|
Hysteroscopy dx sep proc
|
$4,232.80 |
$4,232.80 |
$4,232.80 |
$3,997.50
|
|
Hysteroscopy remove fb
|
$4,815.20 |
$4,815.20 |
$4,815.20 |
$4,719.18
|
|
Hysteroscopy remove myoma
|
$2,293.20 |
$2,293.20 |
$2,293.20 |
$5,417.29
|
|
Hysterotomy abdominal 59100
|
$4,446.00 |
$4,446.00 |
$4,446.00 |
$4,446.00
|
|
Hzv zoster vacc recombinant adjuvanted im inj
|
$352.24 |
$352.24 |
$352.24 |
$352.24
|
|
I-123 iobenguane diag
|
$8,290.48 |
$8,290.48 |
$8,290.48 |
$5,170.70
|
|
I-123 ioflupane diag
|
$4,228.66 |
$4,228.66 |
$4,228.66 |
$4,077.15
|
|
I-123 sod iodide diag per 100 uci
|
$87.21 |
$87.21 |
$87.21 |
$144.24
|
|
I125 iothalamate, dx
|
$51.48 |
$51.48 |
$51.48 |
$634.90
|
|
I-131 iobenguane sulf diag mibg
|
$3,638.48 |
$3,638.48 |
$3,638.48 |
$3,638.48
|
|
I131 iodide cap, rx
|
$137.80 |
$137.80 |
$137.80 |
$71.70
|
|
I131 iodide sol, rx
|
$36,626.41 |
$36,626.41 |
$36,626.41 |
$42.01
|
|
I131 max 100uci
|
$6.11 |
$6.11 |
$6.11 |
$53.39
|
|
I131 serum albumin, dx
|
$787.28 |
$787.28 |
$787.28 |
$847.84
|
|
I-131 sod iodide sol diag per mci
|
$36.40 |
$36.40 |
$36.40 |
$33.60
|
|
Iaadi respiratory synctial virus
|
$74.88 |
$74.88 |
$74.88 |
$54.98
|
|
Ia infect ag ab qual/semiquant sgl step
|
$104.00 |
$104.00 |
$104.00 |
$50.60
|
|
Ia nfct ab sarscov2 covid19
|
$75.40 |
$75.40 |
$75.40 |
$62.49
|
|
Ibandronate 3 mg/3 ml intravenous syringe
|
$408.20 |
$408.20 |
$408.20 |
$684.45
|
|
Ibmfs seq alys pnl 30 genes
|
$3,934.32 |
$3,934.32 |
$3,934.32 |
$2,828.00
|
|
Ibuprofen injection
|
$742.80 |
$742.80 |
$742.80 |
$256.76
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$910.87 |
$910.87 |
$910.87 |
$975.45
|
|
Icatibant injection
|
$16,697.08 |
$16,697.08 |
$16,697.08 |
$8,695.05
|
|
Icd cobalt xt dr MRI is1 df1
|
$26,520.00 |
$26,520.00 |
$26,520.00 |
$34,681.07
|
|
Icd crtd cobalt hf MRI is1 df1
|
$41,418.00 |
$41,418.00 |
$41,418.00 |
$41,418.00
|
|
Icd crtp serena MRI
|
$12,097.80 |
$12,097.80 |
$12,097.80 |
$14,360.25
|
|
Icd reliance df4 ib 64cm
|
$8,001.24 |
$8,001.24 |
$8,001.24 |
$9,267.72
|
|
Icut allergy test-delayed
|
$131.04 |
$131.04 |
$131.04 |
$46.45
|
|
Icut allergy test drug/bug
|
$113.36 |
$113.36 |
$113.36 |
$70.29
|
|
Icut allergy titrate-airborn
|
$73.32 |
$73.32 |
$73.32 |
$29.55
|
|
I&d abscss rtrphryngl/paraphryngl intraorl apprch
|
$2,823.60 |
$2,823.60 |
$2,823.60 |
$3,592.74
|
|
Idarubicin hcl injection
|
$396.04 |
$396.04 |
$396.04 |
$447.02
|
|
I&d/bursa/foot 28001
|
$2,272.40 |
$2,272.40 |
$2,272.40 |
$1,917.33
|
|
I&d frarm&/wrst deep absc/hematoma
|
$4,914.00 |
$4,914.00 |
$4,914.00 |
$3,839.54
|
|
I&d intramural/intramuscular/submuc abscess transanal anes
|
$4,836.00 |
