|
Hepatitis a antibody igm
|
$35.05 |
$38.55 |
$197.05 |
|
|
Hepatitis b core antibody igm
|
$40.70 |
$130.75 |
$493.75 |
|
|
Hepatitis b core antibody total
|
$111.75 |
$133.40 |
$232.85 |
|
|
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution
|
$2,737.99 |
$2,737.99 |
$3,717.23 |
|
|
Hepatitis b surface antibody
|
$78.60 |
$115.95 |
$312.75 |
|
|
Hepatitis c antibody
|
$49.30 |
$130.40 |
$374.85 |
|
|
Herpes simplex type 1 antibody igg
|
$16.70 |
$71.50 |
$141.95 |
|
|
Herpes simplex type 2 antibody igg
|
$24.65 |
$137.85 |
$185.40 |
|
|
Heterophile antibodies screening
|
$59.40 |
$98.55 |
$122.45 |
|
|
Hexa gene
|
$94.80 |
$158.10 |
$366.85 |
|
|
Hfo nontorsion jnts pre cst
|
$353.65 |
$353.65 |
$353.65 |
|
|
Hhv-6 dna quant
|
$202.05 |
$202.05 |
$202.05 |
|
|
Hip and Pelvis X-ray (2 views, both hips)
|
$331.40 |
$473.75 |
$1,439.90 |
|
|
Hip and Pelvis X-ray (3 to 4 views, both hips)
|
$331.40 |
$504.15 |
$859.75 |
|
|
Hip and Pelvis X-ray (single view, left side)
|
$200.25 |
$286.10 |
$473.75 |
|
|
Hip X-ray
|
$200.25 |
$430.50 |
$558.95 |
|
|
Histamine
|
$76.80 |
$248.80 |
$316.15 |
|
|
Histochemical stains add-on
|
$185.75 |
$185.75 |
$185.75 |
|
|
Histoplasmosis skin test
|
$98.15 |
$98.15 |
$98.15 |
|
|
HIV prep, ftc/tdf 200/300mg
|
$1.99 |
$7.04 |
$641.83 |
|
|
HIV prep, inj, cabotegravir
|
$10,595.19 |
$10,595.19 |
$10,595.19 |
|
|
Hla class i high defin qual
|
$608.30 |
$841.80 |
$1,942.50 |
|
|
Hla class ii high defin qual
|
$566.50 |
$841.90 |
$1,954.80 |
|
|
Hla i typing high res 1 allele grp ea
|
$169.90 |
$1,064.85 |
$1,130.20 |
|
|
Hla typing a b or c
|
$172.35 |
$277.70 |
$707.20 |
|
|
Hlth bhv assmt/reassessment
|
$182.25 |
$182.25 |
$182.25 |
|
|
Hocm 250-299mg/ml iodine,1ml
|
$54.47 |
$54.47 |
$54.47 |
|
|
Hocm 350-399mg/ml iodine,1ml
|
$1.38 |
$72.54 |
$606.57 |
|
|
Home/res vst est high mdm 60
|
$376.65 |
$409.00 |
$488.95 |
|
|
Home/res vst est mod mdm 40
|
$270.00 |
$294.20 |
$351.95 |
|
|
Home/res vst est sf mdm 20
|
$123.35 |
$125.55 |
$166.00 |
|
|
Home/res vst new high mdm 75
|
$466.65 |
$507.45 |
$664.05 |
|
|
Home/res vst new low mdm 30
|
$179.90 |
$182.25 |
$247.00 |
|
|
Home/res vst new mod mdm 60
|
$385.60 |
$417.05 |
$548.05 |
|
|
Home/res vst new sf mdm 15
|
$124.70 |
$125.55 |
$164.70 |
|
|
Home sleep test/type 2 porta
|
$616.00 |
$616.00 |
$616.00 |
|
|
Home sleep test/type 3 porta
|
$464.85 |
$464.85 |
$943.45 |
|
|
Home sleep test/type 4 porta
|
$780.20 |
$780.20 |
$780.20 |
|
|
Home visit est patient 99348
|
$185.10 |
$191.65 |
$229.80 |
|
|
Homocysteine
|
$46.05 |
$159.35 |
$580.20 |
|
|
Homovanillic acid (hva)
|
$84.35 |
$100.30 |
$185.40 |
|
|
Hrdtry brst ca-rlatd do 5+
|
$5,492.05 |
$5,492.05 |
$5,492.05 |
|
|
Hrdtry perph neurphy panel
|
$9,691.05 |
$9,691.05 |
$9,691.05 |
|
|
Human epididymis protein 4 (he4)
|
$46.60 |
$97.75 |
$129.85 |
|
|
Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution
|
$1,931.43 |
$4,145.72 |
$6,858.97 |
|
|
Hyaluronidase, human recombinant 150 unit/ml injection solution
|
$190.92 |
$282.86 |
$544.60 |
|
|
Hydralazine 20 mg/ml injection solution
|
$17.63 |
$24.64 |
$166.15 |
|
|
Hydrocolld drg >16<=48 w/bdr
|
$41.00 |
$41.00 |
$41.00 |
|
|
Hydrocolld drg <=16 in w/bdr
|
$18.00 |
$18.00 |
$47.00 |
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$113.34 |
$265.94 |
$1,160.16 |
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$18.31 |
$472.18 |
$1,800.05 |
|
|
Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge
|
$92.29 |
$101.98 |
$321.10 |
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$81.58 |
