|
Ho post-op hip abduction
|
$1,877.15 |
$1,877.15 |
$1,877.15 |
|
|
Hospice care supervision
|
$152.86 |
$152.86 |
$152.86 |
|
|
Hpa-15 genotyping
|
$46.61 |
$89.18 |
$131.02 |
|
|
Hpa-1 genotyping
|
$46.61 |
$102.39 |
$161.48 |
|
|
Hpa-2 genotyping
|
$46.61 |
$89.18 |
$131.02 |
|
|
Hpa-3 genotyping
|
$46.61 |
$89.18 |
$131.02 |
|
|
Hpa-4 genotyping
|
$46.61 |
$89.18 |
$131.02 |
|
|
Hpa-5 genotyping
|
$46.61 |
$89.18 |
$131.02 |
|
|
Hpa-6 genotyping
|
$46.61 |
$89.18 |
$131.02 |
|
|
Hpa-9 genotyping
|
$64.96 |
$64.96 |
$102.39 |
|
|
Hpv types 16 & 18 only
|
$19.89 |
$28.55 |
$71.48 |
|
|
H pylori (c-13) breath
|
$22.94 |
$35.12 |
$199.93 |
|
|
Hrdtry brst ca-rlatd do 5+
|
$1,283.09 |
$1,283.09 |
$1,397.84 |
|
|
Hrdtry cardmypy gene panel
|
$426.46 |
$651.00 |
$1,240.36 |
|
|
Hrdtry perph neurphy panel
|
$380.84 |
$380.84 |
$380.84 |
|
|
Htt gene charac alleles
|
$230.18 |
$230.18 |
$230.18 |
|
|
Htt gene detc abnor alleles
|
$70.28 |
$134.81 |
$209.34 |
|
|
Human epididymis protein 4 (he4)
|
$12.71 |
$23.76 |
$148.40 |
|
|
Hyaluronidase 150 unit/ml injection solution
|
$102.38 |
$140.22 |
$396.23 |
|
|
Hyaluronidase 200 units/ml inj
|
$52.40 |
$52.40 |
$57.09 |
|
|
Hyaluronidase, human recombinant 150 unit/ml injection solution
|
$0.04 |
$0.04 |
$0.04 |
|
|
Hydralazine 20 mg/ml injection solution
|
$2.39 |
$27.42 |
$34.31 |
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$14.66 |
$15.81 |
$184.02 |
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$12.37 |
$86.10 |
$162.74 |
|
|
Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge
|
$2.75 |
$31.39 |
$774.32 |
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$4.27 |
$13.29 |
$158.05 |
|
|
Hydrxycorticsterds 17- (17-ohcs)
|
$16.49 |
$27.51 |
$221.18 |
|
|
Hyoscyamine sulfate inj
|
$140.15 |
$150.56 |
$164.02 |
|
|
Hyperbaric oxygen therapy
|
$163.24 |
$163.24 |
$163.24 |
|
|
Hyperthermia ext gen deep
|
$927.99 |
$927.99 |
$927.99 |
|
|
Hyperthermia ext gen supfc
|
$509.87 |
$509.87 |
$509.87 |
|
|
Hyperthermia ntrstl prb 5/<
|
$748.20 |
$748.20 |
$748.20 |
|
|
Hyperthermia ntrstl prb>5
|
$1,167.25 |
$1,167.25 |
$1,167.25 |
|
|
Hysterosalpingography s&i
|
$130.72 |
$204.34 |
$1,026.19 |
|
|
Hzv zoster vacc recombinant adjuvanted im inj
|
$276.03 |
$276.03 |
$297.20 |
|
|
I-123 iobenguane diag
|
$1,064.97 |
$2,118.40 |
$9,754.25 |
|
|
I-123 ioflupane diag
|
$807.44 |
$1,798.54 |
$3,024.38 |
|
|
I-123 sod iodide diag per 100 uci
|
$30.59 |
$74.11 |
$400.48 |
|
|
I131 iodide cap, rx
|
$30.87 |
$55.88 |
$187.79 |
|
|
I131 iodide sol, rx
|
$34.87 |
$98.45 |
$181.12 |
|
|
I131 serum albumin, dx
|
$83.06 |
$83.06 |
$83.06 |
|
|
I-131 sod iodide sol diag per mci
|
$14.72 |
$19.40 |
$158.95 |
|
|
Iaadi respiratory synctial virus
|
$9.78 |
$13.38 |
$33.60 |
|
|
Iadna legionella pneumophila amplified probe tq
|
$17.28 |
$25.86 |
$65.33 |
|
|
Ia nfct ab sarscov2 covid19
|
$17.82 |
$25.84 |
$79.68 |
|
|
Ibandronate 3 mg/3 ml intravenous syringe
|
$772.03 |
$772.03 |
$1,151.06 |
|
|
Ibmfs seq alys pnl 30 genes
|
$1,335.82 |
$1,785.08 |
$3,320.68 |
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$572.83 |
$829.33 |
$1,236.56 |
|
|
Icatibant injection
|
$19,418.21 |
$19,418.21 |
$19,418.21 |
|
|
Icd cobalt xt dr MRI is1 df1
|
$22,075.87 |
$36,700.25 |
$88,718.72 |
|
|
Icd crtd cobalt hf MRI is1 df1
|
$26,145.25 |
$34,585.61 |
$67,454.20 |
|
|
Icd crtp serena MRI
|
$7,359.07 |
$13,273.49 |
$31,435.06 |
|
|
Icd reliance df4 ib 64cm
