|
Hla class ii high defin qual
|
$432.00 |
$432.00 |
$432.00 |
$569.25
|
|
Hla i & ii typing lr
|
$1,061.60 |
$1,061.60 |
$1,061.60 |
$1,407.51
|
|
Hla ii typing 1 loc hr
|
$80.00 |
$80.00 |
$80.00 |
$299.20
|
|
Hla ii typing ag equiv lr
|
$240.00 |
$240.00 |
$240.00 |
$475.00
|
|
Hla i low res one antigen equiv ea
|
$140.00 |
$140.00 |
$140.00 |
$164.00
|
|
Hla i typing complete lr
|
$568.00 |
$568.00 |
$568.00 |
$720.00
|
|
Hla i typing low res one locus ea
|
$137.20 |
$137.20 |
$137.20 |
$340.00
|
|
Hla typing a b or c
|
$184.80 |
$184.80 |
$184.80 |
$364.00
|
|
Hla x-match noncytotoxc addl
|
$288.00 |
$288.00 |
$288.00 |
$163.80
|
|
Hla x-math non-cytotoxic
|
$288.00 |
$288.00 |
$288.00 |
$364.80
|
|
Hlth bhv assmt/reassessment
|
$208.80 |
$208.80 |
$208.80 |
$181.00
|
|
Hlth bhv ivntj grp 1st 30
|
$196.80 |
$196.80 |
$196.80 |
$78.50
|
|
Hlth bhv ivntj indiv 1st 30
|
$258.40 |
$258.40 |
$258.40 |
$200.00
|
|
Ho abduction static plastic
|
$399.21 |
$399.21 |
$399.21 |
$390.66
|
|
Hocm 250-299mg/ml iodine,1ml
|
$52.80 |
$52.80 |
$52.80 |
$37.80
|
|
Ho flex pavlik harns pre cst
|
$317.92 |
$317.92 |
$317.92 |
$243.36
|
|
Home sleep test/type 2 porta
|
$358.40 |
$358.40 |
$358.40 |
$503.13
|
|
Home sleep test/type 3 porta
|
$297.60 |
$297.60 |
$297.60 |
$570.00
|
|
Home sleep test/type 4 porta
|
$448.00 |
$448.00 |
$448.00 |
$613.60
|
|
Ho post-op hip abduction
|
$909.96 |
$909.96 |
$909.96 |
$1,753.00
|
|
Hyaluronidase 150 unit/ml injection solution
|
$109.38 |
$109.38 |
$109.38 |
$126.37
|
|
Hyaluronidase, human recombinant 150 unit/ml injection solution
|
$167.04 |
$167.04 |
$167.04 |
$142.40
|
|
Hydralazine 20 mg/ml injection solution
|
$26.76 |
$26.76 |
$26.76 |
$48.00
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$75.41 |
$75.41 |
$75.41 |
$140.54
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$394.99 |
$394.99 |
$394.99 |
$112.66
|
|
Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge
|
$42,810.40 |
$42,810.40 |
$42,810.40 |
$294.92
|
|
Hydroxocobalamin im 10mcg
|
$78.93 |
$78.93 |
$78.93 |
$4.86
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$36.08 |
$36.08 |
$36.08 |
$72.65
|
|
Hymenotomy
|
$4,050.40 |
$4,050.40 |
$4,050.40 |
$4,358.89
|
|
Hysterosalpingography s&i
|
$824.00 |
$824.00 |
$824.00 |
$669.12
|
|
I-123 iobenguane diag
|
$5,632.80 |
$5,632.80 |
$5,632.80 |
$5,170.70
|
|
I-123 ioflupane diag
|
$5,440.80 |
$5,440.80 |
$5,440.80 |
$4,158.00
|
|
I-123 sod iodide diag per 100 uci
|
$224.80 |
$224.80 |
$224.80 |
$147.46
|
|
I131 iodide cap, rx
|
$140.00 |
$140.00 |
$140.00 |
$71.70
|
|
I131 iodide sol, rx
|
$140.00 |
$140.00 |
$140.00 |
$34.87
|
|
