|
Hla i low res one antigen equiv ea
|
$95.76 |
$95.76 |
$95.76 |
$164.00
|
|
Hla i typing high res 1 allele grp ea
|
$218.96 |
$218.96 |
$218.96 |
$340.00
|
|
Hla typing a b or c
|
$486.78 |
$486.78 |
$486.78 |
$379.20
|
|
Homocysteine
|
$81.76 |
$81.76 |
$81.76 |
$100.00
|
|
Homogenization tissue
|
$33.60 |
$33.60 |
$33.60 |
$39.20
|
|
Homovanillic acid (hva)
|
$29.12 |
$29.12 |
$29.12 |
$66.60
|
|
Hpv types 16 & 18 only
|
$52.08 |
$52.08 |
$52.08 |
$114.33
|
|
H pylori (c-13) breath
|
$86.80 |
$86.80 |
$86.80 |
$236.00
|
|
Hrdtry cardmypy gene panel
|
$753.76 |
$753.76 |
$753.76 |
$1,276.00
|
|
Human epididymis protein 4 (he4)
|
$50.01 |
$50.01 |
$50.01 |
$154.00
|
|
Hydration IV infusion each additional hour
|
$134.40 |
$134.40 |
$134.40 |
$125.45
|
|
Hydration IV infusion initial 31minutes - 1 hour
|
$200.48 |
$200.48 |
$200.48 |
$388.70
|
|
Hydrxycorticsterds 17- (17-ohcs)
|
$22.96 |
$22.96 |
$22.96 |
$86.45
|
|
#hypersens-actinomyces ab
|
$12.88 |
$12.88 |
$12.88 |
$32.76
|
|
I-123 sod iodide diag per 100 uci
|
$77.28 |
$77.28 |
$77.28 |
$157.09
|
|
Iaadi respiratory synctial virus
|
$78.96 |
$78.96 |
$78.96 |
$46.02
|
|
Iadna legionella pneumophila amplified probe tq
|
$27.58 |
$27.58 |
$27.58 |
$109.00
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$324.63 |
$324.63 |
$324.63 |
$614.95
|
|
Icd cobalt xt dr MRI is1 df1
|
$22,768.48 |
$22,768.48 |
$22,768.48 |
$48,847.50
|
|
Icd crtd cobalt hf MRI is1 df1
|
$34,216.56 |
$34,216.56 |
$34,216.56 |
$44,003.25
|
|
Icd crtp serena MRI
|
$11,702.32 |
$11,702.32 |
$11,702.32 |
$15,759.00
|
|
Icd reliance df4 ib 64cm
|
$4,579.12 |
$4,579.12 |
$4,579.12 |
$6,463.81
|
|
Idarubicin hcl injection
|
$208.18 |
$208.18 |
$208.18 |
$249.51
|
|
I&d/bursa/foot 28001
|
$2,327.92 |
$2,327.92 |
$2,327.92 |
$1,814.47
|
|
Ifosfamide 1 gram intravenous solution
|
$38.58 |
$38.58 |
$38.58 |
$185.67
|
|
Ihc/icc per specimen each additional single antibody stain
|
$73.92 |
$73.92 |
$73.92 |
$187.20
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$98.56 |
$98.56 |
$98.56 |
$339.73
|
|
Ihc/icc per specimen initial single antibody stain
|
$114.24 |
$114.24 |
$114.24 |
$274.86
|
|
Ikbkap gene
|
$50.96 |
$50.96 |
$50.96 |
$176.15
|
|
Iliac/fem angio cath insert
|
$837.20 |
$837.20 |
$837.20 |
$2,070.72
|
|
Iliac revasc add-on 37222
|
$10,522.96 |
$10,522.96 |
$10,522.96 |
$8,583.60
|
|
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
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$41.77 |
$41.77 |
$41.77 |
$2,621.62
|
|
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution
|
$466.14 |
$466.14 |
$466.14 |
$3,132.49
|
|
Immunoassay tumor antigen quantitative ca 125
|
$35.28 |
$35.28 |
$35.28 |
$122.50
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$53.20 |
$53.20 |
$53.20 |
$117.00
|
|
Immunodiff gel qual ea antigen/ab
|
$15.68 |
$15.68 |
$15.68 |
$58.25
|
|
Immunodiffusion nes
|
$8.33 |
$8.33 |
$8.33 |
$63.57
|
|
Immunofixation electrophoresis serum
|
$48.72 |
$48.72 |
$48.72 |
$133.38
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$51.52 |
$51.52 |
$51.52 |
$185.00
|
|
Immunofluorescence per specimen initial single antibody stain
|
$64.40 |
$64.40 |
$64.40 |
$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
|
|
In-111 autol wbc diag per dose
|
$524.16 |
$524.16 |
$524.16 |
$3,785.34
|
|
In-111 pentetate dtpa / 0.5 mci
|
$929.60 |
$929.60 |
$929.60 |
$2,156.25
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$2,327.92 |
$2,327.92 |
$2,327.92 |
$2,056.93
|
|
Incisn of toe tndn
|
$3,596.32 |
$3,596.32 |
