|
Hla ii typing ag equiv lr
|
$419.00 |
$668.00 |
$668.00 |
|
|
Hla i low res one antigen equiv ea
|
$132.50 |
$205.50 |
$213.00 |
|
|
Hla i typing 1 locus hr
|
$532.20 |
$532.20 |
$532.20 |
|
|
Hla i typing complete hr
|
$353.50 |
$563.00 |
$1,005.60 |
|
|
Hla i typing complete lr
|
$353.50 |
$453.00 |
$563.00 |
|
|
Hla i typing high res 1 allele grp ea
|
$62.50 |
$62.50 |
$196.00 |
|
|
Hla i typing low res one locus ea
|
$352.00 |
$707.50 |
$1,220.00 |
|
|
Hla typing a b or c
|
$565.20 |
$565.20 |
$565.20 |
|
|
Hla x-match noncytotoxc addl
|
$84.00 |
$216.50 |
$430.50 |
|
|
Hla x-math non-cytotoxic
|
$156.00 |
$219.00 |
$430.50 |
|
|
Hldr trach tb tie ad
|
$51.00 |
$51.00 |
$51.00 |
|
|
Hlth bhv assmt/reassessment
|
$44.00 |
$61.50 |
$72.50 |
|
|
Hlth bhv ivntj fam 1st 30
|
$16.00 |
$22.00 |
$325.00 |
|
|
Hlth bhv ivntj grp 1st 30
|
$16.00 |
$22.00 |
$25.50 |
|
|
Hlth bhv ivntj indiv 1st 30
|
$44.00 |
$61.50 |
$72.50 |
|
|
Ho abduction hip adjustable
|
$165.00 |
$257.50 |
$1,394.14 |
|
|
Ho abduction static plastic
|
$1,021.63 |
$1,021.63 |
$1,021.63 |
|
|
Ho bi thighcuffs w sprdr bar
|
$2,015.24 |
$2,015.24 |
$2,015.24 |
|
|
Hocm 250-299mg/ml iodine,1ml
|
$117.54 |
$117.54 |
$121.80 |
|
|
Hocm 350-399mg/ml iodine,1ml
|
$23.33 |
$23.33 |
$24.18 |
|
|
Ho flex frejka w/cov pre cst
|
$127.00 |
$315.00 |
$728.45 |
|
|
Ho flex pavlik harns pre cst
|
$254.00 |
$254.00 |
$2,194.50 |
|
|
Ho frejka cov only pre cst
|
$309.43 |
$309.43 |
$309.43 |
|
|
Home/res vst new mod mdm 60
|
$115.23 |
$115.23 |
$115.23 |
|
|
Home sleep test/type 3 porta
|
$272.00 |
$279.50 |
$345.00 |
|
|
Home sleep test/type 4 porta
|
$279.50 |
$345.00 |
$536.00 |
|
|
Homocysteine
|
$120.00 |
$265.00 |
$425.00 |
|
|
Homogenization tissue
|
$57.00 |
$82.50 |
$112.50 |
|
|
Homovanillic acid (hva)
|
$55.50 |
$73.50 |
$106.50 |
|
|
Ho post-op hip abduction
|
$1,074.00 |
$1,753.00 |
$44,800.00 |
|
|
Hpa-1 genotyping
|
$557.40 |
$557.40 |
$557.40 |
|
|
Hpv types 16 & 18 only
|
$60.50 |
$82.50 |
$127.80 |
|
|
H pylori (c-13) breath
|
$124.50 |
$172.50 |
$317.40 |
|
|
H pylori drug admin
|
$53.50 |
$63.00 |
$74.00 |
|
|
Hrdtry brst ca-rlatd do 5+
|
$600.00 |
$600.00 |
$3,912.00 |
|
|
Human epididymis protein 4 (he4)
|
$123.50 |
$133.50 |
$156.00 |
|
|
Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution
|
$4,290.00 |
$4,290.00 |
$15,120.00 |
|
|
Hyaluronidase, human recombinant 150 unit/ml injection solution
|
$78.54 |
$87.90 |
$247.00 |
|
|
Hydralazine 20 mg/ml injection solution
|
$45.00 |
$45.00 |
$76.05 |
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$159.14 |
$159.14 |
$178.10 |
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$222.29 |
$222.29 |
$248.78 |
|
|
Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge
|
$554.27 |
$554.27 |
$691.45 |
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$247.00 |
$247.00 |
$247.00 |
|
|
Hyperbaric oxygen therapy
|
$1,514.40 |
$1,514.40 |
$1,514.40 |
|
|
#hypersens-actinomyces ab
|
$67.80 |
$67.80 |
$67.80 |
|
|
Hysterosalpingography s&i
|
$319.00 |
$591.00 |
$2,684.00 |
|
|
Hysteroscopy ablation
|
$6,543.00 |
$9,047.50 |
$24,301.38 |
|
|
Hysteroscopy biopsy
|
$2,741.00 |
$3,790.00 |
$13,298.86 |
|
|
Hysteroscopy dx sep proc
|
$2,741.00 |
$3,790.00 |
$39,303.90 |
|
|
Hysteroscopy remove fb
|
$2,740.50 |
$3,789.50 |
$3,789.50 |
|
|
Hysteroscopy remove myoma
|
$17,797.16 |
$17,797.16 |
$17,797.16 |
|
|
Hysteroscopy resect septum
|
$18,771.62 |
$18,771.62 |
$18,771.62 |
|
|
