|
Hla i typing 1 locus hr
|
$384.00 |
$384.00 |
$384.00 |
$439.20
|
|
Hla i typing complete hr
|
$727.20 |
$727.20 |
$727.20 |
$607.86
|
|
Hla i typing complete lr
|
$2,332.80 |
$2,332.80 |
$2,332.80 |
$720.00
|
|
Hla i typing high res 1 allele grp ea
|
$981.60 |
$981.60 |
$981.60 |
$304.20
|
|
Hla typing a b or c
|
$322.80 |
$322.80 |
$322.80 |
$364.00
|
|
Hla x-match noncytotoxc addl
|
$203.40 |
$203.40 |
$203.40 |
$163.80
|
|
Hla x-math non-cytotoxic
|
$608.40 |
$608.40 |
$608.40 |
$364.80
|
|
Home sleep test/type 2 porta
|
$676.80 |
$676.80 |
$676.80 |
$503.13
|
|
Home sleep test/type 3 porta
|
$984.00 |
$984.00 |
$984.00 |
$570.00
|
|
Home sleep test/type 4 porta
|
$670.80 |
$670.80 |
$670.80 |
$613.60
|
|
Homocysteine
|
$91.20 |
$91.20 |
$91.20 |
$125.40
|
|
Homogenization tissue
|
$12.60 |
$12.60 |
$12.60 |
$41.30
|
|
Homovanillic acid (hva)
|
$81.00 |
$81.00 |
$81.00 |
$59.95
|
|
Hpv types 16 & 18 only
|
$225.00 |
$225.00 |
$225.00 |
$112.00
|
|
H pylori (c-13) breath
|
$340.80 |
$340.80 |
$340.80 |
$212.25
|
|
Hyaluronidase, human recombinant 150 unit/ml injection solution
|
$33.00 |
$33.00 |
$33.00 |
$142.40
|
|
Hydralazine 20 mg/ml injection solution
|
$25.20 |
$25.20 |
$25.20 |
$48.00
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$22.20 |
$22.20 |
$22.20 |
$140.54
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$22.80 |
$22.80 |
$22.80 |
$112.66
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$17.40 |
$17.40 |
$17.40 |
$72.65
|
|
Hydrxycorticsterds 17- (17-ohcs)
|
$65.40 |
$65.40 |
$65.40 |
$73.45
|
|
Hyperbaric oxygen therapy
|
$1,848.60 |
$1,848.60 |
$1,848.60 |
$1,081.04
|
|
Hysterosalpingography s&i
|
$547.80 |
$547.80 |
$547.80 |
$669.12
|
|
I-123 iobenguane diag
|
$12,202.20 |
$12,202.20 |
$12,202.20 |
$5,170.70
|
|
I-123 ioflupane diag
|
$8,455.20 |
$8,455.20 |
$8,455.20 |
$4,158.00
|
|
I-123 sod iodide diag per 100 uci
|
$139.20 |
$139.20 |
$139.20 |
$147.46
|
|
I125 iothalamate, dx
|
$518.40 |
$518.40 |
$518.40 |
$634.90
|
|
I-131 iobenguane sulf diag mibg
|
$7,450.80 |
$7,450.80 |
$7,450.80 |
$3,638.48
|
|
I131 iodide cap, rx
|
$184.20 |
$184.20 |
$184.20 |
$71.70
|
|
I131 iodide sol, rx
|
$52.20 |
$52.20 |
$52.20 |
$34.87
|
|
I-131 sod iodide sol diag per mci
|
$114.60 |
$114.60 |
$114.60 |
$114.60
|
|
Iaadi respiratory synctial virus
|
$75.00 |
$75.00 |
$75.00 |
$54.58
|
|
Iadna legionella pneumophila amplified probe tq
|
$195.60 |
$195.60 |
$195.60 |
$109.80
|
|
Ibandronate 3 mg/3 ml intravenous syringe
|
$105.00 |
$105.00 |
$105.00 |
$684.45
|
|
Ibuprofen injection
|
$150.00 |
$150.00 |
$150.00 |
$256.76
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$37.80 |
$37.80 |
$37.80 |
$980.94
|
|
Icatibant injection
|
$1,016.40 |
$1,016.40 |
$1,016.40 |
$8,695.05
|
|
I&d abscss rtrphryngl/paraphryngl intraorl apprch
|
$3,971.40 |
$3,971.40 |
$3,971.40 |
$3,592.74
|
|
I & d vag hematoma non-ob 57023
|
$3,515.40 |
$3,515.40 |
$3,515.40 |
$3,444.42
|
|
Ifosfamide 1 gram intravenous solution
|
$64.20 |
$64.20 |
$64.20 |
$246.95
|
|
Igh gene rearrange amp meth
|
$443.40 |
$443.40 |
$443.40 |
$464.25
|
|
Igh@ var region somatic mutation analy
|
$1,702.80 |
$1,702.80 |
$1,702.80 |
$660.80
|
|
Ihc/icc per specimen each additional single antibody stain
|
$157.20 |
$157.20 |
$157.20 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$664.80 |
$664.80 |
$664.80 |
$331.20
|
|
Ihc/icc per specimen initial single antibody stain
|
$337.20 |
$337.20 |
$337.20 |
$277.90
|
|
Iliac/fem angio cath insert
|
$2,881.20 |
$2,881.20 |
$2,881.20 |
$1,856.01
|
|
Iliac revasc add-on 37222
|
$8,640.60 |
$8,640.60 |
$8,640.60 |
$6,082.65
|
|
Immune complex assay
|
$88.80 |
$88.80 |
$88.80 |
$101.60
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$678.00 |
$678.00 |
$678.00 |
$6,106.32
|
|
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution
|
$5,101.20 |
$5,101.20 |
$5,101.20 |
$3,846.15
|
|
Immunoassay tumor antigen quantitative ca 125
|
$116.40 |
$116.40 |
$116.40 |
$132.00
