|
Hemoglobin methemoglobin quantitative
|
$115.00 |
$115.00 |
$115.00 |
$52.32
|
|
Hemoglobin plasma
|
$129.00 |
$129.00 |
$129.00 |
$41.40
|
|
Heparin assay
|
$83.00 |
$83.00 |
$83.00 |
$139.15
|
|
Heparin bolus from bag
|
$75.00 |
$75.00 |
$75.00 |
$66.06
|
|
Heparin neutralization
|
$73.00 |
$73.00 |
$73.00 |
$37.10
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$3.00 |
$3.00 |
$3.00 |
$12.00
|
|
Hepatitis a antibody igm
|
$154.00 |
$154.00 |
$154.00 |
$89.44
|
|
Hepatitis b core antibody igm
|
$183.00 |
$183.00 |
$183.00 |
$89.60
|
|
Hepatitis b core antibody total
|
$148.00 |
$148.00 |
$148.00 |
$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
|
$166.00 |
$166.00 |
$166.00 |
$82.32
|
|
Hepatitis c antibody
|
$195.00 |
$195.00 |
$195.00 |
$108.25
|
|
Hernia Repair (Inguinal)
|
$29,553.64 |
$29,553.64 |
$29,553.64 |
$6,906.90
|
|
Herpes simplex type 1 antibody igg
|
$132.00 |
$132.00 |
$132.00 |
$69.12
|
|
Herpes simplex type 2 antibody igg
|
$89.00 |
$89.00 |
$89.00 |
$87.36
|
|
Heterophile antibodies screening
|
$80.00 |
$80.00 |
$80.00 |
$73.87
|
|
Hip and Pelvis X-ray (2 views, both hips)
|
$481.00 |
$481.00 |
$481.00 |
$374.40
|
|
Hip and Pelvis X-ray (3 to 4 views, both hips)
|
$472.00 |
$472.00 |
$472.00 |
$424.80
|
|
Hip and Pelvis X-ray (single view, left side)
|
$288.00 |
$288.00 |
$288.00 |
$233.50
|
|
Hip X-ray
|
$342.00 |
$342.00 |
$342.00 |
$294.75
|
|
Hldr trach tb tie ad
|
$1,626.99 |
$1,626.99 |
$1,626.99 |
$940.87
|
|
Holder tube cath-secure nonstrl lf disp
|
$1.20 |
$1.20 |
$1.20 |
$1.94
|
|
Home/res vst est high mdm 60
|
$442.75 |
$442.75 |
$442.75 |
$338.40
|
|
Home/res vst est mod mdm 40
|
$308.00 |
$308.00 |
$308.00 |
$233.60
|
|
Home/res vst est sf mdm 20
|
$131.00 |
$131.00 |
$131.00 |
$93.24
|
|
Home/res vst new low mdm 30
|
$196.07 |
$196.07 |
$196.07 |
$145.60
|
|
Home/res vst new mod mdm 60
|
$436.00 |
$436.00 |
$436.00 |
$327.20
|
|
Home visit est patient 99348
|
$201.00 |
$201.00 |
$201.00 |
$140.00
|
|
Homocysteine
|
$279.00 |
$279.00 |
$279.00 |
$125.40
|
|
Homogenization tissue
|
$46.00 |
$46.00 |
$46.00 |
$41.30
|
|
Hopd mntl hlt, 15-29 min
|
$610.00 |
$610.00 |
$610.00 |
$60.00
|
|
Hopd mntl hlt, 30-60 min
|
$860.00 |
$860.00 |
$860.00 |
$152.25
|
|
Hopd mntl hlt, grp
|
$735.00 |
$735.00 |
$735.00 |
$57.85
|
|
Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution
|
$1,829.90 |
$1,829.90 |
$1,829.90 |
$5,568.57
|
|
Hyaluronidase 150 unit/ml injection solution
|
$154.70 |
$154.70 |
$154.70 |
$126.37
|
|
Hyaluronidase, human recombinant 150 unit/ml injection solution
|
$236.10 |
$236.10 |
$236.10 |
$142.40
|
|
Hydralazine 20 mg/ml injection solution
|
$23.10 |
$23.10 |
$23.10 |
$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)
|
$564.00 |
$564.00 |
$564.00 |
$112.66
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$105.00 |
$105.00 |
$105.00 |
$72.65
|
|
Hydroxyzine pamoate 25 mg capsule
|
$1.00 |
$1.00 |
$1.00 |
$1.28
|
|
Hzv zoster vacc recombinant adjuvanted im inj
|
$442.00 |
$442.00 |
$442.00 |
$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
|
$390.95 |
$390.95 |
$390.95 |
$684.45
|
|
Icd cobalt xt dr MRI is1 df1
|
$30,942.00 |
$30,942.00 |
$30,942.00 |
$34,093.09
|
|
Icd crtd cobalt hf MRI is1 df1
|
$42,975.00 |
$42,975.00 |
$42,975.00 |
$39,070.50
|
|
Icd crtp serena MRI
|
$14,208.75 |
$14,208.75 |
$14,208.75 |
$14,360.25
|
|
Icd reliance df4 ib 64cm
