|
Hematocrit
|
$25.00 |
$25.00 |
$25.00 |
$33.80
|
|
Hemodialysis one evaluation
|
$842.00 |
$842.00 |
$842.00 |
$1,364.27
|
|
Hemoglobin
|
$25.00 |
$25.00 |
$25.00 |
$33.54
|
|
Hemoglobin methemoglobin quantitative
|
$30.00 |
$30.00 |
$30.00 |
$52.32
|
|
Hemoglobin plasma
|
$29.00 |
$29.00 |
$29.00 |
$41.40
|
|
Heparin assay
|
$98.00 |
$98.00 |
$98.00 |
$139.15
|
|
Heparin neutralization
|
$36.00 |
$36.00 |
$36.00 |
$37.10
|
|
Hepatitis a antibody igm
|
$72.00 |
$72.00 |
$72.00 |
$89.44
|
|
Hepatitis b core antibody igm
|
$113.00 |
$113.00 |
$113.00 |
$89.60
|
|
Hepatitis b core antibody total
|
$99.00 |
$99.00 |
$99.00 |
$77.50
|
|
Hepatitis b surface antibody
|
$107.00 |
$107.00 |
$107.00 |
$82.32
|
|
Hepatitis c antibody
|
$130.00 |
$130.00 |
$130.00 |
$108.25
|
|
Herpes simplex type 1 antibody igg
|
$108.00 |
$108.00 |
$108.00 |
$69.12
|
|
Herpes simplex type 2 antibody igg
|
$102.00 |
$102.00 |
$102.00 |
$87.36
|
|
Heterophile antibodies screening
|
$56.00 |
$56.00 |
$56.00 |
$73.87
|
|
Hip and Pelvis X-ray (2 views, both hips)
|
$413.00 |
$413.00 |
$413.00 |
$374.40
|
|
Hip and Pelvis X-ray (3 to 4 views, both hips)
|
$434.00 |
$434.00 |
$434.00 |
$424.80
|
|
Hip and Pelvis X-ray (single view, left side)
|
$231.00 |
$231.00 |
$231.00 |
$233.50
|
|
Hip X-ray
|
$369.00 |
$369.00 |
$369.00 |
$294.75
|
|
Hlth bhv ivntj indiv 1st 30
|
$128.00 |
$128.00 |
$128.00 |
$200.00
|
|
Homocysteine
|
$84.00 |
$84.00 |
$84.00 |
$125.40
|
|
Homogenization tissue
|
$15.00 |
$15.00 |
$15.00 |
$41.30
|
|
H pylori (c-13) breath
|
$236.00 |
$236.00 |
$236.00 |
$212.25
|
|
H pylori drug admin
|
$35.00 |
$35.00 |
$35.00 |
$28.56
|
|
Hysterosalpingography s&i
|
$830.00 |
$830.00 |
$830.00 |
$669.12
|
|
Ihc/icc per specimen each additional single antibody stain
|
$245.00 |
$245.00 |
$245.00 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$381.00 |
$381.00 |
$381.00 |
$331.20
|
|
Ihc/icc per specimen initial single antibody stain
|
$227.00 |
$227.00 |
$227.00 |
$277.90
|
|
Iliac/fem angio cath insert
|
$1,000.00 |
$1,000.00 |
$1,000.00 |
$1,856.01
|
|
Immunoassay tumor antigen quantitative ca 125
|
$155.00 |
$155.00 |
$155.00 |
$132.00
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$171.00 |
$171.00 |
$171.00 |
$116.40
|
|
Immunofixation electrophoresis serum
|
$136.00 |
$136.00 |
$136.00 |
$142.50
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$150.00 |
$150.00 |
$150.00 |
$154.05
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$2,317.00 |
$2,317.00 |
$2,317.00 |
$2,086.70
|
|
Incision of tongue fold
|
$1,226.00 |
$1,226.00 |
$1,226.00 |
$1,792.50
|
|
Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s)
|
$176.00 |
$176.00 |
$176.00 |
$140.80
|
|
Infect ag ia optc obs influenza
|
$48.00 |
$48.00 |
$48.00 |
$72.93
|
|
Infect ag if legionella pneumophila
|
$52.00 |
$52.00 |
$52.00 |
$73.45
|
|
Infect ag na hpv high-risk types
|
$217.00 |
$217.00 |
$217.00 |
$139.20
|
|
Infect ag na influenza r/amp 1st 2 types
|
$217.00 |
$217.00 |
$217.00 |
$219.70
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$61.00 |
$61.00 |
$61.00 |
$83.60
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$85.00 |
$85.00 |
$85.00 |
$76.00
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$85.00 |
$85.00 |
$85.00 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$73.00 |
$73.00 |
$73.00 |
$103.40
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$103.00 |
$103.00 |
$103.00 |
$81.20
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$56.00 |
$56.00 |
$56.00 |
$60.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$100.00 |
$100.00 |
$100.00 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$34.00 |
$34.00 |
$34.00 |
$129.00
|
|
Infectious agent nucleic acid amplified probe
|
$130.00 |
$130.00 |
$130.00 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$219.00 |
$219.00 |
$219.00 |
$141.95
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$244.00 |
$244.00 |
$244.00 |
$167.05
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$1,198.00 |
$1,198.00 |
$1,198.00 |
$864.67
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$247.00 |
