|
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution
|
$1,979.71 |
$1,979.71 |
$1,979.71 |
$1,116.61
|
|
Hepatitis b surface antibody
|
$211.14 |
$211.14 |
$211.14 |
$83.79
|
|
Hepatitis c antibody
|
$260.61 |
$260.61 |
$260.61 |
$108.00
|
|
Hernia Repair (Inguinal)
|
$4,736.88 |
$4,736.88 |
$4,736.88 |
$5,870.15
|
|
Herpes simplex type 1 antibody igg
|
$43.86 |
$43.86 |
$43.86 |
$70.00
|
|
Herpes simplex type 2 antibody igg
|
$43.86 |
$43.86 |
$43.86 |
$87.10
|
|
Herpes simplex virus isolation
|
$34.17 |
$34.17 |
$34.17 |
$93.32
|
|
Heterophile antibodies screening
|
$150.96 |
$150.96 |
$150.96 |
$73.60
|
|
Hip X-ray
|
$647.70 |
$647.70 |
$647.70 |
$292.05
|
|
Histamine
|
$69.87 |
$69.87 |
$69.87 |
$125.40
|
|
Hla ii typing 1 loc hr
|
$26.14 |
$26.14 |
$26.14 |
$323.40
|
|
Hla i low res one antigen equiv ea
|
$43.86 |
$43.86 |
$43.86 |
$164.00
|
|
Hla i typing high res 1 allele grp ea
|
$76.50 |
$76.50 |
$76.50 |
$307.53
|
|
Hocm 250-299mg/ml iodine,1ml
|
$45.90 |
$45.90 |
$45.90 |
$33.91
|
|
Home sleep test/type 3 porta
|
$1,043.46 |
$1,043.46 |
$1,043.46 |
$632.40
|
|
Home sleep test/type 4 porta
|
$1,043.46 |
$1,043.46 |
$1,043.46 |
$699.36
|
|
Home visit est patient 99348
|
$60.18 |
$60.18 |
$60.18 |
$151.20
|
|
Homocysteine
|
$141.78 |
$141.78 |
$141.78 |
$113.10
|
|
Homovanillic acid (hva)
|
$6.63 |
$6.63 |
$6.63 |
$56.00
|
|
Hpv types 16 & 18 only
|
$301.92 |
$301.92 |
$301.92 |
$93.60
|
|
H pylori (c-13) breath
|
$452.88 |
$452.88 |
$452.88 |
$219.05
|
|
Human epididymis protein 4 (he4)
|
$130.56 |
$130.56 |
$130.56 |
$131.84
|
|
Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution
|
$2,135.63 |
$2,135.63 |
$2,135.63 |
$4,652.48
|
|
Hyaluronidase, human recombinant 150 unit/ml injection solution
|
$188.21 |
$188.21 |
$188.21 |
$198.97
|
|
Hydralazine 20 mg/ml injection solution
|
$84.15 |
$84.15 |
$84.15 |
$57.02
|
|
Hydration IV infusion each additional hour
|
$432.99 |
$432.99 |
$432.99 |
$134.53
|
|
Hydration IV infusion initial 31minutes - 1 hour
|
$900.66 |
$900.66 |
$900.66 |
$394.40
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$377.24 |
$377.24 |
$377.24 |
$111.52
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$85.68 |
$85.68 |
$85.68 |
$112.22
|
|
Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge
|
$285.09 |
$285.09 |
$285.09 |
$360.99
|
|
Hymenotomy
|
$3,605.19 |
$3,605.19 |
$3,605.19 |
$4,107.36
|
|
Hzv zoster vacc recombinant adjuvanted im inj
|
$84.15 |
$84.15 |
$84.15 |
$331.10
|
|
Iaadi respiratory synctial virus
|
$24.54 |
$24.54 |
$24.54 |
$42.48
|
|
Icd cobalt xt dr MRI is1 df1
|
$26,277.75 |
$26,277.75 |
$26,277.75 |
$35,816.55
|
|
Icd crtd cobalt hf MRI is1 df1
|
$17,518.50 |
$17,518.50 |
$17,518.50 |
