|
Hematocrit
|
$2,342.00 |
$2,342.00 |
$2,342.00 |
$33.80
|
|
Hemin 350 mg intravenous powder for solution
|
$34,281.50 |
$34,281.50 |
$34,281.50 |
$20,618.46
|
|
Hemodialysis one evaluation
|
$1,727.05 |
$1,727.05 |
$1,727.05 |
$1,364.27
|
|
Hemodialysis repeated eval
|
$1,975.35 |
$1,975.35 |
$1,975.35 |
$1,209.60
|
|
Hemoglobin
|
$276.40 |
$276.40 |
$276.40 |
$33.54
|
|
Hemoglobin fetal qualitative
|
$198.25 |
$198.25 |
$198.25 |
$51.75
|
|
Hemoglobin methemoglobin quantitative
|
$39.65 |
$39.65 |
$39.65 |
$52.32
|
|
Hemoglobin plasma
|
$59.80 |
$59.80 |
$59.80 |
$41.40
|
|
Hemophilus influenza antibdy
|
$34.45 |
$34.45 |
$34.45 |
$62.70
|
|
Hemorrhoidectomy intrnl lig rbbr band ligations
|
$592.15 |
$592.15 |
$592.15 |
$1,178.02
|
|
Heparin assay
|
$28,401.14 |
$28,401.14 |
$28,401.14 |
$139.15
|
|
Heparin bolus from bag
|
$29,804.29 |
$29,804.29 |
$29,804.29 |
$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
|
$65.65 |
$65.65 |
$65.65 |
$89.44
|
|
Hepatitis b core antibody igm
|
$53.95 |
$53.95 |
$53.95 |
$89.60
|
|
Hepatitis b core antibody total
|
$45.50 |
$45.50 |
$45.50 |
$77.50
|
|
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution
|
$387.75 |
$387.75 |
$387.75 |
$1,154.13
|
|
Hepatitis b surface antibody
|
$46.80 |
$46.80 |
$46.80 |
$82.32
|
|
Hepatitis c antibody
|
$70.20 |
$70.20 |
$70.20 |
$108.25
|
|
Hernia Repair (Inguinal)
|
$35,260.90 |
$35,260.90 |
$35,260.90 |
$6,906.90
|
|
Herpes simplex type 1 antibody igg
|
$40.95 |
$40.95 |
$40.95 |
$69.12
|
|
Herpes simplex type 2 antibody igg
|
$59.15 |
$59.15 |
$59.15 |
$87.36
|
|
Heterophile antibodies screening
|
$71.50 |
$71.50 |
$71.50 |
$73.87
|
|
Hip and Pelvis X-ray (2 views, both hips)
|
$276.90 |
$276.90 |
$276.90 |
$374.40
|
|
Hip and Pelvis X-ray (3 to 4 views, both hips)
|
$248.30 |
$248.30 |
$248.30 |
$424.80
|
|
Hip and Pelvis X-ray (single view, left side)
|
$80,674.55 |
$80,674.55 |
$80,674.55 |
$233.50
|
|
Hip X-ray
|
$160.55 |
$160.55 |
$160.55 |
$294.75
|
|
Histamine
|
$59.80 |
$59.80 |
$59.80 |
$115.00
|
|
Histochemical stains add-on
|
$152.75 |
$152.75 |
$152.75 |
$152.75
|
|
HIV prep, ftc/taf 200/25mg
|
$67.55 |
$67.55 |
$67.55 |
$88.39
|
|
HIV prep, ftc/tdf 200/300mg
|
$1.00 |
$1.00 |
$1.00 |
$31.80
|
|
Hla class ii high defin qual
|
$447.85 |
$447.85 |
$447.85 |
$569.25
|
|
Hla i typing high res 1 allele grp ea
|
$359.45 |
$359.45 |
$359.45 |
$304.20
|
|
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
|
|
Home health re-certification physician g0179
|
$123.00 |
$123.00 |
$123.00 |
$88.80
|
|
Home sleep test/type 2 porta
|
$22.75 |
$22.75 |
$22.75 |
$503.13
|
|
Home sleep test/type 3 porta
|
$1,072.36 |
$1,072.36 |
$1,072.36 |
$570.00
|
|
Home visit est patient 99348
|
$201.00 |
$201.00 |
$201.00 |
$140.00
|
|
Homocysteine
|
$120.90 |
$120.90 |
$120.90 |
$125.40
|
|
H pylori (c-13) breath
