|
Hla ii typing 1 loc hr
|
$50.00 |
$50.00 |
$50.00 |
$290.94
|
|
Hla ii typing ag equiv lr
|
$104.00 |
$104.00 |
$104.00 |
$448.80
|
|
Hla i low res one antigen equiv ea
|
$12.93 |
$12.93 |
$12.93 |
$164.00
|
|
Hla i typing 1 locus hr
|
$49.00 |
$49.00 |
$49.00 |
$436.80
|
|
Hla i typing high res 1 allele grp ea
|
$49.00 |
$49.00 |
$49.00 |
$304.20
|
|
Hla i typing low res one locus ea
|
$19.00 |
$19.00 |
$19.00 |
$340.00
|
|
Hlth bhv assmt/reassessment
|
$50.60 |
$50.60 |
$50.60 |
$181.00
|
|
Home health care supervision
|
$58.80 |
$58.80 |
$58.80 |
$101.60
|
|
Home health care supervision
|
$69.20 |
$69.20 |
$69.20 |
$215.20
|
|
Home health care supervision
|
$52.60 |
$52.60 |
$52.60 |
$153.12
|
|
Home health re-certification physician g0179
|
$21.60 |
$21.60 |
$21.60 |
$88.80
|
|
Home/res vst est high mdm 60
|
$90.60 |
$90.60 |
$90.60 |
$338.40
|
|
Home/res vst est mod mdm 40
|
$62.60 |
$62.60 |
$62.60 |
$233.60
|
|
Home/res vst est sf mdm 20
|
$22.40 |
$22.40 |
$22.40 |
$93.24
|
|
Home/res vst new high mdm 75
|
$100.00 |
$100.00 |
$100.00 |
$398.40
|
|
Home/res vst new low mdm 30
|
$38.60 |
$38.60 |
$38.60 |
$145.60
|
|
Home/res vst new mod mdm 60
|
$82.60 |
$82.60 |
$82.60 |
$327.20
|
|
Home/res vst new sf mdm 15
|
$24.40 |
$24.40 |
$24.40 |
$98.40
|
|
Home visit est patient 99348
|
$37.80 |
$37.80 |
$37.80 |
$140.00
|
|
Homocysteine
|
$45.20 |
$45.20 |
$45.20 |
$125.00
|
|
Homogenization tissue
|
$19.60 |
$19.60 |
$19.60 |
$41.00
|
|
Homovanillic acid (hva)
|
$4.48 |
$4.48 |
$4.48 |
$59.95
|
|
Hospice care supervision
|
$38.00 |
$38.00 |
$38.00 |
$124.80
|
|
Hpa-1 genotyping
|
$21.73 |
$21.73 |
$21.73 |
$200.40
|
|
Hpv types 16 & 18 only
|
$9.00 |
$9.00 |
$9.00 |
$110.06
|
|
H pylori (c-13) breath
|
$254.00 |
$254.00 |
$254.00 |
$213.00
|
|
Hrdtry brst ca-rlatd do 5+
|
$510.00 |
$510.00 |
$510.00 |
$1,702.08
|
|
Hrdtry cardmypy gene panel
|
$354.00 |
$354.00 |
$354.00 |
$1,414.34
|
|
Htt gene detc abnor alleles
|
$21.92 |
$21.92 |
$21.92 |
$247.83
|
|
Human epididymis protein 4 (he4)
|
$3.70 |
$3.70 |
$3.70 |
$156.65
|
|
Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution
|
$2.87 |
$2.87 |
$2.87 |
$5,642.96
|
|
Hydralazine 20 mg/ml injection solution
|
$25.36 |
$25.36 |
$25.36 |
$46.74
|
|
Hydration IV infusion each additional hour
|
$144.00 |
$144.00 |
$144.00 |
$133.11
|
|
Hydration IV infusion initial 31minutes - 1 hour
|
$246.20 |
$246.20 |
$246.20 |
$385.20
|
|
Hydrocolld drg <=16 without bdr
|
$4.60 |
$4.60 |
$4.60 |
$7.76
