|
Hpv types 16 & 18 only
|
$26.40 |
$26.40 |
$26.40 |
$110.70
|
|
Human epididymis protein 4 (he4)
|
$94.40 |
$94.40 |
$94.40 |
$157.32
|
|
Hydralazine 20 mg/ml injection solution
|
$16.66 |
$16.66 |
$16.66 |
$46.74
|
|
Hydration IV infusion each additional hour
|
$53.20 |
$53.20 |
$53.20 |
$131.20
|
|
Hydration IV infusion initial 31minutes - 1 hour
|
$153.80 |
$153.80 |
$153.80 |
$383.00
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$21.03 |
$21.03 |
$21.03 |
$154.78
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$283.12 |
$283.12 |
$283.12 |
$131.47
|
|
Hydromorphone injection
|
$56.40 |
$56.40 |
$56.40 |
$85.79
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$32.47 |
$32.47 |
$32.47 |
$72.65
|
|
Hymenotomy
|
$1,508.60 |
$1,508.60 |
$1,508.60 |
$4,446.00
|
|
Hyoscyamine sulfate inj
|
$124.89 |
$124.89 |
$124.89 |
$123.83
|
|
Hysterosalpingography s&i
|
$156.00 |
$156.00 |
$156.00 |
$651.85
|
|
I-123 sod iodide diag per 100 uci
|
$52.79 |
$52.79 |
$52.79 |
$139.20
|
|
I131 max 100uci
|
$53.39 |
$53.39 |
$53.39 |
$53.39
|
|
I131 serum albumin, dx
|
$231.00 |
$231.00 |
$231.00 |
$847.84
|
|
Iaadi respiratory synctial virus
|
$34.40 |
$34.40 |
$34.40 |
$49.40
|
|
Ia nfct ab sarscov2 covid19
|
$35.80 |
$35.80 |
$35.80 |
$55.35
|
|
Ibandronate 3 mg/3 ml intravenous syringe
|
$138.83 |
$138.83 |
$138.83 |
$635.44
|
|
Ibmfs seq alys pnl 30 genes
|
$1,589.20 |
$1,589.20 |
$1,589.20 |
$2,828.00
|
|
Ibuprofen injection
|
$381.61 |
$381.61 |
$381.61 |
$350.58
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$413.94 |
$413.94 |
$413.94 |
$980.94
|
|
Icatibant injection
|
$2,236.81 |
$2,236.81 |
$2,236.81 |
$8,695.05
|
|
Idarubicin hcl injection
|
$77.65 |
$77.65 |
$77.65 |
$447.02
|
|
Ifosfamide 1 gram intravenous solution
|
$53.82 |
$53.82 |
$53.82 |
$243.78
|
|
Igh gene rearrang dir probe
|
$44.60 |
$44.60 |
$44.60 |
$82.26
|
|
Igh@ var region somatic mutation analy
|
$138.20 |
$138.20 |
$138.20 |
$660.80
|
|
Ihc/icc per specimen each additional single antibody stain
|
$26.80 |
$26.80 |
$26.80 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$98.80 |
$98.80 |
$98.80 |
$328.79
|
|
Ihc/icc per specimen initial single antibody stain
|
$98.80 |
$98.80 |
$98.80 |
$274.86
|
|
Iliac revasc add-on 37222
|
$3,149.40 |
$3,149.40 |
$3,149.40 |
$6,082.65
|
|
Immune complex assay
|
$140.40 |
$140.40 |
$140.40 |
$109.20
|
|
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution
|
$489.48 |
$489.48 |
$489.48 |
$3,846.15
|
|
Immunoassay tumor antigen quantitative ca 125
|
$86.20 |
$86.20 |
$86.20 |
$130.00
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$81.40 |
$81.40 |
$81.40 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$12.60 |
$12.60 |
$12.60 |
$48.50
|
|
Immunofixation electrophoresis serum
|
$80.00 |
$80.00 |
$80.00 |
$138.60
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$74.40 |
$74.40 |
$74.40 |
$156.00
|
|
Immunofluorescence per specimen initial single antibody stain
|
$98.80 |
$98.80 |
$98.80 |
$232.05
|
|
Immunoglobulin assay
|
$58.00 |
$58.00 |
$58.00 |
$74.15
|
|
Impedence cardiogram
|
$60.60 |
$60.60 |
$60.60 |
$152.54
|
|
In-111 oxyquinolin per 0.5 mci
|
$1,138.56 |
$1,138.56 |
$1,138.56 |
$2,568.98
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$736.80 |
$736.80 |
$736.80 |
$2,080.80
|
|
Incision of breast lesion
|
$862.00 |
$862.00 |
$862.00 |
$2,577.85
|
|
Incision of burn scab initi
|
$201.20 |
$201.20 |
$201.20 |
$494.40
|
|
Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s)
|
$42.20 |
$42.20 |
$42.20 |
$131.20
|
|
Infect ag genotype na hiv-1 other region
|
$66.80 |
$66.80 |
$66.80 |
$326.20
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$453.80 |
$453.80 |
$453.80 |
$603.75
|
|
Infect ag ia direct hiv-1 antgn
|
$48.60 |
$48.60 |
$48.60 |
$95.55
|
|
Infect ag ia optc obs influenza
|
$31.20 |
$31.20 |
$31.20 |
$72.93
|
|
Infect ag if ea plyvlnt antsrm
|
$67.00 |
$67.00 |
$67.00 |
$65.10
|
|
Infect ag if influenza a
|
$17.40 |
$17.40 |
$17.40 |
$40.61
|
|
Infect ag if influenza b
|
$17.40 |
