|
Hfo nontorsion jnts pre cst
|
$154.03 |
$154.03 |
$154.03 |
$110.88
|
|
High activity knee frame
|
$5,728.94 |
$5,728.94 |
$5,728.94 |
$3,715.60
|
|
Hinge extension/flex wrist/f
|
$2,656.18 |
$2,656.18 |
$2,656.18 |
$1,653.00
|
|
Hinge ext/flex wrist finger
|
$3,481.06 |
$3,481.06 |
$3,481.06 |
$3,276.85
|
|
Hip adj flex ext abduct cont
|
$703.01 |
$703.01 |
$703.01 |
$837.61
|
|
Hip and Pelvis X-ray (2 views, both hips)
|
$428.54 |
$428.54 |
$428.54 |
$374.40
|
|
Hip and Pelvis X-ray (3 to 4 views, both hips)
|
$372.67 |
$372.67 |
$372.67 |
$424.80
|
|
Hip and Pelvis X-ray (single view, left side)
|
$415.54 |
$415.54 |
$415.54 |
$233.50
|
|
Hip canad sing axi cons fric
|
$9,516.48 |
$9,516.48 |
$9,516.48 |
$7,778.40
|
|
Hip clevis/thrust bearing fr
|
$395.28 |
$395.28 |
$395.28 |
$504.64
|
|
Hip clevis/thrust bearing lo
|
$436.75 |
$436.75 |
$436.75 |
$557.65
|
|
Hip clevis type 2 posit jnt
|
$802.42 |
$802.42 |
$802.42 |
$936.15
|
|
Hip disart canadian sach ft
|
$8,905.97 |
$8,905.97 |
$8,905.97 |
$6,549.20
|
|
Hip disartic sach thermopls
|
$7,798.42 |
$7,798.42 |
$7,798.42 |
$6,036.80
|
|
Hip disart sach laminat mold
|
$8,875.73 |
$8,875.73 |
$8,875.73 |
$6,666.80
|
|
Hip flexible cover system
|
$2,606.74 |
$2,606.74 |
$2,606.74 |
$1,646.40
|
|
Hip flex inner socket ext fr
|
$3,616.27 |
$3,616.27 |
$3,616.27 |
$1,750.00
|
|
Hip joint adjustable flexion
|
$573.26 |
$573.26 |
$573.26 |
$717.62
|
|
Hip X-ray
|
$415.54 |
$415.54 |
$415.54 |
$294.75
|
|
Histochemical stains add-on
|
$52.27 |
$52.27 |
$52.27 |
$152.75
|
|
HIV prep, ftc/taf 200/25mg
|
$121.48 |
$121.48 |
$121.48 |
$88.39
|
|
HIV prep, ftc/tdf 200/300mg
|
$78.94 |
$78.94 |
$78.94 |
$31.80
|
|
Hkafo torsion ball bearing j
|
$1,098.19 |
$1,098.19 |
$1,098.19 |
$1,281.22
|
|
Hkafo torsion bil rot straps
|
$374.93 |
$374.93 |
$374.93 |
$374.93
|
|
Hkafo torsion cable hip pelv
|
$877.97 |
$877.97 |
$877.97 |
$672.00
|
|
Hkafo torsion unilat rot str
|
$287.62 |
$287.62 |
$287.62 |
$335.55
|
|
Hkafo unilat torsion ball br
|
$895.82 |
$895.82 |
$895.82 |
$1,045.13
|
|
Hkafo unilat torsion cable
|
$672.34 |
$672.34 |
$672.34 |
$506.80
|
|
Hla class i high defin qual
|
$696.05 |
$696.05 |
$696.05 |
$631.15
|
|
Hla class ii high defin qual
|
$744.58 |
$744.58 |
$744.58 |
$569.25
|
|
Hla class i&ii antibody qual
|
$786.34 |
$786.34 |
$786.34 |
$255.00
|
|
Hla i & ii typing hr
|
$452.83 |
$452.83 |
$452.83 |
$804.00
|
|
Hla ii typing 1 loc hr
|
$96.10 |
$96.10 |
