|
Hrdtry perph neurphy panel
|
$1,170.40 |
$1,170.40 |
$1,170.40 |
|
|
Hsv dna dir probe
|
$50.40 |
$50.40 |
$50.40 |
|
|
Htt gene detc abnor alleles
|
$153.56 |
$153.56 |
$153.56 |
|
|
Human epididymis protein 4 (he4)
|
$52.80 |
$52.80 |
$282.00 |
|
|
Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution
|
$5.08 |
$1,829.90 |
$3,818.90 |
|
|
Hyaluronidase 150 unit/ml injection solution
|
$52.00 |
$76.90 |
$171.83 |
|
|
Hyaluronidase 200 units/ml inj
|
$124.75 |
$124.75 |
$124.75 |
|
|
Hyaluronidase, human recombinant 150 unit/ml injection solution
|
$1.07 |
$236.10 |
$236.10 |
|
|
Hydralazine 20 mg/ml injection solution
|
$14.05 |
$69.00 |
$34,180.99 |
|
|
Hydrocolld drg <=16 without bdr
|
$18.40 |
$18.40 |
$18.40 |
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$76.09 |
$243.25 |
$477.70 |
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$15.33 |
$185.75 |
$30,893.99 |
|
|
Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge
|
$27.75 |
$27.75 |
$189.40 |
|
|
Hydromorphone injection
|
$41.79 |
$47.76 |
$355.31 |
|
|
Hydroxocobalamin im 10mcg
|
$3.85 |
$46.56 |
$54.32 |
|
|
Hydroxyurea 500 mg
|
$3.04 |
$4.42 |
$5.16 |
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$20.80 |
$81.05 |
$117.55 |
|
|
Hydroxyzine pamoate 25 mg capsule
|
$0.31 |
$1.00 |
$1.28 |
|
|
Hydrxycorticsterds 17- (17-ohcs)
|
$55.00 |
$55.00 |
$369.60 |
|
|
Hymenotomy
|
$89.40 |
$117.60 |
$3,592.18 |
|
|
Hymovis injection 1 mg
|
$28.00 |
$28.00 |
$1,282.37 |
|
|
Hyoid myotomy & suspension
|
$2,443.20 |
$2,443.20 |
$2,443.20 |
|
|
Hyoscyamine sulfate inj
|
$43.48 |
$43.48 |
$136.30 |
|
|
Hyperbaric oxygen therapy
|
$256.80 |
$1,248.48 |
$2,351.72 |
|
|
#hypersens-actinomyces ab
|
$25.80 |
$48.57 |
$48.57 |
|
|
Hyperthermia ext gen deep
|
$1,683.20 |
$1,683.20 |
$1,683.20 |
|
|
Hyperthermia ext gen supfc
|
$1,002.40 |
$1,002.40 |
$1,729.41 |
|
|
Hyperthermia gen intrcv prb
|
$1,173.60 |
$1,173.60 |
$1,173.60 |
|
|
Hyperthermia ntrstl prb 5/<
|
$1,803.20 |
$1,803.20 |
$1,803.20 |
|
|
Hyperthermia ntrstl prb>5
|
$1,995.20 |
$1,995.20 |
$1,995.20 |
|
|
Hypnotherapy
|
$27.00 |
$244.80 |
$244.80 |
|
|
Hypothermia ill neonate
|
$414.40 |
$414.40 |
$414.40 |
|
|
Hyqvia 100mg immuneglobulin
|
$9,731.99 |
$11,353.99 |
$13,055.02 |
|
|
Hysterectomy/revise vagina 58275
|
$1,827.00 |
$1,918.20 |
$1,918.20 |
|
|
Hysterectomy/revise vagina 58280
|
$1,955.40 |
$2,053.20 |
$2,053.20 |
|
|
Hysteroplasty 58540
|
$1,686.00 |
$1,770.60 |
$1,770.60 |
|
|
Hysterorrhaphy of ruptured uterus 59350
|
$438.00 |
$677.60 |
$891.00 |
|
|
Hysterosalpingography s&i
|
$172.00 |
$591.80 |
$1,136.20 |
|
|
Hysteroscopy ablation
|
$661.60 |
$661.60 |
$44,583.86 |
|
|
Hysteroscopy biopsy
|
$627.20 |
$627.20 |
$40,391.26 |
|
|
Hysteroscopy dx sep proc
|
$381.60 |
$381.60 |
$39,655.80 |
|
|
Hysteroscopy lysis
|
$638.40 |
$719.20 |
$30,923.67 |
|
|
Hysteroscopy remove fb
|
$558.40 |
$558.40 |
$31,822.55 |
|
|
Hysteroscopy remove myoma
|
$971.20 |
$971.20 |
$35,008.31 |
|
|
Hysteroscopy resect septum
|
$720.00 |
$790.40 |
$790.40 |
|
|
Hysterotomy abdominal 59100
|
$1,561.20 |
$2,051.20 |
$2,051.20 |
|
|
Hzv zoster vacc recombinant adjuvanted im inj
|
$169.00 |
$212.00 |
$1,114.00 |
|
|
I-123 iobenguane diag
|
$3,515.64 |
$24,445.60 |
$24,445.60 |
|
|
I-123 ioflupane diag
|
$5,196.20 |
$12,340.00 |
$15,741.10 |
|
|
I-123 sod iodide diag per 100 uci
|
$51.84 |
$237.77 |
$4,922.10 |
|
|
I-131 iobenguane sulf diag mibg
