|
Hepb vacc 3 dose immunsup im
|
$260.06 |
$260.06 |
$260.06 |
$319.52
|
|
Herpes simplex type 1 antibody igg
|
$59.40 |
$59.40 |
$59.40 |
$71.20
|
|
Herpes simplex type 2 antibody igg
|
$91.50 |
$91.50 |
$91.50 |
$87.10
|
|
Herpes simplex virus isolation
|
$116.10 |
$116.10 |
$116.10 |
$106.53
|
|
Heterophile antibodies screening
|
$176.10 |
$176.10 |
$176.10 |
$74.00
|
|
Hfo nontorsion jnts pre cst
|
$199.53 |
$199.53 |
$199.53 |
$110.88
|
|
Hfo nontorsion jnts pre ots
|
$199.53 |
$199.53 |
$199.53 |
$199.53
|
|
Hinge extension/flex wrist/f
|
$3,539.21 |
$3,539.21 |
$3,539.21 |
$1,638.00
|
|
Hinge ext/flex wrist finger
|
$4,638.31 |
$4,638.31 |
$4,638.31 |
$3,102.31
|
|
Hip adj flex ext abduct cont
|
$1,031.48 |
$1,031.48 |
$1,031.48 |
$837.61
|
|
Hip clevis/thrust bearing fr
|
$512.00 |
$512.00 |
$512.00 |
$531.61
|
|
Hip clevis/thrust bearing lo
|
$565.78 |
$565.78 |
$565.78 |
$603.54
|
|
Hip clevis type 2 posit jnt
|
$1,069.15 |
$1,069.15 |
$1,069.15 |
$1,053.78
|
|
Hip joint adjustable flexion
|
$763.87 |
$763.87 |
$763.87 |
$763.87
|
|
Hip X-ray
|
$636.60 |
$636.60 |
$636.60 |
$294.75
|
|
Hkafo torsion ball bearing j
|
$1,463.26 |
$1,463.26 |
$1,463.26 |
$1,442.22
|
|
Hkafo torsion bil rot straps
|
$485.64 |
$485.64 |
$485.64 |
$478.66
|
|
Hkafo torsion unilat rot str
|
$372.59 |
$372.59 |
$372.59 |
$367.24
|
|
Hkafo unilat torsion ball br
|
$1,193.62 |
$1,193.62 |
$1,193.62 |
$1,176.46
|
|
Hla class i high defin qual
|
$535.50 |
$535.50 |
$535.50 |
$574.86
|
|
Hla class ii phenotype qual
|
$135.00 |
$135.00 |
$135.00 |
$312.00
|
|
Hla i low res one antigen equiv ea
|
$16.80 |
$16.80 |
$16.80 |
$162.01
|
|
Hla i typing high res 1 allele grp ea
|
$382.80 |
$382.80 |
$382.80 |
$285.60
|
|
Ho abduction hip adjustable
|
$592.01 |
$592.01 |
$592.01 |
$583.49
|
|
Ho abduction static plastic
|
$433.83 |
$433.83 |
$433.83 |
$427.59
|
|
Ho bi thighcuffs w sprdr bar
|
$855.75 |
$855.75 |
$855.75 |
$843.45
|
|
Hocm 350-399mg/ml iodine,1ml
|
$30.23 |
$30.23 |
$30.23 |
$79.78
|
|
Ho flex frejka w/cov pre cst
|
$309.33 |
$309.33 |
$309.33 |
$173.60
|
|
Ho flex pavlik harns pre cst
|
$931.87 |
$931.87 |
$931.87 |
$236.77
|
|
Ho frejka cov only pre cst
|
$131.39 |
$131.39 |
$131.39 |
$129.50
|
|
Homocysteine
|
$685.50 |
$685.50 |
$685.50 |
$123.50
|
|
Homogenization tissue
|
$32.40 |
$32.40 |
$32.40 |
$41.16
|
|
Hopd mntl hlt, 15-29 min
|
$27.90 |
$27.90 |
$27.90 |
$60.00
|
|
Hopd mntl hlt, 30-60 min
|
$87.60 |
$87.60 |
$87.60 |
$152.25
|
|
Hopd mntl hlt, grp
|
$27.90 |
$27.90 |
$27.90 |
$57.85
|
|
Ho post-op hip abduction
|
$4,052.32 |
$4,052.32 |
$4,052.32 |
$1,788.69
|
|
Hrdtry brst ca-rlatd do 5+
|
$1,956.00 |
$1,956.00 |
$1,956.00 |
