|
Hla class ii phenotype qual
|
$245.40 |
$245.40 |
$245.40 |
$288.60
|
|
Hla ii typing 1 loc hr
|
$585.00 |
$585.00 |
$585.00 |
$290.94
|
|
Hla i typing 1 locus hr
|
$532.20 |
$532.20 |
$532.20 |
$436.80
|
|
Hla i typing complete hr
|
$1,005.60 |
$1,005.60 |
$1,005.60 |
$607.86
|
|
Hla typing a b or c
|
$565.20 |
$565.20 |
$565.20 |
$364.00
|
|
Hla x-match noncytotoxc addl
|
$84.00 |
$84.00 |
$84.00 |
$154.08
|
|
Hla x-math non-cytotoxic
|
$156.00 |
$156.00 |
$156.00 |
$350.00
|
|
Ho abduction hip adjustable
|
$1,394.14 |
$1,394.14 |
$1,394.14 |
$418.24
|
|
Ho abduction static plastic
|
$1,021.63 |
$1,021.63 |
$1,021.63 |
$390.66
|
|
Ho bi thighcuffs w sprdr bar
|
$2,015.24 |
$2,015.24 |
$2,015.24 |
$604.56
|
|
Hocm 250-299mg/ml iodine,1ml
|
$117.54 |
$117.54 |
$121.80 |
$41.79
|
|
Hocm 350-399mg/ml iodine,1ml
|
$23.33 |
$23.33 |
$24.18 |
$79.78
|
|
Ho flex frejka w/cov pre cst
|
$728.45 |
$728.45 |
$728.45 |
$173.60
|
|
Ho flex pavlik harns pre cst
|
$2,194.50 |
$2,194.50 |
$2,194.50 |
$243.36
|
|
Ho frejka cov only pre cst
|
$309.43 |
$309.43 |
$309.43 |
$118.33
|
|
Homogenization tissue
|
$57.00 |
$57.00 |
$57.00 |
$41.00
|
|
Ho post-op hip abduction
|
$9,542.94 |
$9,542.94 |
$9,542.94 |
$1,837.50
|
|
Hpa-1 genotyping
|
$557.40 |
$557.40 |
$557.40 |
$200.40
|
|
Hpv types 16 & 18 only
|
$127.80 |
$127.80 |
$127.80 |
$110.06
|
|
H pylori (c-13) breath
|
$317.40 |
$317.40 |
$317.40 |
$213.00
|
|
Hrdtry brst ca-rlatd do 5+
|
$3,912.00 |
$3,912.00 |
$3,912.00 |
$1,702.08
|
|
Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution
|
$13,230.00 |
$13,230.00 |
$15,120.00 |
$5,642.96
|
|
Hyaluronidase, human recombinant 150 unit/ml injection solution
|
$78.54 |
$78.54 |
$87.90 |
$142.40
|
|
Hydralazine 20 mg/ml injection solution
|
$45.00 |
$45.00 |
$45.00 |
$46.74
|
|
Hydration IV infusion each additional hour
|
$98.40 |
$98.40 |
$98.40 |
$133.11
|
|
Hydration IV infusion initial 31minutes - 1 hour
|
$320.40 |
$320.40 |
$320.40 |
$385.20
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$159.14 |
$159.14 |
$178.10 |
$153.08
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$222.29 |
$222.29 |
$248.78 |
$120.72
|
|
Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge
|
$554.27 |
$554.27 |
$691.45 |
$294.92
|
|
Hyperbaric oxygen therapy
|
$1,514.40 |
$1,514.40 |
$1,514.40 |
$940.09
|
|
#hypersens-actinomyces ab
|
$67.80 |
$67.80 |
$67.80 |
$32.40
|
|
Hysterosalpingography s&i
|
$717.60 |
$717.60 |
$717.60 |
$663.50
|
|
Hysteroscopy ablation
|
$24,301.38 |
$24,301.38 |
$24,301.38 |
$5,865.75
|
|
Hysteroscopy biopsy
|
$13,298.86 |
$13,298.86 |
$13,298.86 |
$5,117.50
|
|
Hysteroscopy dx sep proc
|
$39,303.90 |
$39,303.90 |
$39,303.90 |
$3,997.50
|
|