|
$198.66 |
$6,709.35 |
$6,709.35 |
|
|
I131 iodide cap, rx
|
$29.82 |
$97.90 |
$424.54 |
|
|
I131 serum albumin, dx
|
$1,165.50 |
$1,165.50 |
$1,165.50 |
|
|
I-131 sod iodide sol diag per mci
|
$417.75 |
$417.75 |
$417.75 |
|
|
Iaadi respiratory synctial virus
|
$30.00 |
$34.40 |
$68.00 |
|
|
Iadna legionella pneumophila amplified probe tq
|
$88.80 |
$88.80 |
$425.40 |
|
|
Ia infect ag ab qual/semiquant sgl step
|
$48.57 |
$48.57 |
$366.60 |
|
|
Ia nfct ab sarscov2 covid19
|
$91.20 |
$91.20 |
$91.20 |
|
|
Ibandronate 3 mg/3 ml intravenous syringe
|
$136.00 |
$526.81 |
$1,149.75 |
|
|
Ibmfs seq alys pnl 30 genes
|
$2,350.62 |
$2,350.62 |
$2,350.62 |
|
|
Ibuprofen injection
|
$63.55 |
$367.44 |
$3,298.41 |
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$573.18 |
$1,004.00 |
$2,574.70 |
|
|
Icatibant injection
|
$2,098.81 |
$2,398.64 |
$2,448.61 |
|
|
Icd cobalt xt dr MRI is1 df1
|
$20,112.30 |
$30,942.00 |
$48,680.00 |
|
|
Icd crtd cobalt hf MRI is1 df1
|
$26,901.00 |
$31,384.50 |
$55,061.50 |
|
|
Icd crtp serena MRI
|
$8,775.00 |
$10,718.75 |
$19,201.72 |
|
|
Icd reliance df4 ib 64cm
|
$4,391.40 |
$7,110.69 |
$12,077.60 |
|
|
Icg angiography i&r uni/bi
|
$456.00 |
$456.00 |
$456.00 |
|
|
Icut allergy test-delayed
|
$37.60 |
$37.60 |
$137.69 |
|
|
Icut allergy test drug/bug
|
$17.55 |
$24.00 |
$642.39 |
|
|
Icut allergy titrate-airborn
|
$14.40 |
$14.40 |
$14.40 |
|
|
I&d abscess posterior spine l/s/ls-22015
|
$1,336.80 |
$2,286.40 |
$3,214.00 |
|
|
I&d abscss rtrphryngl/paraphryngl intraorl apprch
|
$852.00 |
$1,120.80 |
$1,959.42 |
|
|
Idarubicin hcl injection
|
$151.48 |
$713.88 |
$738.14 |
|
|
I&d/bursa/foot 28001
|
$496.80 |
$699.20 |
$699.20 |
|
|
Identify sperm tissue
|
$157.60 |
$157.60 |
$157.60 |
|
|
I&d frarm&/wrst deep absc/hematoma
|
$939.60 |
$2,910.40 |
$2,910.40 |
|
|
Idh1 common variants
|
$387.20 |
$387.20 |
$387.20 |
|
|
Idh2 common variants
|
$592.00 |
$592.00 |
$592.00 |
|
|
I&d intramural/intramuscular/submuc abscess transanal anes
|
$768.60 |
$1,077.60 |
$1,077.60 |
|
|
I&d lacrimal gland
|
$1,435.20 |
$1,435.20 |
$1,435.20 |
|
|
I&d lacrimal sac
|
$1,619.20 |
$1,619.20 |
$1,619.20 |
|
|
I&d upper arm/elbow deep abscess/hematoma
|
$635.40 |
$1,745.60 |
$1,745.60 |
|
|
Idursulfase injection
|
$5,583.80 |
$5,750.41 |
$7,682.79 |
|
|
I & d vag hematoma non-ob 57023
|
$576.60 |
$789.60 |
$1,494.36 |
|
|
I&d vag hemtma obst/postpart
|
$311.40 |
$439.20 |
$3,183.20 |
|
|
Ifnl3 gene
|
$143.00 |
$147.20 |
$147.20 |
|
|
Ifosfamide 1 gram intravenous solution
|
$179.24 |
$494.70 |
$494.70 |
|
|
Igh gene rearrang dir probe
|
$137.60 |
$137.60 |
$137.60 |
|
|
Igh gene rearrange amp meth
|
$444.80 |
$444.80 |
$1,127.75 |
|
|
Igh@ var region somatic mutation analy
|
$301.60 |
$660.80 |
$1,318.20 |
|
|
Igk rearrangeabn clonal pop
|
$336.70 |
$345.60 |
$345.60 |
|
|
Ihc/icc per specimen each additional single antibody stain
|
$73.80 |
$292.13 |
$41,637.31 |
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$215.04 |
$328.79 |
$9,332.42 |
|
|
Ihc/icc per specimen initial single antibody stain
|
$119.40 |
$292.13 |
$41,637.31 |
|
|
Iiv3 vacc no prsv 0.25 ml im
|
$23.20 |
$23.20 |
$23.20 |
|
|
Ikbkap gene
|
$127.86 |
$127.86 |
$127.86 |
|
|
Ileostomy/jejunostomy non-tube 44310
|
$1,882.20 |
$2,568.80 |
$3,733.00 |
|
|
Iliac bone graft microvasc
|
$6,512.80 |
$6,512.80 |
$8,984.00 |
|
|
Iliac/fem angio cath insert
|
$48.00 |
$2,133.41 |
$4,632.85 |
|
