|
Hydration IV infusion each additional hour
|
$88.75 |
$88.75 |
$88.75 |
$134.53
|
|
Hydration IV infusion initial 31minutes - 1 hour
|
$175.00 |
$175.00 |
$175.00 |
$394.40
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$159.14 |
$159.14 |
$159.14 |
$120.06
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$121.31 |
$121.31 |
$121.31 |
$139.25
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$46.71 |
$46.71 |
$46.71 |
$87.60
|
|
Hydrxycorticsterds 17- (17-ohcs)
|
$31.25 |
$31.25 |
$31.25 |
$76.13
|
|
Hyoscyamine sulfate inj
|
$185.16 |
$185.16 |
$185.16 |
$203.94
|
|
Hyqvia 100mg immuneglobulin
|
$39.71 |
$39.71 |
$39.71 |
$18.39
|
|
Hysterosalpingography s&i
|
$300.00 |
$300.00 |
$300.00 |
$629.46
|
|
Hzv zoster vacc recombinant adjuvanted im inj
|
$866.35 |
$866.35 |
$866.35 |
$331.10
|
|
I-123 iobenguane diag
|
$5,724.24 |
$5,724.24 |
$5,724.24 |
$5,730.40
|
|
I-123 ioflupane diag
|
$3,923.52 |
$3,923.52 |
$3,923.52 |
$3,887.10
|
|
I-123 sod iodide diag per 100 uci
|
$0.75 |
$0.75 |
$0.75 |
$158.05
|
|
I131 iodide cap, rx
|
$8.28 |
$8.28 |
$8.28 |
$91.83
|
|
I131 iodide sol, rx
|
$24.84 |
$24.84 |
$24.84 |
$42.01
|
|
I-131 sod iodide sol diag per mci
|
$6.21 |
$6.21 |
$6.21 |
$135.45
|
|
Iadna legionella pneumophila amplified probe tq
|
$37.50 |
$37.50 |
$37.50 |
$125.25
|
|
Ibandronate 3 mg/3 ml intravenous syringe
|
$135.76 |
$135.76 |
$135.76 |
$839.85
|
|
Ibuprofen injection
|
$20.07 |
$20.07 |
$20.07 |
$86.20
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$43.40 |
$43.40 |
$43.40 |
$987.93
|
|
Icatibant injection
|
$3,139.64 |
$3,139.64 |
$3,139.64 |
$5,545.09
|
|
Icd cobalt xt dr MRI is1 df1
|
$15,142.09 |
$15,142.09 |
$15,142.09 |
$33,121.69
|
|
Icd crtd cobalt hf MRI is1 df1
|
$21,397.39 |
$21,397.39 |
$21,397.39 |
$35,622.20
|
|
Icd crtp serena MRI
|
$7,365.92 |
$7,365.92 |
$7,365.92 |
$14,208.75
|
|
Icd reliance df4 ib 64cm
|
$3,781.58 |
$3,781.58 |
$3,781.58 |
$8,640.60
|
|
Icut allergy test drug/bug
|
$35.00 |
$35.00 |
$35.00 |
$69.95
|
|
Idarubicin hcl injection
|
$433.28 |
$433.28 |
$433.28 |
$525.95
|
|
Idecabtagene vicleucel car
|
$2,016,000.00 |
$2,016,000.00 |
$2,016,000.00 |
$1,129,895.40
|
|
Idh1 common variants
|
$120.00 |
$120.00 |
$120.00 |
$415.35
|
|
Idh2 common variants
|
$185.00 |
$185.00 |
$185.00 |
$451.91
|
|
Ifosfamide 1 gram intravenous solution
|
$432.31 |
$432.31 |
$432.31 |
$294.81
|
|
Igh@ var region somatic mutation analy
|
$325.00 |
$325.00 |
$325.00 |
$660.80
|
|
Ihc/icc per specimen each additional single antibody stain
|
$81.25 |
$81.25 |
$81.25 |
$191.75
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$100.00 |
$100.00 |
$100.00 |
$339.73
|
|
Ihc/icc per specimen initial single antibody stain
|
$81.25 |
$81.25 |
$81.25 |
$266.76
|
|
Imetelstat 188 mg intravenous solution
|
$27,487.40 |
$27,487.40 |
$27,487.40 |
$22,624.59
|
|
Immobilizer shldr cntor adlt
|
$104.18 |
$104.18 |
$104.18 |
$154.00
|
|
Immobilizer shldr dlx str 24-36in med
|
$51.69 |
$51.69 |
$51.69 |
$97.20
|
|
Immune complex assay
|
$41.25 |
$41.25 |
$41.25 |
$88.80
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$45.64 |
$45.64 |
$45.64 |
$5,907.20
|
|
Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution
|
$9,150.32 |
$9,150.32 |
$9,150.32 |
$3,238.00
|
|
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution
|
$7,809.25 |
$7,809.25 |
$7,809.25 |
$5,208.03
|
|
Immunoassay tumor antigen quantitative ca 125
|
$57.50 |
$57.50 |
$57.50 |
$123.50
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$51.25 |
$51.25 |
$51.25 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$35.00 |
$35.00 |
$35.00 |
$53.95
|
|
Immunofixation electrophoresis serum
|
$32.50 |
$32.50 |
$32.50 |
$133.38
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$25.00 |
$25.00 |
$25.00 |
$156.00
|
|
Immunofluorescence per specimen initial single antibody stain
|
$100.00 |
$100.00 |
$100.00 |
$250.00
|
|
Immunoglobulin assay
|
$35.00 |
$35.00 |
$35.00 |
$74.00
|
|
Immunology procedure
|
$45.00 |
$45.00 |
$45.00 |
$281.45
|
|
Imported lipodox inj
|
$1,809.00 |
