|
Hla i typing low res one locus ea
|
$339.35 |
$339.35 |
$339.35 |
$340.00
|
|
Home sleep test/type 3 porta
|
$630.30 |
$630.30 |
$630.30 |
$632.40
|
|
Homocysteine
|
$144.10 |
$144.10 |
$144.10 |
$113.10
|
|
Homogenization tissue
|
$13.75 |
$13.75 |
$13.75 |
$39.00
|
|
H pylori (c-13) breath
|
$128.15 |
$128.15 |
$128.15 |
$219.05
|
|
Hydration IV infusion each additional hour
|
$144.65 |
$144.65 |
$144.65 |
$134.53
|
|
Hydration IV infusion initial 31minutes - 1 hour
|
$293.70 |
$293.70 |
$293.70 |
$394.40
|
|
Hysterosalpingography s&i
|
$457.60 |
$457.60 |
$457.60 |
$629.46
|
|
I-123 iobenguane diag
|
$2,691.70 |
$2,691.70 |
$2,691.70 |
$5,730.40
|
|
I-123 sod iodide diag per 100 uci
|
$64.90 |
$64.90 |
$64.90 |
$158.05
|
|
I131 iodide cap, rx
|
$50.05 |
$50.05 |
$50.05 |
$91.83
|
|
Iaadi respiratory synctial virus
|
$29.70 |
$29.70 |
$29.70 |
$42.48
|
|
Iadna legionella pneumophila amplified probe tq
|
$205.70 |
$205.70 |
$205.70 |
$125.25
|
|
Icd cobalt xt dr MRI is1 df1
|
$16,159.13 |
$16,159.13 |
$16,159.13 |
$35,816.55
|
|
Icd crtd cobalt hf MRI is1 df1
|
$21,728.44 |
$21,728.44 |
$21,728.44 |
$32,098.95
|
|
Icd crtp serena MRI
|
$9,933.00 |
$9,933.00 |
$9,933.00 |
$12,663.00
|
|
Idh1 common variants
|
$496.10 |
$496.10 |
$496.10 |
$415.35
|
|
Idh2 common variants
|
$786.50 |
$786.50 |
$786.50 |
$451.91
|
|
I&d upper arm/elbow deep abscess/hematoma
|
$2,014.65 |
$2,014.65 |
$2,014.65 |
$3,386.84
|
|
Ihc/icc per specimen each additional single antibody stain
|
$259.60 |
$259.60 |
$259.60 |
$191.75
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$410.85 |
$410.85 |
$410.85 |
$339.73
|
|
Ihc/icc per specimen initial single antibody stain
|
$343.20 |
$343.20 |
$343.20 |
$266.76
|
|
Iliac/fem angio cath insert
|
$518.65 |
$518.65 |
$518.65 |
$1,601.66
|
|
Iliac revasc add-on 37222
|
$6,013.15 |
$6,013.15 |
$6,013.15 |
$6,513.10
|
|
Immunoassay tumor antigen quantitative ca 125
|
$166.65 |
$166.65 |
$166.65 |
$123.50
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$168.30 |
$168.30 |
$168.30 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$12.87 |
$12.87 |
$12.87 |
$53.95
|
|
Immunofixation electrophoresis serum
|
$134.20 |
$134.20 |
$134.20 |
$133.38
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$82.50 |
$82.50 |
$82.50 |
$156.00
|
|
Immunofluorescence per specimen initial single antibody stain
|
$76.45 |
$76.45 |
$76.45 |
$250.00
|
|
Immunoglobulin assay
|
$156.20 |
$156.20 |
$156.20 |
$74.00
|
|
Implant cartilage 10mm synthetic
|
$1,407.18 |
$1,407.18 |
$1,407.18 |
$9,261.00
|
|
Implant neuroelectrodes
|
$2,763.09 |
$2,763.09 |
$2,763.09 |
$7,266.73
|
|
Implant tcat pulm vlv perq
|
$20,174.55 |
$20,174.55 |
$20,174.55 |
$18,494.40
|
|
Implant ureth bulk agent
|
$540.31 |
$540.31 |
$540.31 |
$1,930.57
|
|
In-111 autol wbc diag per dose
|
$983.95 |
$983.95 |
$983.95 |
$3,704.00
|
|
In-111 pentetate dtpa / 0.5 mci
|
$636.90 |
$636.90 |
$636.90 |
$2,135.29
|
|
Incise tendon(s) & muscle(s)
|
$4,824.05 |
$4,824.05 |
$4,824.05 |
$7,855.87
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$3,395.15 |
$3,395.15 |
$3,395.15 |
$2,261.20
|
|
Incision of achilles tendon
|
$5,201.90 |
$5,201.90 |
$5,201.90 |
$3,306.48
|
|
Incision of hip tendon
|
$2,653.75 |
$2,653.75 |
$2,653.75 |
$3,885.29
|
|
Incision of hip tendons
|
$3,865.95 |
$3,865.95 |
$3,865.95 |
$3,839.54
|
|
Incision of tendon & muscle
|
$4,147.55 |
$4,147.55 |
$4,147.55 |
$8,293.50
|
|
Incision of thigh tendon
|
$3,100.35 |
$3,100.35 |
$3,100.35 |
$4,499.12
|
|
Incision of thigh tendons
|
$2,375.45 |
$2,375.45 |
$2,375.45 |
$4,627.00
|
|
Incision of tongue fold
|
$3,078.35 |
$3,078.35 |
$3,078.35 |
$1,865.58
|
|
Incision tendon sheath
|
$2,850.65 |
$2,850.65 |
$2,850.65 |
$2,309.40
|
|
Infect ag drug suscept pheno predict
|
$537.90 |
$537.90 |
$537.90 |
$325.00
|
|
Infect ag genotype na hiv-1 other region
|
$498.30 |
$498.30 |
$498.30 |
$301.50
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$1,072.50 |
$1,072.50 |
$1,072.50 |
$574.60
|
|
Infect ag if influenza a
|
$35.75 |
$35.75 |
$35.75 |
$40.61
|
|
Infect ag if influenza b
|
$27.50 |
$27.50 |
$27.50 |
$34.67
|
|
Infect ag if legionella pneumophila
