|
Ho abduction hip adjustable
|
$533.18 |
$533.18 |
$533.18 |
$418.24
|
|
Ho abduction static plastic
|
$390.66 |
$390.66 |
$390.66 |
$390.66
|
|
Ho bi thighcuffs w sprdr bar
|
$749.28 |
$749.28 |
$749.28 |
$604.56
|
|
Hocm 200-249mg/ml iodine,1ml
|
$0.50 |
$0.50 |
$0.50 |
$236.25
|
|
Hocm 250-299mg/ml iodine,1ml
|
$0.50 |
$0.50 |
$0.50 |
$37.80
|
|
Hocm 350-399mg/ml iodine,1ml
|
$1.12 |
$1.12 |
$1.12 |
$79.78
|
|
Ho flex frejka w/cov pre cst
|
$278.54 |
$278.54 |
$278.54 |
$173.60
|
|
Ho flex pavlik harns pre cst
|
$339.70 |
$339.70 |
$339.70 |
$243.36
|
|
Ho frejka cov only pre cst
|
$118.33 |
$118.33 |
$118.33 |
$118.33
|
|
Home sleep test/type 2 porta
|
$1,289.96 |
$1,289.96 |
$1,289.96 |
$503.13
|
|
Home sleep test/type 3 porta
|
$914.14 |
$914.14 |
$914.14 |
$570.00
|
|
Homocysteine
|
$64.51 |
$64.51 |
$64.51 |
$125.40
|
|
Homogenization tissue
|
$31.42 |
$31.42 |
$31.42 |
$41.30
|
|
Hook to hand cable adapter
|
$103.32 |
$103.32 |
$103.32 |
$72.80
|
|
Ho post-op hip abduction
|
$1,969.58 |
$1,969.58 |
$1,969.58 |
$1,753.00
|
|
Hpa-15 genotyping
|
$74.37 |
$74.37 |
$74.37 |
$168.66
|
|
Hpa-1 genotyping
|
$74.37 |
$74.37 |
$74.37 |
$202.20
|
|
Hpa-2 genotyping
|
$74.37 |
$74.37 |
$74.37 |
$180.05
|
|
Hpa-3 genotyping
|
$74.37 |
$74.37 |
$74.37 |
$168.66
|
|
Hpa-4 genotyping
|
$74.37 |
$74.37 |
$74.37 |
$200.40
|
|
Hpa-5 genotyping
|
$74.37 |
$74.37 |
$74.37 |
$180.05
|
|
Hpa-6 genotyping
|
$74.37 |
$74.37 |
$74.37 |
$170.00
|
|
Hpa-9 genotyping
|
$74.37 |
$74.37 |
$74.37 |
$170.00
|
|
Hpv types 16 & 18 only
|
$160.78 |
$160.78 |
$160.78 |
$112.00
|
|
H pylori (c-13) breath
|
$48.55 |
$48.55 |
$48.55 |
$212.25
|
|
H pylori drug admin
|
$48.55 |
$48.55 |
$48.55 |
$28.56
|
|
Hyaluronidase 150 unit/ml injection solution
|
$218.46 |
$218.46 |
$218.46 |
$126.37
|
|
Hyaluronidase, human recombinant 150 unit/ml injection solution
|
$105.80 |
$105.80 |
$105.80 |
$142.40
|
|
Hydralazine 20 mg/ml injection solution
|
$45.46 |
$45.46 |
$45.46 |
$48.00
|
|
Hydrocolld drg >16<=48 w/bdr
|
$72.07 |
$72.07 |
$72.07 |
$25.70
|
|
Hydrocolld drg <=16 without bdr
|
$5.10 |
$5.10 |
$5.10 |
$7.76
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$109.68 |
$109.68 |
$109.68 |
$140.54
|
|
Hydrogel dsg<=16 sq in
|
$5.04 |
$5.04 |
$5.04 |
$5.04
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$92.04 |
$92.04 |
$92.04 |
$112.66
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$67.88 |
$67.88 |
$67.88 |
$72.65
|
|
Hydroxyzine pamoate 25 mg capsule
|
$2.64 |
$2.64 |
$2.64 |
$1.28
|
|
#hypersens-actinomyces ab
|
$21.11 |
$21.11 |
$21.11 |
$32.00
|
|
Hysterosalpingography s&i
