|
Herpes simplex type 2 antibody igg
|
$32.85 |
$32.85 |
$32.85 |
$86.00
|
|
Herpes simplex virus isolation
|
$123.30 |
$123.30 |
$123.30 |
$103.11
|
|
Heterophile antibodies screening
|
$28.35 |
$28.35 |
$28.35 |
$72.00
|
|
Hip X-ray
|
$124.20 |
$124.20 |
$124.20 |
$290.00
|
|
Histamine
|
$95.40 |
$95.40 |
$95.40 |
$114.66
|
|
Hiv-1 ag ia
|
$101.70 |
$101.70 |
$101.70 |
$98.82
|
|
Hla class ii semiquant panel
|
$471.60 |
$471.60 |
$471.60 |
$724.80
|
|
Hla class i semiquant panel
|
$522.45 |
$522.45 |
$522.45 |
$802.40
|
|
Hla ii typing 1 loc hr
|
$112.50 |
$112.50 |
$112.50 |
$290.94
|
|
Hla i typing 1 locus hr
|
$248.85 |
$248.85 |
$248.85 |
$398.40
|
|
Hla i typing complete lr
|
$330.30 |
$330.30 |
$330.30 |
$631.80
|
|
Homocysteine
|
$70.20 |
$70.20 |
$70.20 |
$120.25
|
|
Homogenization tissue
|
$108.45 |
$108.45 |
$108.45 |
$39.00
|
|
Hpv combo assay ca screen
|
$60.30 |
$60.30 |
$60.30 |
$54.94
|
|
Hpv types 16 & 18 only
|
$61.65 |
$61.65 |
$61.65 |
$102.00
|
|
H pylori (c-13) breath
|
$119.25 |
$119.25 |
$119.25 |
$212.25
|
|
H pylori drug admin
|
$11.25 |
$11.25 |
$11.25 |
$28.56
|
|
Hydration IV infusion each additional hour
|
$44.10 |
$44.10 |
$44.10 |
$126.75
|
|
Hydration IV infusion initial 31minutes - 1 hour
|
$24.30 |
$24.30 |
$24.30 |
$375.54
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$637.03 |
$637.03 |
$637.03 |
$116.40
|
|
Hymenotomy
|
$3,526.20 |
$3,526.20 |
$3,526.20 |
$4,245.12
|
|
Ia infect ag ab qual/semiquant sgl step
|
$58.05 |
$58.05 |
$58.05 |
$48.57
|
|
Ia nfct ab sarscov2 covid19
|
$83.70 |
$83.70 |
$83.70 |
$52.85
|
|
Ibmfs seq alys pnl 30 genes
|
$3,575.70 |
$3,575.70 |
$3,575.70 |
$2,693.42
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$931.36 |
$931.36 |
$931.36 |
$980.94
|
|
Icatibant injection
|
$5,032.83 |
$5,032.83 |
$5,032.83 |
$8,695.05
|
|
Igh@/bcl2 translocation alys
|
$137.25 |
$137.25 |
$137.25 |
$265.95
|
|
Igh gene rearrang dir probe
|
$104.40 |
$104.40 |
$104.40 |
$82.26
|
|
Igh gene rearrange amp meth
|
$289.80 |
$289.80 |
$289.80 |
$444.80
|
|
Igk rearrangeabn clonal pop
|
$289.80 |
$289.80 |
$289.80 |
$372.00
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$247.05 |
$247.05 |
$247.05 |
$328.79
|
|
Ihc/icc per specimen initial single antibody stain
|
$62.55 |
$62.55 |
$62.55 |
$269.28
|
|
Immune complex assay
|
$169.20 |
$169.20 |
$169.20 |
$109.20
|
|
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution
|
$1,101.33 |
$1,101.33 |
$1,101.33 |
$4,389.57
|
|
Immunoassay tumor antigen quantitative ca 125
|
$126.45 |
$126.45 |
$126.45 |
$126.00
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$40.50 |
$40.50 |
$40.50 |
$110.00
|
|
Immunofixation electrophoresis serum
|
$128.70 |
$128.70 |
$128.70 |
$138.60
|
|
Immunofluorescence per specimen initial single antibody stain
|
$63.00 |
$63.00 |
$63.00 |
$231.40
|
|
Immunoglobulin assay
|
$114.30 |
$114.30 |
$114.30 |
$69.96
|
|
Impl neurostim electr perc
|
$4,088.70 |
$4,088.70 |
$4,088.70 |
$7,546.20
|
|
In-111 oxyquinolin per 0.5 mci
|
$2,561.76 |
$2,561.76 |
$2,561.76 |
$2,441.34
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$515.25 |
$515.25 |
$515.25 |
$2,080.80
|
|
Incision of breast lesion
|
$2,014.65 |
$2,014.65 |
$2,014.65 |
$2,577.85
|
|
Incision of burn scab initi
|
$476.10 |
$476.10 |
$476.10 |
$494.40
|
|
Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s)
|
$55.35 |
$55.35 |
$55.35 |
$124.80
|
|
Infect ag genotype na cytomegalovirus
|
$375.75 |
$375.75 |
$375.75 |
$628.84
|
|
Infect ag genotype na hiv-1 other region
|
$140.85 |
$140.85 |
$140.85 |
$301.50
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$652.95 |
$652.95 |
$652.95 |
$603.75
|
|
Infect ag ia optc obs influenza
|
$95.40 |
$95.40 |
$95.40 |
$72.45
|
|
Infect ag if legionella pneumophila
|
$16.20 |
$16.20 |
$16.20 |
$73.45
|
|
Infect ag na herpes simplex quant
|
$62.55 |
$62.55 |
$62.55 |
$167.00
|
|
Infect ag na hpv high-risk types
|
$60.30 |
$60.30 |
$60.30 |
$139.20
|
|
Infect ag na orthopoxvirus amp prb each
