|
Hydration IV infusion initial 31minutes - 1 hour
|
$234.30 |
$234.30 |
$739.20 |
$385.20
|
|
Hydrocolld drg >16<=48 w/bdr
|
$1,129.32 |
$1,129.32 |
$1,129.32 |
$25.70
|
|
Hydrocolld drg >16<=48 without b
|
$19.69 |
$19.69 |
$19.69 |
$19.69
|
|
Hydrocolld drg <=16 in w/bdr
|
$881.93 |
$881.93 |
$881.93 |
$5.57
|
|
Hydrocolld drg <=16 without bdr
|
$8.36 |
$8.36 |
$8.36 |
$7.76
|
|
Hydrocolld drg filler paste
|
$45.92 |
$45.92 |
$45.92 |
$45.92
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$37.14 |
$37.14 |
$308.26 |
$153.08
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$19.25 |
$19.25 |
$188.44 |
$120.72
|
|
Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge
|
$507.69 |
$507.69 |
$663.60 |
$294.92
|
|
Hydromorphone 250 mg
|
$116.48 |
$116.48 |
$116.48 |
$116.48
|
|
Hydroxocobalamin im 10mcg
|
$5.23 |
$5.23 |
$5.23 |
$4.86
|
|
Hydroxyurea 500 mg
|
$14.00 |
$14.00 |
$14.00 |
$13.02
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$72.65 |
$72.65 |
$72.65 |
$72.65
|
|
Hydroxyzine pamoate 25 mg capsule
|
$14.00 |
$14.00 |
$14.00 |
$1.28
|
|
Hydrxycorticsterds 17- (17-ohcs)
|
$12.32 |
$12.32 |
$50.96 |
$73.45
|
|
Hymenotomy
|
$7,145.60 |
$7,145.60 |
$7,145.60 |
$4,358.89
|
|
Hyoid myotomy & suspension
|
$9,307.20 |
$9,307.20 |
$9,307.20 |
$6,311.00
|
|
Hyoscyamine sulfate inj
|
$79.24 |
$79.24 |
$79.24 |
$123.83
|
|
#hypersens-actinomyces ab
|
$84.56 |
$84.56 |
$84.56 |
$32.40
|
|
Hyperthermia ext gen deep
|
$4,407.20 |
$4,407.20 |
$4,407.20 |
$1,683.20
|
|
Hyperthermia ext gen supfc
|
$2,049.60 |
$2,049.60 |
$2,049.60 |
$943.00
|
|
Hyperthermia gen intrcv prb
|
$4,407.20 |
$4,407.20 |
$4,407.20 |
$1,173.60
|
|
Hyperthermia ntrstl prb 5/<
|
$4,407.20 |
$4,407.20 |
$4,407.20 |
$1,803.20
|
|
Hyperthermia ntrstl prb>5
|
$4,407.20 |
$4,407.20 |
$4,407.20 |
$1,995.20
|
|
Hypnotherapy
|
$369.60 |
$369.60 |
$369.60 |
$244.80
|
|
Hypothermia ill neonate
|
$560.00 |
$560.00 |
$560.00 |
$567.20
|
|
Hyqvia 100mg immuneglobulin
|
$13,494.15 |
$13,494.15 |
$13,494.15 |
$13,494.15
|
|
Hysterosalpingography s&i
|
$295.95 |
$295.95 |
$1,685.60 |
$663.50
|
|
Hysteroscopy ablation
|
$14,509.60 |
$14,509.60 |
$14,509.60 |
$5,865.75
|
|
Hysteroscopy biopsy
|
$12,252.80 |
$12,252.80 |
$12,252.80 |
$5,117.50
|
|
Hysteroscopy dx sep proc
|
$84.00 |
$84.00 |
$9,290.40 |
$3,997.50
|
|
Hysteroscopy lysis
|
$8,814.40 |
$8,814.40 |
$8,814.40 |
$5,468.70
|
|
Hysteroscopy remove fb
|
$9,794.40 |
$9,794.40 |
$9,794.40 |
$4,719.18
|
|
Hysteroscopy remove myoma
|
$14,509.60 |
$14,509.60 |
