|
Human epididymis protein 4 (he4)
|
$257.40 |
$257.40 |
$257.40 |
$157.32
|
|
Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution
|
$18.00 |
$18.00 |
$18.00 |
$5,568.57
|
|
Hyaluronidase 150 unit/ml injection solution
|
$171.83 |
$171.83 |
$171.83 |
$126.37
|
|
Hyaluronidase 200 units/ml inj
|
$124.75 |
$124.75 |
$124.75 |
$245.00
|
|
Hydralazine 20 mg/ml injection solution
|
$38.99 |
$38.99 |
$38.99 |
$48.00
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$91.30 |
$91.30 |
$91.30 |
$140.54
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$263.40 |
$263.40 |
$263.40 |
$112.66
|
|
Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge
|
$27.75 |
$27.75 |
$27.75 |
$294.92
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$69.62 |
$69.62 |
$69.62 |
$72.65
|
|
Hymenotomy
|
$93.60 |
$93.60 |
$93.60 |
$4,358.89
|
|
Hymovis injection 1 mg
|
$1,282.37 |
$1,282.37 |
$1,282.37 |
$28.00
|
|
Hyoscyamine sulfate inj
|
$43.48 |
$43.48 |
$43.48 |
$123.83
|
|
Hyperbaric oxygen therapy
|
$384.60 |
$384.60 |
$384.60 |
$1,081.04
|
|
#hypersens-actinomyces ab
|
$34.80 |
$34.80 |
$34.80 |
$32.00
|
|
Hypnotherapy
|
$28.20 |
$28.20 |
$28.20 |
$244.80
|
|
Hyqvia 100mg immuneglobulin
|
$13,055.02 |
$13,055.02 |
$13,055.02 |
$13,494.15
|
|
Hysterectomy/revise vagina 58275
|
$1,918.20 |
$1,918.20 |
$1,918.20 |
$1,918.20
|
|
Hysterectomy/revise vagina 58280
|
$2,053.20 |
$2,053.20 |
$2,053.20 |
$2,053.20
|
|
Hysteroplasty 58540
|
$1,770.60 |
$1,770.60 |
$1,770.60 |
$1,770.60
|
|
Hysterorrhaphy of ruptured uterus 59350
|
$460.20 |
$460.20 |
$460.20 |
$891.00
|
|
Hysterosalpingography s&i
|
$519.60 |
$519.60 |
$519.60 |
$669.12
|
|
Hysteroscopy ablation
|
$3,272.40 |
$3,272.40 |
$3,272.40 |
$5,865.75
|
|
Hysteroscopy biopsy
|
$730.80 |
$730.80 |
$730.80 |
$5,419.00
|
|
Hysteroscopy dx sep proc
|
$555.00 |
$555.00 |
$555.00 |
$3,997.50
|
|
Hysteroscopy lysis
|
$670.20 |
$670.20 |
$670.20 |
$5,766.75
|
|
Hysteroscopy remove fb
|
$760.80 |
$760.80 |
$760.80 |
$4,719.18
|
|
Hysteroscopy remove myoma
|
$1,069.80 |
$1,069.80 |
$1,069.80 |
$5,463.96
|
|
Hysteroscopy resect septum
|
$756.00 |
$756.00 |
$756.00 |
$5,766.75
|
|
Hysterotomy abdominal 59100
|
$1,639.20 |
$1,639.20 |
$1,639.20 |
$5,110.00
|
|
Hzv zoster vacc recombinant adjuvanted im inj
|
$394.13 |
$394.13 |
$394.13 |
$352.24
|
|
I131 iodide cap, rx
|
$43.20 |
$43.20 |
$43.20 |
$71.70
|
|
Iaadi respiratory synctial virus
|
$34.20 |
$34.20 |
$34.20 |
$54.58
|
|
Iadna legionella pneumophila amplified probe tq
|
$150.00 |
$150.00 |
$150.00 |
$109.80
|
|
Ibandronate 3 mg/3 ml intravenous syringe
|
$790.26 |
$790.26 |
$790.26 |
$684.45
|
|
Ibuprofen injection
|
$63.55 |
$63.55 |
$63.55 |
$256.76
