|
Hydrocolld drg <=16 without bdr
|
$12.88 |
$12.88 |
$12.88 |
$7.76
|
|
Hydrocolld drg filler paste
|
$24.08 |
$24.08 |
$24.08 |
$45.92
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$30.44 |
$30.44 |
$30.44 |
$135.60
|
|
Hydrogel drg <= 16 in w/bdr
|
$14.30 |
$14.30 |
$14.30 |
$30.14
|
|
Hydrogel drg >48 in without bdr
|
$77.27 |
$77.27 |
$77.27 |
$77.27
|
|
Hydrogel drg > 48 sq in w/b
|
$46.77 |
$46.77 |
$46.77 |
$22.41
|
|
Hydrogel drsg gel filler
|
$31.95 |
$31.95 |
$31.95 |
$32.50
|
|
Hydrogel dsg>16<=48 sq in
|
$13.50 |
$13.50 |
$13.50 |
$11.70
|
|
Hydrogel dsg<=16 sq in
|
$9.22 |
$9.22 |
$9.22 |
$5.04
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$0.19 |
$0.19 |
$0.19 |
$112.66
|
|
Hydroxocobalamin im 10mcg
|
$0.01 |
$0.01 |
$0.01 |
$4.86
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$17.94 |
$17.94 |
$17.94 |
$72.65
|
|
Hydrxycorticsterds 17- (17-ohcs)
|
$24.70 |
$24.70 |
$24.70 |
$73.45
|
|
Hymenotomy
|
$4,451.18 |
$4,451.18 |
$4,451.18 |
$4,358.89
|
|
Hymovis injection 1 mg
|
$24.34 |
$24.34 |
$24.34 |
$28.00
|
|
Hyoid myotomy & suspension
|
$8,139.99 |
$8,139.99 |
$8,139.99 |
$5,855.00
|
|
Hyperbaric oxygen therapy
|
$157.86 |
$157.86 |
$157.86 |
$1,058.04
|
|
#hypersens-actinomyces ab
|
$14.05 |
$14.05 |
$14.05 |
$32.00
|
|
Hyperthermia ext gen deep
|
$957.68 |
$957.68 |
$957.68 |
$1,683.20
|
|
Hyperthermia ext gen supfc
|
$530.35 |
$530.35 |
$530.35 |
$943.00
|
|
Hyperthermia gen intrcv prb
|
$759.77 |
$759.77 |
$759.77 |
$1,173.60
|
|
Hyperthermia ntrstl prb 5/<
|
$759.77 |
$759.77 |
$759.77 |
$1,803.20
|
|
Hyperthermia ntrstl prb>5
|
$759.77 |
$759.77 |
$759.77 |
$759.77
|
|
Hypnotherapy
|
$139.68 |
$139.68 |
$139.68 |
$154.52
|
|
Hypothermia ill neonate
|
$262.13 |
$262.13 |
$262.13 |
$560.00
|
|
Hyqvia 100mg immuneglobulin
|
$25.29 |
$25.29 |
$25.29 |
$13,494.15
|
|
Hysterectomy/bladder repair
|
$1,386.50 |
$1,386.50 |
$1,386.50 |
$1,386.50
|
|
Hysterectomy/revise vagina 58275
|
$1,290.09 |
$1,290.09 |
$1,290.09 |
$1,827.00
|
|
Hysterectomy/revise vagina 58280
|
$1,374.73 |
$1,374.73 |
$1,374.73 |
$1,955.40
|
|
Hysteroplasty 58540
|
$1,191.86 |
$1,191.86 |
$1,191.86 |
$1,686.00
|
|
Hysterorrhaphy of ruptured uterus 59350
|
$386.44 |
$386.44 |
$386.44 |
$677.60
|
|
Hysterosalpingography s&i
|
$328.08 |
$328.08 |
$328.08 |
$669.60
|
|
Hysteroscopy ablation
|
$6,878.55 |
$6,878.55 |
$6,878.55 |
$5,865.75
|
|
Hysteroscopy biopsy
|
$4,451.18 |
$4,451.18 |
$4,451.18 |
$5,618.50
|
|
Hysteroscopy dx sep proc
|
$4,451.18 |
$4,451.18 |
