|
Hpa-4 genotyping
|
$202.20 |
$202.20 |
$202.20 |
$202.20
|
|
Hpa-5 genotyping
|
$202.20 |
$202.20 |
$202.20 |
$200.40
|
|
Hpa-6 genotyping
|
$202.20 |
$202.20 |
$202.20 |
$170.00
|
|
Hpa-9 genotyping
|
$202.20 |
$202.20 |
$202.20 |
$170.00
|
|
Hpv types 16 & 18 only
|
$102.00 |
$102.00 |
$102.00 |
$110.06
|
|
H pylori (c-13) breath
|
$198.00 |
$198.00 |
$198.00 |
$213.00
|
|
H pylori drug admin
|
$23.40 |
$23.40 |
$23.40 |
$28.56
|
|
Hrdtry brst ca-rlatd do 5+
|
$814.20 |
$814.20 |
$814.20 |
$1,702.08
|
|
Hrdtry cardmypy gene panel
|
$1,548.00 |
$1,548.00 |
$1,548.00 |
$1,414.34
|
|
Hrdtry perph neurphy panel
|
$1,951.80 |
$1,951.80 |
$1,951.80 |
$1,569.60
|
|
Htt gene detc abnor alleles
|
$118.80 |
$118.80 |
$118.80 |
$247.83
|
|
Human epididymis protein 4 (he4)
|
$228.00 |
$228.00 |
$228.00 |
$156.65
|
|
Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution
|
$50,652.00 |
$50,652.00 |
$50,652.00 |
$5,642.96
|
|
Hyaluronidase, human recombinant 150 unit/ml injection solution
|
$171.84 |
$171.84 |
$171.84 |
$142.40
|
|
Hydralazine 20 mg/ml injection solution
|
$278.52 |
$278.52 |
$278.52 |
$46.74
|
|
Hydration IV infusion each additional hour
|
$183.00 |
$183.00 |
$183.00 |
$133.11
|
|
Hydration IV infusion initial 31minutes - 1 hour
|
$1,050.60 |
$1,050.60 |
$1,050.60 |
$385.20
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$809.58 |
$809.58 |
$809.58 |
$153.08
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$486.36 |
$486.36 |
$486.36 |
$120.72
|
|
Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge
|
$1,960.20 |
$1,960.20 |
$1,960.20 |
$294.92
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$277.92 |
$277.92 |
$277.92 |
$72.65
|
|
Hydrxycorticsterds 17- (17-ohcs)
|
$175.80 |
$175.80 |
$175.80 |
$73.45
|
|
Hysterosalpingography s&i
|
$2,408.40 |
$2,408.40 |
$2,408.40 |
$663.50
|
|
Hysteroscopy ablation
|
$38,282.71 |
$38,282.71 |
$38,282.71 |
$5,865.75
|
|
Hysteroscopy biopsy
|
$27,578.34 |
$27,578.34 |
$27,578.34 |
$5,117.50
|
|
Hysteroscopy remove fb
|
$32,395.25 |
$32,395.25 |
$32,395.25 |
$4,719.18
|
|
Hysteroscopy remove myoma
|
$34,511.87 |
$34,511.87 |
$34,511.87 |
$5,417.29
|
|
I-123 iobenguane diag
|
$10,053.66 |
$10,053.66 |
$10,053.66 |
$5,170.70
|
|
I-123 ioflupane diag
|
$5,443.20 |
$5,443.20 |
$5,443.20 |
$4,077.15
|
|
I-123 sod iodide diag per 100 uci
|
$242.16 |
$242.16 |
$242.16 |
$144.24
|
|
Iadna legionella pneumophila amplified probe tq
|
$66.00 |
$66.00 |
$66.00 |
$109.00
|
|
Ibuprofen injection
|
$5,064.30 |
$5,064.30 |
$5,064.30 |
$256.76
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$2,198.16 |
$2,198.16 |
$2,198.16 |
$975.45
|
|
Icd cobalt xt dr MRI is1 df1
|
$88,689.76 |
$88,689.76 |
$88,689.76 |
$34,681.07
|
|
