|
Hydration IV infusion initial 31minutes - 1 hour
|
$289.20 |
$289.20 |
$289.20 |
$383.00
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$47.40 |
$47.40 |
$47.40 |
$154.78
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$17.40 |
$17.40 |
$17.40 |
$131.47
|
|
Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge
|
$22.20 |
$22.20 |
$22.20 |
$294.92
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$72.00 |
$72.00 |
$72.00 |
$72.65
|
|
#hypersens-actinomyces ab
|
$16.80 |
$16.80 |
$16.80 |
$31.74
|
|
Hysterosalpingography s&i
|
$453.00 |
$453.00 |
$453.00 |
$651.85
|
|
I-123 sod iodide diag per 100 uci
|
$154.20 |
$154.20 |
$154.20 |
$139.20
|
|
Ibandronate 3 mg/3 ml intravenous syringe
|
$1,672.20 |
$1,672.20 |
$1,672.20 |
$635.44
|
|
Icd cobalt xt dr MRI is1 df1
|
$34,858.40 |
$34,858.40 |
$34,858.40 |
$34,234.20
|
|
Icd crtd cobalt hf MRI is1 df1
|
$40,102.78 |
$40,102.78 |
$40,102.78 |
$37,789.50
|
|
Icd crtp serena MRI
|
$18,098.64 |
$18,098.64 |
$18,098.64 |
$14,346.00
|
|
Igh gene rearrange amp meth
|
$252.60 |
$252.60 |
$252.60 |
$456.54
|
|
Ihc/icc per specimen each additional single antibody stain
|
$291.00 |
$291.00 |
$291.00 |
$191.52
|
|
Ihc/icc per specimen initial single antibody stain
|
$399.60 |
$399.60 |
$399.60 |
$274.86
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$15,268.20 |
$15,268.20 |
$15,268.20 |
$6,106.32
|
|
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution
|
$12,166.80 |
$12,166.80 |
$12,166.80 |
$3,846.15
|
|
Immunoassay tumor antigen quantitative ca 125
|
$658.80 |
$658.80 |
$658.80 |
$130.00
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$188.40 |
$188.40 |
$188.40 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$20.40 |
$20.40 |
$20.40 |
$48.50
|
|
Immunofixation electrophoresis serum
|
$349.20 |
$349.20 |
$349.20 |
$138.60
|
|
Implant cartilage 10mm synthetic
|
$1,764.00 |
$1,764.00 |
$1,764.00 |
$10,050.00
|
|
Imp neurosti pls gn any type
|
$20,552.36 |
$20,552.36 |
$20,552.36 |
$8,347.32
|
|
In-111 satumomab pend
|
$42.60 |
$42.60 |
$42.60 |
$3,113.04
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$2,052.60 |
$2,052.60 |
$2,052.60 |
$2,080.80
|
|
Incisn of toe tndn
|
$730.80 |
$730.80 |
$730.80 |
$2,493.15
|
|
Infect ag drug suscept pheno predict
|
$319.80 |
$319.80 |
$319.80 |
$320.00
|
|
Infect ag genotype na dna hepatitis b
|
$1,039.80 |
$1,039.80 |
$1,039.80 |
$427.43
|
|
Infect ag ia optc obs influenza
|
$52.80 |
$52.80 |
$52.80 |
$72.93
|
|
Infect ag if influenza a
|
$20.40 |
$20.40 |
$20.40 |
$40.61
|
|
Infect ag if influenza b
|
$20.40 |
$20.40 |
$20.40 |
$37.95
|
|
Infect ag if legionella pneumophila
|
$87.60 |
$87.60 |
$87.60 |
$73.46
|
|
Infect ag if pneumocystis carinii
|
$196.20 |
$196.20 |
$196.20 |
$67.46
|
|
Infect ag na hpv high-risk types
|
$77.40 |
$77.40 |
$77.40 |
$139.20
|
|
Infect ag na influenza r/amp 1st 2 types
|
$163.20 |
$163.20 |
$163.20 |
$219.70
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$292.20 |
$292.20 |
$292.20 |
$76.50
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$52.80 |
$52.80 |
$52.80 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$205.20 |
$205.20 |
$205.20 |
$96.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$243.00 |
$243.00 |
$243.00 |
$81.06
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$255.00 |
$255.00 |
$255.00 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$415.80 |
$415.80 |
$415.80 |
$127.80
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$45.60 |
$45.60 |
$45.60 |
$97.50
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$20.40 |
$20.40 |
$20.40 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$335.40 |
$335.40 |
$335.40 |
$267.50
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$60.00 |
$60.00 |
$60.00 |
$137.67
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$85.20 |
$85.20 |
$85.20 |
$167.05
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$984.60 |
$984.60 |
$984.60 |
$861.00
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$261.00 |
$261.00 |
$261.00 |
$181.35
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$91.20 |
$91.20 |
$91.20 |
$151.25
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$60.00 |
$60.00 |
