|
Heparin assay
|
$100.75 |
$100.75 |
$100.75 |
$139.15
|
|
Heparin bolus from bag
|
$75.00 |
$75.00 |
$75.00 |
$66.06
|
|
Heparin neutralization
|
$83.85 |
$83.85 |
$83.85 |
$37.10
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$3.00 |
$3.00 |
$3.00 |
$12.00
|
|
Hepatitis a antibody igm
|
$68.90 |
$68.90 |
$68.90 |
$89.44
|
|
Hepatitis b core antibody igm
|
$68.90 |
$68.90 |
$68.90 |
$89.60
|
|
Hepatitis b core antibody total
|
$120.25 |
$120.25 |
$120.25 |
$77.50
|
|
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution
|
$3,148.75 |
$3,148.75 |
$3,148.75 |
$1,154.13
|
|
Hepatitis b surface antibody
|
$117.65 |
$117.65 |
$117.65 |
$82.32
|
|
Hepatitis c antibody
|
$118.95 |
$118.95 |
$118.95 |
$108.25
|
|
Herpes simplex type 1 antibody igg
|
$153.40 |
$153.40 |
$153.40 |
$69.12
|
|
Herpes simplex type 2 antibody igg
|
$133.25 |
$133.25 |
$133.25 |
$87.36
|
|
Heterophile antibodies screening
|
$42.90 |
$42.90 |
$42.90 |
$73.87
|
|
Hip and Pelvis X-ray (2 views, both hips)
|
$497.25 |
$497.25 |
$497.25 |
$374.40
|
|
Hip and Pelvis X-ray (3 to 4 views, both hips)
|
$301.60 |
$301.60 |
$301.60 |
$424.80
|
|
Hip and Pelvis X-ray (single view, left side)
|
$303.55 |
$303.55 |
$303.55 |
$233.50
|
|
Hip X-ray
|
$1,667.00 |
$1,667.00 |
$1,667.00 |
$294.75
|
|
HIV prep, ftc/tdf 200/300mg
|
$1.00 |
$1.00 |
$1.00 |
$31.80
|
|
Hldr trach tb tie ad
|
$1,057.54 |
$1,057.54 |
$1,057.54 |
$940.87
|
|
Holder tube cath-secure nonstrl lf disp
|
$0.78 |
$0.78 |
$0.78 |
$1.94
|
|
Homocysteine
|
$172.25 |
$172.25 |
$172.25 |
$125.40
|
|
Homogenization tissue
|
$50.70 |
$50.70 |
$50.70 |
$41.30
|
|
Hpv types 16 & 18 only
|
$291.20 |
$291.20 |
$291.20 |
$112.00
|
|
H pylori (c-13) breath
|
$96.85 |
$96.85 |
$96.85 |
$212.25
|
|
Human epididymis protein 4 (he4)
|
$192.40 |
$192.40 |
$192.40 |
$157.32
|
|
Hyaluronidase, human recombinant 150 unit/ml injection solution
|
$236.10 |
$236.10 |
$236.10 |
$142.40
|
|
Hydralazine 20 mg/ml injection solution
|
$14.05 |
$14.05 |
$14.05 |
$48.00
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$243.25 |
$243.25 |
$243.25 |
$140.54
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$364.45 |
$364.45 |
$364.45 |
$112.66
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$86.10 |
$86.10 |
$86.10 |
$72.65
|
|
Hydroxyzine pamoate 25 mg capsule
|
$1.00 |
$1.00 |
$1.00 |
$1.28
|
|
Hzv zoster vacc recombinant adjuvanted im inj
|
$177.45 |
$177.45 |
$177.45 |
$352.24
|
|
I-123 iobenguane diag
|
$24,445.60 |
$24,445.60 |
$24,445.60 |
$5,170.70
|
|
I-123 ioflupane diag
|
$12,340.00 |
$12,340.00 |
$12,340.00 |
$4,158.00
|
|
I-123 sod iodide diag per 100 uci
|
$412.50 |
$412.50 |
$412.50 |
$147.46
|
|
I-131 iobenguane sulf diag mibg
|
$6,709.35 |
$6,709.35 |
$6,709.35 |
$3,638.48
|
|