$1,755.00
|
|
Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution
|
$12,474.00 |
$12,474.00 |
$12,474.00 |
$5,836.20
|
|
Hyaluronidase, human recombinant 150 unit/ml injection solution
|
$128.44 |
$128.44 |
$128.44 |
$150.41
|
|
Hydralazine 20 mg/ml injection solution
|
$48.00 |
$48.00 |
$48.00 |
$48.00
|
|
Hydration IV infusion each additional hour
|
$101.70 |
$101.70 |
$101.70 |
$134.00
|
|
Hydration IV infusion initial 31minutes - 1 hour
|
$290.40 |
$290.40 |
$290.40 |
$388.20
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$605.17 |
$605.17 |
$605.17 |
$154.90
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$54.02 |
$54.02 |
$54.02 |
$136.01
|
|
Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge
|
$388.67 |
$388.67 |
$388.67 |
$294.92
|
|
#hypersens-actinomyces ab
|
$18.90 |
$18.90 |
$18.90 |
$32.40
|
|
I-123 iobenguane diag
|
$10,727.66 |
$10,727.66 |
$10,727.66 |
$5,256.50
|
|
I-123 ioflupane diag
|
$5,443.20 |
$5,443.20 |
$5,443.20 |
$3,887.10
|
|
I-123 sod iodide diag per 100 uci
|
$2,106.66 |
$2,106.66 |
$2,106.66 |
$141.90
|
|
I131 iodide cap, rx
|
$137.40 |
$137.40 |
$137.40 |
$76.44
|
|
Icd cobalt xt dr MRI is1 df1
|
$78,197.62 |
$78,197.62 |
$78,197.62 |
$35,347.68
|
|
Icd crtd cobalt hf MRI is1 df1
|
$75,881.25 |
$75,881.25 |
$75,881.25 |
$38,711.25
|
|
Icd crtp serena MRI
|
$61,237.50 |
$61,237.50 |
$61,237.50 |
$14,360.25
|
|
Icd reliance df4 ib 64cm
|
$72,356.10 |
$72,356.10 |
$72,356.10 |
$9,267.72
|
|
I&d abscss rtrphryngl/paraphryngl intraorl apprch
|
$1,185.90 |
$1,185.90 |
$1,185.90 |
$3,771.20
|
|
I&d upper arm/elbow deep abscess/hematoma
|
$1,076.70 |
$1,076.70 |
$1,076.70 |
$3,355.20
|
|
Ifosfamide 1 gram intravenous solution
|
$165.33 |
$165.33 |
$165.33 |
$244.44
|
|
Ihc/icc per specimen each additional single antibody stain
|
$101.10 |
$101.10 |
$101.10 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$437.10 |
$437.10 |
$437.10 |
$328.79
|
|
Ihc/icc per specimen initial single antibody stain
|
$88.20 |
$88.20 |
$88.20 |
$273.70
|
|
Immob elbow child sm
|
$1,634.96 |
$1,634.96 |
$1,634.96 |
$74.20
|
|
Immobilizer shldr cntor adlt
|
$665.62 |
$665.62 |
$665.62 |
$171.43
|
|
Immobilizer shldr dlx str 24-36in med
|
$769.14 |
$769.14 |
$769.14 |
$102.00
|
|
Immobilizer shldr sling med
|
$789.67 |
$789.67 |
$789.67 |
$117.50
|
|
Immunoassay tumor antigen quantitative ca 125
|
$41.40 |
$41.40 |
$41.40 |
$131.95
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$96.90 |
$96.90 |
$96.90 |
$118.80
|
|
Immunofixation electrophoresis serum
|
$46.80 |
$46.80 |
$46.80 |
$142.50
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$59.10 |
$59.10 |
$59.10 |
$161.85
|
|
