Updated: 09/18/2025,,,,,,
Facility,CPT,Description,Price,Cash Rate,De-Identified Minimum Amount,De-Identified Maximum
"Horizon Eagle Pass, LLC",70030,RADEX EYE DETCJ FB,"$2,190 ",$657 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",70100,RADEX MNDBL PRTL LESS THAN  < 4 VIEWS,$379 ,$114 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",70110,RADEX MNDBL COMPL MINIMUM 4 VIEWS,"$2,538 ",$761 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",70120,RADIOLOGIC EXAM MASTOIDS < 3 VIEWS PER SIDE,$404 ,$121 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",70140,RADEX FACIAL B1S < 3 VIEWS,"$2,394 ",$718 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",70150,RADEX FACIAL B1S COMPL MINIMUM 3 VIEWS,"$2,394 ",$718 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",70160,RADEX NSL B1S COMPL MINIMUM 3 VIEWS,"$3,024 ",$907 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",70200,RADEX ORBITS COMPLETE MINIMUM 4 VIEWS,"$3,024 ",$907 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",70210,"Radiologic examination, sinuses, paranasal, less than 3 views","$3,024 ",$907 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",70220,RADEX SINUSES PARANSL COMPL MINIMUM 3 VIEWS,"$3,024 ",$907 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",70250,RADEX SKL < 4 VIEWS,"$2,724 ",$817 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",70260,RADEX SKL COMPL MINIMUM 4 VIEWS,"$2,724 ",$817 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",70328,RADEX TMPRMAND JT OPN&CLSD MOUTH UNI,$607 ,$182 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",70330,RADEX TEMPOROMANDBLE JT OPN & CLSD MOUTH BILAT,"$3,024 ",$907 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",70336,MRI TEMPOROMANDIBULAR JOINT,"$1,986 ",$596 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",70350,CEPHALOGRAM ORTHODONTIC,$710 ,$213 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",70360,RADEX OF NECK SOFT TISSUE,"$3,024 ",$907 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",70450,CT HEAD/BRN C-MATRL,"$7,429 ","$2,229 ",Out of Network,Out of Network
"Horizon Eagle Pass, LLC",70460,CT HEAD/BRN C+ MATRL,"$6,804 ","$2,041 ",Out of Network,Out of Network
"Horizon Eagle Pass, LLC",70470,CT HEAD/BRN C-/C+,"$7,507 ","$2,252 ",Out of Network,Out of Network
"Horizon Eagle Pass, LLC",70480,CT ORBIT SELLA/POST FOSSA/EAR C-MATRL,"$6,804 ","$2,041 ",Out of Network,Out of Network
"Horizon Eagle Pass, LLC",70481,CT ORBIT SELLA/POST FOSSA/EAR C+ MATRL,"$6,804 ","$2,041 ",Out of Network,Out of Network
"Horizon Eagle Pass, LLC",70482,CT ORBIT SELLA/POST FOSSA/EAR C-/C+,"$6,804 ","$2,041 ",Out of Network,Out of Network
"Horizon Eagle Pass, LLC",70486,CT SCAN MAXLFCL AREA C-MATRL - SINUS AREA,"$6,804 ","$2,041 ",Out of Network,Out of Network
"Horizon Eagle Pass, LLC",70486,CT MAXILLOFACIAL W/O CONTRAST MATERIAL,"$6,804 ","$2,041 ",Out of Network,Out of Network
"Horizon Eagle Pass, LLC",70487,CT MAXLFCL AREA C+ MATRL,"$6,804 ","$2,041 ",Out of Network,Out of Network
"Horizon Eagle Pass, LLC",70488,CT MAXLFCL AREA C-/C+,"$6,250 ","$1,875 ",Out of Network,Out of Network
"Horizon Eagle Pass, LLC",70490,CT SOFT TISS NCK C-MATRL,"$6,048 ","$1,814 ",Out of Network,Out of Network
"Horizon Eagle Pass, LLC",70491,CT SOFT TISS NCK C+ MATRL,"$6,804 ","$2,041 ",Out of Network,Out of Network
"Horizon Eagle Pass, LLC",70492,CT SOFT TISSUE NECK W/O & W/CONTRAST MATERIAL,"$6,650 ","$1,995 ",Out of Network,Out of Network
"Horizon Eagle Pass, LLC",70496,CT ANGIOGRAPHY HEAD W/CONTRAST/NONCONTRAST,"$7,000 ","$2,100 ",Out of Network,Out of Network
"Horizon Eagle Pass, LLC",70498,"Computed tomographic angiography, neck, with contrast materi...","$7,010 ","$2,103 ",Out of Network,Out of Network
"Horizon Eagle Pass, LLC",70540,MRI ORBIT FACE &/NECK W/O CONTRAST,"$5,860 ","$1,758 ",Out of Network,Out of Network
"Horizon Eagle Pass, LLC",70542,MRI ORBIT/FACE/NECK C+,"$6,074 ","$1,822 ",Out of Network,Out of Network
"Horizon Eagle Pass, LLC",70543,MRI ORBIT FACE & NECK W/O & W/CONTRAST MATRL,"$7,174 ","$2,152 ",Out of Network,Out of Network
"Horizon Eagle Pass, LLC",70544,MRA HEAD C-MATRL,"$6,383 ","$1,915 ",Out of Network,Out of Network
"Horizon Eagle Pass, LLC",70547,MRA NCK C-MATRL,"$6,367 ","$1,910 ",Out of Network,Out of Network
"Horizon Eagle Pass, LLC",70549,MRA NECK W/O &W/CONTRAST MATERIAL,"$7,971 ","$2,391 ",Out of Network,Out of Network
"Horizon Eagle Pass, LLC",70551,MRI BRN BRN STEM C-MATRL,"$6,086 ","$1,826 ",Out of Network,Out of Network
"Horizon Eagle Pass, LLC",70553,MRI BRN BRN STEM C-/C+,"$10,265 ","$3,080 ",Out of Network,Out of Network
"Horizon Eagle Pass, LLC",71010,RADEX CH 1 VIEW FRNT,"$2,724 ",$817 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",71020,RADEX CH 2 VIEWS FRNT&LAT,"$2,724 ",$817 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",71022,RADEX CH 2 VIEWS FRNT&LAT OBLQ PRJCJ,"$2,019 ",$606 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",71030,RADEX CH COMPL MINIMUM 4 VIEWS,"$2,019 ",$606 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",71045,RADEX CHEST 1 VIEW,"$2,370 ",$711 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",71046,RADEX CHEST 2 VIEWS,"$3,024 ",$907 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",71047,RADEX CHEST 3 VIEWS,"$3,024 ",$907 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",71048,RADEX CHEST 4+ VIEWS,"$3,024 ",$907 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",71100,RADEX RIBS UNI 2 VIEWS,"$2,274 ",$682 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",71101,RADEX RIBS UNI W/POSTEROANT CH 3 VIEWS,"$2,634 ",$790 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",71101,RADEX RIBS UNI W/POSTEROANT CH 4 VIEWS,"$2,634 ",$790 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",71110,RADEX RIBS BI 3 VIEWS,"$3,024 ",$907 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",71111,RADEX RIBS BI W/POSTEROANT CH MINIMUM 4 VIEWS,"$3,024 ",$907 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",71120,RADEX STERNUM MINIMUM 2 VIEWS,"$3,024 ",$907 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",71130,RADEX STERNOCLAVICULAR JT/JTS MINIMUM 3 VIEWS,"$2,270 ",$681 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",71250,CT THORAX W/O CONTRAST MATERIAL,"$6,804 ","$2,041 ",Out of Network,Out of Network
"Horizon Eagle Pass, LLC",71260,CT THORAX C+ MATRL,"$6,804 ","$2,041 ",Out of Network,Out of Network
"Horizon Eagle Pass, LLC",71270,CT THORAX C-/C+,"$6,804 ","$2,041 ",Out of Network,Out of Network
"Horizon Eagle Pass, LLC",71275,CT ANGIOGRAPHY CHEST W/CONTRAST/NONCONTRAST,"$10,046 ","$3,014 ",Out of Network,Out of Network
"Horizon Eagle Pass, LLC",71550,MRI CH C-MATRL,"$6,086 ","$1,826 ",Out of Network,Out of Network
"Horizon Eagle Pass, LLC",72020,RADEX SPI 1 VIEW SPEC LVL,"$3,024 ",$907 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",72040,RADEX SPI CRV 2/3 VIEWS,"$3,024 ",$907 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",72050,RADEX SPI CRV MINIMUM 4 VIEWS,"$3,025 ",$908 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",72052,RADEX SPI CRV COMPL W/OBLQ&FLEXION&/XTN STDS,"$3,025 ",$908 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",72070,RADEX SPI THRC 2 VIEWS,"$3,024 ",$907 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",72072,RADEX SPI THRC 3 VIEWS,"$3,024 ",$907 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",72074,RADEX SPI THRC MINIMUM 4 VIEWS,"$3,024 ",$907 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",72080,X RAY EXAM TRUNK SPINE 2VWS,"$3,024 ",$907 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",72081,RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 1 VW,$406 ,$122 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",72082,RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 2/3 VW,"$3,024 ",$907 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",72083,RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 4/5 VW,$886 ,$266 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",72084,RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 6/> VW,"$1,032 ",$310 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",72100,RADEX SPI LUMBOSAC 2/3 VIEWS,"$3,258 ",$977 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",72110,LUMBAR X-RAY 4 VIEWS RADEX SPI LUMBOSAC MINIMUM 4 VIEWS,"$3,571 ","$1,071 ",Out of Network,Out of Network
"Horizon Eagle Pass, LLC",72114,RADEX SPI LUMBOSAC COMPL W/BENDING VIEWS,"$3,024 ",$907 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",72120,RADEX SPI LUMBOSAC BENDING MINIMUM 4 VIEWS,"$13,053 ","$3,916 ",Out of Network,Out of Network
"Horizon Eagle Pass, LLC",72125,CT CRV SPI C-MATRL,"$8,000 ","$2,400 ",Out of Network,Out of Network
"Horizon Eagle Pass, LLC",72126,CT CRV SPI C+ MATRL,"$6,048 ","$1,814 ",Out of Network,Out of Network
"Horizon Eagle Pass, LLC",72127,CT CRV SPI C-/C+,"$8,305 ","$2,491 ",Out of Network,Out of Network
"Horizon Eagle Pass, LLC",72128,CT THRC SPI C-MATRL,"$6,804 ","$2,041 ",Out of Network,Out of Network
"Horizon Eagle Pass, LLC",72129,CT THRC SPI C+ MATRL,"$6,573 ","$1,972 ",Out of Network,Out of Network
"Horizon Eagle Pass, LLC",72130,CT THORACIC SPINE W/O & W/CONTRAST MATERIAL,"$2,307 ",$692 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",72131,CT LUMBAR SPINE W/O CONTRAST MATERIAL,"$6,804 ","$2,041 ",Out of Network,Out of Network
