|
Hepatitis c antibody
|
$44.88 |
$44.88 |
$44.88 |
$106.50
|
|
Hepatobiliary system imaging
|
$412.16 |
$412.16 |
$412.16 |
$1,438.58
|
|
Herpes simplex 1 ag if
|
$34.25 |
$34.25 |
$34.25 |
$49.40
|
|
Herpes simplex 2 ag if
|
$33.66 |
$33.66 |
$33.66 |
$43.99
|
|
Herpes simplex type 1 antibody igg
|
$30.12 |
$30.12 |
$30.12 |
$79.92
|
|
Herpes simplex type 2 antibody igg
|
$44.29 |
$44.29 |
$44.29 |
$96.20
|
|
Herpes simplex virus isolation
|
$40.32 |
$40.32 |
$40.32 |
$110.50
|
|
Heterophile antibodies screening
|
$20.08 |
$20.08 |
$20.08 |
$59.40
|
|
Heterophile antibodies titer
|
$34.25 |
$34.25 |
$34.25 |
$16.96
|
|
Hexa gene
|
$61.04 |
$61.04 |
$61.04 |
$230.75
|
|
Hip X-ray
|
$118.72 |
$118.72 |
$118.72 |
$262.64
|
|
Hiv-1 ag ia
|
$18.31 |
$18.31 |
$18.31 |
$87.00
|
|
Hla ii typing 1 loc hr
|
$60.62 |
$60.62 |
$60.62 |
$342.60
|
|
Hla i low res one antigen equiv ea
|
$87.92 |
$87.92 |
$87.92 |
$164.00
|
|
Hla i typing high res 1 allele grp ea
|
$201.04 |
$201.04 |
$201.04 |
$340.00
|
|
Hla typing a b or c
|
$486.78 |
$486.78 |
$486.78 |
$379.20
|
|
Homocysteine
|
$75.00 |
$75.00 |
$75.00 |
$100.00
|
|
Homogenization tissue
|
$30.70 |
$30.70 |
$30.70 |
$39.20
|
|
Homovanillic acid (hva)
|
$26.32 |
$26.32 |
$26.32 |
$66.60
|
|
Hpv types 16 & 18 only
|
$47.60 |
$47.60 |
$47.60 |
$114.33
|
|
H pylori (c-13) breath
|
$79.52 |
$79.52 |
$79.52 |
$236.00
|
|
Hrdtry cardmypy gene panel
|
$691.04 |
$691.04 |
$691.04 |
$1,276.00
|
|
Human epididymis protein 4 (he4)
|
$50.01 |
$50.01 |
$50.01 |
$154.00
|
|
Hydration IV infusion each additional hour
|
$68.32 |
$68.32 |
$68.32 |
$125.45
|
|
Hydration IV infusion initial 31minutes - 1 hour
|
$184.24 |
$184.24 |
$184.24 |
$388.70
|
|
Hydrxycorticsterds 17- (17-ohcs)
|
$21.28 |
$21.28 |
$21.28 |
$86.45
|
|
#hypersens-actinomyces ab
|
$11.76 |
$11.76 |
$11.76 |
$32.76
|
|
Hysterosalpingography s&i
|
$219.52 |
$219.52 |
$219.52 |
$555.39
|
|
I-123 sod iodide diag per 100 uci
|
$55.44 |
$55.44 |
$55.44 |
$157.09
|
|
Iaadi respiratory synctial virus
|
$72.63 |
$72.63 |
$72.63 |
$46.02
|
|
Iadna legionella pneumophila amplified probe tq
|
$27.58 |
$27.58 |
$27.58 |
$109.00
|
|
Icd cobalt xt dr MRI is1 df1
|
$16,934.40 |
$16,934.40 |
$16,934.40 |
$48,847.50
|
|
Icd crtd cobalt hf MRI is1 df1
|
$22,792.00 |
$22,792.00 |
$22,792.00 |
$44,003.25
|
|
Ihc/icc per specimen each additional single antibody stain
|
$67.76 |
$67.76 |
$67.76 |
$187.20
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$90.16 |
$90.16 |
$90.16 |
$339.73
|
|
Ihc/icc per specimen initial single antibody stain
|
$104.72 |
$104.72 |
$104.72 |
$274.86
|
|
Ikbkap gene
|
$46.48 |
$46.48 |
$46.48 |
$176.15
|
|
Immobilizer shldr dlx str 24-36in med
|
$47.60 |
$47.60 |
$47.60 |
$72.60
|
|
Immune complex assay
|
$85.41 |
$85.41 |
$85.41 |
$89.25
|
|
Immunoassay tumor antigen quantitative ca 125
|
$32.48 |
$32.48 |
$32.48 |
$122.50
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$49.01 |
$49.01 |
$49.01 |
$117.00
|
|
Immunodiff gel qual ea antigen/ab
|
$14.00 |
$14.00 |
$14.00 |
$58.25
|
|
Immunodiffusion nes
|
$8.33 |
$8.33 |
$8.33 |
$63.57
|
|
Immunofixation electrophoresis serum
|
$44.88 |
$44.88 |
$44.88 |
$133.38
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$47.04 |
$47.04 |
$47.04 |
$185.00
|
|
Immunofluorescence per specimen initial single antibody stain
|
$62.16 |
$62.16 |
$62.16 |
$288.00
|
|
Immunoglobulin assay
|
$19.10 |
$19.10 |
$19.10 |
$74.15
|
|
Implant cartilage 10mm synthetic
|
$2,016.00 |
$2,016.00 |
$2,016.00 |
$14,238.00
|
|
Implant cochlear osia osi300
|
$5,314.40 |
$5,314.40 |
$5,314.40 |
$9,185.56
|
|
Implant ureth bulk agent
|
$1,288.00 |
$1,288.00 |
$1,288.00 |
$2,342.17
|
|
Infect ag drug suscept pheno predict
|
$114.94 |
$114.94 |
$114.94 |
$382.20
|
|
Infect ag eia influenza a or b ea
|
$33.07 |
$33.07 |
$33.07 |
$64.00
|
|
Infect ag genotype na hiv-1 other region
|
$153.10 |
$153.10 |
$153.10 |
$390.00
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$306.10 |