$32,098.95
|
|
Icd crtp serena MRI
|
$7,435.80 |
$7,435.80 |
$7,435.80 |
$12,663.00
|
|
Icd reliance df4 ib 64cm
|
$4,588.73 |
$4,588.73 |
$4,588.73 |
$7,292.40
|
|
I&d abscss rtrphryngl/paraphryngl intraorl apprch
|
$3,805.11 |
$3,805.11 |
$3,805.11 |
$3,837.72
|
|
I&d frarm&/wrst deep absc/hematoma
|
$3,981.06 |
$3,981.06 |
$3,981.06 |
$3,821.05
|
|
Idh1 common variants
|
$135.47 |
$135.47 |
$135.47 |
$415.35
|
|
Idh2 common variants
|
$135.47 |
$135.47 |
$135.47 |
$451.91
|
|
I&d intramural/intramuscular/submuc abscess transanal anes
|
$3,436.38 |
$3,436.38 |
$3,436.38 |
$3,245.23
|
|
I&d lacrimal gland
|
$1,112.82 |
$1,112.82 |
$1,112.82 |
$1,163.82
|
|
I&d upper arm/elbow deep abscess/hematoma
|
$3,455.25 |
$3,455.25 |
$3,455.25 |
$3,386.84
|
|
I & d vag hematoma non-ob 57023
|
$3,455.25 |
$3,455.25 |
$3,455.25 |
$3,386.84
|
|
I&d vag hemtma obst/postpart
|
$3,455.25 |
$3,455.25 |
$3,455.25 |
$3,370.52
|
|
Ihc/icc per specimen each additional single antibody stain
|
$251.94 |
$251.94 |
$251.94 |
$191.75
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$423.30 |
$423.30 |
$423.30 |
$339.73
|
|
Ihc/icc per specimen initial single antibody stain
|
$246.84 |
$246.84 |
$246.84 |
$266.76
|
|
Immobilizer lwr extrem nylon 20in reinforc 21-35in
|
$396.59 |
$396.59 |
$396.59 |
$367.23
|
|
Immobilizer shldr cntor adlt
|
$224.16 |
$224.16 |
$224.16 |
$134.01
|
|
Immobilizer shldr dlx str 24-36in med
|
$166.72 |
$166.72 |
$166.72 |
$80.00
|
|
Immunoassay tumor antigen quantitative ca 125
|
$226.44 |
$226.44 |
$226.44 |
$123.50
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$265.71 |
$265.71 |
$265.71 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$14.36 |
$14.36 |
$14.36 |
$53.95
|
|
Immunodiffusion nes
|
$8.67 |
$8.67 |
$8.67 |
$53.76
|
|
Immunofixation electrophoresis serum
|
$79.05 |
$79.05 |
$79.05 |
$133.38
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$70.89 |
$70.89 |
$70.89 |
$156.00
|
|
Immunofluorescence per specimen initial single antibody stain
|
$906.27 |
$906.27 |
$906.27 |
$250.00
|
|
Immunoglobulin assay
|
$94.35 |
$94.35 |
$94.35 |
$74.00
|
|
Impl ahmed 6x25x9.6mm glaucoma vlv w/sil ped ster
|
$3,969.64 |
$3,969.64 |
$3,969.64 |
$5,206.08
|
|
Implant 11 volt lithium-ion backup battery for controller pocket
|
$1,893.38 |
$1,893.38 |
$1,893.38 |
$1,683.63
|
|
Implant cartilage 10mm synthetic
|
$4,908.75 |
$4,908.75 |
$4,908.75 |
$9,261.00
|
|
Implant cochlear osia osi300
|
$12,709.20 |
$12,709.20 |
$12,709.20 |
$15,318.47
|
|
Implant ureth bulk agent
|
$2,607.89 |
$2,607.89 |
$2,607.89 |
$1,930.57
|
|
Incise/drain eyelid lining
|
$1,230.12 |
$1,230.12 |
$1,230.12 |
$1,215.48
|
|
Incise flexor carpi radialis
|
$3,981.06 |