"Horizon Eagle Pass, LLC",72132,CT LMBR SPI C+ MATRL,"$6,804 ","$2,041 ",Out of Network,Out of Network
"Horizon Eagle Pass, LLC",72133,CT LUMBAR SPINE W/O & W/CONTRAST MATERIAL,"$7,366 ","$2,210 ",Out of Network,Out of Network
"Horizon Eagle Pass, LLC",72141,MRI SPI CANAL&CNTS CRV C-MATRL,"$8,786 ","$2,636 ",Out of Network,Out of Network
"Horizon Eagle Pass, LLC",72146,MRI SPI CANAL&CNTS THRC C-MATRL,"$4,859 ","$1,458 ",Out of Network,Out of Network
"Horizon Eagle Pass, LLC",72148,MRI SPI CANAL&CNTS LMBR C-MATRL,"$8,385 ","$2,516 ",Out of Network,Out of Network
"Horizon Eagle Pass, LLC",72156,MRI SPI CANAL&CNTS C-/C+ CRV,"$10,265 ","$3,080 ",Out of Network,Out of Network
"Horizon Eagle Pass, LLC",72157,MRI SPI CANAL&CNTS C-/C+,"$10,265 ","$3,080 ",Out of Network,Out of Network
"Horizon Eagle Pass, LLC",72158,MRI SPI CANAL&CNTS C-/C+ LMBR,"$12,204 ","$3,661 ",Out of Network,Out of Network
"Horizon Eagle Pass, LLC",72170,RADEX PELVIS 1/2 VIEWS,"$2,111 ",$633 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",72190,RADEX PELVIS COMPL MINIMUM 3 VIEWS,"$2,214 ",$664 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",72191,CT ANGIOGRAPHY PELVIS W/CONTRAST/NONCONTRAST,"$5,991 ","$1,797 ",Out of Network,Out of Network
"Horizon Eagle Pass, LLC",72192,CT PELVIS C-MATRL,"$7,687 ","$2,306 ",Out of Network,Out of Network
"Horizon Eagle Pass, LLC",72193,CT PELVIS C+ MATRL,"$6,827 ","$2,048 ",Out of Network,Out of Network
"Horizon Eagle Pass, LLC",72194,CT PELVIS C-/C+,"$7,507 ","$2,252 ",Out of Network,Out of Network
"Horizon Eagle Pass, LLC",72195,MRI PELVIS C-MATRL,"$8,080 ","$2,424 ",Out of Network,Out of Network
"Horizon Eagle Pass, LLC",72196,MRI PELVIS C+ MATRL,"$9,075 ","$2,722 ",Out of Network,Out of Network
"Horizon Eagle Pass, LLC",72197,MRI PELVIS W/O & W/CONTRAST MATERIAL,"$7,341 ","$2,202 ",Out of Network,Out of Network
"Horizon Eagle Pass, LLC",72200,RADEX SACROILIAC JNTS <3 VIEWS,"$2,940 ",$882 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",72220,RADEX SACRUM&COCCYX MINIMUM 2 VIEWS,"$3,024 ",$907 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",72255,MYELOGRAPY THRC RS&I,"$3,903 ","$1,171 ",Out of Network,Out of Network
"Horizon Eagle Pass, LLC",72265,MYELOGRAPY LUMBOSAC RS&I,"$7,196 ","$2,159 ",Out of Network,Out of Network
"Horizon Eagle Pass, LLC",73000,RADEX CLAV COMPL,"$3,024 ",$907 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",73010,RADEX SCAPULA COMPL,"$3,024 ",$907 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",73020,RADEX SHO 1 VIEW,"$2,279 ",$684 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",73030,RADEX SHO COMPL MINIMUM 2 VIEWS,"$3,235 ",$971 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",73050,RADEX ACROMCLAV JTS BI +-W8ED DISTRCJ,"$3,024 ",$907 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",73060,RADEX HUM MINIMUM 2 VIEWS,"$3,024 ",$907 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",73070,RADEX ELBW 2 VIEWS,"$3,024 ",$907 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",73080,RADEX ELBW COMPL MINIMUM 3 VIEWS,"$3,024 ",$907 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",73090,RADEX F/ARM 2 VIEWS,"$3,024 ",$907 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",73092,RADEX UXTR INFT MINIMUM 2 VIEWS,"$2,019 ",$606 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",73100,RADEX WRST 2 VIEWS,"$3,024 ",$907 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",73110,RADEX WRST COMPL MINIMUM 3 VIEWS,"$3,164 ",$949 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",73120,RADEX HAND 2 VIEWS,"$2,584 ",$775 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",73130,RADEX HAND MINIMUM 3 VIEWS,"$3,024 ",$907 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",73140,RADEX Fingers MINIMUM 2 VIEWS,"$2,274 ",$682 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",73200,CT UXTR C-MATRL,"$6,804 ","$2,041 ",Out of Network,Out of Network
"Horizon Eagle Pass, LLC",73200,CT UPPER EXTREMITY W/O CONTRAST MATERIAL,"$6,804 ","$2,041 ",Out of Network,Out of Network
"Horizon Eagle Pass, LLC",73201,CT UPPER EXT W/DYE,"$6,804 ","$2,041 ",Out of Network,Out of Network
"Horizon Eagle Pass, LLC",73202,CT UPPER EXTREMITY W/O & W/CONTRAST MATERIAL,"$6,804 ","$2,041 ",Out of Network,Out of Network
"Horizon Eagle Pass, LLC",73206,CT ANGIOGRPHY W/WO CONTRAST UPPER EXTREMITY,"$7,115 ","$2,134 ",Out of Network,Out of Network
"Horizon Eagle Pass, LLC",73218,MRI UPPER EXTREMITY OTH THAN JT W/O CONTR MATRL,"$5,060 ","$1,518 ",Out of Network,Out of Network
"Horizon Eagle Pass, LLC",73220,MRI UXTR OTH/THN JT C-/C+,"$10,265 ","$3,080 ",Out of Network,Out of Network
"Horizon Eagle Pass, LLC",73221,MRI ANY JT UXTR C-MATRL,"$6,086 ","$1,826 ",Out of Network,Out of Network
"Horizon Eagle Pass, LLC",73223,MRI ANY JT UXTR C-/C+,"$10,265 ","$3,080 ",Out of Network,Out of Network
"Horizon Eagle Pass, LLC",73500,(*DELETED 1/1/16*) RADEX HIP UNI 1 VIEW,$357 ,$107 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",73501,RADEX HIP UNILATERAL WITH PELVIS 1 VIEW,"$2,572 ",$772 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",73502,RADEX HIP UNILATERAL WITH PELVIS 2-3 VIEWS,"$3,024 ",$907 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",73503,RADEX HIP UNILATERAL WITH PELVIS MINIMUM 4 VIEWS,"$3,024 ",$907 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",73520,(DELETED 1/1/16) RADEX HIPS BI 2 VIEWS ANTEROPOST PELVIS,$878 ,$263 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",73521,RADEX HIPS BILATERAL WITH PELVIS 2 VIEWS,"$3,024 ",$907 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",73522,RADEX HIPS BILATERAL WITH PELVIS 3-4 VIEWS,"$3,024 ",$907 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",73523,RADEX HIPS BILATERAL WITH PELVIS MINIMUM 5 VIEWS,$582 ,$175 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",73540,"Radiologic examination, pelvis and hips, infant or child, mi...",$583 ,$175 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",73550,RADEX FEMUR 2 VIEWS (DELETED CODE),$861 ,$258 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",73551,X-RAY EXAM OF FEMUR 1V,"$1,320 ",$396 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",73552,"RADEX, Femur; 2V","$2,382 ",$715 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",73560,RADEX KNE 1/2 VIEWS,"$2,019 ",$606 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",73562,RADEX KNE 3 VIEWS,"$3,300 ",$990 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",73564,RADEX KNE COMPL 4/MORE VIEWS,"$3,024 ",$907 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",73565,RADIOLOGIC EXAM BOTH KNEES STANDING ANTEROPOST,"$7,196 ","$2,159 ",Out of Network,Out of Network
"Horizon Eagle Pass, LLC",73590,RADEX TIBFIB 2 VIEWS,"$3,024 ",$907 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",73592,RADEX LXTR INFT MINIMUM 2 VIEWS,"$3,024 ",$907 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",73600,RADEX ANKLE 2 VIEWS,"$3,024 ",$907 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",73610,RADEX ANKLE COMPL MINIMUM 3 VIEWS,"$3,024 ",$907 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",73620,RADEX FOOT 2 VIEWS,"$2,538 ",$761 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",73630,RADEX FOOT COMPL MINIMUM 3 VIEWS,"$2,700 ",$810 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",73650,RADEX CALCANEUS MINIMUM 2 VIEWS,"$3,024 ",$907 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",73660,RADEX TOE MINIMUM 2 VIEWS,"$1,760 ",$528 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",73700,CT LXTR C-MATRL,"$8,004 ","$2,401 ",Out of Network,Out of Network
"Horizon Eagle Pass, LLC",73701,CT LXTR C+ MATRL,"$7,770 ","$2,331 ",Out of Network,Out of Network
"Horizon Eagle Pass, LLC",73702,CT LOWER EXTREMITY C-/C+,"$6,408 ","$1,922 ",Out of Network,Out of Network
"Horizon Eagle Pass, LLC",73706,CT ANGIOGRAPHY LOWER EXTREMITY,"$5,992 ","$1,798 ",Out of Network,Out of Network
"Horizon Eagle Pass, LLC",73718,MRI LOWER EXTREM OTH/THN JT W/O CONTR MATRL,"$7,814 ","$2,344 ",Out of Network,Out of Network
"Horizon Eagle Pass, LLC",73720,"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; C-/C+","$10,265 ","$3,080 ",Out of Network,Out of Network
"Horizon Eagle Pass, LLC",73721,MRI ANY JT LXTR C-MATRL,"$6,086 ","$1,826 ",Out of Network,Out of Network
"Horizon Eagle Pass, LLC",73722,MRI ANY JT LXTR C+ MATRL,"$9,075 ","$2,722 ",Out of Network,Out of Network
"Horizon Eagle Pass, LLC",73723,MRI ANY JT LXTR C-/C+,"$10,265 ","$3,080 ",Out of Network,Out of Network
"Horizon Eagle Pass, LLC",73725,MRA LXTR C+-MATRL,"$6,457 ","$1,937 ",Out of Network,Out of Network
"Horizon Eagle Pass, LLC",74000,RADEX ABD 1 ANTEROPOST VIEW,"$3,024 ",$907 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",74010,RADEX ABD ANTEROPOST&ADDL OBLQ&CONE VIEWS,"$5,637 ","$1,691 ",Out of Network,Out of Network
"Horizon Eagle Pass, LLC",74018,RADEX ABD 1 VIEW,"$2,142 ",$643 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",74019,RADEX ABD 2 VIEWS,"$2,058 ",$617 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",74020,RADEX ABD COMPL W/DCBTS&/ERC VIEWS,"$8,389 ","$2,517 ",Out of Network,Out of Network
"Horizon Eagle Pass, LLC",74021,RADEX ABD 3+ VIEWS,"$2,389 ",$717 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",74022,RADEX ABD COMPL AQT ABD W/S/E/D VIEWS 1 VIEW CH,"$2,275 ",$683 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",74150,CT ABD C-MATRL,"$7,177 ","$2,153 ",Out of Network,Out of Network
