|
Holder tube cath-secure nonstrl lf disp
|
$0.78 |
$0.78 |
$0.78 |
$1.94
|
|
Home health care supervision
|
$124.80 |
$124.80 |
$124.80 |
$88.20
|
|
Home health care supervision
|
$215.20 |
$215.20 |
$215.20 |
$215.20
|
|
Home health care supervision
|
$236.00 |
$236.00 |
$236.00 |
$153.12
|
|
Home health re-certification physician g0179
|
$88.80 |
$88.80 |
$88.80 |
$88.80
|
|
Home/res vst est high mdm 60
|
$338.40 |
$338.40 |
$338.40 |
$338.40
|
|
Home/res vst est mod mdm 40
|
$233.60 |
$233.60 |
$233.60 |
$233.60
|
|
Home/res vst est sf mdm 20
|
$98.40 |
$98.40 |
$98.40 |
$93.24
|
|
Home/res vst new high mdm 75
|
$398.40 |
$398.40 |
$398.40 |
$398.40
|
|
Home/res vst new low mdm 30
|
$145.60 |
$145.60 |
$145.60 |
$145.60
|
|
Home/res vst new mod mdm 60
|
$327.20 |
$327.20 |
$327.20 |
$327.20
|
|
Home/res vst new sf mdm 15
|
$98.40 |
$98.40 |
$98.40 |
$98.40
|
|
Home sleep test/type 3 porta
|
$456.00 |
$456.00 |
$456.00 |
$570.00
|
|
Home sleep test/type 4 porta
|
$456.00 |
$456.00 |
$603.00 |
$613.60
|
|
Home vent mgmt supervision
|
$204.80 |
$204.80 |
$204.80 |
$161.28
|
|
Home visit est patient 99348
|
$151.20 |
$151.20 |
$151.20 |
$140.00
|
|
Homocysteine
|
$55.00 |
$55.00 |
$189.80 |
$125.40
|
|
Homogenization tissue
|
$38.58 |
$38.58 |
$48.10 |
$41.30
|
|
Homovanillic acid (hva)
|
$56.00 |
$56.00 |
$56.00 |
$59.95
|
|
Hopd mntl hlt, 15-29 min
|
$68.07 |
$68.07 |
$68.07 |
$60.00
|
|
Hopd mntl hlt, 30-60 min
|
$173.93 |
$173.93 |
$173.93 |
$152.25
|
|
Hopd mntl hlt, grp
|
$116.48 |
$116.48 |
$116.48 |
$57.85
|
|
Hospice care supervision
|
$124.80 |
$124.80 |
$124.80 |
$124.80
|
|
Hospice care supervision
|
$239.20 |
$239.20 |
$239.20 |
$239.20
|
|
Hpa-15 genotyping
|
$244.80 |
$244.80 |
$244.80 |
$168.66
|
|
Hpa-1 genotyping
|
$244.80 |
$244.80 |
$244.80 |
$202.20
|
|
Hpa-2 genotyping
|
$244.80 |
$244.80 |
$244.80 |
$170.00
|
|
Hpa-3 genotyping
|
$244.80 |
$244.80 |
$244.80 |
$168.66
|
|
Hpa-4 genotyping
|
$244.80 |
$244.80 |
$244.80 |
$200.40
|
|
Hpa-5 genotyping
|
$244.80 |
$244.80 |
$244.80 |
$180.05
|
|
Hpa-6 genotyping
|
$244.80 |
$244.80 |
$244.80 |
$170.00
|
|
Hpa-9 genotyping
|
$244.80 |
$244.80 |
$244.80 |
$170.00
|
|
Hpv combo assay ca screen
|
$70.40 |
$70.40 |
$70.40 |
$70.40
|
|
Hpv low-risk types
|
$77.60 |
$77.60 |
$77.60 |
$77.60
|
|
Hpv types 16 & 18 only
|
$81.60 |
$81.60 |
$81.60 |
$112.00
|
|
H pylori ag ia
|
$35.20 |
$35.20 |
$35.20 |
$62.72
|
|
H pylori (c-13) blood
|
$169.60 |
$169.60 |
$169.60 |
$169.60
|
|
H pylori (c-13) breath
|
$291.41 |
$291.41 |
$291.41 |
$212.25
|
|
H pylori drug admin
|
$20.00 |
$20.00 |
$20.00 |
$28.56
|
|
Hrdtry brst ca-rlatd do 5+
|
$1,481.60 |
$1,481.60 |
$1,481.60 |
$1,702.08
|
|
Hrdtry cardmypy gene panel
|
$1,276.00 |
$1,276.00 |
$1,276.00 |
$1,377.06
|
|
Hrdtry perph neurphy panel
|
$1,170.40 |
$1,170.40 |
$1,170.40 |
$1,555.11
|
|
Hsv dna dir probe
|
$50.40 |
$50.40 |
$50.40 |
$27.67
|
|
Htt gene detc abnor alleles
|
$153.56 |
$153.56 |
$153.56 |
$250.50
|
|
Human epididymis protein 4 (he4)
|
$52.80 |
$52.80 |
$183.30 |
$157.32
|
|
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
|
$52.00 |
$52.00 |
$154.70 |
$126.37
|
|
Hyaluronidase, human recombinant 150 unit/ml injection solution
|
$1.07 |
$1.07 |
$1.07 |
$142.40
|
|
Hydralazine 20 mg/ml injection solution
|
$14.05 |
$14.05 |
$92.12 |
$48.00
|
|
Hydrocolld drg <=16 without bdr
|
$18.40 |
$18.40 |
$18.40 |
$7.76
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$97.78 |
$97.78 |
$243.25 |
