|
Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge
|
$109.62 |
$109.62 |
$109.62 |
$294.92
|
|
Hymenotomy
|
$2,202.20 |
$2,202.20 |
$2,202.20 |
$4,107.36
|
|
Hysterosalpingography s&i
|
$651.35 |
$651.35 |
$651.35 |
$629.46
|
|
Hzv zoster vacc recombinant adjuvanted im inj
|
$720.37 |
$720.37 |
$720.37 |
$331.10
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$1,071.81 |
$1,071.81 |
$1,071.81 |
$948.16
|
|
Icd cobalt xt dr MRI is1 df1
|
$27,960.63 |
$27,960.63 |
$27,960.63 |
$32,744.25
|
|
Icd crtd cobalt hf MRI is1 df1
|
$26,871.25 |
$26,871.25 |
$26,871.25 |
$35,622.20
|
|
Icd crtp serena MRI
|
$9,261.00 |
$9,261.00 |
$9,261.00 |
$14,236.30
|
|
Icd reliance df4 ib 64cm
|
$4,905.95 |
$4,905.95 |
$4,905.95 |
$8,597.15
|
|
I&d abscss rtrphryngl/paraphryngl intraorl apprch
|
$1,699.95 |
$1,699.95 |
$1,699.95 |
$3,837.72
|
|
Idarubicin hcl injection
|
$668.82 |
$668.82 |
$668.82 |
$474.69
|
|
I&d frarm&/wrst deep absc/hematoma
|
$2,150.75 |
$2,150.75 |
$2,150.75 |
$3,821.05
|
|
I&d intramural/intramuscular/submuc abscess transanal anes
|
$1,282.05 |
$1,282.05 |
$1,282.05 |
$3,245.23
|
|
I&d lacrimal gland
|
$503.65 |
$503.65 |
$503.65 |
$1,163.82
|
|
I&d upper arm/elbow deep abscess/hematoma
|
$1,800.75 |
$1,800.75 |
$1,800.75 |
$3,386.84
|
|
I & d vag hematoma non-ob 57023
|
$2,048.55 |
$2,048.55 |
$2,048.55 |
$3,386.84
|
|
I&d vag hemtma obst/postpart
|
$1,800.75 |
$1,800.75 |
$1,800.75 |
$3,370.52
|
|
Ifosfamide 1 gram intravenous solution
|
$391.38 |
$391.38 |
$391.38 |
$319.25
|
|
Ihc/icc per specimen each additional single antibody stain
|
$23.10 |
$23.10 |
$23.10 |
$191.75
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$52.50 |
$52.50 |
$52.50 |
$339.73
|
|
Ihc/icc per specimen initial single antibody stain
|
$109.55 |
$109.55 |
$109.55 |
$266.76
|
|
Iliac/fem angio cath insert
|
$807.80 |
$807.80 |
$807.80 |
$1,827.35
|
|
Iliac revasc add-on 37222
|
$2,555.70 |
$2,555.70 |
$2,555.70 |
$6,513.10
|
|
Immob elbow child sm
|
$196.88 |
$196.88 |
$196.88 |
$63.42
|
|
Immobilizer lwr extrem nylon 20in reinforc 21-35in
|
$169.05 |
$169.05 |
$169.05 |
$357.03
|
|
Immobilizer shldr cntor adlt
|
$95.55 |
$95.55 |
$95.55 |
$154.00
|
|
Immobilizer shldr dlx str 24-36in med
|
$67.98 |
$67.98 |
$67.98 |
$90.86
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$5,617.36 |
$5,617.36 |
$5,617.36 |
$5,809.22
|
|
Immunoassay tumor antigen quantitative ca 125
|
$103.60 |
$103.60 |
$103.60 |
$123.50
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$77.00 |
$77.00 |
$77.00 |
$116.40
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$36.75 |
$36.75 |
$36.75 |
$156.00
|
|
Immunofluorescence per specimen initial single antibody stain
|
$38.68 |
$38.68 |
$38.68 |
$250.00
|
|
Immunoglobulin assay
|
$47.25 |
$47.25 |
$47.25 |