"Horizon Eagle Pass, LLC",74160,CT ABD C+ MATRL,"$7,177 ","$2,153 ",Out of Network,Out of Network
"Horizon Eagle Pass, LLC",74170,CT ABD C-/C+,"$7,262 ","$2,179 ",Out of Network,Out of Network
"Horizon Eagle Pass, LLC",74174,CT ANGIO ABD&PELV W/ O&W / DYE,"$10,369 ","$3,111 ",Out of Network,Out of Network
"Horizon Eagle Pass, LLC",74175,CT ANGIOGRAPHY ABDOMEN W/CONTRAST/NONCONTRAST,"$7,170 ","$2,151 ",Out of Network,Out of Network
"Horizon Eagle Pass, LLC",74176,Ct Abd & pelvis W/o Contrast,"$12,476 ","$3,743 ",Out of Network,Out of Network
"Horizon Eagle Pass, LLC",74177,Ct Abdomen&pelvis W/contrast,"$14,401 ","$4,320 ",Out of Network,Out of Network
"Horizon Eagle Pass, LLC",74177,CT ABDOEN & PELVIS W/CONTRAST MATERIAL,"$14,401 ","$4,320 ",Out of Network,Out of Network
"Horizon Eagle Pass, LLC",74178,CT ABDOMEN & PELVIS W/O CONTRST 1/> BODY RE,"$12,555 ","$3,766 ",Out of Network,Out of Network
"Horizon Eagle Pass, LLC",74178,CT ABDOMEN & PELVIS W/O CONTRST 1/> BODY RE,"$12,555 ","$3,766 ",Out of Network,Out of Network
"Horizon Eagle Pass, LLC",74181,MRI ABD C-MATRL,"$6,668 ","$2,000 ",Out of Network,Out of Network
"Horizon Eagle Pass, LLC",74183,MRI ABD C-/C+,"$10,265 ","$3,080 ",Out of Network,Out of Network
"Horizon Eagle Pass, LLC",74185,MRA ABDOMEN W/WO CONTRAST MATERIAL,"$6,107 ","$1,832 ",Out of Network,Out of Network
"Horizon Eagle Pass, LLC",74210,Radiologic examination; pharynx a/o cervical esophagus,"$2,170 ",$651 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",74210,Radiologic examination; pharynx a/o cervical esophagus,"$2,170 ",$651 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",74220,ESOPHOGRAM/ CONTRAST X-RAY ESOPHAGUS,"$2,161 ",$648 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",74241,RADEX GI TRC UPR +-DLYD FLMS W/KUB,"$3,024 ",$907 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",74247,RADEX GI UPR C+ +-GLUC +-DLYD FLMS W/KUB,"$7,069 ","$2,121 ",Out of Network,Out of Network
"Horizon Eagle Pass, LLC",74400,"Urography (pyelography), intravenous, with or without KUB, w...","$7,069 ","$2,121 ",Out of Network,Out of Network
"Horizon Eagle Pass, LLC",74450,URETHROCYSTOGRAPHY RETROGRADE RS&I,"$5,637 ","$1,691 ",Out of Network,Out of Network
"Horizon Eagle Pass, LLC",75635,CT ANGIO ABDOMINAL ARTERIES,"$7,069 ","$2,121 ",Out of Network,Out of Network
"Horizon Eagle Pass, LLC",76010,RADEX FROM NOSE RECTUM FB 1 VIEW CHLD,"$2,520 ",$756 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",76376,3D RNDR I&R CT MRI US/OTH X REQ POSTPCX,"$1,855 ",$557 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",76380,CT LIMITED/LOCALIZED FOLLOW UP STUDY,"$6,804 ","$2,041 ",Out of Network,Out of Network
"Horizon Eagle Pass, LLC",76512,OPHTHALMIC ULTRASOUND DX B-SCAN W/WO A-SCAN,"$3,141 ",$942 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",76536,US SOFT TISS HEAD&NCK R-T IMG,"$3,024 ",$907 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",76604,US CHEST REAL TIME W/IMAGE DOCUMENTATION,"$2,866 ",$860 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",76641,US BREAST UNI REAL TIME WITH IMAGE COMPLETE,"$2,866 ",$860 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",76642,US BREAST UNI REAL TIME WITH IMAGE LIMITED,"$1,941 ",$582 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",76700,US ABDOMINAL R-T W/IMAGE DOCUMENTATION,"$3,224 ",$967 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",76705,ULTRASOUND ABDOMINAL R-T W/IMAGE LIMITED,"$4,003 ","$1,201 ",Out of Network,Out of Network
"Horizon Eagle Pass, LLC",76706,US ABDOMINAL AORTA REAL TIME SCREEN STUDY AAA,$893 ,$268 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",76770,US RETROPERITONEAL R-T W/IMAGE COMPL,"$2,866 ",$860 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",76775,US RPR B-SCAN&/R-T IMG LMTD,"$3,024 ",$907 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",76801,ULTRASOUND 14 WK TABDL 1/1ST GESTATION,"$2,866 ",$860 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",76802,US PREG UTERUS 14 WK TRANSABDL EACH  ADDL GESTATION,"$1,170 ",$351 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",76805,ULTRASOUND AFTER 1ST TRI 1/1ST GESTATION,"$3,024 ",$907 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",76810,US PREG UTERUS > 1ST TRIMESTER ABDL EA GESTATIO,"$3,024 ",$907 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",76813,US FETAL NUCHAL TRANSLUCENCY 1ST GESTATION,"$1,497 ",$449 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",76814,"Ultrasound, pregnant uterus, real time with image documentat...",$431 ,$129 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",76815,US PREGNANT UTERUS LIMITED 1/> FETUSES,"$2,300 ",$690 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",76816,"Ultrasound, pregnant uterus, real time with image documentat...","$1,854 ",$556 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",76817,US PG UTER R-T IMG TRVG,"$3,024 ",$907 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",76827,"DOPPLER ECHO FETAL SPECTRAL DISPLAY COMPLETE;  Doppler echocardiography, fetal, pulsed wave and/or continuous wave with spectral display; complete","$1,948 ",$585 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",76830,US TRVG,"$3,208 ",$962 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",76856,US PELVIC NONOB REAL-TIME IMG COMPLETE,"$3,024 ",$907 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",76857,US PEL NONOB B-SCAN&/R-T IMG LMTD/F-UP+C97,"$2,724 ",$817 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",76870,US SCROTUM&CNTS,"$3,654 ","$1,096 ",Out of Network,Out of Network
"Horizon Eagle Pass, LLC",76881,US EXTREMITY NON-VASC REAL-TIME IMG COMPL,"$3,024 ",$907 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",76882,US EXTREMITY NON-VASC REAL-TIME IMG LMTD,"$1,521 ",$456 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",76937,US GUIDE VASCULAR ACCESS,"$2,671 ",$801 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",76942,US GUIDANCE NEEDLE PLACEMENT IMG S&I,"$2,613 ",$784 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",76942,US GUIDANCE NEEDLE PLACEMENT IMG S&I,"$2,613 ",$784 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",76999,UNLISTED US PROCEDURE,"$1,155 ",$347 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",77074,"Radiologic examination, osseous survey; limited (eg, for metastases)",$895 ,$268 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",77076,RADIOLOGIC EXAMINATION OSSEOUS SURVEY INFANT,"$2,272 ",$682 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",77077,JOINT SURVEY SINGLE VIEW 2 OR MORE JOINTS,"$2,251 ",$675 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",77079,CT BONE MINERAL DENSITY STUDY 1+ SITS APPND,$706 ,$212 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",78075,ADRNL IMG CORTEX&/MEDULLA,"$5,004 ","$1,501 ",Out of Network,Out of Network
"Horizon Eagle Pass, LLC",78223,HIDA SCAN - HEPATBL DUX SYS IMG GLBLDR,"$3,470 ","$1,041 ",Out of Network,Out of Network
"Horizon Eagle Pass, LLC",78306,B1&/JT IMG WHBDY,"$3,235 ",$970 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",78315,B1&/JT IMG 3 PHASE STD,"$3,940 ","$1,182 ",Out of Network,Out of Network
"Horizon Eagle Pass, LLC",78320,B1&/JT IMG TOMOG SPECT,"$3,940 ","$1,182 ",Out of Network,Out of Network
"Horizon Eagle Pass, LLC",78472,CARD BPI GTD =BRM PLNR 1 STD REST/STRS,"$3,032 ",$910 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",78808,NJX RP LOCLZJ NON-IMG PROBE STUDY INTRAVENOUS,"$2,906 ",$872 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",80047,BASIC METABOLIC PANEL CALCIUM IONIZED,"$1,554 ",$466 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",80048,BASIC METABOLIC PANEL CALCIUM TOTAL,"$1,430 ",$429 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",80048,PIC PANEL BASIC METABOLIC,"$1,430 ",$429 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",80048,PIC PANEL BASIC METABOLIC,"$1,430 ",$429 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",80050,GENERAL HLTH PANEL,"$1,473 ",$442 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",80051,ELECTROLYTE PANEL,$540 ,$162 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",80053,COMPRE METAB PANEL,"$1,794 ",$538 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",80053,PIC PANEL COMPREHENS METABOLBX,"$1,794 ",$538 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",80061,LIPID PANEL,"$1,512 ",$454 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",80069,RENAL FUNCTION PANEL,$410 ,$123 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",80074,AQT HEP PANEL,"$1,440 ",$432 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",80076,HEPATC FUNCJ PANEL,"$1,458 ",$437 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",80081,OBSTETRIC PANEL,$485 ,$146 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",80100,DRUG SCR QUAL MLT DRUG CLASSES CHROM EA PX,$342 ,$103 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",80143,DRUG ASSAY ACETAMINOPHEN,"$1,020 ",$306 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",80156,Carbamazepine; total,$327 ,$98 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",80159,DRUG ASSAY CLOZAPINE,$169 ,$51 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",80162,ASSAY OF DIGOXIN,$780 ,$234 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",80164,Valproic acid (dipropylacetic acid); total ,$960 ,$288 