|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$68.64 |
$68.64 |
$68.64 |
$87.60
|
|
Hydroxyzine pamoate 25 mg capsule
|
$5.28 |
$5.28 |
$5.28 |
$4.88
|
|
Hymenotomy
|
$4,757.76 |
$4,757.76 |
$4,757.76 |
$4,107.36
|
|
Hysterosalpingography s&i
|
$419.04 |
$419.04 |
$419.04 |
$629.46
|
|
Iaadi respiratory synctial virus
|
$23.09 |
$23.09 |
$23.09 |
$42.48
|
|
Ibandronate 3 mg/3 ml intravenous syringe
|
$1,642.54 |
$1,642.54 |
$1,642.54 |
$839.85
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$271.29 |
$271.29 |
$271.29 |
$990.35
|
|
Icd cobalt xt dr MRI is1 df1
|
$54,432.00 |
$54,432.00 |
$54,432.00 |
$32,070.50
|
|
Icd crtd cobalt hf MRI is1 df1
|
$61,271.81 |
$61,271.81 |
$61,271.81 |
$34,585.61
|
|
Icd crtp serena MRI
|
$18,144.00 |
$18,144.00 |
$18,144.00 |
$12,663.00
|
|
Icd reliance df4 ib 64cm
|
$9,846.00 |
$9,846.00 |
$9,846.00 |
$7,830.01
|
|
I&d abscss rtrphryngl/paraphryngl intraorl apprch
|
$4,121.76 |
$4,121.76 |
$4,121.76 |
$3,837.72
|
|
Idarubicin hcl injection
|
$508.52 |
$508.52 |
$508.52 |
$544.37
|
|
I&d frarm&/wrst deep absc/hematoma
|
$4,307.52 |
$4,307.52 |
$4,307.52 |
$3,821.05
|
|
Idh1 common variants
|
$127.50 |
$127.50 |
$127.50 |
$415.35
|
|
Idh2 common variants
|
$127.50 |
$127.50 |
$127.50 |
$451.91
|
|
I&d intramural/intramuscular/submuc abscess transanal anes
|
$2,174.88 |
$2,174.88 |
$2,174.88 |
$3,245.23
|
|
I&d lacrimal gland
|
$1,453.44 |
$1,453.44 |
$1,453.44 |
$1,163.82
|
|
I&d upper arm/elbow deep abscess/hematoma
|
$1,822.08 |
$1,822.08 |
$1,822.08 |
$3,386.84
|
|
I & d vag hematoma non-ob 57023
|
$3,648.96 |
$3,648.96 |
$3,648.96 |
$3,386.84
|
|
I&d vag hemtma obst/postpart
|
$3,648.96 |
$3,648.96 |
$3,648.96 |
$3,370.52
|
|
Ifosfamide 1 gram intravenous solution
|
$227.55 |
$227.55 |
$227.55 |
$294.81
|
|
Ihc/icc per specimen each additional single antibody stain
|
$24.00 |
$24.00 |
$24.00 |
$191.75
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$659.04 |
$659.04 |
$659.04 |
$339.73
|
|
Ihc/icc per specimen initial single antibody stain
|
$24.00 |
$24.00 |
$24.00 |
$266.76
|
|
Iliac/fem angio cath insert
|
$1,585.44 |
$1,585.44 |
$1,585.44 |
$1,601.66
|
|
Iliac revasc add-on 37222
|
$2,672.16 |
$2,672.16 |
$2,672.16 |
$6,513.10
|
|
Immobilizer lwr extrem nylon 20in reinforc 21-35in
|
$336.17 |
$336.17 |
$336.17 |
$418.18
|
|
Immobilizer shldr cntor adlt
|
$320.37 |
$320.37 |
$320.37 |
$134.01
|
|
Immobilizer shldr dlx str 24-36in med
|
$136.61 |
$136.61 |
$136.61 |
$87.00
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$3,439.20 |
$3,439.20 |
$3,439.20 |
$5,978.06
|
|
Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution
|
$3,593.90 |
$3,593.90 |
$3,593.90 |
$2,778.42
|
|
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution
|
$2,705.47 |
$2,705.47 |
$2,705.47 |
$6,272.93
|
|
Immunoassay tumor antigen quantitative ca 125
|
$61.44 |
$61.44 |
$61.44 |
$123.50
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$47.04 |
$47.04 |
$47.04 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$17.28 |
$17.28 |
$17.28 |
$53.95
|
|
Immunodiffusion nes
|
$8.16 |
$8.16 |
$8.16 |
$53.76
|
|
Immunofixation electrophoresis serum
|
$74.40 |
$74.40 |
$74.40 |
$133.38
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$57.60 |
$57.60 |
$57.60 |
$156.00
|
|
Immunofluorescence per specimen initial single antibody stain
|
$182.40 |
$182.40 |
$182.40 |
$250.00
|
|
Immunoglobulin assay
|
$88.80 |
$88.80 |
$88.80 |
$74.00
|
|
Impl ahmed 6x25x9.6mm glaucoma vlv w/sil ped ster
|
$6,970.02 |
$6,970.02 |
$6,970.02 |
$5,206.08
|
|
Implant 11 volt lithium-ion backup battery for controller pocket
|
$2,167.56 |
$2,167.56 |
$2,167.56 |
$1,655.47
|
|
Implant cartilage 10mm synthetic
|
$27,028.18 |
$27,028.18 |
$27,028.18 |
$10,050.00
|
|
Implant cochlear osia osi300
|
$25,833.04 |
$25,833.04 |
$25,833.04 |
$15,318.47
|
|
Implant ureth bulk agent
|
$3,235.68 |
$3,235.68 |
$3,235.68 |
$2,098.54
|
|
Incise/drain eyelid lining
|
$1,745.28 |
$1,745.28 |
$1,745.28 |
$1,215.48
|
|
Incise flexor carpi radialis
|
$4,307.52 |
$4,307.52 |
$4,307.52 |
$3,839.54
|
|
Incise hand/finger tendon
|
$1,737.60 |
$1,737.60 |
$1,737.60 |
$2,007.15
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$1,511.52 |