$260.87 |
$391.93 |
|
|
Hysterosalpingography s&i
|
$700.95 |
$1,606.20 |
$2,041.40 |
|
|
Hzv zoster vacc recombinant adjuvanted im inj
|
$1,501.64 |
$1,501.64 |
$1,501.64 |
|
|
I-123 sod iodide diag per 100 uci
|
$140.40 |
$481.20 |
$705.90 |
|
|
I131 max 100uci
|
$429.30 |
$429.30 |
$429.30 |
|
|
Ia infect ag ab qual/semiquant sgl step
|
$44.00 |
$44.00 |
$74.00 |
|
|
Ibandronate 3 mg/3 ml intravenous syringe
|
$1,104.15 |
$1,104.15 |
$1,104.15 |
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$686.52 |
$1,702.67 |
$2,600.53 |
|
|
Icatibant injection
|
$8,028.11 |
$8,028.11 |
$8,028.11 |
|
|
I&d/bursa/foot 28001
|
$622.25 |
$622.25 |
$622.25 |
|
|
I&d frarm&/wrst deep absc/hematoma
|
$998.70 |
$998.70 |
$998.70 |
|
|
I&d upper arm/elbow deep abscess/hematoma
|
$792.25 |
$792.25 |
$4,186.75 |
|
|
Ifosfamide 1 gram intravenous solution
|
$186.24 |
$749.33 |
$1,049.57 |
|
|
Igh gene rearrange amp meth
|
$860.05 |
$860.05 |
$860.05 |
|
|
Igh@ var region somatic mutation analy
|
$1,261.45 |
$1,666.10 |
$2,333.50 |
|
|
Igk rearrangeabn clonal pop
|
$754.95 |
$754.95 |
$754.95 |
|
|
Ihc/icc per specimen each additional single antibody stain
|
$174.10 |
$263.95 |
$413.05 |
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$161.95 |
$314.90 |
$762.60 |
|
|
Ihc/icc per specimen initial single antibody stain
|
$162.10 |
$263.95 |
$412.05 |
|
|
Ikbkap gene
|
$72.45 |
$158.10 |
$280.30 |
|
|
Iliac revasc add-on 37222
|
$11,739.70 |
$11,739.70 |
$11,739.70 |
|
|
Imetelstat 188 mg intravenous solution
|
$24,309.05 |
$24,309.05 |
$26,600.69 |
|
|
Immob elbow child sm
|
$74.20 |
$74.20 |
$155.00 |
|
|
Immobilizer lwr extrem nylon 20in reinforc 21-35in
|
$408.45 |
$408.45 |
$408.45 |
|
|
Immobilizer shldr dlx str 24-36in med
|
$101.25 |
$101.25 |
$101.25 |
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$4,055.50 |
$8,338.68 |
$13,788.26 |
|
|
Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution
|
$2,760.40 |
$2,760.40 |
$5,991.42 |
|
|
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution
|
$9,276.60 |
$9,276.60 |
$10,226.10 |
|
|
Immune globulin ig human im use 90281
|
$83.75 |
$83.75 |
$83.75 |
|
|
Immunoassay tumor antigen quantitative ca 125
|
$206.55 |
$230.85 |
$276.85 |
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$32.20 |
$139.70 |
$230.85 |
|
|
Immunodiff gel qual ea antigen/ab
|
$74.80 |
$137.30 |
$140.95 |
|
|
Immunofixation electrophoresis serum
|
$47.15 |
$118.40 |
$512.90 |
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$141.10 |
$141.10 |
$141.10 |
|
|
Immunofluorescence per specimen initial single antibody stain
|
$121.05 |
$264.25 |
$330.45 |
|
|
Immunoglobulin assay
|
$61.40 |
$199.50 |
$439.70 |
|
|
Impl ahmed 6x25x9.6mm glaucoma vlv w/sil ped ster
|
$1,045.00 |
$1,045.00 |
$1,045.00 |
|
|
Implant cartilage 10mm synthetic
|
$1,050.00 |
$3,863.00 |
$4,500.00 |
|
|
Implant cochlear osia osi300
|
$2,300.00 |
$2,300.00 |
$4,345.00 |
|
|
Implant ureth bulk agent
|
$1,150.00 |
$1,150.00 |
$1,150.00 |
|
|
Impl neurostim electr perc
|
$20,264.90 |
$20,264.90 |
$20,264.90 |
|
|
Implnt spinl canal catheter 62350
|
$18,960.10 |
$18,960.10 |
$18,960.10 |
|
|
Impreg gauze no h20/sal/yard
|
$8.00 |
$8.00 |
$8.00 |
|
|
In-111 autol wbc diag per dose
|
$3,169.95 |
$4,629.05 |
$5,215.50 |
|
|
In-111 oxyquinolin per 0.5 mci
|
$1,255.23 |
$3,109.35 |
$3,109.35 |
|
|
In-111 pentetate dtpa / 0.5 mci
|
$2,212.20 |
$2,745.05 |
$3,037.40 |
|
|
In-111 pentetreotide
|
$4,903.40 |
$4,903.40 |
$4,903.40 |
|
|
Incise/drain eyelid lining
|
$249.70 |
$249.70 |
$249.70 |
|