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$1,004.00 |
$1,004.00 |
$1,004.00 |
$980.94
|
|
Icd cobalt xt dr MRI is1 df1
|
$37,575.00 |
$37,575.00 |
$37,575.00 |
$34,093.09
|
|
Icd crtd cobalt hf MRI is1 df1
|
$42,525.00 |
$42,525.00 |
$42,525.00 |
$39,070.50
|
|
Icd crtp serena MRI
|
$15,727.80 |
$15,727.80 |
$15,727.80 |
$14,360.25
|
|
Icd reliance df4 ib 64cm
|
$9,922.80 |
$9,922.80 |
$9,922.80 |
$9,264.83
|
|
I&d abscess posterior spine l/s/ls-22015
|
$1,403.40 |
$1,403.40 |
$1,403.40 |
$2,286.40
|
|
I&d abscss rtrphryngl/paraphryngl intraorl apprch
|
$894.60 |
$894.60 |
$894.60 |
$3,592.74
|
|
Idarubicin hcl injection
|
$713.88 |
$713.88 |
$713.88 |
$447.02
|
|
I&d/bursa/foot 28001
|
$521.40 |
$521.40 |
$521.40 |
$1,917.33
|
|
I&d frarm&/wrst deep absc/hematoma
|
$986.40 |
$986.40 |
$986.40 |
$3,839.54
|
|
I&d intramural/intramuscular/submuc abscess transanal anes
|
$807.00 |
$807.00 |
$807.00 |
$3,245.23
|
|
I&d upper arm/elbow deep abscess/hematoma
|
$667.20 |
$667.20 |
$667.20 |
$3,371.02
|
|
Idursulfase injection
|
$5,750.41 |
$5,750.41 |
$5,750.41 |
$5,646.08
|
|
I & d vag hematoma non-ob 57023
|
$605.40 |
$605.40 |
$605.40 |
$3,444.42
|
|
I&d vag hemtma obst/postpart
|
$327.00 |
$327.00 |
$327.00 |
$3,370.52
|
|
Ifosfamide 1 gram intravenous solution
|
$292.09 |
$292.09 |
$292.09 |
$246.95
|
|
Igh@ var region somatic mutation analy
|
$825.00 |
$825.00 |
$825.00 |
$660.80
|
|
Ihc/icc per specimen each additional single antibody stain
|
$73.80 |
$73.80 |
$73.80 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$247.80 |
$247.80 |
$247.80 |
$331.20
|
|
Ihc/icc per specimen initial single antibody stain
|
$119.40 |
$119.40 |
$119.40 |
$277.90
|
|
Ileostomy/jejunostomy non-tube 44310
|
$1,976.40 |
$1,976.40 |
$1,976.40 |
$1,976.40
|
|
Iliac revasc add-on 37222
|
$1,775.40 |
$1,775.40 |
$1,775.40 |
$6,082.65
|
|
Imatinib 100 mg tab
|
$207.25 |
$207.25 |
$207.25 |
$248.00
|
|
Imbrication/diaphragm/transthor/transabd 39545
|
$1,728.00 |
$1,728.00 |
$1,728.00 |
$2,181.60
|
|
Imetelstat 188 mg intravenous solution
|
$18,478.85 |
$18,478.85 |
$18,478.85 |
$20,373.55
|
|
Immobilizer shldr cntor adlt
|
$7.20 |
$7.20 |
$7.20 |
$175.60
|
|
Immobilizer shldr dlx str 24-36in med
|
$102.00 |
$102.00 |
$102.00 |
$118.43
|
|
Immobilizer shldr sling med
|
$44.40 |
$44.40 |
$44.40 |
$126.00
|
|
Immt breast prosthesis 19340
|
$1,815.00 |
$1,815.00 |
$1,815.00 |
$5,110.00
|
|
Immune complex assay
|
$68.40 |
$68.40 |
$68.40 |
$101.60
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$9,307.69 |
$9,307.69 |
$9,307.69 |
$6,106.32
|
|
Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution
|
$4,061.21 |
$4,061.21 |
$4,061.21 |
$2,900.11
|
|
