|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$181.58 |
$181.58 |
$181.58 |
$138.70
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$32.40 |
$32.40 |
$32.40 |
$120.72
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$119.95 |
$119.95 |
$119.95 |
$72.65
|
|
Hysterosalpingography s&i
|
$1,673.28 |
$1,673.28 |
$1,673.28 |
$651.85
|
|
Iaadi respiratory synctial virus
|
$120.96 |
$120.96 |
$120.96 |
$49.40
|
|
Iadna legionella pneumophila amplified probe tq
|
$94.32 |
$94.32 |
$94.32 |
$109.00
|
|
Ia nfct ab sarscov2 covid19
|
$114.48 |
$114.48 |
$114.48 |
$62.49
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$1,366.16 |
$1,366.16 |
$1,366.16 |
$980.94
|
|
Icd cobalt xt dr MRI is1 df1
|
$36,720.00 |
$36,720.00 |
$36,720.00 |
$34,858.40
|
|
Icd crtd cobalt hf MRI is1 df1
|
$45,720.00 |
$45,720.00 |
$45,720.00 |
$39,070.50
|
|
Icd crtp serena MRI
|
$13,320.00 |
$13,320.00 |
$13,320.00 |
$14,360.25
|
|
Icd reliance df4 ib 64cm
|
$8,424.00 |
$8,424.00 |
$8,424.00 |
$9,297.68
|
|
I&d abscss rtrphryngl/paraphryngl intraorl apprch
|
$7,004.88 |
$7,004.88 |
$7,004.88 |
$3,771.20
|
|
Idet single level
|
$3,947.04 |
$3,947.04 |
$3,947.04 |
$3,347.50
|
|
Idh1 common variants
|
$856.80 |
$856.80 |
$856.80 |
$416.25
|
|
Idh2 common variants
|
$916.56 |
$916.56 |
$916.56 |
$511.97
|
|
Igh gene rearrange amp meth
|
$1,005.84 |
$1,005.84 |
$1,005.84 |
$464.25
|
|
Igh@ var region somatic mutation analy
|
$1,136.16 |
$1,136.16 |
$1,136.16 |
$660.80
|
|
Igk rearrangeabn clonal pop
|
$839.52 |
$839.52 |
$839.52 |
$399.36
|
|
Ihc/icc per specimen each additional single antibody stain
|
$480.24 |
$480.24 |
$480.24 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$705.60 |
$705.60 |
$705.60 |
$328.79
|
|
Ihc/icc per specimen initial single antibody stain
|
$417.60 |
$417.60 |
$417.60 |
$272.30
|
|
Iliac/fem angio cath insert
|
$3,326.40 |
$3,326.40 |
$3,326.40 |
$1,856.01
|
|
Iliac revasc add-on 37222
|
$5,636.16 |
$5,636.16 |
$5,636.16 |
$6,082.65
|
|
Immune complex assay
|
$109.44 |
$109.44 |
$109.44 |
$106.14
|
|
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution
|
$209.79 |
$209.79 |
$209.79 |
$3,846.15
|
|
Immunoassay tumor antigen quantitative ca 125
|
$246.96 |
$246.96 |
$246.96 |
$130.39
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$154.08 |
$154.08 |
$154.08 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$87.12 |
$87.12 |
$87.12 |
$48.36
|
|
Immunodiffusion nes
|
$108.00 |
$108.00 |
$108.00 |
$48.57
|
|
Immunofixation electrophoresis serum
|
$182.88 |
$182.88 |
$182.88 |
$140.70
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$419.76 |
$419.76 |
$419.76 |
$156.00
|
|
Immunofluorescence per specimen initial single antibody stain
|
$216.00 |
$216.00 |
$216.00 |
$234.27
|
|
Immunoglobulin assay
|
$259.92 |
$259.92 |
$259.92 |
$74.15
|
|
Implant neuroelectrodes
|
$13,528.08 |
$13,528.08 |
$13,528.08 |
$7,801.30
|
|
Implant ureth bulk agent
|
$2,376.00 |
$2,376.00 |
$2,376.00 |
$2,141.57
|
|
Impl neurostim electr perc
|
$14,176.08 |
$14,176.08 |
$14,176.08 |
$7,672.50
|
|
Implnt spinl canal catheter 62350
|
$9,419.76 |
$9,419.76 |
$9,419.76 |
$5,312.78
|
|
Impreg gauze no h20/sal/yard
|
$7.92 |
$7.92 |
$7.92 |
$11.90
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$3,499.92 |
$3,499.92 |
$3,499.92 |
$2,080.80
|
|
Incision of breast lesion
|
$3,499.92 |
$3,499.92 |
$3,499.92 |
$2,577.85
|
|
Incision of tongue fold
|
$5,109.84 |
$5,109.84 |
$5,109.84 |
$1,792.50
|
|
Infect ag drug suscept pheno predict
|
$624.24 |
$624.24 |
$624.24 |
$323.20
|
|
Infect ag eia influenza a or b ea
|
$253.44 |
$253.44 |
$253.44 |
$69.03
|
|
Infect ag genotype na cytomegalovirus
|
$1,125.36 |
$1,125.36 |
$1,125.36 |
$643.65
|
|
Infect ag genotype na hiv-1 other region
|
$981.36 |
$981.36 |
$981.36 |
$346.50
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$1,393.20 |
$1,393.20 |
$1,393.20 |
$603.75
|
|
Infect ag ia optc obs influenza
|
$176.40 |
$176.40 |
$176.40 |
$72.93
|
|
Infect ag if nos ea
|
$131.76 |
$131.76 |
$131.76 |
$74.88
|
|
Infect ag na herpes simplex quant
|
$358.56 |
$358.56 |
$358.56 |
$168.50
|
|
Infect ag na hpv high-risk types
|
$187.20 |
$187.20 |
$187.20 |
$139.20
|
|
Infect ag na influenza r/amp 1st 2 types
|
$357.84 |
$357.84 |
$357.84 |
