|
Hemoglobin
|
$47.20 |
$47.20 |
$47.20 |
$33.54
|
|
Hemophilus influenza antibdy
|
$56.80 |
$56.80 |
$56.80 |
$62.70
|
|
Heparin assay
|
$170.40 |
$170.40 |
$170.40 |
$139.15
|
|
Heparin bolus from bag
|
$76.84 |
$76.84 |
$76.84 |
$66.06
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$60.06 |
$60.06 |
$60.06 |
$12.00
|
|
Hepatitis a antibody igm
|
$84.00 |
$84.00 |
$84.00 |
$89.44
|
|
Hepatitis b core antibody igm
|
$158.40 |
$158.40 |
$158.40 |
$89.60
|
|
Hepatitis b core antibody total
|
$92.00 |
$92.00 |
$92.00 |
$77.50
|
|
Hepatitis b surface antibody
|
$92.00 |
$92.00 |
$92.00 |
$82.32
|
|
Hepatitis c antibody
|
$124.80 |
$124.80 |
$124.80 |
$108.25
|
|
Herpes simplex type 1 antibody igg
|
$98.40 |
$98.40 |
$98.40 |
$69.12
|
|
Herpes simplex type 2 antibody igg
|
$98.40 |
$98.40 |
$98.40 |
$87.36
|
|
Heterophile antibodies screening
|
$79.20 |
$79.20 |
$79.20 |
$73.87
|
|
Hip and Pelvis X-ray (3 to 4 views, both hips)
|
$689.60 |
$689.60 |
$689.60 |
$424.80
|
|
Hip and Pelvis X-ray (single view, left side)
|
$312.00 |
$312.00 |
$312.00 |
$233.50
|
|
Hip X-ray
|
$448.00 |
$448.00 |
$448.00 |
$294.75
|
|
Histamine
|
$127.20 |
$127.20 |
$127.20 |
$115.00
|
|
Home sleep test/type 3 porta
|
$701.60 |
$701.60 |
$701.60 |
$570.00
|
|
Homocysteine
|
$96.00 |
$96.00 |
$96.00 |
$125.40
|
|
H pylori (c-13) breath
|
$272.80 |
$272.80 |
$272.80 |
$212.25
|
|
Hyaluronidase, human recombinant 150 unit/ml injection solution
|
$98.10 |
$98.10 |
$98.10 |
$142.40
|
|
Hydralazine 20 mg/ml injection solution
|
$61.72 |
$61.72 |
$61.72 |
$48.00
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$83.55 |
$83.55 |
$83.55 |
$140.54
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$60.51 |
$60.51 |
$60.51 |
$112.66
|
|
Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge
|
$168.55 |
$168.55 |
$168.55 |
$294.92
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$68.11 |
$68.11 |
$68.11 |
$72.65
|
|
I-123 sod iodide diag per 100 uci
|
$224.80 |
$224.80 |
$224.80 |
$147.46
|
|
Iaadi respiratory synctial virus
|
$36.80 |
$36.80 |
$36.80 |
$54.58
|
|
Ia infect ag ab qual/semiquant sgl step
|
$66.40 |
$66.40 |
$66.40 |
$50.60
|
|
Ibandronate 3 mg/3 ml intravenous syringe
|
$105.87 |
$105.87 |
$105.87 |
$684.45
|
|
Ihc/icc per specimen each additional single antibody stain
|
$138.40 |
$138.40 |
$138.40 |
$191.52
|
|
Ihc/icc per specimen initial single antibody stain
|
$156.80 |
$156.80 |
$156.80 |
$277.90
|
|
Immobilizer shldr cntor adlt
|
$40.00 |
$40.00 |
$40.00 |
$175.60
|
|
Immobilizer shldr dlx str 24-36in med
|
$56.80 |
$56.80 |
$56.80 |
$118.43
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$3,383.04 |
$3,383.04 |
$3,383.04 |
$6,106.32
|
|
Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution
|
$2,759.20 |
$2,759.20 |
$2,759.20 |
$2,900.11
|
|
Immunoassay tumor antigen quantitative ca 125
|
$101.60 |
$101.60 |
$101.60 |
$132.00
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$101.60 |
$101.60 |
$101.60 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$30.40 |
$30.40 |
$30.40 |
$48.57
|
|
Immunofixation electrophoresis serum
|
$171.20 |
$171.20 |
$171.20 |
$142.50
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$2,604.00 |
$2,604.00 |
$2,604.00 |
$2,086.70
|
|
Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s)
|
$90.40 |
$90.40 |
$90.40 |
$140.80
|
|
Infect ag eia influenza a or b ea
|
$64.00 |
$64.00 |
$64.00 |
$71.20
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$950.40 |
$950.40 |
$950.40 |
$603.83
|
|
Infect ag ia optc obs influenza
|
$49.60 |
$49.60 |
$49.60 |
$72.93
|
|
Infect ag if influenza a
|
$89.60 |
$89.60 |
$89.60 |
$41.30
|
|
Infect ag if influenza b
|
$89.60 |
$89.60 |
$89.60 |
$37.95
|
|
Infect ag if nos ea
|
$48.80 |
$48.80 |
$48.80 |
$74.88
|
|
Infect ag na influenza r/amp 1st 2 types
|
$248.80 |
$248.80 |
$248.80 |
$219.70
|
|
Infect ag na orthopoxvirus amp prb each
|
$149.60 |
$149.60 |
$149.60 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$117.60 |
$117.60 |
$117.60 |
$83.60
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$124.00 |
