|
Home sleep test/type 3 porta
|
$1,077.39 |
$1,077.39 |
$1,077.39 |
$570.00
|
|
Homocysteine
|
$181.35 |
$181.35 |
$181.35 |
$125.40
|
|
Hopd mntl hlt, 15-29 min
|
$396.50 |
$396.50 |
$396.50 |
$60.00
|
|
Hopd mntl hlt, grp
|
$477.75 |
$477.75 |
$477.75 |
$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, human recombinant 150 unit/ml injection solution
|
$236.10 |
$236.10 |
$236.10 |
$142.40
|
|
Hydralazine 20 mg/ml injection solution
|
$23.00 |
$23.00 |
$23.00 |
$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
|
|
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
|
$1,149.75 |
$1,149.75 |
$1,149.75 |
$684.45
|
|
Icd cobalt xt dr MRI is1 df1
|
$23,400.00 |
$23,400.00 |
$23,400.00 |
$34,093.09
|
|
Icd crtd cobalt hf MRI is1 df1
|
$32,500.00 |
$32,500.00 |
$32,500.00 |
$39,070.50
|
|
Icd crtp serena MRI
|
$8,775.00 |
$8,775.00 |
$8,775.00 |
$14,360.25
|
|
Icd reliance df4 ib 64cm
|
$4,391.40 |
$4,391.40 |
$4,391.40 |
$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
|
$132.60 |
$132.60 |
$132.60 |
$191.52
|
|
Ihc/icc per specimen initial single antibody stain
|
$230.10 |
$230.10 |
$230.10 |
$277.90
|
|
Imetelstat 188 mg intravenous solution
|
$31,931.40 |
$31,931.40 |
$31,931.40 |
$20,373.55
|
|
Immob elbow child sm
|
$23.22 |
$23.22 |
$23.22 |
$85.39
|
|
Immobilizer lwr extrem nylon 20in reinforc 21-35in
|
$653.93 |
$653.93 |
$653.93 |
$259.20
|
|
Immobilizer shldr cntor adlt
|
$178.04 |
$178.04 |
$178.04 |
$175.60
|
|
Immobilizer shldr dlx str 24-36in med
|
$141.69 |
$141.69 |
$141.69 |
$118.43
|
|
Immobilizer shldr sling med
|
$27.23 |
$27.23 |
$27.23 |
$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
|
$131.95 |
$131.95 |
$131.95 |
$132.00
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$104.65 |
$104.65 |
$104.65 |
$116.40
|
|
Immunofixation electrophoresis serum
|
$155.35 |
$155.35 |
$155.35 |
$142.50
|
|
Impl ahmed 6x25x9.6mm glaucoma vlv w/sil ped ster
|
$5,200.00 |
$5,200.00 |
$5,200.00 |
$2,946.00
|
|
Implant 11 volt lithium-ion backup battery for controller pocket
|
$1,137.50 |
$1,137.50 |
$1,137.50 |
$1,754.00
|
|
Implant cartilage 10mm synthetic
|
$4,030.00 |
$4,030.00 |
$4,030.00 |
$8,332.51
|
|
Implant cochlear osia osi300
|
$6,040.03 |
$6,040.03 |
$6,040.03 |
$16,195.55
|
|
Implant power module patient cable cable 14 volt
|
$1,625.00 |
$1,625.00 |
$1,625.00 |
$3,695.42
|
|
Implant pulse generator remede el
|
$11,700.00 |
$11,700.00 |
$11,700.00 |
$43,752.80
|
|
Implant ureth bulk agent
|
$1,524.25 |
$1,524.25 |
$1,524.25 |
$2,168.00
|
|
Impl ear abutment ba300 9mm
|
$3,519.59 |
$3,519.59 |
$3,519.59 |
$3,974.88
|
|
Impl eye bio-eye 16mm
|
$1,474.69 |
$1,474.69 |
$1,474.69 |
$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 & drainage hematoma/seroma/fluid collection
|
$500.00 |
$500.00 |
$500.00 |
$2,086.70
|
|
Incision tendon sheath
|
$5,352.85 |
$5,352.85 |
$5,352.85 |
$3,073.20
|
|
Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s)
|
$137.15 |
$137.15 |
$137.15 |
$140.80
|
|
Infect ag drug suscept pheno predict
|
$254.15 |
$254.15 |
$254.15 |
$325.00
|
|
Infect ag genotype na hiv-1 other region
|
$250.90 |
$250.90 |
$250.90 |
$361.65
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$501.80 |
$501.80 |
$501.80 |
$603.83
|
|
Infect ag na resp virus 12-25 targets
|
$812.50 |
$812.50 |
$812.50 |
$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
|
$68.25 |
$68.25 |
$68.25 |