$306.10 |
$306.10 |
$619.11
|
|
Infect ag ia optc obs influenza
|
$67.91 |
$67.91 |
$67.91 |
$65.58
|
|
Infect ag if hep delta agent
|
$70.00 |
$70.00 |
$70.00 |
$125.97
|
|
Infect ag if legionella pneumophila
|
$50.79 |
$50.79 |
$50.79 |
$85.15
|
|
Infect ag na hpv high-risk types
|
$41.44 |
$41.44 |
$41.44 |
$147.00
|
|
Infect ag na influenza r/amp 1st 2 types
|
$89.17 |
$89.17 |
$89.17 |
$248.80
|
|
Infect ag na resp virus 12-25 targets
|
$454.11 |
$454.11 |
$454.11 |
$878.20
|
|
Infect ag phenotype na hiv-1 1-10 drugs
|
$551.60 |
$551.60 |
$551.60 |
$843.26
|
|
Infect ag phenotype na hiv-1 ea addl drg
|
$24.53 |
$24.53 |
$24.53 |
$117.00
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$105.11 |
$105.11 |
$105.11 |
$76.00
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$12.01 |
$12.01 |
$12.01 |
$74.10
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$10.42 |
$10.42 |
$10.42 |
$76.00
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$32.48 |
$32.48 |
$32.48 |
$73.45
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$24.50 |
$24.50 |
$24.50 |
$96.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$35.43 |
$35.43 |
$35.43 |
$75.27
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$12.32 |
$12.32 |
$12.32 |
$60.95
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$34.25 |
$34.25 |
$34.25 |
$107.90
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$77.82 |
$77.82 |
$77.82 |
$132.60
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$72.63 |
$72.63 |
$72.63 |
$98.40
|
|
Infectious agent nucleic acid amplified probe
|
$165.93 |
$165.93 |
$165.93 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$112.20 |
$112.20 |
$112.20 |
$144.00
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$44.24 |
$44.24 |
$44.24 |
$174.06
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$41.44 |
$41.44 |
$41.44 |
$181.35
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$41.93 |
$41.93 |
$41.93 |
$148.80
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$112.20 |
$112.20 |
$112.20 |
$134.55
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$59.05 |
$59.05 |
$59.05 |
$109.18
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$41.34 |
$41.34 |
$41.34 |
$96.00
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$57.28 |
$57.28 |
$57.28 |
$135.00
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$492.24 |
$492.24 |
$492.24 |
$727.50
|
|
Infectious agent nucleic acid quantification bk virus
|
$139.44 |
$139.44 |
$139.44 |
$300.00
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$50.96 |
$50.96 |
$50.96 |
$242.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$90.94 |
$90.94 |
$90.94 |
$280.20
|
|
Infectious agent nucleic acid quantification hiv-1
|
$291.13 |
$291.13 |
$291.13 |
$381.55
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$167.44 |
$167.44 |
$167.44 |
$303.59
|
|
Initiation & management bipap/cpap initial day
|
$547.68 |
$547.68 |
$547.68 |
$608.40
|
|
Inj ceftolozane tazobactam
|
$0.17 |
$0.17 |
$0.17 |
$248.93
|
|
Inj, clevidipine butyrate
|
$2.21 |
$2.21 |
$2.21 |
$4.86
|
|
Injection arthrography hip without anesthesia (both sides)
|
$1,162.56 |
$1,162.56 |
$1,162.56 |
$609.20
|
|
Injection epidural blood patch or clot
|
$1,089.20 |
$1,089.20 |
$1,089.20 |
$1,470.60
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$341.60 |
$341.60 |
$341.60 |
$514.36
|
|
Injection,onabotulinumtoxina
|
$4.25 |
$4.25 |
$4.25 |
$12.88
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$927.92 |
$927.92 |
$927.92 |
$1,391.40
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$936.88 |
$936.88 |
$936.88 |
$1,017.28
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$96.32 |
$96.32 |
$96.32 |
$153.60
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$96.32 |
$96.32 |
$96.32 |
$150.00
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$96.32 |
$96.32 |
$96.32 |
$303.60
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$49.84 |
$49.84 |
$49.84 |
$130.19
|