Ibandronate 3 mg/3 ml intravenous syringe
|
$157.54 |
$157.54 |
$157.54 |
$684.45
|
|
Ibuprofen injection
|
$1,502.20 |
$1,502.20 |
$1,502.20 |
$256.76
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$962.29 |
$962.29 |
$962.29 |
$980.94
|
|
Icd cobalt xt dr MRI is1 df1
|
$55,557.12 |
$55,557.12 |
$55,557.12 |
$34,093.09
|
|
Icd crtd cobalt hf MRI is1 df1
|
$69,239.04 |
$69,239.04 |
$69,239.04 |
$39,070.50
|
|
Icd crtp serena MRI
|
$30,326.40 |
$30,326.40 |
$30,326.40 |
$14,360.25
|
|
Icd reliance df4 ib 64cm
|
$13,893.12 |
$13,893.12 |
$13,893.12 |
$9,264.83
|
|
I&d abscss rtrphryngl/paraphryngl intraorl apprch
|
$3,771.20 |
$3,771.20 |
$3,771.20 |
$3,592.74
|
|
Idarubicin hcl injection
|
$702.38 |
$702.38 |
$702.38 |
$447.02
|
|
Idecabtagene vicleucel car
|
$1,532,850.40 |
$1,532,850.40 |
$1,532,850.40 |
$1,129,895.40
|
|
I&d frarm&/wrst deep absc/hematoma
|
$4,834.40 |
$4,834.40 |
$4,834.40 |
$3,839.54
|
|
I&d vag hemtma obst/postpart
|
$444.80 |
$444.80 |
$444.80 |
$3,370.52
|
|
Ifosfamide 1 gram intravenous solution
|
$288.43 |
$288.43 |
$288.43 |
$246.95
|
|
Ihc/icc per specimen each additional single antibody stain
|
$159.20 |
$159.20 |
$159.20 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$340.00 |
$340.00 |
$340.00 |
$331.20
|
|
Ihc/icc per specimen initial single antibody stain
|
$180.80 |
$180.80 |
$180.80 |
$277.90
|
|
Iliac/fem angio cath insert
|
$2,737.60 |
$2,737.60 |
$2,737.60 |
$1,856.01
|
|
Imatinib 100 mg tab
|
$23.43 |
$23.43 |
$23.43 |
$248.00
|
|
Imetelstat 188 mg intravenous solution
|
$29,107.24 |
$29,107.24 |
$29,107.24 |
$20,373.55
|
|
Immob elbow child sm
|
$50.46 |
$50.46 |
$50.46 |
$85.39
|
|
Immobilizer lwr extrem nylon 20in reinforc 21-35in
|
$181.85 |
$181.85 |
$181.85 |
$259.20
|
|
Immobilizer shldr cntor adlt
|
$260.54 |
$260.54 |
$260.54 |
$175.60
|
|
Immobilizer shldr dlx str 24-36in med
|
$171.78 |
$171.78 |
$171.78 |
$118.43
|
|
Immobilizer shldr sling med
|
$166.51 |
$166.51 |
$166.51 |
$126.00
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$3,343.04 |
$3,343.04 |
$3,343.04 |
$6,106.32
|
|
Impl ahmed 6x25x9.6mm glaucoma vlv w/sil ped ster
|
$1,728.00 |
$1,728.00 |
$1,728.00 |
$2,946.00
|
|
Implant cartilage 10mm synthetic
|
$6,011.20 |
$6,011.20 |
$6,011.20 |
$8,332.51
|
|
Implant cochlear osia osi300
|
$27,836.16 |
$27,836.16 |
$27,836.16 |
$16,195.55
|
|
Implant neuroelectrodes
|
$8,986.40 |
$8,986.40 |
$8,986.40 |
$13,628.55
|
|
Implant neuroelectrodes
|
$8,961.60 |
$8,961.60 |
$8,961.60 |
$8,836.80
|
|
Implant spine infusion pump
|
$10,436.00 |
$10,436.00 |
$10,436.00 |
$17,270.40
|
|
Implant ureth bulk agent
|
$1,569.60 |
$1,569.60 |
$1,569.60 |
