|
H pylori drug admin
|
$28.20 |
$28.20 |
$28.20 |
$28.56
|
|
Hrdtry brst ca-rlatd do 5+
|
$1,191.00 |
$1,191.00 |
$1,191.00 |
$1,702.08
|
|
Hrdtry cardmypy gene panel
|
$1,474.20 |
$1,474.20 |
$1,474.20 |
$1,276.00
|
|
Hrdtry perph neurphy panel
|
$1,128.60 |
$1,128.60 |
$1,128.60 |
$1,951.80
|
|
Htt gene detc abnor alleles
|
$362.40 |
$362.40 |
$362.40 |
$250.50
|
|
Human epididymis protein 4 (he4)
|
$325.80 |
$325.80 |
$325.80 |
$157.32
|
|
Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution
|
$8,788.50 |
$8,788.50 |
$8,788.50 |
$5,836.20
|
|
Hyaluronidase 150 unit/ml injection solution
|
$45.54 |
$45.54 |
$45.54 |
$116.13
|
|
Hydralazine 20 mg/ml injection solution
|
$17.40 |
$17.40 |
$17.40 |
$46.74
|
|
Hydration IV infusion each additional hour
|
$100.80 |
$100.80 |
$100.80 |
$131.20
|
|
Hydration IV infusion initial 31minutes - 1 hour
|
$565.20 |
$565.20 |
$565.20 |
$383.00
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$181.74 |
$181.74 |
$181.74 |
$154.78
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$674.64 |
$674.64 |
$674.64 |
$131.47
|
|
Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge
|
$550.80 |
$550.80 |
$550.80 |
$294.92
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$43.38 |
$43.38 |
$43.38 |
$72.65
|
|
Hydrxycorticsterds 17- (17-ohcs)
|
$118.80 |
$118.80 |
$118.80 |
$76.13
|
|
Hyqvia 100mg immuneglobulin
|
$31,504.14 |
$31,504.14 |
$31,504.14 |
$13,494.15
|
|
Hysterosalpingography s&i
|
$479.40 |
$479.40 |
$479.40 |
$651.85
|
|
Hysteroscopy ablation
|
$18,035.08 |
$18,035.08 |
$18,035.08 |
$5,841.60
|
|
Hysteroscopy biopsy
|
$10,197.19 |
$10,197.19 |
$10,197.19 |
$5,110.50
|
|
Hysteroscopy dx sep proc
|
$16,877.26 |
$16,877.26 |
$16,877.26 |
$3,997.50
|
|
Hysteroscopy remove fb
|
$8,333.16 |
$8,333.16 |
$8,333.16 |
$4,719.18
|
|
Iaadi respiratory synctial virus
|
$72.00 |
$72.00 |
$72.00 |
$49.40
|
|
Iadna legionella pneumophila amplified probe tq
|
$105.60 |
$105.60 |
$105.60 |
$109.80
|
|
Ibandronate 3 mg/3 ml intravenous syringe
|
$452.76 |
$452.76 |
$452.76 |
$635.44
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$493.32 |
$493.32 |
$493.32 |
$980.94
|
|
Icd cobalt xt dr MRI is1 df1
|
$87,496.75 |
$87,496.75 |
$87,496.75 |
$34,234.20
|
|
Icd crtd cobalt hf MRI is1 df1
|
$84,904.92 |
$84,904.92 |
$84,904.92 |
$37,789.50
|
|
Icd crtp serena MRI
|
$68,519.76 |
$68,519.76 |
$68,519.76 |
$14,346.00
|
|
Icd reliance df4 ib 64cm
|
$80,960.57 |
$80,960.57 |
$80,960.57 |
$9,259.80
|
|
Idh1 common variants
|
$323.40 |
$323.40 |
$323.40 |
$406.90
|
|
Idh2 common variants
|
$486.00 |
$486.00 |
$486.00 |
$486.00
|
|
I&d vag hemtma obst/postpart
|
$3,081.60 |
$3,081.60 |
$3,081.60 |
$3,334.38
|
|