$135.60
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$24.07 |
$24.07 |
$30,893.99 |
$112.66
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$60.83 |
$60.83 |
$105.00 |
$72.65
|
|
Hydroxyzine pamoate 25 mg capsule
|
$0.31 |
$0.31 |
$1.00 |
$1.28
|
|
Hydrxycorticsterds 17- (17-ohcs)
|
$55.00 |
$55.00 |
$55.00 |
$73.45
|
|
Hymenotomy
|
$117.60 |
$117.60 |
$117.60 |
$4,358.89
|
|
Hymovis injection 1 mg
|
$28.00 |
$28.00 |
$28.00 |
$28.00
|
|
Hyoid myotomy & suspension
|
$2,443.20 |
$2,443.20 |
$2,443.20 |
$5,855.00
|
|
Hyperbaric oxygen therapy
|
$256.80 |
$256.80 |
$256.80 |
$1,058.04
|
|
#hypersens-actinomyces ab
|
$48.57 |
$48.57 |
$48.57 |
$32.00
|
|
Hyperthermia ext gen deep
|
$1,683.20 |
$1,683.20 |
$1,683.20 |
$1,683.20
|
|
Hyperthermia ext gen supfc
|
$1,002.40 |
$1,002.40 |
$1,002.40 |
$943.00
|
|
Hyperthermia gen intrcv prb
|
$1,173.60 |
$1,173.60 |
$1,173.60 |
$1,173.60
|
|
Hyperthermia ntrstl prb 5/<
|
$1,803.20 |
$1,803.20 |
$1,803.20 |
$1,803.20
|
|
Hyperthermia ntrstl prb>5
|
$1,995.20 |
$1,995.20 |
$1,995.20 |
$759.77
|
|
Hypnotherapy
|
$244.80 |
$244.80 |
$244.80 |
$154.52
|
|
Hypothermia ill neonate
|
$414.40 |
$414.40 |
$414.40 |
$560.00
|
|
Hysterorrhaphy of ruptured uterus 59350
|
$677.60 |
$677.60 |
$677.60 |
$677.60
|
|
Hysterosalpingography s&i
|
$518.32 |
$518.32 |
$518.32 |
$669.60
|
|
Hysteroscopy ablation
|
$661.60 |
$661.60 |
$661.60 |
$5,865.75
|
|
Hysteroscopy biopsy
|
$627.20 |
$627.20 |
$18,215.92 |
$5,419.00
|
|
Hysteroscopy dx sep proc
|
$381.60 |
$381.60 |
$381.60 |
$3,997.50
|
|
Hysteroscopy lysis
|
$719.20 |
$719.20 |
$719.20 |
$5,766.75
|
|
Hysteroscopy remove fb
|
$558.40 |
$558.40 |
$558.40 |
$4,719.18
|
|
Hysteroscopy remove myoma
|
$971.20 |
$971.20 |
$971.20 |
$5,463.96
|
|
Hysteroscopy resect septum
|
$790.40 |
$790.40 |
$790.40 |
$5,766.75
|
|
Hysterotomy abdominal 59100
|
$2,051.20 |
$2,051.20 |
$2,051.20 |
$4,881.00
|
|
Hzv zoster vacc recombinant adjuvanted im inj
|
$177.45 |
$177.45 |
$212.00 |
$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
|
$210.66 |
$210.66 |
$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
|
|
Iaadi respiratory synctial virus
|
$34.40 |
$34.40 |
$34.40 |
$54.58
|
|
Iadna legionella pneumophila amplified probe tq
|
$88.80 |
$88.80 |
$88.80 |
$109.80
|
|
Ia infect ag ab qual/semiquant sgl step
|
$48.57 |
$48.57 |
$48.57 |
$50.60
|
|
Ia nfct ab sarscov2 covid19
|
$91.20 |
$91.20 |
$91.20 |
$62.49
|
|
Ibandronate 3 mg/3 ml intravenous syringe
|
$151.34 |
$151.34 |
$1,149.75 |
$684.45
|
|
Ibmfs seq alys pnl 30 genes
|
$2,350.62 |
$2,350.62 |
$2,350.62 |
$2,828.00
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$948.16 |
$948.16 |
$2,574.70 |
$980.94
|
|
Icd cobalt xt dr MRI is1 df1
|
$20,112.30 |
$20,112.30 |
$24,690.34 |
$34,093.09
|
|
Icd crtd cobalt hf MRI is1 df1
|
$27,933.75 |
$27,933.75 |
$30,642.92 |
$38,711.25
|
|
Icd crtp serena MRI
|
$9,235.69 |
$9,235.69 |
$11,371.20 |
$14,360.25
|
|
Icd reliance df4 ib 64cm
|
$4,621.95 |
$4,621.95 |
$4,621.95 |
$9,264.83
|
|
Icg angiography i&r uni/bi
|
$456.00 |
$456.00 |
$456.00 |
$470.00
|
|
Icut allergy test-delayed
|
$37.60 |
$37.60 |
$37.60 |
$46.45
|
|
Icut allergy test drug/bug
|
$24.00 |
$24.00 |
$24.00 |
$70.29
|
|
Icut allergy titrate-airborn
|
$14.40 |
$14.40 |
$14.40 |
$29.55
|
|
I&d abscess posterior spine l/s/ls-22015
|
$2,286.40 |
$2,286.40 |
$2,286.40 |
$2,286.40
|
|
I&d abscss rtrphryngl/paraphryngl intraorl apprch
|
$1,120.80 |
$1,120.80 |
$1,120.80 |
$3,592.74
|