$83.60
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$64.35 |
$64.35 |
$64.35 |
$72.80
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$103.35 |
$103.35 |
$103.35 |
$76.00
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$100.10 |
$100.10 |
$100.10 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$210.60 |
$210.60 |
$210.60 |
$103.40
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$94.25 |
$94.25 |
$94.25 |
$81.20
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$49.40 |
$49.40 |
$49.40 |
$60.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$123.50 |
$123.50 |
$123.50 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$53.30 |
$53.30 |
$53.30 |
$129.00
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$118.30 |
$118.30 |
$118.30 |
$98.58
|
|
Infectious agent nucleic acid amplified probe
|
$213.85 |
$213.85 |
$213.85 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$200.85 |
$200.85 |
$200.85 |
$141.95
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$126.10 |
$126.10 |
$126.10 |
$167.05
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$1,146.60 |
$1,146.60 |
$1,146.60 |
$864.67
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$193.70 |
$193.70 |
$193.70 |
$181.35
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$181.35 |
$181.35 |
$181.35 |
$149.13
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$109.20 |
$109.20 |
$109.20 |
$212.16
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$193.05 |
$193.05 |
$193.05 |
$137.67
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$187.20 |
$187.20 |
$187.20 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$361.40 |
$361.40 |
$361.40 |
$206.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$298.35 |
$298.35 |
$298.35 |
$236.08
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$100.10 |
$100.10 |
$100.10 |
$96.00
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$202.15 |
$202.15 |
$202.15 |
$112.45
|
|
Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae
|
$137.15 |
$137.15 |
$137.15 |
$217.60
|
|
Infectious agent nucleic acid joint space pathogens multiplex amplified probe >= 26 targets
|
$1,325.35 |
$1,325.35 |
$1,325.35 |
$1,143.75
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$579.80 |
$579.80 |
$579.80 |
$727.50
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$313.95 |
$313.95 |
$313.95 |
$289.91
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$414.05 |
$414.05 |
$414.05 |
$432.63
|
|
Infectious agent nucleic acid quantification bk virus
|
$231.40 |
$231.40 |
$231.40 |
$283.00
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$310.70 |
$310.70 |
$310.70 |
$242.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$308.10 |
$308.10 |
$308.10 |
$253.00
|
|
Infectious agent nucleic acid quantification hiv-1
|
$219.05 |
$219.05 |
$219.05 |
$375.00
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$287.30 |
$287.30 |
$287.30 |
$304.20
|
|
Infliximab 100 mg intravenous solution
|
$3,222.55 |
$3,222.55 |
$3,222.55 |
$2,047.13
|
|
Infliximab-axxq 100 mg intravenous solution
|
$1,379.70 |
$1,379.70 |
$1,379.70 |
$1,062.00
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$2,739.55 |
$2,739.55 |
$2,739.55 |
$1,537.84
|
|
Influenza virus vaccine, live trivalent intranasal
|
$24.70 |
$24.70 |
$24.70 |
$36.50
|
|
Initial nursing facility care/day 35 minutes
|
$194.35 |
$194.35 |
$194.35 |
$188.50
|