|
Hocm 350-399mg/ml iodine,1ml
|
$0.60 |
$1.20 |
$272.40 |
|
|
Ho flex frejka w/cov pre cst
|
$33.00 |
$58.80 |
$342.00 |
|
|
Home sleep test/type 2 porta
|
$676.80 |
$1,176.00 |
$1,676.40 |
|
|
Home sleep test/type 3 porta
|
$984.00 |
$1,111.20 |
$1,649.40 |
|
|
Home sleep test/type 4 porta
|
$670.80 |
$670.80 |
$2,075.20 |
|
|
Home vent mgmt supervision
|
$274.80 |
$274.80 |
$274.80 |
|
|
Homocysteine
|
$35.00 |
$99.00 |
$2,862.60 |
|
|
Homogenization tissue
|
$12.60 |
$53.40 |
$116.00 |
|
|
Homovanillic acid (hva)
|
$81.00 |
$102.00 |
$287.40 |
|
|
Hopd covid-19 spec collect
|
$18.00 |
$18.00 |
$50.40 |
|
|
Ho post-op hip abduction
|
$2,045.40 |
$2,045.40 |
$3,183.00 |
|
|
Hpa-15 genotyping
|
$168.00 |
$168.00 |
$310.40 |
|
|
Hpa-1 genotyping
|
$168.00 |
$168.00 |
$477.00 |
|
|
Hpa-2 genotyping
|
$168.00 |
$168.00 |
$477.00 |
|
|
Hpa-3 genotyping
|
$168.00 |
$168.00 |
$477.00 |
|
|
Hpa-4 genotyping
|
$168.00 |
$168.00 |
$477.00 |
|
|
Hpa-5 genotyping
|
$166.20 |
$168.00 |
$938.40 |
|
|
Hpa-6 genotyping
|
$168.00 |
$168.00 |
$477.00 |
|
|
Hpa-9 genotyping
|
$168.00 |
$168.00 |
$477.00 |
|
|
Hpv combo assay ca screen
|
$54.00 |
$150.40 |
$150.40 |
|
|
Hpv types 16 & 18 only
|
$179.40 |
$225.00 |
$657.60 |
|
|
H pylori (c-13) breath
|
$139.80 |
$340.80 |
$642.60 |
|
|
H pylori drug admin
|
$87.00 |
$87.00 |
$87.00 |
|
|
Hrdtry brst ca-rlatd do 5+
|
$1,134.00 |
$4,135.80 |
$8,605.20 |
|
|
Hrdtry brst ca-rlatd dsordrs
|
$788.00 |
$4,135.80 |
$4,384.20 |
|
|
Hrdtry cardmypy gene panel
|
$7,324.20 |
$9,382.20 |
$9,556.80 |
|
|
Hrdtry perph neurphy panel
|
$4,230.60 |
$21,840.00 |
$24,539.40 |
|
|
Htt gene charac alleles
|
$513.00 |
$532.20 |
$532.80 |
|
|
Htt gene detc abnor alleles
|
$218.00 |
$1,333.80 |
$1,394.40 |
|
|
Human epididymis protein 4 (he4)
|
$91.20 |
$200.80 |
$345.60 |
|
|
Hyaluronidase 150 unit/ml injection solution
|
$43.80 |
$61.20 |
$269.40 |
|
|
Hyaluronidase 200 units/ml inj
|
$0.60 |
$115.80 |
$268.80 |
|
|
Hyaluronidase, human recombinant 150 unit/ml injection solution
|
$2.80 |
$155.80 |
$598.80 |
|
|
Hydralazine 20 mg/ml injection solution
|
$8.60 |
$83.20 |
$236.40 |
|
|
Hydrocolld drg >16<=48 without b
|
$2.40 |
$2.40 |
$2.40 |
|
|
Hydrocolld drg <=16 without bdr
|
$1.80 |
$3.60 |
$26.40 |
|
|
Hydrocortisone acetate inj
|
$7.80 |
$7.80 |
$8.40 |
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$19.80 |
$68.80 |
$583.20 |
|
|
Hydrogel drg >48 in without bdr
|
$1,249.20 |
$1,249.20 |
$1,249.20 |
|
|
Hydrogel drg > 48 sq in w/b
|
$2.40 |
$2.40 |
$2.40 |
|
|
Hydrogel drsg gel filler
|
$2,250.00 |
$2,250.00 |
$2,250.00 |
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$2.40 |
$13.40 |
$64.00 |
|
|
Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge
|
$56.00 |
$654.40 |
$2,847.60 |
|
|
Hydromorphone injection
|
$6.00 |
$21.00 |
$85.80 |
|
|
Hydroxyurea 500 mg
|
$1.40 |
$9.00 |
$12.00 |
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$7.20 |
$17.40 |
$175.20 |
|
|
Hydroxyzine pamoate 25 mg capsule
|
$0.60 |
$0.60 |
$1.50 |
|
|
Hydrxycorticsterds 17- (17-ohcs)
|
$54.00 |
$94.80 |
$248.40 |
|
|
Hymenotomy
|
$94.80 |
$94.80 |
$94.80 |
|
|
Hymovis injection 1 mg
|
$70.20 |
$70.20 |
$70.20 |
|
|
Hyoid myotomy & suspension
|
$1,848.60 |
$1,848.60 |
$1,848.60 |
|
|
Hyoscyamine sulfate inj
|
$73.20 |
$73.20 |
$299.40 |
|
|