Immunofluorescence per specimen initial single antibody stain
|
$543.00 |
$543.00 |
$543.00 |
$238.22
|
|
Immunology procedure
|
$53.10 |
$53.10 |
$53.10 |
$118.25
|
|
Impl ahmed 6x25x9.6mm glaucoma vlv w/sil ped ster
|
$6,794.70 |
$6,794.70 |
$6,794.70 |
$3,840.76
|
|
Implant cartilage 10mm synthetic
|
$4,944.90 |
$4,944.90 |
$4,944.90 |
$10,050.00
|
|
Implant cochlear osia osi300
|
$33,281.25 |
$33,281.25 |
$33,281.25 |
$17,698.33
|
|
Implant ureth bulk agent
|
$5,458.12 |
$5,458.12 |
$5,458.12 |
$2,141.57
|
|
Impl ear abutment ba300 9mm
|
$9,860.22 |
$9,860.22 |
$9,860.22 |
$3,974.88
|
|
In-111 oxyquinolin per 0.5 mci
|
$8,840.92 |
$8,840.92 |
$8,840.92 |
$2,601.60
|
|
In-111 pentetate dtpa / 0.5 mci
|
$16,381.80 |
$16,381.80 |
$16,381.80 |
$2,598.17
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$624.60 |
$624.60 |
$624.60 |
$2,080.80
|
|
Incision of breast lesion
|
$625.20 |
$625.20 |
$625.20 |
$2,577.85
|
|
Incision of burn scab initi
|
$155.70 |
$155.70 |
$155.70 |
$494.40
|
|
Incision tendon sheath
|
$597.90 |
$597.90 |
$597.90 |
$3,073.20
|
|
Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s)
|
$110.70 |
$110.70 |
$110.70 |
$131.20
|
|
Infect ag drug suscept pheno predict
|
$237.90 |
$237.90 |
$237.90 |
$323.20
|
|
Infect ag genotype na cytomegalovirus
|
$405.30 |
$405.30 |
$405.30 |
$661.80
|
|
Infect ag genotype na dna hepatitis b
|
$405.30 |
$405.30 |
$405.30 |
$410.46
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$493.50 |
$493.50 |
$493.50 |
$603.75
|
|
Infect ag ia optc obs influenza
|
$92.70 |
$92.70 |
$92.70 |
$72.93
|
|
Infect ag if legionella pneumophila
|
$228.60 |
$228.60 |
$228.60 |
$73.45
|
|
Infect ag if pneumocystis carinii
|
$88.80 |
$88.80 |
$88.80 |
$68.69
|
|
Infect ag na hpv high-risk types
|
$60.90 |
$60.90 |
$60.90 |
$139.32
|
|
Infect ag na influenza r/amp 1st 2 types
|
$210.60 |
$210.60 |
$210.60 |
$219.70
|
|
Infect ag na orthopoxvirus amp prb each
|
$40.20 |
$40.20 |
$40.20 |
$99.36
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$234.30 |
$234.30 |
$234.30 |
$82.00
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$67.20 |
$67.20 |
$67.20 |
$67.20
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$37.20 |
$37.20 |
$37.20 |
$76.00
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$85.20 |
$85.20 |
$85.20 |
$99.20
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$212.10 |
$212.10 |
$212.10 |
$81.20
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$54.00 |
$54.00 |
$54.00 |
$101.43
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$180.30 |
$180.30 |
$180.30 |
$129.68
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$95.40 |
$95.40 |
$95.40 |
$99.00
|