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$41.82 |
$41.82 |
$41.82 |
$153.08
|
|
Hydrogel drg > 48 sq in w/b
|
$16.60 |
$16.60 |
$16.60 |
$22.41
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$9.79 |
$9.79 |
$9.79 |
$120.72
|
|
Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge
|
$86.76 |
$86.76 |
$86.76 |
$294.92
|
|
Hydroxyurea 500 mg
|
$4.80 |
$4.80 |
$4.80 |
$13.02
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$58.66 |
$58.66 |
$58.66 |
$72.65
|
|
Hydrxycorticsterds 17- (17-ohcs)
|
$16.43 |
$16.43 |
$16.43 |
$73.45
|
|
Hymenotomy
|
$33.20 |
$33.20 |
$33.20 |
$4,358.89
|
|
Hyoid myotomy & suspension
|
$679.40 |
$679.40 |
$679.40 |
$6,311.00
|
|
Hyperbaric oxygen therapy
|
$382.40 |
$382.40 |
$382.40 |
$940.09
|
|
Hysterorrhaphy of ruptured uterus 59350
|
$179.40 |
$179.40 |
$179.40 |
$677.60
|
|
Hysterosalpingography s&i
|
$313.60 |
$313.60 |
$313.60 |
$663.50
|
|
Hysteroscopy ablation
|
$165.20 |
$165.20 |
$165.20 |
$5,865.75
|
|
Hysteroscopy biopsy
|
$907.60 |
$907.60 |
$907.60 |
$5,117.50
|
|
Hysteroscopy dx sep proc
|
$241.20 |
$241.20 |
$241.20 |
$3,997.50
|
|
Hysteroscopy lysis
|
$190.40 |
$190.40 |
$190.40 |
$5,468.70
|
|
Hysteroscopy remove fb
|
$287.60 |
$287.60 |
$287.60 |
$4,719.18
|
|
Hysteroscopy remove myoma
|
$239.60 |
$239.60 |
$239.60 |
$5,417.29
|
|
Hysteroscopy resect septum
|
$209.40 |
$209.40 |
$209.40 |
$5,463.96
|
|
Hzv zoster vacc recombinant adjuvanted im inj
|
$139.40 |
$139.40 |
$139.40 |
$352.24
|
|
I-123 iobenguane diag
|
$1,074.80 |
$1,074.80 |
$1,074.80 |
$5,170.70
|
|
I-123 sod iodide diag per 100 uci
|
$636.20 |
$636.20 |
$636.20 |
$144.24
|
|
I131 iodide cap, rx
|
$30.60 |
$30.60 |
$30.60 |
$71.70
|
|
I131 max 100uci
|
$233.00 |
$233.00 |
$233.00 |
$53.39
|
|
Iaadi respiratory synctial virus
|
$1.77 |
$1.77 |
$1.77 |
$54.98
|
|
Iadna legionella pneumophila amplified probe tq
|
$76.00 |
$76.00 |
$76.00 |
$109.00
|
|
Ia infect ag ab qual/semiquant sgl step
|
$14.40 |
$14.40 |
$14.40 |
$50.60
|
|
Icd cobalt xt dr MRI is1 df1
|
$18,514.20 |
$18,514.20 |
$18,514.20 |
$34,681.07
|
|
Icd crtd cobalt hf MRI is1 df1
|
$30,857.00 |
$30,857.00 |
$30,857.00 |
$41,418.00
|
|
Icd crtp serena MRI
|
$5,135.80 |
$5,135.80 |
$5,135.80 |
$14,360.25
|
|
Icut allergy test-delayed
|
$6.40 |
$6.40 |
$6.40 |
$46.45
|
|
Icut allergy test drug/bug
|
$4.00 |
$4.00 |
$4.00 |
$70.29
|
|
I&d abscess posterior spine l/s/ls-22015
|
$654.40 |
$654.40 |
$654.40 |
$2,286.40
|
|
I&d abscss rtrphryngl/paraphryngl intraorl apprch
