|
Hand tendon reconstruction
|
$3,137.40 |
$3,137.40 |
$3,137.40 |
$4,192.86
|
|
Hand X-ray
|
$662.90 |
$662.90 |
$662.90 |
$338.58
|
|
Haptoglobin quantitative
|
$133.35 |
$133.35 |
$133.35 |
$89.95
|
|
Hast w/i&r phys/qhp
|
$195.65 |
$195.65 |
$195.65 |
$301.95
|
|
Hcg qualitative
|
$118.65 |
$118.65 |
$118.65 |
$77.50
|
|
Hcg quantitative
|
$113.75 |
$113.75 |
$113.75 |
$124.80
|
|
Hc hearing aid chck binaurl
|
$175.00 |
$175.00 |
$175.00 |
$78.40
|
|
Hc hearing aid exam both ears
|
$346.15 |
$346.15 |
$346.15 |
$175.20
|
|
Hc metata joint dislocation anes
|
$1,774.50 |
$1,774.50 |
$1,774.50 |
$2,423.85
|
|
Hc nm fusion spect CT unlisted
|
$365.40 |
$365.40 |
$365.40 |
$463.68
|
|
Hc nm kidney imaging with flow
|
$586.25 |
$586.25 |
$586.25 |
$1,008.39
|
|
Hdr rdncl ntrstl/icav brchtx
|
$2,636.20 |
$2,636.20 |
$2,636.20 |
$2,725.00
|
|
Hdr rdncl ntrstl/icav brchtx
|
$2,636.20 |
$2,636.20 |
$2,636.20 |
$3,111.55
|
|
Hdr rdncl ntrstl/icav brchtx
|
$2,636.20 |
$2,636.20 |
$2,636.20 |
$3,410.55
|
|
Head CT scan (with and without contrast)
|
$1,501.50 |
$1,501.50 |
$1,501.50 |
$1,878.75
|
|
Head CT scan (with contrast)
|
$1,453.20 |
$1,453.20 |
$1,453.20 |
$1,520.45
|
|
Head CT scan (without contrast)
|
$1,405.60 |
$1,405.60 |
$1,405.60 |
$1,268.90
|
|
Hematocrit
|
$45.85 |
$45.85 |
$45.85 |
$33.57
|
|
Hematopoietic nuclear tx
|
$563.15 |
$563.15 |
$563.15 |
$918.60
|
|
Hemodialysis one evaluation
|
$605.15 |
$605.15 |
$605.15 |
$1,329.90
|
|
Hemoglobin
|
$28.35 |
$28.35 |
$28.35 |
$31.75
|
|
Hemolysins/agglutinins auto
|
$26.78 |
$26.78 |
$26.78 |
$53.90
|
|
Hemolysins and agglutinins incubated
|
$26.78 |
$26.78 |
$26.78 |
$67.50
|
|
Hemorrhoidectomy intrnl lig rbbr band ligations
|
$735.70 |
$735.70 |
$735.70 |
$1,141.40
|
|
Hemorrhoidopexy stapling 46947
|
$1,625.40 |
$1,625.40 |
$1,625.40 |
$3,316.74
|
|
Hepagam b intravenous, inj
|
$470.40 |
$470.40 |
$470.40 |
$562.52
|
|
Heparin bolus from bag
|
$68.93 |
$68.93 |
$68.93 |
$72.61
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$33.20 |
$33.20 |
$33.20 |
$22.75
|
|
Hepatitis a antibody igm
|
$195.30 |
$195.30 |
$195.30 |
$85.15
|
|
Hepatitis b core antibody igm
|
$195.30 |
$195.30 |
$195.30 |
$87.98
|
|
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution
|
$2,840.78 |
$2,840.78 |
$2,840.78 |
$1,116.61
|
|
Hepatitis b surface antibody
|
$195.30 |
$195.30 |
$195.30 |
$83.79
|
|
Hepatitis c antibody
|
$243.95 |
$243.95 |
$243.95 |
$108.00
|
|
Hepatobiliary system imaging
|
$2,305.80 |
$2,305.80 |
$2,305.80 |
$1,521.10
|
|
Hernia Repair (Inguinal)
|
$2,240.35 |
$2,240.35 |
$2,240.35 |
$5,870.15
|
|
Herpes simplex type 1 antibody igg
|
$30.10 |
$30.10 |
$30.10 |
$70.00
|
|
