|
Hydration IV infusion initial 31minutes - 1 hour
|
$624.75 |
$624.75 |
$624.75 |
$394.40
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$128.14 |
$128.14 |
$128.14 |
$120.06
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$344.94 |
$344.94 |
$344.94 |
$136.93
|
|
Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge
|
$1,188.79 |
$1,188.79 |
$1,188.79 |
$294.92
|
|
Hymenotomy
|
$2,884.05 |
$2,884.05 |
$2,884.05 |
$4,107.36
|
|
Hysteroscopy ablation
|
$4,830.72 |
$4,830.72 |
$4,830.72 |
$5,841.60
|
|
Hysteroscopy biopsy
|
$1,260.72 |
$1,260.72 |
$1,260.72 |
$4,753.18
|
|
Hysteroscopy dx sep proc
|
$550.29 |
$550.29 |
$550.29 |
$3,762.53
|
|
Hysteroscopy remove myoma
|
$1,173.00 |
$1,173.00 |
$1,173.00 |
$4,350.00
|
|
Hzv zoster vacc recombinant adjuvanted im inj
|
$627.58 |
$627.58 |
$627.58 |
$331.10
|
|
Icd cobalt xt dr MRI is1 df1
|
$26,507.25 |
$26,507.25 |
$26,507.25 |
$33,717.60
|
|
Icd crtd cobalt hf MRI is1 df1
|
$20,655.00 |
$20,655.00 |
$20,655.00 |
$35,650.00
|
|
Icd crtp serena MRI
|
$8,874.00 |
$8,874.00 |
$8,874.00 |
$14,360.25
|
|
Icd reliance df4 ib 64cm
|
$4,964.85 |
$4,964.85 |
$4,964.85 |
$8,612.50
|
|
I&d abscss rtrphryngl/paraphryngl intraorl apprch
|
$3,496.05 |
$3,496.05 |
$3,496.05 |
$3,837.72
|
|
I&d frarm&/wrst deep absc/hematoma
|
$3,657.72 |
$3,657.72 |
$3,657.72 |
$3,821.05
|
|
I&d intramural/intramuscular/submuc abscess transanal anes
|
$3,157.41 |
$3,157.41 |
$3,157.41 |
$3,245.23
|
|
I&d lacrimal gland
|
$1,156.68 |
$1,156.68 |
$1,156.68 |
$1,163.82
|
|
I&d upper arm/elbow deep abscess/hematoma
|
$3,174.75 |
$3,174.75 |
$3,174.75 |
$3,386.84
|
|
I & d vag hematoma non-ob 57023
|
$3,174.75 |
$3,174.75 |
$3,174.75 |
$3,386.84
|
|
I&d vag hemtma obst/postpart
|
$3,174.75 |
$3,174.75 |
$3,174.75 |
$3,370.52
|
|
Ihc/icc per specimen each additional single antibody stain
|
$307.53 |
$307.53 |
$307.53 |
$191.75
|
|
Ihc/icc per specimen initial single antibody stain
|
$1,346.40 |
$1,346.40 |
$1,346.40 |
$266.76
|
|
Immobilizer lwr extrem nylon 20in reinforc 21-35in
|
$270.96 |
$270.96 |
$270.96 |
$357.03
|
|
Immobilizer shldr cntor adlt
|
$158.63 |
$158.63 |
$158.63 |
$154.00
|
|
Immobilizer shldr dlx str 24-36in med
|
$125.53 |
$125.53 |
$125.53 |
$90.86
|
|
Immunoassay tumor antigen quantitative ca 125
|
$218.28 |
$218.28 |
$218.28 |
$123.50
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$218.28 |
$218.28 |
$218.28 |
$116.40
|
|
Impl ahmed 6x25x9.6mm glaucoma vlv w/sil ped ster
|
$4,295.02 |
$4,295.02 |
$4,295.02 |
$4,295.02
|
|
Implant 11 volt lithium-ion backup battery for controller pocket
|
$1,445.85 |
$1,445.85 |
$1,445.85 |
$1,670.40
|
|
Implant cartilage 10mm synthetic
|
$5,533.50 |
$5,533.50 |
$5,533.50 |
$11,811.60
|
|
Implant cochlear osia osi300
|
$14,952.00 |
$14,952.00 |
$14,952.00 |
$17,423.06
|
|
Implant ureth bulk agent
|
$2,142.00 |
$2,142.00 |
$2,142.00 |
$2,003.82
|
|
Incise/drain eyelid lining
|
$1,599.36 |
$1,599.36 |
$1,599.36 |
$1,215.48
|
|
Incise flexor carpi radialis
|
$3,657.72 |
$3,657.72 |
$3,657.72 |
$3,839.54
|
|
Incise hand/finger tendon
|
$1,763.07 |
$1,763.07 |
$1,763.07 |
$2,007.15
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$3,834.69 |
$3,834.69 |
$3,834.69 |
$2,261.20
|
|
Incision of anal sphincter
|
$503.37 |
$503.37 |
$503.37 |
$3,061.53
|
|
Incision of breast lesion
|
$1,842.63 |
$1,842.63 |
$1,842.63 |
$3,029.60
|
|
Incision of burn scab initi
|
$1,010.31 |
$1,010.31 |
$1,010.31 |
$501.00
|
|
Incision of eardrum
|
$255.51 |
$255.51 |
$255.51 |
$470.73
|
|
Incision of spinal nerve 64772
|
$752.76 |
$752.76 |
$752.76 |
$2,310.83
|
|
Incision of tendon sheath
|
$1,763.07 |
$1,763.07 |
$1,763.07 |
$2,263.68
|
|
Incision of tongue fold
|
$1,705.95 |
$1,705.95 |
$1,705.95 |
$1,865.58
|
|
Incision of urethra
|
$2,279.70 |
$2,279.70 |
$2,279.70 |
$3,549.60
|
|
Incision tendon sheath
|
$1,537.14 |
$1,537.14 |
$1,537.14 |
$2,309.40
|
|
Incisn windpipe
|
$2,901.90 |
$2,901.90 |
$2,901.90 |
$3,837.72
|
|
Induced abortion d&c
|
$3,474.63 |
$3,474.63 |
$3,474.63 |
$3,649.80
|
|
Infect ag ia optc obs influenza
|
$56.61 |
$56.61 |
$56.61 |
$66.72
|
|
Infect ag na hpv high-risk types
|
$116.28 |
$116.28 |
$116.28 |
$139.75
|
|
Infect ag na influenza r/amp 1st 2 types
|
$260.61 |
$260.61 |
$260.61 |
$227.96
|
|
Infect ag na resp virus 12-25 targets
|
$709.92 |
$709.92 |
$709.92 |
$859.44
