|
Guided cath fluid drainage 10030
|
$2,629.56 |
$2,629.56 |
$2,629.56 |
$1,461.15
|
|
Guide endoanchr sg-64 aaa 62cm
|
$13,679.07 |
$13,679.07 |
$13,679.07 |
$7,499.50
|
|
Guide wire threaded 1.4x150mm
|
$8,007.94 |
$8,007.94 |
$8,007.94 |
$2,622.00
|
|
Guide worley csg 9fx50cm std
|
$23,952.15 |
$23,952.15 |
$23,952.15 |
$986.55
|
|
Guid loc target vol rad tx
|
$1,662.09 |
$1,662.09 |
$1,662.09 |
$503.80
|
|
Gw stiffened micro access kit
|
$27,660.87 |
$27,660.87 |
$27,660.87 |
$6,500.00
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$84.15 |
$84.15 |
$84.15 |
$36.04
|
|
Handpiece aquabeam hp2000
|
$10,177.05 |
$10,177.05 |
$10,177.05 |
$6,628.05
|
|
Hand tendon reconstruction
|
$6,447.42 |
$6,447.42 |
$6,447.42 |
$4,192.86
|
|
Hand X-ray
|
$993.99 |
$993.99 |
$993.99 |
$338.58
|
|
Haptoglobin quantitative
|
$135.15 |
$135.15 |
$135.15 |
$89.95
|
|
Hcg free betachain test
|
$3.57 |
$3.57 |
$3.57 |
$54.59
|
|
Hcg qualitative
|
$201.96 |
$201.96 |
$201.96 |
$77.50
|
|
Hcg quantitative
|
$413.61 |
$413.61 |
$413.61 |
$124.80
|
|
Hc metata joint dislocation anes
|
$3,107.43 |
$3,107.43 |
$3,107.43 |
$2,423.85
|
|
Hc nm cardiac blood pool planar 1 stdy wal motn eject fract
|
$742.56 |
$742.56 |
$742.56 |
$839.65
|
|
Hc transcatheter placement and sbsq removal cepd perq
|
$9,271.29 |
$9,271.29 |
$9,271.29 |
$3,228.40
|
|
Hdr rdncl ntrstl/icav brchtx
|
$4,555.83 |
$4,555.83 |
$4,555.83 |
$2,725.00
|
|
Head CT scan (with and without contrast)
|
$3,158.94 |
$3,158.94 |
$3,158.94 |
$1,878.75
|
|
Head CT scan (with contrast)
|
$2,965.65 |
$2,965.65 |
$2,965.65 |
$1,520.45
|
|
Head CT scan (without contrast)
|
$2,395.47 |
$2,395.47 |
$2,395.47 |
$1,268.90
|
|
Heart infarct image
|
$1,757.97 |
$1,757.97 |
$1,757.97 |
$840.74
|
|
Helicobacter pylori antibody igm
|
$227.46 |
$227.46 |
$227.46 |
$84.80
|
|
Hematocrit
|
$104.04 |
$104.04 |
$104.04 |
$33.57
|
|
Hemodialysis one evaluation
|
$2,274.60 |
$2,274.60 |
$2,274.60 |
$1,329.90
|
|
Hemoglobin
|
$104.04 |
$104.04 |
$104.04 |
$31.75
|
|
Hemoglobin methemoglobin quantitative
|
$199.92 |
$199.92 |
$199.92 |
$49.40
|
|
Hemoglobin plasma
|
$37.77 |
$37.77 |
$37.77 |
$40.56
|
|
Hemophilus influenza antibdy
|
$33.15 |
$33.15 |
$33.15 |
$56.80
|
|
Hemorrhoidectomy intrnl lig rbbr band ligations
|
$1,799.79 |
$1,799.79 |
$1,799.79 |
$1,141.40
|
|
Hemorrhoidopexy stapling 46947
|
$5,565.63 |
$5,565.63 |
$5,565.63 |
$3,316.74
|
|
Heparin assay
|
$517.65 |
$517.65 |
$517.65 |
$130.20
|
|
Heparin bolus from bag
|
$145.35 |
$145.35 |
$145.35 |
$72.61
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$84.15 |
$84.15 |
$84.15 |
$22.75
|
|
Hepatitis a antibody igm
|
$189.72 |
$189.72 |
$189.72 |
$85.15
|
|
Hepatitis b core antibody igm
|
$205.02 |
$205.02 |
$205.02 |
$87.98
|
|
Hepatitis b core antibody total
|
$137.19 |
$137.19 |
$137.19 |
$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
|
$189.21 |
$189.21 |
$189.21 |
$83.79
|
|
Hepatitis c antibody
|
$200.43 |
$200.43 |
$200.43 |
$108.00
|
|
Hepatobiliary system imaging
|
$2,699.94 |
$2,699.94 |
$2,699.94 |
$1,521.10
|
|
Hernia Repair (Inguinal)
|
$7,671.42 |
$7,671.42 |
$7,671.42 |
$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
|
$264.69 |
$264.69 |
$264.69 |
$73.60
|
|
Hip X-ray
|
$558.96 |
$558.96 |
$558.96 |
$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
|
|
Hla typing a b or c
|
$172.38 |
$172.38 |
$172.38 |