I-131 sod iodide sol diag per mci
|
$417.75 |
$417.75 |
$417.75 |
$114.60
|
|
Ibandronate 3 mg/3 ml intravenous syringe
|
$1,149.75 |
$1,149.75 |
$1,149.75 |
$684.45
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$2,574.70 |
$2,574.70 |
$2,574.70 |
$980.94
|
|
Icd cobalt xt dr MRI is1 df1
|
$20,112.30 |
$20,112.30 |
$20,112.30 |
$34,093.09
|
|
Icd crtd cobalt hf MRI is1 df1
|
$27,933.75 |
$27,933.75 |
$27,933.75 |
$39,070.50
|
|
Icd crtp serena MRI
|
$9,235.69 |
$9,235.69 |
$9,235.69 |
$14,360.25
|
|
Icd reliance df4 ib 64cm
|
$4,621.95 |
$4,621.95 |
$4,621.95 |
$9,264.83
|
|
Ifosfamide 1 gram intravenous solution
|
$494.70 |
$494.70 |
$494.70 |
$246.95
|
|
Ihc/icc per specimen each additional single antibody stain
|
$588.90 |
$588.90 |
$588.90 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$236.60 |
$236.60 |
$236.60 |
$331.20
|
|
Ihc/icc per specimen initial single antibody stain
|
$478.40 |
$478.40 |
$478.40 |
$277.90
|
|
Imetelstat 188 mg intravenous solution
|
$31,931.40 |
$31,931.40 |
$31,931.40 |
$20,373.55
|
|
Immob elbow child sm
|
$29.02 |
$29.02 |
$29.02 |
$85.39
|
|
Immobilizer lwr extrem nylon 20in reinforc 21-35in
|
$525.01 |
$525.01 |
$525.01 |
$259.20
|
|
Immobilizer shldr cntor adlt
|
$171.43 |
$171.43 |
$171.43 |
$175.60
|
|
Immobilizer shldr dlx str 24-36in med
|
$61,857.41 |
$61,857.41 |
$61,857.41 |
$118.43
|
|
Immobilizer shldr sling med
|
$34.03 |
$34.03 |
$34.03 |
$126.00
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$11,697.10 |
$11,697.10 |
$11,697.10 |
$6,106.32
|
|
Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution
|
$4,576.15 |
$4,576.15 |
$4,576.15 |
$2,900.11
|
|
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution
|
$6,381.00 |
$6,381.00 |
$6,381.00 |
$3,846.15
|
|
Immunoassay tumor antigen quantitative ca 125
|
$189.80 |
$189.80 |
$189.80 |
$132.00
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$171.60 |
$171.60 |
$171.60 |
$116.40
|
|
Immunofixation electrophoresis serum
|
$176.80 |
$176.80 |
$176.80 |
$142.50
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$317.85 |
$317.85 |
$317.85 |
$154.05
|
|
Immunofluorescence per specimen initial single antibody stain
|
$231.40 |
$231.40 |
$231.40 |
$234.27
|
|
Immunoglobulin assay
|
$154.05 |
$154.05 |
$154.05 |
$78.00
|
|
Impl ahmed 6x25x9.6mm glaucoma vlv w/sil ped ster
|
$5,473.00 |
$5,473.00 |
$5,473.00 |
$2,946.00
|
|
Implant 11 volt lithium-ion backup battery for controller pocket
|
$913.25 |
$913.25 |
$913.25 |
$1,754.00
|
|
Implant cartilage 10mm synthetic
|
$4,241.57 |
$4,241.57 |
$4,241.57 |
$8,332.51
|
|
Implant cochlear osia osi300
|
$6,357.14 |
$6,357.14 |
$6,357.14 |
$16,195.55
|
|
Implant power module patient cable cable 14 volt
|
$2,283.12 |
$2,283.12 |
$2,283.12 |
$3,695.42
|
|
Implant pulse generator remede el