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$32.64 |
$32.64 |
$32.64 |
$81.44
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$77.01 |
$77.01 |
$77.01 |
$80.05
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$77.01 |
$77.01 |
$77.01 |
$77.28
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$65.28 |
$65.28 |
$65.28 |
$77.72
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$93.33 |
$93.33 |
$93.33 |
$101.00
|
|
Infectious agent nucleic acid amplified probe
|
$138.72 |
$138.72 |
$138.72 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$265.71 |
$265.71 |
$265.71 |
$141.48
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$40.80 |
$40.80 |
$40.80 |
$174.06
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$1,008.78 |
$1,008.78 |
$1,008.78 |
$855.45
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$286.62 |
$286.62 |
$286.62 |
$150.15
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$93.33 |
$93.33 |
$93.33 |
$210.00
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$265.71 |
$265.71 |
$265.71 |
$136.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$105.06 |
$105.06 |
$105.06 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$145.35 |
$145.35 |
$145.35 |
$222.60
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$188.70 |
$188.70 |
$188.70 |
$248.15
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$88.74 |
$88.74 |
$88.74 |
$98.15
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$65.28 |
$65.28 |
$65.28 |
$112.45
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$429.93 |
$429.93 |
$429.93 |
$489.50
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$333.03 |
$333.03 |
$333.03 |
$298.35
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$249.90 |
$249.90 |
$249.90 |
$359.64
|
|
Initial nursing facility care/day 35 minutes
|
$229.50 |
$229.50 |
$229.50 |
$231.42
|
|
Initial nursing facility care/day 45 minutes
|
$265.20 |
$265.20 |
$265.20 |
$322.20
|
|
Initial nursing facility care/day low severity 99304
|
$143.31 |
$143.31 |
$143.31 |
$162.40
|
|
Initiation & management bipap/cpap initial day
|
$187.68 |
$187.68 |
$187.68 |
$645.79
|
|
Inj cefazolin (wg crit care)
|
$84.15 |
$84.15 |
$84.15 |
$25.00
|
|
Inj crotalidae im f(ab')2 eq
|
$2,859.84 |
$2,859.84 |
$2,859.84 |
$2,735.85
|
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
|
$792.03 |
$792.03 |
$792.03 |
$1,214.78
|
|
Injection arthrography hip without anesthesia (both sides)
|
$384.54 |
$384.54 |
$384.54 |
$507.10
|
|
Injection carpal tunnel therapeutic (both sides)
|
$504.90 |
$504.90 |
$504.90 |
$536.00
|
|
Injection epidural blood patch or clot
|
$1,170.45 |
$1,170.45 |
$1,170.45 |
$1,473.12
|
|
Injection eye drug
|
$440.64 |
$440.64 |
$440.64 |
$648.90
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$474.30 |
$474.30 |
$474.30 |
$504.00
|
|
Injection into hemorrhoid(s)
|
$1,021.02 |
$1,021.02 |
$1,021.02 |
$1,278.72
|
|
Injection,onabotulinumtoxina
|
$1,771.49 |
$1,771.49 |
$1,771.49 |
$2,154.07
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$792.03 |
$792.03 |
$792.03 |
$1,471.50
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$1,031.73 |
$1,031.73 |
$1,031.73 |
$1,017.28
|
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
|
$610.98 |
$610.98 |
$610.98 |
$2,251.00
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
|
$325.89 |
$325.89 |
$325.89 |
$1,131.41
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
|
$578.85 |
$578.85 |
$578.85 |
$1,961.05
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
|
$279.99 |
$279.99 |
$279.99 |
$1,119.88
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
|
$493.17 |
$493.17 |
$493.17 |
$2,154.68
|
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
|
$1,674.84 |
$1,674.84 |
$1,674.84 |
$1,829.28
|
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
|
$1,571.82 |
$1,571.82 |
$1,571.82 |
$1,758.12
|
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
|
$787.95 |
$787.95 |
$787.95 |
$472.76
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$1,189.32 |
$1,189.32 |
$1,189.32 |
$552.60
|
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
|
$918.51 |
$918.51 |
$918.51 |
$670.00
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$152.49 |
$152.49 |
$152.49 |
$168.05
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$134.13 |
$134.13 |
$134.13 |
$154.05
|