$14,509.60 |
$5,417.29
|
|
Hysteroscopy resect septum
|
$6,636.00 |
$6,636.00 |
$6,636.00 |
$5,463.96
|
|
Hysterotomy abdominal 59100
|
$7,145.60 |
$7,145.60 |
$7,145.60 |
$4,446.00
|
|
Hzv zoster vacc recombinant adjuvanted im inj
|
$98.92 |
$98.92 |
$379.34 |
$352.24
|
|
I-123 iobenguane diag
|
$1,662.15 |
$1,662.15 |
$8,928.21 |
$5,170.70
|
|
I-123 ioflupane diag
|
$7,196.00 |
$7,196.00 |
$7,196.00 |
$4,077.15
|
|
I-123 sod iodide diag per 100 uci
|
$128.85 |
$128.85 |
$216.16 |
$144.24
|
|
I125 iothalamate, dx
|
$70.00 |
$70.00 |
$70.00 |
$634.90
|
|
I125 serum albumin, dx
|
$393.12 |
$393.12 |
$393.12 |
$393.12
|
|
I-131 iobenguane sulf diag mibg
|
$3,918.36 |
$3,918.36 |
$3,918.36 |
$3,638.48
|
|
I131 iodide cap, rx
|
$87.75 |
$87.75 |
$191.52 |
$71.70
|
|
I131 iodide sol, rx
|
$39,443.82 |
$39,443.82 |
$39,443.82 |
$42.01
|
|
I131 max 100uci
|
$8.40 |
$8.40 |
$8.40 |
$53.39
|
|
I131 serum albumin, dx
|
$847.84 |
$847.84 |
$847.84 |
$847.84
|
|
I-131 sod iodide sol diag per mci
|
$22.96 |
$22.96 |
$22.96 |
$33.60
|
|
Iaadi respiratory synctial virus
|
$118.72 |
$118.72 |
$118.72 |
$54.98
|
|
Iadna legionella pneumophila amplified probe tq
|
$50.10 |
$50.10 |
$425.60 |
$109.00
|
|
Ia infect ag ab qual/semiquant sgl step
|
$58.24 |
$58.24 |
$58.24 |
$50.60
|
|
Ia nfct ab sarscov2 covid19
|
$117.04 |
$117.04 |
$117.04 |
$62.49
|
|
Ibandronate 3 mg/3 ml intravenous syringe
|
$439.60 |
$439.60 |
$439.60 |
$684.45
|
|
Ibmfs seq alys pnl 30 genes
|
$2,828.00 |
$2,828.00 |
$2,828.00 |
$2,828.00
|
|
Ibuprofen injection
|
$799.94 |
$799.94 |
$799.94 |
$256.76
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$980.94 |
$980.94 |
$980.94 |
$975.45
|
|
Icatibant injection
|
$17,981.47 |
$17,981.47 |
$17,981.47 |
$8,695.05
|
|
Icd cobalt xt dr MRI is1 df1
|
$21,986.25 |
$21,986.25 |
$48,300.00 |
$34,681.07
|
|
Icd crtd cobalt hf MRI is1 df1
|
$20,625.00 |
$20,625.00 |
$48,300.00 |
$41,418.00
|
|
Icd crtp serena MRI
|
$6,375.00 |
$6,375.00 |
$48,300.00 |
$14,360.25
|
|
Icd reliance df4 ib 64cm
|
$5,103.11 |
$5,103.11 |
$48,300.00 |
$9,267.72
|
|
Icg angiography i&r uni/bi
|
$518.70 |
$518.70 |
$767.20 |
$610.80
|
|
Icut allergy test-delayed
|
$145.60 |
$145.60 |
$145.60 |
$46.45
|
|
Icut allergy test drug/bug
|
$256.48 |
$256.48 |
$256.48 |
$70.29
|
|
Icut allergy titrate-airborn
|
$145.60 |
$145.60 |
$145.60 |
$29.55
|
|
I&d abscess posterior spine l/s/ls-22015
|
$545.40 |
$545.40 |
$545.40 |
$2,286.40
|
|
I&d abscss rtrphryngl/paraphryngl intraorl apprch
|
$9,144.80 |
$9,144.80 |