$247.00 |
$247.00 |
$181.35
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$238.00 |
$238.00 |
$238.00 |
$149.13
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$219.00 |
$219.00 |
$219.00 |
$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 streptococcus group a
|
$120.00 |
$120.00 |
$120.00 |
$96.00
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$200.00 |
$200.00 |
$200.00 |
$112.45
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$88.00 |
$88.00 |
$88.00 |
$195.60
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$1,078.00 |
$1,078.00 |
$1,078.00 |
$727.50
|
|
Infectious agent nucleic acid quantification bk virus
|
$317.00 |
$317.00 |
$317.00 |
$283.00
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$354.00 |
$354.00 |
$354.00 |
$242.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$301.00 |
$301.00 |
$301.00 |
$253.00
|
|
Infectious agent nucleic acid quantification hiv-1
|
$434.00 |
$434.00 |
$434.00 |
$375.00
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$327.00 |
$327.00 |
$327.00 |
$304.20
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$227.00 |
$227.00 |
$227.00 |
$296.00
|
|
Inj dx for sinogram
|
$238.00 |
$238.00 |
$238.00 |
$436.00
|
|
Injection arthrography hip without anesthesia (both sides)
|
$175.00 |
$175.00 |
$175.00 |
$503.50
|
|
Injection during cath supravalvular aortography
|
$656.00 |
$656.00 |
$656.00 |
$1,027.26
|
|
Injection epidural blood patch or clot
|
$752.00 |
$752.00 |
$752.00 |
$1,182.33
|
|
Injection for arthrography wrist (both sides)
|
$436.00 |
$436.00 |
$436.00 |
$436.00
|
|
Injection for bladder x-ray
|
$261.00 |
$261.00 |
$261.00 |
$459.20
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$354.00 |
$354.00 |
$354.00 |
$497.76
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$1,305.00 |
$1,305.00 |
$1,305.00 |
$1,043.72
|
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
|
$1,350.00 |
$1,350.00 |
$1,350.00 |
$2,040.36
|
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
|
$1,102.00 |
$1,102.00 |
$1,102.00 |
$1,685.00
|
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
|
$276.00 |
$276.00 |
$276.00 |
$475.80
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$498.00 |
$498.00 |
$498.00 |
$548.80
|
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
|
$572.00 |
$572.00 |
$572.00 |
$637.92
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$212.00 |
$212.00 |
$212.00 |
$145.60
|
|
Inject sacroiliac joint
|
$1,030.00 |
$1,030.00 |
$1,030.00 |
$1,029.04
|
|
Inj for ext venography
|
$205.00 |
$205.00 |
$205.00 |
$628.80
|
|
Inj nephrosto/ureterogram w/img exstng access
|
$3,632.00 |
$3,632.00 |
$3,632.00 |
$1,413.35
|
|
Inj non-compmd foam sclrsnt sgl trncl vein
|
$135.00 |
$135.00 |
$135.00 |
$2,726.90
|
|
Inj proc elbow arthro
|
$948.00 |
$948.00 |
$948.00 |
$432.00
|
|
Inj proc myelogram lumbar
|
$2,239.00 |
$2,239.00 |
$2,239.00 |
$838.30
|
|
Inj retro urethrocysto
|
$312.00 |
$312.00 |
$312.00 |
$447.74
|
|
Inj scleros sol mult veins
|
$458.00 |
$458.00 |
$458.00 |
$692.90
|
|
Inj scleros sol sgl vein
|
$203.00 |
$203.00 |
$203.00 |
$561.88
|
|
Inj(s) sclerosant spider veins limb/trunk
|
$160.00 |
$160.00 |
$160.00 |
$436.80
|
|
Ins cath ren art 1st bi
|
$6,366.00 |
$6,366.00 |
$6,366.00 |
$5,974.80
|
|
Ins cath ren art 1st uni
|
$5,011.00 |
$5,011.00 |
$5,011.00 |
$4,667.63
|
|
Ins cerv dilator (sep proc)
|
$500.00 |
$500.00 |
$500.00 |
$490.73
|
|
Insert cannula vein-to-vein hemodialysis
|
$9,109.00 |
$9,109.00 |
$9,109.00 |
$7,279.50
|
|
Insert cath pleura with image
|
$2,297.00 |
$2,297.00 |
$2,297.00 |
$2,194.40
|
|
Insert cath pleura without image
|
$2,047.00 |
$2,047.00 |
$2,047.00 |
$2,099.70
|
|
Insertion catheter bladder non indwelling
|
$198.00 |
$198.00 |
$198.00 |
$208.01
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$6,190.00 |
$6,190.00 |
$6,190.00 |
$4,897.20
|
|
Insertion intra aortic balloon assist device percutaneous
|
$2,802.00 |
$2,802.00 |
$2,802.00 |
$2,447.63
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$8,014.00 |
$8,014.00 |
$8,014.00 |
$7,210.78
|
