|
Hrdtry perph neurphy panel
|
$450.00 |
$450.00 |
$450.00 |
$1,569.60
|
|
Htt gene detc abnor alleles
|
$32.88 |
$32.88 |
$32.88 |
$247.83
|
|
Human epididymis protein 4 (he4)
|
$5.55 |
$5.55 |
$5.55 |
$156.65
|
|
Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution
|
$4.31 |
$4.31 |
$4.31 |
$5,642.96
|
|
Hydralazine 20 mg/ml injection solution
|
$42.04 |
$42.04 |
$42.04 |
$46.74
|
|
Hydration IV infusion each additional hour
|
$253.20 |
$253.20 |
$253.20 |
$133.11
|
|
Hydration IV infusion initial 31minutes - 1 hour
|
$318.00 |
$318.00 |
$318.00 |
$385.20
|
|
Hydrocolld drg <=16 without bdr
|
$6.90 |
$6.90 |
$6.90 |
$7.76
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$60.60 |
$60.60 |
$60.60 |
$153.08
|
|
Hydrogel drg > 48 sq in w/b
|
$24.90 |
$24.90 |
$24.90 |
$22.41
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$16.19 |
$16.19 |
$16.19 |
$120.72
|
|
Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge
|
$66.33 |
$66.33 |
$66.33 |
$294.92
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$9.00 |
$9.00 |
$9.00 |
$72.65
|
|
Hydrxycorticsterds 17- (17-ohcs)
|
$24.64 |
$24.64 |
$24.64 |
$73.45
|
|
Hymenotomy
|
$49.80 |
$49.80 |
$49.80 |
$4,358.89
|
|
Hyoid myotomy & suspension
|
$1,019.10 |
$1,019.10 |
$1,019.10 |
$6,311.00
|
|
Hyperbaric oxygen therapy
|
$76.20 |
$76.20 |
$76.20 |
$940.09
|
|
Hysterorrhaphy of ruptured uterus 59350
|
$269.10 |
$269.10 |
$269.10 |
$677.60
|
|
Hysterosalpingography s&i
|
$254.10 |
$254.10 |
$254.10 |
$663.50
|
|
Hysteroscopy ablation
|
$247.80 |
$247.80 |
$247.80 |
$5,865.75
|
|
Hysteroscopy biopsy
|
$1,361.40 |
$1,361.40 |
$1,361.40 |
$5,117.50
|
|
Hysteroscopy dx sep proc
|
$361.80 |
$361.80 |
$361.80 |
$3,997.50
|
|
Hysteroscopy lysis
|
$285.60 |
$285.60 |
$285.60 |
$5,468.70
|
|
Hysteroscopy remove fb
|
$431.40 |
$431.40 |
$431.40 |
$4,719.18
|
|
Hysteroscopy remove myoma
|
$359.40 |
$359.40 |
$359.40 |
$5,417.29
|
|
Hysteroscopy resect septum
|
$314.10 |
$314.10 |
$314.10 |
$5,463.96
|
|
Hzv zoster vacc recombinant adjuvanted im inj
|
$122.70 |
$122.70 |
$122.70 |
$352.24
|
|
Iaadi respiratory synctial virus
|
$2.65 |
$2.65 |
$2.65 |
$54.98
|
|
Iadna legionella pneumophila amplified probe tq
|
$58.80 |
$58.80 |
$58.80 |
$109.00
|
|
Ia infect ag ab qual/semiquant sgl step
|
$21.60 |
$21.60 |
$21.60 |
$50.60
|
|
Icut allergy test-delayed
|
$9.60 |
$9.60 |
$9.60 |
$46.45
|
|
Icut allergy test drug/bug
|
$6.00 |
$6.00 |
$6.00 |
$70.29
|
|
I&d abscess posterior spine l/s/ls-22015
|
$981.60 |
$981.60 |
$981.60 |
$2,286.40
|
|
I&d abscss rtrphryngl/paraphryngl intraorl apprch
