|
Home/res vst est high mdm 60
|
$1,029.60 |
$1,029.60 |
$1,029.60 |
$338.40
|
|
Home/res vst est mod mdm 40
|
$698.10 |
$698.10 |
$698.10 |
$233.60
|
|
Home/res vst est sf mdm 20
|
$257.40 |
$257.40 |
$257.40 |
$93.24
|
|
Home/res vst new high mdm 75
|
$1,109.55 |
$1,109.55 |
$1,109.55 |
$398.40
|
|
Home/res vst new low mdm 30
|
$471.90 |
$471.90 |
$471.90 |
$145.60
|
|
Home/res vst new mod mdm 60
|
$820.95 |
$820.95 |
$820.95 |
$327.20
|
|
Home/res vst new sf mdm 15
|
$286.00 |
$286.00 |
$286.00 |
$98.40
|
|
Home sleep test/type 3 porta
|
$406.90 |
$406.90 |
$406.90 |
$570.00
|
|
Home visit est patient 99348
|
$429.00 |
$429.00 |
$429.00 |
$140.00
|
|
Home visit new patient
|
$441.35 |
$441.35 |
$441.35 |
$258.60
|
|
Homocysteine
|
$80.60 |
$80.60 |
$80.60 |
$125.40
|
|
Homogenization tissue
|
$26.65 |
$26.65 |
$26.65 |
$41.30
|
|
Homovanillic acid (hva)
|
$100.75 |
$100.75 |
$100.75 |
$59.95
|
|
Hopd mntl hlt, grp
|
$57.85 |
$57.85 |
$57.85 |
$57.85
|
|
Ho post-op hip abduction
|
$1,205.10 |
$1,205.10 |
$1,205.10 |
$1,753.00
|
|
Hospice care supervision
|
$286.00 |
$286.00 |
$286.00 |
$124.80
|
|
Hospice care supervision
|
$449.80 |
$449.80 |
$449.80 |
$239.20
|
|
Hpa-15 genotyping
|
$547.95 |
$547.95 |
$547.95 |
$168.66
|
|
Hpa-1 genotyping
|
$547.95 |
$547.95 |
$547.95 |
$202.20
|
|
Hpa-2 genotyping
|
$547.95 |
$547.95 |
$547.95 |
$170.00
|
|
Hpa-3 genotyping
|
$547.95 |
$547.95 |
$547.95 |
$168.66
|
|
Hpa-4 genotyping
|
$547.95 |
$547.95 |
$547.95 |
$200.40
|
|
Hpa-5 genotyping
|
$547.95 |
$547.95 |
$547.95 |
$180.05
|
|
Hpa-6 genotyping
|
$547.95 |
$547.95 |
$547.95 |
$170.00
|
|
Hpa-9 genotyping
|
$547.95 |
$547.95 |
$547.95 |
$170.00
|
|
Hpv types 16 & 18 only
|
$182.00 |
$182.00 |
$182.00 |
$112.00
|
|
H pylori (c-13) breath
|
$302.25 |
$302.25 |
$302.25 |
$212.25
|
|
H pylori drug admin
|
$35.10 |
$35.10 |
$35.10 |
$28.56
|
|
Hrv skn cll ssp agrft 1st 25
|
$603.85 |
$3,567.20 |
$3,567.20 |
$3,567.20
|
|
Htt gene detc abnor alleles
|
$614.25 |
$614.25 |
$614.25 |
$250.50
|
|
Human epididymis protein 4 (he4)
|
$93.60 |
$93.60 |
$93.60 |
$157.32
|
|
Hyaluronidase 150 unit/ml injection solution
|
$130.57 |
$130.57 |
$131.22 |
$126.37
|
|
Hyaluronidase, human recombinant 150 unit/ml injection solution
|
$130.57 |
$130.57 |
$130.57 |
$142.40
|
|
Hydralazine 20 mg/ml injection solution
|
$26.00 |
$39.88 |
$39.88 |
$48.00
|
|
Hydrocolld drg <=16 in w/bdr
|
$5.85 |
$5.85 |
$5.85 |
$5.57
|
|
Hydrocolld drg <=16 without bdr
