|
Histochemical stains add-on
|
$81.00 |
$81.00 |
$81.00 |
$152.75
|
|
HIV prep, ftc/tdf 200/300mg
|
$3.81 |
$3.81 |
$3.81 |
$31.80
|
|
HIV prep, inj, cabotegravir
|
$15.50 |
$15.50 |
$15.50 |
$7,320.13
|
|
Hla class i high defin qual
|
$463.00 |
$463.00 |
$463.00 |
$625.00
|
|
Hla class ii high defin qual
|
$465.00 |
$465.00 |
$465.00 |
$569.25
|
|
Hla class ii phenotype qual
|
$128.00 |
$128.00 |
$128.00 |
$288.60
|
|
Hla class i phenotype qual
|
$150.00 |
$150.00 |
$150.00 |
$367.50
|
|
Hla i & ii typing hr
|
$804.00 |
$804.00 |
$804.00 |
$871.65
|
|
Hla ii typing 1 loc hr
|
$276.00 |
$276.00 |
$276.00 |
$290.94
|
|
Hla i typing high res 1 allele grp ea
|
$125.00 |
$125.00 |
$125.00 |
$304.20
|
|
Hla i typing low res one locus ea
|
$213.00 |
$213.00 |
$213.00 |
$340.00
|
|
Hlth bhv assmt/reassessment
|
$117.00 |
$117.00 |
$117.00 |
$181.00
|
|
Hlth bhv ivntj indiv 1st 30
|
$204.00 |
$204.00 |
$204.00 |
$195.60
|
|
Hocm 350-399mg/ml iodine,1ml
|
$57.78 |
$57.78 |
$57.78 |
$79.78
|
|
Homocysteine
|
$35.00 |
$35.00 |
$35.00 |
$125.00
|
|
Homogenization tissue
|
$22.50 |
$22.50 |
$22.50 |
$41.00
|
|
Homovanillic acid (hva)
|
$85.50 |
$85.50 |
$85.50 |
$59.95
|
|
Hpv combo assay ca screen
|
$54.00 |
$54.00 |
$54.00 |
$70.40
|
|
Hpv types 16 & 18 only
|
$180.50 |
$180.50 |
$180.50 |
$110.06
|
|
Hrdtry brst ca-rlatd do 5+
|
$1,134.00 |
$1,134.00 |
$1,134.00 |
$1,702.08
|
|
Htt gene detc abnor alleles
|
$218.00 |
$218.00 |
$218.00 |
$247.83
|
|
Human epididymis protein 4 (he4)
|
$219.00 |
$219.00 |
$219.00 |
$156.65
|
|
Hyaluronidase 200 units/ml inj
|
$1.50 |
$1.50 |
$1.50 |
$239.37
|
|
Hyaluronidase, human recombinant 150 unit/ml injection solution
|
$83.56 |
$83.56 |
$83.56 |
$142.40
|
|
Hydralazine 20 mg/ml injection solution
|
$9.46 |
$9.46 |
$9.46 |
$46.74
|
|
Hydration IV infusion each additional hour
|
$812.00 |
$812.00 |
$812.00 |
$133.11
|
|
Hydration IV infusion initial 31minutes - 1 hour
|
$269.00 |
$269.00 |
$269.00 |
$385.20
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$82.62 |
$82.62 |
$82.62 |
$153.08
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$17.24 |
$17.24 |
$17.24 |
$120.72
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$55.50 |
$55.50 |
$55.50 |
$72.65
|
|
Hydroxyzine pamoate 25 mg capsule
|
$1.50 |
$1.50 |
$1.50 |
$1.28
|
|
Hydrxycorticsterds 17- (17-ohcs)
|
$54.00 |
$54.00 |
$54.00 |
$73.45
|
|
Hyperbaric oxygen therapy
|
$1,496.50 |
$1,496.50 |
$1,496.50 |
$940.09
|
|
Hysterosalpingography s&i
|
$218.00 |
$218.00 |
$218.00 |
$663.50
|
|
Hysteroscopy ablation
|
$1,711.50 |
$1,711.50 |
