|
Hip X-ray
|
$294.60 |
$294.60 |
$294.60 |
$292.05
|
|
Histamine
|
$170.40 |
$170.40 |
$170.40 |
$115.00
|
|
Hla i low res one antigen equiv ea
|
$109.80 |
$109.80 |
$109.80 |
$161.70
|
|
Hocm 350-399mg/ml iodine,1ml
|
$296.40 |
$296.40 |
$296.40 |
$79.78
|
|
Homocysteine
|
$220.80 |
$220.80 |
$220.80 |
$121.92
|
|
Hyaluronidase, human recombinant 150 unit/ml injection solution
|
$194.40 |
$194.40 |
$194.40 |
$142.40
|
|
Hydralazine 20 mg/ml injection solution
|
$42.60 |
$42.60 |
$42.60 |
$46.74
|
|
Hydration IV infusion each additional hour
|
$72.00 |
$72.00 |
$72.00 |
$131.20
|
|
Hydration IV infusion initial 31minutes - 1 hour
|
$282.00 |
$282.00 |
$282.00 |
$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
|
$44.10 |
$44.10 |
$44.10 |
$294.92
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$72.00 |
$72.00 |
$72.00 |
$72.65
|
|
Hyperbaric oxygen therapy
|
$235.80 |
$235.80 |
$235.80 |
$802.00
|
|
I-123 sod iodide diag per 100 uci
|
$154.20 |
$154.20 |
$154.20 |
$139.20
|
|
Ihc/icc per specimen each additional single antibody stain
|
$281.40 |
$281.40 |
$281.40 |
$191.52
|
|
Ihc/icc per specimen initial single antibody stain
|
$399.60 |
$399.60 |
$399.60 |
$274.86
|
|
Immunoassay tumor antigen quantitative ca 125
|
$640.80 |
$640.80 |
$640.80 |
$130.00
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$180.00 |
$180.00 |
$180.00 |
$116.40
|
|
Immunofixation electrophoresis serum
|
$339.00 |
$339.00 |
$339.00 |
$138.60
|
|
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
|
|
Incision tendon sheath
|
$661.20 |
$661.20 |
$661.20 |
$3,073.20
|
|
Infect ag drug suscept pheno predict
|
$319.80 |
$319.80 |
$319.80 |
$320.00
|
|
Infect ag genotype na dna hepatitis b
|
$979.80 |
$979.80 |
$979.80 |
$427.43
|
|
Infect ag ia optc obs influenza
|
$41.40 |
$41.40 |
$41.40 |
$72.93
|
|
Infect ag na influenza r/amp 1st 2 types
|
$154.80 |
$154.80 |
$154.80 |
$219.70
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$45.00 |
$45.00 |
$45.00 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$179.40 |
$179.40 |
$179.40 |
$96.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$231.60 |
$231.60 |
$231.60 |
$81.06
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$243.60 |
$243.60 |
$243.60 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$393.00 |
$393.00 |
$393.00 |
$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
|
$337.80 |
$337.80 |
$337.80 |
$267.50
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$82.80 |
$82.80 |
$82.80 |
$167.05
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$956.40 |
$956.40 |
$956.40 |
$861.00
|
|
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 multiplex amplified probe gi pathogen 12-25 targets
|
$265.80 |
$265.80 |
$265.80 |
$711.93
|
|
Infectious agent nucleic acid quantification bk virus
|
$239.40 |
$239.40 |
$239.40 |
$283.00
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$421.20 |
$421.20 |
$421.20 |
$238.80
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$180.60 |
$180.60 |
$180.60 |
$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
|
|
Influenza dna amp prob addl
|
$115.20 |
$115.20 |
$115.20 |
$64.26
|
|
Initiation & management bipap/cpap initial day
|
$498.60 |
$498.60 |
$498.60 |
$576.00
|
|
Inj, acetaminophen (hikma)
|
$49.20 |
$49.20 |
$49.20 |
$68.30
|
|
Inj, bupivacaine liposome
|
$908.40 |
$908.40 |
$908.40 |
$699.38
|
|
Inj ceftolozane tazobactam
|
$695.70 |
$695.70 |
$695.70 |
$408.00
|
|
Inj, clindamycin (baxter)
|
$43.20 |
$43.20 |
$43.20 |
$48.39
|
|
Injection carpal tunnel therapeutic (both sides)
|
$99.60 |
$99.60 |
$99.60 |
$504.90
|
|
Injection,onabotulinumtoxina
|
$22.80 |
$22.80 |
$22.80 |
$2,241.61
|
|
Injection radioactive tracer sentinel node (both sides)
|
$616.80 |
$616.80 |
$616.80 |
$683.28
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$306.00 |
$306.00 |
$306.00 |
$1,045.65
|
