|
Hepatitis a antibody igm
|
$63.18 |
$63.18 |
$63.18 |
$85.15
|
|
Hepatitis b core antibody igm
|
$57.93 |
$57.93 |
$57.93 |
$87.98
|
|
Hepatitis b core antibody total
|
$45.33 |
$45.33 |
$45.33 |
$83.29
|
|
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution
|
$111.90 |
$111.90 |
$111.90 |
$1,116.61
|
|
Hepatitis b surface antibody
|
$47.78 |
$47.78 |
$47.78 |
$83.79
|
|
Hepatitis c antibody
|
$46.55 |
$46.55 |
$46.55 |
$108.00
|
|
Hepatobiliary system imaging
|
$584.68 |
$584.68 |
$584.68 |
$1,521.10
|
|
Herpes simplex type 1 antibody igg
|
$35.53 |
$35.53 |
$35.53 |
$70.00
|
|
Herpes simplex type 2 antibody igg
|
$60.90 |
$60.90 |
$60.90 |
$87.10
|
|
Herpes simplex virus isolation
|
$87.68 |
$87.68 |
$87.68 |
$93.32
|
|
Heterophile antibodies screening
|
$54.78 |
$54.78 |
$54.78 |
$73.60
|
|
Histamine
|
$97.13 |
$97.13 |
$97.13 |
$125.40
|
|
Hla i low res one antigen equiv ea
|
$88.73 |
$88.73 |
$88.73 |
$164.00
|
|
Hocm 350-399mg/ml iodine,1ml
|
$1.43 |
$1.43 |
$1.43 |
$68.86
|
|
Holder tube cath-secure nonstrl lf disp
|
$3.15 |
$3.15 |
$3.15 |
$1.94
|
|
Homocysteine
|
$50.58 |
$50.58 |
$50.58 |
$113.10
|
|
Hopd mntl hlt, 15-29 min
|
$11.20 |
$11.20 |
$11.20 |
$35.25
|
|
Hopd mntl hlt, 30-60 min
|
$37.10 |
$37.10 |
$37.10 |
$109.46
|
|
Hopd mntl hlt, grp
|
$11.20 |
$11.20 |
$11.20 |
$35.25
|
|
Hpv types 16 & 18 only
|
$23.10 |
$23.10 |
$23.10 |
$93.60
|
|
H pylori (c-13) breath
|
$43.75 |
$43.75 |
$43.75 |
$219.05
|
|
Hyaluronidase 200 units/ml inj
|
$16.85 |
$16.85 |
$16.85 |
$203.80
|
|
Hyaluronidase, human recombinant 150 unit/ml injection solution
|
$8.37 |
$8.37 |
$8.37 |
$198.97
|
|
Hydralazine 20 mg/ml injection solution
|
$0.56 |
$0.56 |
$0.56 |
$57.02
|
|
Hydration IV infusion each additional hour
|
$61.43 |
$61.43 |
$61.43 |
$134.53
|
|
Hydration IV infusion initial 31minutes - 1 hour
|
$146.48 |
$146.48 |
$146.48 |
$394.40
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$17.68 |
$17.68 |
$17.68 |
$111.52
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$0.70 |
$0.70 |
$0.70 |
$112.22
|
|
Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge
|
$1.40 |
$1.40 |
$1.40 |
$360.99
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$2.76 |
$2.76 |
$2.76 |
$86.47
|
|
Hydroxyzine pamoate 25 mg capsule
|
$0.06 |
$0.06 |
$0.06 |
$10.83
|
|
Hydrxycorticsterds 17- (17-ohcs)
|
$10.85 |
$10.85 |
$10.85 |
$76.13
|
|
#hypersens-actinomyces ab
|
$27.48 |
$27.48 |
$27.48 |
$19.60
|
|
Hysterosalpingography s&i
|
$310.10 |
$310.10 |
$310.10 |
$629.46
|
|
Hzv zoster vacc recombinant adjuvanted im inj
|
$29.93 |
$29.93 |
$29.93 |
$331.10
|
|
I-123 iobenguane diag
|
$899.15 |
$899.15 |
$899.15 |
$5,730.40
|
|
I-123 sod iodide diag per 100 uci
|
$92.93 |
$92.93 |
$92.93 |
$158.05
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$25.75 |
$25.75 |
$25.75 |
$891.89
|
|
Icd cobalt xt dr MRI is1 df1
|
$44,765.70 |
$44,765.70 |
$44,765.70 |
$35,816.55
|
|
Icd crtd cobalt hf MRI is1 df1
|
$48,670.30 |
$48,670.30 |
$48,670.30 |
$32,098.95
|
|
Icd crtp serena MRI
|
$15,680.18 |
$15,680.18 |
$15,680.18 |
$12,663.00
|
|
Icd reliance df4 ib 64cm
|
$13,776.70 |
$13,776.70 |
$13,776.70 |
$7,292.40
|
|
Icut allergy test drug/bug
|
$1.75 |
$1.75 |
$1.75 |
$69.95
|
|
Idarubicin hcl injection
|
$17.62 |
$17.62 |
$17.62 |
$544.37
|
|
I&d/bursa/foot 28001
|
$1,062.43 |
$1,062.43 |
$1,062.43 |
$1,814.47
|
|
I&d upper arm/elbow deep abscess/hematoma
|
$1,327.20 |
$1,327.20 |
$1,327.20 |
$3,386.84
|
|
I & d vag hematoma non-ob 57023
|
$525.18 |
$525.18 |
$525.18 |
$3,386.84
|
|
I&d vag hemtma obst/postpart
|
$525.18 |
$525.18 |
$525.18 |
$3,370.52
|
|
Ifosfamide 1 gram intravenous solution
|
$18.82 |
$18.82 |
$18.82 |
$289.34
|
|
Ihc/icc per specimen each additional single antibody stain
|
$141.05 |
$141.05 |
$141.05 |
$191.75
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$198.45 |
$198.45 |
$198.45 |
$339.73
|
|
Ihc/icc per specimen initial single antibody stain
|
$165.20 |
$165.20 |
