|
Hepatitis a antibody igm
|
$78.00 |
$80.60 |
$98.80 |
|
|
Hepatitis b core antibody igm
|
$50.05 |
$52.00 |
$103.35 |
|
|
Hepatitis b core antibody total
|
$42.90 |
$42.90 |
$96.20 |
|
|
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution
|
$519.24 |
$519.24 |
$2,440.27 |
|
|
Hepatitis b surface antibody
|
$60.45 |
$62.40 |
$107.90 |
|
|
Hepatitis c antibody
|
$50.70 |
$98.80 |
$141.70 |
|
|
Hepatobiliary system imaging
|
$1,192.10 |
$1,192.10 |
$1,607.62 |
|
|
Hereditary colon ca dsordrs
|
$2,748.85 |
$2,845.05 |
$2,845.05 |
|
|
Hernia Repair (Inguinal)
|
$1,013.35 |
$1,013.35 |
$6,739.98 |
|
|
Herpes simplex 1 ag if
|
$63.05 |
$63.05 |
$74.75 |
|
|
Herpes simplex 2 ag if
|
$58.50 |
$58.50 |
$68.90 |
|
|
Herpes simplex type 1 antibody igg
|
$74.75 |
$117.65 |
$139.10 |
|
|
Herpes simplex type 2 antibody igg
|
$89.05 |
$125.45 |
$139.10 |
|
|
Herpes simplex virus isolation
|
$110.50 |
$114.40 |
$114.40 |
|
|
Heterophile antibodies screening
|
$18.20 |
$67.60 |
$77.35 |
|
|
Hexa gene
|
$293.15 |
$293.15 |
$345.80 |
|
|
Hip arthroscopy dx
|
$6,554.19 |
$6,554.19 |
$6,554.19 |
|
|
Hip X-ray
|
$175.50 |
$176.80 |
$222.30 |
|
|
Histamine
|
$165.75 |
$174.20 |
$174.20 |
|
|
Histochemical stains add-on
|
$131.30 |
$131.30 |
$12,407.23 |
|
|
Hla i typing high res 1 allele grp ea
|
$306.15 |
$332.15 |
$364.65 |
|
|
Hla typing a b or c
|
$279.50 |
$279.50 |
$279.50 |
|
|
Hla typing dr/dq
|
$207.35 |
$233.35 |
$275.60 |
|
|
Hocm 250-299mg/ml iodine,1ml
|
$7.72 |
$7.72 |
$7.72 |
|
|
Hocm 350-399mg/ml iodine,1ml
|
$34.86 |
$48.29 |
$140.44 |
|
|
Home health re-certification physician g0179
|
$73.45 |
$73.45 |
$73.45 |
|
|
Home sleep test/type 3 porta
|
$622.05 |
$622.05 |
$622.05 |
|
|
Homocysteine
|
$120.25 |
$120.25 |
$143.00 |
|
|
Homogenization tissue
|
$33.80 |
$42.90 |
$50.70 |
|
|
Homovanillic acid (hva)
|
$59.80 |
$59.80 |
$70.85 |
|
|
Hopd mntl hlt, 15-29 min
|
$178.75 |
$178.75 |
$178.75 |
|
|
Hopd mntl hlt, 30-60 min
|
$233.35 |
$233.35 |
$233.35 |
|
|
Hopd mntl hlt, grp
|
$267.80 |
$267.80 |
$267.80 |
|
|
Hpv types 16 & 18 only
|
$90.35 |
$93.60 |
$97.50 |
|
|
H pylori (c-13) breath
|
$122.20 |
$122.85 |
$145.60 |
|
|
H pylori drug admin
|
$19.50 |
$19.50 |
$37.70 |
|
|
Human epididymis protein 4 (he4)
|
$156.65 |
$156.65 |
$185.25 |
|
|
Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution
|
$3,173.62 |
$6,347.25 |
$6,347.25 |
|
|
Hyaluronidase, human recombinant 150 unit/ml injection solution
|
$172.28 |
$172.28 |
$172.28 |
|
|
Hydralazine 20 mg/ml injection solution
|
$7.15 |
$51.51 |
$52.61 |
|
|
Hydration IV infusion each additional hour
|
$125.45 |
$125.45 |
$176.15 |
|
|
Hydration IV infusion initial 31minutes - 1 hour
|
$125.45 |
$125.45 |
$178.75 |
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$78.03 |
$154.78 |
$620.74 |
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$13.00 |
$13.00 |
$84.57 |
|
|
Hydroxocobalamin im 10mcg
|
$7.15 |
$7.15 |
$7.15 |
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$94.39 |
$94.39 |
$104.08 |
|
|
Hydrxycorticsterds 17- (17-ohcs)
|
$73.45 |
$73.45 |
$86.45 |
|
|
Hysterosalpingography s&i
|
$453.70 |
$453.70 |
$547.30 |
|
|
Hysteroscopy ablation
|
$5,829.10 |
$5,829.10 |
$5,829.10 |
|
|
Hysteroscopy biopsy
|
$5,002.07 |
$5,002.07 |
$5,002.07 |
|
|
Hysteroscopy dx sep proc
|
$4,372.12 |
$4,372.12 |
$4,372.12 |
|
|
Hysteroscopy remove myoma
|
$5,417.29 |
$5,417.29 |
$5,417.29 |
|
|
