|
Hydration IV infusion initial 31minutes - 1 hour
|
$165.75 |
$165.75 |
$165.75 |
$388.70
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$166.43 |
$166.43 |
$166.43 |
$63.24
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$66.00 |
$66.00 |
$66.00 |
$47.18
|
|
Hydrxycorticsterds 17- (17-ohcs)
|
$87.75 |
$87.75 |
$87.75 |
$86.45
|
|
Hysteroscopy ablation
|
$9,339.69 |
$9,339.69 |
$9,339.69 |
$5,795.25
|
|
Hysteroscopy biopsy
|
$4,773.16 |
$4,773.16 |
$4,773.16 |
$4,451.18
|
|
Iaadi respiratory synctial virus
|
$61.75 |
$61.75 |
$61.75 |
$46.02
|
|
Iadna legionella pneumophila amplified probe tq
|
$172.90 |
$172.90 |
$172.90 |
$109.00
|
|
Ibandronate 3 mg/3 ml intravenous syringe
|
$609.37 |
$609.37 |
$609.37 |
$768.06
|
|
Idh1 common variants
|
$405.60 |
$405.60 |
$405.60 |
$406.90
|
|
Idh2 common variants
|
$396.50 |
$396.50 |
$396.50 |
$463.45
|
|
Ifosfamide 1 gram intravenous solution
|
$103.15 |
$103.15 |
$103.15 |
$185.67
|
|
Igh gene rearrange amp meth
|
$410.15 |
$410.15 |
$410.15 |
$464.00
|
|
Igh@ var region somatic mutation analy
|
$736.45 |
$736.45 |
$736.45 |
$685.75
|
|
Igk rearrangeabn clonal pop
|
$342.55 |
$342.55 |
$342.55 |
$382.50
|
|
Ihc/icc per specimen each additional single antibody stain
|
$5,421.85 |
$5,421.85 |
$5,421.85 |
$187.20
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$4,645.70 |
$4,645.70 |
$4,645.70 |
$339.73
|
|
Ihc/icc per specimen initial single antibody stain
|
$6,205.95 |
$6,205.95 |
$6,205.95 |
$274.86
|
|
Immune complex assay
|
$161.85 |
$161.85 |
$161.85 |
$89.25
|
|
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution
|
$2,367.55 |
$2,367.55 |
$2,367.55 |
$3,132.49
|
|
Immunoassay tumor antigen quantitative ca 125
|
$182.00 |
$182.00 |
$182.00 |
$122.50
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$141.70 |
$141.70 |
$141.70 |
$117.00
|
|
Immunodiff gel qual ea antigen/ab
|
$65.65 |
$65.65 |
$65.65 |
$58.25
|
|
Immunodiffusion nes
|
$102.05 |
$102.05 |
$102.05 |
$63.57
|
|
Immunofixation electrophoresis serum
|
$165.75 |
$165.75 |
$165.75 |
$133.38
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$141.70 |
$141.70 |
$141.70 |
$185.00
|
|
Immunofluorescence per specimen initial single antibody stain
|
$154.70 |
$154.70 |
$154.70 |
$288.00
|
|
Immunoglobulin assay
|
$139.75 |
$139.75 |
$139.75 |
$74.15
|
|
Implant neuroelectrodes
|
$21,633.56 |
$21,633.56 |
$21,633.56 |
$6,433.49
|
|
Implant spine infusion pump
|
$1,448.20 |
$1,448.20 |
$1,448.20 |
$10,558.55
|
|
Impl neurostim electr perc
|
$5,172.05 |
$5,172.05 |
$5,172.05 |
$7,636.00
|
|
Imuglucerase injection
|
$4,269.21 |
$4,269.21 |
$4,269.21 |
$82.80
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$1,963.65 |
$1,963.65 |
$1,963.65 |
$2,056.93
|
|
Incision of breast lesion
|
$993.85 |
$993.85 |
$993.85 |
$2,715.60
|
|
Incision of spinal nerve 64772
|
$14,739.19 |
$14,739.19 |
$14,739.19 |
$2,163.32
|
|
Incision of urethra
|
$973.05 |
$973.05 |
$973.05 |
$5,283.79
|
|
Infect ag drug suscept pheno predict
|
$464.75 |
$464.75 |
$464.75 |
$382.20
|
|
Infect ag eia influenza a or b ea
|
$105.95 |
$105.95 |
$105.95 |
$64.00
|
|
Infect ag genotype na hiv-1 other region
|
$534.30 |
$534.30 |
$534.30 |
$390.00
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$698.75 |
$698.75 |
$698.75 |
$619.11
|
|
Infect ag ia direct hiv-1 antgn
|
$99.45 |
$99.45 |
$99.45 |
$95.55
|
|
Infect ag ia optc obs influenza
|
$113.10 |
$113.10 |
$113.10 |
$65.58
|
|
Infect ag if influenza a
|
$69.55 |
$69.55 |
$69.55 |
$51.20
|
|
Infect ag if influenza b
|
$71.50 |
$71.50 |
$71.50 |
$45.50
|
|
Infect ag if nos ea
|
$74.10 |
$74.10 |
$74.10 |
$66.40
|
|
Infect ag if varicella zoster
|
$79.95 |
$79.95 |
$79.95 |
$68.25
|
|
Infect ag na hpv high-risk types
|
$130.00 |
$130.00 |
$130.00 |
$147.00
|
|
Infect ag na influenza r/amp 1st 2 types
|
$213.85 |
$213.85 |
$213.85 |
$248.80
|
|
Infect ag na orthopoxvirus amp prb each
|
$137.80 |
$137.80 |
$137.80 |
$127.50
|
|
Infect ag na resp virus 12-25 targets
|
$616.20 |
$616.20 |
$616.20 |
$878.20
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$113.75 |
$113.75 |
$113.75 |
$76.00
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$118.95 |
$118.95 |
$118.95 |
$74.10