$1,809.00 |
$1,809.00 |
$679.76
|
|
Imuglucerase injection
|
$622.74 |
$622.74 |
$622.74 |
$454.04
|
|
In-111 autol wbc diag per dose
|
$2,435.54 |
$2,435.54 |
$2,435.54 |
$3,704.00
|
|
In-111 pentetate dtpa / 0.5 mci
|
$3,305.10 |
$3,305.10 |
$3,305.10 |
$2,135.29
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$597.50 |
$597.50 |
$597.50 |
$2,261.20
|
|
Incision tendon sheath
|
$1,075.00 |
$1,075.00 |
$1,075.00 |
$2,309.40
|
|
Incobotulinumtoxin a
|
$783.07 |
$783.07 |
$783.07 |
$1,217.44
|
|
Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s)
|
$68.75 |
$68.75 |
$68.75 |
$137.15
|
|
Infect ag drug suscept pheno predict
|
$100.00 |
$100.00 |
$100.00 |
$325.00
|
|
Infect ag eia influenza a or b ea
|
$35.00 |
$35.00 |
$35.00 |
$69.03
|
|
Infect ag genotype na dna hepatitis b
|
$200.00 |
$200.00 |
$200.00 |
$500.40
|
|
Infect ag genotype na hiv-1 other region
|
$150.00 |
$150.00 |
$150.00 |
$301.50
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$200.00 |
$200.00 |
$200.00 |
$574.60
|
|
Infect ag ia direct hiv-1 antgn
|
$43.75 |
$43.75 |
$43.75 |
$95.55
|
|
Infect ag ia optc obs influenza
|
$31.25 |
$31.25 |
$31.25 |
$66.72
|
|
Infect ag if influenza a
|
$14.00 |
$14.00 |
$14.00 |
$40.61
|
|
Infect ag if influenza b
|
$10.75 |
$10.75 |
$10.75 |
$34.67
|
|
Infect ag if legionella pneumophila
|
$31.25 |
$31.25 |
$31.25 |
$75.79
|
|
Infect ag if pneumocystis carinii
|
$35.00 |
$35.00 |
$35.00 |
$62.29
|
|
Infect ag if varicella zoster
|
$35.00 |
$35.00 |
$35.00 |
$66.00
|
|
Infect ag na herpes simplex quant
|
$43.75 |
$43.75 |
$43.75 |
$145.20
|
|
Infect ag na hpv high-risk types
|
$68.75 |
$68.75 |
$68.75 |
$139.75
|
|
Infect ag na influenza r/amp 1st 2 types
|
$37.50 |
$37.50 |
$37.50 |
$227.96
|
|
Infect ag na orthopoxvirus amp prb each
|
$27.50 |
$27.50 |
$27.50 |
$102.00
|
|
Infect ag phenotype na hiv-1 1-10 drugs
|
$200.00 |
$200.00 |
$200.00 |
$714.67
|
|
Infect ag phenotype na hiv-1 ea addl drg
|
$43.75 |
$43.75 |
$43.75 |
$77.00
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$35.00 |
$35.00 |
$35.00 |
$81.44
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$35.00 |
$35.00 |
$35.00 |
$63.60
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$35.00 |
$35.00 |
$35.00 |
$80.05
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$35.00 |
$35.00 |
$35.00 |
$77.28
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$35.00 |
$35.00 |
$35.00 |
$83.50
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$30.75 |
$30.75 |
$30.75 |
$77.72
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$27.50 |
$27.50 |
$27.50 |
$55.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$45.00 |
$45.00 |
$45.00 |
$101.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$36.50 |
$36.50 |
$36.50 |
$132.60
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$35.00 |
$35.00 |
$35.00 |
$97.50
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$35.00 |
$35.00 |
$35.00 |
$60.00
|
|
Infectious agent nucleic acid amplified probe
|
$50.00 |
$50.00 |
$50.00 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$37.50 |
$37.50 |
$37.50 |
$141.48
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$37.50 |
$37.50 |
$37.50 |
$174.06
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$250.00 |
$250.00 |
$250.00 |
$855.45
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$50.00 |
$50.00 |
$50.00 |
$178.00
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$32.50 |
$32.50 |
$32.50 |
$150.15
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$43.75 |
$43.75 |
$43.75 |
$210.00
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$37.50 |
$37.50 |
$37.50 |
$136.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$43.75 |
$43.75 |
$43.75 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$128.75 |
$128.75 |
$128.75 |
$248.15
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$36.25 |
$36.25 |
$36.25 |
$98.15
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$36.25 |
$36.25 |
$36.25 |
$112.45
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$216.25 |
$216.25 |
$216.25 |
$727.50
|