|
$4,293.38 |
$9,002.00 |
$18,069.70 |
|
|
I&d abscess posterior spine l/s/ls-22015
|
$1,475.10 |
$1,475.10 |
$1,475.10 |
|
|
Idarubicin hcl injection
|
$601.65 |
$823.12 |
$896.73 |
|
|
Idecabtagene vicleucel car
|
$659,502.68 |
$659,502.68 |
$1,329,264.28 |
|
|
I&d frarm&/wrst deep absc/hematoma
|
$995.03 |
$995.03 |
$995.03 |
|
|
Idh1 common variants
|
$38.86 |
$135.60 |
$295.29 |
|
|
Idh2 common variants
|
$59.50 |
$207.59 |
$451.91 |
|
|
I&d intramural/intramuscular/submuc abscess transanal anes
|
$538.35 |
$538.35 |
$641.09 |
|
|
Idursulfase injection
|
$420.59 |
$420.59 |
$420.59 |
|
|
Ifnl3 gene
|
$14.81 |
$48.18 |
$256.14 |
|
|
Ifosfamide 1 gram intravenous solution
|
$193.68 |
$255.25 |
$288.64 |
|
|
Igh@/bcl2 translocation alys
|
$151.15 |
$151.15 |
$151.15 |
|
|
Igh gene rearrange amp meth
|
$63.92 |
$207.97 |
$863.71 |
|
|
Igh@ var region somatic mutation analy
|
$95.07 |
$309.34 |
$1,463.83 |
|
|
Igk rearrangeabn clonal pop
|
$55.81 |
$180.76 |
$932.08 |
|
|
Ihc/icc per specimen each additional single antibody stain
|
$29.00 |
$71.00 |
$570.60 |
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$81.53 |
$201.93 |
$555.02 |
|
|
Ihc/icc per specimen initial single antibody stain
|
$39.06 |
$97.46 |
$719.69 |
|
|
Ikbkap gene
|
$38.69 |
$42.15 |
$61.89 |
|
|
Ileostomy/jejunostomy non-tube 44310
|
$1,462.49 |
$1,462.49 |
$1,462.49 |
|
|
Iliac/fem angio cath insert
|
$124.54 |
$559.34 |
$1,785.85 |
|
|
Iliac revasc add-on 37222
|
$2,847.55 |
$3,602.20 |
$15,277.04 |
|
|
Imbrication/diaphragm/transthor/transabd 39545
|
$1,370.48 |
$1,370.48 |
$1,370.48 |
|
|
Immobilizer lwr extrem nylon 20in reinforc 21-35in
|
$671.56 |
$671.56 |
$671.56 |
|
|
Immobilizer shldr cntor adlt
|
$95.94 |
$104.52 |
$137.52 |
|
|
Immobilizer shldr dlx str 24-36in med
|
$6.65 |
$165.32 |
$233.79 |
|
|
Immobilizer shldr sling med
|
$87.12 |
$87.12 |
$87.12 |
|
|
Immune complex assay
|
$9.69 |
$18.13 |
$234.48 |
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$21.44 |
$144.51 |
$4,983.96 |
|
|
Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution
|
$4,173.74 |
$4,173.74 |
$4,173.74 |
|
|
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution
|
$3.28 |
$1,864.55 |
$7,186.27 |
|
|
Immunoassay tumor antigen quantitative ca 125
|
$8.25 |
$15.44 |
$125.43 |
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$8.25 |
$15.44 |
$61.77 |
|
|
Immunoassay tumor qual
|
$39.35 |
$39.35 |
$39.35 |
|
|
Immunodiff gel qual ea antigen/ab
|
$4.72 |
$8.82 |
$267.87 |
|
|
Immunodiffusion nes
|
$7.20 |
$10.18 |
$29.15 |
|
|
Immunofixation electrophoresis serum
|
$18.60 |
$34.79 |
$295.29 |
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$36.64 |
$94.69 |
$317.83 |
|
|
Immunofluorescence per specimen initial single antibody stain
|
$56.28 |
$137.81 |
$454.58 |
|
|
Immunoglobulin assay
|
$11.00 |
$49.09 |
$162.50 |
|
|
Immunology procedure
|
$19.70 |
$19.70 |
$21.25 |
|
|
Implant 11 volt lithium-ion backup battery for controller pocket
|
$932.58 |
$932.58 |
$2,293.15 |
|
|
Implant biventricular device 33976
|
$2,387.76 |
$2,387.76 |
$2,387.76 |
|
|
Implant cartilage 10mm synthetic
|
$2,013.37 |
$43,279.74 |
$212,955.60 |
|
|
Implant cochlear osia osi300
|
$7,470.68 |
$9,917.45 |
$32,710.48 |
|
|
Implant hormone pellet(s) 11980
|
$146.18 |
$146.18 |
$146.18 |
|
|
Implant neuroelectrodes
|
$1,299.99 |
$1,299.99 |
$1,299.99 |
|
|
Implant neuroelectrodes
|
$512.73 |
$512.73 |
$3,741.44 |
|