$9,144.80 |
$3,592.74
|
|
Idarubicin hcl injection
|
$426.50 |
$426.50 |
$426.50 |
$447.02
|
|
I&d/bursa/foot 28001
|
$4,597.60 |
$4,597.60 |
$4,597.60 |
$1,917.33
|
|
Idecabtagene vicleucel car
|
$725,902.80 |
$725,902.80 |
$725,902.80 |
$1,129,895.40
|
|
Identify sperm tissue
|
$632.80 |
$632.80 |
$632.80 |
$157.60
|
|
Idet 1 or more levels
|
$4,754.40 |
$4,754.40 |
$4,754.40 |
$4,649.60
|
|
Idet single level
|
$5,684.00 |
$5,684.00 |
$5,684.00 |
$3,347.50
|
|
I&d frarm&/wrst deep absc/hematoma
|
$424.95 |
$424.95 |
$7,694.40 |
$3,839.54
|
|
Idh1 common variants
|
$23.19 |
$23.19 |
$806.40 |
$412.10
|
|
Idh2 common variants
|
$35.49 |
$35.49 |
$806.40 |
$486.00
|
|
I&d intramural/intramuscular/submuc abscess transanal anes
|
$9,979.20 |
$9,979.20 |
$9,979.20 |
$3,245.23
|
|
I&d lacrimal gland
|
$2,671.20 |
$2,671.20 |
$2,671.20 |
$1,435.20
|
|
I&d lacrimal sac
|
$6,871.20 |
$6,871.20 |
$6,871.20 |
$2,732.50
|
|
Iduc valve sply repl
|
$44.80 |
$44.80 |
$44.80 |
$44.80
|
|
I&d upper arm/elbow deep abscess/hematoma
|
$7,016.80 |
$7,016.80 |
$7,016.80 |
$3,355.20
|
|
Idursulfase injection
|
$5,646.08 |
$5,646.08 |
$5,646.08 |
$5,646.08
|
|
I & d vag hematoma non-ob 57023
|
$7,504.00 |
$7,504.00 |
$7,504.00 |
$3,444.42
|
|
I&d vag hemtma obst/postpart
|
$5,521.60 |
$5,521.60 |
$5,521.60 |
$3,334.38
|
|
Ifnl3 gene
|
$425.60 |
$425.60 |
$425.60 |
$147.20
|
|
Ifosfamide 1 gram intravenous solution
|
$213.11 |
$213.11 |
$213.11 |
$246.95
|
|
Igh@/bcl2 translocation alys
|
$347.20 |
$347.20 |
$347.20 |
$277.80
|
|
Igh gene rearrang dir probe
|
$436.80 |
$436.80 |
$436.80 |
$111.50
|
|
Igh gene rearrange amp meth
|
$31.50 |
$31.50 |
$504.00 |
$464.00
|
|
Igh@ var region somatic mutation analy
|
$61.50 |
$61.50 |
$957.60 |
$660.80
|
|
Igk rearrangeabn clonal pop
|
$28.50 |
$28.50 |
$481.60 |
$399.36
|
|
Ihc/icc per specimen each additional single antibody stain
|
$69.60 |
$69.60 |
$191.52 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$116.25 |
$116.25 |
$733.60 |
$328.79
|
|
Ihc/icc per specimen initial single antibody stain
|
$96.90 |
$96.90 |
$347.20 |
$272.30
|
|
Iiv3 vacc no prsv 0.25 ml im
|
$39.20 |
$39.20 |
$39.20 |
$37.44
|
|
Ikbkap gene
|
$4.72 |
$4.72 |
$193.76 |
$173.49
|
|
Iliac/fem angio cath insert
|
$32.40 |
$32.40 |
$2,576.00 |
$1,856.01
|
|
Iloprost non-comp unit dose
|
$289.52 |
$289.52 |
$289.52 |
$289.52
|
|
Imetelstat 188 mg intravenous solution
|
$4,403.25 |
$4,403.25 |
$16,813.77 |
$20,373.55
|
|
Img rta detcj/mntr ds staff
|
$141.68 |
$141.68 |
$141.68 |
$70.29
|