Ifosfamide 1 gram intravenous solution
|
$298.80 |
$298.80 |
$298.80 |
$243.78
|
|
Igh gene rearrange amp meth
|
$364.20 |
$364.20 |
$364.20 |
$456.54
|
|
Igh@ var region somatic mutation analy
|
$529.20 |
$529.20 |
$529.20 |
$660.80
|
|
Igk rearrangeabn clonal pop
|
$285.00 |
$285.00 |
$285.00 |
$396.00
|
|
Ihc/icc per specimen each additional single antibody stain
|
$363.00 |
$363.00 |
$363.00 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$388.80 |
$388.80 |
$388.80 |
$328.79
|
|
Ihc/icc per specimen initial single antibody stain
|
$483.60 |
$483.60 |
$483.60 |
$274.86
|
|
Ikbkap gene
|
$228.00 |
$228.00 |
$228.00 |
$176.15
|
|
Immob elbow child sm
|
$1,829.39 |
$1,829.39 |
$1,829.39 |
$74.20
|
|
Immobilizer shldr cntor adlt
|
$744.78 |
$744.78 |
$744.78 |
$171.43
|
|
Immobilizer shldr dlx str 24-36in med
|
$860.61 |
$860.61 |
$860.61 |
$102.00
|
|
Immobilizer shldr sling med
|
$883.58 |
$883.58 |
$883.58 |
$99.45
|
|
Immune complex assay
|
$127.20 |
$127.20 |
$127.20 |
$109.20
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$14,614.86 |
$14,614.86 |
$14,614.86 |
$6,106.32
|
|
Immunoassay tumor antigen quantitative ca 125
|
$198.60 |
$198.60 |
$198.60 |
$130.00
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$186.00 |
$186.00 |
$186.00 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$129.00 |
$129.00 |
$129.00 |
$48.50
|
|
Immunodiffusion nes
|
$33.60 |
$33.60 |
$33.60 |
$53.76
|
|
Immunofixation electrophoresis serum
|
$179.40 |
$179.40 |
$179.40 |
$138.60
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$363.00 |
$363.00 |
$363.00 |
$156.00
|
|
Immunofluorescence per specimen initial single antibody stain
|
$420.60 |
$420.60 |
$420.60 |
$232.05
|
|
Immunoglobulin assay
|
$136.80 |
$136.80 |
$136.80 |
$74.15
|
|
Immunology procedure
|
$168.00 |
$168.00 |
$168.00 |
$118.25
|
|
Impl ahmed 6x25x9.6mm glaucoma vlv w/sil ped ster
|
$7,602.71 |
$7,602.71 |
$7,602.71 |
$3,840.76
|
|
Implant cartilage 10mm synthetic
|
$5,532.94 |
$5,532.94 |
$5,532.94 |
$10,050.00
|
|
Implant cochlear device
|
$99,098.24 |
$99,098.24 |
$99,098.24 |
$34,229.98
|
|
Implant cochlear osia osi300
|
$37,239.00 |
$37,239.00 |
$37,239.00 |
$17,423.06
|
|
Implant neuroelectrodes
|
$60,895.18 |
$60,895.18 |
$60,895.18 |
$7,766.27
|
|
Implant neuroelectrodes
|
$62,858.44 |
$62,858.44 |
$62,858.44 |
$7,728.86
|
|
Implant spine infusion pump
|
$46,313.61 |
$46,313.61 |
$46,313.61 |
$17,262.84
|
|
Implant spine infusion pump
|
$45,902.07 |
$45,902.07 |
$45,902.07 |
$17,270.40
|
|
Implant ureth bulk agent
|
$6,107.20 |
$6,107.20 |
$6,107.20 |
$2,139.62
|
|
Impl ear abutment ba300 9mm
|
$11,032.78 |
$11,032.78 |
$11,032.78 |
$3,974.88
|
|
Impl neurostim electr perc
|
$17,607.40 |
$17,607.40 |
