|
Hip X-ray
|
$2,024.77 |
$2,024.77 |
$2,024.77 |
$290.72
|
|
Histamine
|
$376.03 |
$376.03 |
$376.03 |
$122.76
|
|
Hla ii typing 1 loc hr
|
$1,574.93 |
$1,574.93 |
$1,574.93 |
$323.40
|
|
Hla i low res one antigen equiv ea
|
$946.51 |
$946.51 |
$946.51 |
$164.00
|
|
Hocm 350-399mg/ml iodine,1ml
|
$68.86 |
$68.86 |
$68.86 |
$68.86
|
|
Homocysteine
|
$228.20 |
$228.20 |
$228.20 |
$107.62
|
|
Homogenization tissue
|
$74.88 |
$74.88 |
$74.88 |
$39.20
|
|
Hyaluronidase 150 unit/ml injection solution
|
$286.52 |
$286.52 |
$286.52 |
$152.81
|
|
Hydralazine 20 mg/ml injection solution
|
$198.83 |
$198.83 |
$198.83 |
$56.70
|
|
Hydration IV infusion each additional hour
|
$284.56 |
$284.56 |
$284.56 |
$136.18
|
|
Hydration IV infusion initial 31minutes - 1 hour
|
$844.11 |
$844.11 |
$844.11 |
$394.40
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$1,102.59 |
$1,102.59 |
$1,102.59 |
$88.01
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$366.07 |
$366.07 |
$366.07 |
$86.47
|
|
Hyoscyamine sulfate inj
|
$1,361.73 |
$1,361.73 |
$1,361.73 |
$229.27
|
|
Ibandronate 3 mg/3 ml intravenous syringe
|
$1,557.44 |
$1,557.44 |
$1,557.44 |
$839.85
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$1,493.20 |
$1,493.20 |
$1,493.20 |
$918.69
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$21,776.20 |
$21,776.20 |
$21,776.20 |
$4,733.76
|
|
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution
|
$55,745.54 |
$55,745.54 |
$55,745.54 |
$5,702.80
|
|
Immunoassay tumor antigen quantitative ca 125
|
$265.00 |
$265.00 |
$265.00 |
$125.43
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$265.00 |
$265.00 |
$265.00 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$152.55 |
$152.55 |
$152.55 |
$51.21
|
|
Immunofixation electrophoresis serum
|
$70.37 |
$70.37 |
$70.37 |
$133.38
|
|
Immunology procedure
|
$322.49 |
$322.49 |
$322.49 |
$287.70
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$4,668.14 |
$4,668.14 |
$4,668.14 |
$2,224.62
|
|
Infect ag ia direct hiv-1 antgn
|
$242.07 |
$242.07 |
$242.07 |
$95.55
|
|
Infect ag na influenza r/amp 1st 2 types
|
$935.62 |
$935.62 |
$935.62 |
$227.50
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$191.60 |
$191.60 |
$191.60 |
$81.60
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$59.51 |
$59.51 |
$59.51 |
$80.05
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$59.51 |
$59.51 |
$59.51 |
$77.01
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$56.30 |
$56.30 |
$56.30 |
$83.60
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$131.54 |
$131.54 |
$131.54 |
$78.51
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$34.68 |
$34.68 |
$34.68 |
$55.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$88.42 |
$88.42 |
$88.42 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$191.71 |
$191.71 |
$191.71 |
$135.85
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$152.55 |
$152.55 |
$152.55 |
$60.00
|
|
Infectious agent nucleic acid amplified probe
|
$446.83 |
$446.83 |
$446.83 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$446.83 |
$446.83 |
$446.83 |
$141.12
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$474.59 |
$474.59 |
$474.59 |
$174.06
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$446.83 |
$446.83 |
$446.83 |
$175.00
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$446.83 |
$446.83 |
$446.83 |
$150.15
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$446.83 |
$446.83 |
$446.83 |
$133.60
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$653.37 |
$653.37 |
$653.37 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$1,816.24 |
$1,816.24 |
$1,816.24 |
$218.40
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$1,816.24 |
$1,816.24 |
$1,816.24 |
$241.15
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$322.18 |
$322.18 |
$322.18 |
$97.50
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$446.83 |
$446.83 |
$446.83 |
$110.53
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$1,447.43 |
$1,447.43 |
$1,447.43 |
$727.50
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$1,633.63 |
$1,633.63 |
$1,633.63 |
$270.27
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$3,348.88 |
$3,348.88 |
$3,348.88 |
$515.40
|
|
Infectious agent nucleic acid quantification bk virus