|
$399.30 |
$399.30 |
$399.30 |
$3,592.74
|
|
I&d/bursa/foot 28001
|
$98.70 |
$98.70 |
$98.70 |
$1,917.33
|
|
I&d frarm&/wrst deep absc/hematoma
|
$737.70 |
$737.70 |
$737.70 |
$3,839.54
|
|
I&d intramural/intramuscular/submuc abscess transanal anes
|
$460.80 |
$460.80 |
$460.80 |
$3,245.23
|
|
I&d lacrimal sac
|
$174.30 |
$174.30 |
$174.30 |
$2,732.50
|
|
I&d upper arm/elbow deep abscess/hematoma
|
$380.70 |
$380.70 |
$380.70 |
$3,355.20
|
|
I & d vag hematoma non-ob 57023
|
$328.50 |
$328.50 |
$328.50 |
$3,444.42
|
|
I&d vag hemtma obst/postpart
|
$187.50 |
$187.50 |
$187.50 |
$3,334.38
|
|
Igh gene rearrange amp meth
|
$63.00 |
$63.00 |
$63.00 |
$464.00
|
|
Igh@ var region somatic mutation analy
|
$123.00 |
$123.00 |
$123.00 |
$660.80
|
|
Igk rearrangeabn clonal pop
|
$57.00 |
$57.00 |
$57.00 |
$399.36
|
|
Ihc/icc per specimen each additional single antibody stain
|
$69.60 |
$69.60 |
$69.60 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$45.00 |
$45.00 |
$45.00 |
$328.79
|
|
Ihc/icc per specimen initial single antibody stain
|
$266.10 |
$266.10 |
$266.10 |
$272.30
|
|
Iiv3 vacc no prsv 0.25 ml im
|
$7.81 |
$7.81 |
$7.81 |
$37.44
|
|
Ileostomy/jejunostomy non-tube 44310
|
$1,045.20 |
$1,045.20 |
$1,045.20 |
$1,976.40
|
|
Iliac/fem angio cath insert
|
$9.30 |
$9.30 |
$9.30 |
$1,856.01
|
|
Immob elbow child sm
|
$86.40 |
$86.40 |
$86.40 |
$85.39
|
|
Immobilizer shldr cntor adlt
|
$124.80 |
$124.80 |
$124.80 |
$175.60
|
|
Immobilizer shldr dlx str 24-36in med
|
$147.90 |
$147.90 |
$147.90 |
$114.60
|
|
Immobilizer shldr sling med
|
$178.50 |
$178.50 |
$178.50 |
$126.00
|
|
Immt breast prosthesis 19340
|
$792.00 |
$792.00 |
$792.00 |
$4,883.20
|
|
Immune complex assay
|
$6.50 |
$6.50 |
$6.50 |
$100.80
|
|
Immunoassay tumor antigen quantitative ca 125
|
$122.10 |
$122.10 |
$122.10 |
$131.95
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$5.55 |
$5.55 |
$5.55 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$3.59 |
$3.59 |
$3.59 |
$48.38
|
|
Immunofixation electrophoresis serum
|
$5.96 |
$5.96 |
$5.96 |
$142.50
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$29.95 |
$29.95 |
$29.95 |
$154.05
|
|
Immunofluorescence per specimen initial single antibody stain
|
$162.00 |
$162.00 |
$162.00 |
$231.40
|
|
Immunoglobulin assay
|
$26.67 |
$26.67 |
$26.67 |
$75.88
|
|
Immunology procedure
|
$20.03 |
$20.03 |
$20.03 |
$142.56
|
|
Impact tooth remov part bony
|
$205.80 |
$205.80 |
$205.80 |
$1,840.30
|
|
Implant cartilage 10mm synthetic
|
$3,200.40 |
$3,200.40 |
$3,200.40 |
$8,184.00
|
|