$309.40
|
|
Hocm 250-299mg/ml iodine,1ml
|
$45.90 |
$45.90 |
$45.90 |
$33.91
|
|
Home sleep test/type 3 porta
|
$828.75 |
$828.75 |
$828.75 |
$641.76
|
|
Home sleep test/type 4 porta
|
$828.75 |
$828.75 |
$828.75 |
$603.00
|
|
Homocysteine
|
$197.88 |
$197.88 |
$197.88 |
$113.10
|
|
Homovanillic acid (hva)
|
$6.63 |
$6.63 |
$6.63 |
$56.00
|
|
Hpv types 16 & 18 only
|
$269.79 |
$269.79 |
$269.79 |
$93.60
|
|
H pylori (c-13) breath
|
$408.51 |
$408.51 |
$408.51 |
$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 |
$4,190.44
|
|
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
|
$188.70 |
$188.70 |
$188.70 |
$134.53
|
|
Hydration IV infusion initial 31minutes - 1 hour
|
$1,095.99 |
$1,095.99 |
$1,095.99 |
$394.40
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$202.29 |
$202.29 |
$202.29 |
$120.06
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$344.94 |
$344.94 |
$344.94 |
$136.93
|
|
Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge
|
$1,188.79 |
$1,188.79 |
$1,188.79 |
$294.92
|
|
Hydroxyzine pamoate 25 mg capsule
|
$5.61 |
$5.61 |
$5.61 |
$3.24
|
|
Hymenotomy
|
$6,160.80 |
$6,160.80 |
$6,160.80 |
$4,107.36
|
|
Hysterosalpingography s&i
|
$686.97 |
$686.97 |
$686.97 |
$629.46
|
|
Iaadi respiratory synctial virus
|
$24.54 |
$24.54 |
$24.54 |
$42.48
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$299.18 |
$299.18 |
$299.18 |
$962.29
|
|
Icd cobalt xt dr MRI is1 df1
|
$78,290.10 |
$78,290.10 |
$78,290.10 |
$33,717.60
|
|
Icd crtd cobalt hf MRI is1 df1
|
$81,667.32 |
$81,667.32 |
$81,667.32 |
$35,650.00
|
|
Icd crtp serena MRI
|
$22,325.76 |
$22,325.76 |
$22,325.76 |
$14,360.25
|
|
Icd reliance df4 ib 64cm
|
$17,271.46 |
$17,271.46 |
$17,271.46 |
$8,612.50
|
|
I&d abscss rtrphryngl/paraphryngl intraorl apprch
|
$6,161.82 |
$6,161.82 |
$6,161.82 |
$3,837.72
|
|
Idarubicin hcl injection
|
$530.27 |
$530.27 |
$530.27 |
$474.69
|
|
I&d frarm&/wrst deep absc/hematoma
|
$6,447.42 |
$6,447.42 |
$6,447.42 |
$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
|
$5,420.79 |
$5,420.79 |
$5,420.79 |
$3,245.23
|
|
I&d lacrimal gland
|
$2,646.39 |
$2,646.39 |
$2,646.39 |
$1,163.82
|
|
I&d upper arm/elbow deep abscess/hematoma
|
$5,595.21 |
$5,595.21 |
$5,595.21 |
$3,386.84
|
|
I & d vag hematoma non-ob 57023
|
$5,595.21 |
$5,595.21 |
$5,595.21 |
$3,386.84
|
|
I&d vag hemtma obst/postpart
|
$5,595.21 |
$5,595.21 |
$5,595.21 |
$3,370.52
|
|
Ifosfamide 1 gram intravenous solution
|
$575.40 |
$575.40 |
$575.40 |
$294.81
|
|
Ihc/icc per specimen each additional single antibody stain
|
$282.54 |
$282.54 |
$282.54 |
$191.75
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$474.30 |
$474.30 |
$474.30 |
$339.73
|
|
Ihc/icc per specimen initial single antibody stain
|
$276.42 |
$276.42 |
$276.42 |
$266.76
|
|
Iliac/fem angio cath insert
|
$2,443.41 |
$2,443.41 |
$2,443.41 |
$1,943.69
|
|
Iliac revasc add-on 37222
|
$5,049.51 |
$5,049.51 |
$5,049.51 |
$6,513.10
|
|
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
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$5,252.62 |
$5,252.62 |
$5,252.62 |
$5,816.40
|
|
Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution
|
$2,046.57 |
$2,046.57 |
$2,046.57 |
$2,854.20
|
|
Immunoassay tumor antigen quantitative ca 125
|
$168.30 |
$168.30 |
$168.30 |
$123.50
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$244.29 |
$244.29 |
$244.29 |
$116.40
|