Hzv zoster vacc recombinant adjuvanted im inj
|
$905.14 |
$905.14 |
$1,034.44 |
|
|
I-123 iobenguane diag
|
$5,312.40 |
$5,312.40 |
$5,312.40 |
|
|
I-123 ioflupane diag
|
$1,563.60 |
$1,563.60 |
$1,563.60 |
|
|
I-123 sod iodide diag per 100 uci
|
$409.20 |
$409.20 |
$409.20 |
|
|
I-131 iobenguane sulf diag mibg
|
$7,689.00 |
$7,689.00 |
$7,689.00 |
|
|
Iaadi respiratory synctial virus
|
$45.00 |
$59.50 |
$73.80 |
|
|
Iadna legionella pneumophila amplified probe tq
|
$256.80 |
$256.80 |
$256.80 |
|
|
Ia infect ag ab qual/semiquant sgl step
|
$71.50 |
$71.50 |
$71.50 |
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$1,004.77 |
$1,004.77 |
$1,124.47 |
|
|
Icd cobalt xt dr MRI is1 df1
|
$31,862.50 |
$45,574.50 |
$184,149.90 |
|
|
Icd crtd cobalt hf MRI is1 df1
|
$41,930.00 |
$46,984.50 |
$178,695.00 |
|
|
Icd crtp serena MRI
|
$15,940.50 |
$36,649.00 |
$144,210.00 |
|
|
Icd reliance df4 ib 64cm
|
$10,184.00 |
$10,693.50 |
$170,393.52 |
|
|
Icg angiography i&r uni/bi
|
$162.00 |
$240.00 |
$240.00 |
|
|
Icut allergy test drug/bug
|
$47.00 |
$57.50 |
$57.50 |
|
|
Icut allergy titrate-airborn
|
$55.50 |
$68.50 |
$68.50 |
|
|
I&d abscss rtrphryngl/paraphryngl intraorl apprch
|
$7,041.00 |
$7,041.00 |
$7,041.00 |
|
|
Idarubicin hcl injection
|
$1,030.66 |
$1,030.66 |
$1,179.67 |
|
|
I&d frarm&/wrst deep absc/hematoma
|
$2,143.50 |
$2,963.50 |
$2,963.50 |
|
|
Idh1 common variants
|
$303.00 |
$378.00 |
$685.00 |
|
|
Idh2 common variants
|
$303.00 |
$306.50 |
$486.00 |
|
|
I&d lacrimal sac
|
$1,511.50 |
$2,239.50 |
$2,239.50 |
|
|
I&d upper arm/elbow deep abscess/hematoma
|
$6,102.60 |
$6,102.60 |
$6,102.60 |
|
|
Ifosfamide 1 gram intravenous solution
|
$535.55 |
$612.98 |
$1,190.00 |
|
|
Igh gene rearrange amp meth
|
$349.50 |
$557.50 |
$1,175.50 |
|
|
Igh@ var region somatic mutation analy
|
$917.40 |
$917.40 |
$1,966.00 |
|
|
Igk rearrangeabn clonal pop
|
$305.00 |
$411.50 |
$518.40 |
|
|
Ihc/icc per specimen each additional single antibody stain
|
$98.50 |
$167.50 |
$853.00 |
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$185.00 |
$335.00 |
$874.20 |
|
|
Ihc/icc per specimen initial single antibody stain
|
$174.50 |
$364.00 |
$497.00 |
|
|
Iiv3 vacc no prsv 0.25 ml im
|
$76.00 |
$76.00 |
$76.00 |
|
|
Iliac/fem angio cath insert
|
$1,656.60 |
$1,656.60 |
$1,656.60 |
|
|
Iliac revasc add-on 37222
|
$5,421.50 |
$6,895.00 |
$14,770.50 |
|
|
Img rta detcj/mntr ds staff
|
$37.00 |
$45.50 |
$45.50 |
|
|
Immob elbow child sm
|
$235.50 |
$235.50 |
$3,850.22 |
|
|
Immobilizer lwr extrem nylon 20in reinforc 21-35in
|
$258.00 |
$502.00 |
$3,114.00 |
|
|
Immobilizer shldr cntor adlt
|
$200.00 |
$312.50 |
$1,567.50 |
|
|
Immobilizer shldr dlx str 24-36in med
|
$73.50 |
$200.00 |
$1,811.28 |
|
|
Immobilizer shldr sling med
|
$216.00 |
$216.00 |
$1,859.62 |
|
|
Immune complex assay
|
$49.50 |
$71.00 |
$190.00 |
|
|
Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution
|
$760.00 |
$760.00 |
$760.00 |
|
|
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution
|
$7,452.00 |
$7,452.00 |
$7,452.00 |
|
|
Immunoassay tumor antigen quantitative ca 125
|
$181.00 |
$205.20 |
$513.00 |
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$68.00 |
$115.50 |
$447.00 |
|
|
Immunodiff gel qual ea antigen/ab
|
$30.00 |
$40.50 |
$53.00 |
|
|
Immunodiffusion nes
|
$80.00 |
$80.00 |
$80.00 |
|
|
Immunofixation electrophoresis serum
|
$62.40 |
$225.50 |
$656.50 |
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$88.50 |
$109.50 |
$141.60 |
|