Herpes simplex type 2 antibody igg
|
$30.10 |
$30.10 |
$30.10 |
$87.10
|
|
Heterophile antibodies screening
|
$86.45 |
$86.45 |
$86.45 |
$73.60
|
|
Hip X-ray
|
$459.20 |
$459.20 |
$459.20 |
$292.05
|
|
Hla ii typing 1 loc hr
|
$79.63 |
$79.63 |
$79.63 |
$323.40
|
|
Hla typing a b or c
|
$112.46 |
$112.46 |
$112.46 |
$309.40
|
|
Homocysteine
|
$98.00 |
$98.00 |
$98.00 |
$113.10
|
|
Homogenization tissue
|
$95.90 |
$95.90 |
$95.90 |
$39.00
|
|
Hpv low-risk types
|
$52.50 |
$52.50 |
$52.50 |
$74.00
|
|
Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution
|
$6,664.00 |
$6,664.00 |
$6,664.00 |
$4,190.44
|
|
Hyaluronidase 150 unit/ml injection solution
|
$120.76 |
$120.76 |
$120.76 |
$130.57
|
|
Hyaluronidase, human recombinant 150 unit/ml injection solution
|
$145.19 |
$145.19 |
$145.19 |
$176.15
|
|
Hydralazine 20 mg/ml injection solution
|
$33.72 |
$33.72 |
$33.72 |
$63.91
|
|
Hydration IV infusion each additional hour
|
$260.05 |
$260.05 |
$260.05 |
$134.53
|
|
Hydration IV infusion initial 31minutes - 1 hour
|
$728.35 |
$728.35 |
$728.35 |
$394.40
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$67.93 |
$67.93 |
$67.93 |
$120.06
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$32,881.84 |
$32,881.84 |
$32,881.84 |
$136.93
|
|
Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge
|
$175.60 |
$175.60 |
$175.60 |
$294.92
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$86.47 |
$86.47 |
$86.47 |
$80.11
|
|
Hydroxyzine pamoate 25 mg capsule
|
$0.61 |
$0.61 |
$0.61 |
$3.24
|
|
Hymenotomy
|
$2,345.35 |
$2,345.35 |
$2,345.35 |
$4,107.36
|
|
Hysterosalpingography s&i
|
$762.30 |
$762.30 |
$762.30 |
$629.46
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$1,071.81 |
$1,071.81 |
$1,071.81 |
$962.29
|
|
Icd cobalt xt dr MRI is1 df1
|
$27,960.63 |
$27,960.63 |
$27,960.63 |
$33,717.60
|
|
Icd crtd cobalt hf MRI is1 df1
|
$26,871.25 |
$26,871.25 |
$26,871.25 |
$35,650.00
|
|
Icd crtp serena MRI
|
$9,261.00 |
$9,261.00 |
$9,261.00 |
$14,360.25
|
|
Icd reliance df4 ib 64cm
|
$6,646.50 |
$6,646.50 |
$6,646.50 |
$8,612.50
|
|
I&d abscss rtrphryngl/paraphryngl intraorl apprch
|
$1,983.80 |
$1,983.80 |
$1,983.80 |
$3,837.72
|
|
Idarubicin hcl injection
|
$668.82 |
$668.82 |
$668.82 |
$474.69
|
|
I&d frarm&/wrst deep absc/hematoma
|
$3,137.40 |
$3,137.40 |
$3,137.40 |
$3,821.05
|
|
I&d intramural/intramuscular/submuc abscess transanal anes
|
$1,625.40 |
$1,625.40 |
$1,625.40 |
$3,245.23
|
|
I&d lacrimal gland
|
$551.95 |
$551.95 |
$551.95 |
$1,163.82
|
|
I&d upper arm/elbow deep abscess/hematoma
|
$2,626.75 |
$2,626.75 |
$2,626.75 |
$3,386.84
|
|
I & d vag hematoma non-ob 57023
|
$2,626.75 |
$2,626.75 |
$2,626.75 |
$3,386.84
|
|
