|
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
|
|
Hydralazine 20 mg/ml injection solution
|
$84.15 |
$84.15 |
$84.15 |
$63.64
|
|
Hydration IV infusion each additional hour
|
$642.60 |
$642.60 |
$642.60 |
$134.53
|
|
Hydration IV infusion initial 31minutes - 1 hour
|
$1,412.19 |
$1,412.19 |
$1,412.19 |
$394.40
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$128.14 |
$128.14 |
$128.14 |
$120.36
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$107.27 |
$107.27 |
$107.27 |
$118.34
|
|
Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge
|
$285.09 |
$285.09 |
$285.09 |
$294.92
|
|
Hymenotomy
|
$5,755.86 |
$5,755.86 |
$5,755.86 |
$4,107.36
|
|
Hysterosalpingography s&i
|
$1,882.41 |
$1,882.41 |
$1,882.41 |
$629.46
|
|
Iaadi respiratory synctial virus
|
$24.54 |
$24.54 |
$24.54 |
$42.48
|
|
Icd cobalt xt dr MRI is1 df1
|
$69,309.00 |
$69,309.00 |
$69,309.00 |
$33,717.60
|
|
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 |
$8,612.50
|
|
I&d abscss rtrphryngl/paraphryngl intraorl apprch
|
$5,759.94 |
$5,759.94 |
$5,759.94 |
$3,837.72
|
|
I&d frarm&/wrst deep absc/hematoma
|
$6,026.16 |
$6,026.16 |
$6,026.16 |
$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
|
$5,202.00 |
$5,202.00 |
$5,202.00 |
$3,245.23
|
|
I&d lacrimal gland
|
$1,687.08 |
$1,687.08 |
$1,687.08 |
$1,163.82
|
|
I&d upper arm/elbow deep abscess/hematoma
|
$4,902.63 |
$4,902.63 |
$4,902.63 |
$3,386.84
|
|
I & d vag hematoma non-ob 57023
|
$5,230.05 |
$5,230.05 |
$5,230.05 |
$3,386.84
|
|
I&d vag hemtma obst/postpart
|
$5,230.05 |
$5,230.05 |
$5,230.05 |
$3,370.52
|
|
Ihc/icc per specimen each additional single antibody stain
|
$264.18 |
$264.18 |
$264.18 |
$191.75
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$443.19 |
$443.19 |
$443.19 |
$339.73
|
|
Ihc/icc per specimen initial single antibody stain
|
$314.67 |
$314.67 |
$314.67 |
$266.76
|
|
Immobilizer lwr extrem nylon 20in reinforc 21-35in
|
$418.76 |
$418.76 |
$418.76 |
$357.03
|
|
Immobilizer shldr cntor adlt
|
$247.86 |
$247.86 |
$247.86 |
$154.00
|
|
Immobilizer shldr dlx str 24-36in med
|
$196.15 |
$196.15 |
$196.15 |
$90.86
|
|
Immunoassay tumor antigen quantitative ca 125
|
$198.90 |
$198.90 |
$198.90 |
$123.50
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$198.90 |
$198.90 |
$198.90 |
$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
|
$90.27 |
$90.27 |
$90.27 |
$156.00
|
|
Immunofluorescence per specimen initial single antibody stain
|
$600.27 |
$600.27 |
$600.27 |
$250.00
|
|
Immunoglobulin assay
|
$94.35 |
$94.35 |
$94.35 |
$74.00
|
|
Impl ahmed 6x25x9.6mm glaucoma vlv w/sil ped ster
|
$8,017.36 |
$8,017.36 |
$8,017.36 |
$4,295.02
|
|
Implant 11 volt lithium-ion backup battery for controller pocket
|
$2,175.66 |
$2,175.66 |
$2,175.66 |
$1,670.40
|
|
Implant cartilage 10mm synthetic
|
$10,924.20 |
$10,924.20 |
$10,924.20 |
$11,704.00
|
|
Implant cochlear osia osi300
|
$32,360.40 |
$32,360.40 |
$32,360.40 |
$17,423.06
|
|
Implant ureth bulk agent
|
$3,362.94 |
$3,362.94 |
$3,362.94 |
$2,003.82
|
|
Incise/drain eyelid lining
|
$1,750.83 |
$1,750.83 |
$1,750.83 |
$1,215.48
|
|
Incise flexor carpi radialis
|
$6,026.16 |
$6,026.16 |
$6,026.16 |
$3,839.54
|
|
Incise hand/finger tendon
|
$2,904.45 |
$2,904.45 |
$2,904.45 |
$2,007.15
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$4,778.19 |
$4,778.19 |
$4,778.19 |
$2,261.20
|
|
Incision of breast lesion
|
$3,036.03 |
$3,036.03 |
