|
Hymovis injection 1 mg
|
$28.00 |
$1,282.37 |
$1,282.37 |
|
|
Hyoid myotomy & suspension
|
$2,443.20 |
$2,443.20 |
$2,443.20 |
|
|
Hyoscyamine sulfate inj
|
$43.48 |
$185.16 |
$185.16 |
|
|
Hyperbaric oxygen therapy
|
$191.25 |
$603.00 |
$3,308.40 |
|
|
#hypersens-actinomyces ab
|
$29.40 |
$74.20 |
$120.40 |
|
|
Hyperthermia ext gen deep
|
$1,683.20 |
$1,683.20 |
$1,683.20 |
|
|
Hyperthermia ext gen supfc
|
$1,002.40 |
$6,412.00 |
$6,412.00 |
|
|
Hyperthermia gen intrcv prb
|
$1,173.60 |
$1,173.60 |
$1,173.60 |
|
|
Hyperthermia ntrstl prb 5/<
|
$1,803.20 |
$1,803.20 |
$1,803.20 |
|
|
Hyperthermia ntrstl prb>5
|
$1,995.20 |
$1,995.20 |
$1,995.20 |
|
|
Hypnotherapy
|
$28.20 |
$28.20 |
$244.80 |
|
|
Hypothermia ill neonate
|
$414.40 |
$830.40 |
$9,443.52 |
|
|
Hyqvia 100mg immuneglobulin
|
$39.71 |
$39.71 |
$13,055.02 |
|
|
Hysterectomy/revise vagina 58275
|
$1,918.20 |
$1,918.20 |
$1,918.20 |
|
|
Hysterectomy/revise vagina 58280
|
$2,053.20 |
$2,053.20 |
$2,053.20 |
|
|
Hysteroplasty 58540
|
$1,770.60 |
$1,770.60 |
$1,770.60 |
|
|
Hysterorrhaphy of ruptured uterus 59350
|
$460.20 |
$460.20 |
$77,371.43 |
|
|
Hysterosalpingography s&i
|
$300.00 |
$865.00 |
$1,673.28 |
|
|
Hysteroscopy ablation
|
$661.60 |
$18,692.65 |
$48,718.68 |
|
|
Hysteroscopy biopsy
|
$627.20 |
$17,885.85 |
$24,166.37 |
|
|
Hysteroscopy dx sep proc
|
$381.60 |
$9,029.40 |
$24,568.38 |
|
|
Hysteroscopy lysis
|
$670.20 |
$719.20 |
$25,944.46 |
|
|
Hysteroscopy remove fb
|
$558.40 |
$9,070.54 |
$23,187.78 |
|
|
Hysteroscopy remove myoma
|
$971.20 |
$19,882.44 |
$29,754.59 |
|
|
Hysteroscopy resect septum
|
$756.00 |
$790.40 |
$27,903.50 |
|
|
Hysterotomy abdominal 59100
|
$1,639.20 |
$1,639.20 |
$2,051.20 |
|
|
Hzv zoster vacc recombinant adjuvanted im inj
|
$134.19 |
$186.20 |
$1,858.15 |
|
|
I-123 iobenguane diag
|
$4,305.40 |
$8,227.80 |
$8,227.80 |
|
|
I-123 ioflupane diag
|
$2,045.67 |
$3,680.00 |
$10,017.70 |
|
|
I-123 sod iodide diag per 100 uci
|
$0.75 |
$223.20 |
$361.20 |
|
|
I-131 iobenguane sulf diag mibg
|
$1,986.60 |
$2,438.40 |
$2,438.40 |
|
|
I131 iodide cap, rx
|
$8.28 |
$215.00 |
$341.40 |
|
|
I131 iodide sol, rx
|
$21.12 |
$254.80 |
$254.80 |
|
|
I131 max 100uci
|
$20.46 |
$177.10 |
$177.10 |
|
|
I-131 sod iodide sol diag per mci
|
$6.21 |
$693.00 |
$693.00 |
|
|
Iaadi respiratory synctial virus
|
$33.60 |
$109.20 |
$399.00 |
|
|
Iadna legionella pneumophila amplified probe tq
|
$37.50 |
$142.80 |
$373.68 |
|
|
Ia infect ag ab qual/semiquant sgl step
|
$48.57 |
$70.70 |
$169.40 |
|
|
Ia nfct ab sarscov2 covid19
|
$91.20 |
$114.48 |
$114.48 |
|
|
Ibandronate 3 mg/3 ml intravenous syringe
|
$135.76 |
$170.45 |
$3,857.70 |
|
|
Ibmfs seq alys pnl 30 genes
|
$2,350.62 |
$5,656.70 |
$5,656.70 |
|
|
Ibuprofen injection
|
$20.07 |
$20.07 |
$63.55 |
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$43.40 |
$1,004.00 |
$1,938.30 |
|
|
Icatibant injection
|
$914.99 |
$3,139.64 |
$32,954.07 |
|
|
Icd cobalt xt dr MRI is1 df1
|
$12,544.69 |
$32,319.18 |
$130,426.90 |
|
|
Icd crtd cobalt hf MRI is1 df1
|
$21,397.39 |
$42,525.00 |
$199,472.50 |
|
|
Icd crtp serena MRI
|
$7,365.92 |
$11,880.00 |
$82,305.23 |
|
|
Icd reliance df4 ib 64cm
|
$3,781.58 |
$8,608.66 |
$90,468.28 |
|
|
Icg angiography i&r uni/bi
|
$456.00 |
$456.00 |
$456.00 |
|
|
Icut allergy test-delayed
|
$37.60 |
$37.60 |
$64.80 |
|
|
Icut allergy test drug/bug
|
$24.00 |
$35.00 |
$35.00 |
|
|
