|
Heparin assay
|
$311.10 |
$311.10 |
$311.10 |
$130.20
|
|
Heparin bolus from bag
|
$84.15 |
$84.15 |
$84.15 |
$75.96
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$84.15 |
$84.15 |
$84.15 |
$22.75
|
|
Hepatitis a antibody igm
|
$380.46 |
$380.46 |
$380.46 |
$85.15
|
|
Hepatitis b core antibody igm
|
$455.94 |
$455.94 |
$455.94 |
$87.98
|
|
Hepatitis b core antibody total
|
$438.09 |
$438.09 |
$438.09 |
$83.29
|
|
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution
|
$1,982.18 |
$1,982.18 |
$1,982.18 |
$1,116.61
|
|
Hepatitis b surface antibody
|
$380.46 |
$380.46 |
$380.46 |
$83.79
|
|
Hepatitis c antibody
|
$461.55 |
$461.55 |
$461.55 |
$108.00
|
|
Hepatobiliary system imaging
|
$3,635.28 |
$3,635.28 |
$3,635.28 |
$1,521.10
|
|
Hernia Repair (Inguinal)
|
$7,972.83 |
$7,972.83 |
$7,972.83 |
$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
|
$193.80 |
$193.80 |
$193.80 |
$73.60
|
|
Hip X-ray
|
$682.38 |
$682.38 |
$682.38 |
$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
|
|
Home sleep test/type 3 porta
|
$619.65 |
$619.65 |
$619.65 |
$632.40
|
|
Home sleep test/type 4 porta
|
$619.65 |
$619.65 |
$619.65 |
$593.00
|
|
Homocysteine
|
$342.21 |
$342.21 |
$342.21 |
$113.10
|
|
Homovanillic acid (hva)
|
$6.63 |
$6.63 |
$6.63 |
$56.00
|
|
H pylori (c-13) breath
|
$607.41 |
$607.41 |
$607.41 |
$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
|
$4,160.07 |
$4,160.07 |
$4,160.07 |
$4,080.00
|
|
Hyaluronidase, human recombinant 150 unit/ml injection solution
|
$188.21 |
$188.21 |
$188.21 |
$176.15
|
|
Hydralazine 20 mg/ml injection solution
|
$180.58 |
$180.58 |
$180.58 |
$63.91
|
|
Hydration IV infusion each additional hour
|
$267.75 |
$267.75 |
$267.75 |
$134.53
|
|
Hydration IV infusion initial 31minutes - 1 hour
|
$661.47 |
$661.47 |
$661.47 |
$394.40
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$296.63 |
$296.63 |
$296.63 |
$121.20
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$107.27 |
$107.27 |
$107.27 |
$139.25
|
|
Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge
|
$1,771.49 |
$1,771.49 |
$1,771.49 |
$294.92
|
|
Hymenotomy
|
$6,230.16 |
$6,230.16 |
$6,230.16 |
$4,107.36
|
|
Hysterosalpingography s&i
|
$1,265.82 |
$1,265.82 |
$1,265.82 |
$629.46
|
|
Iaadi respiratory synctial virus
|
$24.54 |
$24.54 |
$24.54 |
$42.48
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$913.63 |
$913.63 |
$913.63 |
$962.29
|
|
Icd cobalt xt dr MRI is1 df1
|
$45,326.25 |
$45,326.25 |
$45,326.25 |
$33,121.69
|
|
Icd crtd cobalt hf MRI is1 df1
|
$46,206.00 |
$46,206.00 |
$46,206.00 |
$35,650.00
|
|
Icd crtp serena MRI
|
$18,604.80 |
$18,604.80 |
$18,604.80 |
$14,360.25
|
|
Icd reliance df4 ib 64cm
|
$9,267.72 |
$9,267.72 |
$9,267.72 |
$8,597.15
|
|
I&d abscss rtrphryngl/paraphryngl intraorl apprch
|
$6,404.07 |
$6,404.07 |
$6,404.07 |
$3,837.72
|
|
I&d frarm&/wrst deep absc/hematoma
|
$6,700.38 |
$6,700.38 |
$6,700.38 |
$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
|
$5,783.40 |
$5,783.40 |
$5,783.40 |
$3,245.23
|
|
I&d lacrimal gland
|
$2,205.24 |
$2,205.24 |
$2,205.24 |
$1,163.82
|
|
I&d upper arm/elbow deep abscess/hematoma
|
$5,815.02 |
$5,815.02 |
$5,815.02 |
$3,386.84
|
|
