|
Herpes simplex type 2 antibody igg
|
$176.10 |
$176.10 |
$176.10 |
$87.10
|
|
Herpes simplex virus isolation
|
$249.30 |
$249.30 |
$249.30 |
$106.21
|
|
Heterophile antibodies screening
|
$138.00 |
$138.00 |
$138.00 |
$72.00
|
|
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 |
$1,653.00
|
|
Hinge ext/flex wrist finger
|
$4,638.31 |
$4,638.31 |
$4,638.31 |
$3,276.85
|
|
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 |
$504.64
|
|
Hip clevis/thrust bearing lo
|
$565.78 |
$565.78 |
$565.78 |
$557.65
|
|
Hip clevis type 2 posit jnt
|
$1,069.15 |
$1,069.15 |
$1,069.15 |
$936.15
|
|
Hip joint adjustable flexion
|
$763.87 |
$763.87 |
$763.87 |
$752.89
|
|
Hip X-ray
|
$568.80 |
$568.80 |
$568.80 |
$296.05
|
|
Histochemical stains add-on
|
$61.50 |
$61.50 |
$61.50 |
$152.75
|
|
Hkafo torsion ball bearing j
|
$1,463.26 |
$1,463.26 |
$1,463.26 |
$1,281.22
|
|
Hkafo torsion bil rot straps
|
$485.64 |
$485.64 |
$485.64 |
$374.93
|
|
Hkafo torsion unilat rot str
|
$372.59 |
$372.59 |
$372.59 |
$335.55
|
|
Hkafo unilat torsion ball br
|
$1,193.62 |
$1,193.62 |
$1,193.62 |
$1,045.13
|
|
Hla class i high defin qual
|
$535.50 |
$535.50 |
$535.50 |
$625.00
|
|
Hla class ii phenotype qual
|
$135.00 |
$135.00 |
$135.00 |
$288.60
|
|
Hla i low res one antigen equiv ea
|
$858.30 |
$858.30 |
$858.30 |
$164.00
|
|
Hla i typing high res 1 allele grp ea
|
$382.80 |
$382.80 |
$382.80 |
$304.20
|
|
Ho abduction hip adjustable
|
$592.01 |
$592.01 |
$592.01 |
$418.24
|
|
Ho abduction static plastic
|
$433.83 |
$433.83 |
$433.83 |
$390.66
|
|
Ho bi thighcuffs w sprdr bar
|
$855.75 |
$855.75 |
$855.75 |
$604.56
|
|
Hocm 350-399mg/ml iodine,1ml
|
$26.36 |
$26.36 |
$26.36 |
$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 |
$243.36
|
|
Ho frejka cov only pre cst
|
$131.39 |
$131.39 |
$131.39 |
$118.33
|
|
Homocysteine
|
$39.60 |
$39.60 |
$39.60 |
$125.00
|
|
Homogenization tissue
|
$32.40 |
$32.40 |
$32.40 |
$41.00
|
|
Ho post-op hip abduction
|
$4,052.32 |
$4,052.32 |
$4,052.32 |
$1,837.50
|
|
H pylori (c-13) breath
|
$200.40 |
$200.40 |
$200.40 |
$213.00
|
|
Hrdtry brst ca-rlatd do 5+
|
$1,956.00 |
$1,956.00 |
$1,956.00 |
$1,702.08
|
|
Htt gene detc abnor alleles
|
$262.80 |
$262.80 |
$262.80 |
$247.83
|
|
Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution
|
$14,269.50 |
$14,269.50 |
$14,269.50 |
$5,642.96
|
|
Hyaluronidase 150 unit/ml injection solution
|
$109.82 |
$109.82 |
$109.82 |
$120.76
|
|
Hydralazine 20 mg/ml injection solution
|
$48.00 |
$48.00 |
$48.00 |
$46.74
|
|
Hydration IV infusion each additional hour
|
$104.10 |
$104.10 |
$104.10 |
$133.11
|
|
Hydration IV infusion initial 31minutes - 1 hour
|
$283.20 |
$283.20 |
$283.20 |
$385.20
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$860.41 |
$860.41 |
$860.41 |
$153.08
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$160.99 |
$160.99 |
$160.99 |
$120.72
|
|
Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge
|
$1,275.26 |
$1,275.26 |
$1,275.26 |
$294.92
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$165.86 |
$165.86 |
$165.86 |
$72.65
|
|
Hyperbaric oxygen therapy
|
$2,089.80 |
$2,089.80 |
$2,089.80 |
$940.09
|
|
#hypersens-actinomyces ab
|
$18.90 |
$18.90 |
$18.90 |
$32.40
|
|
Hysterosalpingography s&i
|
$756.60 |
$756.60 |
$756.60 |
$663.50
|
|
Hysteroscopy ablation
|
$15,816.22 |
$15,816.22 |
$15,816.22 |
$5,865.75
|
|
Hysteroscopy biopsy
|
$12,002.71 |
$12,002.71 |
$12,002.71 |
$5,117.50
|
|
Hysteroscopy remove fb
|
$12,781.99 |
$12,781.99 |
$12,781.99 |
$4,719.18
|
|
Hysteroscopy remove myoma
|
$13,730.71 |
$13,730.71 |
$13,730.71 |
$5,417.29
|
|
I-123 iobenguane diag
|
$3,919.20 |
$3,919.20 |
$3,919.20 |
$5,170.70
