|
Hla i & ii typing hr
|
$370.50 |
$370.50 |
$370.50 |
$804.00
|
|
Hla ii typing 1 loc hr
|
$216.45 |
$216.45 |
$216.45 |
$290.94
|
|
Hla i low res one antigen equiv ea
|
$152.10 |
$152.10 |
$152.10 |
$161.70
|
|
Hla i typing complete hr
|
$359.55 |
$359.55 |
$359.55 |
$557.40
|
|
Hla i typing high res 1 allele grp ea
|
$165.60 |
$165.60 |
$165.60 |
$293.15
|
|
Hla i typing low res one locus ea
|
$195.00 |
$195.00 |
$195.00 |
$320.70
|
|
Hocm 250-299mg/ml iodine,1ml
|
$13.64 |
$13.64 |
$19.10 |
$36.41
|
|
Hocm 350-399mg/ml iodine,1ml
|
$2.03 |
$2.03 |
$2.03 |
$79.78
|
|
Home health care supervision
|
$49.05 |
$49.05 |
$49.05 |
$101.60
|
|
Home sleep test/type 2 porta
|
$161.70 |
$161.70 |
$161.70 |
$503.13
|
|
Home sleep test/type 3 porta
|
$161.70 |
$161.70 |
$161.70 |
$579.26
|
|
Home sleep test/type 4 porta
|
$161.70 |
$161.70 |
$161.70 |
$613.60
|
|
Homocysteine
|
$29.55 |
$29.55 |
$29.55 |
$121.92
|
|
Homovanillic acid (hva)
|
$33.90 |
$33.90 |
$33.90 |
$59.95
|
|
Hopd mntl hlt, 15-29 min
|
$12.60 |
$12.60 |
$12.60 |
$60.00
|
|
Hopd mntl hlt, 30-60 min
|
$32.10 |
$32.10 |
$32.10 |
$139.68
|
|
Hpv types 16 & 18 only
|
$33.90 |
$33.90 |
$33.90 |
$110.70
|
|
H pylori (c-13) breath
|
$117.90 |
$117.90 |
$117.90 |
$213.00
|
|
H pylori drug admin
|
$8.40 |
$8.40 |
$8.40 |
$28.56
|
|
Hrdtry brst ca-rlatd do 5+
|
$732.00 |
$732.00 |
$732.00 |
$1,702.08
|
|
Hrdtry cardmypy gene panel
|
$511.65 |
$511.65 |
$511.65 |
$1,276.00
|
|
Htt gene detc abnor alleles
|
$175.80 |
$175.80 |
$175.80 |
$250.50
|
|
Hyaluronidase 200 units/ml inj
|
$202.37 |
$202.37 |
$202.37 |
$260.99
|
|
Hyaluronidase, human recombinant 150 unit/ml injection solution
|
$117.76 |
$117.76 |
$117.76 |
$142.40
|
|
Hydralazine 20 mg/ml injection solution
|
$35.02 |
$35.02 |
$36.68 |
$46.74
|
|
Hydration IV infusion each additional hour
|
$27.60 |
$27.60 |
$27.60 |
$131.20
|
|
Hydration IV infusion initial 31minutes - 1 hour
|
$79.95 |
$79.95 |
$79.95 |
$383.00
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$197.56 |
$197.56 |
$197.56 |
$154.78
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$62.63 |
$62.63 |
$62.63 |
$72.65
|
|
Hydrxycorticsterds 17- (17-ohcs)
|
$30.60 |
$30.60 |
$30.60 |
$76.13
|
|
Hyoscyamine sulfate inj
|
$29.29 |
$29.29 |
$111.03 |
$123.83
|
|
#hypersens-actinomyces ab
|
$11.55 |
$11.55 |
$11.55 |
$31.74
|
|
Hysterosalpingography s&i
|
$153.90 |
$153.90 |
$153.90 |
$651.85
|
|
I-123 iobenguane diag
|
$1,109.70 |
$1,109.70 |
$1,109.70 |
$5,256.50
|
|
I-123 ioflupane diag
|
$1,135.80 |
$1,135.80 |
$1,135.80 |
$3,887.10
|
|
I-123 sod iodide diag per 100 uci
|
$48.00 |
$48.00 |
$48.00 |
$139.20
|
|
I131 iodide cap, rx
|
$71.70 |
$71.70 |
$71.70 |
$78.75
|
|
I131 iodide sol, rx
|
$32.40 |
$32.40 |
$32.40 |
$32.40
|
|
Iaadi respiratory synctial virus
|
$20.10 |
$20.10 |
$20.10 |
$49.40
|
|
Iadna legionella pneumophila amplified probe tq
|
$33.15 |
$33.15 |
$33.15 |
$109.80
|
|
Ia infect ag ab qual/semiquant sgl step
|
$22.65 |
$22.65 |
$22.65 |
$50.60
|
|
Ia nfct ab sarscov2 covid19
|
$13.20 |
$13.20 |
$13.20 |
$55.35
|
|
Ibmfs seq alys pnl 30 genes
|
$1,099.35 |
$1,099.35 |
$1,099.35 |
$2,828.00
|
|
Ibuprofen injection
|
$1,418.58 |
$1,418.58 |
$1,418.58 |
$350.58
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$959.22 |
$959.22 |
$959.22 |
$980.94
|
|
I&d abscss rtrphryngl/paraphryngl intraorl apprch
|
$1,326.15 |
$1,326.15 |
$1,326.15 |
$3,771.20
|
|
Idh1 common variants
|
$167.55 |
$167.55 |
$167.55 |
$406.90
|
|
Idh2 common variants
|
$256.35 |
$256.35 |
$256.35 |
$486.00
|
|
Igh@/bcl2 translocation alys
|
$265.95 |
$265.95 |
$265.95 |
$277.80
|
|
Igh@ var region somatic mutation analy
|
$515.70 |
$515.70 |
$515.70 |
$660.80
|
|
Ihc/icc per specimen each additional single antibody stain
|
$60.45 |
$60.45 |
$60.45 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$52.50 |
$52.50 |