$17.40 |
$17.40 |
$37.95
|
|
Infect ag if legionella pneumophila
|
$31.20 |
$31.20 |
$31.20 |
$73.46
|
|
Infect ag na herpes simplex quant
|
$58.80 |
$58.80 |
$58.80 |
$169.65
|
|
Infect ag na influenza r/amp 1st 2 types
|
$70.60 |
$70.60 |
$70.60 |
$219.70
|
|
Infect ag na orthopoxvirus amp prb each
|
$22.60 |
$22.60 |
$22.60 |
$99.36
|
|
Infect ag na resp virus 12-25 targets
|
$225.40 |
$225.40 |
$225.40 |
$859.44
|
|
Infect ag phenotype na hiv-1 1-10 drugs
|
$317.20 |
$317.20 |
$317.20 |
$855.60
|
|
Infect ag phenotype na hiv-1 ea addl drg
|
$16.80 |
$16.80 |
$16.80 |
$77.00
|
|
Infectious agent antigen immunoassay direct optical observation sars-cov-2
|
$28.40 |
$28.40 |
$28.40 |
$51.31
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$74.60 |
$74.60 |
$74.60 |
$82.00
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$11.00 |
$11.00 |
$11.00 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$109.40 |
$109.40 |
$109.40 |
$96.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$40.00 |
$40.00 |
$40.00 |
$81.06
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$20.00 |
$20.00 |
$20.00 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$95.00 |
$95.00 |
$95.00 |
$127.80
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$62.00 |
$62.00 |
$62.00 |
$97.50
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$38.80 |
$38.80 |
$38.80 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$270.80 |
$270.80 |
$270.80 |
$267.50
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$31.20 |
$31.20 |
$31.20 |
$137.67
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$84.20 |
$84.20 |
$84.20 |
$167.05
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$338.20 |
$338.20 |
$338.20 |
$861.00
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$36.00 |
$36.00 |
$36.00 |
$181.35
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$30.40 |
$30.40 |
$30.40 |
$151.25
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$346.80 |
$346.80 |
$346.80 |
$201.60
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$31.20 |
$31.20 |
$31.20 |
$135.80
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$35.80 |
$35.80 |
$35.80 |
$100.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$96.40 |
$96.40 |
$96.40 |
$236.08
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$18.80 |
$18.80 |
$18.80 |
$94.53
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$29.20 |
$29.20 |
$29.20 |
$105.00
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$46.00 |
$46.00 |
$46.00 |
$184.80
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$298.60 |
$298.60 |
$298.60 |
$711.93
|
|
Infectious agent nucleic acid quantification bk virus
|
$210.80 |
$210.80 |
$210.80 |
$283.00
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$383.00 |
$383.00 |
$383.00 |
$238.80
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$190.40 |
$190.40 |
$190.40 |
$252.60
|
|
Infectious agent nucleic acid quantification hiv-1
|
$145.20 |
$145.20 |
$145.20 |
$374.50
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$92.60 |
$92.60 |
$92.60 |
$303.59
|
|
Infliximab 100 mg intravenous solution
|
$263.52 |
$263.52 |
$263.52 |
$2,080.86
|
|
Influenza dna amp prob addl
|
$17.40 |
$17.40 |
$17.40 |
$64.26
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$61.80 |
$61.80 |
$61.80 |
$293.04
|
|
Initiation & management bipap/cpap initial day
|
$116.60 |
$116.60 |
$116.60 |
$576.00
|
|
Inj, acetaminophen (b braun)
|
$8.47 |
$8.47 |
$8.47 |
$32.79
|
|
Inj acetaminophen -fresenius
|
$8.40 |
$8.40 |
$8.40 |
$38.87
|
|
Inj, acetaminophen (hikma)
|
$6.30 |
$6.30 |
$6.30 |
$68.30
|
|
Inj allopurinol sodium 1 mg
|
$1,318.27 |
$1,318.27 |
$1,318.27 |
$6,968.99
|
|
Inj, bortezomib freseniuskab
|
$711.96 |
$711.96 |
$711.96 |
$2,464.14
|
|
Inj, bortezomib, hospira
|
$27.70 |
$27.70 |
$27.70 |
$175.35
|
|
Inj calcitriol per 0.1 mcg
|
$9.08 |
$9.08 |
$9.08 |
$22.69
|
|
Inj cefazolin sodium, baxter
|
$17.40 |
$17.40 |
$17.40 |
$27.38
|
|
Inj cefazolin sodium, hikma
|
$7.29 |
$7.29 |
$7.29 |
$29.10
|