|
|
I-123 ioflupane diag
|
$7,728.00 |
$7,728.00 |
$7,728.00 |
$4,077.15
|
|
I-123 sod iodide diag per 100 uci
|
$264.60 |
$264.60 |
$264.60 |
$144.24
|
|
I131 iodide cap, rx
|
$137.40 |
$137.40 |
$137.40 |
$71.70
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$1,189.76 |
$1,189.76 |
$1,189.76 |
$975.45
|
|
Icd cobalt xt dr MRI is1 df1
|
$78,197.62 |
$78,197.62 |
$78,197.62 |
$34,681.07
|
|
Icd crtd cobalt hf MRI is1 df1
|
$75,881.25 |
$75,881.25 |
$75,881.25 |
$41,418.00
|
|
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 |
$3,592.74
|
|
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
|
$593.62 |
$593.62 |
$593.62 |
$246.95
|
|
Igh@ var region somatic mutation analy
|
$333.60 |
$333.60 |
$333.60 |
$660.80
|
|
Ihc/icc per specimen each additional single antibody stain
|
$507.30 |
$507.30 |
$507.30 |
$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
|
$160.20 |
$160.20 |
$160.20 |
$272.30
|
|
Iliac/fem angio cath insert
|
$4,625.10 |
$4,625.10 |
$4,625.10 |
$1,856.01
|
|
Immob elbow child sm
|
$1,634.96 |
$1,634.96 |
$1,634.96 |
$85.39
|
|
Immobilizer shldr cntor adlt
|
$665.62 |
$665.62 |
$665.62 |
$175.60
|
|
Immobilizer shldr dlx str 24-36in med
|
$769.14 |
$769.14 |
$769.14 |
$114.60
|
|
Immobilizer shldr sling med
|
$789.67 |
$789.67 |
$789.67 |
$126.00
|
|
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution
|
$17,599.05 |
$17,599.05 |
$17,599.05 |
$3,846.15
|
|
Immunoassay tumor antigen quantitative ca 125
|
$41.40 |
$41.40 |
$41.40 |
$131.95
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$207.60 |
$207.60 |
$207.60 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$21.60 |
$21.60 |
$21.60 |
$48.38
|
|
Immunofixation electrophoresis serum
|
$181.20 |
$181.20 |
$181.20 |
$142.50
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$59.10 |
$59.10 |
$59.10 |
$154.05
|
|
Immunofluorescence per specimen initial single antibody stain
|
$543.00 |
$543.00 |
$543.00 |
$231.40
|
|
Immunology procedure
|
$53.10 |
$53.10 |
$53.10 |
$142.56
|
|
Impl ahmed 6x25x9.6mm glaucoma vlv w/sil ped ster
|
$6,794.70 |
$6,794.70 |
$6,794.70 |
$3,036.25
|
|
Implant cartilage 10mm synthetic
|
$4,944.90 |
$4,944.90 |
$4,944.90 |
$8,184.00
|
|
Implant cochlear osia osi300
|
$33,281.25 |
$33,281.25 |
$33,281.25 |
$16,200.89
|
|
Implant neuroelectrodes
|
$13,399.88 |
$13,399.88 |
$13,399.88 |
$7,766.27
|
|
Implant ureth bulk agent
|
$5,458.12 |
$5,458.12 |
$5,458.12 |
$2,168.00
|
|
Impl ear abutment ba300 9mm
|
$9,860.22 |
$9,860.22 |
$9,860.22 |
$3,974.88
|
|
In-111 oxyquinolin per 0.5 mci
|
$5,185.80 |
$5,185.80 |
$5,185.80 |
$2,581.82
|
|
In-111 pentetate dtpa / 0.5 mci
|
$16,381.80 |
$16,381.80 |
$16,381.80 |
$2,598.17
|
|
In-111 pentetreotide
|
$13,094.40 |
$13,094.40 |
$13,094.40 |
$5,201.00
|
|
Incise thigh tendon & fascia
|
$55,463.56 |
$55,463.56 |
$55,463.56 |
$3,839.54
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$14,899.46 |
$14,899.46 |
$14,899.46 |
$2,056.93
|
|
Incision of breast lesion
|
$625.20 |
$625.20 |
$625.20 |
$2,560.80
|
|
Incision of burn scab initi
|
$155.70 |
$155.70 |
$155.70 |
$494.40
|
|
Incision of heel bone
|
$43,080.65 |
$43,080.65 |
$43,080.65 |
$5,339.00
|
|
Incision of metatarsal
|
$47,837.94 |
$47,837.94 |
$47,837.94 |
$3,591.33
|
|
Incision of thigh
|
$50,732.34 |
$50,732.34 |
$50,732.34 |
$3,798.60
|
|
Incision tendon sheath
|
$21,581.64 |
$21,581.64 |
$21,581.64 |
$3,073.20
|
|
Incisn of toe tndn
|
$1,519.50 |
$1,519.50 |
$1,519.50 |
$2,627.96
|
|
Indigotindisulfonate 8 mg/ml soln 5 ml ampule
|
$3,936.00 |
$3,936.00 |
$3,936.00 |
$766.66
|
|
Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s)
|
$110.70 |
$110.70 |
$110.70 |
$137.15
|