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution
|
$2,839.91 |
$2,839.91 |
$2,839.91 |
$3,846.15
|
|
Immune globulin ig human im use 90281
|
$36.60 |
$36.60 |
$36.60 |
$92.00
|
|
Immunoassay tumor antigen quantitative ca 125
|
$189.00 |
$189.00 |
$189.00 |
$132.00
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$141.60 |
$141.60 |
$141.60 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$45.60 |
$45.60 |
$45.60 |
$48.57
|
|
Immunofixation electrophoresis serum
|
$146.40 |
$146.40 |
$146.40 |
$142.50
|
|
Immunofluorescence per specimen initial single antibody stain
|
$215.40 |
$215.40 |
$215.40 |
$234.27
|
|
Impedence cardiogram
|
$154.20 |
$154.20 |
$154.20 |
$152.54
|
|
Implant biventricular device 33976
|
$3,444.60 |
$3,444.60 |
$3,444.60 |
$5,053.23
|
|
Implant cartilage 10mm synthetic
|
$12,203.40 |
$12,203.40 |
$12,203.40 |
$8,332.51
|
|
Implant hormone pellet(s) 11980
|
$199.80 |
$199.80 |
$199.80 |
$315.75
|
|
Implant open hernia repair w/mesh 49568
|
$557.40 |
$557.40 |
$557.40 |
$632.40
|
|
Implant single ventricular device 33975
|
$2,539.80 |
$2,539.80 |
$2,539.80 |
$5,053.23
|
|
Implant spine infusion pump
|
$816.60 |
$816.60 |
$816.60 |
$17,270.40
|
|
Implant ureth bulk agent
|
$2,587.80 |
$2,587.80 |
$2,587.80 |
$2,168.00
|
|
Impl neurostim electr perc
|
$2,535.60 |
$2,535.60 |
$2,535.60 |
$7,672.50
|
|
Implnt bio implnt for soft tiss reinforcement 15777
|
$214.20 |
$214.20 |
$214.20 |
$1,072.00
|
|
Implnt spinl canal catheter 62350
|
$763.20 |
$763.20 |
$763.20 |
$5,095.20
|
|
Implt brain chemotx add-on 61517
|
$160.80 |
$160.80 |
$160.80 |
$160.80
|
|
Impreg gauze no h20/sal/yard
|
$9.60 |
$9.60 |
$9.60 |
$11.90
|
|
In-111 autol wbc diag per dose
|
$1,725.00 |
$1,725.00 |
$1,725.00 |
$3,493.75
|
|
In-111 oxyquinolin per 0.5 mci
|
$1,725.00 |
$1,725.00 |
$1,725.00 |
$2,753.23
|
|
Incis 1 vertebral seg lumbar
|
$2,073.60 |
$2,073.60 |
$2,073.60 |
$3,628.80
|
|
Incise perq finger tendon 26060
|
$502.80 |
$502.80 |
$502.80 |
$2,211.05
|
|
Incise tear duct opening 68440
|
$190.80 |
$190.80 |
$190.80 |
$841.43
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$2,001.00 |
$2,001.00 |
$2,001.00 |
$2,086.70
|
|
Incision & drainage open of deep abscess (subfascial) pos
|
$1,413.60 |
$1,413.60 |
$1,413.60 |
$2,312.00
|
|
Incision of anal sphincter
|
$463.80 |
$463.80 |
$463.80 |
$3,245.23
|
|
Incision of bile duct 47420
|
$2,521.80 |
$2,521.80 |
$2,521.80 |
$2,788.80
|
|
Incision of breast lesion
|
$1,859.40 |
$1,859.40 |
$1,859.40 |
$2,577.85
|
|
Incision of eardrum
|
$375.60 |
$375.60 |
$375.60 |
$552.75
|
|
Incision of eardrum
|
$295.20 |
$295.20 |
$295.20 |
$3,837.72
|
|
Incision of foot fascia
|
$826.20 |
$826.20 |
$826.20 |
$4,599.40
|