|
$53.10 |
$53.10 |
$53.10 |
$97.21
|
|
Infect ag na resp virus 12-25 targets
|
$657.90 |
$657.90 |
$657.90 |
$859.44
|
|
Infect ag phenotype na hiv-1 1-10 drugs
|
$713.70 |
$713.70 |
$713.70 |
$851.93
|
|
Infect ag phenotype na hiv-1 ea addl drg
|
$37.80 |
$37.80 |
$37.80 |
$77.00
|
|
Infectious agent antigen immunoassay direct optical observation sars-cov-2
|
$66.60 |
$66.60 |
$66.60 |
$47.50
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$58.50 |
$58.50 |
$58.50 |
$81.90
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$16.20 |
$16.20 |
$16.20 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$142.20 |
$142.20 |
$142.20 |
$93.44
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$27.45 |
$27.45 |
$27.45 |
$81.06
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$56.25 |
$56.25 |
$56.25 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$65.25 |
$65.25 |
$65.25 |
$125.28
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$58.95 |
$58.95 |
$58.95 |
$93.60
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$31.50 |
$31.50 |
$31.50 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$153.45 |
$153.45 |
$153.45 |
$270.80
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$153.45 |
$153.45 |
$153.45 |
$137.67
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$62.55 |
$62.55 |
$62.55 |
$166.00
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$791.55 |
$791.55 |
$791.55 |
$855.45
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$193.50 |
$193.50 |
$193.50 |
$181.00
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$153.45 |
$153.45 |
$153.45 |
$133.80
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$83.70 |
$83.70 |
$83.70 |
$100.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$225.45 |
$225.45 |
$225.45 |
$216.51
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$225.45 |
$225.45 |
$225.45 |
$233.40
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$42.30 |
$42.30 |
$42.30 |
$96.00
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$41.85 |
$41.85 |
$41.85 |
$105.60
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$60.30 |
$60.30 |
$60.30 |
$184.80
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$585.90 |
$585.90 |
$585.90 |
$696.23
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$193.50 |
$193.50 |
$193.50 |
$283.20
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$399.60 |
$399.60 |
$399.60 |
$414.05
|
|
Infectious agent nucleic acid quantification bk virus
|
$184.50 |
$184.50 |
$184.50 |
$279.40
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$90.45 |
$90.45 |
$90.45 |
$226.35
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$90.00 |
$90.00 |
$90.00 |
$253.00
|
|
Infectious agent nucleic acid quantification hiv-1
|
$75.60 |
$75.60 |
$75.60 |
$375.00
|
|
Infliximab 100 mg intravenous solution
|
$592.92 |
$592.92 |
$592.92 |
$2,102.08
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$290.25 |
$290.25 |
$290.25 |
$303.84
|
|
Initiation & management bipap/cpap initial day
|
$166.05 |
$166.05 |
$166.05 |
$584.50
|
|
Inj, acetaminophen (b braun)
|
$19.07 |
$19.07 |
$19.07 |
$39.33
|
|
Inj acetaminophen -fresenius
|
$18.90 |
$18.90 |
$18.90 |
$39.82
|
|
Inj, acetaminophen (hikma)
|
$14.17 |
$14.17 |
$14.17 |
$58.50
|
|
Inj allopurinol sodium 1 mg
|
$2,966.10 |
$2,966.10 |
$2,966.10 |
$7,176.71
|
|
Inj, bortezomib freseniuskab
|
$1,601.91 |
$1,601.91 |
$1,601.91 |
$2,301.11
|
|
Inj, bortezomib, hospira
|
$62.32 |
$62.32 |
$62.32 |
$175.35
|
|
Inj cefazolin sodium, baxter
|
$39.15 |
$39.15 |
$39.15 |
$27.38
|
|
Inj cefazolin sodium, hikma
|
$16.39 |
$16.39 |
$16.39 |
$32.59
|
|
Inj cefazolin (wg crit care)
|
$12.15 |
$12.15 |
$12.15 |
$22.02
|
|
Inj. cefepime hcl (baxter)
|
$179.55 |
$179.55 |
$179.55 |
$86.84
|
|
Inj, cefepime hcl (b braun)
|
$93.20 |
$93.20 |
$93.20 |
$69.85
|
|
Inj, clindamycin (baxter)
|
$20.59 |
$20.59 |
$20.59 |
$49.48
|
|
Inj cyclophos dr.reddy's 5mg
|
$4,725.00 |
$4,725.00 |
$4,725.00 |
$4,305.00
|