|
Hysteroscopy remove fb
|
$3,519.29 |
$3,519.29 |
$3,519.29 |
$4,451.18
|
|
Hysteroscopy remove myoma
|
$5,463.96 |
$5,463.96 |
$5,463.96 |
$4,302.75
|
|
Hysteroscopy resect septum
|
$5,463.96 |
$5,463.96 |
$5,463.96 |
$4,023.33
|
|
Hysterotomy abdominal 59100
|
$5,463.96 |
$5,463.96 |
$5,463.96 |
$4,258.45
|
|
I-123 iobenguane diag
|
$2,074.81 |
$2,074.81 |
$2,074.81 |
$5,730.40
|
|
I-123 ioflupane diag
|
$1,388.02 |
$1,388.02 |
$1,388.02 |
$3,887.10
|
|
I131 iodide cap, rx
|
$23.13 |
$23.13 |
$23.13 |
$117.00
|
|
I131 iodide sol, rx
|
$20.88 |
$20.88 |
$20.88 |
$44.49
|
|
Iaadi respiratory synctial virus
|
$13.42 |
$13.42 |
$13.42 |
$46.02
|
|
Iadna legionella pneumophila amplified probe tq
|
$35.09 |
$35.09 |
$35.09 |
$109.00
|
|
Ia infect ag ab qual/semiquant sgl step
|
$18.09 |
$18.09 |
$18.09 |
$48.57
|
|
Ia nfct ab sarscov2 covid19
|
$45.28 |
$45.28 |
$45.28 |
$49.78
|
|
Ibmfs seq alys pnl 30 genes
|
$2,448.56 |
$2,448.56 |
$2,448.56 |
$5,329.65
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$219.06 |
$219.06 |
$219.06 |
$614.95
|
|
Icatibant injection
|
$116.41 |
$116.41 |
$116.41 |
$2,196.00
|
|
Icg angiography i&r uni/bi
|
$344.68 |
$344.68 |
$344.68 |
$456.00
|
|
Icut allergy test-delayed
|
$43.44 |
$43.44 |
$43.44 |
$43.44
|
|
Icut allergy test drug/bug
|
$65.75 |
$65.75 |
$65.75 |
$69.95
|
|
Icut allergy titrate-airborn
|
$27.11 |
$27.11 |
$27.11 |
$26.76
|
|
I&d abscss rtrphryngl/paraphryngl intraorl apprch
|
$3,589.62 |
$3,589.62 |
$3,589.62 |
$2,812.80
|
|
I&d/bursa/foot 28001
|
$1,793.38 |
$1,793.38 |
$1,793.38 |
$1,814.47
|
|
Idecabtagene vicleucel car
|
$541,260.45 |
$541,260.45 |
$541,260.45 |
$541,260.45
|
|
Identify sperm tissue
|
$59.14 |
$59.14 |
$59.14 |
$157.60
|
|
I&d frarm&/wrst deep absc/hematoma
|
$3,591.33 |
$3,591.33 |
$3,591.33 |
$2,910.40
|
|
Idh1 common variants
|
$193.25 |
$193.25 |
$193.25 |
$406.90
|
|
Idh2 common variants
|
$295.79 |
$295.79 |
$295.79 |
$463.45
|
|
I&d intramural/intramuscular/submuc abscess transanal anes
|
$3,035.44 |
$3,035.44 |
$3,035.44 |
$2,147.18
|
|
I&d lacrimal gland
|
$1,072.04 |
$1,072.04 |
$1,072.04 |
$1,072.04
|
|
I&d lacrimal sac
|
$2,582.26 |
$2,582.26 |
$2,582.26 |
$2,702.32
|
|
I&d upper arm/elbow deep abscess/hematoma
|
$3,167.89 |
$3,167.89 |
$3,167.89 |
$3,170.64
|
|
Idursulfase injection
|
$558.56 |
$558.56 |
$558.56 |
$3,732.03
|
|
I & d vag hematoma non-ob 57023
|
$3,167.89 |
$3,167.89 |
$3,167.89 |
$3,285.96
|
|
I&d vag hemtma obst/postpart
|
$3,167.89 |
$3,167.89 |
$3,167.89 |
$2,512.90
|
|
Ifnl3 gene
|
$73.37 |
$73.37 |
$73.37 |
$90.53
|
|
