|
Histochemical stains add-on
|
$91.65 |
$91.65 |
$91.65 |
$152.75
|
|
HIV prep, inj, cabotegravir
|
$3,298.62 |
$3,298.62 |
$3,298.62 |
$7,320.13
|
|
Hla class i&ii antibody qual
|
$206.70 |
$206.70 |
$206.70 |
$255.00
|
|
Hla ii typing 1 loc hr
|
$371.15 |
$371.15 |
$371.15 |
$299.20
|
|
Hla i low res one antigen equiv ea
|
$573.95 |
$573.95 |
$573.95 |
$164.00
|
|
Hla i typing complete lr
|
$408.85 |
$408.85 |
$408.85 |
$720.00
|
|
Hla i typing high res 1 allele grp ea
|
$433.55 |
$433.55 |
$433.55 |
$304.20
|
|
Hla i typing low res one locus ea
|
$536.90 |
$536.90 |
$536.90 |
$340.00
|
|
Hlth bhv assmt/reassessment
|
$598.00 |
$598.00 |
$598.00 |
$181.00
|
|
Hlth bhv ivntj fam 1st 30
|
$442.00 |
$442.00 |
$442.00 |
$147.16
|
|
Hlth bhv ivntj fam without pt ea
|
$140.40 |
$140.40 |
$140.40 |
$87.00
|
|
Hlth bhv ivntj fam wo pt 1st
|
$390.00 |
$390.00 |
$390.00 |
$183.68
|
|
Hlth bhv ivntj grp 1st 30
|
$59.80 |
$59.80 |
$59.80 |
$78.50
|
|
Hlth bhv ivntj indiv 1st 30
|
$413.40 |
$413.40 |
$413.40 |
$200.00
|
|
Hocm 250-299mg/ml iodine,1ml
|
$29.25 |
$29.25 |
$29.25 |
$37.80
|
|
Hocm 350-399mg/ml iodine,1ml
|
$1.09 |
$1.09 |
$1.09 |
$79.78
|
|
Home health care supervision
|
$286.00 |
$286.00 |
$286.00 |
$101.60
|
|
Home health care supervision
|
$494.65 |
$494.65 |
$494.65 |
$153.12
|
|
Home health re-certification physician g0179
|
$128.70 |
$128.70 |
$128.70 |
$88.80
|
|
Home/res vst est high mdm 60
|
$1,029.60 |
$1,029.60 |
$1,029.60 |
$338.40
|
|
Home/res vst est mod mdm 40
|
$698.10 |
$698.10 |
$698.10 |
$233.60
|
|
Home/res vst est sf mdm 20
|
$257.40 |
$257.40 |
$257.40 |
$93.24
|
|
Home/res vst new high mdm 75
|
$1,109.55 |
$1,109.55 |
$1,109.55 |
$398.40
|
|
Home/res vst new low mdm 30
|
$471.90 |
$471.90 |
$471.90 |
$145.60
|
|
Home/res vst new mod mdm 60
|
$820.95 |
$820.95 |
$820.95 |
$327.20
|
|
Home/res vst new sf mdm 15
|
$286.00 |
$286.00 |
$286.00 |
$98.40
|
|
Home sleep test/type 3 porta
|
$508.95 |
$508.95 |
$508.95 |
$570.00
|
|
Home visit est patient 99348
|
$429.00 |
$429.00 |
$429.00 |
$140.00
|
|
Homocysteine
|
$52.65 |
$52.65 |
$52.65 |
$125.40
|
|
Homogenization tissue
|
$28.60 |
$28.60 |
$28.60 |
$41.30
|
|
Hopd mntl hlt, grp
|
$72.15 |
$72.15 |
$72.15 |
$57.85
|
|
Hpa-15 genotyping
|
$238.55 |
$238.55 |
$238.55 |
$168.66
|
|
Hpa-1 genotyping
|
$238.55 |
$238.55 |
$238.55 |
$202.20
|
|
Hpa-2 genotyping
|
$238.55 |
$238.55 |
$238.55 |
$180.05
|
|
Hpa-3 genotyping
|
$238.55 |
$238.55 |
$238.55 |
$168.66
|
|
Hpa-4 genotyping
|
