|
Hla i typing low res one locus ea
|
$210.10 |
$210.10 |
$210.10 |
$340.00
|
|
Home sleep test/type 3 porta
|
$1,160.59 |
$1,160.59 |
$1,160.59 |
$632.40
|
|
Homocysteine
|
$79.75 |
$79.75 |
$79.75 |
$113.10
|
|
Homogenization tissue
|
$31.35 |
$31.35 |
$31.35 |
$39.00
|
|
Homovanillic acid (hva)
|
$72.60 |
$72.60 |
$72.60 |
$56.00
|
|
Hpv types 16 & 18 only
|
$119.35 |
$119.35 |
$119.35 |
$93.60
|
|
H pylori (c-13) breath
|
$553.85 |
$553.85 |
$553.85 |
$219.05
|
|
Htt gene detc abnor alleles
|
$109.45 |
$109.45 |
$109.45 |
$252.45
|
|
Human epididymis protein 4 (he4)
|
$171.05 |
$171.05 |
$171.05 |
$131.84
|
|
Hydration IV infusion each additional hour
|
$209.00 |
$209.00 |
$209.00 |
$134.53
|
|
Hydration IV infusion initial 31minutes - 1 hour
|
$316.25 |
$316.25 |
$316.25 |
$394.40
|
|
Hydrxycorticsterds 17- (17-ohcs)
|
$52.25 |
$52.25 |
$52.25 |
$76.13
|
|
Hysterosalpingography s&i
|
$1,044.78 |
$1,044.78 |
$1,044.78 |
$629.46
|
|
I-123 sod iodide diag per 100 uci
|
$86.21 |
$86.21 |
$86.21 |
$158.05
|
|
I-131 iobenguane sulf diag mibg
|
$2,451.88 |
$2,451.88 |
$2,451.88 |
$5,062.20
|
|
I131 iodide cap, rx
|
$51.73 |
$51.73 |
$51.73 |
$91.83
|
|
I131 iodide sol, rx
|
$95.41 |
$95.41 |
$95.41 |
$42.01
|
|
Icd cobalt xt dr MRI is1 df1
|
$11,174.62 |
$11,174.62 |
$11,174.62 |
$35,816.55
|
|
Icd crtd cobalt hf MRI is1 df1
|
$15,934.19 |
$15,934.19 |
$15,934.19 |
$32,098.95
|
|
I&d frarm&/wrst deep absc/hematoma
|
$6,378.24 |
$6,378.24 |
$6,378.24 |
$3,821.05
|
|
Igh gene rearrange amp meth
|
$216.70 |
$216.70 |
$216.70 |
$464.25
|
|
Igk rearrangeabn clonal pop
|
$211.20 |
$211.20 |
$211.20 |
$373.16
|
|
Ihc/icc per specimen each additional single antibody stain
|
$80.30 |
$80.30 |
$80.30 |
$191.75
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$105.60 |
$105.60 |
$105.60 |
$339.73
|
|
Ihc/icc per specimen initial single antibody stain
|
$469.70 |
$469.70 |
$469.70 |
$266.76
|
|
Iliac revasc add-on 37222
|
$4,174.78 |
$4,174.78 |
$4,174.78 |
$6,513.10
|
|
Img rta detc/mntr ds poc aly
|
$39.76 |
$39.76 |
$39.76 |
$70.29
|
|
Immune complex assay
|
$85.25 |
$85.25 |
$85.25 |
$88.80
|
|
Immunoassay tumor antigen quantitative ca 125
|
$88.00 |
$88.00 |
$88.00 |
$123.50
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$88.55 |
$88.55 |
$88.55 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$13.75 |
$13.75 |
$13.75 |
$53.95
|
|
Immunofixation electrophoresis serum
|
$36.30 |
$36.30 |
$36.30 |
$133.38
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$76.45 |
$76.45 |
$76.45 |
$156.00
|
|
Immunofluorescence per specimen initial single antibody stain
|
$218.90 |
$218.90 |
$218.90 |
$250.00
|
|
Immunoglobulin assay
|
$112.20 |
$112.20 |
$112.20 |
$74.00
|
|
Impl neurostim electr perc
|
$4,950.69 |
$4,950.69 |
$4,950.69 |
$7,636.00
|
|
Implnt bio implnt for soft tiss reinforcement 15777
|
$293.15 |
$293.15 |
$293.15 |
$1,072.00
|
|
In-111 autol wbc diag per dose
|
$919.60 |
$919.60 |
$919.60 |
$3,704.00
|
|
In-111 oxyquinolin per 0.5 mci
|
$817.29 |
$817.29 |
$817.29 |
$2,808.00
|
|
In-111 pentetate dtpa / 0.5 mci
|
$1,113.29 |
$1,113.29 |
$1,113.29 |
$2,135.29
|
|
In-111 pentetreotide
|
$3,735.88 |
$3,735.88 |
$3,735.88 |
$6,617.05
|
|
In-111 satumomab pend
|
$1,518.49 |
$1,518.49 |
$1,518.49 |
$3,524.25
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$2,482.26 |
$2,482.26 |
$2,482.26 |
$2,261.20
|
|
Incision of breast lesion
|
$2,851.86 |
$2,851.86 |
$2,851.86 |
$3,029.60
|
|
Incision of tendon sheath
|
$776.05 |
$776.05 |
$776.05 |
$2,263.68
|
|
Incision tendon sheath
|
$376.75 |
$376.75 |
$376.75 |
$2,309.40
|
|
Incisn of toe tndn
|
$4,352.04 |
$4,352.04 |
$4,352.04 |
$2,298.99
|
|
Infect ag drug suscept pheno predict
|
$344.85 |
$344.85 |
$344.85 |
$325.00
|
|
Infect ag genotype na dna hepatitis b
|
$647.90 |
$647.90 |
$647.90 |
$500.40
|
|
Infect ag genotype na hiv-1 other region
|
$141.90 |
$141.90 |
$141.90 |
$301.50
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$724.35 |
$724.35 |
$724.35 |
$574.60
|
|
Infect ag ia optc obs influenza
|
$52.80 |
$52.80 |
$52.80 |
$66.72
|
|
Infect ag if hep delta agent
|
$148.50 |