|
$7.15 |
$7.15 |
$7.15 |
$7.76
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$20.74 |
$470.46 |
$470.46 |
$135.60
|
|
Hydrogel dsg<=16 sq in
|
$2.93 |
$2.93 |
$2.93 |
$5.04
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$182.66 |
$182.66 |
$182.66 |
$112.66
|
|
Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge
|
$4.97 |
$4.97 |
$4.97 |
$294.92
|
|
Hydromorphone injection
|
$18.20 |
$18.20 |
$18.20 |
$80.38
|
|
Hydroxocobalamin im 10mcg
|
$2.50 |
$2.50 |
$2.50 |
$4.86
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$78.88 |
$78.88 |
$78.88 |
$72.65
|
|
Hydrxycorticsterds 17- (17-ohcs)
|
$80.60 |
$80.60 |
$80.60 |
$73.45
|
|
Hymenotomy
|
$9,506.90 |
$9,506.90 |
$9,506.90 |
$4,358.89
|
|
Hymovis injection 1 mg
|
$559.26 |
$559.26 |
$559.26 |
$28.00
|
|
Hyoid myotomy & suspension
|
$3,967.60 |
$3,967.60 |
$3,967.60 |
$5,855.00
|
|
Hyoscyamine sulfate inj
|
$252.53 |
$252.53 |
$252.53 |
$123.83
|
|
Hyperbaric oxygen therapy
|
$548.60 |
$548.60 |
$548.60 |
$1,058.04
|
|
#hypersens-actinomyces ab
|
$45.50 |
$45.50 |
$45.50 |
$32.00
|
|
Hyperthermia ext gen deep
|
$3,589.95 |
$3,589.95 |
$3,589.95 |
$1,683.20
|
|
Hyperthermia ext gen supfc
|
$1,554.15 |
$1,554.15 |
$1,554.15 |
$943.00
|
|
Hyperthermia gen intrcv prb
|
$2,999.75 |
$2,999.75 |
$2,999.75 |
$1,173.60
|
|
Hyperthermia ntrstl prb 5/<
|
$2,934.75 |
$2,934.75 |
$2,934.75 |
$1,803.20
|
|
Hyperthermia ntrstl prb>5
|
$3,072.55 |
$3,072.55 |
$3,072.55 |
$759.77
|
|
Hypnotherapy
|
$569.40 |
$569.40 |
$569.40 |
$154.52
|
|
Hypothermia ill neonate
|
$1,170.00 |
$1,170.00 |
$1,170.00 |
$560.00
|
|
Hyqvia 100mg immuneglobulin
|
$57.37 |
$57.37 |
$57.37 |
$13,494.15
|
|
Hysterectomy/revise vagina 58275
|
$4,427.80 |
$4,427.80 |
$4,427.80 |
$1,827.00
|
|
Hysterectomy/revise vagina 58280
|
$4,765.80 |
$4,765.80 |
$4,765.80 |
$1,955.40
|
|
Hysteroplasty 58540
|
$4,084.60 |
$4,084.60 |
$4,084.60 |
$1,686.00
|
|
Hysterorrhaphy of ruptured uterus 59350
|
$1,284.40 |
$1,284.40 |
$1,284.40 |
$677.60
|
|
Hysterosalpingography s&i
|
$1,084.20 |
$1,084.20 |
$1,183.00 |
$669.60
|
|
Hysteroscopy ablation
|
$14,760.20 |
$14,760.20 |
$14,760.20 |
$5,865.75
|
|
Hysteroscopy biopsy
|
$9,506.90 |
$9,506.90 |
$9,506.90 |
$5,419.00
|
|
Hysteroscopy dx sep proc
|
$9,506.90 |
$9,506.90 |
$9,506.90 |
$3,997.50
|
|
Hysteroscopy lysis
|
$14,760.20 |
$14,760.20 |
$14,760.20 |
$5,766.75
|
|
Hysteroscopy remove fb
|
$9,506.90 |
$9,506.90 |
$9,506.90 |
$4,719.18
|
|
Hysteroscopy remove myoma