Igh@/bcl2 translocation alys
|
$207.31 |
$207.31 |
$207.31 |
$351.00
|
|
Igh gene rearrang dir probe
|
$68.55 |
$68.55 |
$68.55 |
$94.60
|
|
Igh gene rearrange amp meth
|
$197.99 |
$197.99 |
$197.99 |
$464.00
|
|
Igh@ var region somatic mutation analy
|
$294.52 |
$294.52 |
$294.52 |
$685.75
|
|
Igk rearrangeabn clonal pop
|
$172.73 |
$172.73 |
$172.73 |
$382.50
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$398.16 |
$398.16 |
$398.16 |
$339.73
|
|
Ihc/icc per specimen initial single antibody stain
|
$189.67 |
$189.67 |
$189.67 |
$274.86
|
|
Ikbkap gene
|
$39.31 |
$39.31 |
$39.31 |
$176.15
|
|
Imetelstat 188 mg intravenous solution
|
$57.02 |
$57.02 |
$57.02 |
$57.02
|
|
Img rta detcj/mntr ds staff
|
$65.75 |
$65.75 |
$65.75 |
$65.80
|
|
Img rta detc/mntr ds phy/qhp
|
$43.44 |
$43.44 |
$43.44 |
$46.38
|
|
Img rta detc/mntr ds poc aly
|
$65.75 |
$65.75 |
$65.75 |
$71.25
|
|
Immt breast prosthesis 19340
|
$7,218.34 |
$7,218.34 |
$7,218.34 |
$4,883.20
|
|
Immune complex assay
|
$24.37 |
$24.37 |
$24.37 |
$89.25
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$47.80 |
$47.80 |
$47.80 |
$2,621.62
|
|
Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution
|
$81.70 |
$81.70 |
$81.70 |
$107.10
|
|
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution
|
$48.38 |
$48.38 |
$48.38 |
$3,132.49
|
|
Immunoassay tumor antigen quantitative ca 125
|
$20.81 |
$20.81 |
$20.81 |
$122.50
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$20.81 |
$20.81 |
$20.81 |
$117.00
|
|
Immunoassay tumor qual
|
$25.57 |
$25.57 |
$25.57 |
$56.80
|
|
Immunodiff gel qual ea antigen/ab
|
$11.98 |
$11.98 |
$11.98 |
$58.25
|
|
Immunodiffusion nes
|
$14.05 |
$14.05 |
$14.05 |
$63.57
|
|
Immunofixation electrophoresis serum
|
$22.34 |
$22.34 |
$22.34 |
$133.38
|
|
Immunofluorescence per specimen initial single antibody stain
|
$189.67 |
$189.67 |
$189.67 |
$288.00
|
|
Immunoglobulin assay
|
$12.46 |
$12.46 |
$12.46 |
$74.15
|
|
Impact tooth remov part bony
|
$1,840.30 |
$1,840.30 |
$1,840.30 |
$1,840.30
|
|
Impedence cardiogram
|
$142.67 |
$142.67 |
$142.67 |
$138.00
|
|
Imp extar knee shck absrb
|
$20,355.21 |
$20,355.21 |
$20,355.21 |
$20,355.21
|
|
Implantation iris prosthesis
|
$18,170.70 |
$18,170.70 |
$18,170.70 |
$3,051.75
|
|
Implant cochlear device
|
$35,206.80 |
$35,206.80 |
$35,206.80 |
$34,229.98
|
|
Implant eye drug system
|
$17,006.72 |
$17,006.72 |
$17,006.72 |
$10,009.03
|
|
Implant hormone pellet(s) 11980
|
$441.68 |
$441.68 |
$441.68 |
$275.60
|
|
Implant neuroelectrodes
|
$23,735.94 |
$23,735.94 |
$23,735.94 |
$19,287.34
|
|
Implant neuroelectrodes