|
$208.99 |
$208.99 |
$208.99 |
$669.12
|
|
Hzv zoster vacc recombinant adjuvanted im inj
|
$405.38 |
$405.38 |
$405.38 |
$352.24
|
|
I-123 iobenguane diag
|
$5,170.70 |
$5,170.70 |
$5,170.70 |
$5,170.70
|
|
I-123 ioflupane diag
|
$5,030.26 |
$5,030.26 |
$5,030.26 |
$4,158.00
|
|
I-123 sod iodide diag per 100 uci
|
$50.40 |
$50.40 |
$50.40 |
$147.46
|
|
I-131 iobenguane sulf diag mibg
|
$1,752.80 |
$1,752.80 |
$1,752.80 |
$3,638.48
|
|
I131 iodide cap, rx
|
$25.03 |
$25.03 |
$25.03 |
$71.70
|
|
Iadna legionella pneumophila amplified probe tq
|
$78.46 |
$78.46 |
$78.46 |
$109.80
|
|
Ibandronate 3 mg/3 ml intravenous syringe
|
$1,038.74 |
$1,038.74 |
$1,038.74 |
$684.45
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$273.20 |
$273.20 |
$273.20 |
$980.94
|
|
Icatibant injection
|
$4,928.38 |
$4,928.38 |
$4,928.38 |
$8,695.05
|
|
Icd cobalt xt dr MRI is1 df1
|
$38,226.50 |
$38,226.50 |
$38,226.50 |
$34,093.09
|
|
Icd crtd cobalt hf MRI is1 df1
|
$50,532.94 |
$50,532.94 |
$50,532.94 |
$39,070.50
|
|
Icd crtp serena MRI
|
$22,185.63 |
$22,185.63 |
$22,185.63 |
$14,360.25
|
|
Icd reliance df4 ib 64cm
|
$15,308.55 |
$15,308.55 |
$15,308.55 |
$9,264.83
|
|
Idarubicin hcl injection
|
$912.61 |
$912.61 |
$912.61 |
$447.02
|
|
Idh1 common variants
|
$553.34 |
$553.34 |
$553.34 |
$415.35
|
|
Idh2 common variants
|
$553.34 |
$553.34 |
$553.34 |
$486.00
|
|
Ifosfamide 1 gram intravenous solution
|
$324.53 |
$324.53 |
$324.53 |
$246.95
|
|
Igh gene rearrange amp meth
|
$238.84 |
$238.84 |
$238.84 |
$464.25
|
|
Ihc/icc per specimen each additional single antibody stain
|
$267.01 |
$267.01 |
$267.01 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$106.46 |
$106.46 |
$106.46 |
$331.20
|
|
Ihc/icc per specimen initial single antibody stain
|
$267.01 |
$267.01 |
$267.01 |
$277.90
|
|
Ikbkap gene
|
$173.49 |
$173.49 |
$173.49 |
$173.49
|
|
Imetelstat 188 mg intravenous solution
|
$16,170.90 |
$16,170.90 |
$16,170.90 |
$20,373.55
|
|
Img rta detc/mntr ds phy/qhp
|
$180.94 |
$180.94 |
$180.94 |
$51.36
|
|
Immob elbow child sm
|
$211.51 |
$211.51 |
$211.51 |
$85.39
|
|
Immobilizer lwr extrem nylon 20in reinforc 21-35in
|
$148.12 |
$148.12 |
$148.12 |
$259.20
|
|
Immobilizer shldr cntor adlt
|
$1,270.92 |
$1,270.92 |
$1,270.92 |
$175.60
|
|
Immobilizer shldr dlx str 24-36in med
|
$191.52 |
$191.52 |
$191.52 |
$118.43
|
|
Immobilizer shldr sling med
|
$208.32 |
$208.32 |
$208.32 |
$126.00
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$4,020.90 |
$4,020.90 |
$4,020.90 |
$6,106.32
|
|
Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution
|
$2,900.11 |