Hzv zoster vacc recombinant adjuvanted im inj
|
$472.90 |
$472.90 |
$472.90 |
|
|
I-123 iobenguane diag
|
$6,045.00 |
$6,045.00 |
$6,045.00 |
|
|
I-123 ioflupane diag
|
$4,253.60 |
$4,253.60 |
$4,253.60 |
|
|
I-123 sod iodide diag per 100 uci
|
$126.10 |
$126.10 |
$126.10 |
|
|
I131 iodide cap, rx
|
$48.10 |
$48.10 |
$48.10 |
|
|
I131 iodide sol, rx
|
$23.40 |
$23.40 |
$23.40 |
|
|
Iaadi respiratory synctial virus
|
$55.90 |
$57.85 |
$57.85 |
|
|
Iadna legionella pneumophila amplified probe tq
|
$128.05 |
$132.60 |
$132.60 |
|
|
Ibandronate 3 mg/3 ml intravenous syringe
|
$469.56 |
$469.56 |
$493.68 |
|
|
Ibuprofen injection
|
$664.95 |
$664.95 |
$664.95 |
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$1,728.48 |
$1,728.48 |
$1,728.48 |
|
|
Idarubicin hcl injection
|
$477.33 |
$477.33 |
$477.33 |
|
|
Idh1 common variants
|
$400.40 |
$415.35 |
$415.35 |
|
|
Idh2 common variants
|
$440.05 |
$458.25 |
$458.25 |
|
|
Ifosfamide 1 gram intravenous solution
|
$90.08 |
$138.57 |
$138.57 |
|
|
Igh gene rearrange amp meth
|
$401.05 |
$401.05 |
$473.85 |
|
|
Igh@ var region somatic mutation analy
|
$560.30 |
$580.45 |
$580.45 |
|
|
Igk rearrangeabn clonal pop
|
$335.40 |
$335.40 |
$368.55 |
|
|
Ihc/icc per specimen each additional single antibody stain
|
$155.35 |
$191.75 |
$7,893.30 |
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$189.80 |
$189.80 |
$8,221.22 |
|
|
Ihc/icc per specimen initial single antibody stain
|
$181.35 |
$4,095.89 |
$5,054.23 |
|
|
Iliac/fem angio cath insert
|
$1,367.60 |
$1,367.60 |
$1,367.60 |
|
|
Imatinib 100 mg tab
|
$219.53 |
$219.53 |
$219.53 |
|
|
Imetelstat 188 mg intravenous solution
|
$6,060.16 |
$6,060.16 |
$6,060.16 |
|
|
Immobilizer shldr cntor adlt
|
$89.70 |
$89.70 |
$89.70 |
|
|
Immobilizer shldr dlx str 24-36in med
|
$171.60 |
$171.60 |
$171.60 |
|
|
Immobilizer shldr sling med
|
$5.85 |
$5.85 |
$5.85 |
|
|
Immune complex assay
|
$84.50 |
$84.50 |
$118.30 |
|
|
Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution
|
$4,520.11 |
$4,520.11 |
$4,520.11 |
|
|
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution
|
$1,957.07 |
$1,957.07 |
$1,957.07 |
|
|
Immunoassay tumor antigen quantitative ca 125
|
$35.10 |
$166.40 |
$166.40 |
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$95.55 |
$98.80 |
$146.90 |
|
|
Immunodiff gel qual ea antigen/ab
|
$68.90 |
$68.90 |
$74.10 |
|
|
Immunodiffusion nes
|
$102.70 |
$102.70 |
$121.55 |
|
|
Immunofixation electrophoresis serum
|
$176.80 |
$176.80 |
$208.65 |
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$152.10 |
$171.60 |
$7,056.20 |
|
|
Immunofluorescence per specimen initial single antibody stain
|
$189.80 |
$206.05 |
$7,056.20 |
|
|
Immunoglobulin assay
|
$110.50 |
$114.40 |
$128.05 |
|
|
Implant cochlear device
|
$48,737.15 |
$48,737.15 |
$48,737.15 |
|
|
Implant neuroelectrodes
|
$26,269.28 |
$26,269.28 |
$26,269.28 |
|
|
Impl neurostim electr perc
|
$5,601.91 |
$5,601.91 |
$5,601.91 |
|
|
In-111 autol wbc diag per dose
|
$2,193.75 |
$2,193.75 |
$2,507.70 |
|
|
In-111 oxyquinolin per 0.5 mci
|
$1,997.45 |
$1,997.45 |
$2,152.80 |
|
|
In-111 pentetate dtpa / 0.5 mci
|
$1,714.70 |
$1,714.70 |
$1,751.75 |
|
|
In-111 pentetreotide
|
$4,434.30 |
$4,434.30 |
$5,575.05 |
|
|
In-111 satumomab pend
|
$1,691.30 |
$1,691.30 |
$1,691.30 |
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$285.35 |
$285.35 |
$318.50 |
|
|
Incision of anal sphincter
|
$5,947.06 |
$5,947.06 |
$5,947.06 |
|