$74.00
|
|
Impl ahmed 6x25x9.6mm glaucoma vlv w/sil ped ster
|
$3,840.76 |
$3,840.76 |
$3,840.76 |
$5,036.12
|
|
Implant 11 volt lithium-ion backup battery for controller pocket
|
$1,134.00 |
$1,134.00 |
$1,134.00 |
$1,700.00
|
|
Implant cartilage 10mm synthetic
|
$7,350.00 |
$7,350.00 |
$7,350.00 |
$10,924.20
|
|
Implant cochlear osia osi300
|
$15,318.47 |
$15,318.47 |
$15,318.47 |
$16,910.93
|
|
Implant neuroelectrodes
|
$319.90 |
$319.90 |
$319.90 |
$19,287.34
|
|
Implant ureth bulk agent
|
$1,708.88 |
$1,708.88 |
$1,708.88 |
$1,933.10
|
|
Impl neurostim electr perc
|
$13,044.85 |
$13,044.85 |
$13,044.85 |
$7,636.00
|
|
Imported lipodox inj
|
$3,275.99 |
$3,275.99 |
$3,275.99 |
$679.76
|
|
Incise/drain eyelid lining
|
$1,383.20 |
$1,383.20 |
$1,383.20 |
$1,215.48
|
|
Incise flexor carpi radialis
|
$2,150.75 |
$2,150.75 |
$2,150.75 |
$3,839.54
|
|
Incise hand/finger tendon
|
$1,058.05 |
$1,058.05 |
$1,058.05 |
$2,007.15
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$1,216.25 |
$1,216.25 |
$1,216.25 |
$2,261.20
|
|
Incision of achilles tendon
|
$2,861.60 |
$2,861.60 |
$2,861.60 |
$3,306.48
|
|
Incision of breast lesion
|
$1,216.25 |
$1,216.25 |
$1,216.25 |
$3,029.60
|
|
Incision of burn scab initi
|
$242.20 |
$242.20 |
$242.20 |
$501.00
|
|
Incision of eardrum
|
$242.20 |
$242.20 |
$242.20 |
$470.73
|
|
Incision of foot fascia
|
$2,861.60 |
$2,861.60 |
$2,861.60 |
$4,499.12
|
|
Incision of hip tendon
|
$2,861.60 |
$2,861.60 |
$2,861.60 |
$3,885.29
|
|
Incision of tendon & muscle
|
$8,635.90 |
$8,635.90 |
$8,635.90 |
$8,293.50
|
|
Incision of tendon sheath
|
$1,058.05 |
$1,058.05 |
$1,058.05 |
$2,263.68
|
|
Incision of thigh tendon
|
$2,861.60 |
$2,861.60 |
$2,861.60 |
$4,499.12
|
|
Incision of thigh tendons
|
$4,710.65 |
$4,710.65 |
$4,710.65 |
$4,627.00
|
|
Incision of tongue fold
|
$816.55 |
$816.55 |
$816.55 |
$1,865.58
|
|
Incision of urethra
|
$1,359.75 |
$1,359.75 |
$1,359.75 |
$3,549.60
|
|
Incisn windpipe
|
$2,823.10 |
$2,823.10 |
$2,823.10 |
$3,837.72
|
|
Indigotindisulfonate 8 mg/ml soln 5 ml ampule
|
$1,222.04 |
$1,222.04 |
$1,222.04 |
$1,039.27
|
|
Induced abortion d&c
|
$1,992.55 |
$1,992.55 |
$1,992.55 |
$3,649.80
|
|
Infect ag ia optc obs influenza
|
$189.00 |
$189.00 |
$189.00 |
$66.72
|
|
Infect ag na influenza r/amp 1st 2 types
|
$116.24 |
$116.24 |
$116.24 |
$227.96
|
|
Infect ag na resp virus 12-25 targets
|
$1,294.30 |
$1,294.30 |
$1,294.30 |
$859.44
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$90.30 |
$90.30 |
$90.30 |
$81.44
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$686.35 |
$686.35 |
$686.35 |
$83.50
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$347.90 |
$347.90 |
$347.90 |
$77.72
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$218.75 |
$218.75 |
$218.75 |