$3,036.03 |
$3,029.60
|
|
Incision of burn scab initi
|
$755.82 |
$755.82 |
$755.82 |
$501.00
|
|
Incision of eardrum
|
$420.75 |
$420.75 |
$420.75 |
$470.73
|
|
Incision of tendon sheath
|
$2,904.45 |
$2,904.45 |
$2,904.45 |
$2,263.68
|
|
Incision of tongue fold
|
$2,726.46 |
$2,726.46 |
$2,726.46 |
$1,865.58
|
|
Incision of urethra
|
$3,755.13 |
$3,755.13 |
$3,755.13 |
$3,549.60
|
|
Incisn windpipe
|
$5,792.07 |
$5,792.07 |
$5,792.07 |
$3,837.72
|
|
Induced abortion d&c
|
$5,724.24 |
$5,724.24 |
$5,724.24 |
$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
|
$13.77 |
$13.77 |
$13.77 |
$95.55
|
|
Infect ag ia optc obs influenza
|
$34.68 |
$34.68 |
$34.68 |
$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
|
$220.32 |
$220.32 |
$220.32 |
$139.75
|
|
Infect ag na influenza r/amp 1st 2 types
|
$566.61 |
$566.61 |
$566.61 |
$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
|
$2,059.38 |
$2,059.38 |
$2,059.38 |
$859.44
|
|
Infectious agent antigen immunoassay direct optical observation sars-cov-2
|
$92.31 |
$92.31 |
$92.31 |
$47.50
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$227.46 |
$227.46 |
$227.46 |
$81.44
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$105.06 |
$105.06 |
$105.06 |
$80.05
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$154.02 |
$154.02 |
$154.02 |
$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
|
$236.64 |
$236.64 |
$236.64 |
$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
|
$309.57 |
$309.57 |
$309.57 |
$101.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$140.25 |
$140.25 |
$140.25 |
$132.60
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$38.35 |
$38.35 |
$38.35 |
$97.50
|
|
Infectious agent nucleic acid amplified probe
|
$506.43 |
$506.43 |
$506.43 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$399.33 |
$399.33 |
$399.33 |
$141.48
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$932.79 |
$932.79 |
$932.79 |
$174.06
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$1,008.78 |
$1,008.78 |
$1,008.78 |
$855.45
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$72.68 |
$72.68 |
$72.68 |
$178.00
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$311.61 |
$311.61 |
$311.61 |
$150.15
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$458.49 |
$458.49 |
$458.49 |
$210.00
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$399.33 |
$399.33 |
$399.33 |
$136.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$105.06 |
$105.06 |
$105.06 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$672.18 |
$672.18 |
$672.18 |
$222.60
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$191.25 |
$191.25 |
$191.25 |
$248.15
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$183.09 |
$183.09 |
$183.09 |
$98.15
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$83.39 |
$83.39 |
$83.39 |
$112.45
|
|
Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae
|
$104.04 |
$104.04 |
$104.04 |
$282.10
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$1,219.41 |
$1,219.41 |
$1,219.41 |
$489.50
|
|
Infectious agent nucleic acid quantification bk virus
|
$190.74 |
$190.74 |
$190.74 |
$285.66
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$165.75 |
$165.75 |
$165.75 |
$226.35
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$215.22 |
$215.22 |
$215.22 |
$278.78
|
|
Infectious agent nucleic acid quantification hiv-1
|
$150.45 |
$150.45 |
$150.45 |
$381.55
|