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$88.40 |
$88.40 |
$88.40 |
$76.00
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$92.95 |
$92.95 |
$92.95 |
$73.45
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$108.55 |
$108.55 |
$108.55 |
$96.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$114.40 |
$114.40 |
$114.40 |
$75.27
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$90.35 |
$90.35 |
$90.35 |
$60.95
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$104.00 |
$104.00 |
$104.00 |
$107.90
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$140.40 |
$140.40 |
$140.40 |
$132.60
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$111.15 |
$111.15 |
$111.15 |
$98.40
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$79.30 |
$79.30 |
$79.30 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$251.55 |
$251.55 |
$251.55 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$120.90 |
$120.90 |
$120.90 |
$144.00
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$157.95 |
$157.95 |
$157.95 |
$174.06
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$695.50 |
$695.50 |
$695.50 |
$855.45
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$276.90 |
$276.90 |
$276.90 |
$181.35
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$123.50 |
$123.50 |
$123.50 |
$148.80
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$224.25 |
$224.25 |
$224.25 |
$217.10
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$120.90 |
$120.90 |
$120.90 |
$134.55
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$137.80 |
$137.80 |
$137.80 |
$109.18
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$254.80 |
$254.80 |
$254.80 |
$194.40
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$354.90 |
$354.90 |
$354.90 |
$211.09
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$94.25 |
$94.25 |
$94.25 |
$96.00
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$107.25 |
$107.25 |
$107.25 |
$135.00
|
|
Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae
|
$302.25 |
$302.25 |
$302.25 |
$296.71
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$159.90 |
$159.90 |
$159.90 |
$248.18
|
|
Infectious agent nucleic acid joint space pathogens multiplex amplified probe >= 26 targets
|
$478.40 |
$478.40 |
$478.40 |
$1,069.61
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$517.40 |
$517.40 |
$517.40 |
$727.50
|
|
Infectious agent nucleic acid quantification bk virus
|
$408.85 |
$408.85 |
$408.85 |
$300.00
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$260.00 |
$260.00 |
$260.00 |
$242.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$330.85 |
$330.85 |
$330.85 |
$280.20
|
|
Infectious agent nucleic acid quantification hiv-1
|
$345.15 |
$345.15 |
$345.15 |
$381.55
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$309.40 |
$309.40 |
$309.40 |
$303.59
|
|
Infliximab 100 mg intravenous solution
|
$3,058.67 |
$3,058.67 |
$3,058.67 |
$178.95
|
|
Infliximab-axxq 100 mg intravenous solution
|
$1,313.65 |
$1,313.65 |
$1,313.65 |
$89.49
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$2,479.78 |
$2,479.78 |
$2,479.78 |
$157.14
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$192.40 |
$192.40 |
$192.40 |
$344.50
|
|
Initiation & management bipap/cpap initial day
|
$882.05 |
$882.05 |
$882.05 |
$608.40
|
|
Inj, abilify maintena, 1 mg
|
$7,079.57 |
$7,079.57 |
$7,079.57 |
$3,138.28
|
|
Inj alymsys 10 mg
|
$1,884.86 |
$1,884.86 |
$1,884.86 |
$42.60
|
|
Inj., aristada initio, 1 mg
|
$6,291.97 |
$6,291.97 |
$6,291.97 |
$1,052.01
|
|
Inj., benralizumab, 1 mg
|
$15,743.86 |
$15,743.86 |
$15,743.86 |
$12,417.10
|
|
Inj, bezlotoxumab, 10 mg
|
$9,936.55 |
$9,936.55 |
$9,936.55 |
$39.83
|
|
Inj cefazolin sodium, hikma
|
$28.52 |
$28.52 |
$28.52 |
$66.38
|
|
Inj, cefiderocol, 10 mg
|
$802.13 |
$802.13 |
$802.13 |
$79.20
|
|
Inj ceftolozane tazobactam
|
$622.80 |
$622.80 |
$622.80 |
$248.93
|
|
Inj crotalidae im f(ab')2 eq
|
$3,217.50 |
$3,217.50 |
$3,217.50 |
$2,388.06
|
|
Inj cyclophosphamd (ingenus)
|
$1,538.37 |
$1,538.37 |
$1,538.37 |
$1.16
|
|
Inj. denosumab-bbdz, 1 mg
|
$8,390.34 |
$8,390.34 |
$8,390.34 |
$6,618.42
|
|
Inj, donanemab-azbt, 2 mg
|
$1,865.10 |
$1,865.10 |
$1,865.10 |
$6.20
|