|
$266.20 |
$266.20 |
$266.20 |
$3,592.74
|
|
I&d/bursa/foot 28001
|
$1,139.80 |
$1,139.80 |
$1,139.80 |
$1,917.33
|
|
I&d frarm&/wrst deep absc/hematoma
|
$491.80 |
$491.80 |
$491.80 |
$3,839.54
|
|
I&d intramural/intramuscular/submuc abscess transanal anes
|
$307.20 |
$307.20 |
$307.20 |
$3,245.23
|
|
I&d lacrimal sac
|
$116.20 |
$116.20 |
$116.20 |
$2,732.50
|
|
I&d upper arm/elbow deep abscess/hematoma
|
$253.80 |
$253.80 |
$253.80 |
$3,355.20
|
|
I & d vag hematoma non-ob 57023
|
$219.00 |
$219.00 |
$219.00 |
$3,444.42
|
|
I&d vag hemtma obst/postpart
|
$125.00 |
$125.00 |
$125.00 |
$3,334.38
|
|
Igh gene rearrange amp meth
|
$42.00 |
$42.00 |
$42.00 |
$464.00
|
|
Igh@ var region somatic mutation analy
|
$82.00 |
$82.00 |
$82.00 |
$660.80
|
|
Igk rearrangeabn clonal pop
|
$38.00 |
$38.00 |
$38.00 |
$399.36
|
|
Ihc/icc per specimen each additional single antibody stain
|
$68.20 |
$68.20 |
$68.20 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$235.40 |
$235.40 |
$235.40 |
$328.79
|
|
Ihc/icc per specimen initial single antibody stain
|
$177.40 |
$177.40 |
$177.40 |
$272.30
|
|
Iiv3 vacc no prsv 0.25 ml im
|
$22.80 |
$22.80 |
$22.80 |
$37.44
|
|
Ileostomy/jejunostomy non-tube 44310
|
$696.80 |
$696.80 |
$696.80 |
$1,976.40
|
|
Iliac/fem angio cath insert
|
$6.20 |
$6.20 |
$6.20 |
$1,856.01
|
|
Imetelstat 188 mg intravenous solution
|
$6,000.00 |
$6,000.00 |
$6,000.00 |
$20,373.55
|
|
Immob elbow child sm
|
$57.60 |
$57.60 |
$57.60 |
$85.39
|
|
Immobilizer shldr cntor adlt
|
$83.20 |
$83.20 |
$83.20 |
$175.60
|
|
Immobilizer shldr dlx str 24-36in med
|
$30.80 |
$30.80 |
$30.80 |
$114.60
|
|
Immobilizer shldr sling med
|
$67.00 |
$67.00 |
$67.00 |
$126.00
|
|
Immt breast prosthesis 19340
|
$528.00 |
$528.00 |
$528.00 |
$4,883.20
|
|
Immune complex assay
|
$4.33 |
$4.33 |
$4.33 |
$100.80
|
|
Immunoassay tumor antigen quantitative ca 125
|
$59.60 |
$59.60 |
$59.60 |
$131.95
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$49.80 |
$49.80 |
$49.80 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$2.40 |
$2.40 |
$2.40 |
$48.38
|
|
Immunofixation electrophoresis serum
|
$3.97 |
$3.97 |
$3.97 |
$142.50
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$19.97 |
$19.97 |
$19.97 |
$154.05
|
|
Immunofluorescence per specimen initial single antibody stain
|
$108.00 |
$108.00 |
$108.00 |
$231.40
|
|
Immunoglobulin assay
|
$2.21 |
$2.21 |
$2.21 |
$75.88
|
|
Immunology procedure
|
$13.35 |
$13.35 |
$13.35 |
$142.56
|