$96.10 |
$299.20
|
|
Hla i low res one antigen equiv ea
|
$63.70 |
$63.70 |
$63.70 |
$164.00
|
|
Hla i typing complete hr
|
$775.39 |
$775.39 |
$775.39 |
$607.86
|
|
Hla i typing complete lr
|
$376.61 |
$376.61 |
$376.61 |
$720.00
|
|
Hla i typing high res 1 allele grp ea
|
$357.84 |
$357.84 |
$357.84 |
$304.20
|
|
Hla typing a b or c
|
$1,023.84 |
$1,023.84 |
$1,023.84 |
$364.00
|
|
Hla x-math non-cytotoxic
|
$772.66 |
$772.66 |
$772.66 |
$364.80
|
|
Hlth bhv ivntj indiv 1st 30
|
$194.40 |
$194.40 |
$194.40 |
$200.00
|
|
Ho abduction hip adjustable
|
$457.01 |
$457.01 |
$457.01 |
$418.24
|
|
Ho abduction static plastic
|
$334.85 |
$334.85 |
$334.85 |
$390.66
|
|
Ho bi thighcuffs w sprdr bar
|
$642.24 |
$642.24 |
$642.24 |
$604.56
|
|
Hocm 200-249mg/ml iodine,1ml
|
$0.43 |
$0.43 |
$0.43 |
$236.25
|
|
Hocm 250-299mg/ml iodine,1ml
|
$0.43 |
$0.43 |
$0.43 |
$37.80
|
|
Hocm 350-399mg/ml iodine,1ml
|
$60.26 |
$60.26 |
$60.26 |
$79.78
|
|
Ho flex frejka w/cov pre cst
|
$238.75 |
$238.75 |
$238.75 |
$173.60
|
|
Ho flex pavlik harns pre cst
|
$291.17 |
$291.17 |
$291.17 |
$243.36
|
|
Ho frejka cov only pre cst
|
$101.42 |
$101.42 |
$101.42 |
$118.33
|
|
Home sleep test/type 3 porta
|
$628.22 |
$628.22 |
$628.22 |
$570.00
|
|
Homocysteine
|
$55.30 |
$55.30 |
$55.30 |
$125.40
|
|
Homogenization tissue
|
$34.32 |
$34.32 |
$34.32 |
$41.30
|
|
Hook to hand cable adapter
|
$88.56 |
$88.56 |
$88.56 |
$72.80
|
|
Ho post-op hip abduction
|
$1,688.21 |
$1,688.21 |
$1,688.21 |
$1,753.00
|
|
Hpa-15 genotyping
|
$86.06 |
$86.06 |
$86.06 |
$168.66
|
|
Hpa-1 genotyping
|
$86.06 |
$86.06 |
$86.06 |
$202.20
|
|
Hpa-2 genotyping
|
$86.06 |
$86.06 |
$86.06 |
$180.05
|
|
Hpa-3 genotyping
|
$86.06 |
$86.06 |
$86.06 |
$168.66
|
|
Hpa-4 genotyping
|
$86.06 |
$86.06 |
$86.06 |
$200.40
|
|
Hpa-5 genotyping
|
$86.06 |
$86.06 |
$86.06 |
$180.05
|
|
Hpa-6 genotyping
|
$86.06 |
$86.06 |
$86.06 |
$170.00
|
|
Hpa-9 genotyping
|
$86.06 |
$86.06 |
$86.06 |
$170.00
|
|
Hpv types 16 & 18 only
|
$137.81 |
$137.81 |
$137.81 |
$112.00
|
|
Hyaluronidase 200 units/ml inj
|
$194.61 |
$194.61 |
$194.61 |
$245.00
|
|
Hyaluronidase, human recombinant 150 unit/ml injection solution
|
$90.68 |
$90.68 |
$90.68 |
$142.40
|
|
Hydralazine 20 mg/ml injection solution
|
$27.12 |
$27.12 |
$27.12 |
$48.00
|
|
Hydrocolld drg >16<=48 w/bdr
|
$61.78 |
$61.78 |
$61.78 |
$25.70
|
|
Hydrocolld drg <=16 without bdr
|
$4.37 |
$4.37 |
$4.37 |
$7.76
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$307.08 |
