|
Hpa-3 genotyping
|
$1,209.60 |
$1,209.60 |
$1,209.60 |
$168.66
|
|
Hpa-4 genotyping
|
$1,209.60 |
$1,209.60 |
$1,209.60 |
$202.20
|
|
Hpa-5 genotyping
|
$1,209.60 |
$1,209.60 |
$1,209.60 |
$200.40
|
|
Hpa-6 genotyping
|
$1,209.60 |
$1,209.60 |
$1,209.60 |
$170.00
|
|
Hpa-9 genotyping
|
$1,209.60 |
$1,209.60 |
$1,209.60 |
$170.00
|
|
Hpv combo assay ca screen
|
$96.32 |
$96.32 |
$96.32 |
$70.40
|
|
Hpv low-risk types
|
$96.32 |
$96.32 |
$96.32 |
$77.60
|
|
Hpv types 16 & 18 only
|
$156.80 |
$156.80 |
$156.80 |
$110.06
|
|
H pylori ag ia
|
$62.72 |
$62.72 |
$62.72 |
$62.72
|
|
H pylori (c-13) blood
|
$655.20 |
$655.20 |
$655.20 |
$169.60
|
|
H pylori (c-13) breath
|
$117.04 |
$117.04 |
$117.04 |
$213.00
|
|
H pylori drug admin
|
$28.56 |
$28.56 |
$28.56 |
$28.56
|
|
Hrdtry brst ca-rlatd do 5+
|
$1,803.20 |
$1,803.20 |
$1,803.20 |
$1,702.08
|
|
Hrdtry cardmypy gene panel
|
$4,569.60 |
$4,569.60 |
$4,569.60 |
$1,414.34
|
|
Hrdtry perph neurphy panel
|
$2,346.40 |
$2,346.40 |
$2,346.40 |
$1,569.60
|
|
Hrv skn cll ssp agrft 1st 25
|
$4,513.60 |
$4,513.60 |
$4,513.60 |
$3,567.20
|
|
Hsv dna dir probe
|
$203.28 |
$203.28 |
$203.28 |
$27.67
|
|
Htt gene charac alleles
|
$627.20 |
$627.20 |
$627.20 |
$302.31
|
|
Htt gene detc abnor alleles
|
$313.60 |
$313.60 |
$313.60 |
$247.83
|
|
Human epididymis protein 4 (he4)
|
$110.32 |
$110.32 |
$110.32 |
$156.65
|
|
Human ig IV
|
$201.60 |
$201.60 |
$201.60 |
$201.60
|
|
Human ig sc
|
$16.80 |
$16.80 |
$16.80 |
$16.80
|
|
Hyaluronidase 150 unit/ml injection solution
|
$53.07 |
$53.07 |
$53.07 |
$120.76
|
|
Hyaluronidase 200 units/ml inj
|
$178.72 |
$178.72 |
$178.72 |
$239.37
|
|
Hyaluronidase, human recombinant 150 unit/ml injection solution
|
$66.54 |
$66.54 |
$66.54 |
$142.40
|
|
Hydralazine 20 mg/ml injection solution
|
$10.80 |
$10.80 |
$10.80 |
$46.74
|
|
Hydration IV infusion each additional hour
|
$369.60 |
$369.60 |
$369.60 |
$133.11
|
|
Hydration IV infusion initial 31minutes - 1 hour
|
$739.20 |
$739.20 |
$739.20 |
$385.20
|
|
Hydrocolld drg >16<=48 w/bdr
|
$1,129.32 |
$1,129.32 |
$1,129.32 |
$25.70
|
|
Hydrocolld drg >16<=48 without b
|
$19.69 |
$19.69 |
$19.69 |
$19.69
|
|
Hydrocolld drg <=16 in w/bdr
|
$881.93 |
$881.93 |
$881.93 |
$5.57
|
|
Hydrocolld drg <=16 without bdr
|
$8.36 |
$8.36 |
$8.36 |
$7.76
|
|
Hydrocolld drg filler paste
|
$45.92 |
$45.92 |
$45.92 |
$45.92
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$308.26 |
$308.26 |
$308.26 |
$153.08