Hyperbaric oxygen therapy
|
$1,496.50 |
$1,848.60 |
$1,848.60 |
|
|
Hysterosalpingography s&i
|
$213.00 |
$784.00 |
$3,618.60 |
|
|
Hysteroscopy ablation
|
$660.60 |
$1,711.50 |
$3,295.20 |
|
|
Hysteroscopy biopsy
|
$515.40 |
$3,720.50 |
$5,180.40 |
|
|
Hysteroscopy dx sep proc
|
$366.60 |
$681.00 |
$1,279.50 |
|
|
Hysteroscopy lysis
|
$936.00 |
$936.00 |
$1,007.50 |
|
|
Hysteroscopy remove fb
|
$976.00 |
$976.00 |
$976.00 |
|
|
Hysteroscopy remove myoma
|
$1,702.80 |
$1,702.80 |
$1,732.00 |
|
|
Hysterotomy abdominal 59100
|
$3,761.40 |
$3,761.40 |
$3,761.40 |
|
|
Hzv zoster vacc recombinant adjuvanted im inj
|
$150.00 |
$150.00 |
$270.00 |
|
|
I-123 iobenguane diag
|
$4,006.80 |
$10,866.00 |
$12,202.20 |
|
|
I-123 ioflupane diag
|
$5,594.40 |
$8,455.20 |
$11,215.20 |
|
|
I-123 sod iodide diag per 100 uci
|
$83.40 |
$139.20 |
$1,122.60 |
|
|
I125 iothalamate, dx
|
$518.40 |
$518.40 |
$518.40 |
|
|
I-131 iobenguane sulf diag mibg
|
$7,450.80 |
$7,450.80 |
$7,450.80 |
|
|
I131 iodide cap, rx
|
$38.00 |
$184.20 |
$823.80 |
|
|
I131 iodide sol, rx
|
$52.20 |
$52.20 |
$345.60 |
|
|
I131 max 100uci
|
$179.40 |
$179.40 |
$179.40 |
|
|
I-131 sod iodide sol diag per mci
|
$114.60 |
$114.60 |
$823.80 |
|
|
Iaadi respiratory synctial virus
|
$75.00 |
$75.00 |
$119.40 |
|
|
Iadna legionella pneumophila amplified probe tq
|
$145.60 |
$195.60 |
$591.00 |
|
|
Ia infect ag ab qual/semiquant sgl step
|
$33.00 |
$96.00 |
$179.40 |
|
|
Ibandronate 3 mg/3 ml intravenous syringe
|
$105.00 |
$486.60 |
$6,468.60 |
|
|
Ibuprofen injection
|
$150.00 |
$150.00 |
$150.00 |
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$37.80 |
$496.00 |
$2,792.80 |
|
|
Icatibant injection
|
$1,016.40 |
$23,826.60 |
$35,979.60 |
|
|
Icd cobalt xt dr MRI is1 df1
|
$17,601.60 |
$41,422.80 |
$139,505.40 |
|
|
Icd crtd cobalt hf MRI is1 df1
|
$8,633.00 |
$45,067.20 |
$146,978.40 |
|
|
Icd crtp serena MRI
|
$5,940.00 |
$24,360.60 |
$47,350.20 |
|
|
Icd reliance df4 ib 64cm
|
$594.00 |
$18,804.00 |
$68,619.60 |
|
|
Icut allergy test-delayed
|
$37.20 |
$37.20 |
$37.20 |
|
|
Icut allergy test drug/bug
|
$23.40 |
$23.40 |
$115.80 |
|
|
Icut allergy titrate-airborn
|
$28.20 |
$28.20 |
$28.20 |
|
|
I&d abscss rtrphryngl/paraphryngl intraorl apprch
|
$1,460.40 |
$3,971.40 |
$4,651.80 |
|
|
Idarubicin hcl injection
|
$268.20 |
$555.60 |
$7,371.00 |
|
|
I&d/bursa/foot 28001
|
$2,223.20 |
$2,223.20 |
$2,223.20 |
|
|
Idecabtagene vicleucel car
|
$4,393,800.00 |
$4,393,800.00 |
$4,393,800.00 |
|
|
I&d frarm&/wrst deep absc/hematoma
|
$1,037.40 |
$3,350.40 |
$7,427.20 |
|
|
I&d intramural/intramuscular/submuc abscess transanal anes
|
$1,070.50 |
$1,070.50 |
$1,070.50 |
|
|
I&d lacrimal sac
|
$2,732.50 |
$4,657.80 |
$7,494.40 |
|
|
I&d upper arm/elbow deep abscess/hematoma
|
$422.40 |
$3,042.60 |
$3,355.20 |
|
|
Idursulfase injection
|
$5,992.80 |
$6,966.00 |
$8,137.60 |
|
|
I & d vag hematoma non-ob 57023
|
$3,515.40 |
$3,515.40 |
$3,515.40 |
|
|
Ifosfamide 1 gram intravenous solution
|
$62.00 |
$322.80 |
$3,108.60 |
|
|
Igh gene rearrange amp meth
|
$199.50 |
$891.60 |
$1,594.80 |
|
|
Igh@ var region somatic mutation analy
|
$575.00 |
$1,476.00 |
$2,296.20 |
|
|
Igk rearrangeabn clonal pop
|
$199.50 |
$975.00 |
$1,594.80 |
|
|
Ihc/icc per specimen each additional single antibody stain
|
$42.00 |
$166.20 |
$913.50 |
|