$238.55 |
$238.55 |
$238.55 |
$200.40
|
|
Hpa-5 genotyping
|
$238.55 |
$238.55 |
$238.55 |
$180.05
|
|
Hpa-6 genotyping
|
$238.55 |
$238.55 |
$238.55 |
$170.00
|
|
Hpa-9 genotyping
|
$238.55 |
$238.55 |
$238.55 |
$170.00
|
|
Hpv types 16 & 18 only
|
$79.30 |
$79.30 |
$79.30 |
$112.00
|
|
H pylori (c-13) breath
|
$84.50 |
$84.50 |
$84.50 |
$212.25
|
|
Hrv skn cll ssp agrft 1st 25
|
$4,459.00 |
$4,459.00 |
$4,459.00 |
$3,567.20
|
|
Human epididymis protein 4 (he4)
|
$402.35 |
$402.35 |
$402.35 |
$157.32
|
|
Hyaluronidase 150 unit/ml injection solution
|
$130.57 |
$130.57 |
$130.57 |
$126.37
|
|
Hyaluronidase, human recombinant 150 unit/ml injection solution
|
$130.57 |
$130.57 |
$130.57 |
$142.40
|
|
Hydralazine 20 mg/ml injection solution
|
$39.88 |
$39.88 |
$39.88 |
$48.00
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$470.46 |
$470.46 |
$470.46 |
$140.54
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$182.66 |
$182.66 |
$182.66 |
$112.66
|
|
Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge
|
$4.97 |
$4.97 |
$4.97 |
$294.92
|
|
Hydromorphone injection
|
$8.45 |
$8.45 |
$8.45 |
$80.38
|
|
Hydroxocobalamin im 10mcg
|
$2.50 |
$2.50 |
$2.50 |
$4.86
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$78.88 |
$78.88 |
$78.88 |
$72.65
|
|
Hymovis injection 1 mg
|
$559.26 |
$559.26 |
$559.26 |
$28.00
|
|
Hyoscyamine sulfate inj
|
$252.53 |
$252.53 |
$252.53 |
$123.83
|
|
Hyperbaric oxygen therapy
|
$548.60 |
$548.60 |
$548.60 |
$1,081.04
|
|
Hyperthermia ext gen deep
|
$478.40 |
$478.40 |
$478.40 |
$1,683.20
|
|
Hypnotherapy
|
$569.40 |
$569.40 |
$569.40 |
$244.80
|
|
Hypothermia ill neonate
|
$1,170.00 |
$1,170.00 |
$1,170.00 |
$567.20
|
|
Hyqvia 100mg immuneglobulin
|
$57.37 |
$57.37 |
$57.37 |
$13,494.15
|
|
Hysterorrhaphy of ruptured uterus 59350
|
$1,284.40 |
$1,284.40 |
$1,284.40 |
$891.00
|
|
Hysterosalpingography s&i
|
$1,355.25 |
$1,355.25 |
$1,355.25 |
$669.12
|
|
Hysteroscopy ablation
|
$18,450.25 |
$18,450.25 |
$18,450.25 |
$5,865.75
|
|
Hysteroscopy biopsy
|
$11,883.95 |
$11,883.95 |
$11,883.95 |
$5,419.00
|
|
Hysteroscopy dx sep proc
|
$11,883.95 |
$11,883.95 |
$11,883.95 |
$3,997.50
|
|
Hysteroscopy remove fb
|
$11,883.95 |
$11,883.95 |
$11,883.95 |
$4,719.18
|
|
Hysteroscopy remove myoma
|
$18,450.25 |
$18,450.25 |
$18,450.25 |
$5,463.96
|
|
Hzv zoster vacc recombinant adjuvanted im inj
|
$549.18 |
$549.18 |
$549.18 |
$352.24
|
|
I-123 ioflupane diag
|
$3,003.00 |
$3,003.00 |
$3,003.00 |
$4,158.00
|
|
I-123 sod iodide diag per 100 uci
