|
Homovanillic acid (hva)
|
$86.00 |
$86.00 |
$86.00 |
$59.95
|
|
Ho post-op hip abduction
|
$2,071.60 |
$2,071.60 |
$2,071.60 |
$1,837.50
|
|
Hpv types 16 & 18 only
|
$155.20 |
$155.20 |
$155.20 |
$110.06
|
|
H pylori (c-13) breath
|
$109.20 |
$109.20 |
$109.20 |
$213.00
|
|
H pylori drug admin
|
$13.60 |
$13.60 |
$13.60 |
$28.56
|
|
Hrdtry brst ca-rlatd do 5+
|
$415.60 |
$415.60 |
$415.60 |
$1,702.08
|
|
Hrdtry perph neurphy panel
|
$936.00 |
$936.00 |
$936.00 |
$1,569.60
|
|
Human epididymis protein 4 (he4)
|
$91.60 |
$91.60 |
$91.60 |
$156.65
|
|
Hyaluronidase, human recombinant 150 unit/ml injection solution
|
$16.52 |
$16.52 |
$16.52 |
$142.40
|
|
Hydralazine 20 mg/ml injection solution
|
$68.78 |
$68.78 |
$68.78 |
$46.74
|
|
Hydration IV infusion each additional hour
|
$98.00 |
$98.00 |
$98.00 |
$133.11
|
|
Hydration IV infusion initial 31minutes - 1 hour
|
$470.00 |
$470.00 |
$470.00 |
$385.20
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$95.08 |
$95.08 |
$95.08 |
$153.08
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$72.00 |
$72.00 |
$72.00 |
$120.72
|
|
Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge
|
$72.00 |
$72.00 |
$72.00 |
$294.92
|
|
Hydromorphone injection
|
$72.00 |
$72.00 |
$72.00 |
$85.79
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$68.76 |
$68.76 |
$68.76 |
$72.65
|
|
Hydrxycorticsterds 17- (17-ohcs)
|
$77.60 |
$77.60 |
$77.60 |
$73.45
|
|
#hypersens-actinomyces ab
|
$10.80 |
$10.80 |
$10.80 |
$32.40
|
|
Hypothermia ill neonate
|
$567.20 |
$567.20 |
$567.20 |
$567.20
|
|
Hysterosalpingography s&i
|
$876.80 |
$876.80 |
$876.80 |
$663.50
|
|
I-123 iobenguane diag
|
$6,567.20 |
$6,567.20 |
$6,567.20 |
$5,170.70
|
|
I-123 sod iodide diag per 100 uci
|
$204.80 |
$204.80 |
$204.80 |
$144.24
|
|
I131 iodide cap, rx
|
$145.20 |
$145.20 |
$145.20 |
$71.70
|
|
I131 max 100uci
|
$197.60 |
$197.60 |
$197.60 |
$53.39
|
|
Iaadi respiratory synctial virus
|
$52.80 |
$52.80 |
$52.80 |
$54.98
|
|
Iadna legionella pneumophila amplified probe tq
|
$155.20 |
$155.20 |
$155.20 |
$109.00
|
|
Icd cobalt xt dr MRI is1 df1
|
$25,334.80 |
$25,334.80 |
$25,334.80 |
$34,681.07
|
|
Icd crtd cobalt hf MRI is1 df1
|
$30,186.80 |
$30,186.80 |
$30,186.80 |
$41,418.00
|
|
Icd crtp serena MRI
|
$11,588.00 |
$11,588.00 |
$11,588.00 |
$14,360.25
|
|
Icd reliance df4 ib 64cm
|
$5,964.00 |
$5,964.00 |
$5,964.00 |
$9,267.72
|
|
Idh1 common variants
|
$124.80 |
$124.80 |
$124.80 |
$412.10
|
|
Idh2 common variants
|
$190.80 |
$190.80 |
$190.80 |
$486.00
|
|
I&d vag hemtma obst/postpart
|
$3,702.40 |
$3,702.40 |
$3,702.40 |
$3,334.38
|
|
Igh gene rearrange amp meth
|
$874.40 |
$874.40 |
$874.40 |
$464.00
|
|
Igh@ var region somatic mutation analy
|
$1,301.20 |
$1,301.20 |
$1,301.20 |
$660.80
|
|
Igk rearrangeabn clonal pop
|
$330.00 |
$330.00 |
$330.00 |
$399.36
|
|
Ihc/icc per specimen each additional single antibody stain
|
$118.40 |
$118.40 |
$118.40 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$481.60 |
$481.60 |
$481.60 |
$328.79
|
|
Ihc/icc per specimen initial single antibody stain
|
$412.80 |
$412.80 |
$412.80 |
$272.30
|
|
Immob elbow child sm
|
$127.60 |
$127.60 |
$127.60 |
$85.39
|
|
Immobilizer lwr extrem nylon 20in reinforc 21-35in
|
$29.20 |
$29.20 |
$29.20 |
$259.20
|
|
Immobilizer shldr cntor adlt
|
$175.60 |
$175.60 |
$175.60 |
$175.60
|
|
Immobilizer shldr dlx str 24-36in med
|
$266.80 |
$266.80 |
$266.80 |
$114.60
|
|
Immobilizer shldr sling med
|
$143.20 |
$143.20 |
$143.20 |
$126.00
|
|
Immune complex assay
|
$108.00 |
$108.00 |
$108.00 |
$100.80
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$112.50 |
$112.50 |
$112.50 |
$6,106.32
|
|
Immunoassay tumor antigen quantitative ca 125
|
$91.60 |
$91.60 |
$91.60 |
$131.95
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$91.60 |
$91.60 |
$91.60 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$52.80 |
$52.80 |
$52.80 |
$48.38
|
|
Immunofixation electrophoresis serum
|
$98.40 |
$98.40 |
$98.40 |
$142.50