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",80165,DRUG SCREEN QUANT DIPROPYLACETIC ACID FREE,"$1,140 ",$342 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",80170,DRUG SCREEN QUANTITATIVE GENTAMICIN,$495 ,$148 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",80175,DRUG SCREEN QUANTITATIVE LAMOTRIGINE,$95 ,$28 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",80177,DRUG SCREEN QUANTITATIVE LEVETIRACETAM,$95 ,$29 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",80178,LITHIUM,$114 ,$34 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",80179,DRUG ASSAY SALICYLATE,"$1,020 ",$306 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",80183,DRUG SCREEN QUANTITATIVE OXCARBAZEPINE,$86 ,$26 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",80184,DRUG SCREEN QUANTITATIVE PHENOBARBITAL,$197 ,$59 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",80185,ASSAY OF PHENYTOIN TOTAL,$243 ,$73 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",80196,SALICYLATE,$167 ,$50 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",80197,TACROLIMUS,$521 ,$156 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",80198,DRUG SCREEN QUANTITATIVE THEOPHYLLINE,$459 ,$138 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",80201,Topiramate,$90 ,$27 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",80202,DRUG SCREEN QUANT VANCOMYCIN,"$1,765 ",$529 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",80300,"Drug screen, any number of drug classes from Drug Class List A; any number of non-TLC devices or procedures, (eg, immunoassay) ",$342 ,$103 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",80305,DRUG TEST PRSMV QUAL DIR OPTICAL OBS PER DAY,$493 ,$148 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",80307,DRUG TEST PRSMV INSTRMNT CHEMISTRY ANALYZERS,$756 ,$227 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",80320,DRUG SCREEN QUANTITATIVE ALCOHOLS,$684 ,$205 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",80329,"Analgesics, non-opioid; 1 or 2",$684 ,$205 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",80330,DRUG SCREEN ANALGESICS NON-OPIOID 3-5,$182 ,$55 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",80335,ANTIDEPRESSANTS TRICYCLIC OTHER CYCLICALS 1 OR 2,$310 ,$93 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",80339,"Antiepileptics, not otherwise specified; 1-3",$155 ,$47 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",80346,DRUG SCREENING BENZODIAZEPINES 1-12,"$1,260 ",$378 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",81000,URNLS DIP STICK/TABLET RGNT NON-AUTO MIC,$510 ,$153 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",81001,URINALYSIS - URNLS DIP STICK/TABLET RGNT AUTO MIC,$690 ,$207 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",81002,URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MIC,$300 ,$90 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",81003,URNLS DIP STICK/TABLET RGNT AUTO W/O MIC,$545 ,$164 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",81015,"Urinalysis, microscopic only ",$124 ,$37 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",81025,URINE PREGNANCY TST VIS COLOR CMPRSN METHS,$684 ,$205 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",81206,BCR/ABL1 MAJOR BREAKPNT QUALITATIVE/QUANTITATIVE,$820 ,$246 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",81225,CYP2C19 GENE ANALYSIS COMMON VARIANTS,"$2,447 ",$734 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",81270,AK2 GENE ANALYSIS P.VAL617PHE VARIANT,$770 ,$231 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",81596,NFCT DS CHRNC HCV 6 BIOCHEM ASSAY SRM ALG LVR,$722 ,$217 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",82000,ACETALDEHYDE BLD,$41 ,$12 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",82009,KETONE BODIES SERUM QUALITATIVE,$196 ,$59 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",82010,ACETONE/OTH KETONE BODIES SERUM QUAN,$382 ,$115 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",82024,Adrenocorticotropic hormone (ACTH),$664 ,$199 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",82040,ALBUMIN SERUM PLASMA/WHOLE BLOOD,$204 ,$61 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",82043,URINE ALBUMIN QUANTITATIVE,$96 ,$29 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",82075,ALCOHOL BRTH,$600 ,$180 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",82085,ASSAY OF ALDOLASE,$97 ,$29 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",82103,ALPHA-1-ANTITRYPSIN TOTAL,$134 ,$40 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",82105,ALPHA-FETOPROTEIN SERUM,$288 ,$86 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",82135,AMINOLEVULINIC ACID DELTA,$118 ,$36 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",82140,Ammonia,"$1,020 ",$306 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",82150,AMYLASE,$572 ,$172 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",82175,ASSAY OF ARSENIC,$199 ,$60 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",82180,"Ascorbic acid (Vitamin C), blood",$104 ,$31 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",82190,ATOMIC ABSRPJ SPECTROSCOPY EA ANAL,$85 ,$26 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",82232,BETA-2 MICROGLOBULIN,$162 ,$49 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",82247,BILIRUBIN TOT,$366 ,$110 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",82248,Bilirubin; direct ,$450 ,$135 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",82270,BLD OCLT PROXIDASE ACTV QUAL FECES 1 DETER,"$1,512 ",$454 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",82271,"Blood, occult, by peroxidase activity (eg, guaiac), qualitat...",$349 ,$105 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",82272,BLOOD OCCULT PEROXIDASE ACTV QUAL FECES 1-3 SPEC,"$1,512 ",$454 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",82274,BLD OCLT FECAL HGB DETER IA QUAL FECES 1-3,$273 ,$82 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",82300,CADMIUM,$236 ,$71 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",82306,VITAMIN D 25 HYDROXY,"$1,020 ",$306 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",82310,CALCIUM TOT,$504 ,$151 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",82330,Calcium; ionized,$504 ,$151 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",82355,Calculus; qualitative analysis,$87 ,$26 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",82365,Calculus; infrared spectroscopy,$93 ,$28 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",82374,CARBON DIOXIDE,$360 ,$108 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",82375,Carboxyhemoglobin; quantitative,$212 ,$64 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",82378,CARCINOEMBRYONIC ANTIGEN CEA,$326 ,$98 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",82390,CERULOPLASMIN,$107 ,$32 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",82435,CHLORIDE BLD,$335 ,$101 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",82465,CHOLESTEROL SERUM/WHL BLD TOT,$540 ,$162 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",82491,CHROM QUAN COLUMN 1 ANAL NES,$310 ,$93 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",82525,Copper,$213 ,$64 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",82530,CORTISOL FREE,$287 ,$86 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",82533,Cortisol; total (Random),$408 ,$122 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",82540,CREATINE,$47 ,$14 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",82541,COL-CHR/MS QUAL 1 STATIONARY&MOBILE PHASE,$83 ,$25 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",82550,CREATINE KINASE TOT,$468 ,$140 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",82550,TRIAGE CARDIAC PANEL 25/BX,$468 ,$140 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",82552,CREATINE KINASE ISOENZYMES,$121 ,$36 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",82553,CKMB - CREATINE KINASE MB FXJ ONLY,$780 ,$234 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",82554,CREATINE KINASE ISOFORMS,$141 ,$42 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",82565,CREATININE BLD,$468 ,$140 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",82570,CREATININE OTHER SOURCE,$136 ,$41 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",82607,CYANOCOBALAMIN,$281 ,$84 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",82626,DEHYDROEPIANDROSTERONE,$253 ,$76 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",82627,Dehydroepiandrosterone-sulfate (DHEA-S),$167 ,$50 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",82653,"Elastase, pancreatic (EL-1), fecal; quantitative",$121 ,$36 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",82656,"Elastase, pancreatic (EL-1), fecal; qualitative or semi-quantitative",$97 ,$29 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",82657,NZM ACTV CELLS/TISS NONRADACT SUBSTRATE EA,$103 ,$31 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",82668,Erythropoietin,$780 ,$234 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",82670,ASSAY OF ESTRADIOL,$480 ,$144 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",82672,ASSAY OF ESTROGENS TOTAL,$63 ,$19 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",82679,ASSAY OF ESTRONE,$429 ,$129 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",82705,FAT/LIPIDS