|
Hepatitis b core antibody total
|
$49.60 |
$49.60 |
$49.60 |
$77.50
|
|
Hepatitis b surface antibody
|
$44.80 |
$44.80 |
$44.80 |
$81.12
|
|
Hepatitis c antibody
|
$55.00 |
$55.00 |
$55.00 |
$108.00
|
|
Hepatobiliary system imaging
|
$1,713.60 |
$1,713.60 |
$1,713.60 |
$1,438.99
|
|
Herpes simplex type 1 antibody igg
|
$55.20 |
$55.20 |
$55.20 |
$66.30
|
|
Herpes simplex type 2 antibody igg
|
$80.80 |
$80.80 |
$80.80 |
$87.10
|
|
Heterophile antibodies screening
|
$21.60 |
$21.60 |
$21.60 |
$72.00
|
|
Hip X-ray
|
$629.60 |
$629.60 |
$629.60 |
$296.05
|
|
Histamine
|
$123.20 |
$123.20 |
$123.20 |
$114.84
|
|
Histochemical stains add-on
|
$167.20 |
$167.20 |
$167.20 |
$152.75
|
|
Hla ii typing 1 loc hr
|
$514.40 |
$514.40 |
$514.40 |
$290.94
|
|
Hla i typing high res 1 allele grp ea
|
$575.20 |
$575.20 |
$575.20 |
$304.20
|
|
Hocm 350-399mg/ml iodine,1ml
|
$5.60 |
$5.60 |
$5.60 |
$79.78
|
|
Homocysteine
|
$75.20 |
$75.20 |
$75.20 |
$125.00
|
|
Homogenization tissue
|
$24.00 |
$24.00 |
$24.00 |
$41.00
|
|
Hpa-15 genotyping
|
$310.40 |
$310.40 |
$310.40 |
$170.00
|
|
Hpa-1 genotyping
|
$310.40 |
$310.40 |
$310.40 |
$200.40
|
|
Hpa-2 genotyping
|
$310.40 |
$310.40 |
$310.40 |
$180.05
|
|
Hpa-3 genotyping
|
$310.40 |
$310.40 |
$310.40 |
$168.66
|
|
Hpa-4 genotyping
|
$310.40 |
$310.40 |
$310.40 |
$202.20
|
|
Hpa-5 genotyping
|
$310.40 |
$310.40 |
$310.40 |
$200.40
|
|
Hpa-6 genotyping
|
$310.40 |
$310.40 |
$310.40 |
$170.00
|
|
Hpv combo assay ca screen
|
$150.40 |
$150.40 |
$150.40 |
$70.40
|
|
H pylori (c-13) breath
|
$280.00 |
$280.00 |
$280.00 |
$213.00
|
|
Hydralazine 20 mg/ml injection solution
|
$130.00 |
$130.00 |
$130.00 |
$46.74
|
|
Hydration IV infusion each additional hour
|
$548.00 |
$548.00 |
$548.00 |
$133.11
|
|
Hydration IV infusion initial 31minutes - 1 hour
|
$1,096.80 |
$1,096.80 |
$1,096.80 |
$385.20
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$208.20 |
$208.20 |
$208.20 |
$153.08
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$37.60 |
$37.60 |
$37.60 |
$120.72
|
|
Hydroxyurea 500 mg
|
$10.80 |
$10.80 |
$10.80 |
$13.02
|
|
Hysterosalpingography s&i
|
$784.00 |
$784.00 |
$784.00 |
$663.50
|
|
I-123 sod iodide diag per 100 uci
|
$130.40 |
$130.40 |
$130.40 |
$144.24
|
|
I131 iodide cap, rx
|
$187.20 |
$187.20 |
$187.20 |
$71.70
|
|
Iadna legionella pneumophila amplified probe tq
|
$145.60 |
$145.60 |
$145.60 |
$109.00
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$1,154.80 |
$1,154.80 |
$1,154.80 |
$975.45
|
|
Igh@ var region somatic mutation analy
|
$1,225.60 |
$1,225.60 |
$1,225.60 |
$660.80
|
|
Ihc/icc per specimen each additional single antibody stain
|
$190.40 |
$190.40 |
$190.40 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$761.60 |
$761.60 |
$761.60 |
$328.79
|
|
Ihc/icc per specimen initial single antibody stain
|
$244.00 |
$244.00 |
$244.00 |
$272.30
|
|
Immobilizer shldr dlx str 24-36in med
|
$188.00 |
$188.00 |
$188.00 |
$114.60
|
|
Immune complex assay
|
$101.60 |
$101.60 |
$101.60 |
$100.80
|
|
Immunoassay tumor antigen quantitative ca 125
|
$85.00 |
$85.00 |
$85.00 |
$131.95
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$85.00 |
$85.00 |
$85.00 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$49.60 |
$49.60 |
$49.60 |
$48.38
|
|
Immunofixation electrophoresis serum
|
$92.80 |
$92.80 |
$92.80 |
$142.50
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$90.40 |
$90.40 |
$90.40 |
$154.05
|
|
Immunofluorescence per specimen initial single antibody stain
|
$55.20 |
$55.20 |
$55.20 |
$231.40
|
|
Implant neuroelectrodes
|
$11,147.20 |
$11,147.20 |
$11,147.20 |
$8,763.11
|
|
Implant ureth bulk agent
|
$2,270.00 |
$2,270.00 |
$2,270.00 |
$2,168.00
|
|
Impl neurostim electr perc
|
$19,857.60 |
$19,857.60 |
$19,857.60 |
$7,672.50
|
|
In-111 autol wbc diag per dose
|
$6,836.00 |
$6,836.00 |
$6,836.00 |
$3,523.65
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$6,134.40 |
$6,134.40 |
$6,134.40 |
$2,056.93
|
|
Indigotindisulfonate 8 mg/ml soln 5 ml ampule
|
$2,003.60 |
$2,003.60 |
$2,003.60 |
$766.66
|
|
Infect ag drug suscept pheno predict
