|
Hla class ii high defin qual
|
$840.02 |
$840.02 |
$840.02 |
$569.25
|
|
Hla class ii phenotype qual
|
$220.30 |
$220.30 |
$220.30 |
$313.60
|
|
Hla class i phenotype qual
|
$257.00 |
$257.00 |
$257.00 |
$397.20
|
|
Hla i & ii typing hr
|
$942.83 |
$942.83 |
$942.83 |
$804.00
|
|
Hla ii typing 1 loc hr
|
$28.05 |
$28.05 |
$28.05 |
$299.20
|
|
Hla i low res one antigen equiv ea
|
$231.56 |
$231.56 |
$231.56 |
$164.00
|
|
Hla i typing low res one locus ea
|
$354.97 |
$354.97 |
$354.97 |
$340.00
|
|
Hla typing a b or c
|
$182.01 |
$182.01 |
$182.01 |
$364.00
|
|
Home sleep test/type 3 porta
|
$464.35 |
$464.35 |
$464.35 |
$570.00
|
|
Homocysteine
|
$211.72 |
$211.72 |
$211.72 |
$125.40
|
|
H pylori (c-13) breath
|
$214.41 |
$214.41 |
$214.41 |
$212.25
|
|
H pylori drug admin
|
$16.69 |
$16.69 |
$16.69 |
$28.56
|
|
Hrdtry perph neurphy panel
|
$1,140.56 |
$1,140.56 |
$1,140.56 |
$1,569.60
|
|
Htt gene detc abnor alleles
|
$341.32 |
$341.32 |
$341.32 |
$250.50
|
|
Human epididymis protein 4 (he4)
|
$396.22 |
$396.22 |
$396.22 |
$157.32
|
|
Hydralazine 20 mg/ml injection solution
|
$4.86 |
$4.86 |
$4.86 |
$48.00
|
|
Hymovis injection 1 mg
|
$48.55 |
$48.55 |
$48.55 |
$28.00
|
|
Hysterosalpingography s&i
|
$375.53 |
$375.53 |
$375.53 |
$669.12
|
|
Igh@ var region somatic mutation analy
|
$574.31 |
$574.31 |
$574.31 |
$660.80
|
|
Igk rearrangeabn clonal pop
|
$475.33 |
$475.33 |
$475.33 |
$399.36
|
|
Ihc/icc per specimen each additional single antibody stain
|
$187.20 |
$187.20 |
$187.20 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$524.16 |
$524.16 |
$524.16 |
$331.20
|
|
Ihc/icc per specimen initial single antibody stain
|
$271.38 |
$271.38 |
$271.38 |
$277.90
|
|
Iiv3 vacc no prsv 0.25 ml im
|
$37.44 |
$37.44 |
$37.44 |
$29.70
|
|
Immobilizer shldr dlx str 24-36in med
|
$177.45 |
$177.45 |
$177.45 |
$118.43
|
|
Immune complex assay
|
$51.77 |
$51.77 |
$51.77 |
$101.60
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$84.35 |
$84.35 |
$84.35 |
$6,106.32
|
|
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution
|
$7.13 |
$7.13 |
$7.13 |
$3,846.15
|
|
Immunoassay tumor antigen quantitative ca 125
|
$150.97 |
$150.97 |
$150.97 |
$132.00
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$100.16 |
$100.16 |
$100.16 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$24.47 |
$24.47 |
$24.47 |
$48.57
|
|
Immunofixation electrophoresis serum
|
$148.77 |
$148.77 |
$148.77 |
$142.50
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$85.83 |
$85.83 |
$85.83 |
$154.05
|
|
Immunofluorescence per specimen initial single antibody stain
|
$85.83 |
$85.83 |
$85.83 |
$234.27
|
|
Immunoglobulin assay
|
$37.82 |
$37.82 |
$37.82 |
$78.00
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$3,698.98 |
$3,698.98 |
$3,698.98 |
$2,086.70
|
|
Incision of breast lesion
|
$3,698.98 |
$3,698.98 |
$3,698.98 |
$2,577.85
|
|
Incision of eardrum
|
$527.74 |
$527.74 |
$527.74 |
$552.75
|
|
Incision of toe tendons 28011
|
$3,329.91 |
$3,329.91 |
$3,329.91 |
$2,119.12
|
|
Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s)
|
$151.61 |
$151.61 |
$151.61 |
$140.80
|
|
Infect ag drug suscept pheno predict
|
$456.59 |
$456.59 |
$456.59 |
$325.00
|
|
Infect ag eia influenza a or b ea
|
$73.64 |
$73.64 |
$73.64 |
$71.20
|
|
Infect ag genotype na hiv-1 other region
|
$409.75 |
$409.75 |
$409.75 |
$361.65
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$819.50 |
$819.50 |
$819.50 |
$603.83
|
|
Infect ag ia optc obs influenza
|
$40.70 |
$40.70 |
$40.70 |
$72.93
|
|
Infect ag na hpv high-risk types
|
$106.55 |
$106.55 |
$106.55 |
$139.20
|
|
Infect ag na influenza r/amp 1st 2 types
|
$146.93 |
$146.93 |
$146.93 |
$219.70
|
|
Infect ag na resp virus 12-25 targets
|
$382.95 |
$382.95 |
$382.95 |
$854.70
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$36.40 |
$36.40 |
$36.40 |
$83.60
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$26.95 |
$26.95 |
$26.95 |
$76.00
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$107.17 |
$107.17 |
$107.17 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$238.99 |
$238.99 |
$238.99 |
$103.40