Hysteroscopy remove myoma
|
$17,797.16 |
$17,797.16 |
$17,797.16 |
$5,417.29
|
|
Hysteroscopy resect septum
|
$18,771.62 |
$18,771.62 |
$18,771.62 |
$5,463.96
|
|
Hzv zoster vacc recombinant adjuvanted im inj
|
$905.14 |
$905.14 |
$1,034.44 |
$352.24
|
|
I-123 iobenguane diag
|
$5,312.40 |
$5,312.40 |
$5,312.40 |
$5,170.70
|
|
I-123 ioflupane diag
|
$1,563.60 |
$1,563.60 |
$1,563.60 |
$4,077.15
|
|
I-123 sod iodide diag per 100 uci
|
$409.20 |
$409.20 |
$409.20 |
$144.24
|
|
Iaadi respiratory synctial virus
|
$73.80 |
$73.80 |
$73.80 |
$54.98
|
|
Iadna legionella pneumophila amplified probe tq
|
$256.80 |
$256.80 |
$256.80 |
$109.00
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$1,004.77 |
$1,004.77 |
$1,124.47 |
$975.45
|
|
Icd cobalt xt dr MRI is1 df1
|
$184,149.90 |
$184,149.90 |
$184,149.90 |
$34,681.07
|
|
Icd crtd cobalt hf MRI is1 df1
|
$178,695.00 |
$178,695.00 |
$178,695.00 |
$41,418.00
|
|
Icd crtp serena MRI
|
$144,210.00 |
$144,210.00 |
$144,210.00 |
$14,360.25
|
|
Icd reliance df4 ib 64cm
|
$170,393.52 |
$170,393.52 |
$170,393.52 |
$9,267.72
|
|
I&d abscss rtrphryngl/paraphryngl intraorl apprch
|
$7,041.00 |
$7,041.00 |
$7,041.00 |
$3,592.74
|
|
Idarubicin hcl injection
|
$1,030.66 |
$1,030.66 |
$1,179.67 |
$447.02
|
|
I&d upper arm/elbow deep abscess/hematoma
|
$6,102.60 |
$6,102.60 |
$6,102.60 |
$3,355.20
|
|
Ifosfamide 1 gram intravenous solution
|
$535.55 |
$535.55 |
$612.98 |
$246.95
|
|
Igh gene rearrange amp meth
|
$422.40 |
$422.40 |
$422.40 |
$464.00
|
|
Igh@ var region somatic mutation analy
|
$917.40 |
$917.40 |
$917.40 |
$660.80
|
|
Igk rearrangeabn clonal pop
|
$518.40 |
$518.40 |
$518.40 |
$399.36
|
|
Ihc/icc per specimen each additional single antibody stain
|
$112.20 |
$112.20 |
$112.20 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$874.20 |
$874.20 |
$874.20 |
$328.79
|
|
Ihc/icc per specimen initial single antibody stain
|
$462.00 |
$462.00 |
$462.00 |
$272.30
|
|
Iliac/fem angio cath insert
|
$1,656.60 |
$1,656.60 |
$1,656.60 |
$1,856.01
|
|
Immob elbow child sm
|
$3,850.22 |
$3,850.22 |
$3,850.22 |
$85.39
|
|
Immobilizer shldr cntor adlt
|
$1,567.50 |
$1,567.50 |
$1,567.50 |
$175.60
|
|
Immobilizer shldr dlx str 24-36in med
|
$1,811.28 |
$1,811.28 |
$1,811.28 |
$114.60
|
|
Immobilizer shldr sling med
|
$1,859.62 |
$1,859.62 |
$1,859.62 |
$126.00
|
|
Immunoassay tumor antigen quantitative ca 125
|
$205.20 |
$205.20 |
$205.20 |
$131.95
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$83.40 |
$83.40 |
$87.60 |
$116.40
|
|
Immunofixation electrophoresis serum
|
$62.40 |
$62.40 |
$62.40 |
$142.50
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$141.60 |
$141.60 |
$141.60 |
$154.05
|
|
Immunofluorescence per specimen initial single antibody stain