$2,168.00
|
|
Impl neurostim electr perc
|
$9,797.60 |
$9,797.60 |
$9,797.60 |
$7,672.50
|
|
In-111 autol wbc diag per dose
|
$4,928.00 |
$4,928.00 |
$4,928.00 |
$3,493.75
|
|
In-111 pentetate dtpa / 0.5 mci
|
$5,174.40 |
$5,174.40 |
$5,174.40 |
$2,598.17
|
|
In-111 pentetreotide
|
$8,008.00 |
$8,008.00 |
$8,008.00 |
$5,294.90
|
|
Incise tear duct opening 68440
|
$457.60 |
$457.60 |
$457.60 |
$841.43
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$2,195.20 |
$2,195.20 |
$2,195.20 |
$2,086.70
|
|
Incision of achilles tendon
|
$2,340.80 |
$2,340.80 |
$2,340.80 |
$3,318.90
|
|
Incision of breast lesion
|
$3,029.60 |
$3,029.60 |
$3,029.60 |
$2,577.85
|
|
Incision of burn scab initi
|
$811.20 |
$811.20 |
$811.20 |
$494.40
|
|
Incision of foot fascia
|
$4,003.20 |
$4,003.20 |
$4,003.20 |
$4,599.40
|
|
Incision of spinal nerve 64772
|
$3,185.60 |
$3,185.60 |
$3,185.60 |
$2,685.07
|
|
Incision of tendon sheath
|
$2,176.80 |
$2,176.80 |
$2,176.80 |
$2,263.68
|
|
Incision of tongue fold
|
$1,796.00 |
$1,796.00 |
$1,796.00 |
$1,792.50
|
|
Incision of urethra
|
$3,981.60 |
$3,981.60 |
$3,981.60 |
$3,198.58
|
|
Incision tendon sheath
|
$2,803.20 |
$2,803.20 |
$2,803.20 |
$3,073.20
|
|
Indigotindisulfonate 8 mg/ml soln 5 ml ampule
|
$1,292.89 |
$1,292.89 |
$1,292.89 |
$766.66
|
|
Induced ab 1+ vag sup w/dlv fetus
|
$1,623.20 |
$1,623.20 |
$1,623.20 |
$1,997.99
|
|
Infliximab 100 mg intravenous solution
|
$1,500.43 |
$1,500.43 |
$1,500.43 |
$2,047.13
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$1,422.10 |
$1,422.10 |
$1,422.10 |
$1,537.84
|
|
Inf thrc fascial pln blk bi w/wo image
|
$1,483.20 |
$1,483.20 |
$1,483.20 |
$523.25
|
|
Inf thrc fascial pln blk uni w/wo image
|
$1,483.20 |
$1,483.20 |
$1,483.20 |
$770.00
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$545.60 |
$545.60 |
$545.60 |
$296.00
|
|
Inj, abilify asimtufii, 1 mg
|
$7,787.87 |
$7,787.87 |
$7,787.87 |
$9,426.91
|
|
Inj, abilify maintena, 1 mg
|
$6,739.33 |
$6,739.33 |
$6,739.33 |
$5,355.30
|
|
Inj, acetaminophen (b braun)
|
$39.33 |
$39.33 |
$39.33 |
$32.79
|
|
Inj acetaminophen -fresenius
|
$19.15 |
$19.15 |
$19.15 |
$36.60
|
|
Inj, adalimumab, 1 mg
|
$9,356.95 |
$9,356.95 |
$9,356.95 |
$12,098.05
|
|
Inj alymsys 10 mg
|
$491.24 |
$491.24 |
$491.24 |
$1,280.74
|
|
Inj, artesunate, 1mg
|
$8,735.11 |
$8,735.11 |
$8,735.11 |
$14,460.21
|
|
Inj, aspara, rylaze, 0.1 mg
|
$8,265.12 |
$8,265.12 |
$8,265.12 |
$10,458.00
|
|
Inj., benralizumab, 1 mg
|
$14,066.28 |
$14,066.28 |
$14,066.28 |
$11,310.00
|
|
Inj, biorphen, 20 micrograms
|
$32.82 |
$32.82 |
$32.82 |
$17.33
|
|
Inj calcitriol per 0.1 mcg
|
$16.80 |
$16.80 |
$16.80 |
$22.69
|