|
$12,314.25 |
$12,314.25 |
$12,314.25 |
$43,752.80
|
|
Implant ureth bulk agent
|
$2,139.62 |
$2,139.62 |
$2,139.62 |
$2,168.00
|
|
Impl ear abutment ba300 9mm
|
$3,704.37 |
$3,704.37 |
$3,704.37 |
$3,974.88
|
|
Impl eye bio-eye 16mm
|
$1,657.55 |
$1,657.55 |
$1,657.55 |
$3,917.20
|
|
In-111 autologous plt stdy dx
|
$1,494.95 |
$1,494.95 |
$1,494.95 |
$6,139.64
|
|
In-111 autol wbc diag per dose
|
$10,776.60 |
$10,776.60 |
$10,776.60 |
$3,493.75
|
|
In-111 capromab pendet
|
$7,024.00 |
$7,024.00 |
$7,024.00 |
$3,141.45
|
|
In-111 ibritumomab tiux dx
|
$7,246.75 |
$7,246.75 |
$7,246.75 |
$4,748.02
|
|
In-111 oxyquinolin per 0.5 mci
|
$10,776.60 |
$10,776.60 |
$10,776.60 |
$2,753.23
|
|
In-111 pentetate dtpa / 0.5 mci
|
$11,163.95 |
$11,163.95 |
$11,163.95 |
$2,598.17
|
|
In-111 pentetreotide
|
$15,327.00 |
$15,327.00 |
$15,327.00 |
$5,294.90
|
|
In-111 satumomab pend
|
$3,524.25 |
$3,524.25 |
$3,524.25 |
$3,113.04
|
|
Incision of tendon sheath
|
$16,260.80 |
$16,260.80 |
$16,260.80 |
$2,263.68
|
|
Incision tendon sheath
|
$17,096.85 |
$17,096.85 |
$17,096.85 |
$3,073.20
|
|
Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s)
|
$208.00 |
$208.00 |
$208.00 |
$140.80
|
|
Infect ag drug suscept pheno predict
|
$685.10 |
$685.10 |
$685.10 |
$325.00
|
|
Infect ag eia influenza a or b ea
|
$489.00 |
$489.00 |
$489.00 |
$71.20
|
|
Infect ag genotype na hiv-1 other region
|
$390.00 |
$390.00 |
$390.00 |
$361.65
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$273.00 |
$273.00 |
$273.00 |
$603.83
|
|
Infect ag na hpv high-risk types
|
$139.75 |
$139.75 |
$139.75 |
$139.20
|
|
Infect ag na influenza r/amp 1st 2 types
|
$251.55 |
$251.55 |
$251.55 |
$219.70
|
|
Infect ag na resp virus 12-25 targets
|
$2,009.15 |
$2,009.15 |
$2,009.15 |
$854.70
|
|
Infectious agent antigen immunoassay direct optical observation sars-cov-2
|
$65.00 |
$65.00 |
$65.00 |
$53.00
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$337.00 |
$337.00 |
$337.00 |
$83.60
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$63.70 |
$63.70 |
$63.70 |
$72.80
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$73.45 |
$73.45 |
$73.45 |
$76.00
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$111.15 |
$111.15 |
$111.15 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$358.15 |
$358.15 |
$358.15 |
$103.40
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$85.80 |
$85.80 |
$85.80 |
$81.20
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$65.00 |
$65.00 |
$65.00 |
$60.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$1,598.00 |
$1,598.00 |
$1,598.00 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$141.05 |
$141.05 |
$141.05 |
$129.00
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$24.05 |
$24.05 |
$24.05 |
$98.58
|