$1,711.50 |
$5,865.75
|
|
Hysteroscopy biopsy
|
$3,720.50 |
$3,720.50 |
$3,720.50 |
$5,117.50
|
|
Hysteroscopy dx sep proc
|
$1,279.50 |
$1,279.50 |
$1,279.50 |
$3,997.50
|
|
Hysteroscopy lysis
|
$1,007.50 |
$1,007.50 |
$1,007.50 |
$5,468.70
|
|
Hysteroscopy remove fb
|
$976.00 |
$976.00 |
$976.00 |
$4,719.18
|
|
Hysteroscopy remove myoma
|
$1,732.00 |
$1,732.00 |
$1,732.00 |
$5,417.29
|
|
Hzv zoster vacc recombinant adjuvanted im inj
|
$174.50 |
$174.50 |
$174.50 |
$352.24
|
|
I-123 iobenguane diag
|
$6,867.50 |
$6,867.50 |
$6,867.50 |
$5,170.70
|
|
I-123 sod iodide diag per 100 uci
|
$292.00 |
$292.00 |
$292.00 |
$144.24
|
|
I131 iodide cap, rx
|
$38.00 |
$38.00 |
$38.00 |
$71.70
|
|
I131 iodide sol, rx
|
$230.00 |
$230.00 |
$230.00 |
$42.01
|
|
Icd crtd cobalt hf MRI is1 df1
|
$8,633.00 |
$8,633.00 |
$8,633.00 |
$41,418.00
|
|
Icd reliance df4 ib 64cm
|
$594.00 |
$594.00 |
$594.00 |
$9,267.72
|
|
I&d intramural/intramuscular/submuc abscess transanal anes
|
$1,070.50 |
$1,070.50 |
$1,070.50 |
$3,245.23
|
|
I&d lacrimal sac
|
$2,732.50 |
$2,732.50 |
$2,732.50 |
$2,732.50
|
|
Ifosfamide 1 gram intravenous solution
|
$62.00 |
$62.00 |
$62.00 |
$246.95
|
|
Igh gene rearrange amp meth
|
$199.50 |
$199.50 |
$199.50 |
$464.00
|
|
Igh@ var region somatic mutation analy
|
$575.00 |
$575.00 |
$575.00 |
$660.80
|
|
Igk rearrangeabn clonal pop
|
$199.50 |
$199.50 |
$199.50 |
$399.36
|
|
Ihc/icc per specimen each additional single antibody stain
|
$913.50 |
$913.50 |
$913.50 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$657.50 |
$657.50 |
$657.50 |
$328.79
|
|
Ihc/icc per specimen initial single antibody stain
|
$1,465.50 |
$1,465.50 |
$1,465.50 |
$272.30
|
|
Iiv3 vacc no prsv 0.25 ml im
|
$16.50 |
$16.50 |
$16.50 |
$37.44
|
|
Iliac/fem angio cath insert
|
$3,056.50 |
$3,056.50 |
$3,056.50 |
$1,856.01
|
|
Iliac revasc add-on 37222
|
$533.50 |
$533.50 |
$533.50 |
$6,082.65
|
|
Img rta detcj/mntr ds staff
|
$29.50 |
$29.50 |
$29.50 |
$70.29
|
|
Img rta detc/mntr ds phy/qhp
|
$19.50 |
$19.50 |
$19.50 |
$51.36
|
|
Img rta detc/mntr ds poc aly
|
$68.00 |
$68.00 |
$68.00 |
$71.25
|
|
Immntx 4 sting insects
|
$71.50 |
$71.50 |
$71.50 |
$71.50
|
|
Immntx 5 sting insects
|
$123.50 |
$123.50 |
$123.50 |
$123.50
|
|
Immobilizer shldr cntor adlt
|
$67.00 |
$67.00 |
$67.00 |
$175.60
|
|
Immune complex assay
|
$142.00 |
$142.00 |
$142.00 |
$100.80
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$7,358.18 |
$7,358.18 |
$7,358.18 |
$6,106.32
|
|
Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution
|
$15,186.40 |
$15,186.40 |
