|
Hemoglobin methemoglobin quantitative
|
$14.28 |
$14.28 |
$14.28 |
$53.60
|
|
Hemoglobin plasma
|
$13.44 |
$13.44 |
$13.44 |
$41.25
|
|
Heparin assay
|
$59.36 |
$59.36 |
$59.36 |
$140.10
|
|
Hepatitis a antibody igm
|
$6.72 |
$6.72 |
$6.72 |
$87.75
|
|
Hepatitis b core antibody igm
|
$7.00 |
$7.00 |
$7.00 |
$87.98
|
|
Hepatitis b core antibody total
|
$7.00 |
$7.00 |
$7.00 |
$77.50
|
|
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution
|
$56.56 |
$56.56 |
$56.56 |
$1,116.61
|
|
Hepatitis c antibody
|
$7.00 |
$7.00 |
$7.00 |
$108.00
|
|
Hepatobiliary system imaging
|
$186.76 |
$186.76 |
$186.76 |
$1,438.58
|
|
Herpes simplex type 1 antibody igg
|
$46.76 |
$46.76 |
$46.76 |
$70.00
|
|
Herpes simplex type 2 antibody igg
|
$7.84 |
$7.84 |
$7.84 |
$87.10
|
|
Herpes simplex virus isolation
|
$36.68 |
$36.68 |
$36.68 |
$104.10
|
|
Heterophile antibodies screening
|
$10.36 |
$10.36 |
$10.36 |
$74.00
|
|
Hip X-ray
|
$126.84 |
$126.84 |
$126.84 |
$292.05
|
|
HIV prep, ftc/tdf 200/300mg
|
$20.16 |
$20.16 |
$20.16 |
$31.80
|
|
Hocm 350-399mg/ml iodine,1ml
|
$42.25 |
$42.25 |
$42.25 |
$79.78
|
|
Homocysteine
|
$17.64 |
$17.64 |
$17.64 |
$121.92
|
|
Homovanillic acid (hva)
|
$12.60 |
$12.60 |
$12.60 |
$59.95
|
|
H pylori (c-13) breath
|
$60.48 |
$60.48 |
$60.48 |
$213.00
|
|
Htt gene detc abnor alleles
|
$168.00 |
$168.00 |
$168.00 |
$250.50
|
|
Human epididymis protein 4 (he4)
|
$143.36 |
$143.36 |
$143.36 |
$157.32
|
|
Hydralazine 20 mg/ml injection solution
|
$14.00 |
$14.00 |
$14.00 |
$46.74
|
|
Hydration IV infusion each additional hour
|
$20.16 |
$20.16 |
$20.16 |
$131.20
|
|
Hydration IV infusion initial 31minutes - 1 hour
|
$91.28 |
$91.28 |
$91.28 |
$383.00
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$9.80 |
$9.80 |
$9.80 |
$154.78
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$1.40 |
$1.40 |
$1.40 |
$131.47
|
|
Hydrxycorticsterds 17- (17-ohcs)
|
$24.64 |
$24.64 |
$24.64 |
$76.13
|
|
I-123 iobenguane diag
|
$2,468.33 |
$2,468.33 |
$2,468.33 |
$5,256.50
|
|
I-123 sod iodide diag per 100 uci
|
$46.48 |
$46.48 |
$46.48 |
$139.20
|
|
Iaadi respiratory synctial virus
|
$10.64 |
$10.64 |
$10.64 |
$49.40
|
|
Iadna legionella pneumophila amplified probe tq
|
$26.88 |
$26.88 |
$26.88 |
$109.80
|
|
Ibandronate 3 mg/3 ml intravenous syringe
|
$31.21 |
$31.21 |
$31.21 |
$635.44
|
|
Igh@ var region somatic mutation analy
|
$246.40 |
$246.40 |
$246.40 |
$660.80
|
|
Ihc/icc per specimen each additional single antibody stain
|
$58.80 |
$58.80 |
$58.80 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$117.04 |
$117.04 |
$117.04 |
$328.79
|
|
Ihc/icc per specimen initial single antibody stain
|
$62.16 |
$62.16 |
$62.16 |
$274.86
|
|
Immobilizer shldr dlx str 24-36in med
|
$71.68 |
$71.68 |
$71.68 |
$102.00
|
|
Immobilizer shldr sling med
|
$14.56 |
$14.56 |
$14.56 |
$99.45
|
|
Immune complex assay
|
$99.40 |
$99.40 |
$99.40 |
$109.20
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$35.67 |
$35.67 |
$35.67 |
$6,106.32
|
|
Immunoassay tumor antigen quantitative ca 125
|
$10.64 |
$10.64 |
$10.64 |
$130.00
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$12.32 |
$12.32 |
$12.32 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$12.88 |
$12.88 |
$12.88 |
$48.50
|
|
Immunofixation electrophoresis serum
|
$16.80 |
$16.80 |
$16.80 |
$138.60
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$56.00 |
$56.00 |
$56.00 |
$156.00
|
|
Immunofluorescence per specimen initial single antibody stain
|
$99.12 |
$99.12 |
$99.12 |
$232.05
|
|
Infect ag genotype na cytomegalovirus
|
$164.64 |
$164.64 |
$164.64 |
$636.35
|
|
Infect ag genotype na dna hepatitis b
|
$147.28 |
$147.28 |
$147.28 |
$427.43
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$144.20 |
$144.20 |
$144.20 |
$603.75
|
|
Infect ag if influenza a
|
$22.96 |
$22.96 |
$22.96 |
$40.61
|
|
Infect ag if influenza b
|
$22.96 |
$22.96 |
$22.96 |
$37.95
|
|
Infect ag if legionella pneumophila
|
$38.36 |
$38.36 |
$38.36 |
$73.46
|
|
Infect ag na hep b amp
|