FECES QUALITATIVE,$87 ,$26 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",82728,Ferritin,$660 ,$198 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",82746,Folic Acid: Serum,$253 ,$76 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",82784,ASSAY OF GAMMAGLOBULIN IGA IGD IGG IGM EACH,$810 ,$243 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",82787,GAMMAGLOBULIN IMMUNOGLOBULIN SUBCLASSES,$67 ,$20 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",82800,GASES BLD PH ONLY,$193 ,$58 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",82803,GASES BLD PH CALCULATED O2 SATURATION,$649 ,$195 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",82941,ASSAY OF GASTRIN,$303 ,$91 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",82945,"Glucose, body fluid, other than blood",$474 ,$142 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",82947,GLUC QUAN BLD,$276 ,$83 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",82948,GLUC BLD RGNT STRIP,$684 ,$205 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",82951,GLUCOSE TOLERANCE TEST GTT 3 SPECIMENS,$221 ,$66 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",82962,GLUC BLD GLUC MNTR DEV CLEARED FDA SPEC HOME USE,$283 ,$85 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",82963,ASSAY OF GLUCOSIDASE BETA,$155 ,$46 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",82977,GGT - GLUTAMYLTRASE GAMMA,$600 ,$180 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",82985,ASSAY OF GLYCATED PROTEIN,$168 ,$50 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",83001,Gonadotropin; follicle stimulating hormone (FSH),$319 ,$96 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",83002,GONADOTROPIN LUTEINIZING HORMONE,$319 ,$96 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",83003,ASSAY OF GROWTH HORMONE HUMAN,$400 ,$120 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",83013,HPYLORI BREATH ANAL UREASE ACT NON-RADACT ISTOPE,$674 ,$202 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",83036,Hemoglobin; glycosylated (A1C),$330 ,$99 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",83090,ASSAY OF HOMOCYSTEINE,$179 ,$54 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",83498,ASSAY OF HYDROXYPROGESTERONE 17-D,$272 ,$82 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",83516,IMMUNOASSAY ANALYTE QUAL/SEMIQUAL MULTIPLE STEP,$115 ,$35 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",83519,IMMUNOASSAY ANALYTE QUANT RADIOIMMUNOASSAY,$232 ,$70 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",83520,IMMUNOASSAY ANALYTE QUANTITATIVE NOS,$226 ,$68 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",83521,"Immunoglobulin light chains (ie, kappa, lambda), free, each",$145 ,$44 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",83525,ASSAY OF INSULIN TOTAL,$342 ,$103 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",83540,Iron,"$1,020 ",$306 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",83550,IRON BNDNG CAP,$300 ,$90 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",83605,Grey Top Lactic Acid Plasma Test,$570 ,$171 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",83615,LDH LACTATE DEHYDROGENASE,$600 ,$180 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",83630,LACTOFERRIN FECAL (QUAL),$141 ,$42 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",83631,LACTOFERRIN FECAL QUANTITATIVE,$127 ,$38 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",83655,ASSAY OF LEAD,$208 ,$62 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",83690,LIPASE,$556 ,$167 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",83718,LIPOPROTEIN DIR MEAS HIGH DENSITY CHOLESTEROL,$420 ,$126 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",83721,LIPOPROTEIN DIRECT MEASUREMENT LDL CHOLESTEROL,$164 ,$49 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",83735,MAGNESIUM,$600 ,$180 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",83825,ASSAY OF MERCURY QUANTITATIVE,$171 ,$51 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",83873,MYELIN BASIC PROTEIN CEREBROSPINAL FLUID,$296 ,$89 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",83874,MYOGLOBIN,$780 ,$234 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",83880,BNP - B TYPE NATRIURETIC PEPTIDE,"$1,056 ",$317 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",83921,ORGANIC ACID 1 QUANTITATIVE,$212 ,$64 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",83930,Osmolality: Blood,$159 ,$48 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",83935,Osmolality: Urine,$170 ,$51 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",83970,ASSAY OF PARATHORMONE,$709 ,$213 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",83986,PH BODY FLUID NOT ELSEWHERE SPECIFIED,$62 ,$18 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",83993,"Calprotectin, fecal",$103 ,$31 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",84075,"Phosphatase, alkaline;",$306 ,$92 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",84100,Phosphorus inorganic (phosphate,$292 ,$88 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",84110,ASSAY OF PORPHOBILINOGEN URINE QUANTITATIVE,$145 ,$44 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",84120,PORPHYRINS URINE QUANTITATION & FRACTIONATION,$253 ,$76 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",84132,POTASSIUM SERUM PLASMA/WHOLE BLOOD,$300 ,$90 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",84134,Prealbumin,$171 ,$51 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",84140,Pregnenolone,$174 ,$52 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",84144,ASSAY OF PROGESTERONE,$359 ,$108 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",84145,Procalcitonin (PCT),"$1,020 ",$306 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",84146,Prolactin,$754 ,$226 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",84152,ASSAY OF PROSTATE SPECIFIC ANTIGEN COMPLEXED,$119 ,$36 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",84153,Prostate specific antigen (PSA); total ,$650 ,$195 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",84154,ASSAY OF PROSTATE SPECIFIC ANTIGEN FREE,$184 ,$55 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",84155,PROTEIN XCPT REFRACTOMETRY SERUM PLASMA/WHL BLD,$347 ,$104 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",84156,PROTEIN TOTAL XCPT REFRACTOMETRY URINE,$63 ,$19 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",84157,PROTEIN TOT XCPT REFRACTOMETRY OTH SRC,$524 ,$157 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",84165,PROTEIN ELECTROPHORETIC FRACTJ&QUANTJ SERUM,$107 ,$32 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",84166,PROTEIN ELECTROP FXJ&QUAN OTH FLUS CONCENTRATION,$252 ,$75 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",84206,ASSAY OF PROINSULIN,$267 ,$80 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",84207,ASSAY OF PYRIDOXAL PHOSPHATE,$281 ,$84 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",84270,ASSAY OF SEX HORMONE BINDING GLOBULIN,$228 ,$68 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",84295,SODIUM SERUM PLASMA OR WHOLE BLOOD,$240 ,$72 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",84300,ASSAY OF URINE SODIUM,$346 ,$104 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",84305,ASSAY OF SOMATOMEDIN,$365 ,$110 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",84402,Testosterone; free,$438 ,$131 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",84403,Testosterone; total ,$444 ,$133 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",84410,"Testosterone; bioavailable, direct measurement (eg, differential precipitation)",$431 ,$129 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",84425,Thiamine (Vitamin B-1),$49 ,$15 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",84432,ASSAY OF THYROGLOBULIN,$276 ,$83 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",84436,Thyroxine; total,$438 ,$131 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",84439,THYROXINE FR,$538 ,$161 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",84443,TSH - THYR STIMULATING HORM,$774 ,$232 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",84445,THYROID STIMULATING IMMUNE GLOBULINS TSI,$509 ,$153 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",84446,Tocopherol alpha (Vitamin E),$58 ,$17 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",84450,TRANSFERASE ASPARTATE AMINO,$356 ,$107 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",84460,TRANSFERASE ALANINE AMINO,$300 ,$90 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",84466,ASSAY OF TRANSFERRIN,$360 ,$108 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",84478,Triglycerides,$858 ,$257 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",84479,THYR HORM UPTK/THYR HORM BNDNG RATIO,$402 ,$121 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",84480,TRIIODOTHYRO9 T3 TOT,$684 ,$205 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",84481,TRIIODOTHYRO9 T3 FR,$570 ,$171 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",84482,Triiodothyronine T3; reverse,$275 ,$83 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",84484,TROPONIN QUAN,"$1,055 ",$317 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",84512,TROPONIN QUAL,$408 ,$122 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",84520,UREA N QUAN,$431 ,$129 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",84550,URIC ACID BLD,$684 ,$205 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",84560,URIC ACID OTH SRC,$540 ,$162 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",84590,VITAMIN A,$58 ,$17 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",84597,Vitamin K,$58 ,$17 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",84630,Zinc,$96 ,$29 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",84681,ASSAY OF C-PEPTIDE,$358 ,$107 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",84702,GONAD CHORNC QUAN,"$1,176 ",$353 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",84703,Blood pregnancy test  HCG,"$1,020 ",$306 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",85007,"Blood count; blood smear, microscopic examination w/ manual differential WBC count",$269 ,$81 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",85014,BLD# HEMATOCRIT,$151 ,$45 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",85018,BLD# HGB,$151 ,$45 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",85025,CBC-BLD# COMPL AUTO HHRWP&AUTO DIFFIAL,"$1,512 ",$454 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",85027,BLD# COMPL AUTO HHRWP,$408 ,$122 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",85032,BLD# MNL C-CNT RBC WBC/PLTLT EA,$227 ,$68 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",85044,BLD# RETICULOCYTE MNL,$149 ,$45 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",85045,"Blood count; reticulocyte, automated","$1,512 ",$454 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",85048,AUTOMATED LEUKOCYTE COUNT,$268 ,$80 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",85049,BLOOD COUNT PLATELET AUTOMATED,$45 ,$13 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",85060,BLOOD SMEAR PERIPHERAL INTERP PHYS W/WRIT REPORT,$155 ,$47 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",85270,CLOTTING FACTOR XI PTA,$269 ,$81 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",85347,COAGJ TM ACTIVATED,$73 ,$22 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",85378,D-DIMER - FIBRIN DGRADJ PRODUXS D-DIMER QUAL/SEMIQUAN,$224 ,$67 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",85379,FIBRIN DGRADJ PRODUXS D-DIMER QUAN,"$1,050 ",$315 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",85380,FIBRIN DGRADJ PRODUXS D-DIMER ULTRSENS,$225 ,$68 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",85384,Fibrinogen: Activity ,$228 ,$68 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",85385,FIBRINOGEN ANTIGEN,$145 ,$43 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",85460,HEMOGLOBIN FETAL (KLEIHAUER-BETKE) ,$133 ,$40 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",85520,Heparin assay,$110 ,$33 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",85610,PT - PROTHROMBIN TIME,$934 ,$280 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",85613,RUSSELL VIPER VENOM TIME DILUTED,$124 ,$37 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",85635,REPTILASE TEST,$99 ,$30 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",85651,SEDIMENTATION RATE RBC NON-AUTO,$684 ,$205 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",85652,SEDIMENTATION RATE RBC AUTO,$168 ,$50 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",85670,THROMBIN TIME PLASMA,"$1,020 ",$306 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",85730,THROMBOPLASTIN TM PRTL PLSM/WHL BLD,$359 ,$108 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",86000,AGGLUTININS FEBRILE EA AG,$120 ,$36 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",86003,ALLERGEN SPEC IGE CRUDE ALLERGEN EXTRACT EACH,$52 ,$16 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",86015,"Actin (smooth muscle) antibody (ASMA), each",$121 ,$36 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",86021,ANTIBODY IDENTIFICATION LEUKOCYTE ANTIBODIES,$259 ,$78 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",86036,ANTINEUTROPHIL CYTOPLASMIC ANTB SCREEN EA ANTB,$101 ,$30 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",86038,Antinuclear antibodies (ANA),$411 ,$123 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",86039,ANTINUCLEAR ANTIBODIES ANA TITER,$521 ,$156 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",86060,ANTISTREPTOLYSIN O TITER,$186 ,$56 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",86140,C-reactive protein,$504 ,$151 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",86141,C-reactive protein; high sensitivity (hsCRP),$230 ,$69 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",86157,COLD AGGLUTININ TITER,$58 ,$17 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",86160,COMPLEMENT ANTIGEN EACH COMPONENT,$206 ,$62 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",86162,COMPLEMENT TOTAL HEMOLYTIC,$323 ,$97 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",86200,"Cyclic citrullinated peptide (CCP), antibody",$850 ,$255 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",86225,DNA ANTIBODY NATIVE/DOUBLE STRANDED,$236 ,$71 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",86235,EXTRACTABLE NUCLEAR ANTIGEN ANTIBODY ANY METHOD,$684 ,$205 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",86255,FLUORESCENT NONNFCT AGT ANTB SCREEN EA ANTIBODY,$446 ,$134 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",86256,FLUORESCENT NONNFCT AGT ANTB TITER EA ANTIBODY,$121 ,$36 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",86258,"Gliadin (deamidated) (DGP) antibody, each immunoglobulin (Ig) class",$97 ,$29 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",86300,IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 15-3,$358 ,$107 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",86301,IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 19-9,$358 ,$107 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",86304,IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 125,$358 ,$107 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",86308,MONO - HTROPHL ANTIBODIES SCR,$524 ,$157 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",86318,IA INFECTIOUS AGT ANTIBODY QUAL/SEMI 1 STEP METH,$181 ,$54 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",86325,IMMUNOELECTROPHORESIS OTH FLUS CONCENTRATION,$228 ,$68 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",86328,IA INFECTIOUS AGT ANTIBODY SARS-COV-2 COVID-19,$362 ,$109 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",86334,Immunofixation electrophoresis; serum,$247 ,$74 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",86335,IMMUNOFIXJ ELECTROPHORESIS OTHER FLUIDS,$247 ,$74 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",86337,Insulin antibodies,$125 ,$37 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",86341,ISLET CELL ANTIBODY,$125 ,$37 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",86343,LEUKOCYTE HISTAMINE RELEASE TEST LHR,$90 ,$27 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",86356,MONONUCLEAR CELL ANTIGEN QUANTITATIVE NOS EA,$111 ,$33 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",86360,LACTOFERRIN FECAL QUALITATIVE,$197 ,$59 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",86361,T CELLS ABSOLUTE CD4 COUNT,$174 ,$52 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",86364,"Tissue transglutaminase, each immunoglobulin (Ig) class",$97 ,$29 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",86374,86374,$89 ,$27 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",86376,MICROSOMAL ANTIBODIES EACH,$850 ,$255 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",86381,"Mitochondrial antibody (eg, M2), each",$267 ,$80 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",86403,PART AGGLUJ SCR EA ANTB,$198 ,$59 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",86430,RHEUMATOID FACTOR QUAL,$110 ,$33 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",86431,RHEUMATOID FACTOR QUANTITATIVE,$307 ,$92 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",86480,TB CELL MEDIATED ANTIGN RESPNSE GAMMA INTERFER,$110 ,$33 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",86481,TB ANTIGEN RESPONSE GAMMA INTERFERON T-CELL SUSP,"$1,000 ",$300 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",86580,SKN TST TUBERCULOSIS ID,$102 ,$31 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",86592,SYPHILIS TEST NON TREPONEMAL ANTIBODY QUAL,$384 ,$115 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",86593,"Syphilis test, non-treponemal antibody; quantitative",$756 ,$227 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",86611,Antibody; Bartonella,$141 ,$42 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",86615,ANTIBODY BORDETELLA,$85 ,$26 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",86617,LYME DISEASE ANTIBODY,$300 ,$90 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",86618,Antibody; Borrelia burgdorferi (Lyme disease) ,$293 ,$88 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",86622,"Antibody: Brucella, ",$61 ,$18 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",86631,ANTB CHLAMYDIA,$194 ,$58 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",86635,Antibody; Coccidioides,$360 ,$108 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",86638,Antibody: Coxiella burnetii (Q fever),$61 ,$18 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",86644,ANTIBODY CYTOMEGALOVIRUS CMV,$347 ,$104 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",86645,ANTIBODY CYTOMEGALOVIRUS CMV IGM,$59 ,$18 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",86652," Antibody; encephalitis, Eastern equine",$59 ,$18 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",86654,"Antibody; encephalitis, Western equine",$59 ,$18 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",86658,"Antibody; enterovirus (eg, coxsackie, echo, polio)",$141 ,$42 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",86663,ANTB EPSTEIN-BARR EB VIRUS EARLY AG EA,$365 ,$110 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",86664,ANTIBODY EPSTEIN-BARR EB VIRUS NUCLEAR AG EBNA,$300 ,$90 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",86665,ANTIBODY EPSTEIN-BARR EB VIRUS VIRAL CAPSID VCA,$322 ,$97 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",86666,Antibody; Ehrlichia,$68 ,$20 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",86668,Antibody; Francisella tularensis,$78 ,$23 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",86671,ANTIBODY FUNGUS NOT ELSEWHERE SPECIFIED,$79 ,$24 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",86677,Antibody; Helicobacter pylori ,$684 ,$205 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",86689,ANTB HTLV/HIV ANTB CONFIRMATORY TST,$465 ,$140 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",86689,CLEARVIEW HIV CTL LVL 1&2,$465 ,$140 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",86694,ANTIBODY HERPES SMPLX NON-SPECIFIC TYPE TEST,$108 ,$32 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",86695,ANTIBODY HERPES SMPLX TYPE 1,$408 ,$122 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",86696,ANTIBODY HERPES SMPLX TYPE 2,$480 ,$144 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",86701,ANTB HIV-1,$503 ,$151 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",86703,ANTIBODY HIV-1&HIV-2 SINGLE RESULT,$103 ,$31 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",86704,HEPATITIS B CORE ANTIBODY HBCAB TOTAL,$181 ,$54 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",86705,HEP B CORE ANTIBODY IGM,$190 ,$57 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",86706,HEPATITIS B SURF ANTIBODY HBSAB,$299 ,$90 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",86708,HEPATITIS A ANTIBODY HAAB,$213 ,$64 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",86709,HEPATITIS ANTIBODY HAAB IGM ANTIBODY,$208 ,$62 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",86710,ANTB INF VIRUS,$233 ,$70 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",86717,Antibody; Leishmania,$61 ,$18 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",86720,Antibody: Leptospira,$61 ,$18 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",86735,ANTIBODY MUMPS,$720 ,$216 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",86756,RSV ANTB,$345 ,$104 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",86756,Antibody; respiratory syncytial virus,$345 ,$104 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",86757,Antibody; Rickettsia ,"$1,020 ",$306 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",86759,Antibody; rotavirus,$227 ,$68 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",86762,Antibody; rubella,$480 ,$144 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",86765,ANTIBODY RUBEOLA,$600 ,$180 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",86769,ANTB SEVERE AQT RESPIR SYND SARS-COV-2 COVID19,"$1,020 ",$306 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",86777,ANTIBODY TOXOPLASMA,$345 ,$104 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",86787,ANTB VARICELLA-ZOSTER,$300 ,$90 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",86788,ANTIBODY WEST NILE VIRUS IGM,$319 ,$96 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",86789,ANTIBODY WEST NILE VIRUS,$104 ,$31 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",86790,ANTIBODY VIRUS NOT ELSEWHERE SPECIFIFED,$171 ,$51 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",86800,THYROGLOBULIN ANTIBODY,$850 ,$255 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",86803,HEPATITIS C ANTIBODY,$245 ,$74 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",86812,"HLA typing; A, B, or C (eg, A10, B7, B27), single antigen",$444 ,$133 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",86850,ANTB SCR RBC EA SERUM TQ,$282 ,$85 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",86870,ANTIBODY ID RBC ANTIBODIES EA PANEL EA SERUM TQ,$153 ,$46 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",86880,COOMBS TEST DIRECT,$219 ,$66 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",86886,COOMBS TEST INDIRECT TITER,$89 ,$27 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",86900,"Blood typing, serologic; ABO","$1,020 ",$306 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",86901,BLD TYPING RH D,"$1,020 ",$306 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",86902,BLOOD TYPE ANTIGEN DONOR REAGENT SERUM EACH,$33 ,$10 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",86906,BLD TYPING RH PHEXYPING COMPL,$194 ,$58 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",87015,CONCENTRATION INFECTIOUS AGENTS,$344 ,$103 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",87040,Blood Culture Pedi,$463 ,$139 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",87040,Blood Culture Adult,$463 ,$139 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",87040,BLOOD CULTURE - CUL BACT BLD AERC ISOL,$463 ,$139 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",87045,CUL BACT STL AERC ISOL SALMONELLA&SHIGELLA,$953 ,$286 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",87046,STOOL CULTR AEROBIC BACT EA,"$1,140 ",$342 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",87070,Wound Culture Anaerobes/Aerobes,$612 ,$184 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",87070,CUL BACT XCPT URINE BLD/STL AERC ISOL,$612 ,$184 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",87073,CUL BACT QUAN ANAERC ISOL XCPT UR BLOOD/STOOL,$61 ,$18 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",87075,CUL BACT BLD ANAERC ISOL,$684 ,$205 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",87076,CULTURE ANAEROBE IDENT EACH,$516 ,$155 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",87077,Culture Aerobic Identify,$684 ,$205 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",87081,CUL PRSMPTV PTHGNC ORGANISMS SCR,$684 ,$205 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",87086,CUL BACT QUAN COLONY CNT URINE,$465 ,$140 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",87088,CULTURE BCT ISOL&PRSMPTV ID ISOLATE EA URINE,$344 ,$103 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",87101,CUL FNGI MOLD/YEAST PRSMPTV ID SKN HAIR/NAIL,"$1,020 ",$306 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",87102,CULTURE FNGI MOLD/YEAST PRSMPTV OTH XCPT BLOOD,$569 ,$171 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",87103,CULTURE FNGI MOLD/YEAST ISOL PRSMPTV ISOL BLOOD,$215 ,$64 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",87109,CULTURE MYCOPLASMA ANY SOURCE,$154 ,$46 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",87110,CUL CHLAMYDIA ANY SRC,$385 ,$116 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",87116,CULTURE TUBERCLE/OTH ACID-FAST BACILLI ANY ISOL,$350 ,$105 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",87140,CULTURE TYPE IMMUNOFLUORESC,$42 ,$13 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",87150,ALL TARGETS (N),$114 ,$34 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",87177,"Ova and parasites, direct smears, concentration and identification","$1,140 ",$342 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",87205,"Smear, primary source with interpretation; Gram or Giemsa st...",$420 ,$126 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",87207,"Smr, prim src, w/ int; spec stain for inclusion bodies or parasites e.g. Malaria......",$252 ,$75 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",87209,SMR PRIM SRC CPLX SPEC STAIN OVA&PARASITS,"$1,140 ",$342 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",87210,SMR PRIM SRC WET MOUNT NFCT AGT,"$1,020 ",$306 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",87230,TOXIN/ANTITOXIN ASSAY TISSUE CULTURE,"$1,140 ",$342 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",87252,VIRUS TISS CUL INOCULATION CYTOPATHIC EFFECT,$448 ,$134 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",87254,VIRUS CENTRIFUGE ENHNCD ID IMFLUOR STAIN EA,$127 ,$38 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",87255,GENET VIRUS ISOLATE HSV,$498 ,$149 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",87265,IAADI BORDETELLA PRTUSSIS/PARAPRTUSSIS,$209 ,$63 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",87272,IAADI CRYPTOSPORIDIUM,$86 ,$26 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",87273,IAADI HERPES SMPLX VIRUS TYPE 2,$90 ,$27 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",87274,HERPES SIMPLEX 1 AG,$53 ,$16 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",87278,LEGION PNEUMOPHILIA AG IF,$86 ,$26 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",87280,Infectious agent antigen detection by immunofluorescent tech...,$69 ,$21 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",87290,IAADI VARICELLA ZOSTER VIRUS,$86 ,$26 