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$188.44 |
$188.44 |
$188.44 |
$120.72
|
|
Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge
|
$663.60 |
$663.60 |
$663.60 |
$294.92
|
|
Hydromorphone 250 mg
|
$116.48 |
$116.48 |
$116.48 |
$116.48
|
|
Hydroxocobalamin im 10mcg
|
$5.23 |
$5.23 |
$5.23 |
$4.86
|
|
Hydroxyurea 500 mg
|
$14.00 |
$14.00 |
$14.00 |
$13.02
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$72.65 |
$72.65 |
$72.65 |
$72.65
|
|
Hydroxyzine pamoate 25 mg capsule
|
$14.00 |
$14.00 |
$14.00 |
$1.28
|
|
Hydrxycorticsterds 17- (17-ohcs)
|
$50.96 |
$50.96 |
$50.96 |
$73.45
|
|
Hymenotomy
|
$7,145.60 |
$7,145.60 |
$7,145.60 |
$4,358.89
|
|
Hyoid myotomy & suspension
|
$9,307.20 |
$9,307.20 |
$9,307.20 |
$6,311.00
|
|
Hyoscyamine sulfate inj
|
$79.24 |
$79.24 |
$79.24 |
$123.83
|
|
#hypersens-actinomyces ab
|
$84.56 |
$84.56 |
$84.56 |
$32.40
|
|
Hyperthermia ext gen deep
|
$4,407.20 |
$4,407.20 |
$4,407.20 |
$1,683.20
|
|
Hyperthermia ext gen supfc
|
$2,049.60 |
$2,049.60 |
$2,049.60 |
$943.00
|
|
Hyperthermia gen intrcv prb
|
$4,407.20 |
$4,407.20 |
$4,407.20 |
$1,173.60
|
|
Hyperthermia ntrstl prb 5/<
|
$4,407.20 |
$4,407.20 |
$4,407.20 |
$1,803.20
|
|
Hyperthermia ntrstl prb>5
|
$4,407.20 |
$4,407.20 |
$4,407.20 |
$1,995.20
|
|
Hypnotherapy
|
$369.60 |
$369.60 |
$369.60 |
$244.80
|
|
Hypothermia ill neonate
|
$560.00 |
$560.00 |
$560.00 |
$567.20
|
|
Hyqvia 100mg immuneglobulin
|
$13,494.15 |
$13,494.15 |
$13,494.15 |
$13,494.15
|
|
Hysterosalpingography s&i
|
$1,685.60 |
$1,685.60 |
$1,685.60 |
$663.50
|
|
Hysteroscopy ablation
|
$14,509.60 |
$14,509.60 |
$14,509.60 |
$5,865.75
|
|
Hysteroscopy biopsy
|
$12,252.80 |
$12,252.80 |
$12,252.80 |
$5,117.50
|
|
Hysteroscopy dx sep proc
|
$9,290.40 |
$9,290.40 |
$9,290.40 |
$3,997.50
|
|
Hysteroscopy lysis
|
$8,814.40 |
$8,814.40 |
$8,814.40 |
$5,468.70
|
|
Hysteroscopy remove fb
|
$9,794.40 |
$9,794.40 |
$9,794.40 |
$4,719.18
|
|
Hysteroscopy remove myoma
|
$14,509.60 |
$14,509.60 |
$14,509.60 |
$5,417.29
|
|
Hysteroscopy resect septum
|
$6,636.00 |
$6,636.00 |
$6,636.00 |
$5,463.96
|
|
Hysterotomy abdominal 59100
|
$7,145.60 |
$7,145.60 |
$7,145.60 |
$4,446.00
|
|
Hzv zoster vacc recombinant adjuvanted im inj
|
$379.34 |
$379.34 |
$379.34 |
$352.24
|
|
I-123 iobenguane diag
|
$8,928.21 |
$8,928.21 |
$8,928.21 |
$5,170.70
|
|
I-123 ioflupane diag
|
$7,196.00 |
$7,196.00 |
$7,196.00 |
$4,077.15
|
|
I-123 sod iodide diag per 100 uci
|
$216.16 |
$216.16 |
$216.16 |
$144.24
|
|
I125 iothalamate, dx
