|
Hydration IV infusion each additional hour
|
$94.63 |
$94.63 |
$94.63 |
$134.53
|
|
Hydration IV infusion initial 31minutes - 1 hour
|
$727.14 |
$727.14 |
$727.14 |
$394.40
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$50.14 |
$50.14 |
$50.14 |
$111.52
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$16.72 |
$16.72 |
$16.72 |
$112.22
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$24.14 |
$24.14 |
$24.14 |
$86.47
|
|
#hypersens-actinomyces ab
|
$15.07 |
$15.07 |
$15.07 |
$19.60
|
|
Hysterosalpingography s&i
|
$739.45 |
$739.45 |
$739.45 |
$629.46
|
|
I-123 iobenguane diag
|
$22,109.11 |
$22,109.11 |
$22,109.11 |
$5,730.40
|
|
I-123 sod iodide diag per 100 uci
|
$81.12 |
$81.12 |
$4,161.72 |
$158.05
|
|
I131 iodide cap, rx
|
$148.13 |
$148.13 |
$476.28 |
$91.83
|
|
Iaadi respiratory synctial virus
|
$123.55 |
$123.55 |
$123.55 |
$42.48
|
|
Ibuprofen injection
|
$216.00 |
$216.00 |
$216.00 |
$90.23
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$101.52 |
$101.52 |
$101.52 |
$891.89
|
|
Ifosfamide 1 gram intravenous solution
|
$3,902.04 |
$3,902.04 |
$3,902.04 |
$289.34
|
|
Igh gene rearrange amp meth
|
$286.31 |
$286.31 |
$286.31 |
$464.25
|
|
Igh@ var region somatic mutation analy
|
$143.84 |
$143.84 |
$143.84 |
$660.80
|
|
Ihc/icc per specimen each additional single antibody stain
|
$915.29 |
$915.29 |
$915.29 |
$191.75
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$134.03 |
$134.03 |
$134.03 |
$339.73
|
|
Ihc/icc per specimen initial single antibody stain
|
$915.29 |
$915.29 |
$915.29 |
$266.76
|
|
Immobilizer shldr dlx str 24-36in med
|
$80.00 |
$80.00 |
$80.00 |
$80.00
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$100.01 |
$100.01 |
$100.01 |
$5,617.36
|
|
Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution
|
$70.94 |
$70.94 |
$70.94 |
$2,568.72
|
|
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution
|
$3,132.49 |
$3,132.49 |
$3,132.49 |
$5,495.02
|
|
Immunoassay tumor antigen quantitative ca 125
|
$39.59 |
$39.59 |
$384.91 |
$123.50
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$51.62 |
$51.62 |
$384.91 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$17.73 |
$17.73 |
$29.70 |
$53.95
|
|
Immunodiffusion nes
|
$22.20 |
$22.20 |
$22.20 |
$53.76
|
|
Immunofixation electrophoresis serum
|
$116.18 |
$116.18 |
$426.49 |
$133.38
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$368.28 |
$368.28 |
$368.28 |
$156.00
|
|
Immunofluorescence per specimen initial single antibody stain
|
$36.08 |
$36.08 |
$36.08 |
$250.00
|
|
Immunoglobulin assay
|
$12.58 |
$12.58 |
$12.58 |
$74.00
|
|
Impedence cardiogram
|
$116.74 |
$116.74 |
$116.74 |
$121.55
|
|
In-111 ibritumomab tiux dx
|
$20,624.28 |
$20,624.28 |
$20,624.28 |
$3,217.50
|
|
In-111 oxyquinolin per 0.5 mci
|
$5,930.36 |
$5,930.36 |
$8,480.89 |
$2,808.00
|
|
In-111 pentetate dtpa / 0.5 mci
|
$5,434.26 |
$5,434.26 |
$5,757.20 |
$2,135.29
|
|
In-111 pentetreotide
|
$10,737.22 |
$10,737.22 |
$11,305.92 |
$6,617.05
|
|
Infect ag drug suscept pheno predict
|
$46.25 |
$46.25 |
$46.25 |
$325.00
|
|
Infect ag eia influenza a or b ea
|
$44.31 |
$44.31 |
$44.31 |
$69.03
|
|
Infect ag genotype na hiv-1 other region
|
$46.25 |
$46.25 |
$46.25 |
$301.50
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$138.75 |
$138.75 |
$211.46 |
$574.60
|
|
Infect ag if influenza a
|
$123.55 |
$123.55 |
$123.55 |
$40.61
|
|
Infect ag if influenza b
|
$123.55 |
$123.55 |
$123.55 |
$34.67
|
|
Infect ag if legionella pneumophila
|
$12.21 |
$12.21 |
$123.55 |
$75.79
|
|
Infect ag if nos ea
|
$12.21 |
$12.21 |
$12.21 |
$60.40
|
|
Infect ag if pneumocystis carinii
|
$9.62 |
$9.62 |
$226.91 |
$62.29
|
|
Infect ag if varicella zoster
|
$17.39 |
$17.39 |
$123.55 |
$66.00
|
|
Infect ag na hep b amp
|
$34.78 |
$34.78 |
$34.78 |
$108.44
|
|
Infect ag na herpes simplex quant
|
$57.35 |
$57.35 |
$57.35 |
$145.20
|
|
Infect ag na hpv high-risk types
|
$62.99 |
$62.99 |
$62.99 |
$139.75
|
|
Infect ag na influenza r/amp 1st 2 types
|
$186.48 |
$186.48 |
$512.03 |
$227.96
|
|
Infect ag na orthopoxvirus amp prb each
|
$31.45 |
$31.45 |
$98.60 |
$102.00
|
|
Infect ag na resp virus 12-25 targets