|
$59.40 |
$59.40 |
$59.40 |
$75.79
|
|
Infect ag if nos ea
|
$35.75 |
$35.75 |
$35.75 |
$60.40
|
|
Infect ag if pneumocystis carinii
|
$26.40 |
$26.40 |
$26.40 |
$62.29
|
|
Infect ag na hpv high-risk types
|
$246.95 |
$246.95 |
$246.95 |
$139.75
|
|
Infect ag na influenza r/amp 1st 2 types
|
$364.65 |
$364.65 |
$364.65 |
$227.96
|
|
Infect ag na orthopoxvirus amp prb each
|
$86.35 |
$86.35 |
$86.35 |
$102.00
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$81.40 |
$81.40 |
$81.40 |
$81.44
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$135.30 |
$135.30 |
$135.30 |
$80.05
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$133.65 |
$133.65 |
$133.65 |
$77.28
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$120.45 |
$120.45 |
$120.45 |
$83.50
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$118.80 |
$118.80 |
$118.80 |
$77.72
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$17.60 |
$17.60 |
$17.60 |
$55.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$103.40 |
$103.40 |
$103.40 |
$101.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$138.05 |
$138.05 |
$138.05 |
$132.60
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$89.10 |
$89.10 |
$89.10 |
$97.50
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$89.65 |
$89.65 |
$89.65 |
$60.00
|
|
Infectious agent nucleic acid amplified probe
|
$386.10 |
$386.10 |
$386.10 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$265.10 |
$265.10 |
$265.10 |
$141.48
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$80.85 |
$80.85 |
$80.85 |
$174.06
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$930.05 |
$930.05 |
$930.05 |
$855.45
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$376.75 |
$376.75 |
$376.75 |
$178.00
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$151.25 |
$151.25 |
$151.25 |
$150.15
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$92.95 |
$92.95 |
$92.95 |
$210.00
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$383.35 |
$383.35 |
$383.35 |
$136.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$115.50 |
$115.50 |
$115.50 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$320.65 |
$320.65 |
$320.65 |
$222.60
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$318.45 |
$318.45 |
$318.45 |
$248.15
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$80.85 |
$80.85 |
$80.85 |
$112.45
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$1,144.55 |
$1,144.55 |
$1,144.55 |
$489.50
|
|
Infectious agent nucleic acid quantification bk virus
|
$279.40 |
$279.40 |
$279.40 |
$285.66
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$467.50 |
$467.50 |
$467.50 |
$226.35
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$473.00 |
$473.00 |
$473.00 |
$278.78
|
|
Infectious agent nucleic acid quantification hiv-1
|
$189.75 |
$189.75 |
$189.75 |
$381.55
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$584.65 |
$584.65 |
$584.65 |
$298.35
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$237.60 |
$237.60 |
$237.60 |
$359.64
|
|
Initiation & management bipap/cpap initial day
|
$231.55 |
$231.55 |
$231.55 |
$645.79
|
|
Inj cntr knee arthro incl ct/mri
|
$466.40 |
$466.40 |
$466.40 |
$464.28
|
|
Inj dx for sinogram
|
$128.70 |
$128.70 |
$128.70 |
$436.00
|
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
|
$1,918.40 |
$1,918.40 |
$1,918.40 |
$1,214.78
|
|
Injection arthrography hip without anesthesia (both sides)
|
$584.10 |
$584.10 |
$584.10 |
$507.10
|
|
Injection carpal tunnel therapeutic (both sides)
|
$458.15 |
$458.15 |
$458.15 |
$536.00
|
|
Injection during cath supravalvular aortography
|
$1,697.85 |
$1,697.85 |
$1,697.85 |
$1,148.80
|
|
Injection epidural blood patch or clot
|
$1,501.50 |
$1,501.50 |
$1,501.50 |
$1,473.12
|
|
Injection for arthrography wrist (both sides)
|
$129.80 |
$129.80 |
$129.80 |
$441.12
|
|
Injection for bladder x-ray
|
$839.30 |
$839.30 |
$839.30 |
$585.00
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$403.15 |
$403.15 |
$403.15 |
$504.00
|
|
Injection for ureter x-ray
|
$444.95 |
$444.95 |
$444.95 |
$444.95
|
|
Injection for ureter x-ray
|
$237.60 |
$237.60 |
$237.60 |
$515.21
|