$148.50 |
$148.50 |
$125.97
|
|
Infect ag if legionella pneumophila
|
$206.80 |
$206.80 |
$206.80 |
$75.79
|
|
Infect ag if varicella zoster
|
$69.85 |
$69.85 |
$69.85 |
$66.00
|
|
Infect ag na hpv high-risk types
|
$87.45 |
$87.45 |
$87.45 |
$139.75
|
|
Infect ag na influenza r/amp 1st 2 types
|
$245.30 |
$245.30 |
$245.30 |
$227.96
|
|
Infect ag na orthopoxvirus amp prb each
|
$112.20 |
$112.20 |
$112.20 |
$102.00
|
|
Infect ag na resp virus 12-25 targets
|
$946.00 |
$946.00 |
$946.00 |
$859.44
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$103.40 |
$103.40 |
$103.40 |
$81.44
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$157.85 |
$157.85 |
$157.85 |
$63.60
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$34.65 |
$34.65 |
$34.65 |
$80.05
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$47.85 |
$47.85 |
$47.85 |
$77.28
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$103.40 |
$103.40 |
$103.40 |
$83.50
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$55.00 |
$55.00 |
$55.00 |
$77.72
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$78.10 |
$78.10 |
$78.10 |
$55.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$95.15 |
$95.15 |
$95.15 |
$101.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$88.00 |
$88.00 |
$88.00 |
$132.60
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$174.90 |
$174.90 |
$174.90 |
$97.50
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$72.05 |
$72.05 |
$72.05 |
$60.00
|
|
Infectious agent nucleic acid amplified probe
|
$307.45 |
$307.45 |
$307.45 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$143.00 |
$143.00 |
$143.00 |
$141.48
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$190.85 |
$190.85 |
$190.85 |
$174.06
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$763.95 |
$763.95 |
$763.95 |
$855.45
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$231.00 |
$231.00 |
$231.00 |
$178.00
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$89.65 |
$89.65 |
$89.65 |
$150.15
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$157.85 |
$157.85 |
$157.85 |
$210.00
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$151.25 |
$151.25 |
$151.25 |
$136.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$85.80 |
$85.80 |
$85.80 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$307.45 |
$307.45 |
$307.45 |
$222.60
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$339.35 |
$339.35 |
$339.35 |
$248.15
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$119.35 |
$119.35 |
$119.35 |
$112.45
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$200.20 |
$200.20 |
$200.20 |
$200.20
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$458.70 |
$458.70 |
$458.70 |
$727.50
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$548.90 |
$548.90 |
$548.90 |
$283.20
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$683.65 |
$683.65 |
$683.65 |
$489.50
|
|
Infectious agent nucleic acid quantification bk virus
|
$320.65 |
$320.65 |
$320.65 |
$285.66
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$278.30 |
$278.30 |
$278.30 |
$226.35
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$427.90 |
$427.90 |
$427.90 |
$278.78
|
|
Infectious agent nucleic acid quantification hiv-1
|
$354.75 |
$354.75 |
$354.75 |
$381.55
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$331.10 |
$331.10 |
$331.10 |
$298.35
|
|
Influenza dna amp prob addl
|
$53.90 |
$53.90 |
$53.90 |
$69.60
|
|
Infuse radioactive materials
|
$379.97 |
$379.97 |
$379.97 |
$600.89
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$99.00 |
$99.00 |
$99.00 |
$359.64
|
|
Initiation & management bipap/cpap initial day
|
$328.65 |
$328.65 |
$328.65 |
$645.79
|
|
Inj cntr knee arthro incl ct/mri
|
$308.22 |
$308.22 |
$308.22 |
$464.28
|
|
Inj dx for sinogram
|
$166.32 |
$166.32 |
$166.32 |
$436.00
|
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
|
$163.55 |
$163.55 |
$163.55 |
$1,214.78
|
|
Injection arthrography hip without anesthesia (both sides)
|
$223.74 |
$223.74 |
$223.74 |
$507.10
|
|
Injection carpal tunnel therapeutic (both sides)
|
$64.94 |
$64.94 |
$64.94 |
$536.00
|