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
|
$640.80 |
$640.80 |
$640.80 |
$1,939.60
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
|
$588.00 |
$588.00 |
$588.00 |
$1,029.45
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
|
$1,177.20 |
$1,177.20 |
$1,177.20 |
$1,777.50
|
|
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
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
|
$2,175.00 |
$2,175.00 |
$2,175.00 |
$1,961.05
|
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
|
$881.40 |
$881.40 |
$881.40 |
$1,842.00
|
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
|
$881.40 |
$881.40 |
$881.40 |
$1,704.78
|
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
|
$113.40 |
$113.40 |
$113.40 |
$460.94
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$370.80 |
$370.80 |
$370.80 |
$517.24
|
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
|
$355.20 |
$355.20 |
$355.20 |
$625.00
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$91.80 |
$91.80 |
$91.80 |
$166.38
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$91.80 |
$91.80 |
$91.80 |
$145.60
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$282.00 |
$282.00 |
$282.00 |
$261.00
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$86.40 |
$86.40 |
$86.40 |
$135.20
|
|
Inject sacroiliac joint
|
$963.00 |
$963.00 |
$963.00 |
$963.00
|
|
Inj. fe derisomaltose 10 mg
|
$12,084.00 |
$12,084.00 |
$12,084.00 |
$3,540.79
|
|
Inj, lidocaine w epinephrine
|
$20.40 |
$20.40 |
$20.40 |
$44.96
|
|
Inj multihance
|
$426.60 |
$426.60 |
$426.60 |
$79.42
|
|
Inj octafluoropropane mic,ml
|
$541.80 |
$541.80 |
$541.80 |
$211.40
|
|
Insertion catheter bladder non indwelling
|
$155.40 |
$155.40 |
$155.40 |
$205.20
|
|
Insertion catheter bladder temporary simple
|
$155.40 |
$155.40 |
$155.40 |
$229.32
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$3,974.40 |
$3,974.40 |
$3,974.40 |
$2,511.00
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$1,953.60 |
$1,953.60 |
$1,953.60 |
$2,079.43
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$2,497.80 |
$2,497.80 |
$2,497.80 |
$2,414.10
|
|
In situ hybridization per specimen each additional single probe stain
|
$165.60 |
$165.60 |
$165.60 |
$243.60
|
|
In situ hybridization per specimen initial single probe stain
|
$165.60 |
$165.60 |
$165.60 |
$326.04
|
|
Insulin total
|
$143.40 |
$143.40 |
$143.40 |
$66.64
|
|
Intrinsic factor antibody
|
$275.40 |
$275.40 |
$275.40 |
$66.60
|
|
Intubation endotracheal emergency procedure
|
$415.80 |
$415.80 |
$415.80 |
$589.60
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$368.40 |
$368.40 |
$368.40 |
$172.98
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$537.60 |
$537.60 |
$537.60 |
$279.10
|
|
Ip/obs cnsltj new/est low 45
|
$110.40 |
$110.40 |
$110.40 |
$174.20
|
|
Ip/obs cnsltj new/est mod 60
|
$180.60 |
$180.60 |
$180.60 |
$284.45
|
|
Ip/obs consltj new/est sf 35
|
$88.20 |
$88.20 |
$88.20 |
$134.46
|
|
Iron
|
$133.20 |
$133.20 |
$133.20 |
$74.40
|
|
Iron binding capacity
|
$118.80 |
$118.80 |
$118.80 |
$63.79
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$321.00 |
$321.00 |
$321.00 |
$187.06
|
|
Irrigation implantable venous access device for drug delivery systems
|
$86.40 |
$86.40 |
$86.40 |
$142.20
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$86.40 |
$86.40 |
$86.40 |
$191.75
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$289.20 |
$289.20 |
$289.20 |
$157.50
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$72.00 |
$72.00 |
$72.00 |
$151.80
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$363.00 |
$363.00 |
$363.00 |
$439.56
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$234.00 |
$234.00 |
$234.00 |
$60.20
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$18.00 |
$18.00 |
$18.00 |
$23.50
|
|
Kidney img w/bldflw sgl without rx
|
$1,539.60 |
$1,539.60 |
$1,539.60 |
$1,427.40
|
