|
Hydroxocobalamin im 10mcg
|
$2.50 |
$2.50 |
$2.50 |
$4.86
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$78.88 |
$78.88 |
$78.88 |
$72.65
|
|
Hydrxycorticsterds 17- (17-ohcs)
|
$44.20 |
$44.20 |
$44.20 |
$73.45
|
|
Hymenotomy
|
$11,883.95 |
$11,883.95 |
$11,883.95 |
$4,358.89
|
|
Hymovis injection 1 mg
|
$559.26 |
$559.26 |
$559.26 |
$28.00
|
|
Hyoid myotomy & suspension
|
$3,967.60 |
$3,967.60 |
$3,967.60 |
$5,855.00
|
|
Hyoscyamine sulfate inj
|
$252.53 |
$252.53 |
$252.53 |
$123.83
|
|
Hyperthermia ext gen deep
|
$4,368.00 |
$4,368.00 |
$4,368.00 |
$1,683.20
|
|
Hyperthermia ext gen supfc
|
$1,474.85 |
$1,474.85 |
$1,474.85 |
$943.00
|
|
Hyperthermia gen intrcv prb
|
$3,242.85 |
$3,242.85 |
$3,242.85 |
$1,173.60
|
|
Hyperthermia ntrstl prb 5/<
|
$3,242.85 |
$3,242.85 |
$3,242.85 |
$1,803.20
|
|
Hyperthermia ntrstl prb>5
|
$3,242.85 |
$3,242.85 |
$3,242.85 |
$759.77
|
|
Hyqvia 100mg immuneglobulin
|
$57.37 |
$57.37 |
$57.37 |
$13,494.15
|
|
Hysterectomy/revise vagina 58275
|
$4,427.80 |
$4,427.80 |
$4,427.80 |
$1,827.00
|
|
Hysterectomy/revise vagina 58280
|
$4,765.80 |
$4,765.80 |
$4,765.80 |
$1,955.40
|
|
Hysteroplasty 58540
|
$4,084.60 |
$4,084.60 |
$4,084.60 |
$1,686.00
|
|
Hysterosalpingography s&i
|
$1,454.05 |
$1,454.05 |
$1,454.05 |
$669.60
|
|
Hysteroscopy ablation
|
$18,450.25 |
$18,450.25 |
$18,450.25 |
$5,865.75
|
|
Hysteroscopy biopsy
|
$11,883.95 |
$11,883.95 |
$11,883.95 |
$5,419.00
|
|
Hysteroscopy dx sep proc
|
$11,883.95 |
$11,883.95 |
$11,883.95 |
$3,997.50
|
|
Hysteroscopy lysis
|
$1,352.00 |
$1,352.00 |
$1,352.00 |
$5,766.75
|
|
Hysteroscopy remove fb
|
$11,883.95 |
$11,883.95 |
$11,883.95 |
$4,719.18
|
|
Hysteroscopy remove myoma
|
$18,450.25 |
$18,450.25 |
$18,450.25 |
$5,463.96
|
|
Hysteroscopy resect septum
|
$1,495.00 |
$1,495.00 |
$1,495.00 |
$5,766.75
|
|
Hysterotomy abdominal 59100
|
$3,476.20 |
$3,476.20 |
$3,476.20 |
$4,881.00
|
|
Hzv zoster vacc recombinant adjuvanted im inj
|
$549.18 |
$549.18 |
$549.18 |
$352.24
|
|
I-123 iobenguane diag
|
$6,303.70 |
$6,303.70 |
$6,303.70 |
$5,170.70
|
|
I-123 ioflupane diag
|
$3,003.00 |
$3,003.00 |
$3,003.00 |
$4,158.00
|
|
I-123 sod iodide diag per 100 uci
|
$150.15 |
$150.15 |
$150.15 |
$147.46
|
|
I131 iodide cap, rx
|
$128.70 |
$128.70 |
$128.70 |
$71.70
|
|
I131 serum albumin, dx
|
$128.70 |
$128.70 |
$128.70 |
$847.84
|
|
I-131 sod iodide sol diag per mci
|
$117.00 |
$117.00 |
$117.00 |
$114.60
|
|
Iadna legionella pneumophila amplified probe tq
|
$40.30 |
$40.30 |
$40.30 |
$109.80
|
|
Ia infect ag ab qual/semiquant sgl step
|
$41.60 |
$41.60 |
$41.60 |
$50.60
|
|