|
$187.85 |
$187.85 |
$187.85 |
$212.25
|
|
Human epididymis protein 4 (he4)
|
$183.30 |
$183.30 |
$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
|
$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
|
$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)
|
$185.75 |
$185.75 |
$185.75 |
$112.66
|
|
Hydroxocobalamin im 10mcg
|
$3.85 |
$3.85 |
$3.85 |
$4.86
|
|
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
|
|
Hysterorrhaphy of ruptured uterus 59350
|
$891.00 |
$891.00 |
$891.00 |
$891.00
|
|
Hysterosalpingography s&i
|
$992.55 |
$992.55 |
$992.55 |
$669.12
|
|
Hysteroscopy ablation
|
$44,583.86 |
$44,583.86 |
$44,583.86 |
$5,865.75
|
|
Hysteroscopy biopsy
|
$40,391.26 |
$40,391.26 |
$40,391.26 |
$5,419.00
|
|
Hysteroscopy dx sep proc
|
$39,655.80 |
$39,655.80 |
$39,655.80 |
$3,997.50
|
|
Hysteroscopy lysis
|
$1,043.00 |
$1,043.00 |
$1,043.00 |
$5,766.75
|
|
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
|
|
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
|
|
I&d abscess posterior spine l/s/ls-22015
|
$3,214.00 |
$3,214.00 |
$3,214.00 |
$2,286.40
|
|
Ifnl3 gene
|
$143.00 |
$143.00 |
$143.00 |
$147.20
|
|
Ifosfamide 1 gram intravenous solution
|
$494.70 |
$494.70 |
$494.70 |
$246.95
|
|
Igh@ var region somatic mutation analy
|
$906.75 |
$906.75 |
$906.75 |
$660.80
|
|
Ihc/icc per specimen each additional single antibody stain
|
$8,961.43 |
$8,961.43 |
$8,961.43 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$235.30 |
$235.30 |
$235.30 |
$331.20
|
|
Ihc/icc per specimen initial single antibody stain
|
$8,416.00 |
$8,416.00 |
$8,416.00 |
$277.90
|
|
Iliac/fem angio cath insert
|
$852.15 |
$852.15 |
$852.15 |
$1,856.01
|
|
Iliac revasc add-on 37222
|
$7,829.25 |
$7,829.25 |
$7,829.25 |
$6,082.65
|
|
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
|
$136.42 |
$136.42 |
$136.42 |
$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
|
$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
|
$151.45 |
$151.45 |
$151.45 |
$132.00
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$67.60 |
$67.60 |
$67.60 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$26.00 |
$26.00 |
$26.00 |
$48.57
|
|
Immunofixation electrophoresis serum
|
$371.80 |
$371.80 |
$371.80 |
$142.50
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$245.05 |
$245.05 |
$245.05 |
$154.05
|
|
Immunofluorescence per specimen initial single antibody stain
|
$28.60 |
$28.60 |
$28.60 |
$234.27
|
|
Impact tooth remov part bony
|
$43,785.95 |
$43,785.95 |
$43,785.95 |
$1,300.00
|
|
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
|
$53,412.30 |
$53,412.30 |
$53,412.30 |
$8,332.51
|
|
Implant cochlear osia osi300
|
$76,267.30 |
$76,267.30 |
$76,267.30 |
$16,195.55
|
|
Implant power module patient cable cable 14 volt
|
$2,283.12 |
$2,283.12 |
$2,283.12 |
$3,695.42
|