|
$185.40 |
$185.40 |
$750.60 |
$231.40
|
|
Immunology procedure
|
$106.20 |
$106.20 |
$106.20 |
$142.56
|
|
Impl ahmed 6x25x9.6mm glaucoma vlv w/sil ped ster
|
$16,001.04 |
$16,001.04 |
$16,001.04 |
$3,036.25
|
|
Implant cartilage 10mm synthetic
|
$11,644.90 |
$11,644.90 |
$11,644.90 |
$8,184.00
|
|
Implant cochlear device
|
$141,445.88 |
$141,445.88 |
$141,445.88 |
$34,229.98
|
|
Implant cochlear osia osi300
|
$78,375.00 |
$78,375.00 |
$78,375.00 |
$16,200.89
|
|
Implant nerve end
|
$56,433.03 |
$56,433.03 |
$56,433.03 |
$2,152.40
|
|
Implant neuroelectrodes
|
$190,879.81 |
$190,879.81 |
$190,879.81 |
$18,334.40
|
|
Implant neuroelectrodes
|
$15,639.00 |
$15,639.00 |
$66,884.40 |
$8,763.11
|
|
Implant neuroelectrodes
|
$100,018.73 |
$100,018.73 |
$124,089.10 |
$7,766.27
|
|
Implant neurostim arrays
|
$252,297.04 |
$252,297.04 |
$252,297.04 |
$23,262.40
|
|
Implant ureth bulk agent
|
$12,853.50 |
$12,853.50 |
$12,853.50 |
$2,168.00
|
|
Impl ear abutment ba300 9mm
|
$23,220.13 |
$23,220.13 |
$23,220.13 |
$3,974.88
|
|
Impl neurostim electr perc
|
$190,446.53 |
$190,446.53 |
$190,446.53 |
$7,672.50
|
|
Implnt bio implnt for soft tiss reinforcement 15777
|
$115,988.83 |
$115,988.83 |
$189,876.10 |
$1,072.00
|
|
Impl oi implt skull perq esp
|
$111,110.00 |
$111,110.00 |
$111,110.00 |
$13,525.50
|
|
In-111 oxyquinolin per 0.5 mci
|
$2,145.75 |
$2,145.75 |
$2,145.75 |
$2,581.82
|
|
In-111 pentetate dtpa / 0.5 mci
|
$3,027.60 |
$3,027.60 |
$3,027.60 |
$2,598.17
|
|
In-111 pentetreotide
|
$3,778.80 |
$3,778.80 |
$3,778.80 |
$5,201.00
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$1,977.00 |
$1,977.00 |
$12,408.56 |
$2,056.93
|
|
Incision of breast lesion
|
$3,621.00 |
$3,621.00 |
$10,506.71 |
$2,560.80
|
|
Incision of burn scab initi
|
$889.80 |
$889.80 |
$889.80 |
$494.40
|
|
Incision of foot fascia
|
$10,786.84 |
$10,786.84 |
$10,786.84 |
$4,570.33
|
|
Incision of foot tendon 28234
|
$9,921.75 |
$9,921.75 |
$9,921.75 |
$2,116.27
|
|
Incision of heel bone
|
$29,648.09 |
$29,648.09 |
$29,648.09 |
$5,339.00
|
|
Incision of metatarsal
|
$149,034.32 |
$149,034.32 |
$149,034.32 |
$4,176.43
|
|
Incision of metatarsal
|
$73,946.70 |
$73,946.70 |
$73,946.70 |
$3,591.33
|
|
Incision of metatarsals
|
$10,411.25 |
$10,411.25 |
$10,411.25 |
$7,907.11
|
|
Incision of midfoot bones
|
$29,648.09 |
$29,648.09 |
$29,648.09 |
$6,839.00
|
|
Incision of spinal nerve 64772
|
$79,568.61 |
$79,568.61 |
$79,568.61 |
$2,310.83
|
|
Incision of tendon sheath
|
$14,959.21 |
$14,959.21 |
$14,959.21 |
$2,211.05
|
|
Incision of tongue fold
|
$8,883.25 |
$8,883.25 |
$8,883.25 |
$1,792.50
|
|
Incision tendon sheath
|
$952.20 |
$952.20 |
$39,725.01 |
$3,073.20
|