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$116.40 |
$116.40 |
$116.40 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$66.60 |
$66.60 |
$66.60 |
$48.57
|
|
Immunofixation electrophoresis serum
|
$124.80 |
$124.80 |
$124.80 |
$142.50
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$195.60 |
$195.60 |
$195.60 |
$154.05
|
|
Immunofluorescence per specimen initial single antibody stain
|
$664.80 |
$664.80 |
$664.80 |
$234.27
|
|
Immunoglobulin assay
|
$69.60 |
$69.60 |
$69.60 |
$78.00
|
|
Immunology procedure
|
$605.40 |
$605.40 |
$605.40 |
$150.70
|
|
Impl neurostim electr perc
|
$12,736.80 |
$12,736.80 |
$12,736.80 |
$7,672.50
|
|
In-111 autol wbc diag per dose
|
$6,806.40 |
$6,806.40 |
$6,806.40 |
$3,493.75
|
|
In-111 capromab pendet
|
$16,003.80 |
$16,003.80 |
$16,003.80 |
$3,141.45
|
|
In-111 ibritumomab tiux dx
|
$14,202.00 |
$14,202.00 |
$14,202.00 |
$4,748.02
|
|
In-111 oxyquinolin per 0.5 mci
|
$6,806.40 |
$6,806.40 |
$6,806.40 |
$2,753.23
|
|
In-111 pentetate dtpa / 0.5 mci
|
$3,424.80 |
$3,424.80 |
$3,424.80 |
$2,598.17
|
|
In-111 pentetreotide
|
$18,255.00 |
$18,255.00 |
$18,255.00 |
$5,294.90
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$2,080.80 |
$2,080.80 |
$2,080.80 |
$2,086.70
|
|
Incision of achilles tendon
|
$4,284.60 |
$4,284.60 |
$4,284.60 |
$3,318.90
|
|
Incision of breast lesion
|
$2,715.60 |
$2,715.60 |
$2,715.60 |
$2,577.85
|
|
Incision of foot fascia
|
$4,272.00 |
$4,272.00 |
$4,272.00 |
$4,599.40
|
|
Incision of hip tendon
|
$4,284.60 |
$4,284.60 |
$4,284.60 |
$3,885.29
|
|
Incision of hip tendons
|
$5,605.80 |
$5,605.80 |
$5,605.80 |
$3,865.95
|
|
Incision of tendon & muscle
|
$9,067.20 |
$9,067.20 |
$9,067.20 |
$5,855.00
|
|
Incision of thigh tendon
|
$8,561.40 |
$8,561.40 |
$8,561.40 |
$4,491.50
|
|
Incision of thigh tendons
|
$8,561.40 |
$8,561.40 |
$8,561.40 |
$5,339.00
|
|
Induced ab 1+ vag sup w/dlv fetus
|
$5,949.60 |
$5,949.60 |
$5,949.60 |
$1,997.99
|
|
Infect ag drug suscept pheno predict
|
$724.80 |
$724.80 |
$724.80 |
$325.00
|
|
Infect ag eia influenza a or b ea
|
$51.60 |
$51.60 |
$51.60 |
$71.20
|
|
Infect ag genotype na hiv-1 other region
|
$716.40 |
$716.40 |
$716.40 |
$361.65
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$1,431.00 |
$1,431.00 |
$1,431.00 |
$603.83
|
|
Infect ag ia direct hiv-1 antgn
|
$182.40 |
$182.40 |
$182.40 |
$95.55
|
|
Infect ag if nos ea
|
$90.60 |
$90.60 |
$90.60 |
$74.88
|
|
Infect ag if varicella zoster
|
$75.00 |
$75.00 |
$75.00 |
$72.00
|
|
Infect ag na hep b amp
|
$126.60 |
$126.60 |
$126.60 |
$120.50
|
|
Infect ag na herpes simplex quant
|
$102.60 |
$102.60 |
$102.60 |
$178.86
|
|
Infect ag na hpv high-risk types
|
$195.60 |
$195.60 |
$195.60 |
$139.20
|
|
Infect ag na influenza r/amp 1st 2 types
|
$532.80 |
$532.80 |
$532.80 |
$219.70
|
|
Infect ag na orthopoxvirus amp prb each
|
$195.60 |
$195.60 |
$195.60 |
$100.00
|
|
Infect ag na resp virus 12-25 targets
|
$2,317.80 |
$2,317.80 |
$2,317.80 |
$854.70
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$43.80 |
$43.80 |
$43.80 |
$83.60
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$66.60 |
$66.60 |
$66.60 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$80.40 |
$80.40 |
$80.40 |
$103.40
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$57.00 |
$57.00 |
$57.00 |
$81.20
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$57.00 |
$57.00 |
$57.00 |
$60.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$135.00 |
$135.00 |
$135.00 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$66.60 |
$66.60 |
$66.60 |
$129.00
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$66.60 |
$66.60 |
$66.60 |
$98.58
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$66.60 |
$66.60 |
$66.60 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$195.60 |
$195.60 |
$195.60 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$195.60 |
$195.60 |
$195.60 |
$141.95
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$207.60 |
$207.60 |
$207.60 |
$167.05
|