$17,607.40 |
$7,546.20
|
|
Implnt bio implnt for soft tiss reinforcement 15777
|
$37,501.74 |
$37,501.74 |
$37,501.74 |
$1,072.00
|
|
Implnt spinl canal catheter 62350
|
$10,495.80 |
$10,495.80 |
$10,495.80 |
$5,419.00
|
|
In-111 autol wbc diag per dose
|
$966.00 |
$966.00 |
$966.00 |
$3,567.60
|
|
In-111 pentetate dtpa / 0.5 mci
|
$2,494.80 |
$2,494.80 |
$2,494.80 |
$2,550.60
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$1,292.40 |
$1,292.40 |
$1,292.40 |
$2,080.80
|
|
Incision of breast lesion
|
$1,234.80 |
$1,234.80 |
$1,234.80 |
$2,577.85
|
|
Incision of foot tendon 28234
|
$2,724.00 |
$2,724.00 |
$2,724.00 |
$2,116.27
|
|
Incision of metatarsal
|
$62,085.47 |
$62,085.47 |
$62,085.47 |
$3,591.33
|
|
Incision of toe tendons 28011
|
$2,799.60 |
$2,799.60 |
$2,799.60 |
$2,068.30
|
|
Incision tendon sheath
|
$20,534.14 |
$20,534.14 |
$20,534.14 |
$3,073.20
|
|
Incisn of toe tndn
|
$2,667.00 |
$2,667.00 |
$2,667.00 |
$2,493.15
|
|
Indigotindisulfonate 8 mg/ml soln 5 ml ampule
|
$1,632.00 |
$1,632.00 |
$1,632.00 |
$785.83
|
|
Infect ag drug suscept pheno predict
|
$231.60 |
$231.60 |
$231.60 |
$320.00
|
|
Infect ag eia chlamydia trachomatis
|
$100.80 |
$100.80 |
$100.80 |
$74.88
|
|
Infect ag genotype na dna hepatitis b
|
$390.60 |
$390.60 |
$390.60 |
$427.43
|
|
Infect ag genotype na hiv-1 other region
|
$291.60 |
$291.60 |
$291.60 |
$326.20
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$660.60 |
$660.60 |
$660.60 |
$603.75
|
|
Infect ag ia optc obs influenza
|
$63.60 |
$63.60 |
$63.60 |
$72.93
|
|
Infect ag if ea plyvlnt antsrm
|
$126.60 |
$126.60 |
$126.60 |
$65.10
|
|
Infect ag if influenza a
|
$88.80 |
$88.80 |
$88.80 |
$40.61
|
|
Infect ag if influenza b
|
$88.80 |
$88.80 |
$88.80 |
$37.95
|
|
Infect ag if legionella pneumophila
|
$75.00 |
$75.00 |
$75.00 |
$73.46
|
|
Infect ag if nos ea
|
$88.80 |
$88.80 |
$88.80 |
$74.10
|
|
Infect ag if varicella zoster
|
$70.80 |
$70.80 |
$70.80 |
$72.00
|
|
Infect ag na hpv high-risk types
|
$133.80 |
$133.80 |
$133.80 |
$139.20
|
|
Infect ag na influenza r/amp 1st 2 types
|
$183.60 |
$183.60 |
$183.60 |
$219.70
|
|
Infect ag na orthopoxvirus amp prb each
|
$96.00 |
$96.00 |
$96.00 |
$99.36
|
|
Infect ag na resp virus 12-25 targets
|
$1,199.40 |
$1,199.40 |
$1,199.40 |
$859.44
|
|
Infect ag phenotype na hiv-1 1-10 drugs
|
$832.20 |
$832.20 |
$832.20 |
$855.60
|
|
Infect ag phenotype na hiv-1 ea addl drg
|
$135.60 |
$135.60 |
$135.60 |
$77.00
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$157.80 |
$157.80 |
$157.80 |
$82.00
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$33.60 |
$33.60 |
$33.60 |
$69.44
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$83.40 |
$83.40 |
$83.40 |
$76.50
|