|
$150.15 |
$150.15 |
$150.15 |
$147.46
|
|
I131 iodide cap, rx
|
$128.70 |
$128.70 |
$128.70 |
$71.70
|
|
Iadna legionella pneumophila amplified probe tq
|
$38.35 |
$38.35 |
$38.35 |
$109.80
|
|
Ibandronate 3 mg/3 ml intravenous syringe
|
$328.38 |
$328.38 |
$328.38 |
$684.45
|
|
Ibuprofen injection
|
$386.10 |
$386.10 |
$386.10 |
$256.76
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$131.00 |
$131.00 |
$131.00 |
$980.94
|
|
Icatibant injection
|
$8,695.05 |
$8,695.05 |
$8,695.05 |
$8,695.05
|
|
Icut allergy test drug/bug
|
$105.95 |
$105.95 |
$105.95 |
$70.29
|
|
Icut allergy titrate-airborn
|
$3.25 |
$3.25 |
$3.25 |
$29.55
|
|
I&d abscess posterior spine l/s/ls-22015
|
$3,286.40 |
$3,286.40 |
$3,286.40 |
$2,286.40
|
|
Idarubicin hcl injection
|
$36.15 |
$36.15 |
$36.15 |
$447.02
|
|
Idecabtagene vicleucel car
|
$33,955.69 |
$33,955.69 |
$33,955.69 |
$1,129,895.40
|
|
Idet 1 or more levels
|
$787.80 |
$787.80 |
$787.80 |
$4,649.60
|
|
Idet single level
|
$1,521.00 |
$1,521.00 |
$1,521.00 |
$3,347.50
|
|
Idh1 common variants
|
$377.00 |
$377.00 |
$377.00 |
$415.35
|
|
Idh2 common variants
|
$384.80 |
$384.80 |
$384.80 |
$486.00
|
|
I&d upper arm/elbow deep abscess/hematoma
|
$777.40 |
$777.40 |
$777.40 |
$3,371.02
|
|
Idursulfase injection
|
$2,519.32 |
$2,519.32 |
$2,519.32 |
$5,646.08
|
|
I&d vag hemtma obst/postpart
|
$3,141.45 |
$3,141.45 |
$3,141.45 |
$3,370.52
|
|
Ifosfamide 1 gram intravenous solution
|
$335.53 |
$335.53 |
$335.53 |
$246.95
|
|
Igh gene rearrange amp meth
|
$850.20 |
$850.20 |
$850.20 |
$464.25
|
|
Igh@ var region somatic mutation analy
|
$558.35 |
$558.35 |
$558.35 |
$660.80
|
|
Ihc/icc per specimen each additional single antibody stain
|
$158.60 |
$158.60 |
$158.60 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$233.35 |
$233.35 |
$233.35 |
$331.20
|
|
Ihc/icc per specimen initial single antibody stain
|
$196.30 |
$196.30 |
$196.30 |
$277.90
|
|
Ileostomy/jejunostomy non-tube 44310
|
$5,031.00 |
$5,031.00 |
$5,031.00 |
$1,976.40
|
|
Iliac/fem angio cath insert
|
$71.50 |
$71.50 |
$71.50 |
$1,856.01
|
|
Imbrication/diaphragm/transthor/transabd 39545
|
$3,814.20 |
$3,814.20 |
$3,814.20 |
$2,181.60
|
|
Imetelstat 188 mg intravenous solution
|
$32,477.90 |
$32,477.90 |
$32,477.90 |
$20,373.55
|
|
Img rta detc/mntr ds poc aly
|
$221.65 |
$221.65 |
$221.65 |
$71.25
|
|
Immt breast prosthesis 19340
|
$2,724.80 |
$2,724.80 |
$2,724.80 |
$5,110.00
|
|
Immune complex assay
|
$78.65 |
$78.65 |
$78.65 |
$101.60
|