$60.00 |
$135.80
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$146.40 |
$146.40 |
$146.40 |
$236.08
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$63.00 |
$63.00 |
$63.00 |
$94.53
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$60.00 |
$60.00 |
$60.00 |
$105.00
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$279.00 |
$279.00 |
$279.00 |
$711.93
|
|
Infectious agent nucleic acid quantification bk virus
|
$239.40 |
$239.40 |
$239.40 |
$283.00
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$484.20 |
$484.20 |
$484.20 |
$238.80
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$208.20 |
$208.20 |
$208.20 |
$252.60
|
|
Infectious agent nucleic acid quantification hiv-1
|
$703.80 |
$703.80 |
$703.80 |
$374.50
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$262.80 |
$262.80 |
$262.80 |
$303.59
|
|
Infliximab 100 mg intravenous solution
|
$3,894.60 |
$3,894.60 |
$3,894.60 |
$2,080.86
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$3,155.40 |
$3,155.40 |
$3,155.40 |
$1,617.43
|
|
Influenza dna amp prob addl
|
$115.20 |
$115.20 |
$115.20 |
$64.26
|
|
Initial hosp neonate 28 d/less than not critically ill 99477
|
$354.00 |
$354.00 |
$354.00 |
$629.60
|
|
Initial nursing facility care/day 35 minutes
|
$136.80 |
$136.80 |
$136.80 |
$188.50
|
|
Initiation & management bipap/cpap initial day
|
$433.20 |
$433.20 |
$433.20 |
$576.00
|
|
Init pm e/m new pat 65+ yrs
|
$141.00 |
$141.00 |
$141.00 |
$180.77
|
|
Inj, abilify maintena, 1 mg
|
$6,259.20 |
$6,259.20 |
$6,259.20 |
$5,355.30
|
|
Inj, acetaminophen (b braun)
|
$24.60 |
$24.60 |
$24.60 |
$32.79
|
|
Inj andexxa, 10 mg
|
$20,193.00 |
$20,193.00 |
$20,193.00 |
$4,370.80
|
|
Inj anifrolumab-fnia 1mg
|
$17,743.20 |
$17,743.20 |
$17,743.20 |
$10,052.58
|
|
Inj., aristada initio, 1 mg
|
$6,234.00 |
$6,234.00 |
$6,234.00 |
$4,052.45
|
|
Inj, bezlotoxumab, 10 mg
|
$14,655.60 |
$14,655.60 |
$14,655.60 |
$7,612.43
|
|
Inj, biorphen, 20 micrograms
|
$20.40 |
$20.40 |
$20.40 |
$17.12
|
|
Inj, bupivacaine liposome
|
$1,500.90 |
$1,500.90 |
$1,500.90 |
$699.38
|
|
Inj calcitriol per 0.1 mcg
|
$25.20 |
$25.20 |
$25.20 |
$22.69
|
|
Inj, cefiderocol, 10 mg
|
$807.60 |
$807.60 |
$807.60 |
$544.85
|
|
Inj ceftolozane tazobactam
|
$695.70 |
$695.70 |
$695.70 |
$408.00
|
|
Inj cntr knee arthro incl ct/mri
|
$232.20 |
$232.20 |
$232.20 |
$436.80
|
|
Inj cyclophosphamd auromedic
|
$1,005.00 |
$1,005.00 |
$1,005.00 |
$249.68
|
|
Inj, daptomycin (baxter)
|
$219.60 |
$219.60 |
$219.60 |
$1.83
|
|
Inj daptomycin (xellia)
|
$154.80 |
$154.80 |
$154.80 |
$56.04
|
|
Inj dx for sinogram
|
$737.40 |
$737.40 |
$737.40 |
$413.82
|
|
Injection arthrography hip without anesthesia (both sides)
|
$609.00 |
$609.00 |
$609.00 |
$500.50
|
|
Injection, cangrelor
|
$3,836.40 |
$3,836.40 |
$3,836.40 |
$1,889.78
|
|
Injection carpal tunnel therapeutic (both sides)
|
$60.00 |
$60.00 |
$60.00 |
$504.90
|
|
Injection, daratumumab 10 mg
|
$6,799.80 |
$6,799.80 |
$6,799.80 |
$5,164.24
|
|
Injection during cath supravalvular aortography
|
$4,948.20 |
$4,948.20 |
$4,948.20 |
$904.17
|
|
Injection epidural blood patch or clot
|
$927.00 |
$927.00 |
$927.00 |
$1,156.80
|
|
Injection for bladder x-ray
|
$844.80 |
$844.80 |
$844.80 |
$459.20
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$539.40 |
$539.40 |
$539.40 |
$494.65
|
|
Injection, fulvestrant
|
$627.00 |
$627.00 |
$627.00 |
$1,719.16
|
|
Injection glatiramer acetate
|
$1,875.00 |
$1,875.00 |
$1,875.00 |
$830.51
|
|
Injection, inclisiran, 1 mg
|
$12,534.00 |
$12,534.00 |
$12,534.00 |
$6,679.35
|
|
Injection, isavuconazonium
|
$1,527.90 |
$1,527.90 |
$1,527.90 |
$787.67
|
|
Injection,onabotulinumtoxina
|
$22.80 |
$22.80 |
$22.80 |
$2,241.61
|
|
Injection radioactive tracer sentinel node (both sides)
|
$660.60 |
$660.60 |
$660.60 |
$683.28
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$483.00 |
$483.00 |
$483.00 |
$1,045.65
|
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
|
$2,283.60 |
$2,283.60 |
$2,283.60 |
$1,939.60
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
|
$583.20 |
$583.20 |
$583.20 |
$1,029.45
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
|
$1,115.40 |
$1,115.40 |
$1,115.40 |
$1,064.70
|