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",87324,CLOSTRIDIUM AG EIA,$463 ,$139 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",87327,Infectious agent antigen detection .... Cryptococcus neoformans,$49 ,$15 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",87329,IAAD IA GIARDIA,$86 ,$26 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",87335,IAAD IA ESCHERICHIA COLI 0157,$206 ,$62 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",87337,IAAD IA ENTAMOEBA HISTOLYTICA GRP,$78 ,$23 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",87338,HPYLORI STOOL AG IA,$207 ,$62 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",87340,IAAD IA HEPATITIS B SURFACE ANTIGEN,$211 ,$63 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",87389,Infectious agent antigen detection by enzyme immunoassay tec...,$720 ,$216 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",87390,,$303 ,$91 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",87400,INFLUENZA B,$259 ,$78 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",87400,INFLUENZA A,$259 ,$78 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",87420,IAAD EIA RSV,$570 ,$171 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",87425,IAAD IA ROTAVIRUS,"$1,140 ",$342 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",87427,IAAD IA SHIGA-LIKE TOXIN,$660 ,$198 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",87430,IAAD EIA STREPTOCOCCUS GROUP A,$348 ,$104 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",87430,IAAD EIA STREPTOCOCCUS GROUP A,$348 ,$104 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",87430,STREP A QUICKVIEW INLINE 25B,$348 ,$104 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",87449,IAAD IA MULT STEP METHOD NOS EACH ORGANISM,$206 ,$62 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",87476,IADNA BORRELIA BURGDORFERI AMPLIFIED PROBE TQ,"$2,421 ",$726 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",87480,IADNA CANDIDA SPECIES DIRECT PROBE TQ,$144 ,$43 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",87481,IADNA CANDIDA SPECIES AMPLIFIED PROBE TQ,$227 ,$68 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",87483,CNS DNA/RNA AMP PROBE MULTIPLE SUBTYPES 12-25,"$1,501 ",$450 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",87483,CNS DNA/RNA AMP PROBE MULTIPLE SUBTYPES 12-25,"$1,501 ",$450 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",87486,CHLAMYDOPHILA,$480 ,$144 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",87490,IADNA CHLAMYDIA TRACHOMATIS DIRECT PROBE TQ,$151 ,$45 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",87491,"Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe technique",$756 ,$227 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",87493,INF AGENT DET NUC ACID CLOSTRIDIUM AMP PROBE,"$1,020 ",$306 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",87496,IADNA CYTOMEGALOVIRUS AMPLIFIED PROBE TQ,$227 ,$68 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",87498,IADNA ENTEROVIRUS AMPLIF PROBE & REVRSE TRNSCRIP,$253 ,$76 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",87502,INFECTIOUS AGENT DNA/RNA INFLUENZA 1ST 2 TYPES,$552 ,$165 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",87507,IADNA-DNA/RNA GI PTHGN MULTIPLEX PROBE TQ 12-25,"$3,002 ",$900 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",87507,IADNA-DNA/RNA GI PTHGN MULTIPLEX PROBE TQ 12-25,"$3,002 ",$900 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",87510,IADNA GARDNERELLA VAGINALIS DIRECT PROBE TQ,"$1,751 ",$525 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",87517,IADNA HEPATITIS B VIRUS QUANTIFICATION,$428 ,$129 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",87522,IADNA HEPATITIS C QUANT & REVERSE TRANSCRIPTION,$584 ,$175 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",87528,IADNA HERPES SMPLX VIRUS DIR PRB,$166 ,$50 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",87529,IADNA HERPES SOMPLX VIRUS AMPLIFIED PROBE TQ,"$1,020 ",$306 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",87536,IADNA HIV-1 QUANT & REVERSE TRANSCRIPTION,"$1,462 ",$439 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",87581,MYCOPLASMA PNEUMONIAE,$360 ,$108 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",87590,IADNA NEISSERIA GONORRHOEAE DIRECT PROBE TQ,$345 ,$103 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",87591,IADNA NEISSERIA GONORRHOEAE AMP PRB,$408 ,$122 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",87592,IADNA NEISSERIA GONORRHOEAE QUAN,$756 ,$227 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",87621,Infectious agent detection by nucleic acid (DNA or RNA); pap...,$119 ,$36 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",87631,IADNA RESPIRATRY PROBE & REV TRNSCR 3-5 TARGETS,"$1,663 ",$499 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",87633,IADNA RESPIRATRY PROBE & REV TRNSCR 12-25 TARGET,"$8,576 ","$2,573 ",Out of Network,Out of Network
"Horizon Eagle Pass, LLC",87633,IADNA RESPIRATRY PROBE & REV TRNSCR 12-25 TARGET,"$8,576 ","$2,573 ",Out of Network,Out of Network
"Horizon Eagle Pass, LLC",87635,IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ,$600 ,$180 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",87636,IADNA SARSCOV2& INF A&B MULT AMPLIFIED PROBE TQ,$998 ,$299 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",87641,"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, methicillin resistant, amplified probe technique","$1,440 ",$432 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",87651,IADNA STREPTOCOCCUS GROUP A AMPLIFIED PROBE TQ,$480 ,$144 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",87660,IADNA TRICHOMONAS VAGINALIS DIRECT PROBE TQ,$780 ,$234 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",87661,IADNA TRICHOMONAS VAGINALIS AMPLIFIED PROBE TECH,$505 ,$152 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",87798,IADNA NOS AMPLIFIED PROBE TQ EACH ORGANISM,$567 ,$170 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",87798,BORDETELLA PERTUSSIS,$567 ,$170 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",87798,BORDETELLA PERTUSSIS,$567 ,$170 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",87798,BORDETELLA PARAPETUSSIS,$567 ,$170 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",87801,IADNA MULTIPLE ORGANISMS AMPLIFIED PROBE TQ,"$1,133 ",$340 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",87802,IAADIADOO STREPTOCOCCUS GROUP B,$86 ,$26 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",87803,CLOSTRIDIUM TOXIN A W/OPTIC,$99 ,$30 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",87804,IAADIADOO INFLUENZA A/B EACH,$575 ,$173 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",87806,IAADIADOO HIV1 ANTIGEN W/HIV1 & HIV2 ANTIBODIES,"$1,260 ",$378 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",87807,IAADIADOO RSV,"$2,896 ",$869 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",87810,CHYLMD TRACH ASSAY W/OPTIC (Urine),$206 ,$62 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",87850,IAADIADOO NEISSERIA GONORRHOEAE,$90 ,$27 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",87880,IAADIADOO STREPTOCOCCUS GRP,"$1,038 ",$311 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",87899,IAADIADOO NOT OTHERWISE SPECIFIED,$780 ,$234 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",87905,"Infectious agent enzymatic activity other than virus (eg, sialidase activity in vaginal fluid)",$210 ,$63 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",88112,CYTP SLCTV CELL ENHANCEMENT INTERPJ XCPT C/V,$713 ,$214 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",88141,"Cytopathology, cervical or vaginal",$311 ,$93 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",88233,TISS CUL NON-NEO DISORDERS SKN/OTH SOLID TISS BX,"$2,027 ",$608 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",88262,CHRMSM COUNT 15-20 CLL 2KARYOTYP BANDING,"$2,142 ",$642 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",88291,CYTOGENETICS&MOLEC CYTOGENETICS INTERP&REP,$403 ,$121 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",88305,LEVEL IV SURG PATHOLOGY GROSS&MICROSCOPIC EXAM,$879 ,$264 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",88346,IMMUNOFLUORESCENCE PER SPEC 1ST SINGL ANTB STAIN,"$1,370 ",$411 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",89050,"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, jt fluid), except blood","$1,038 ",$311 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",89051,"Cell count, miscellaneous body fluids (eg, cerebrospinal flu...",$497 ,$149 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",89055,Leukocyte assessment,$684 ,$205 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",89060,CRYSTAL ID LIGHT MICROSCOPY ALYS TISS/ANY FLUID,$780 ,$234 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",89220,SPTM OBTG SPEC AERSL INDUCED SPX,$221 ,$66 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",99201,OFFICE OUTPATIENT NEW 10 MINUTES,$309 ,$93 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",99202,OFFICE/OUTPATIENT NEW SF MDM 15-29 MINUTES,$583 ,$175 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",99212,OFFICE OUTPATIENT VISIT 10 MINUTES,$294 ,$88 ,Out of Network,Out of Network
"Horizon Eagle Pass, LLC",U0003,Infectious agent detection by nucleic acid (DNA or RNA); sev,$524 ,$157 ,Out of Network,Out of Network