I&d vag hemtma obst/postpart
|
$2,626.75 |
$2,626.75 |
$2,626.75 |
$3,370.52
|
|
Ifosfamide 1 gram intravenous solution
|
$391.38 |
$391.38 |
$391.38 |
$294.81
|
|
Ihc/icc per specimen each additional single antibody stain
|
$67.55 |
$67.55 |
$67.55 |
$191.75
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$224.35 |
$224.35 |
$224.35 |
$339.73
|
|
Ihc/icc per specimen initial single antibody stain
|
$115.15 |
$115.15 |
$115.15 |
$266.76
|
|
Iliac/fem angio cath insert
|
$2,446.15 |
$2,446.15 |
$2,446.15 |
$1,943.69
|
|
Iliac revasc add-on 37222
|
$3,124.10 |
$3,124.10 |
$3,124.10 |
$6,513.10
|
|
Imetelstat 188 mg intravenous solution
|
$40,601.52 |
$40,601.52 |
$40,601.52 |
$28,120.36
|
|
Immob elbow child sm
|
$159.25 |
$159.25 |
$159.25 |
$78.19
|
|
Immobilizer lwr extrem nylon 20in reinforc 21-35in
|
$169.05 |
$169.05 |
$169.05 |
$357.03
|
|
Immobilizer shldr cntor adlt
|
$95.55 |
$95.55 |
$95.55 |
$154.00
|
|
Immobilizer shldr dlx str 24-36in med
|
$67.98 |
$67.98 |
$67.98 |
$90.86
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$5,617.36 |
$5,617.36 |
$5,617.36 |
$5,816.40
|
|
Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution
|
$5,870.04 |
$5,870.04 |
$5,870.04 |
$2,854.20
|
|
Immunoassay tumor antigen quantitative ca 125
|
$208.60 |
$208.60 |
$208.60 |
$123.50
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$208.60 |
$208.60 |
$208.60 |
$116.40
|
|
Immunofixation electrophoresis serum
|
$449.40 |
$449.40 |
$449.40 |
$133.38
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$67.55 |
$67.55 |
$67.55 |
$156.00
|
|
Immunofluorescence per specimen initial single antibody stain
|
$224.35 |
$224.35 |
$224.35 |
$250.00
|
|
Immunoglobulin assay
|
$47.25 |
$47.25 |
$47.25 |
$74.00
|
|
Impl ahmed 6x25x9.6mm glaucoma vlv w/sil ped ster
|
$3,840.76 |
$3,840.76 |
$3,840.76 |
$4,295.02
|
|
Implant 11 volt lithium-ion backup battery for controller pocket
|
$1,134.00 |
$1,134.00 |
$1,134.00 |
$1,670.40
|
|
Implant cartilage 10mm synthetic
|
$7,350.00 |
$7,350.00 |
$7,350.00 |
$11,811.60
|
|
Implant cochlear osia osi300
|
$15,318.47 |
$15,318.47 |
$15,318.47 |
$17,423.06
|
|
Implant ureth bulk agent
|
$1,708.88 |
$1,708.88 |
$1,708.88 |
$2,003.82
|
|
Incise/drain eyelid lining
|
$1,859.20 |
$1,859.20 |
$1,859.20 |
$1,215.48
|
|
Incise flexor carpi radialis
|
$3,137.40 |
$3,137.40 |
$3,137.40 |
$3,839.54
|
|
Incise hand/finger tendon
|
$1,543.15 |
$1,543.15 |
$1,543.15 |
$2,007.15
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$1,792.70 |
$1,792.70 |
$1,792.70 |
$2,261.20
|
|
Incision of breast lesion
|
$1,190.00 |
$1,190.00 |
$1,190.00 |
$3,029.60
|
|
Incision of burn scab initi
|
$523.25 |
$523.25 |
$523.25 |
$501.00
|