$2,900.11 |
$2,900.11 |
$2,900.11
|
|
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution
|
$5,289.54 |
$5,289.54 |
$5,289.54 |
$3,846.15
|
|
Immunoassay tumor antigen quantitative ca 125
|
$33.60 |
$33.60 |
$33.60 |
$132.00
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$62.83 |
$62.83 |
$62.83 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$24.86 |
$24.86 |
$24.86 |
$48.57
|
|
Immunofixation electrophoresis serum
|
$128.80 |
$128.80 |
$128.80 |
$142.50
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$67.14 |
$67.14 |
$67.14 |
$154.05
|
|
Immunofluorescence per specimen initial single antibody stain
|
$160.27 |
$160.27 |
$160.27 |
$234.27
|
|
Implant 11 volt lithium-ion backup battery for controller pocket
|
$5,254.37 |
$5,254.37 |
$5,254.37 |
$1,754.00
|
|
Implant cartilage 10mm synthetic
|
$3,805.42 |
$3,805.42 |
$3,805.42 |
$8,332.51
|
|
Implant cochlear osia osi300
|
$20,318.42 |
$20,318.42 |
$20,318.42 |
$16,195.55
|
|
Implant power module patient cable cable 14 volt
|
$2,469.60 |
$2,469.60 |
$2,469.60 |
$3,695.42
|
|
Implant pulse generator remede el
|
$46,034.74 |
$46,034.74 |
$46,034.74 |
$43,752.80
|
|
Implnt spinl canal catheter 62350
|
$439.60 |
$439.60 |
$439.60 |
$5,095.20
|
|
In-111 autol wbc diag per dose
|
$1,420.05 |
$1,420.05 |
$1,420.05 |
$3,493.75
|
|
In-111 capromab pendet
|
$4,923.02 |
$4,923.02 |
$4,923.02 |
$3,141.45
|
|
In-111 ibritumomab tiux dx
|
$4,748.02 |
$4,748.02 |
$4,748.02 |
$4,748.02
|
|
In-111 oxyquinolin per 0.5 mci
|
$2,581.82 |
$2,581.82 |
$2,581.82 |
$2,753.23
|
|
In-111 pentetate dtpa / 0.5 mci
|
$938.50 |
$938.50 |
$938.50 |
$2,598.17
|
|
In-111 pentetreotide
|
$4,961.43 |
$4,961.43 |
$4,961.43 |
$5,294.90
|
|
In-111 satumomab pend
|
$1,767.08 |
$1,767.08 |
$1,767.08 |
$3,113.04
|
|
Incise inner eye adhesions
|
$812.73 |
$812.73 |
$812.73 |
$1,202.90
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$939.90 |
$939.90 |
$939.90 |
$2,086.70
|
|
Incision of tongue fold
|
$205.86 |
$205.86 |
$205.86 |
$1,792.50
|
|
Incisn of toe tndn
|
$422.18 |
$422.18 |
$422.18 |
$2,667.00
|
|
Indigotindisulfonate 8 mg/ml soln 5 ml ampule
|
$324.92 |
$324.92 |
$324.92 |
$766.66
|
|
Induced ab 1+vag supp d&c
|
$2,178.68 |
$2,178.68 |
$2,178.68 |
$1,194.40
|
|
Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s)
|
$236.38 |
$236.38 |
$236.38 |
$140.80
|
|
Infect ag drug suscept pheno predict
|
$402.81 |
$402.81 |
$402.81 |
$325.00
|
|
Infect ag genotype na hiv-1 other region
|
$361.65 |
$361.65 |
$361.65 |
$361.65
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$491.06 |
$491.06 |
$491.06 |
$603.83
|