|
$7,110.69 |
$7,110.69 |
$7,110.69 |
$9,264.83
|
|
Icut allergy test drug/bug
|
$54.00 |
$54.00 |
$54.00 |
$70.29
|
|
Ifosfamide 1 gram intravenous solution
|
$494.70 |
$494.70 |
$494.70 |
$246.95
|
|
Ihc/icc per specimen each additional single antibody stain
|
$204.00 |
$204.00 |
$204.00 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$583.00 |
$583.00 |
$583.00 |
$331.20
|
|
Ihc/icc per specimen initial single antibody stain
|
$7,074.50 |
$7,074.50 |
$7,074.50 |
$277.90
|
|
Imetelstat 188 mg intravenous solution
|
$31,931.40 |
$31,931.40 |
$31,931.40 |
$20,373.55
|
|
Immob elbow child sm
|
$44.65 |
$44.65 |
$44.65 |
$85.39
|
|
Immobilizer lwr extrem nylon 20in reinforc 21-35in
|
$807.71 |
$807.71 |
$807.71 |
$259.20
|
|
Immobilizer shldr cntor adlt
|
$263.74 |
$263.74 |
$263.74 |
$175.60
|
|
Immobilizer shldr dlx str 24-36in med
|
$209.88 |
$209.88 |
$209.88 |
$118.43
|
|
Immobilizer shldr sling med
|
$52.36 |
$52.36 |
$52.36 |
$126.00
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$10,106.10 |
$10,106.10 |
$10,106.10 |
$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
|
$203.00 |
$203.00 |
$203.00 |
$132.00
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$161.00 |
$161.00 |
$161.00 |
$116.40
|
|
Immunofixation electrophoresis serum
|
$239.00 |
$239.00 |
$239.00 |
$142.50
|
|
Immunoglobulin assay
|
$249.00 |
$249.00 |
$249.00 |
$78.00
|
|
Impl ahmed 6x25x9.6mm glaucoma vlv w/sil ped ster
|
$8,420.00 |
$8,420.00 |
$8,420.00 |
$2,946.00
|
|
Implant 11 volt lithium-ion backup battery for controller pocket
|
$1,405.00 |
$1,405.00 |
$1,405.00 |
$1,754.00
|
|
Implant cartilage 10mm synthetic
|
$6,525.50 |
$6,525.50 |
$6,525.50 |
$8,332.51
|
|
Implant cochlear osia osi300
|
$9,780.21 |
$9,780.21 |
$9,780.21 |
$16,195.55
|
|
Implant power module patient cable cable 14 volt
|
$3,512.50 |
$3,512.50 |
$3,512.50 |
$3,695.42
|
|
Implant pulse generator remede el
|
$18,945.00 |
$18,945.00 |
$18,945.00 |
$43,752.80
|
|
Implant ureth bulk agent
|
$3,291.72 |
$3,291.72 |
$3,291.72 |
$2,168.00
|
|
Impl ear abutment ba300 9mm
|
$5,699.03 |
$5,699.03 |
$5,699.03 |
$3,974.88
|
|
Impl eye bio-eye 16mm
|
$2,550.08 |
$2,550.08 |
$2,550.08 |
$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 achilles tendon
|
$7,202.00 |
$7,202.00 |
$7,202.00 |
$3,318.90
|
|
Incision tendon sheath
|
$9,892.31 |
$9,892.31 |
$9,892.31 |
$3,073.20
|
|
Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s)
|
$211.00 |
$211.00 |
$211.00 |
$140.80
|
|
Infect ag ia optc obs influenza
|
$38.36 |
$38.36 |
$38.36 |
$72.93
|
|
Infectious agent antigen immunoassay direct optical observation sars-cov-2
|
$100.00 |
$100.00 |
$100.00 |
$53.00
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$105.00 |
$105.00 |
$105.00 |
$83.60
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$99.00 |
$99.00 |
$99.00 |
$72.80
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$159.00 |
$159.00 |
$159.00 |
$76.00
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$154.00 |
$154.00 |
$154.00 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$324.00 |
$324.00 |
$324.00 |
$103.40
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$145.00 |
$145.00 |
$145.00 |
$81.20
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$76.00 |
$76.00 |
$76.00 |
$60.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$190.00 |
$190.00 |
$190.00 |
$100.00
|