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$208.80 |
$208.80 |
$208.80 |
$154.05
|
|
Immunofluorescence per specimen initial single antibody stain
|
$458.80 |
$458.80 |
$458.80 |
$231.40
|
|
Immunoglobulin assay
|
$54.80 |
$54.80 |
$54.80 |
$75.88
|
|
Implant 11 volt lithium-ion backup battery for controller pocket
|
$1,754.00 |
$1,754.00 |
$1,754.00 |
$1,754.00
|
|
Implant cartilage 10mm synthetic
|
$5,033.60 |
$5,033.60 |
$5,033.60 |
$8,184.00
|
|
Implant cochlear osia osi300
|
$8,692.40 |
$8,692.40 |
$8,692.40 |
$16,200.89
|
|
Implant power module patient cable cable 14 volt
|
$3,380.00 |
$3,380.00 |
$3,380.00 |
$3,380.00
|
|
Implant ureth bulk agent
|
$3,152.00 |
$3,152.00 |
$3,152.00 |
$2,168.00
|
|
In-111 autologous plt stdy dx
|
$6,221.20 |
$6,221.20 |
$6,221.20 |
$6,139.64
|
|
In-111 autol wbc diag per dose
|
$4,614.40 |
$4,614.40 |
$4,614.40 |
$3,523.65
|
|
In-111 oxyquinolin per 0.5 mci
|
$4,614.40 |
$4,614.40 |
$4,614.40 |
$2,581.82
|
|
In-111 pentetate dtpa / 0.5 mci
|
$4,855.20 |
$4,855.20 |
$4,855.20 |
$2,598.17
|
|
In-111 pentetreotide
|
$9,487.60 |
$9,487.60 |
$9,487.60 |
$5,201.00
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$2,560.80 |
$2,560.80 |
$2,560.80 |
$2,056.93
|
|
Incision of achilles tendon
|
$3,172.80 |
$3,172.80 |
$3,172.80 |
$3,172.80
|
|
Incision of breast lesion
|
$2,560.80 |
$2,560.80 |
$2,560.80 |
$2,560.80
|
|
Incisn windpipe
|
$4,336.40 |
$4,336.40 |
$4,336.40 |
$3,810.50
|
|
Incobotulinumtoxin a
|
$11.11 |
$11.11 |
$11.11 |
$1,339.57
|
|
Induction of vomiting
|
$210.00 |
$210.00 |
$210.00 |
$126.72
|
|
Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s)
|
$208.40 |
$208.40 |
$208.40 |
$137.15
|
|
Infect ag drug suscept pheno predict
|
$97.60 |
$97.60 |
$97.60 |
$323.20
|
|
Infect ag eia influenza a or b ea
|
$32.40 |
$32.40 |
$32.40 |
$71.50
|
|
Infect ag genotype na dna hepatitis b
|
$158.80 |
$158.80 |
$158.80 |
$405.30
|
|
Infect ag genotype na hiv-1 other region
|
$568.40 |
$568.40 |
$568.40 |
$386.40
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$1,137.20 |
$1,137.20 |
$1,137.20 |
$603.75
|
|
Infect ag ia direct hiv-1 antgn
|
$21.60 |
$21.60 |
$21.60 |
$91.70
|
|
Infect ag ia optc obs influenza
|
$59.20 |
$59.20 |
$59.20 |
$72.93
|
|
Infect ag if ea plyvlnt antsrm
|
$52.80 |
$52.80 |
$52.80 |
$62.80
|
|
Infect ag if influenza a
|
$57.20 |
$57.20 |
$57.20 |
$41.30
|
|
Infect ag if influenza b
|
$52.80 |
$52.80 |
$52.80 |
$40.08
|
|
Infect ag if legionella pneumophila
|
$55.60 |
$55.60 |
$55.60 |
$72.58
|
|
Infect ag if pneumocystis carinii
|
$52.80 |
$52.80 |
$52.80 |
$66.00
|
|
Infect ag if varicella zoster
|
$52.80 |
$52.80 |
$52.80 |
$70.70
|
|
Infect ag na hep b amp
|
$37.20 |
$37.20 |
$37.20 |
$120.50
|
|
Infect ag na herpes simplex quant
|
$189.20 |
$189.20 |
$189.20 |
$169.65
|
|
Infect ag na hpv high-risk types
|
$155.20 |
$155.20 |
$155.20 |
$139.75
|
|
Infect ag na influenza r/amp 1st 2 types
|
$376.00 |
$376.00 |
$376.00 |
$219.70
|
|
Infect ag na orthopoxvirus amp prb each
|
$82.40 |
$82.40 |
$82.40 |
$99.36
|
|
Infect ag na resp virus 12-25 targets
|
$1,841.60 |
$1,841.60 |
$1,841.60 |
$835.80
|
|
Infect ag phenotype na hiv-1 1-10 drugs
|
$2,159.20 |
$2,159.20 |
$2,159.20 |
$943.80
|
|
Infect ag phenotype na hiv-1 ea addl drg
|
$115.20 |
$115.20 |
$115.20 |
$75.63
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$52.80 |
$52.80 |
$52.80 |
$82.00
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$14.40 |
$14.40 |
$14.40 |
$72.80
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$52.80 |
$52.80 |
$52.80 |
$76.32
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$52.80 |
$52.80 |
$52.80 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$64.00 |
$64.00 |
$64.00 |
$100.02
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$46.40 |
$46.40 |
$46.40 |
$81.20
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$46.40 |
$46.40 |
$46.40 |
$60.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$106.40 |
$106.40 |
$106.40 |
$100.00
|