|
Home health care supervision
|
$61.50 |
$61.50 |
$61.50 |
$215.20
|
|
Home/res vst est high mdm 60
|
$93.60 |
$93.60 |
$93.60 |
$338.40
|
|
Home/res vst est mod mdm 40
|
$63.75 |
$63.75 |
$63.75 |
$233.60
|
|
Home/res vst est sf mdm 20
|
$27.45 |
$27.45 |
$27.45 |
$97.32
|
|
Home/res vst new high mdm 75
|
$116.25 |
$116.25 |
$116.25 |
$398.40
|
|
Home/res vst new low mdm 30
|
$39.60 |
$39.60 |
$39.60 |
$145.60
|
|
Home/res vst new mod mdm 60
|
$91.35 |
$91.35 |
$91.35 |
$327.20
|
|
Home/res vst new sf mdm 15
|
$28.80 |
$28.80 |
$28.80 |
$98.40
|
|
Home sleep test/type 2 porta
|
$161.70 |
$161.70 |
$161.70 |
$503.13
|
|
Home sleep test/type 4 porta
|
$161.70 |
$161.70 |
$161.70 |
$613.60
|
|
Home visit est patient 99348
|
$41.85 |
$41.85 |
$41.85 |
$148.41
|
|
Homocysteine
|
$29.55 |
$29.55 |
$29.55 |
$121.92
|
|
Homogenization tissue
|
$10.20 |
$10.20 |
$10.20 |
$39.00
|
|
Homovanillic acid (hva)
|
$33.90 |
$33.90 |
$33.90 |
$59.95
|
|
Hopd mntl hlt, 15-29 min
|
$12.60 |
$12.60 |
$12.60 |
$60.75
|
|
Hopd mntl hlt, 30-60 min
|
$32.10 |
$32.10 |
$32.10 |
$152.25
|
|
Hopd mntl hlt, grp
|
$8.10 |
$8.10 |
$8.10 |
$57.85
|
|
Hpv low-risk types
|
$29.10 |
$29.10 |
$29.10 |
$77.60
|
|
Hpv types 16 & 18 only
|
$33.90 |
$33.90 |
$33.90 |
$113.42
|
|
H pylori (c-13) breath
|
$117.90 |
$117.90 |
$117.90 |
$212.25
|
|
H pylori drug admin
|
$8.40 |
$8.40 |
$8.40 |
$28.56
|
|
Hrdtry brst ca-rlatd do 5+
|
$732.00 |
$732.00 |
$732.00 |
$1,748.88
|
|
Hrdtry cardmypy gene panel
|
$511.65 |
$511.65 |
$511.65 |
$1,460.40
|
|
Htt gene detc abnor alleles
|
$175.80 |
$175.80 |
$175.80 |
$250.50
|
|
Hyaluronidase 200 units/ml inj
|
$202.37 |
$202.37 |
$202.37 |
$239.37
|
|
Hyaluronidase, human recombinant 150 unit/ml injection solution
|
$117.76 |
$117.76 |
$117.76 |
$142.40
|
|
Hydralazine 20 mg/ml injection solution
|
$35.02 |
$35.02 |
$35.02 |
$46.01
|
|
Hydration IV infusion each additional hour
|
$27.60 |
$27.60 |
$27.60 |
$132.65
|
|
Hydration IV infusion initial 31minutes - 1 hour
|
$79.95 |
$79.95 |
$79.95 |
$385.16
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$197.56 |
$197.56 |
$197.56 |
$138.70
|
|
Hydromorphone injection
|
$9.78 |
$9.78 |
$9.78 |
$83.02
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$62.63 |
$62.63 |
$62.63 |
$72.65
|
|
Hydrxycorticsterds 17- (17-ohcs)
|
$30.60 |
$30.60 |
$30.60 |
$73.45
|
|
Hymenotomy
|
$1,140.00 |
$1,140.00 |
$1,140.00 |
$4,446.00
|
|
Hyoscyamine sulfate inj
|
$29.29 |
$29.29 |
$29.29 |
$123.83
|
|
#hypersens-actinomyces ab
|