$4,836.00 |
$4,836.00 |
$3,245.23
|
|
I&d lacrimal gland
|
$1,835.60 |
$1,835.60 |
$1,835.60 |
$1,435.20
|
|
I&d lacrimal sac
|
$1,674.40 |
$1,674.40 |
$1,674.40 |
$2,732.50
|
|
I&d upper arm/elbow deep abscess/hematoma
|
$3,322.80 |
$3,322.80 |
$3,322.80 |
$3,355.20
|
|
Idursulfase injection
|
$5,242.79 |
$5,242.79 |
$5,242.79 |
$5,646.08
|
|
I & d vag hematoma non-ob 57023
|
$4,529.20 |
$4,529.20 |
$4,529.20 |
$3,444.42
|
|
I&d vag hemtma obst/postpart
|
$3,322.80 |
$3,322.80 |
$3,322.80 |
$3,334.38
|
|
Ifosfamide 1 gram intravenous solution
|
$197.89 |
$197.89 |
$197.89 |
$246.95
|
|
Ihc/icc per specimen each additional single antibody stain
|
$179.40 |
$179.40 |
$179.40 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$704.08 |
$704.08 |
$704.08 |
$328.79
|
|
Ihc/icc per specimen initial single antibody stain
|
$358.80 |
$358.80 |
$358.80 |
$272.30
|
|
Ikbkap gene
|
$68.64 |
$68.64 |
$68.64 |
$173.49
|
|
Iliac/fem angio cath insert
|
$2,553.20 |
$2,553.20 |
$2,553.20 |
$1,856.01
|
|
Imetelstat 188 mg intravenous solution
|
$15,612.79 |
$15,612.79 |
$15,612.79 |
$20,373.55
|
|
Img rta detcj/mntr ds staff
|
$152.36 |
$152.36 |
$152.36 |
$70.29
|
|
Img rta detc/mntr ds poc aly
|
$137.28 |
$137.28 |
$137.28 |
$71.25
|
|
Immobilizer shldr cntor adlt
|
$280.97 |
$280.97 |
$280.97 |
$175.60
|
|
Immobilizer shldr dlx str 24-36in med
|
$80.08 |
$80.08 |
$80.08 |
$114.60
|
|
Immobilizer shldr sling med
|
$174.20 |
$174.20 |
$174.20 |
$126.00
|
|
Immt breast prosthesis 19340
|
$2,953.60 |
$2,953.60 |
$2,953.60 |
$4,883.20
|
|
Immune complex assay
|
$186.68 |
$186.68 |
$186.68 |
$100.80
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$8,501.14 |
$8,501.14 |
$8,501.14 |
$6,106.32
|
|
Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution
|
$3,695.50 |
$3,695.50 |
$3,695.50 |
$2,900.11
|
|
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution
|
$3,154.11 |
$3,154.11 |
$3,154.11 |
$3,846.15
|
|
Immunoassay tumor antigen quantitative ca 125
|
$137.80 |
$137.80 |
$137.80 |
$131.95
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$32.24 |
$32.24 |
$32.24 |
$116.40
|
|
Immunoassay tumor qual
|
$162.76 |
$162.76 |
$162.76 |
$66.50
|
|
Immunodiff gel qual ea antigen/ab
|
$58.24 |
$58.24 |
$58.24 |
$48.38
|
|
Immunodiffusion nes
|
$127.92 |
$127.92 |
$127.92 |
$48.57
|
|
Immunofixation electrophoresis serum
|
$34.84 |
$34.84 |
$34.84 |
$142.50
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$229.84 |
$229.84 |
$229.84 |
$154.05
|
|
Immunofluorescence per specimen initial single antibody stain
|
$530.92 |
$530.92 |
$530.92 |
$231.40
|
|
Immunoglobulin assay
|
$100.88 |
$100.88 |
$100.88 |
$75.88
|
|