$4,451.18 |
$3,997.50
|
|
Hysteroscopy lysis
|
$6,878.55 |
$6,878.55 |
$6,878.55 |
$5,766.75
|
|
Hysteroscopy remove fb
|
$4,451.18 |
$4,451.18 |
$4,451.18 |
$4,719.18
|
|
Hysteroscopy remove myoma
|
$6,878.55 |
$6,878.55 |
$6,878.55 |
$5,463.96
|
|
Hysteroscopy resect septum
|
$6,878.55 |
$6,878.55 |
$6,878.55 |
$5,766.75
|
|
Hysterotomy abdominal 59100
|
$6,878.55 |
$6,878.55 |
$6,878.55 |
$4,881.00
|
|
I-123 iobenguane diag
|
$3,198.15 |
$3,198.15 |
$3,198.15 |
$5,170.70
|
|
I-123 ioflupane diag
|
$1,915.08 |
$1,915.08 |
$1,915.08 |
$4,158.00
|
|
I125 iothalamate, dx
|
$896.50 |
$896.50 |
$896.50 |
$634.90
|
|
I125 serum albumin, dx
|
$647.30 |
$647.30 |
$647.30 |
$393.12
|
|
I-131 iobenguane sulf diag mibg
|
$1,315.15 |
$1,315.15 |
$1,315.15 |
$3,638.48
|
|
I131 iodide cap, rx
|
$33.22 |
$33.22 |
$33.22 |
$71.70
|
|
I131 iodide sol, rx
|
$28.66 |
$28.66 |
$28.66 |
$34.87
|
|
Iaadi respiratory synctial virus
|
$18.52 |
$18.52 |
$18.52 |
$54.58
|
|
Iadna legionella pneumophila amplified probe tq
|
$48.42 |
$48.42 |
$48.42 |
$109.00
|
|
Ia infect ag ab qual/semiquant sgl step
|
$24.96 |
$24.96 |
$24.96 |
$50.60
|
|
Ia nfct ab sarscov2 covid19
|
$62.49 |
$62.49 |
$62.49 |
$62.49
|
|
Ibandronate 3 mg/3 ml intravenous syringe
|
$18.14 |
$18.14 |
$18.14 |
$684.45
|
|
Ibmfs seq alys pnl 30 genes
|
$3,379.01 |
$3,379.01 |
$3,379.01 |
$2,828.00
|
|
Ibuprofen injection
|
$4.39 |
$4.39 |
$4.39 |
$256.76
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$273.94 |
$273.94 |
$273.94 |
$980.94
|
|
Icg angiography i&r uni/bi
|
$296.91 |
$296.91 |
$296.91 |
$470.00
|
|
Icut allergy test-delayed
|
$51.36 |
$51.36 |
$51.36 |
$46.45
|
|
Icut allergy test drug/bug
|
$81.12 |
$81.12 |
$81.12 |
$70.29
|
|
Icut allergy titrate-airborn
|
$39.77 |
$39.77 |
$39.77 |
$29.55
|
|
I&d abscess posterior spine l/s/ls-22015
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$2,286.40
|
|
I&d abscss rtrphryngl/paraphryngl intraorl apprch
|
$4,558.89 |
$4,558.89 |
$4,558.89 |
$3,592.74
|
|
Idarubicin hcl injection
|
$55.27 |
$55.27 |
$55.27 |
$447.02
|
|
I&d/bursa/foot 28001
|
$2,271.01 |
$2,271.01 |
$2,271.01 |
$1,917.33
|
|
Idecabtagene vicleucel car
|
$770,152.78 |
$770,152.78 |
$770,152.78 |
$1,129,895.40
|
|
Identify sperm tissue
|
$71.65 |
$71.65 |
$71.65 |
$157.60
|
|
I&d frarm&/wrst deep absc/hematoma
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$3,839.54
|
|
Idh1 common variants
|
$266.69 |
$266.69 |
$266.69 |
$414.05
|
|
Idh2 common variants
|
$408.19 |
$408.19 |
