|
Hiv-2 ag ia
|
$30.90 |
$30.90 |
$30.90 |
$44.00
|
|
Hla i & ii typing hr
|
$370.50 |
$370.50 |
$370.50 |
$871.65
|
|
Hla ii typing 1 loc hr
|
$216.45 |
$216.45 |
$216.45 |
$290.94
|
|
Hla ii typing ag equiv lr
|
$386.55 |
$386.55 |
$386.55 |
$448.80
|
|
Hla i low res one antigen equiv ea
|
$152.10 |
$152.10 |
$152.10 |
$164.00
|
|
Hla i typing 1 locus hr
|
$385.95 |
$385.95 |
$385.95 |
$436.80
|
|
Hla i typing complete hr
|
$359.55 |
$359.55 |
$359.55 |
$607.86
|
|
Hla i typing complete lr
|
$983.70 |
$983.70 |
$983.70 |
$719.20
|
|
Hla i typing high res 1 allele grp ea
|
$165.60 |
$165.60 |
$165.60 |
$304.20
|
|
Hla i typing low res one locus ea
|
$195.00 |
$195.00 |
$195.00 |
$340.00
|
|
Hla typing a b or c
|
$101.55 |
$101.55 |
$101.55 |
$364.00
|
|
Hla typing dr/dq
|
$48.90 |
$48.90 |
$48.90 |
$137.28
|
|
Hocm 250-299mg/ml iodine,1ml
|
$13.64 |
$13.64 |
$13.64 |
$41.79
|
|
Hocm 350-399mg/ml iodine,1ml
|
$2.03 |
$2.03 |
$2.03 |
$79.78
|
|
Home health care supervision
|
$49.05 |
$49.05 |
$49.05 |
$101.60
|
|
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 |
$93.24
|
|
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 3 porta
|
$161.70 |
$161.70 |
$161.70 |
$570.00
|
|
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 |
$140.00
|
|
Homocysteine
|
$29.55 |
$29.55 |
$29.55 |
$125.00
|
|
Homogenization tissue
|
$10.20 |
$10.20 |
$10.20 |
$41.00
|
|
Homovanillic acid (hva)
|
$33.90 |
$33.90 |
$33.90 |
$59.95
|
|
Hopd mntl hlt, 15-29 min
|
$12.60 |
$12.60 |
$12.60 |
$60.00
|
|
Hopd mntl hlt, 30-60 min
|
$32.10 |
$32.10 |
$32.10 |
$152.25
|
|
Hpv low-risk types
|
$29.10 |
$29.10 |
$29.10 |
$77.60
|
|
Hpv types 16 & 18 only
|
$33.90 |
$33.90 |
$33.90 |
$110.06
|
|
H pylori (c-13) breath
|
$117.90 |
$117.90 |
$117.90 |
$213.00
|
|
H pylori drug admin
|
$8.40 |
$8.40 |
$8.40 |
$28.56
|
|
Hrdtry brst ca-rlatd do 5+
|
$732.00 |
$732.00 |
$732.00 |
$1,702.08
|
|
Hrdtry cardmypy gene panel
|
$511.65 |
$511.65 |
$511.65 |
$1,414.34
|
|
Htt gene detc abnor alleles
|
$175.80 |
$175.80 |
$175.80 |
$247.83
|
|
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
|
$36.68 |
$36.68 |
$89.61 |
$46.74
|
|
Hydration IV infusion each additional hour
|
$27.60 |
$27.60 |
$27.60 |
$133.11
|
|
Hydration IV infusion initial 31minutes - 1 hour
|
$79.95 |
$79.95 |
$79.95 |
$385.20
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$197.56 |
$197.56 |
$197.56 |
$153.08
|
|
Hydromorphone injection
|
$9.78 |
$9.78 |
$9.78 |
$85.79
|
|
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 |
$4,358.89
|
|
Hyoscyamine sulfate inj
|
$29.29 |
$29.29 |
$111.03 |
$123.83
|
|
#hypersens-actinomyces ab
|
$11.55 |
$11.55 |
$11.55 |
$32.40
|
|
Hysterosalpingography s&i
|
$153.90 |
$153.90 |
$153.90 |
$663.50
|
|
I-123 iobenguane diag
|
$1,109.70 |
$1,109.70 |
$1,109.70 |
$5,170.70
|
|
I-123 ioflupane diag
|
$1,135.80 |
$1,135.80 |
$1,135.80 |
$4,077.15
|
|
I-123 sod iodide diag per 100 uci
|
$48.00 |
$48.00 |
$48.00 |
$144.24
|
|
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 |
$42.01
|
|
Iaadi respiratory synctial virus
|
$20.10 |
$20.10 |
$20.10 |
$54.98
|
|
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 |
$975.45
|
|
I&d abscss rtrphryngl/paraphryngl intraorl apprch
|
$1,326.15 |
$1,326.15 |
$1,326.15 |
$3,592.74
|
|
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 |
$412.10
|
|
Idh2 common variants
|
$256.35 |
$256.35 |
$256.35 |
$486.00
|
|
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 |
$114.60
|
|
Immobilizer shldr sling med
|
$21.75 |
$21.75 |
$21.75 |
$126.00
|
|
Immune complex assay
|
$42.75 |
$42.75 |
$42.75 |
$100.80
|
|
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
|
|
Immunoassay tumor antigen quantitative ca 125
|
$36.45 |
$36.45 |
$36.45 |
$131.95
|
|
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 |
$48.38
|
|
Immunodiffusion nes
|
$22.80 |
$22.80 |
$22.80 |
$48.57
|
|
Immunofixation electrophoresis serum
|
$39.15 |
$39.15 |
$39.15 |
$142.50
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$52.35 |
$52.35 |
$52.35 |
$154.05
|
|
Immunofluorescence per specimen initial single antibody stain
|
$93.75 |
$93.75 |
$93.75 |
$231.40
|
|
Immunoglobulin assay
|
$21.90 |
$21.90 |
$21.90 |
$75.88
|
|
Immunology procedure
|
$28.95 |
$28.95 |
$28.95 |
$142.56
|
|
Implant neuroelectrodes
|
$2,989.95 |
$2,989.95 |
$2,989.95 |
$7,766.27
|
|
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 |
$3,523.65
|
|
In-111 capromab pendet
|
$851.70 |
$851.70 |
$851.70 |
$3,141.45
|
|
In-111 ibritumomab tiux dx
|
$1,595.25 |
$1,595.25 |
$1,595.25 |
$4,748.02
|
|
In-111 pentetate dtpa / 0.5 mci
|
$592.95 |
$592.95 |
$592.95 |
$2,598.17
|