Impedence cardiogram
|
$223.60 |
$223.60 |
$223.60 |
$152.54
|
|
Impl ahmed 6x25x9.6mm glaucoma vlv w/sil ped ster
|
$2,069.60 |
$2,069.60 |
$2,069.60 |
$3,036.25
|
|
Implant cartilage 10mm synthetic
|
$11,434.02 |
$11,434.02 |
$11,434.02 |
$8,184.00
|
|
Implant cochlear device
|
$17,919.20 |
$17,919.20 |
$17,919.20 |
$34,229.98
|
|
Implant cochlear osia osi300
|
$14,528.24 |
$14,528.24 |
$14,528.24 |
$16,200.89
|
|
Implant hormone pellet(s) 11980
|
$182.00 |
$182.00 |
$182.00 |
$315.75
|
|
Implant neuroelectrodes
|
$3,203.20 |
$3,203.20 |
$3,203.20 |
$7,766.27
|
|
Implant spinal canal cath
|
$8,184.80 |
$8,184.80 |
$8,184.80 |
$8,184.80
|
|
Implant spine infusion pump
|
$11,512.80 |
$11,512.80 |
$11,512.80 |
$17,262.84
|
|
Implant spine infusion pump
|
$11,512.80 |
$11,512.80 |
$11,512.80 |
$17,270.40
|
|
Implant tcat pulm vlv perq
|
$9,812.40 |
$9,812.40 |
$9,812.40 |
$9,812.40
|
|
Implant ureth bulk agent
|
$2,366.00 |
$2,366.00 |
$2,366.00 |
$2,168.00
|
|
Impl ear abutment ba300 9mm
|
$3,690.96 |
$3,690.96 |
$3,690.96 |
$3,974.88
|
|
Impl neurostim electr perc
|
$5,590.00 |
$5,590.00 |
$5,590.00 |
$7,672.50
|
|
Implnt bio implnt for soft tiss reinforcement 15777
|
$405.60 |
$405.60 |
$405.60 |
$1,072.00
|
|
Implnt spinl canal catheter 62350
|
$7,378.80 |
$7,378.80 |
$7,378.80 |
$5,095.20
|
|
Impl oi implt sk tc esp<100
|
$22,958.00 |
$22,958.00 |
$22,958.00 |
$22,958.00
|
|
Impl oi implt skull perq esp
|
$6,411.60 |
$6,411.60 |
$6,411.60 |
$13,525.50
|
|
Implt neurostim elctr each
|
$4,252.85 |
$4,252.85 |
$4,252.85 |
$4,579.99
|
|
Imp neurosti pls gn any type
|
$2,056.60 |
$2,056.60 |
$2,056.60 |
$8,789.19
|
|
Imuglucerase injection
|
$2,816.05 |
$2,816.05 |
$2,816.05 |
$3,399.59
|
|
In-111 autologous plt stdy dx
|
$6,139.64 |
$6,139.64 |
$6,139.64 |
$6,139.64
|
|
In-111 autol wbc diag per dose
|
$6,139.64 |
$6,139.64 |
$6,139.64 |
$3,523.65
|
|
In-111 capromab pendet
|
$1,735.76 |
$1,735.76 |
$1,735.76 |
$3,141.45
|
|
In-111 ibritumomab tiux dx
|
$5,260.84 |
$5,260.84 |
$5,260.84 |
$4,748.02
|
|
In-111 oxyquinolin per 0.5 mci
|
$6,853.64 |
$6,853.64 |
$6,853.64 |
$2,581.82
|
|
In-111 pentetate dtpa / 0.5 mci
|
$4,333.32 |
$4,333.32 |
$4,333.32 |
$2,598.17
|
|
In-111 pentetreotide
|
$7,836.92 |
$7,836.92 |
$7,836.92 |
$5,201.00
|
|
Inactivated je vacc im
|
$481.34 |
$481.34 |
$481.34 |
$481.34
|
|
Inc dp bone crtx f/arm&/wrst
|
$6,650.80 |
$6,650.80 |
$6,650.80 |
$6,650.80
|
|
Incise inner eye adhesions
|
$1,081.60 |
$1,081.60 |
$1,081.60 |
$2,524.45
|
|
Incise inner eye strands
|
$3,905.20 |
$3,905.20 |
$3,905.20 |
$3,905.20
|
|
Incise perq finger tendon 26060
|
$3,073.20 |
$3,073.20 |
$3,073.20 |
$1,893.86
|