$217.88
|
|
Infect ag na orthopoxvirus amp prb each
|
$99.36 |
$99.36 |
$99.36 |
$100.00
|
|
Infect ag na resp virus 12-25 targets
|
$1,699.20 |
$1,699.20 |
$1,699.20 |
$845.40
|
|
Infect ag phenotype na hiv-1 1-10 drugs
|
$615.60 |
$615.60 |
$615.60 |
$886.26
|
|
Infect ag phenotype na hiv-1 ea addl drg
|
$181.44 |
$181.44 |
$181.44 |
$75.63
|
|
Infectious agent antigen immunoassay direct optical observation sars-cov-2
|
$120.96 |
$120.96 |
$120.96 |
$53.00
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$392.40 |
$392.40 |
$392.40 |
$81.90
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$133.92 |
$133.92 |
$133.92 |
$69.44
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$209.52 |
$209.52 |
$209.52 |
$76.32
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$108.00 |
$108.00 |
$108.00 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$237.60 |
$237.60 |
$237.60 |
$95.34
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$288.72 |
$288.72 |
$288.72 |
$80.50
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$141.12 |
$141.12 |
$141.12 |
$60.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$303.12 |
$303.12 |
$303.12 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$182.88 |
$182.88 |
$182.88 |
$129.68
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$140.40 |
$140.40 |
$140.40 |
$98.02
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$118.08 |
$118.08 |
$118.08 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$262.80 |
$262.80 |
$262.80 |
$267.50
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$264.24 |
$264.24 |
$264.24 |
$137.67
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$461.52 |
$461.52 |
$461.52 |
$166.40
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$1,826.64 |
$1,826.64 |
$1,826.64 |
$861.00
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$379.44 |
$379.44 |
$379.44 |
$181.35
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$340.56 |
$340.56 |
$340.56 |
$150.15
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$223.20 |
$223.20 |
$223.20 |
$208.00
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$232.56 |
$232.56 |
$232.56 |
$135.80
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$421.92 |
$421.92 |
$421.92 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$346.32 |
$346.32 |
$346.32 |
$217.80
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$396.00 |
$396.00 |
$396.00 |
$236.08
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$144.00 |
$144.00 |
$144.00 |
$92.50
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$187.20 |
$187.20 |
$187.20 |
$108.21
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$1,282.32 |
$1,282.32 |
$1,282.32 |
$727.50
|
|
Infectious agent nucleic acid quantification bk virus
|
$478.80 |
$478.80 |
$478.80 |
$285.60
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$358.56 |
$358.56 |
$358.56 |
$237.70
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$708.48 |
$708.48 |
$708.48 |
$252.00
|
|
Infectious agent nucleic acid quantification hiv-1
|
$673.92 |
$673.92 |
$673.92 |
$373.60
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$464.40 |
$464.40 |
$464.40 |
$303.59
|
|
Infliximab 100 mg intravenous solution
|
$201.80 |
$201.80 |
$201.80 |
$2,043.22
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$163.52 |
$163.52 |
$163.52 |
$1,537.84
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$555.84 |
$555.84 |
$555.84 |
$293.25
|
|
Initiation & management bipap/cpap initial day
|
$828.72 |
$828.72 |
$828.72 |
$570.50
|
|
Inj., benralizumab, 1 mg
|
$464.28 |
$464.28 |
$464.28 |
$11,239.97
|
|
Inj cefazolin sodium, hikma
|
$14.85 |
$14.85 |
$14.85 |
$28.51
|
|
Inj cefazolin (wg crit care)
|
$12.80 |
$12.80 |
$12.80 |
$17.00
|
|
Inj cntr knee arthro incl ct/mri
|
$411.84 |
$411.84 |
$411.84 |
$436.80
|
|
Inj disk cerv-thor ea lev
|
$1,420.56 |
$1,420.56 |
$1,420.56 |
$957.60
|
|
Inj dx for sinogram
|
$1,245.60 |
$1,245.60 |
$1,245.60 |
$413.82
|
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
|
$1,577.52 |
$1,577.52 |
$1,577.52 |
$1,214.78
|
|
Injection arthrography hip without anesthesia (both sides)
|
$439.20 |
$439.20 |
$439.20 |
$500.50
|
|
Injection carpal tunnel therapeutic (both sides)
|
$637.92 |
$637.92 |
$637.92 |
$502.64
|