$165.20 |
$266.76
|
|
Iliac/fem angio cath insert
|
$1,012.55 |
$1,012.55 |
$1,012.55 |
$1,601.66
|
|
Iliac revasc add-on 37222
|
$1,199.28 |
$1,199.28 |
$1,199.28 |
$6,513.10
|
|
Immobilizer shldr cntor adlt
|
$100.80 |
$100.80 |
$100.80 |
$134.01
|
|
Immobilizer shldr dlx str 24-36in med
|
$77.18 |
$77.18 |
$77.18 |
$80.00
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$515.60 |
$515.60 |
$515.60 |
$5,617.36
|
|
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution
|
$335.28 |
$335.28 |
$335.28 |
$5,495.02
|
|
Immunoassay tumor antigen quantitative ca 125
|
$61.43 |
$61.43 |
$61.43 |
$123.50
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$58.10 |
$58.10 |
$58.10 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$41.13 |
$41.13 |
$41.13 |
$53.95
|
|
Immunofixation electrophoresis serum
|
$61.25 |
$61.25 |
$61.25 |
$133.38
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$52.68 |
$52.68 |
$52.68 |
$156.00
|
|
Immunofluorescence per specimen initial single antibody stain
|
$127.58 |
$127.58 |
$127.58 |
$250.00
|
|
Impl ahmed 6x25x9.6mm glaucoma vlv w/sil ped ster
|
$3,036.25 |
$3,036.25 |
$3,036.25 |
$5,206.08
|
|
Implant cartilage 10mm synthetic
|
$2,850.40 |
$2,850.40 |
$2,850.40 |
$9,261.00
|
|
Implant cochlear osia osi300
|
$12,552.75 |
$12,552.75 |
$12,552.75 |
$15,318.47
|
|
Implant neuroelectrodes
|
$2,478.88 |
$2,478.88 |
$2,478.88 |
$7,345.58
|
|
Implant single ventricular device 33975
|
$634.03 |
$634.03 |
$634.03 |
$5,053.23
|
|
Implant ureth bulk agent
|
$1,333.85 |
$1,333.85 |
$1,333.85 |
$1,930.57
|
|
Impl neurostim electr perc
|
$1,819.48 |
$1,819.48 |
$1,819.48 |
$7,636.00
|
|
In-111 capromab pendet
|
$1,564.68 |
$1,564.68 |
$1,564.68 |
$3,941.34
|
|
In-111 oxyquinolin per 0.5 mci
|
$456.58 |
$456.58 |
$456.58 |
$2,808.00
|
|
In-111 pentetate dtpa / 0.5 mci
|
$192.50 |
$192.50 |
$192.50 |
$2,135.29
|
|
In-111 pentetreotide
|
$1,646.40 |
$1,646.40 |
$1,646.40 |
$6,617.05
|
|
In-111 satumomab pend
|
$1,160.78 |
$1,160.78 |
$1,160.78 |
$3,524.25
|
|
Incise inner ear
|
$48.65 |
$48.65 |
$48.65 |
$2,133.48
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$1,078.00 |
$1,078.00 |
$1,078.00 |
$2,261.20
|
|
Incision of breast lesion
|
$116.73 |
$116.73 |
$116.73 |
$3,029.60
|
|
Incision of burn scab initi
|
$154.35 |
$154.35 |
$154.35 |
$501.00
|
|
Incision of eardrum
|
$129.33 |
$129.33 |
$129.33 |
$470.73
|
|
Incision of rectal abscess
|
$107.63 |
$107.63 |
$107.63 |
$3,245.23
|
|
Incision of tongue fold
|
$504.88 |
$504.88 |
$504.88 |
$1,865.58
|
|
Incision of urethra
|
$16.45 |
$16.45 |
$16.45 |
$2,424.12
|
|
Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s)
|
$319.73 |
$319.73 |
$319.73 |
$137.15
|
|
Infect ag drug suscept pheno predict
|
$141.05 |
$141.05 |
$141.05 |
$325.00
|
|
Infect ag eia influenza a or b ea
|
$51.98 |
$51.98 |
$51.98 |
$69.03
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$77.88 |
$77.88 |
$77.88 |
$574.60
|
|
Infect ag ia optc obs influenza
|
$53.55 |
$53.55 |
$53.55 |
$66.72
|
|
Infect ag na hpv high-risk types
|
$16.28 |
$16.28 |
$16.28 |
$139.75
|
|
Infect ag na influenza revr/amp ea type
|
$21.35 |
$21.35 |
$21.35 |
$124.80
|
|
Infect ag na orthopoxvirus amp prb each
|
$40.43 |
$40.43 |
$40.43 |
$102.00
|
|
Infect ag na resp virus 12-25 targets
|
$482.30 |
$482.30 |
$482.30 |
$859.44
|
|
Infectious agent antigen immunoassay direct optical observation sars-cov-2
|
$32.38 |
$32.38 |
$32.38 |
$47.50
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$32.90 |
$32.90 |
$32.90 |
$81.44
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$13.48 |
$13.48 |
$13.48 |
$80.05
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$24.33 |
$24.33 |
$24.33 |
$77.28
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$39.20 |
$39.20 |
$39.20 |
$83.50
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$37.10 |
$37.10 |
$37.10 |
$77.72
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$54.08 |
$54.08 |
$54.08 |
$101.00
|