Icd crtd cobalt hf MRI is1 df1
|
$86,062.59 |
$86,062.59 |
$86,062.59 |
$41,418.00
|
|
Icd crtp serena MRI
|
$69,454.02 |
$69,454.02 |
$69,454.02 |
$14,360.25
|
|
Icd reliance df4 ib 64cm
|
$82,064.45 |
$82,064.45 |
$82,064.45 |
$9,267.72
|
|
I&d abscss rtrphryngl/paraphryngl intraorl apprch
|
$4,934.40 |
$4,934.40 |
$4,934.40 |
$3,592.74
|
|
Idarubicin hcl injection
|
$1,957.08 |
$1,957.08 |
$1,957.08 |
$447.02
|
|
Idh1 common variants
|
$66.00 |
$66.00 |
$66.00 |
$412.10
|
|
Idh2 common variants
|
$66.00 |
$66.00 |
$66.00 |
$486.00
|
|
I&d upper arm/elbow deep abscess/hematoma
|
$4,537.80 |
$4,537.80 |
$4,537.80 |
$3,355.20
|
|
Idursulfase injection
|
$28,487.76 |
$28,487.76 |
$28,487.76 |
$5,646.08
|
|
I&d vag hemtma obst/postpart
|
$2,988.00 |
$2,988.00 |
$2,988.00 |
$3,334.38
|
|
Ifosfamide 1 gram intravenous solution
|
$916.26 |
$916.26 |
$916.26 |
$246.95
|
|
Igh gene rearrange amp meth
|
$339.00 |
$339.00 |
$339.00 |
$464.00
|
|
Igh@ var region somatic mutation analy
|
$498.00 |
$498.00 |
$498.00 |
$660.80
|
|
Igk rearrangeabn clonal pop
|
$396.00 |
$396.00 |
$396.00 |
$399.36
|
|
Ihc/icc per specimen each additional single antibody stain
|
$408.00 |
$408.00 |
$408.00 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$477.00 |
$477.00 |
$477.00 |
$328.79
|
|
Ihc/icc per specimen initial single antibody stain
|
$453.00 |
$453.00 |
$453.00 |
$272.30
|
|
Ikbkap gene
|
$228.00 |
$228.00 |
$228.00 |
$173.49
|
|
Iliac/fem angio cath insert
|
$83.40 |
$83.40 |
$83.40 |
$1,856.01
|
|
Iliac revasc add-on 37222
|
$73,470.29 |
$73,470.29 |
$73,470.29 |
$6,082.65
|
|
Imetelstat 188 mg intravenous solution
|
$88,689.66 |
$88,689.66 |
$88,689.66 |
$20,373.55
|
|
Immob elbow child sm
|
$1,854.33 |
$1,854.33 |
$1,854.33 |
$85.39
|
|
Immobilizer shldr cntor adlt
|
$754.94 |
$754.94 |
$754.94 |
$175.60
|
|
Immobilizer shldr dlx str 24-36in med
|
$872.34 |
$872.34 |
$872.34 |
$114.60
|
|
Immobilizer shldr sling med
|
$895.63 |
$895.63 |
$895.63 |
$126.00
|
|
Immt breast prosthesis 19340
|
$137,046.80 |
$137,046.80 |
$137,046.80 |
$4,883.20
|
|
Immune complex assay
|
$126.00 |
$126.00 |
$126.00 |
$100.80
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$15,400.62 |
$15,400.62 |
$15,400.62 |
$6,106.32
|
|
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution
|
$93,711.06 |
$93,711.06 |
$93,711.06 |
$3,846.15
|
|
Immunoassay tumor antigen quantitative ca 125
|
$177.00 |
$177.00 |
$177.00 |
$131.95
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$177.00 |
$177.00 |
$177.00 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$90.60 |
$90.60 |
$90.60 |
$48.38
|
|
Immunodiffusion nes
|
$55.80 |
$55.80 |
$55.80 |
$48.57
|
|
Immunofixation electrophoresis serum
|
$331.80 |
$331.80 |