$307.08 |
$307.08 |
$140.54
|
|
Hydrogel dsg<=16 sq in
|
$4.32 |
$4.32 |
$4.32 |
$5.04
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$641.45 |
$641.45 |
$641.45 |
$112.66
|
|
Hydromorphone injection
|
$55.88 |
$55.88 |
$55.88 |
$80.38
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$58.18 |
$58.18 |
$58.18 |
$72.65
|
|
Hydroxyzine pamoate 25 mg capsule
|
$4.43 |
$4.43 |
$4.43 |
$1.28
|
|
#hypersens-actinomyces ab
|
$22.56 |
$22.56 |
$22.56 |
$32.00
|
|
Hysterosalpingography s&i
|
$209.38 |
$209.38 |
$209.38 |
$669.12
|
|
Hzv zoster vacc recombinant adjuvanted im inj
|
$347.47 |
$347.47 |
$347.47 |
$352.24
|
|
I-123 iobenguane diag
|
$4,432.03 |
$4,432.03 |
$4,432.03 |
$5,170.70
|
|
I-123 ioflupane diag
|
$4,311.65 |
$4,311.65 |
$4,311.65 |
$4,158.00
|
|
I-123 sod iodide diag per 100 uci
|
$43.20 |
$43.20 |
$43.20 |
$147.46
|
|
I-131 iobenguane sulf diag mibg
|
$1,502.40 |
$1,502.40 |
$1,502.40 |
$3,638.48
|
|
I131 iodide cap, rx
|
$21.46 |
$21.46 |
$21.46 |
$71.70
|
|
Iadna legionella pneumophila amplified probe tq
|
$67.25 |
$67.25 |
$67.25 |
$109.80
|
|
Ibandronate 3 mg/3 ml intravenous syringe
|
$768.18 |
$768.18 |
$768.18 |
$684.45
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$509.36 |
$509.36 |
$509.36 |
$980.94
|
|
Icatibant injection
|
$3,899.77 |
$3,899.77 |
$3,899.77 |
$8,695.05
|
|
Icd cobalt xt dr MRI is1 df1
|
$32,765.57 |
$32,765.57 |
$32,765.57 |
$34,093.09
|
|
Icd crtd cobalt hf MRI is1 df1
|
$43,313.95 |
$43,313.95 |
$43,313.95 |
$39,070.50
|
|
Icd crtp serena MRI
|
$19,016.26 |
$19,016.26 |
$19,016.26 |
$14,360.25
|
|
Icd reliance df4 ib 64cm
|
$13,121.62 |
$13,121.62 |
$13,121.62 |
$9,264.83
|
|
Idarubicin hcl injection
|
$782.24 |
$782.24 |
$782.24 |
$447.02
|
|
Idet 1 or more levels
|
$1,256.50 |
$1,256.50 |
$1,256.50 |
$4,649.60
|
|
Idet single level
|
$2,714.98 |
$2,714.98 |
$2,714.98 |
$3,347.50
|
|
Idh1 common variants
|
$918.91 |
$918.91 |
$918.91 |
$415.35
|
|
Idh2 common variants
|
$918.91 |
$918.91 |
$918.91 |
$486.00
|
|
Ifosfamide 1 gram intravenous solution
|
$257.39 |
$257.39 |
$257.39 |
$246.95
|
|
Igh gene rearrange amp meth
|
$227.18 |
$227.18 |
$227.18 |
$464.25
|
|
Ihc/icc per specimen each additional single antibody stain
|
$390.58 |
$390.58 |
$390.58 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$128.69 |
$128.69 |
$128.69 |
$331.20
|
|
Ihc/icc per specimen initial single antibody stain
|
$390.58 |
$390.58 |
$390.58 |
$277.90
|