|
$70.00 |
$70.00 |
$70.00 |
$634.90
|
|
I125 serum albumin, dx
|
$393.12 |
$393.12 |
$393.12 |
$393.12
|
|
I-131 iobenguane sulf diag mibg
|
$3,918.36 |
$3,918.36 |
$3,918.36 |
$3,638.48
|
|
I131 iodide cap, rx
|
$191.52 |
$191.52 |
$191.52 |
$71.70
|
|
I131 iodide sol, rx
|
$39,443.82 |
$39,443.82 |
$39,443.82 |
$42.01
|
|
I131 max 100uci
|
$8.40 |
$8.40 |
$8.40 |
$53.39
|
|
I131 serum albumin, dx
|
$847.84 |
$847.84 |
$847.84 |
$847.84
|
|
I-131 sod iodide sol diag per mci
|
$22.96 |
$22.96 |
$22.96 |
$33.60
|
|
Iaadi respiratory synctial virus
|
$118.72 |
$118.72 |
$118.72 |
$54.98
|
|
Iadna legionella pneumophila amplified probe tq
|
$425.60 |
$425.60 |
$425.60 |
$109.00
|
|
Ia infect ag ab qual/semiquant sgl step
|
$58.24 |
$58.24 |
$58.24 |
$50.60
|
|
Ia nfct ab sarscov2 covid19
|
$117.04 |
$117.04 |
$117.04 |
$62.49
|
|
Ibandronate 3 mg/3 ml intravenous syringe
|
$439.60 |
$439.60 |
$439.60 |
$684.45
|
|
Ibmfs seq alys pnl 30 genes
|
$2,828.00 |
$2,828.00 |
$2,828.00 |
$2,828.00
|
|
Ibuprofen injection
|
$799.94 |
$799.94 |
$799.94 |
$256.76
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$980.94 |
$980.94 |
$980.94 |
$975.45
|
|
Icatibant injection
|
$17,981.47 |
$17,981.47 |
$17,981.47 |
$8,695.05
|
|
Icd cobalt xt dr MRI is1 df1
|
$48,300.00 |
$48,300.00 |
$48,300.00 |
$34,681.07
|
|
Icd crtd cobalt hf MRI is1 df1
|
$48,300.00 |
$48,300.00 |
$48,300.00 |
$41,418.00
|
|
Icd crtp serena MRI
|
$48,300.00 |
$48,300.00 |
$48,300.00 |
$14,360.25
|
|
Icd reliance df4 ib 64cm
|
$48,300.00 |
$48,300.00 |
$48,300.00 |
$9,267.72
|
|
Icg angiography i&r uni/bi
|
$767.20 |
$767.20 |
$767.20 |
$610.80
|
|
Icut allergy test-delayed
|
$145.60 |
$145.60 |
$145.60 |
$46.45
|
|
Icut allergy test drug/bug
|
$256.48 |
$256.48 |
$256.48 |
$70.29
|
|
Icut allergy titrate-airborn
|
$145.60 |
$145.60 |
$145.60 |
$29.55
|
|
I&d abscss rtrphryngl/paraphryngl intraorl apprch
|
$9,144.80 |
$9,144.80 |
$9,144.80 |
$3,592.74
|
|
Idarubicin hcl injection
|
$426.50 |
$426.50 |
$426.50 |
$447.02
|
|
I&d/bursa/foot 28001
|
$4,597.60 |
$4,597.60 |
$4,597.60 |
$1,917.33
|
|
Idecabtagene vicleucel car
|
$725,902.80 |
$725,902.80 |
$725,902.80 |
$1,129,895.40
|
|
Identify sperm tissue
|
$632.80 |
$632.80 |
$632.80 |
$157.60
|
|
Idet 1 or more levels
|
$4,754.40 |
$4,754.40 |
$4,754.40 |
$4,649.60
|
|
Idet single level
|
$5,684.00 |
$5,684.00 |
$5,684.00 |
$3,347.50
|
|
I&d frarm&/wrst deep absc/hematoma
|
$7,694.40 |
$7,694.40 |
$7,694.40 |
$3,839.54
|