$3,596.32 |
$2,298.99
|
|
Infect ag drug suscept pheno predict
|
$114.94 |
$114.94 |
$114.94 |
$382.20
|
|
Infect ag eia influenza a or b ea
|
$35.84 |
$35.84 |
$35.84 |
$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
|
$73.92 |
$73.92 |
$73.92 |
$65.58
|
|
Infect ag if hep delta agent
|
$70.00 |
$70.00 |
$70.00 |
$125.97
|
|
Infect ag if legionella pneumophila
|
$55.44 |
$55.44 |
$55.44 |
$85.15
|
|
Infect ag na hpv high-risk types
|
$45.36 |
$45.36 |
$45.36 |
$147.00
|
|
Infect ag na influenza r/amp 1st 2 types
|
$97.44 |
$97.44 |
$97.44 |
$248.80
|
|
Infect ag na resp virus 12-25 targets
|
$495.04 |
$495.04 |
$495.04 |
$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
|
$114.80 |
$114.80 |
$114.80 |
$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
|
$35.28 |
$35.28 |
$35.28 |
$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
|
$38.64 |
$38.64 |
$38.64 |
$75.27
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$13.44 |
$13.44 |
$13.44 |
$60.95
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$37.52 |
$37.52 |
$37.52 |
$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
|
$78.96 |
$78.96 |
$78.96 |
$98.40
|
|
Infectious agent nucleic acid amplified probe
|
$180.88 |
$180.88 |
$180.88 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$122.64 |
$122.64 |
$122.64 |
$144.00
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$48.16 |
$48.16 |
$48.16 |
$174.06
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$45.36 |
$45.36 |
$45.36 |
$181.35
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$45.92 |
$45.92 |
$45.92 |
$148.80
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$122.64 |
$122.64 |
$122.64 |
$134.55
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$64.40 |
$64.40 |
$64.40 |
$109.18
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$45.36 |
$45.36 |
$45.36 |
$96.00
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$62.72 |
$62.72 |
$62.72 |
$135.00
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$537.04 |
$537.04 |
$537.04 |
$727.50
|
|
Infectious agent nucleic acid quantification bk virus
|
$139.44 |
$139.44 |
$139.44 |
$300.00
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$55.44 |
$55.44 |
$55.44 |
$242.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$99.12 |
$99.12 |
$99.12 |
$280.20
|
|
Infectious agent nucleic acid quantification hiv-1
|
$317.52 |
$317.52 |
$317.52 |
$381.55
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$167.44 |
$167.44 |
$167.44 |
$303.59
|
|
Infliximab 100 mg intravenous solution
|
$74.92 |
$74.92 |
$74.92 |
$178.95
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$66.98 |
$66.98 |
$66.98 |
$157.14
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$290.64 |
$290.64 |
$290.64 |
$344.50
|
|
Initiation & management bipap/cpap initial day
|
$926.24 |
$926.24 |
$926.24 |
$608.40
|
|
Inj, abilify maintena, 1 mg
|
$135.71 |
$135.71 |
$135.71 |
$3,138.28
|
|
Inj, afstyla, 1 i.u
|
$1.12 |
$1.12 |
$1.12 |
$1.58
|
|
Inj ceftolozane tazobactam
|
$0.58 |
$0.58 |
$0.58 |
$248.93
|
|
Inj, clevidipine butyrate
|
$2.58 |
$2.58 |
$2.58 |
$4.86
|
|
Inj dx for sinogram
|
$771.12 |
$771.12 |
$771.12 |
$484.00
|
|
Injection arthrography hip without anesthesia (both sides)
|
$1,220.80 |
$1,220.80 |
$1,220.80 |
$609.20
|
|
Injection, cangrelor
|
$10.69 |
$10.69 |
$10.69 |
$1,305.72
|
|
Injection during cath supravalvular aortography
|
$2,924.88 |
$2,924.88 |
$2,924.88 |
$1,604.20
|
|
Injection epidural blood patch or clot
|
$1,054.48 |
$1,054.48 |
$1,054.48 |
$1,470.60
|