|
Hydrxycorticsterds 17- (17-ohcs)
|
$67.20 |
$67.20 |
$67.20 |
$76.13
|
|
#hypersens-actinomyces ab
|
$108.00 |
$108.00 |
$108.00 |
$31.74
|
|
Hysterosalpingography s&i
|
$1,498.20 |
$1,498.20 |
$1,498.20 |
$651.85
|
|
Hysteroscopy ablation
|
$12,673.96 |
$12,673.96 |
$12,673.96 |
$5,841.60
|
|
Hysteroscopy biopsy
|
$9,868.98 |
$9,868.98 |
$9,868.98 |
$5,110.50
|
|
Hysteroscopy remove fb
|
$9,258.42 |
$9,258.42 |
$9,258.42 |
$4,719.18
|
|
Hysteroscopy remove myoma
|
$13,250.06 |
$13,250.06 |
$13,250.06 |
$4,881.00
|
|
Hzv zoster vacc recombinant adjuvanted im inj
|
$543.12 |
$543.12 |
$543.12 |
$352.24
|
|
I-123 sod iodide diag per 100 uci
|
$178.20 |
$178.20 |
$178.20 |
$139.20
|
|
I131 iodide cap, rx
|
$46.80 |
$46.80 |
$46.80 |
$78.75
|
|
Iaadi respiratory synctial virus
|
$40.80 |
$40.80 |
$40.80 |
$49.40
|
|
Iadna legionella pneumophila amplified probe tq
|
$109.80 |
$109.80 |
$109.80 |
$109.80
|
|
Ia infect ag ab qual/semiquant sgl step
|
$36.60 |
$36.60 |
$36.60 |
$50.60
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$616.68 |
$616.68 |
$616.68 |
$980.94
|
|
Icd cobalt xt dr MRI is1 df1
|
$116,706.98 |
$116,706.98 |
$116,706.98 |
$34,234.20
|
|
Icd crtd cobalt hf MRI is1 df1
|
$113,249.88 |
$113,249.88 |
$113,249.88 |
$37,789.50
|
|
Icd crtp serena MRI
|
$91,394.64 |
$91,394.64 |
$91,394.64 |
$14,346.00
|
|
Icd reliance df4 ib 64cm
|
$107,988.73 |
$107,988.73 |
$107,988.73 |
$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
|
|
Idursulfase injection
|
$15,212.88 |
$15,212.88 |
$15,212.88 |
$5,583.80
|
|
Ifosfamide 1 gram intravenous solution
|
$538.80 |
$538.80 |
$538.80 |
$243.78
|
|
Igh@/bcl2 translocation alys
|
$277.80 |
$277.80 |
$277.80 |
$277.80
|
|
Igh gene rearrange amp meth
|
$228.00 |
$228.00 |
$228.00 |
$456.54
|
|
Igh@ var region somatic mutation analy
|
$1,298.40 |
$1,298.40 |
$1,298.40 |
$660.80
|
|
Igk rearrangeabn clonal pop
|
$175.80 |
$175.80 |
$175.80 |
$396.00
|
|
Ihc/icc per specimen each additional single antibody stain
|
$118.20 |
$118.20 |
$118.20 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$370.20 |
$370.20 |
$370.20 |
$328.79
|
|
Ihc/icc per specimen initial single antibody stain
|
$972.60 |
$972.60 |
$972.60 |
$274.86
|
|
Ikbkap gene
|
$331.80 |
$331.80 |
$331.80 |
$176.15
|
|
Imetelstat 188 mg intravenous solution
|
$52,152.00 |
$52,152.00 |
$52,152.00 |
$20,373.55
|
|
Immob elbow child sm
|
$1,611.46 |
$1,611.46 |
$1,611.46 |
$74.20
|
|
Immobilizer shldr cntor adlt
|
$993.42 |
$993.42 |
$993.42 |
$171.43
|
|
Immobilizer shldr dlx str 24-36in med
|
$1,147.91 |
$1,147.91 |
$1,147.91 |
$102.00
|
|
Immobilizer shldr sling med
|
$1,178.56 |
$1,178.56 |
$1,178.56 |
$99.45
|
|
Immune complex assay
|
$211.80 |
$211.80 |
$211.80 |
$109.20
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$24,672.42 |
$24,672.42 |
$24,672.42 |
$6,106.32
|
|
Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution
|
$10,720.92 |
$10,720.92 |
$10,720.92 |
$3,593.90
|
|
Immunoassay tumor antigen quantitative ca 125
|
$564.60 |
$564.60 |
$564.60 |
$130.00
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$22.80 |
$22.80 |
$22.80 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$22.20 |
$22.20 |
$22.20 |
$48.50
|
|
Immunodiffusion nes
|
$33.60 |
$33.60 |
$33.60 |
$53.76
|
|
Immunofixation electrophoresis serum
|
$225.00 |
$225.00 |
$225.00 |
$138.60
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$134.40 |
$134.40 |
$134.40 |
$156.00
|
|
Immunofluorescence per specimen initial single antibody stain
|
$536.40 |
$536.40 |
$536.40 |
$232.05
|
|
Immunoglobulin assay
|
$67.20 |
$67.20 |
$67.20 |
$74.15
|
|
Immunology procedure
|
$92.40 |
$92.40 |
$92.40 |
$118.25
|
|
Impl ahmed 6x25x9.6mm glaucoma vlv w/sil ped ster
|
$10,140.83 |
$10,140.83 |
$10,140.83 |
$3,840.76
|
|
Implant cartilage 10mm synthetic
|
$7,380.08 |
$7,380.08 |
$7,380.08 |
$10,050.00
|
|
Implant cochlear osia osi300
|
$49,671.00 |
$49,671.00 |
$49,671.00 |