$3,981.06 |
$3,981.06 |
$3,839.54
|
|
Incise hand/finger tendon
|
$1,919.13 |
$1,919.13 |
$1,919.13 |
$2,007.15
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$2,931.99 |
$2,931.99 |
$2,931.99 |
$2,261.20
|
|
Incision of breast lesion
|
$4,409.46 |
$4,409.46 |
$4,409.46 |
$3,029.60
|
|
Incision of burn scab initi
|
$499.29 |
$499.29 |
$499.29 |
$501.00
|
|
Incision of eardrum
|
$277.95 |
$277.95 |
$277.95 |
$470.73
|
|
Incision of tendon sheath
|
$1,919.13 |
$1,919.13 |
$1,919.13 |
$2,263.68
|
|
Incision of urethra
|
$2,481.15 |
$2,481.15 |
$2,481.15 |
$3,549.60
|
|
Incisn windpipe
|
$3,627.63 |
$3,627.63 |
$3,627.63 |
$3,837.72
|
|
Induced abortion d&c
|
$3,781.65 |
$3,781.65 |
$3,781.65 |
$3,649.80
|
|
Infect ag drug suscept pheno predict
|
$117.81 |
$117.81 |
$117.81 |
$325.00
|
|
Infect ag genotype na dna hepatitis b
|
$212.06 |
$212.06 |
$212.06 |
$500.40
|
|
Infect ag genotype na hiv-1 other region
|
$235.62 |
$235.62 |
$235.62 |
$301.50
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$117.81 |
$117.81 |
$117.81 |
$574.60
|
|
Infect ag ia direct hiv-1 antgn
|
$269.79 |
$269.79 |
$269.79 |
$95.55
|
|
Infect ag if ea plyvlnt antsrm
|
$33.15 |
$33.15 |
$33.15 |
$37.74
|
|
Infect ag if influenza a
|
$24.48 |
$24.48 |
$24.48 |
$40.61
|
|
Infect ag if influenza b
|
$24.48 |
$24.48 |
$24.48 |
$34.67
|
|
Infect ag if legionella pneumophila
|
$7.74 |
$7.74 |
$7.74 |
$75.79
|
|
Infect ag if pneumocystis carinii
|
$63.19 |
$63.19 |
$63.19 |
$62.29
|
|
Infect ag na herpes simplex quant
|
$82.88 |
$82.88 |
$82.88 |
$145.20
|
|
Infect ag na hpv high-risk types
|
$469.71 |
$469.71 |
$469.71 |
$139.75
|
|
Infect ag na influenza r/amp 1st 2 types
|
$154.53 |
$154.53 |
$154.53 |
$227.96
|
|
Infect ag na orthopoxvirus amp prb each
|
$24.99 |
$24.99 |
$24.99 |
$102.00
|
|
Infect ag na resp virus 12-25 targets
|
$2,058.36 |
$2,058.36 |
$2,058.36 |
$859.44
|
|
Infectious agent antigen immunoassay direct optical observation sars-cov-2
|
$71.40 |
$71.40 |
$71.40 |
$47.50
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$250.41 |
$250.41 |
$250.41 |
$81.44
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$250.41 |
$250.41 |
$250.41 |
$80.05
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$148.92 |
$148.92 |
$148.92 |
$77.28
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$73.95 |
$73.95 |
$73.95 |
$83.50
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$164.22 |
$164.22 |
$164.22 |
$77.72
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$12.46 |
$12.46 |
$12.46 |
$55.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$287.64 |
$287.64 |
$287.64 |
$101.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$140.25 |
$140.25 |
$140.25 |
$132.60
|