Ibandronate 3 mg/3 ml intravenous syringe
|
$401.05 |
$401.05 |
$401.05 |
$684.45
|
|
Ibuprofen injection
|
$386.10 |
$386.10 |
$386.10 |
$256.76
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$131.00 |
$131.00 |
$131.00 |
$980.94
|
|
Icatibant injection
|
$8,695.05 |
$8,695.05 |
$8,695.05 |
$8,695.05
|
|
Icd cobalt xt dr MRI is1 df1
|
$47,177.65 |
$47,177.65 |
$47,177.65 |
$34,093.09
|
|
Icd crtd cobalt hf MRI is1 df1
|
$46,312.50 |
$46,312.50 |
$46,312.50 |
$38,711.25
|
|
Icd crtp serena MRI
|
$18,727.80 |
$18,727.80 |
$18,727.80 |
$14,360.25
|
|
Icd reliance df4 ib 64cm
|
$5,525.00 |
$5,525.00 |
$5,525.00 |
$9,264.83
|
|
Icut allergy test-delayed
|
$31.20 |
$31.20 |
$31.20 |
$46.45
|
|
Icut allergy test drug/bug
|
$105.95 |
$105.95 |
$105.95 |
$70.29
|
|
Icut allergy titrate-airborn
|
$3.25 |
$3.25 |
$3.25 |
$29.55
|
|
I&d abscess posterior spine l/s/ls-22015
|
$3,286.40 |
$3,286.40 |
$3,286.40 |
$2,286.40
|
|
I&d abscss rtrphryngl/paraphryngl intraorl apprch
|
$1,640.60 |
$1,640.60 |
$1,640.60 |
$3,592.74
|
|
Idarubicin hcl injection
|
$36.15 |
$36.15 |
$36.15 |
$447.02
|
|
I&d/bursa/foot 28001
|
$520.00 |
$520.00 |
$520.00 |
$1,917.33
|
|
Idecabtagene vicleucel car
|
$33,955.69 |
$33,955.69 |
$33,955.69 |
$1,129,895.40
|
|
Identify sperm tissue
|
$1,215.50 |
$1,215.50 |
$1,215.50 |
$157.60
|
|
Idet 1 or more levels
|
$787.80 |
$787.80 |
$787.80 |
$4,649.60
|
|
Idet single level
|
$1,521.00 |
$1,521.00 |
$1,521.00 |
$3,347.50
|
|
I&d frarm&/wrst deep absc/hematoma
|
$1,401.40 |
$1,401.40 |
$1,401.40 |
$3,839.54
|
|
Idh1 common variants
|
$570.70 |
$570.70 |
$570.70 |
$415.35
|
|
Idh2 common variants
|
$570.70 |
$570.70 |
$570.70 |
$486.00
|
|
I&d intramural/intramuscular/submuc abscess transanal anes
|
$10,249.85 |
$10,249.85 |
$10,249.85 |
$3,245.23
|
|
I&d lacrimal gland
|
$452.40 |
$452.40 |
$452.40 |
$1,435.20
|
|
I&d lacrimal sac
|
$611.00 |
$611.00 |
$611.00 |
$2,760.73
|
|
I&d upper arm/elbow deep abscess/hematoma
|
$777.40 |
$777.40 |
$777.40 |
$3,371.02
|
|
Idursulfase injection
|
$2,519.32 |
$2,519.32 |
$2,519.32 |
$5,646.08
|
|
I & d vag hematoma non-ob 57023
|
$1,346.80 |
$1,346.80 |
$1,346.80 |
$3,435.60
|
|
I&d vag hemtma obst/postpart
|
$3,141.45 |
$3,141.45 |
$3,141.45 |
$3,370.52
|
|
Ifnl3 gene
|
$314.60 |
$314.60 |
$314.60 |
$147.20
|
|
Ifosfamide 1 gram intravenous solution
|
$395.85 |
$395.85 |
$395.85 |
$246.95
|
|
Igh gene rearrang dir probe
|
$400.40 |
$400.40 |
$400.40 |
$111.50
|
|
Igh gene rearrange amp meth
|
$1,013.35 |
$1,013.35 |
$1,013.35 |
$464.25
|
|
Igh@ var region somatic mutation analy
|
$558.35 |
$558.35 |
$558.35 |
$660.80
|
|
Igk rearrangeabn clonal pop