|
$542.40 |
$542.40 |
$542.40 |
$323.20
|
|
Infect ag genotype na hiv-1 other region
|
$536.00 |
$536.00 |
$536.00 |
$386.40
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$1,070.40 |
$1,070.40 |
$1,070.40 |
$603.75
|
|
Infect ag na orthopoxvirus amp prb each
|
$52.00 |
$52.00 |
$52.00 |
$99.36
|
|
Infectious agent antigen immunoassay direct optical observation sars-cov-2
|
$172.00 |
$172.00 |
$172.00 |
$53.00
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$57.60 |
$57.60 |
$57.60 |
$76.32
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$49.60 |
$49.60 |
$49.60 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$60.00 |
$60.00 |
$60.00 |
$100.02
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$43.20 |
$43.20 |
$43.20 |
$81.20
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$100.00 |
$100.00 |
$100.00 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$49.60 |
$49.60 |
$49.60 |
$129.00
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$49.60 |
$49.60 |
$49.60 |
$98.02
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$49.60 |
$49.60 |
$49.60 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$145.60 |
$145.60 |
$145.60 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$145.60 |
$145.60 |
$145.60 |
$139.68
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$154.40 |
$154.40 |
$154.40 |
$167.00
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$1,168.00 |
$1,168.00 |
$1,168.00 |
$861.00
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$145.60 |
$145.60 |
$145.60 |
$179.92
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$140.00 |
$140.00 |
$140.00 |
$147.55
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$145.60 |
$145.60 |
$145.60 |
$136.03
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$100.00 |
$100.00 |
$100.00 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$100.00 |
$100.00 |
$100.00 |
$236.08
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$122.40 |
$122.40 |
$122.40 |
$92.50
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$145.60 |
$145.60 |
$145.60 |
$108.75
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$307.20 |
$307.20 |
$307.20 |
$185.00
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$1,667.20 |
$1,667.20 |
$1,667.20 |
$727.50
|
|
Infectious agent nucleic acid quantification bk virus
|
$178.40 |
$178.40 |
$178.40 |
$279.40
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$178.40 |
$178.40 |
$178.40 |
$239.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$178.40 |
$178.40 |
$178.40 |
$252.00
|
|
Infectious agent nucleic acid quantification hiv-1
|
$354.40 |
$354.40 |
$354.40 |
$374.00
|
|
Initiation & management bipap/cpap initial day
|
$1,038.40 |
$1,038.40 |
$1,038.40 |
$576.00
|
|
Inj acetaminophen -fresenius
|
$53.00 |
$53.00 |
$53.00 |
$36.60
|
|
Inj, bupivacaine liposome
|
$1,982.80 |
$1,982.80 |
$1,982.80 |
$699.38
|
|
Inj cefazolin sodium, hikma
|
$67.40 |
$67.40 |
$67.40 |
$28.08
|
|
Inj, cefiderocol, 10 mg
|
$1,372.20 |
$1,372.20 |
$1,372.20 |
$544.85
|
|
Inj ceftolozane tazobactam
|
$1,027.60 |
$1,027.60 |
$1,027.60 |
$380.80
|
|
Inj cntr knee arthro incl ct/mri
|
$660.80 |
$660.80 |
$660.80 |
$436.80
|
|
Inj dx for sinogram
|
$124.00 |
$124.00 |
$124.00 |
$422.59
|
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
|
$1,209.60 |
$1,209.60 |
$1,209.60 |
$1,214.78
|
|
Injection arthrography hip without anesthesia (both sides)
|
$628.00 |
$628.00 |
$628.00 |
$495.84
|
|
Injection, cangrelor
|
$5,888.20 |
$5,888.20 |
$5,888.20 |
$1,889.78
|
|
Injection during cath supravalvular aortography
|
$5,427.20 |
$5,427.20 |
$5,427.20 |
$952.66
|
|
Injection epidural blood patch or clot
|
$3,346.40 |
$3,346.40 |
$3,346.40 |
$1,156.80
|
|
Injection for arthrography wrist (both sides)
|
$628.00 |
$628.00 |
$628.00 |
$428.40
|
|
Injection for bladder x-ray
|
$530.40 |
$530.40 |
$530.40 |
$459.20
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$628.00 |
$628.00 |
$628.00 |
$494.65
|
|
Injection,onabotulinumtoxina
|
$4,046.80 |
$4,046.80 |
$4,046.80 |
$2,277.65
|