|
$14,760.20 |
$14,760.20 |
$14,760.20 |
$5,463.96
|
|
Hysteroscopy resect septum
|
$14,760.20 |
$14,760.20 |
$14,760.20 |
$5,766.75
|
|
Hysterotomy abdominal 59100
|
$3,476.20 |
$3,476.20 |
$3,476.20 |
$4,881.00
|
|
Hzv zoster vacc recombinant adjuvanted im inj
|
$505.05 |
$549.18 |
$549.18 |
$352.24
|
|
I-123 iobenguane diag
|
$5,730.40 |
$5,730.40 |
$5,730.40 |
$5,170.70
|
|
I-123 ioflupane diag
|
$2,047.50 |
$2,949.05 |
$3,465.15 |
$4,158.00
|
|
I-123 sod iodide diag per 100 uci
|
$136.50 |
$136.50 |
$136.50 |
$147.46
|
|
I-131 iobenguane sulf diag mibg
|
$6,432.40 |
$6,432.40 |
$6,432.40 |
$3,638.48
|
|
I131 iodide cap, rx
|
$117.00 |
$117.00 |
$117.00 |
$71.70
|
|
I131 iodide sol, rx
|
$117.00 |
$117.00 |
$117.00 |
$34.87
|
|
I131 serum albumin, dx
|
$117.00 |
$117.00 |
$117.00 |
$847.84
|
|
I-131 sod iodide sol diag per mci
|
$117.00 |
$117.00 |
$117.00 |
$114.60
|
|
Iadna legionella pneumophila amplified probe tq
|
$157.30 |
$157.30 |
$157.30 |
$109.80
|
|
Ia infect ag ab qual/semiquant sgl step
|
$81.25 |
$81.25 |
$81.25 |
$50.60
|
|
Ibandronate 3 mg/3 ml intravenous syringe
|
$328.38 |
$328.38 |
$342.76 |
$684.45
|
|
Ibuprofen injection
|
$386.10 |
$386.10 |
$386.10 |
$256.76
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$131.00 |
$131.00 |
$131.00 |
$980.94
|
|
Icatibant injection
|
$8,695.05 |
$8,695.05 |
$8,695.05 |
$8,695.05
|
|
Icd cobalt xt dr MRI is1 df1
|
$18,525.00 |
$26,325.00 |
$26,325.00 |
$34,093.09
|
|
Icd crtd cobalt hf MRI is1 df1
|
$34,905.00 |
$34,905.00 |
$41,047.50 |
$38,711.25
|
|
Icd crtp serena MRI
|
$10,400.00 |
$12,870.00 |
$12,870.00 |
$14,360.25
|
|
Icd reliance df4 ib 64cm
|
$6,240.00 |
$6,240.00 |
$8,612.50 |
$9,264.83
|
|
Icg angiography i&r uni/bi
|
$1,159.60 |
$1,159.60 |
$1,159.60 |
$470.00
|
|
Icut allergy test-delayed
|
$31.20 |
$31.20 |
$31.20 |
$46.45
|
|
Icut allergy test drug/bug
|
$105.95 |
$105.95 |
$105.95 |
$70.29
|
|
Icut allergy titrate-airborn
|
$3.25 |
$3.25 |
$3.25 |
$29.55
|
|
I&d abscess posterior spine l/s/ls-22015
|
$3,286.40 |
$3,286.40 |
$3,286.40 |
$2,286.40
|
|
I&d abscss rtrphryngl/paraphryngl intraorl apprch
|
$1,640.60 |
$1,640.60 |
$1,640.60 |
$3,592.74
|
|
Idarubicin hcl injection
|
$36.15 |
$36.15 |
$36.15 |
$447.02
|
|
I&d/bursa/foot 28001
|
$520.00 |
$520.00 |
$520.00 |
$1,917.33
|
|
Idecabtagene vicleucel car
|
$33,955.69 |
$33,955.69 |
$33,955.69 |
$1,129,895.40
|
|
Identify sperm tissue
|
$1,053.00 |
$1,053.00 |
$1,053.00 |
$157.60
|