|
$13,802.89 |
$13,802.89 |
$13,802.89 |
$12,807.00
|
|
Implant neuroelectrodes
|
$7,264.21 |
$7,264.21 |
$7,264.21 |
$6,433.49
|
|
Implant neuroelectrodes
|
$7,264.21 |
$7,264.21 |
$7,264.21 |
$7,266.73
|
|
Implant neurostim arrays
|
$33,730.00 |
$33,730.00 |
$33,730.00 |
$22,759.70
|
|
Implant spinal canal cath
|
$7,907.11 |
$7,907.11 |
$7,907.11 |
$6,060.97
|
|
Implant spine infusion pump
|
$19,562.78 |
$19,562.78 |
$19,562.78 |
$17,262.84
|
|
Implant spine infusion pump
|
$19,562.78 |
$19,562.78 |
$19,562.78 |
$10,558.55
|
|
Impl neurostim electr perc
|
$7,264.21 |
$7,264.21 |
$7,264.21 |
$7,636.00
|
|
Implnt spinl canal catheter 62350
|
$7,088.41 |
$7,088.41 |
$7,088.41 |
$4,558.10
|
|
Impl oi implt sk tc esp<100
|
$14,241.77 |
$14,241.77 |
$14,241.77 |
$17,653.66
|
|
Impl oi implt sk tc esp>=100
|
$14,241.77 |
$14,241.77 |
$14,241.77 |
$14,254.12
|
|
Impl oi implt skull perq esp
|
$14,241.77 |
$14,241.77 |
$14,241.77 |
$10,629.07
|
|
Impltj ntrstrml crnl rng seg
|
$4,452.74 |
$4,452.74 |
$4,452.74 |
$5,683.61
|
|
Imported lipodox inj
|
$528.86 |
$528.86 |
$528.86 |
$528.86
|
|
Impres&prep auricular prosth
|
$3,589.62 |
$3,589.62 |
$3,589.62 |
$6,557.24
|
|
Impres&prep def obt prosth
|
$3,589.62 |
$3,589.62 |
$3,589.62 |
$4,369.60
|
|
Impres&prep facial prosth
|
$3,589.62 |
$3,589.62 |
$3,589.62 |
$3,723.23
|
|
Impres&prep intrm obt prosth
|
$3,589.62 |
$3,589.62 |
$3,589.62 |
$3,824.80
|
|
Impres&prep mndbl res prosth
|
$6,547.81 |
$6,547.81 |
$6,547.81 |
$6,547.81
|
|
Impres&prep nasal prosth
|
$6,547.81 |
$6,547.81 |
$6,547.81 |
$6,547.81
|
|
Impres&prep oral surg splint
|
$257.04 |
$257.04 |
$257.04 |
$1,432.65
|
|
Impres&prep orbital prosth
|
$6,547.81 |
$6,547.81 |
$6,547.81 |
$6,966.64
|
|
Impres&prep paltl aug prosth
|
$3,589.62 |
$3,589.62 |
$3,589.62 |
$3,716.80
|
|
Impres&prep paltl lft prosth
|
$3,589.62 |
$3,589.62 |
$3,589.62 |
$3,540.00
|
|
Impres&prep sp aid prosth
|
$3,589.62 |
$3,589.62 |
$3,589.62 |
$4,054.40
|
|
Impres&prep surg obt prosth
|
$1,639.57 |
$1,639.57 |
$1,639.57 |
$2,271.20
|
|
Imuglucerase injection
|
$43.29 |
$43.29 |
$43.29 |
$82.80
|
|
In-111 autol wbc diag per dose
|
$1,031.39 |
$1,031.39 |
$1,031.39 |
$3,785.34
|
|
In-111 ibritumomab tiux dx
|
$798.02 |
$798.02 |
$798.02 |
$4,630.00
|
|
In-111 oxyquinolin per 0.5 mci
|
$772.64 |
$772.64 |
$772.64 |
$2,441.34
|
|
In-111 pentetate dtpa / 0.5 mci
|
$715.29 |
$715.29 |
$715.29 |
$2,156.25
|
|
In-111 pentetreotide
|
$1,914.61 |
$1,914.61 |
$1,914.61 |
$6,862.70
|
|
Inc dp bone crtx f/arm&/wrst
|
$7,907.11 |
$7,907.11 |
$7,907.11 |
$4,624.52
|