$55.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$25.20 |
$25.20 |
$25.20 |
$101.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$285.95 |
$285.95 |
$285.95 |
$132.60
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$315.70 |
$315.70 |
$315.70 |
$97.50
|
|
Infectious agent nucleic acid amplified probe
|
$109.90 |
$109.90 |
$109.90 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$33.95 |
$33.95 |
$33.95 |
$141.48
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$217.00 |
$217.00 |
$217.00 |
$174.06
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$1,417.15 |
$1,417.15 |
$1,417.15 |
$855.45
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$150.15 |
$150.15 |
$150.15 |
$150.15
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$34.65 |
$34.65 |
$34.65 |
$136.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$223.30 |
$223.30 |
$223.30 |
$103.20
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$128.45 |
$128.45 |
$128.45 |
$98.15
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$34.65 |
$34.65 |
$34.65 |
$112.45
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$686.35 |
$686.35 |
$686.35 |
$727.50
|
|
Infliximab 100 mg intravenous solution
|
$4,195.34 |
$4,195.34 |
$4,195.34 |
$2,102.08
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$453.95 |
$453.95 |
$453.95 |
$359.64
|
|
Initiation & management bipap/cpap initial day
|
$473.55 |
$473.55 |
$473.55 |
$645.79
|
|
Inj, bupivacaine liposome
|
$69.14 |
$69.14 |
$69.14 |
$507.76
|
|
Inj cefazolin sodium, hikma
|
$34.56 |
$34.56 |
$34.56 |
$36.11
|
|
Inj ceftolozane tazobactam
|
$649.05 |
$649.05 |
$649.05 |
$431.36
|
|
Inj cntr knee arthro incl ct/mri
|
$431.90 |
$431.90 |
$431.90 |
$464.28
|
|
Inj cyclophosphamd auromedic
|
$429.41 |
$429.41 |
$429.41 |
$1.87
|
|
Inj. denosumab-bbdz, 1 mg
|
$5,419.71 |
$5,419.71 |
$5,419.71 |
$4,416.07
|
|
Inj disk cerv-thor ea lev
|
$603.40 |
$603.40 |
$603.40 |
$869.80
|
|
Inj dx for sinogram
|
$257.60 |
$257.60 |
$257.60 |
$436.00
|
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
|
$838.95 |
$838.95 |
$838.95 |
$1,214.78
|
|
Injection arthrography hip without anesthesia (both sides)
|
$304.15 |
$304.15 |
$304.15 |
$507.10
|
|
Injection, cangrelor
|
$3,591.36 |
$3,591.36 |
$3,591.36 |
$2,048.01
|
|
Injection carpal tunnel therapeutic (both sides)
|
$399.00 |
$399.00 |
$399.00 |
$536.00
|
|
Injection, daratumumab 10 mg
|
$11,108.83 |
$11,108.83 |
$11,108.83 |
$5,324.34
|
|
Injection during cath supravalvular aortography
|
$1,747.55 |
$1,747.55 |
$1,747.55 |
$1,148.80
|
|
Injection epidural blood patch or clot
|
$365.75 |
$365.75 |
$365.75 |
$1,473.12
|
|
Injection eye drug
|
$510.65 |
$510.65 |
$510.65 |
$648.90
|
|
Injection for arthrography wrist (both sides)
|
$341.25 |
$341.25 |
$341.25 |
$441.12
|