$11.55 |
$11.55 |
$11.55 |
$29.40
|
|
Hysterosalpingography s&i
|
$153.90 |
$153.90 |
$153.90 |
$651.85
|
|
I-123 iobenguane diag
|
$1,109.70 |
$1,109.70 |
$1,109.70 |
$5,229.62
|
|
I-123 ioflupane diag
|
$1,135.80 |
$1,135.80 |
$1,135.80 |
$3,923.52
|
|
I-123 sod iodide diag per 100 uci
|
$48.00 |
$48.00 |
$48.00 |
$141.90
|
|
I-131 iobenguane sulf diag mibg
|
$646.80 |
$646.80 |
$646.80 |
$3,638.48
|
|
I131 iodide cap, rx
|
$71.70 |
$71.70 |
$71.70 |
$71.70
|
|
I131 iodide sol, rx
|
$32.40 |
$32.40 |
$32.40 |
$32.40
|
|
Iaadi respiratory synctial virus
|
$20.10 |
$20.10 |
$20.10 |
$49.40
|
|
Iadna legionella pneumophila amplified probe tq
|
$33.15 |
$33.15 |
$33.15 |
$109.00
|
|
Ia infect ag ab qual/semiquant sgl step
|
$22.65 |
$22.65 |
$22.65 |
$50.60
|
|
Ia nfct ab sarscov2 covid19
|
$13.20 |
$13.20 |
$13.20 |
$62.49
|
|
Ibmfs seq alys pnl 30 genes
|
$1,099.35 |
$1,099.35 |
$1,099.35 |
$2,828.00
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$959.22 |
$959.22 |
$959.22 |
$980.94
|
|
I&d abscss rtrphryngl/paraphryngl intraorl apprch
|
$1,326.15 |
$1,326.15 |
$1,326.15 |
$3,771.20
|
|
I&d frarm&/wrst deep absc/hematoma
|
$1,444.95 |
$1,444.95 |
$1,444.95 |
$3,839.54
|
|
Idh1 common variants
|
$167.55 |
$167.55 |
$167.55 |
$416.25
|
|
Idh2 common variants
|
$256.35 |
$256.35 |
$256.35 |
$511.97
|
|
I&d upper arm/elbow deep abscess/hematoma
|
$757.65 |
$757.65 |
$757.65 |
$3,355.20
|
|
Ifosfamide 1 gram intravenous solution
|
$172.05 |
$172.05 |
$172.05 |
$246.95
|
|
Igh@/bcl2 translocation alys
|
$265.95 |
$265.95 |
$265.95 |
$277.80
|
|
Igh gene rearrange amp meth
|
$346.65 |
$346.65 |
$346.65 |
$464.00
|
|
Igh@ var region somatic mutation analy
|
$515.70 |
$515.70 |
$515.70 |
$660.80
|
|
Ihc/icc per specimen each additional single antibody stain
|
$60.45 |
$60.45 |
$60.45 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$52.50 |
$52.50 |
$52.50 |
$328.79
|
|
Ihc/icc per specimen initial single antibody stain
|
$54.90 |
$54.90 |
$54.90 |
$272.30
|
|
Ikbkap gene
|
$179.55 |
$179.55 |
$179.55 |
$173.49
|
|
Iliac/fem angio cath insert
|
$63.90 |
$63.90 |
$63.90 |
$1,856.01
|
|
Iliac revasc add-on 37222
|
$1,564.20 |
$1,564.20 |
$1,564.20 |
$6,082.65
|
|
Img rta detcj/mntr ds staff
|
$25.05 |
$25.05 |
$25.05 |
$70.29
|
|
Immobilizer shldr dlx str 24-36in med
|
$12.45 |
$12.45 |
$12.45 |
$115.00
|
|
Immobilizer shldr sling med
|
$21.75 |
$21.75 |
$21.75 |
$126.00
|
|
Immune complex assay
|
$42.75 |
$42.75 |
$42.75 |
$106.14
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$9,316.39 |