$408.19 |
$486.00
|
|
I&d intramural/intramuscular/submuc abscess transanal anes
|
$3,816.64 |
$3,816.64 |
$3,816.64 |
$3,245.23
|
|
I&d lacrimal gland
|
$1,370.74 |
$1,370.74 |
$1,370.74 |
$1,435.20
|
|
I&d lacrimal sac
|
$3,269.14 |
$3,269.14 |
$3,269.14 |
$2,760.73
|
|
Iduc valve sply repl
|
$1,211.72 |
$1,211.72 |
$1,211.72 |
$44.80
|
|
I&d upper arm/elbow deep abscess/hematoma
|
$3,994.09 |
$3,994.09 |
$3,994.09 |
$3,371.02
|
|
Idursulfase injection
|
$770.18 |
$770.18 |
$770.18 |
$5,646.08
|
|
I & d vag hematoma non-ob 57023
|
$3,994.09 |
$3,994.09 |
$3,994.09 |
$3,435.60
|
|
I&d vag hemtma obst/postpart
|
$3,994.09 |
$3,994.09 |
$3,994.09 |
$3,370.52
|
|
Ifnl3 gene
|
$101.25 |
$101.25 |
$101.25 |
$147.20
|
|
Ifosfamide 1 gram intravenous solution
|
$34.28 |
$34.28 |
$34.28 |
$246.95
|
|
Igh@/bcl2 translocation alys
|
$286.09 |
$286.09 |
$286.09 |
$284.46
|
|
Igh gene rearrang dir probe
|
$94.60 |
$94.60 |
$94.60 |
$111.50
|
|
Igh gene rearrange amp meth
|
$273.23 |
$273.23 |
$273.23 |
$468.48
|
|
Igh@ var region somatic mutation analy
|
$406.44 |
$406.44 |
$406.44 |
$660.80
|
|
Igk rearrangeabn clonal pop
|
$238.37 |
$238.37 |
$238.37 |
$399.36
|
|
Ihc/icc per specimen each additional single antibody stain
|
$89.85 |
$89.85 |
$89.85 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$492.88 |
$492.88 |
$492.88 |
$333.00
|
|
Ihc/icc per specimen initial single antibody stain
|
$234.27 |
$234.27 |
$234.27 |
$281.60
|
|
Ikbkap gene
|
$54.25 |
$54.25 |
$54.25 |
$172.70
|
|
Ileostomy/jejunostomy non-tube 44310
|
$1,444.20 |
$1,444.20 |
$1,444.20 |
$1,976.40
|
|
Iliac bone graft microvasc
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$6,512.80
|
|
Iliac/fem angio cath insert
|
$17.95 |
$17.95 |
$17.95 |
$1,856.01
|
|
Iloprost non-comp unit dose
|
$219.30 |
$219.30 |
$219.30 |
$289.52
|
|
Imbrication/diaphragm/transthor/transabd 39545
|
$1,304.64 |
$1,304.64 |
$1,304.64 |
$1,728.00
|
|
Imetelstat 188 mg intravenous solution
|
$80.46 |
$80.46 |
$80.46 |
$20,373.55
|
|
Img rta detcj/mntr ds staff
|
$81.12 |
$81.12 |
$81.12 |
$70.29
|
|
Img rta detc/mntr ds phy/qhp
|
$51.36 |
$51.36 |
$51.36 |
$51.36
|
|
Img rta detc/mntr ds poc aly
|
$81.12 |
$81.12 |
$81.12 |
$71.25
|
|
Immob elbow child sm
|
$165.95 |
$165.95 |
$165.95 |
$85.39
|
|
Immobilizer shldr cntor adlt
|
$175.47 |
$175.47 |
$175.47 |
$175.60
|
|
Immobilizer shldr dlx str 24-36in med
|
$97.64 |
$97.64 |
$97.64 |
$118.96
|
|
Immobilizer shldr sling med
|
$159.49 |
$159.49 |
$159.49 |
$126.00
|