$52.50 |
$328.79
|
|
Ihc/icc per specimen initial single antibody stain
|
$54.90 |
$54.90 |
$54.90 |
$274.86
|
|
Iliac revasc add-on 37222
|
$1,564.20 |
$1,564.20 |
$1,564.20 |
$6,082.65
|
|
Img rta detcj/mntr ds staff
|
$25.05 |
$25.05 |
$25.05 |
$70.29
|
|
Immobilizer shldr sling med
|
$21.75 |
$21.75 |
$21.75 |
$99.45
|
|
Immune complex assay
|
$42.75 |
$42.75 |
$42.75 |
$109.20
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$9,316.39 |
$9,316.39 |
$9,316.39 |
$6,106.32
|
|
Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution
|
$2,300.58 |
$2,300.58 |
$2,300.58 |
$3,593.90
|
|
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution
|
$7,772.89 |
$7,772.89 |
$7,772.89 |
$3,846.15
|
|
Immunoassay tumor antigen quantitative ca 125
|
$36.45 |
$36.45 |
$36.45 |
$130.00
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$36.45 |
$36.45 |
$36.45 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$21.00 |
$21.00 |
$21.00 |
$48.50
|
|
Immunodiffusion nes
|
$22.80 |
$22.80 |
$22.80 |
$53.76
|
|
Immunofixation electrophoresis serum
|
$39.15 |
$39.15 |
$39.15 |
$138.60
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$52.35 |
$52.35 |
$52.35 |
$156.00
|
|
Immunofluorescence per specimen initial single antibody stain
|
$93.75 |
$93.75 |
$93.75 |
$232.05
|
|
Immunoglobulin assay
|
$21.90 |
$21.90 |
$21.90 |
$74.15
|
|
Immunology procedure
|
$28.95 |
$28.95 |
$28.95 |
$118.25
|
|
Implant neuroelectrodes
|
$2,989.95 |
$2,989.95 |
$2,989.95 |
$7,728.86
|
|
In-111 autol wbc diag per dose
|
$654.30 |
$654.30 |
$654.30 |
$3,567.60
|
|
In-111 ibritumomab tiux dx
|
$1,447.05 |
$1,447.05 |
$1,447.05 |
$5,260.84
|
|
In-111 pentetate dtpa / 0.5 mci
|
$592.95 |
$592.95 |
$592.95 |
$2,550.60
|
|
In-111 pentetreotide
|
$1,179.75 |
$1,179.75 |
$1,179.75 |
$4,944.55
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$471.15 |
$471.15 |
$471.15 |
$2,080.80
|
|
Incision of achilles tendon
|
$690.90 |
$690.90 |
$690.90 |
$2,854.00
|
|
Incision of burn scab initi
|
$63.15 |
$63.15 |
$63.15 |
$494.40
|
|
Incision of tongue fold
|
$670.95 |
$670.95 |
$670.95 |
$1,792.50
|
|
Incisn of toe tndn
|
$753.60 |
$753.60 |
$753.60 |
$2,493.15
|
|
Incisn windpipe
|
$1,298.70 |
$1,298.70 |
$1,298.70 |
$3,819.23
|
|
Incobotulinumtoxin a
|
$715.36 |
$715.36 |
$715.36 |
$1,359.43
|
|
Indigotindisulfonate 8 mg/ml soln 5 ml ampule
|
$355.08 |
$355.08 |
$355.08 |
$785.83
|
|
Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s)
|
$30.15 |
$30.15 |
$30.15 |
$131.20
|
|
Infect ag drug suscept pheno predict
|
$228.15 |
$228.15 |
$228.15 |
$320.00
|
|
Infect ag eia influenza a or b ea
|
$20.10 |
$20.10 |
$20.10 |
$69.03
|
|
Infect ag genotype na cytomegalovirus
|
$388.80 |
$388.80 |
$388.80 |
$636.35
|
|
Infect ag genotype na dna hepatitis b
|
$388.80 |
$388.80 |
$388.80 |
$427.43
|
|
Infect ag genotype na hiv-1 other region
|
$178.05 |
$178.05 |
$178.05 |
$326.20
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$388.35 |
$388.35 |
$388.35 |
$603.75
|
|
Infect ag ia optc obs influenza
|
$20.10 |
$20.10 |
$20.10 |
$72.93
|
|
Infect ag if hep delta agent
|
$28.80 |
$28.80 |
$28.80 |
$125.97
|
|
Infect ag if legionella pneumophila
|
$20.10 |
$20.10 |
$20.10 |
$73.46
|
|
Infect ag if nos ea
|
$20.10 |
$20.10 |
$20.10 |
$74.10
|
|
Infect ag if varicella zoster
|
$20.10 |
$20.10 |
$20.10 |
$72.00
|
|
Infect ag na hpv high-risk types
|
$30.75 |
$30.75 |
$30.75 |
$139.20
|
|
Infect ag na influenza r/amp 1st 2 types
|
$148.95 |
$148.95 |
$148.95 |
$219.70
|
|
Infect ag na orthopoxvirus amp prb each
|
$15.00 |
$15.00 |
$15.00 |
$99.36
|
|
Infect ag na resp virus 12-25 targets
|
$374.85 |
$374.85 |
$374.85 |
$859.44
|
|
Infectious agent antigen immunoassay direct optical observation sars-cov-2
|
$12.15 |
$12.15 |
$12.15 |
$51.31
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$20.10 |
$20.10 |
$20.10 |
$82.00
|
