |
$4,684.45 |
$2,577.85
|
|
Incision of burn scab initi
|
$1,150.80 |
$1,150.80 |
$1,150.80 |
$494.40
|
|
Infect ag drug suscept pheno predict
|
$847.40 |
$847.40 |
$847.40 |
$325.00
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$816.50 |
$816.50 |
$816.50 |
$603.83
|
|
Infect ag ia optc obs influenza
|
$79.00 |
$79.00 |
$79.00 |
$72.93
|
|
Infect ag if legionella pneumophila
|
$93.60 |
$93.60 |
$93.60 |
$73.45
|
|
Infect ag na hpv high-risk types
|
$315.35 |
$315.35 |
$315.35 |
$139.20
|
|
Infect ag na influenza r/amp 1st 2 types
|
$189.00 |
$189.00 |
$189.00 |
$219.70
|
|
Infect ag na orthopoxvirus amp prb each
|
$288.30 |
$288.30 |
$288.30 |
$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
|
$79.85 |
$79.85 |
$79.85 |
$83.60
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$128.15 |
$128.15 |
$128.15 |
$76.00
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$157.70 |
$157.70 |
$157.70 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$140.25 |
$140.25 |
$140.25 |
$103.40
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$114.55 |
$114.55 |
$114.55 |
$81.20
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$114.55 |
$114.55 |
$114.55 |
$60.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$213.10 |
$213.10 |
$213.10 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$393.05 |
$393.05 |
$393.05 |
$129.00
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$145.60 |
$145.60 |
$145.60 |
$98.58
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$128.15 |
$128.15 |
$128.15 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$291.30 |
$291.30 |
$291.30 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$217.10 |
$217.10 |
$217.10 |
$141.95
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$128.15 |
$128.15 |
$128.15 |
$167.05
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$253.35 |
$253.35 |
$253.35 |
$181.35
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$542.85 |
$542.85 |
$542.85 |
$212.16
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$93.05 |
$93.05 |
$93.05 |
$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
|
$315.35 |
$315.35 |
$315.35 |
$112.45
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$460.60 |
$460.60 |
$460.60 |
$195.60
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$855.00 |
$855.00 |
$855.00 |
$289.91
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$1,752.65 |
$1,752.65 |
$1,752.65 |
$432.63
|
|
Infectious agent nucleic acid quantification bk virus
|
$380.35 |
$380.35 |
$380.35 |
$283.00
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$463.75 |
$463.75 |
$463.75 |
$242.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$463.75 |
$463.75 |
$463.75 |
$253.00
|
|
Infectious agent nucleic acid quantification hiv-1
|
$607.95 |
$607.95 |
$607.95 |
$375.00
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$890.05 |
$890.05 |
$890.05 |
$304.20
|
|
Infliximab 100 mg intravenous solution
|
$3,551.81 |
$3,551.81 |
$3,551.81 |
$2,047.13
|
|
Infliximab-axxq 100 mg intravenous solution
|
$1,520.70 |
$1,520.70 |
$1,520.70 |
$1,062.00
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$2,878.02 |
$2,878.02 |
$2,878.02 |
$1,537.84
|
|
Inf lwr xtr fscl pln blk uni w/wo image
|
$2,068.70 |
$2,068.70 |
$2,068.70 |
$762.00
|
|
Inf thrc fascial pln blk bi w/wo image
|
$3,063.86 |
$3,063.86 |
$3,063.86 |
$523.25
|
|
Inf thrc fascial pln blk uni w/wo image
|
$3,063.86 |
$3,063.86 |
$3,063.86 |
$770.00
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$291.20 |
$291.20 |
$291.20 |
$296.00
|
|
Initial nursing facility care/day 35 minutes
|
$289.00 |
$289.00 |
$289.00 |
$188.50
|
|
Initial nursing facility care/day 45 minutes
|
$394.60 |
$394.60 |
$394.60 |
$236.80
|
|
Initial nursing facility care/day low severity 99304
|
$174.00 |
$174.00 |
$174.00 |
$128.00
|
|
Inj, abilify maintena, 1 mg
|
$6,625.18 |
$6,625.18 |
$6,625.18 |
$5,355.30
|
|
Inj acetaminophen -fresenius
|
$58.40 |
$58.40 |
$58.40 |
$36.60
|
|
Inj, bupivacaine liposome
|
$1,100.79 |
$1,100.79 |
$1,100.79 |
$699.38
|
|
Inj cefazolin sodium, hikma
|
$53.38 |
$53.38 |
$53.38 |
$27.38
|