|
$2,882.09 |
$2,882.09 |
$2,882.09 |
$859.44
|
|
Infect ag phenotype na hiv-1 ea addl drg
|
$36.63 |
$36.63 |
$36.63 |
$77.00
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$31.64 |
$31.64 |
$31.64 |
$81.44
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$43.48 |
$43.48 |
$123.55 |
$80.05
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$43.48 |
$43.48 |
$123.55 |
$77.28
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$16.28 |
$16.28 |
$237.60 |
$83.50
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$32.47 |
$32.47 |
$32.47 |
$77.72
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$6.29 |
$6.29 |
$6.29 |
$55.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$40.79 |
$40.79 |
$446.69 |
$101.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$51.43 |
$51.43 |
$51.43 |
$132.60
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$28.51 |
$28.51 |
$54.02 |
$97.50
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$10.92 |
$10.92 |
$123.55 |
$60.00
|
|
Infectious agent nucleic acid amplified probe
|
$117.29 |
$117.29 |
$117.29 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$49.21 |
$49.21 |
$527.47 |
$141.48
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$68.73 |
$68.73 |
$68.73 |
$174.06
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$361.58 |
$361.58 |
$361.58 |
$178.00
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$54.39 |
$54.39 |
$54.39 |
$150.15
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$63.73 |
$63.73 |
$63.73 |
$210.00
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$49.21 |
$49.21 |
$527.47 |
$136.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$25.53 |
$25.53 |
$25.53 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$211.09 |
$211.09 |
$211.09 |
$248.15
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$62.35 |
$62.35 |
$62.35 |
$98.15
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$51.80 |
$51.80 |
$51.80 |
$112.45
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$122.10 |
$122.10 |
$122.10 |
$283.20
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$467.13 |
$467.13 |
$467.13 |
$489.50
|
|
Infectious agent nucleic acid quantification bk virus
|
$131.72 |
$131.72 |
$131.72 |
$285.66
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$35.89 |
$35.89 |
$35.89 |
$226.35
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$156.14 |
$156.14 |
$807.84 |
$278.78
|
|
Infectious agent nucleic acid quantification hiv-1
|
$36.63 |
$36.63 |
$36.63 |
$381.55
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$303.59 |
$303.59 |
$303.59 |
$298.35
|
|
Infliximab 100 mg intravenous solution
|
$124.62 |
$124.62 |
$7,801.92 |
$2,791.24
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$193.48 |
$193.48 |
$193.48 |
$1,654.83
|
|
Influenza dna amp prob addl
|
$54.85 |
$54.85 |
$54.85 |
$69.60
|
|
Influenza virus vaccine, inact hemagglutinin tiv pf inj
|
$179.28 |
$179.28 |
$179.28 |
$76.00
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$166.92 |
$166.92 |
$205.35 |
$359.64
|
|
Initiation & management bipap/cpap initial day
|
$340.22 |
$340.22 |
$340.22 |
$645.79
|
|
Inj, artesunate, 1mg
|
$20,169.00 |
$20,169.00 |
$20,169.00 |
$19,423.99
|
|
Inj calcitriol per 0.1 mcg
|
$4.83 |
$4.83 |
$102.60 |
$33.36
|
|
Inj, cefiderocol, 10 mg
|
$4.23 |
$4.23 |
$762.48 |
$718.84
|
|
Inj ceftolozane tazobactam
|
$207.62 |
$207.62 |
$275.40 |
$447.36
|
|
Inj crotalidae im f(ab')2 eq
|
$1,074.85 |
$1,074.85 |
$4,018.68 |
$2,836.95
|
|
Injection, cangrelor
|
$34.86 |
$34.86 |
$3,601.80 |
$2,546.20
|
|
Injection,onabotulinumtoxina
|
$15.98 |
$15.98 |
$3,672.00 |
$2,154.07
|
|
Injection, renflexis
|
$1,666.44 |
$1,666.44 |
$1,666.44 |
$1,457.42
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$238.00 |
$238.00 |
$238.00 |
$168.05
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$47.27 |
$47.27 |
$47.27 |
$154.05
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$257.24 |
$257.24 |
$257.24 |
$271.65
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$157.25 |
$157.25 |
$157.25 |
$141.60
|
|
Inj hrt cath w/s&i sel left vent
|
$900.86 |
$900.86 |
$900.86 |
$1,214.40
|