|
H pylori (c-13) breath
|
$489.00 |
$489.00 |
$489.00 |
$219.05
|
|
Human epididymis protein 4 (he4)
|
$408.00 |
$408.00 |
$408.00 |
$131.84
|
|
Hyaluronidase 150 unit/ml injection solution
|
$72.54 |
$72.54 |
$72.54 |
$130.57
|
|
Hydralazine 20 mg/ml injection solution
|
$57.02 |
$57.02 |
$57.02 |
$63.91
|
|
Hydration IV infusion each additional hour
|
$296.00 |
$296.00 |
$296.00 |
$134.53
|
|
Hydration IV infusion initial 31minutes - 1 hour
|
$660.00 |
$660.00 |
$660.00 |
$394.40
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$254.69 |
$254.69 |
$254.69 |
$136.93
|
|
Hydromorphone injection
|
$43.42 |
$43.42 |
$43.42 |
$83.02
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$89.32 |
$89.32 |
$89.32 |
$80.11
|
|
Hydrxycorticsterds 17- (17-ohcs)
|
$166.00 |
$166.00 |
$166.00 |
$76.13
|
|
Hyoscyamine sulfate inj
|
$299.44 |
$299.44 |
$299.44 |
$215.75
|
|
Hyperbaric oxygen therapy
|
$802.00 |
$802.00 |
$802.00 |
$1,058.04
|
|
Hysterosalpingography s&i
|
$968.00 |
$968.00 |
$968.00 |
$629.46
|
|
Hysteroscopy biopsy
|
$5,164.00 |
$5,164.00 |
$5,164.00 |
$4,753.18
|
|
Iaadi respiratory synctial virus
|
$180.00 |
$180.00 |
$180.00 |
$42.48
|
|
Iadna legionella pneumophila amplified probe tq
|
$248.00 |
$248.00 |
$248.00 |
$125.25
|
|
Ibandronate 3 mg/3 ml intravenous syringe
|
$349.15 |
$349.15 |
$349.15 |
$768.24
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$327.19 |
$327.19 |
$327.19 |
$962.29
|
|
Idh1 common variants
|
$1,572.00 |
$1,572.00 |
$1,572.00 |
$415.35
|
|
Idh2 common variants
|
$2,216.00 |
$2,216.00 |
$2,216.00 |
$451.91
|
|
Igh@ var region somatic mutation analy
|
$2,273.00 |
$2,273.00 |
$2,273.00 |
$660.80
|
|
Ihc/icc per specimen each additional single antibody stain
|
$798.00 |
$798.00 |
$798.00 |
$191.75
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$718.00 |
$718.00 |
$718.00 |
$339.73
|
|
Ihc/icc per specimen initial single antibody stain
|
$945.00 |
$945.00 |
$945.00 |
$266.76
|
|
Immune complex assay
|
$195.00 |
$195.00 |
$195.00 |
$88.80
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$3,824.85 |
$3,824.85 |
$3,824.85 |
$5,816.40
|
|
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution
|
$9,775.55 |
$9,775.55 |
$9,775.55 |
$5,089.25
|
|
Immunoassay tumor antigen quantitative ca 125
|
$321.00 |
$321.00 |
$321.00 |
$123.50
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$287.00 |
$287.00 |
$287.00 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$287.00 |
$287.00 |
$287.00 |
$53.95
|
|
Immunofixation electrophoresis serum
|
$159.00 |
$159.00 |
$159.00 |
$133.38
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$266.00 |
$266.00 |
$266.00 |
$156.00
|
|
Immunofluorescence per specimen initial single antibody stain
|
$1,668.00 |
$1,668.00 |
$1,668.00 |
$250.00
|
|
Immunoglobulin assay
|
$147.00 |
$147.00 |
$147.00 |
$74.00
|
|
Immunology procedure
|
$268.00 |
$268.00 |
$268.00 |
$281.45
|
|
Implant neuroelectrodes
|
$29,123.00 |
$29,123.00 |
$29,123.00 |
$7,345.58
|
|
Impl neurostim electr perc
|
$2,382.00 |
$2,382.00 |
$2,382.00 |
$7,636.00
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$3,717.00 |
$3,717.00 |
$3,717.00 |
$2,261.20
|
|
Incision of eardrum
|
$679.00 |
$679.00 |
$679.00 |
$470.73
|
|
Incision of foot tendon 28234
|
$4,563.00 |
$4,563.00 |
$4,563.00 |
$2,116.27
|
|
Infect ag genotype na dna hepatitis b
|
$2,627.00 |
$2,627.00 |
$2,627.00 |
$500.40
|
|
Infect ag ia direct hiv-1 antgn
|
$79.00 |
$79.00 |
$79.00 |
$95.55
|
|
Infect ag ia optc obs influenza
|
$59.00 |
$59.00 |
$59.00 |
$66.72
|
|
Infect ag if influenza a
|
$134.00 |
$134.00 |
$134.00 |
$40.61
|
|
Infect ag if influenza b
|
$110.00 |
$110.00 |
$110.00 |
$34.67
|
|
Infect ag if legionella pneumophila
|
$169.00 |
$169.00 |
$169.00 |
$75.79
|
|
Infect ag if nos ea
|
$113.00 |
$113.00 |
$113.00 |
$60.40
|
|
Infect ag if pneumocystis carinii
|
$172.00 |
$172.00 |
$172.00 |
$62.29
|
|
Infect ag na hpv high-risk types
|
$443.00 |
$443.00 |
$443.00 |
$139.75
|
|
Infect ag na influenza r/amp 1st 2 types
|
$821.00 |
$821.00 |
$821.00 |
$227.96
|
|
Infect ag na orthopoxvirus amp prb each
|
$292.00 |
$292.00 |
$292.00 |
$102.00
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$140.00 |
$140.00 |
$140.00 |
$81.44