$331.80 |
$142.50
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$211.80 |
$211.80 |
$211.80 |
$154.05
|
|
Immunofluorescence per specimen initial single antibody stain
|
$450.60 |
$450.60 |
$450.60 |
$231.40
|
|
Immunoglobulin assay
|
$212.40 |
$212.40 |
$212.40 |
$75.88
|
|
Immunology procedure
|
$162.60 |
$162.60 |
$162.60 |
$142.56
|
|
Impl ahmed 6x25x9.6mm glaucoma vlv w/sil ped ster
|
$7,706.38 |
$7,706.38 |
$7,706.38 |
$3,036.25
|
|
Implant cartilage 10mm synthetic
|
$10,116.13 |
$10,116.13 |
$10,116.13 |
$8,184.00
|
|
Implant cochlear osia osi300
|
$37,746.75 |
$37,746.75 |
$37,746.75 |
$16,200.89
|
|
Implant hormone pellet(s) 11980
|
$9,591.48 |
$9,591.48 |
$9,591.48 |
$315.75
|
|
Implant neuroelectrodes
|
$140,336.74 |
$140,336.74 |
$140,336.74 |
$18,334.40
|
|
Implant neuroelectrodes
|
$11,467.80 |
$11,467.80 |
$11,467.80 |
$8,763.11
|
|
Implant neuroelectrodes
|
$72,015.82 |
$72,015.82 |
$72,015.82 |
$7,766.27
|
|
Implant tcat pulm vlv perq
|
$16,706.40 |
$16,706.40 |
$16,706.40 |
$9,812.40
|
|
Implant ureth bulk agent
|
$6,190.47 |
$6,190.47 |
$6,190.47 |
$2,168.00
|
|
Impl ear abutment ba300 9mm
|
$11,183.21 |
$11,183.21 |
$11,183.21 |
$3,974.88
|
|
Impl neurostim electr perc
|
$103,767.01 |
$103,767.01 |
$103,767.01 |
$7,672.50
|
|
Implnt bio implnt for soft tiss reinforcement 15777
|
$177,408.15 |
$177,408.15 |
$177,408.15 |
$1,072.00
|
|
In-111 autol wbc diag per dose
|
$2,623.20 |
$2,623.20 |
$2,623.20 |
$3,523.65
|
|
In-111 oxyquinolin per 0.5 mci
|
$8,840.94 |
$8,840.94 |
$8,840.94 |
$2,581.82
|
|
In-111 pentetate dtpa / 0.5 mci
|
$5,578.68 |
$5,578.68 |
$5,578.68 |
$2,598.17
|
|
Incise thigh tendon & fascia
|
$44,408.59 |
$44,408.59 |
$44,408.59 |
$3,839.54
|
|
Incise wrist/forearm tendon
|
$44,700.70 |
$44,700.70 |
$44,700.70 |
$3,786.00
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$34,263.30 |
$34,263.30 |
$34,263.30 |
$2,056.93
|
|
Incision & drainage open of deep abscess (subfascial) pos
|
$53,526.58 |
$53,526.58 |
$53,526.58 |
$2,312.00
|
|
Incision of achilles tendon
|
$5,588.40 |
$5,588.40 |
$5,588.40 |
$3,172.80
|
|
Incision of achilles tendon
|
$47,665.58 |
$47,665.58 |
$47,665.58 |
$3,561.39
|
|
Incision of anal sphincter
|
$20,951.90 |
$20,951.90 |
$20,951.90 |
$3,245.23
|
|
Incision of breast lesion
|
$18,641.64 |
$18,641.64 |
$18,641.64 |
$2,560.80
|
|
Incision of burn scab initi
|
$663.00 |
$663.00 |
$663.00 |
$494.40
|
|
Incision of eardrum
|
$14,059.76 |
$14,059.76 |
$14,059.76 |
$3,827.50
|
|
Incision of fibula
|
$66,088.17 |
$66,088.17 |
$66,088.17 |
$3,839.54
|
|
Incision of foot fascia
|
$15,728.48 |
$15,728.48 |
$15,728.48 |
$4,570.33
|
|
Incision of foot tendon 28234
|
$32,431.59 |
$32,431.59 |
$32,431.59 |
$2,116.27
|
