|
Hepatitis c antibody
|
$136.00 |
$136.00 |
$136.00 |
$108.25
|
|
Herpes simplex type 1 antibody igg
|
$136.00 |
$136.00 |
$136.00 |
$69.12
|
|
Herpes simplex type 2 antibody igg
|
$128.00 |
$128.00 |
$128.00 |
$87.36
|
|
Heterophile antibodies screening
|
$63.00 |
$63.00 |
$63.00 |
$73.87
|
|
Hip and Pelvis X-ray (2 views, both hips)
|
$547.00 |
$547.00 |
$547.00 |
$374.40
|
|
Hip and Pelvis X-ray (3 to 4 views, both hips)
|
$585.00 |
$585.00 |
$585.00 |
$424.80
|
|
Hip and Pelvis X-ray (single view, left side)
|
$333.00 |
$333.00 |
$333.00 |
$233.50
|
|
Hip X-ray
|
$350.00 |
$350.00 |
$350.00 |
$294.75
|
|
Hlth bhv assmt/reassessment
|
$157.00 |
$157.00 |
$157.00 |
$181.00
|
|
Hlth bhv ivntj fam 1st 30
|
$128.00 |
$128.00 |
$128.00 |
$147.16
|
|
Homocysteine
|
$85.00 |
$85.00 |
$85.00 |
$125.40
|
|
Homogenization tissue
|
$39.00 |
$39.00 |
$39.00 |
$41.30
|
|
Homovanillic acid (hva)
|
$66.00 |
$66.00 |
$66.00 |
$59.95
|
|
Hpv types 16 & 18 only
|
$365.00 |
$365.00 |
$365.00 |
$112.00
|
|
H pylori (c-13) breath
|
$213.00 |
$213.00 |
$213.00 |
$212.25
|
|
H pylori drug admin
|
$33.00 |
$33.00 |
$33.00 |
$28.56
|
|
Hysterosalpingography s&i
|
$451.00 |
$451.00 |
$451.00 |
$669.12
|
|
I-123 sod iodide diag per 100 uci
|
$171.24 |
$171.24 |
$171.24 |
$147.46
|
|
Idh1 common variants
|
$664.00 |
$664.00 |
$664.00 |
$415.35
|
|
Idh2 common variants
|
$664.00 |
$664.00 |
$664.00 |
$486.00
|
|
I & d vag hematoma non-ob 57023
|
$5,319.00 |
$5,319.00 |
$5,319.00 |
$3,444.42
|
|
Igh@/bcl2 translocation alys
|
$364.00 |
$364.00 |
$364.00 |
$284.46
|
|
Ihc/icc per specimen each additional single antibody stain
|
$233.00 |
$233.00 |
$233.00 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$363.00 |
$363.00 |
$363.00 |
$331.20
|
|
Ihc/icc per specimen initial single antibody stain
|
$221.00 |
$221.00 |
$221.00 |
$277.90
|
|
Iliac/fem angio cath insert
|
$1,559.00 |
$1,559.00 |
$1,559.00 |
$1,856.01
|
|
Img rta detc/mntr ds phy/qhp
|
$42.00 |
$42.00 |
$42.00 |
$51.36
|
|
Immunoassay tumor antigen quantitative ca 125
|
$246.00 |
$246.00 |
$246.00 |
$132.00
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$224.00 |
$224.00 |
$224.00 |
$116.40
|
|
Immunofixation electrophoresis serum
|
$170.00 |
$170.00 |
$170.00 |
$142.50
|
|
Implant tcat pulm vlv perq
|
$20,205.00 |
$20,205.00 |
$20,205.00 |
$12,623.60
|
|
Impl neurostim electr perc
|
$22,389.00 |
$22,389.00 |
$22,389.00 |
$7,672.50
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$2,380.00 |
$2,380.00 |
$2,380.00 |
$2,086.70
|
|
Incision of breast lesion
|
$3,823.00 |
$3,823.00 |
$3,823.00 |
$2,577.85
|
|
Incision of burn scab initi
|
$501.00 |
$501.00 |
$501.00 |
$494.40
|
|
Incision of tongue fold
|
$2,095.00 |
$2,095.00 |
$2,095.00 |
$1,792.50
|
|
Incision tendon sheath
|
$1,678.00 |
$1,678.00 |
$1,678.00 |
$3,073.20
|
|
Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s)
|
$220.00 |
$220.00 |
$220.00 |
$140.80
|
|
Infec agen detec ampli probe
|
$34.00 |
$34.00 |
$34.00 |
$32.40
|
|
Infect ag ia optc obs influenza
|
$53.00 |
$53.00 |
$53.00 |
$72.93
|
|
Infect ag if legionella pneumophila
|
$58.00 |
$58.00 |
$58.00 |
$73.45
|
|
Infect ag if varicella zoster
|
$66.00 |
$66.00 |
$66.00 |
$72.00
|
|
Infect ag na hep b amp
|
$45.00 |
$45.00 |
$45.00 |
$120.50
|
|
Infect ag na hpv high-risk types
|
$202.00 |
$202.00 |
$202.00 |
$139.20
|
|
Infect ag na influenza r/amp 1st 2 types
|
$341.00 |
$341.00 |
$341.00 |
$219.70
|
|
Infect ag na resp virus 12-25 targets
|
$1,196.00 |
$1,196.00 |
$1,196.00 |
$854.70
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$66.00 |
$66.00 |
$66.00 |
$83.60
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$66.00 |
$66.00 |
$66.00 |
$76.00
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$66.00 |
$66.00 |
$66.00 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$82.00 |
$82.00 |
$82.00 |
$103.40
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$95.00 |
$95.00 |
$95.00 |
$81.20
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$55.00 |
$55.00 |
$55.00 |
$60.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$224.00 |
$224.00 |
$224.00 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$54.00 |
$54.00 |