Icut allergy titrate-airborn
|
$14.40 |
$14.40 |
$14.40 |
|
|
I&d abscess posterior spine l/s/ls-22015
|
$1,403.40 |
$1,403.40 |
$2,286.40 |
|
|
I&d abscss rtrphryngl/paraphryngl intraorl apprch
|
$894.60 |
$5,713.20 |
$7,931.52 |
|
|
Idarubicin hcl injection
|
$52.48 |
$433.28 |
$1,174.07 |
|
|
I&d/bursa/foot 28001
|
$521.40 |
$521.40 |
$1,790.00 |
|
|
Idecabtagene vicleucel car
|
$304,031.68 |
$304,031.68 |
$2,910,017.50 |
|
|
Identify sperm tissue
|
$157.60 |
$157.60 |
$157.60 |
|
|
Idet 1 or more levels
|
$4,347.60 |
$4,347.60 |
$7,601.60 |
|
|
Idet single level
|
$2,731.80 |
$3,947.04 |
$15,196.80 |
|
|
I&d frarm&/wrst deep absc/hematoma
|
$986.40 |
$2,965.20 |
$2,965.20 |
|
|
Idh1 common variants
|
$120.00 |
$586.80 |
$1,414.70 |
|
|
Idh2 common variants
|
$185.00 |
$879.60 |
$1,414.70 |
|
|
I&d intramural/intramuscular/submuc abscess transanal anes
|
$807.00 |
$1,077.60 |
$19,817.78 |
|
|
I&d lacrimal gland
|
$1,435.20 |
$1,435.20 |
$1,435.20 |
|
|
I&d lacrimal sac
|
$1,619.20 |
$4,734.80 |
$4,734.80 |
|
|
I&d upper arm/elbow deep abscess/hematoma
|
$492.00 |
$1,745.60 |
$3,035.00 |
|
|
Idursulfase injection
|
$5,750.41 |
$5,750.41 |
$13,533.62 |
|
|
I & d vag hematoma non-ob 57023
|
$605.40 |
$605.40 |
$83,057.93 |
|
|
I&d vag hemtma obst/postpart
|
$327.00 |
$327.00 |
$6,181.92 |
|
|
Ifnl3 gene
|
$147.20 |
$950.40 |
$1,500.00 |
|
|
Ifosfamide 1 gram intravenous solution
|
$122.47 |
$328.82 |
$3,148.95 |
|
|
Igh gene rearrang dir probe
|
$137.60 |
$777.70 |
$1,077.84 |
|
|
Igh gene rearrange amp meth
|
$444.80 |
$910.00 |
$1,927.80 |
|
|
Igh@ var region somatic mutation analy
|
$227.04 |
$960.00 |
$2,336.00 |
|
|
Igk rearrangeabn clonal pop
|
$345.60 |
$558.80 |
$1,230.48 |
|
|
Ihc/icc per specimen each additional single antibody stain
|
$73.80 |
$277.20 |
$20,276.68 |
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$100.00 |
$380.00 |
$32,880.81 |
|
|
Ihc/icc per specimen initial single antibody stain
|
$81.25 |
$330.00 |
$16,106.66 |
|
|
Iiv3 vacc no prsv 0.25 ml im
|
$23.20 |
$23.20 |
$23.20 |
|
|
Ikbkap gene
|
$41.58 |
$1,662.50 |
$2,695.20 |
|
|
Ileostomy/jejunostomy non-tube 44310
|
$1,976.40 |
$1,976.40 |
$92,056.12 |
|
|
Iliac bone graft microvasc
|
$6,512.80 |
$6,512.80 |
$6,512.80 |
|
|
Iliac/fem angio cath insert
|
$917.40 |
$2,931.50 |
$5,924.88 |
|
|
Iliac revasc add-on 37222
|
$1,740.00 |
$6,631.10 |
$64,024.61 |
|
|
Iloprost non-comp unit dose
|
$0.49 |
$0.49 |
$0.49 |
|
|
Imatinib 100 mg tab
|
$207.25 |
$207.25 |
$207.25 |
|
|
Imbrication/diaphragm/transthor/transabd 39545
|
$1,728.00 |
$1,728.00 |
$2,181.60 |
|
|
Imetelstat 188 mg intravenous solution
|
$87.02 |
$18,478.85 |
$65,179.27 |
|
|
Img rta detcj/mntr ds staff
|
$32.00 |
$32.00 |
$32.00 |
|
|
Img rta detc/mntr ds phy/qhp
|
$71.20 |
$71.20 |
$71.20 |
|
|
Img rta detc/mntr ds poc aly
|
$120.00 |
$120.00 |
$120.00 |
|
|
Immob elbow child sm
|
$30.00 |
$126.70 |
$126.70 |
|
|
Immobilizer lwr extrem nylon 20in reinforc 21-35in
|
$23.76 |
$307.80 |
$410.40 |
|
|
Immobilizer shldr cntor adlt
|
$7.20 |
$585.60 |
$883.40 |
|
|
Immobilizer shldr dlx str 24-36in med
|
$32.44 |
$169.20 |
$1,036.84 |
|
|
Immobilizer shldr sling med
|
$44.40 |
$307.80 |
$410.40 |
|
|
Immt breast prosthesis 19340
|
$1,815.00 |
$1,815.00 |
$4,883.20 |
|
|
Immune complex assay
|
$41.25 |
$168.00 |
$462.24 |
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$45.64 |
$226.30 |
$32,583.07 |
|