|
$913.90 |
$913.90 |
$913.90 |
$399.36
|
|
Ihc/icc per specimen each additional single antibody stain
|
$167.05 |
$167.05 |
$167.05 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$233.35 |
$233.35 |
$233.35 |
$331.86
|
|
Ihc/icc per specimen initial single antibody stain
|
$196.30 |
$196.30 |
$196.30 |
$278.40
|
|
Ikbkap gene
|
$70.20 |
$70.20 |
$70.20 |
$172.70
|
|
Ileostomy/jejunostomy non-tube 44310
|
$5,031.00 |
$5,031.00 |
$5,031.00 |
$1,976.40
|
|
Iliac/fem angio cath insert
|
$5,598.45 |
$5,598.45 |
$5,598.45 |
$1,856.01
|
|
Iliac revasc add-on 37222
|
$6,068.40 |
$6,068.40 |
$6,068.40 |
$6,082.65
|
|
Imbrication/diaphragm/transthor/transabd 39545
|
$3,814.20 |
$3,814.20 |
$3,814.20 |
$1,728.00
|
|
Imetelstat 188 mg intravenous solution
|
$32,477.90 |
$32,477.90 |
$32,477.90 |
$20,373.55
|
|
Img rta detc/mntr ds poc aly
|
$221.65 |
$221.65 |
$221.65 |
$71.25
|
|
Immob elbow child sm
|
$50.31 |
$50.31 |
$50.31 |
$85.39
|
|
Immobilizer shldr dlx str 24-36in med
|
$83.20 |
$83.20 |
$83.20 |
$115.75
|
|
Immt breast prosthesis 19340
|
$2,724.80 |
$2,724.80 |
$2,724.80 |
$4,883.20
|
|
Immune complex assay
|
$84.50 |
$84.50 |
$84.50 |
$101.60
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$70.20 |
$70.20 |
$70.20 |
$6,106.32
|
|
Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution
|
$5,326.31 |
$5,326.31 |
$5,326.31 |
$2,900.11
|
|
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution
|
$45.45 |
$45.45 |
$45.45 |
$3,846.15
|
|
Immune globulin ig human im use 90281
|
$143.00 |
$143.00 |
$143.00 |
$92.00
|
|
Immunoassay tumor antigen quantitative ca 125
|
$120.90 |
$120.90 |
$120.90 |
$132.00
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$110.50 |
$110.50 |
$110.50 |
$116.50
|
|
Immunodiff gel qual ea antigen/ab
|
$63.05 |
$63.05 |
$63.05 |
$48.57
|
|
Immunodiffusion nes
|
$73.45 |
$73.45 |
$73.45 |
$53.76
|
|
Immunofixation electrophoresis serum
|
$46.80 |
$46.80 |
$46.80 |
$142.50
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$292.50 |
$292.50 |
$292.50 |
$154.05
|
|
Immunofluorescence per specimen initial single antibody stain
|
$319.15 |
$319.15 |
$319.15 |
$234.27
|
|
Immunoglobulin assay
|
$134.55 |
$134.55 |
$134.55 |
$78.00
|
|
Immunology procedure
|
$204.10 |
$204.10 |
$204.10 |
$154.95
|
|
Immunotherapy 2/> injections
|
$26.00 |
$26.00 |
$26.00 |
$40.00
|
|
Impedence cardiogram
|
$121.55 |
$121.55 |
$121.55 |
$152.54
|
|
Impl absrb msh/prsth dly cls
|
$1,833.00 |
$1,833.00 |
$1,833.00 |
$750.40
|
|
Implant 11 volt lithium-ion backup battery for controller pocket
|
$2,193.75 |
$2,193.75 |
$2,193.75 |
$1,754.00
|