$54.00 |
$129.00
|
|
Infectious agent nucleic acid amplified probe
|
$127.00 |
$127.00 |
$127.00 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$144.00 |
$144.00 |
$144.00 |
$141.95
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$178.00 |
$178.00 |
$178.00 |
$167.05
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$1,348.00 |
$1,348.00 |
$1,348.00 |
$864.67
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$178.00 |
$178.00 |
$178.00 |
$181.35
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$138.00 |
$138.00 |
$138.00 |
$149.13
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$144.00 |
$144.00 |
$144.00 |
$137.67
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$217.50 |
$217.50 |
$217.50 |
$103.20
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$202.00 |
$202.00 |
$202.00 |
$112.45
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$367.00 |
$367.00 |
$367.00 |
$432.63
|
|
Infectious agent nucleic acid quantification bk virus
|
$310.00 |
$310.00 |
$310.00 |
$283.00
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$399.00 |
$399.00 |
$399.00 |
$242.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$338.00 |
$338.00 |
$338.00 |
$253.00
|
|
Infectious agent nucleic acid quantification hiv-1
|
$489.00 |
$489.00 |
$489.00 |
$375.00
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$322.00 |
$322.00 |
$322.00 |
$296.00
|
|
Init pm e/m new pat 65+ yrs
|
$311.00 |
$311.00 |
$311.00 |
$189.15
|
|
Inj cntr knee arthro incl ct/mri
|
$642.00 |
$642.00 |
$642.00 |
$436.80
|
|
Inj dx for sinogram
|
$484.00 |
$484.00 |
$484.00 |
$436.00
|
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
|
$983.00 |
$983.00 |
$983.00 |
$1,214.78
|
|
Injection arthrography hip without anesthesia (both sides)
|
$2,774.00 |
$2,774.00 |
$2,774.00 |
$503.50
|
|
Injection carpal tunnel therapeutic (both sides)
|
$408.00 |
$408.00 |
$408.00 |
$458.15
|
|
Injection during cath supravalvular aortography
|
$442.00 |
$442.00 |
$442.00 |
$1,027.26
|
|
Injection epidural blood patch or clot
|
$1,759.00 |
$1,759.00 |
$1,759.00 |
$1,182.33
|
|
Injection for arthrography wrist (both sides)
|
$2,779.00 |
$2,779.00 |
$2,779.00 |
$436.00
|
|
Injection for bladder x-ray
|
$1,194.00 |
$1,194.00 |
$1,194.00 |
$459.20
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$1,235.00 |
$1,235.00 |
$1,235.00 |
$497.76
|
|
Injection for ureter x-ray
|
$646.00 |
$646.00 |
$646.00 |
$415.80
|
|
Injection for ureter x-ray
|
$483.00 |
$483.00 |
$483.00 |
$515.21
|
|
Injection jugular
|
$289.00 |
$289.00 |
$289.00 |
$790.00
|
|
Injection of sinus tract
|
$1,893.00 |
$1,893.00 |
$1,893.00 |
$1,640.99
|
|
Injection radioactive tracer sentinel node (both sides)
|
$1,264.00 |
$1,264.00 |
$1,264.00 |
$685.44
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$877.00 |
$877.00 |
$877.00 |
$1,391.40
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$1,198.00 |
$1,198.00 |
$1,198.00 |
$1,043.72
|
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
|
$2,853.00 |
$2,853.00 |
$2,853.00 |
$2,040.36
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
|
$3,062.00 |
$3,062.00 |
$3,062.00 |
$1,030.05
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
|
$6,536.00 |
$6,536.00 |
$6,536.00 |
$1,855.36
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
|
$2,082.00 |
$2,082.00 |
$2,082.00 |
$1,043.20
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
|
$2,602.00 |
$2,602.00 |
$2,602.00 |
$2,006.79
|
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
|
$945.00 |
$945.00 |
$945.00 |
$1,817.24
|
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
|
$1,431.00 |
$1,431.00 |
$1,431.00 |
$1,685.00
|
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
|
$527.00 |
$527.00 |
$527.00 |
$475.80
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$409.00 |
$409.00 |
$409.00 |
$548.80
|
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
|
$670.00 |
$670.00 |
$670.00 |
$637.92
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$227.00 |
$227.00 |
$227.00 |
$145.60
|
|
Injection treatment of nerve
|
$1,636.00 |
$1,636.00 |
$1,636.00 |
$2,054.00
|
|
Inject sacroiliac joint
|
$8,400.00 |
$8,400.00 |
$8,400.00 |
$1,029.04
|