$73.64 |
$73.64 |
$73.64 |
$108.44
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$21.84 |
$21.84 |
$21.84 |
$82.00
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$36.68 |
$36.68 |
$36.68 |
$76.50
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$22.40 |
$22.40 |
$22.40 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$38.92 |
$38.92 |
$38.92 |
$96.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$5.88 |
$5.88 |
$5.88 |
$81.06
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$7.00 |
$7.00 |
$7.00 |
$57.60
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$40.04 |
$40.04 |
$40.04 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$68.32 |
$68.32 |
$68.32 |
$127.80
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$12.32 |
$12.32 |
$12.32 |
$97.50
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$22.68 |
$22.68 |
$22.68 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$151.20 |
$151.20 |
$151.20 |
$267.50
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$38.92 |
$38.92 |
$38.92 |
$137.67
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$69.16 |
$69.16 |
$69.16 |
$167.05
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$504.00 |
$504.00 |
$504.00 |
$861.00
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$66.08 |
$66.08 |
$66.08 |
$181.35
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$66.92 |
$66.92 |
$66.92 |
$151.25
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$118.44 |
$118.44 |
$118.44 |
$201.60
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$27.72 |
$27.72 |
$27.72 |
$135.80
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$71.96 |
$71.96 |
$71.96 |
$100.00
|
|
Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae
|
$98.28 |
$98.28 |
$98.28 |
$250.50
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$122.08 |
$122.08 |
$122.08 |
$429.50
|
|
Infectious agent nucleic acid quantification bk virus
|
$79.52 |
$79.52 |
$79.52 |
$283.00
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$64.68 |
$64.68 |
$64.68 |
$238.80
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$62.72 |
$62.72 |
$62.72 |
$252.60
|
|
Infectious agent nucleic acid quantification hiv-1
|
$64.68 |
$64.68 |
$64.68 |
$374.50
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$41.44 |
$41.44 |
$41.44 |
$303.59
|
|
Infliximab 100 mg intravenous solution
|
$36.12 |
$36.12 |
$36.12 |
$2,080.86
|
|
Infliximab-axxq 100 mg intravenous solution
|
$23.86 |
$23.86 |
$23.86 |
$1,095.60
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$23.86 |
$23.86 |
$23.86 |
$1,617.43
|
|
Initiation & management bipap/cpap initial day
|
$242.48 |
$242.48 |
$242.48 |
$576.00
|
|
Inj ceftolozane tazobactam
|
$2.70 |
$2.70 |
$2.70 |
$408.00
|
|
Inj cntr knee arthro incl ct/mri
|
$107.52 |
$107.52 |
$107.52 |
$436.80
|
|
Injection arthrography hip without anesthesia (both sides)
|
$224.28 |
$224.28 |
$224.28 |
$500.50
|
|
Injection for bladder x-ray
|
$75.88 |
$75.88 |
$75.88 |
$459.20
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$224.28 |
$224.28 |
$224.28 |
$494.65
|
|
Injection,onabotulinumtoxina
|
$2.38 |
$2.38 |
$2.38 |
$2,241.61
|
|
Injection radioactive tracer sentinel node (both sides)
|
$229.04 |
$229.04 |
$229.04 |
$683.28
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$21.00 |
$21.00 |
$21.00 |
$166.38
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$21.00 |
$21.00 |
$21.00 |
$145.60
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$91.28 |
$91.28 |
$91.28 |
$261.00
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$30.80 |
$30.80 |
$30.80 |
$135.20
|
|
Inj ivig privigen 500 mg
|
$17.64 |
$17.64 |
$17.64 |
$6,967.29
|
|
Inj multihance
|
$1.96 |
$1.96 |
$1.96 |
$79.42
|
|
Inj retro urethrocysto
|
$66.36 |
$66.36 |
$66.36 |
$450.00
|
|
Inj w/fluor eval cv device
|
$286.72 |
$286.72 |
$286.72 |
$463.40
|
|
Insert cath pleura with image
|
$826.56 |
$826.56 |
$826.56 |
$2,194.40
|
|
Insertion catheter bladder temporary simple
|
$57.12 |
$57.12 |
$57.12 |
$229.32
|