$1,511.52 |
$1,511.52 |
$2,261.20
|
|
Incision of breast lesion
|
$2,520.96 |
$2,520.96 |
$2,520.96 |
$3,029.60
|
|
Incision of burn scab initi
|
$396.00 |
$396.00 |
$396.00 |
$501.00
|
|
Incision of eardrum
|
$355.20 |
$355.20 |
$355.20 |
$470.73
|
|
Incision of tendon sheath
|
$1,737.60 |
$1,737.60 |
$1,737.60 |
$2,263.68
|
|
Incision of tongue fold
|
$2,122.08 |
$2,122.08 |
$2,122.08 |
$1,865.58
|
|
Incision of urethra
|
$2,423.52 |
$2,423.52 |
$2,423.52 |
$3,549.60
|
|
Incisn windpipe
|
$7,992.00 |
$7,992.00 |
$7,992.00 |
$3,837.72
|
|
Indigotindisulfonate 8 mg/ml soln 5 ml ampule
|
$488.98 |
$488.98 |
$488.98 |
$1,099.05
|
|
Induced abortion d&c
|
$3,930.24 |
$3,930.24 |
$3,930.24 |
$3,649.80
|
|
Infect ag drug suscept pheno predict
|
$110.88 |
$110.88 |
$110.88 |
$325.00
|
|
Infect ag genotype na dna hepatitis b
|
$199.58 |
$199.58 |
$199.58 |
$500.40
|
|
Infect ag genotype na hiv-1 other region
|
$221.76 |
$221.76 |
$221.76 |
$301.50
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$110.88 |
$110.88 |
$110.88 |
$574.60
|
|
Infect ag ia direct hiv-1 antgn
|
$64.32 |
$64.32 |
$64.32 |
$95.55
|
|
Infect ag if ea plyvlnt antsrm
|
$31.20 |
$31.20 |
$31.20 |
$37.74
|
|
Infect ag if influenza a
|
$23.04 |
$23.04 |
$23.04 |
$40.61
|
|
Infect ag if influenza b
|
$23.04 |
$23.04 |
$23.04 |
$34.67
|
|
Infect ag if legionella pneumophila
|
$7.29 |
$7.29 |
$7.29 |
$75.79
|
|
Infect ag if pneumocystis carinii
|
$59.47 |
$59.47 |
$59.47 |
$62.29
|
|
Infect ag na herpes simplex quant
|
$78.00 |
$78.00 |
$78.00 |
$145.20
|
|
Infect ag na hpv high-risk types
|
$96.96 |
$96.96 |
$96.96 |
$139.75
|
|
Infect ag na influenza r/amp 1st 2 types
|
$128.16 |
$128.16 |
$128.16 |
$227.96
|
|
Infect ag na orthopoxvirus amp prb each
|
$23.52 |
$23.52 |
$23.52 |
$102.00
|
|
Infect ag na resp virus 12-25 targets
|
$190.94 |
$190.94 |
$190.94 |
$859.44
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$138.72 |
$138.72 |
$138.72 |
$81.44
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$77.28 |
$77.28 |
$77.28 |
$80.05
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$77.28 |
$77.28 |
$77.28 |
$77.28
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$158.40 |
$158.40 |
$158.40 |
$83.50
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$98.88 |
$98.88 |
$98.88 |
$77.72
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$11.73 |
$11.73 |
$11.73 |
$55.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$65.28 |
$65.28 |
$65.28 |
$101.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$132.00 |
$132.00 |
$132.00 |
$132.60
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$36.10 |
$36.10 |
$36.10 |
$97.50
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$48.96 |
$48.96 |
$48.96 |
$60.00
|
|
Infectious agent nucleic acid amplified probe
|
$160.75 |
$160.75 |
$160.75 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$67.20 |
$67.20 |
$67.20 |
$141.48
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$158.40 |
$158.40 |
$158.40 |
$174.06
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$68.40 |
$68.40 |
$68.40 |
$178.00
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$92.23 |
$92.23 |
$92.23 |
$210.00
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$67.20 |
$67.20 |
$67.20 |
$136.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$74.40 |
$74.40 |
$74.40 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$378.24 |
$378.24 |
$378.24 |
$222.60
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$480.96 |
$480.96 |
$480.96 |
$248.15
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$78.48 |
$78.48 |
$78.48 |
$112.45
|
|
Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae
|
$97.92 |
$97.92 |
$97.92 |
$282.10
|
|
Infectious agent nucleic acid quantification bk virus
|
$179.52 |
$179.52 |
$179.52 |
$285.66
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$156.00 |
$156.00 |
$156.00 |
$226.35
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$202.56 |
$202.56 |
$202.56 |
$278.78
|
|
Infectious agent nucleic acid quantification hiv-1
|
$141.60 |
$141.60 |
$141.60 |
$381.55
|
|
Infliximab 100 mg intravenous solution
|
$2,568.58 |
$2,568.58 |
$2,568.58 |
$2,801.88
|