I & d vag hematoma non-ob 57023
|
$5,815.02 |
$5,815.02 |
$5,815.02 |
$3,386.84
|
|
I&d vag hemtma obst/postpart
|
$5,815.02 |
$5,815.02 |
$5,815.02 |
$3,370.52
|
|
Ifosfamide 1 gram intravenous solution
|
$575.40 |
$575.40 |
$575.40 |
$295.41
|
|
Ihc/icc per specimen each additional single antibody stain
|
$421.26 |
$421.26 |
$421.26 |
$191.75
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$709.41 |
$709.41 |
$709.41 |
$339.73
|
|
Ihc/icc per specimen initial single antibody stain
|
$364.14 |
$364.14 |
$364.14 |
$266.76
|
|
Iliac/fem angio cath insert
|
$2,443.41 |
$2,443.41 |
$2,443.41 |
$1,827.35
|
|
Iliac revasc add-on 37222
|
$8,966.31 |
$8,966.31 |
$8,966.31 |
$6,513.10
|
|
Immobilizer lwr extrem nylon 20in reinforc 21-35in
|
$324.17 |
$324.17 |
$324.17 |
$357.03
|
|
Immobilizer shldr cntor adlt
|
$247.86 |
$247.86 |
$247.86 |
$154.00
|
|
Immobilizer shldr dlx str 24-36in med
|
$335.58 |
$335.58 |
$335.58 |
$90.86
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$5,252.62 |
$5,252.62 |
$5,252.62 |
$5,252.62
|
|
Immunoassay tumor antigen quantitative ca 125
|
$340.17 |
$340.17 |
$340.17 |
$123.50
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$340.17 |
$340.17 |
$340.17 |
$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
|
$114.75 |
$114.75 |
$114.75 |
$156.00
|
|
Immunofluorescence per specimen initial single antibody stain
|
$555.90 |
$555.90 |
$555.90 |
$250.00
|
|
Immunoglobulin assay
|
$94.35 |
$94.35 |
$94.35 |
$74.00
|
|
Impl ahmed 6x25x9.6mm glaucoma vlv w/sil ped ster
|
$6,767.90 |
$6,767.90 |
$6,767.90 |
$4,295.02
|
|
Implant 11 volt lithium-ion backup battery for controller pocket
|
$2,175.66 |
$2,175.66 |
$2,175.66 |
$1,683.63
|
|
Implant cartilage 10mm synthetic
|
$8,817.90 |
$8,817.90 |
$8,817.90 |
$11,811.60
|
|
Implant cochlear osia osi300
|
$24,136.80 |
$24,136.80 |
$24,136.80 |
$17,423.06
|
|
Implant ureth bulk agent
|
$3,148.74 |
$3,148.74 |
$3,148.74 |
$2,011.42
|
|
Incise/drain eyelid lining
|
$2,296.02 |
$2,296.02 |
$2,296.02 |
$1,215.48
|
|
Incise flexor carpi radialis
|
$6,700.38 |
$6,700.38 |
$6,700.38 |
$3,839.54
|
|
Incise hand/finger tendon
|
$3,229.32 |
$3,229.32 |
$3,229.32 |
$2,007.15
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$7,008.93 |
$7,008.93 |
$7,008.93 |
$2,261.20
|
|
Incision of breast lesion
|
$3,375.69 |
$3,375.69 |
$3,375.69 |
$3,029.60
|
|
Incision of burn scab initi
|
$839.97 |
$839.97 |
$839.97 |
$501.00
|
|
Incision of eardrum
|
$468.18 |
$468.18 |
$468.18 |
$470.73
|
|
Incision of tendon sheath
|
$3,229.32 |
$3,229.32 |
$3,229.32 |
$2,263.68
|
|
Incision of tongue fold
|
$2,932.50 |
$2,932.50 |
$2,932.50 |
$1,865.58
|
|
Incision of urethra
|
$4,175.37 |
$4,175.37 |
$4,175.37 |
$3,549.60
|
|
Incisn windpipe
|
$6,268.92 |
$6,268.92 |
$6,268.92 |
$3,837.72
|
|
Induced abortion d&c
|
$6,364.29 |
$6,364.29 |
$6,364.29 |
$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
|
$62.73 |
$62.73 |
$62.73 |
$95.55
|
|
Infect ag ia optc obs influenza
|
$194.82 |
$194.82 |
$194.82 |
$66.72
|
|
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
|
$381.99 |
$381.99 |
$381.99 |
$139.75
|
|
Infect ag na influenza r/amp 1st 2 types
|
$1,007.76 |
$1,007.76 |
$1,007.76 |
$227.96
|