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$135.00 |
$135.00 |
$135.00 |
$63.60
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$179.00 |
$179.00 |
$179.00 |
$80.05
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$179.00 |
$179.00 |
$179.00 |
$77.28
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$266.00 |
$266.00 |
$266.00 |
$83.50
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$164.00 |
$164.00 |
$164.00 |
$77.72
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$157.00 |
$157.00 |
$157.00 |
$55.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$126.00 |
$126.00 |
$126.00 |
$101.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$267.00 |
$267.00 |
$267.00 |
$132.60
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$114.00 |
$114.00 |
$114.00 |
$97.50
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$190.00 |
$190.00 |
$190.00 |
$60.00
|
|
Infectious agent nucleic acid amplified probe
|
$553.00 |
$553.00 |
$553.00 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$424.00 |
$424.00 |
$424.00 |
$141.48
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$293.08 |
$293.08 |
$293.08 |
$174.06
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$1,195.00 |
$1,195.00 |
$1,195.00 |
$855.45
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$471.00 |
$471.00 |
$471.00 |
$178.00
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$535.00 |
$535.00 |
$535.00 |
$150.15
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$537.00 |
$537.00 |
$537.00 |
$210.00
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$225.94 |
$225.94 |
$225.94 |
$136.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$535.00 |
$535.00 |
$535.00 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$438.00 |
$438.00 |
$438.00 |
$222.60
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$438.00 |
$438.00 |
$438.00 |
$248.15
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$590.00 |
$590.00 |
$590.00 |
$98.15
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$1,880.67 |
$1,880.67 |
$1,880.67 |
$112.45
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$1,668.00 |
$1,668.00 |
$1,668.00 |
$727.50
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$2,277.00 |
$2,277.00 |
$2,277.00 |
$283.20
|
|
Infectious agent nucleic acid quantification bk virus
|
$743.00 |
$743.00 |
$743.00 |
$285.66
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$548.00 |
$548.00 |
$548.00 |
$226.35
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$584.00 |
$584.00 |
$584.00 |
$278.78
|
|
Infectious agent nucleic acid quantification hiv-1
|
$489.00 |
$489.00 |
$489.00 |
$381.55
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$1,477.00 |
$1,477.00 |
$1,477.00 |
$298.35
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$1,619.00 |
$1,619.00 |
$1,619.00 |
$359.64
|
|
Initiation & management bipap/cpap initial day
|
$3,321.00 |
$3,321.00 |
$3,321.00 |
$645.79
|
|
Inj, acetaminophen (b braun)
|
$43.15 |
$43.15 |
$43.15 |
$69.30
|
|
Inj acetaminophen -fresenius
|
$33.75 |
$33.75 |
$33.75 |
$44.76
|
|
Inj, acetaminophen (hikma)
|
$52.13 |
$52.13 |
$52.13 |
$79.52
|
|
Inj., benralizumab, 1 mg
|
$14,405.42 |
$14,405.42 |
$14,405.42 |
$13,682.10
|
|
Inj, bezlotoxumab, 10 mg
|
$3,238.60 |
$3,238.60 |
$3,238.60 |
$8,698.20
|
|
Inj cefazolin sodium, hikma
|
$44.17 |
$44.17 |
$44.17 |
$34.59
|
|
Inj, clindamycin (baxter)
|
$59.34 |
$59.34 |
$59.34 |
$57.48
|
|
Inj cntr knee arthro incl ct/mri
|
$1,840.00 |
$1,840.00 |
$1,840.00 |
$464.28
|
|
Inj, durolane 1 mg
|
$1,534.16 |
$1,534.16 |
$1,534.16 |
$2,181.77
|
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
|
$3,613.00 |
$3,613.00 |
$3,613.00 |
$1,214.78
|
|
Injection arthrography hip without anesthesia (both sides)
|
$1,488.00 |
$1,488.00 |
$1,488.00 |
$507.10
|
|
Injection carpal tunnel therapeutic (both sides)
|
$2,346.00 |
$2,346.00 |
$2,346.00 |
$536.00
|
|
Injection, daratumumab 10 mg
|
$15,464.33 |
$15,464.33 |
$15,464.33 |
$5,324.34
|
|
Injection epidural blood patch or clot
|
$1,963.00 |
$1,963.00 |
$1,963.00 |
$1,473.12
|
|
Injection for arthrography wrist (both sides)
|
$583.00 |
$583.00 |
$583.00 |
$441.12
|
|
Injection for bladder x-ray
|
$1,142.00 |
$1,142.00 |
$1,142.00 |
$585.00
|