$15,186.40 |
$2,900.11
|
|
Immune globulin ig human im use 90281
|
$214.00 |
$214.00 |
$214.00 |
$92.00
|
|
Immunoassay tumor antigen quantitative ca 125
|
$111.00 |
$111.00 |
$111.00 |
$131.95
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$112.50 |
$112.50 |
$112.50 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$21.00 |
$21.00 |
$21.00 |
$48.38
|
|
Immunofixation electrophoresis serum
|
$345.50 |
$345.50 |
$345.50 |
$142.50
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$770.00 |
$770.00 |
$770.00 |
$154.05
|
|
Immunofluorescence per specimen initial single antibody stain
|
$262.00 |
$262.00 |
$262.00 |
$231.40
|
|
Immunoglobulin assay
|
$19.50 |
$19.50 |
$19.50 |
$75.88
|
|
Immunology procedure
|
$72.00 |
$72.00 |
$72.00 |
$142.56
|
|
Implant cartilage 10mm synthetic
|
$5,225.63 |
$5,225.63 |
$5,225.63 |
$8,184.00
|
|
Implant hormone pellet(s) 11980
|
$513.50 |
$513.50 |
$513.50 |
$315.75
|
|
Implant neuroelectrodes
|
$2,198.67 |
$2,198.67 |
$2,198.67 |
$18,334.40
|
|
Implant neuroelectrodes
|
$3,621.50 |
$3,621.50 |
$3,621.50 |
$8,763.11
|
|
Implant neuroelectrodes
|
$3,621.50 |
$3,621.50 |
$3,621.50 |
$7,766.27
|
|
Impl neurostim electr perc
|
$3,621.50 |
$3,621.50 |
$3,621.50 |
$7,672.50
|
|
Impres&prep oral surg splint
|
$306.00 |
$306.00 |
$306.00 |
$1,751.20
|
|
In-111 autol wbc diag per dose
|
$3,218.00 |
$3,218.00 |
$3,218.00 |
$3,523.65
|
|
In-111 oxyquinolin per 0.5 mci
|
$2,278.50 |
$2,278.50 |
$2,278.50 |
$2,581.82
|
|
In-111 pentetate dtpa / 0.5 mci
|
$1,455.50 |
$1,455.50 |
$1,455.50 |
$2,598.17
|
|
Inactivated je vacc im
|
$354.50 |
$354.50 |
$354.50 |
$481.34
|
|
Incise inner eye adhesions
|
$632.00 |
$632.00 |
$632.00 |
$1,202.90
|
|
Incise perq finger tendon 26060
|
$1,848.00 |
$1,848.00 |
$1,848.00 |
$1,893.86
|
|
Incise tear duct opening 68440
|
$365.00 |
$365.00 |
$365.00 |
$507.20
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$2,238.50 |
$2,238.50 |
$2,238.50 |
$2,056.93
|
|
Incision of achilles tendon
|
$2,853.75 |
$2,853.75 |
$2,853.75 |
$3,172.80
|
|
Incision of achilles tendon
|
$3,760.50 |
$3,760.50 |
$3,760.50 |
$3,561.39
|
|
Incision of anal sphincter
|
$1,637.50 |
$1,637.50 |
$1,637.50 |
$3,245.23
|
|
Incision of breast lesion
|
$1,898.50 |
$1,898.50 |
$1,898.50 |
$2,560.80
|
|
Incision of burn scab initi
|
$467.00 |
$467.00 |
$467.00 |
$494.40
|
|
Incision of eardrum
|
$3,810.50 |
$3,810.50 |
$3,810.50 |
$3,827.50
|
|
Incision of eyelid
|
$1,146.00 |
$1,146.00 |
$1,146.00 |
$1,488.50
|
|
Incision of finger tendon
|
$1,848.00 |
$1,848.00 |
$1,848.00 |
$1,893.86
|