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$32.88 |
$32.88 |
$32.88 |
$81.20
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$32.88 |
$32.88 |
$32.88 |
$60.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$76.65 |
$76.65 |
$76.65 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$124.48 |
$124.48 |
$124.48 |
$129.00
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$34.63 |
$34.63 |
$34.63 |
$98.58
|
|
Infectious agent nucleic acid amplified probe
|
$106.55 |
$106.55 |
$106.55 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$111.72 |
$111.72 |
$111.72 |
$141.95
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$444.09 |
$444.09 |
$444.09 |
$167.05
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$438.18 |
$438.18 |
$438.18 |
$864.67
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$110.14 |
$110.14 |
$110.14 |
$181.35
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$104.78 |
$104.78 |
$104.78 |
$149.13
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$118.98 |
$118.98 |
$118.98 |
$212.16
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$111.72 |
$111.72 |
$111.72 |
$137.67
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$73.64 |
$73.64 |
$73.64 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$278.13 |
$278.13 |
$278.13 |
$236.08
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$69.25 |
$69.25 |
$69.25 |
$96.00
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$173.45 |
$173.45 |
$173.45 |
$112.45
|
|
Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae
|
$136.85 |
$136.85 |
$136.85 |
$217.60
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$851.32 |
$851.32 |
$851.32 |
$727.50
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$615.95 |
$615.95 |
$615.95 |
$432.63
|
|
Infectious agent nucleic acid quantification bk virus
|
$694.48 |
$694.48 |
$694.48 |
$283.00
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$432.30 |
$432.30 |
$432.30 |
$242.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$136.34 |
$136.34 |
$136.34 |
$253.00
|
|
Infectious agent nucleic acid quantification hiv-1
|
$165.94 |
$165.94 |
$165.94 |
$375.00
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$278.13 |
$278.13 |
$278.13 |
$304.20
|
|
Infliximab 100 mg intravenous solution
|
$192.83 |
$192.83 |
$192.83 |
$2,047.13
|
|
Infliximab-axxq 100 mg intravenous solution
|
$77.16 |
$77.16 |
$77.16 |
$1,062.00
|
|
Influenza virus vaccine, inact hemagglutinin tiv pf inj
|
$111.51 |
$111.51 |
$111.51 |
$111.51
|
|
Influenza virus vaccine, live trivalent intranasal
|
$38.74 |
$38.74 |
$38.74 |
$36.50
|
|
Inj, abilify asimtufii, 1 mg
|
$11.05 |
$11.05 |
$11.05 |
$9,426.91
|
|
Inj, abilify maintena, 1 mg
|
$12.88 |
$12.88 |
$12.88 |
$5,355.30
|
|
Inj anifrolumab-fnia 1mg
|
$35.75 |
$35.75 |
$35.75 |
$10,052.58
|
|
Inj., benralizumab, 1 mg
|
$266.77 |
$266.77 |
$266.77 |
$11,310.00
|
|
Inj, bezlotoxumab, 10 mg
|
$86.17 |
$86.17 |
$86.17 |
$7,612.43
|
|
Inj brixadi, more than 7 day
|
$2,858.76 |
$2,858.76 |
$2,858.76 |
$2,858.76
|
|
Inj cntr knee arthro incl ct/mri
|
$257.36 |
$257.36 |
$257.36 |
$436.80
|
|
Injection arthrography hip without anesthesia (both sides)
|
$177.48 |
$177.48 |
$177.48 |
$503.50
|
|
Injection for arthrography wrist (both sides)
|
$103.21 |
$103.21 |
$103.21 |
$436.00
|
|
Injection for hip x-ray
|
$514.01 |
$514.01 |
$514.01 |
$763.60
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$166.17 |
$166.17 |
$166.17 |
$497.76
|
|
Injection, inclisiran, 1 mg
|
$18.84 |
$18.84 |
$18.84 |
$6,679.35
|
|
Injection of sinus tract
|
$3,160.31 |
$3,160.31 |
$3,160.31 |
$1,640.99
|
|
Injection,onabotulinumtoxina
|
$10.51 |
$10.51 |
$10.51 |
$2,277.65
|
|
Injection, renflexis
|
$116.04 |
$116.04 |
$116.04 |
$1,341.52
|
|
Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides)
|
$1,895.48 |
$1,895.48 |
$1,895.48 |
$1,582.12
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$1,895.48 |
$1,895.48 |
$1,895.48 |
$1,391.40
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$1,703.27 |
$1,703.27 |
$1,703.27 |
$1,043.72
|
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
|
$2,385.11 |
$2,385.11 |
$2,385.11 |
$2,040.36
|