$9,316.39 |
$9,316.39 |
$6,106.32
|
|
Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution
|
$1,152.80 |
$1,152.80 |
$1,152.80 |
$2,900.11
|
|
Immunoassay tumor antigen quantitative ca 125
|
$36.45 |
$36.45 |
$36.45 |
$130.39
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$36.45 |
$36.45 |
$36.45 |
$116.40
|
|
Immunoassay tumor qual
|
$29.55 |
$29.55 |
$29.55 |
$66.50
|
|
Immunodiff gel qual ea antigen/ab
|
$21.00 |
$21.00 |
$21.00 |
$48.36
|
|
Immunodiffusion nes
|
$22.80 |
$22.80 |
$22.80 |
$48.57
|
|
Immunofixation electrophoresis serum
|
$39.15 |
$39.15 |
$39.15 |
$140.70
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$52.35 |
$52.35 |
$52.35 |
$156.00
|
|
Immunofluorescence per specimen initial single antibody stain
|
$93.75 |
$93.75 |
$93.75 |
$234.27
|
|
Immunoglobulin assay
|
$21.90 |
$21.90 |
$21.90 |
$74.15
|
|
Immunology procedure
|
$28.95 |
$28.95 |
$28.95 |
$115.20
|
|
Impl neurostim electr perc
|
$3,136.65 |
$3,136.65 |
$3,136.65 |
$7,672.50
|
|
In-111 autol wbc diag per dose
|
$654.30 |
$654.30 |
$654.30 |
$3,567.60
|
|
In-111 capromab pendet
|
$851.70 |
$851.70 |
$851.70 |
$3,196.38
|
|
In-111 ibritumomab tiux dx
|
$1,595.25 |
$1,595.25 |
$1,595.25 |
$5,260.84
|
|
In-111 pentetate dtpa / 0.5 mci
|
$592.95 |
$592.95 |
$592.95 |
$2,598.17
|
|
In-111 pentetreotide
|
$1,179.75 |
$1,179.75 |
$1,179.75 |
$5,201.00
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$471.15 |
$471.15 |
$471.15 |
$2,080.80
|
|
Incision of achilles tendon
|
$690.90 |
$690.90 |
$690.90 |
$3,306.48
|
|
Incision of breast lesion
|
$757.65 |
$757.65 |
$757.65 |
$2,577.85
|
|
Incision of burn scab initi
|
$63.15 |
$63.15 |
$63.15 |
$494.40
|
|
Incision of tongue fold
|
$670.95 |
$670.95 |
$670.95 |
$1,792.50
|
|
Incisn of toe tndn
|
$753.60 |
$753.60 |
$753.60 |
$2,667.00
|
|
Incisn windpipe
|
$1,298.70 |
$1,298.70 |
$1,298.70 |
$3,819.23
|
|
Indigotindisulfonate 8 mg/ml soln 5 ml ampule
|
$355.08 |
$355.08 |
$355.08 |
$766.66
|
|
Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s)
|
$30.15 |
$30.15 |
$30.15 |
$139.20
|
|
Infect ag drug suscept pheno predict
|
$228.15 |
$228.15 |
$228.15 |
$323.20
|
|
Infect ag genotype na cytomegalovirus
|
$388.80 |
$388.80 |
$388.80 |
$636.35
|
|
Infect ag genotype na dna hepatitis b
|
$388.80 |
$388.80 |
$388.80 |
$409.27
|
|
Infect ag genotype na hiv-1 other region
|
$178.05 |
$178.05 |
$178.05 |
$346.50
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$388.35 |
$388.35 |
$388.35 |
$603.75
|