|
$545.52 |
$545.52 |
$545.52 |
$285.66
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$545.52 |
$545.52 |
$545.52 |
$212.30
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$545.52 |
$545.52 |
$545.52 |
$278.78
|
|
Infectious agent nucleic acid quantification hiv-1
|
$1,083.66 |
$1,083.66 |
$1,083.66 |
$381.55
|
|
Initiation & management bipap/cpap initial day
|
$2,604.66 |
$2,604.66 |
$2,604.66 |
$641.55
|
|
Inj., benralizumab, 1 mg
|
$53,085.14 |
$53,085.14 |
$53,085.14 |
$17,622.23
|
|
Inj, bezlotoxumab, 10 mg
|
$11,902.81 |
$11,902.81 |
$11,902.81 |
$9,702.65
|
|
Inj cefazolin sodium, hikma
|
$140.46 |
$140.46 |
$140.46 |
$56.70
|
|
Inj, durolane 1 mg
|
$5,616.96 |
$5,616.96 |
$5,616.96 |
$3,382.31
|
|
Injection, daratumumab 10 mg
|
$10,759.50 |
$10,759.50 |
$10,759.50 |
$5,536.46
|
|
Injection, fulvestrant
|
$7,077.79 |
$7,077.79 |
$7,077.79 |
$2,744.26
|
|
Injection, inclisiran, 1 mg
|
$37,549.89 |
$37,549.89 |
$37,549.89 |
$10,192.95
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$2,570.51 |
$2,570.51 |
$2,570.51 |
$1,471.50
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$2,570.51 |
$2,570.51 |
$2,570.51 |
$1,017.28
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$1,945.68 |
$1,945.68 |
$1,945.68 |
$548.80
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$279.80 |
$279.80 |
$279.80 |
$175.35
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$313.27 |
$313.27 |
$313.27 |
$154.05
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$370.65 |
$370.65 |
$370.65 |
$271.65
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$265.43 |
$265.43 |
$265.43 |
$143.59
|
|
Inj efgart-alfa 2mg hya-qvfc
|
$171,628.11 |
$171,628.11 |
$171,628.11 |
$66,229.74
|
|
Inj, fulvestrant (fresenius)
|
$1,446.20 |
$1,446.20 |
$1,446.20 |
$1,713.99
|
|
Inj glycopyrrolate fres kabi
|
$97.62 |
$97.62 |
$97.62 |
$96.70
|
|
Inj ivig privigen 500 mg
|
$59,011.49 |
$59,011.49 |
$59,011.49 |
$7,173.90
|
|
Inj mepivacaine hcl/10 ml
|
$18.92 |
$18.92 |
$18.92 |
$28.41
|
|
Inj multihance
|
$410.96 |
$410.96 |
$410.96 |
$119.25
|
|
Inj secukinumab intrav 1mg
|
$23,490.28 |
$23,490.28 |
$23,490.28 |
$9,077.39
|
|
Inj, spesolimab-sbzo, 1 mg
|
$567,475.17 |
$567,475.17 |
$567,475.17 |
$253,022.14
|
|
Inj testosterone cypionate
|
$225.68 |
$225.68 |
$225.68 |
$77.70
|
|
Inj, tislelizumab-jsgr
|
$38,006.30 |
$38,006.30 |
$38,006.30 |
$45,250.97
|
|
Inj, vancomycin hcl (mylan)
|
$70.39 |
$70.39 |
$70.39 |
$63.82
|
|
Inj, vegzelma, 10 mg
|
$10,927.67 |
$10,927.67 |
$10,927.67 |
$12,762.71
|
|
Insertion catheter bladder non indwelling
|
$1,792.70 |
$1,792.70 |
$1,792.70 |
$237.13
|
|
Insertion catheter bladder temporary simple
|
$552.39 |
$552.39 |
$552.39 |
$270.40
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$7,221.44 |
$7,221.44 |
$7,221.44 |
$2,600.91
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$18,578.85 |
$18,578.85 |
$18,578.85 |
$2,515.80
|
|
Instill, bupivac and meloxic
|
$1,516.51 |
$1,516.51 |
$1,516.51 |
$1,127.61
|
|
Insulin total
|
$39.69 |
$39.69 |
$39.69 |
$67.50
|
|
Intrinsic factor antibody
|
$192.02 |
$192.02 |
$192.02 |
$59.95
|
|
Intubation endotracheal emergency procedure
|
$694.55 |
$694.55 |
$694.55 |
$609.40
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$492.98 |
$492.98 |
$492.98 |
$155.12
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$768.29 |
$768.29 |
$768.29 |
$163.53
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$43,283.16 |
$43,283.16 |
$43,283.16 |
$52,277.70
|
|
Ipratropium bromide non-comp
|
$11.41 |
$11.41 |
$11.41 |
$9.07
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$264.55 |
$264.55 |
$264.55 |
$227.39
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$3,783.14 |
$3,783.14 |
$3,783.14 |
$6,348.69
|
|
Iron
|
$221.87 |
$221.87 |
$221.87 |
$71.50
|
|
Iron binding capacity
|
$30.36 |
$30.36 |
$30.36 |
$61.92
|
|
Iron dextran 50 mg/ml injection solution
|
$214.04 |
$214.04 |
$214.04 |
$65.63
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$562.77 |
$562.77 |
$562.77 |
$200.51
|
|
Isatuximab-irfc 20 mg/ml intravenous solution
|
$13,121.82 |
$13,121.82 |
$13,121.82 |
$13,121.82
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$181.74 |
$181.74 |
$181.74 |
$191.75
|