$17,423.06
|
|
Implant ureth bulk agent
|
$8,146.04 |
$8,146.04 |
$8,146.04 |
$2,139.62
|
|
Impl ear abutment ba300 9mm
|
$9,718.46 |
$9,718.46 |
$9,718.46 |
$3,974.88
|
|
Impl neurostim electr perc
|
$103,909.45 |
$103,909.45 |
$103,909.45 |
$7,546.20
|
|
In-111 oxyquinolin per 0.5 mci
|
$8,840.94 |
$8,840.94 |
$8,840.94 |
$2,568.98
|
|
In-111 pentetate dtpa / 0.5 mci
|
$4,477.80 |
$4,477.80 |
$4,477.80 |
$2,550.60
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$9,432.69 |
$9,432.69 |
$9,432.69 |
$2,080.80
|
|
Incision of achilles tendon
|
$9,874.08 |
$9,874.08 |
$9,874.08 |
$3,561.39
|
|
Incision of anal sphincter
|
$13,714.68 |
$13,714.68 |
$13,714.68 |
$3,245.23
|
|
Incision of breast lesion
|
$11,636.56 |
$11,636.56 |
$11,636.56 |
$2,577.85
|
|
Incision of foot tendon 28234
|
$2,724.00 |
$2,724.00 |
$2,724.00 |
$2,116.27
|
|
Incision of heel bone
|
$41,106.78 |
$41,106.78 |
$41,106.78 |
$5,110.00
|
|
Incision of iris
|
$11,876.91 |
$11,876.91 |
$11,876.91 |
$2,698.92
|
|
Incision of metatarsal
|
$22,585.04 |
$22,585.04 |
$22,585.04 |
$4,176.43
|
|
Incision of tendon sheath
|
$7,915.62 |
$7,915.62 |
$7,915.62 |
$2,176.80
|
|
Incision of tibia
|
$101,198.78 |
$101,198.78 |
$101,198.78 |
$7,907.11
|
|
Incision of toe tendons 28011
|
$2,799.60 |
$2,799.60 |
$2,799.60 |
$2,068.30
|
|
Incision tendon sheath
|
$12,470.22 |
$12,470.22 |
$12,470.22 |
$3,073.20
|
|
Incisn windpipe
|
$4,870.20 |
$4,870.20 |
$4,870.20 |
$3,819.23
|
|
Infect ag drug suscept pheno predict
|
$618.00 |
$618.00 |
$618.00 |
$320.00
|
|
Infect ag eia chlamydia trachomatis
|
$96.00 |
$96.00 |
$96.00 |
$74.88
|
|
Infect ag genotype na dna hepatitis b
|
$280.80 |
$280.80 |
$280.80 |
$427.43
|
|
Infect ag genotype na hiv-1 other region
|
$496.20 |
$496.20 |
$496.20 |
$326.20
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$569.40 |
$569.40 |
$569.40 |
$603.75
|
|
Infect ag ia optc obs influenza
|
$29.40 |
$29.40 |
$29.40 |
$72.93
|
|
Infect ag if ea plyvlnt antsrm
|
$120.60 |
$120.60 |
$120.60 |
$65.10
|
|
Infect ag if influenza a
|
$14.40 |
$14.40 |
$14.40 |
$40.61
|
|
Infect ag if influenza b
|
$14.40 |
$14.40 |
$14.40 |
$37.95
|
|
Infect ag if legionella pneumophila
|
$52.20 |
$52.20 |
$52.20 |
$73.46
|
|
Infect ag if nos ea
|
$52.80 |
$52.80 |
$52.80 |
$74.10
|
|
Infect ag if pneumocystis carinii
|
$24.00 |
$24.00 |
$24.00 |
$67.46
|
|
Infect ag if varicella zoster
|
$82.80 |
$82.80 |
$82.80 |
$72.00
|
|
Infect ag na hpv high-risk types
|
$370.20 |
$370.20 |
$370.20 |
$139.20
|
|
Infect ag na influenza r/amp 1st 2 types
|
$118.20 |
$118.20 |
$118.20 |
$219.70
|
|
Infect ag na influenza revr/amp ea type
|
$73.20 |
$73.20 |
$73.20 |
$153.60
|
|
Infect ag na orthopoxvirus amp prb each
|
$96.00 |
$96.00 |
$96.00 |
$99.36
|
|
Infect ag na resp virus 12-25 targets
|
$766.80 |
$766.80 |
$766.80 |
$859.44
|
|
Infect ag phenotype na hiv-1 1-10 drugs
|
$2,154.60 |
$2,154.60 |
$2,154.60 |
$855.60
|
|
Infect ag phenotype na hiv-1 ea addl drg
|
$115.20 |
$115.20 |
$115.20 |
$77.00
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$55.20 |
$55.20 |
$55.20 |
$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
|
$61.20 |
$61.20 |
$61.20 |
$76.50
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$64.20 |
$64.20 |
$64.20 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$74.40 |
$74.40 |
$74.40 |
$96.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$148.20 |
$148.20 |
$148.20 |
$81.06
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$28.20 |
$28.20 |
$28.20 |
$57.60
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$98.40 |
$98.40 |
$98.40 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$225.00 |
$225.00 |
$225.00 |
$127.80
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$229.20 |
$229.20 |
$229.20 |
$97.50
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$28.80 |
$28.80 |
$28.80 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$321.60 |
$321.60 |
$321.60 |
$267.50
|