$124.00 |
$124.00 |
$76.00
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$138.40 |
$138.40 |
$138.40 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$191.20 |
$191.20 |
$191.20 |
$103.40
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$100.00 |
$100.00 |
$100.00 |
$81.20
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$84.80 |
$84.80 |
$84.80 |
$60.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$98.40 |
$98.40 |
$98.40 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$30.40 |
$30.40 |
$30.40 |
$129.00
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$87.20 |
$87.20 |
$87.20 |
$98.58
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$103.20 |
$103.20 |
$103.20 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$175.20 |
$175.20 |
$175.20 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$172.80 |
$172.80 |
$172.80 |
$141.95
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$215.20 |
$215.20 |
$215.20 |
$167.05
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$304.00 |
$304.00 |
$304.00 |
$181.35
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$99.20 |
$99.20 |
$99.20 |
$149.13
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$100.80 |
$100.80 |
$100.80 |
$137.67
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$124.80 |
$124.80 |
$124.80 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$349.60 |
$349.60 |
$349.60 |
$206.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$460.80 |
$460.80 |
$460.80 |
$236.08
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$112.00 |
$112.00 |
$112.00 |
$96.00
|
|
Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae
|
$266.40 |
$266.40 |
$266.40 |
$217.60
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$1,227.20 |
$1,227.20 |
$1,227.20 |
$727.50
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$172.00 |
$172.00 |
$172.00 |
$289.91
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$696.80 |
$696.80 |
$696.80 |
$432.63
|
|
Infectious agent nucleic acid quantification bk virus
|
$275.20 |
$275.20 |
$275.20 |
$283.00
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$100.00 |
$100.00 |
$100.00 |
$242.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$119.20 |
$119.20 |
$119.20 |
$253.00
|
|
Infectious agent nucleic acid quantification hiv-1
|
$476.00 |
$476.00 |
$476.00 |
$375.00
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$348.00 |
$348.00 |
$348.00 |
$304.20
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$791.51 |
$791.51 |
$791.51 |
$1,537.84
|
|
Inj, acetaminophen (b braun)
|
$113.97 |
$113.97 |
$113.97 |
$32.79
|
|
Inj acetaminophen -fresenius
|
$75.72 |
$75.72 |
$75.72 |
$36.60
|
|
Inj cefazolin sodium, hikma
|
$63.90 |
$63.90 |
$63.90 |
$27.38
|
|
Inj, cefepime hcl (b braun)
|
$103.44 |
$103.44 |
$103.44 |
$69.85
|
|
Inj, clindamycin (baxter)
|
$155.59 |
$155.59 |
$155.59 |
$48.30
|
|
Injection, inclisiran, 1 mg
|
$5,260.16 |
$5,260.16 |
$5,260.16 |
$6,679.35
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$952.80 |
$952.80 |
$952.80 |
$1,043.72
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$141.60 |
$141.60 |
$141.60 |
$145.60
|
|
Inj. fe derisomaltose 10 mg
|
$3,221.52 |
$3,221.52 |
$3,221.52 |
$3,221.52
|
|
Inj hydroxocobalamin IV 25mg
|
$1,498.47 |
$1,498.47 |
$1,498.47 |
$2,452.32
|
|
Inj ivig privigen 500 mg
|
$2,293.60 |
$2,293.60 |
$2,293.60 |
$6,967.29
|
|
Inj, lidocaine w epinephrine
|
$19.52 |
$19.52 |
$19.52 |
$45.60
|
|
Inj octafluoropropane mic,ml
|
$205.60 |
$205.60 |
$205.60 |
$211.40
|
|
Inj pantoprazole(hikma) 40mg
|
$62.07 |
$62.07 |
$62.07 |
$34.67
|
|
Inj, releuko 1 mcg
|
$338.16 |
$338.16 |
$338.16 |
$475.36
|
|
Inj testosterone cypionate
|
$62.80 |
$62.80 |
$62.80 |
$64.96
|
|
Inj. tigecycline (accord)
|
$87.24 |
$87.24 |
$87.24 |
$188.03
|
|
Inj., tildrakizumab, 1 mg
|
$21,323.40 |
$21,323.40 |
$21,323.40 |
$26,635.60
|
|
Insert cath pleura without image
|
$2,207.20 |
$2,207.20 |
$2,207.20 |
$2,099.70
|
|
Insertion catheter bladder non indwelling
|
$164.00 |
$164.00 |
$164.00 |
$208.01
|