Implant hormone pellet(s) 11980
|
$55.50 |
$55.50 |
$55.50 |
$315.75
|
|
Implant neuroelectrodes
|
$860.10 |
$860.10 |
$860.10 |
$18,334.40
|
|
Implant neuroelectrodes
|
$309.90 |
$309.90 |
$309.90 |
$7,766.27
|
|
Implant spine infusion pump
|
$397.20 |
$397.20 |
$397.20 |
$17,270.40
|
|
Implant ureth bulk agent
|
$204.90 |
$204.90 |
$204.90 |
$2,168.00
|
|
Impl neurostim electr perc
|
$429.30 |
$429.30 |
$429.30 |
$7,672.50
|
|
Implnt bio implnt for soft tiss reinforcement 15777
|
$216.00 |
$216.00 |
$216.00 |
$1,072.00
|
|
Implnt spinl canal catheter 62350
|
$412.20 |
$412.20 |
$412.20 |
$5,095.20
|
|
Inc dp bone crtx f/arm&/wrst
|
$626.40 |
$626.40 |
$626.40 |
$6,650.80
|
|
Inc dp opn b1 crtx hum/elbw
|
$549.00 |
$549.00 |
$549.00 |
$3,821.05
|
|
Incis 1 vertebral seg cerv
|
$1,813.50 |
$1,813.50 |
$1,813.50 |
$4,297.60
|
|
Incis 1 vertebral seg lumbar
|
$1,549.20 |
$1,549.20 |
$1,549.20 |
$3,628.80
|
|
Incis 1 vertebral seg thorac
|
$1,550.70 |
$1,550.70 |
$1,550.70 |
$3,619.20
|
|
Incis addl spine segment
|
$356.10 |
$356.10 |
$356.10 |
$880.00
|
|
Incise/drain eyelid lining
|
$116.10 |
$116.10 |
$116.10 |
$1,271.00
|
|
Incise flexor carpi radialis
|
$381.60 |
$381.60 |
$381.60 |
$3,839.54
|
|
Incise hand/finger tendon
|
$488.40 |
$488.40 |
$488.40 |
$2,007.15
|
|
Incise inner ear
|
$240.90 |
$240.90 |
$240.90 |
$2,186.08
|
|
Incise perq finger tendon 26060
|
$276.00 |
$276.00 |
$276.00 |
$1,893.86
|
|
Incise tear duct opening 68440
|
$107.10 |
$107.10 |
$107.10 |
$507.20
|
|
Incise thigh tendon & fascia
|
$515.10 |
$515.10 |
$515.10 |
$3,839.54
|
|
Incise wrist/forearm tendon
|
$470.10 |
$470.10 |
$470.10 |
$3,786.00
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$729.00 |
$729.00 |
$729.00 |
$2,056.93
|
|
Incision & drainage open of deep abscess (subfascial) pos
|
$1,001.70 |
$1,001.70 |
$1,001.70 |
$2,312.00
|
|
Incision/fixation of femur
|
$1,414.20 |
$1,414.20 |
$1,414.20 |
$5,275.40
|
|
Incision of achilles tendon
|
$193.80 |
$193.80 |
$193.80 |
$3,172.80
|
|
Incision of anal sphincter
|
$192.00 |
$192.00 |
$192.00 |
$3,245.23
|
|
Incision of breast lesion
|
$486.90 |
$486.90 |
$486.90 |
$2,560.80
|
|
Incision of burn scab initi
|
$196.50 |
$196.50 |
$196.50 |
$494.40
|
|
Incision of eardrum
|
$204.60 |
$204.60 |
$204.60 |
$552.75
|
|
Incision of eardrum
|
$161.10 |
$161.10 |
$161.10 |
$3,827.50
|
|
Incision of facial nerve
|
$524.70 |
$524.70 |
$524.70 |
$2,685.07
|
|
Incision of finger tendon
|
$498.00 |
$498.00 |
$498.00 |
$1,893.86
|
|
Incision of foot fascia
|
$314.10 |
$314.10 |
$314.10 |
$4,570.33
|
