|
H pylori (c-13) breath
|
$302.25 |
$302.25 |
$302.25 |
$212.25
|
|
Hrv skn cll ssp agrft 1st 25
|
$3,567.20 |
$3,567.20 |
$3,567.20 |
$3,567.20
|
|
Human epididymis protein 4 (he4)
|
$93.60 |
$93.60 |
$93.60 |
$157.32
|
|
Hyaluronidase 150 unit/ml injection solution
|
$130.57 |
$130.57 |
$130.57 |
$126.37
|
|
Hyaluronidase, human recombinant 150 unit/ml injection solution
|
$130.57 |
$130.57 |
$130.57 |
$142.40
|
|
Hydralazine 20 mg/ml injection solution
|
$39.88 |
$39.88 |
$39.88 |
$48.00
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$470.46 |
$470.46 |
$470.46 |
$140.54
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$182.66 |
$182.66 |
$182.66 |
$112.66
|
|
Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge
|
$4.97 |
$4.97 |
$4.97 |
$294.92
|
|
Hydroxocobalamin im 10mcg
|
$2.50 |
$2.50 |
$2.50 |
$4.86
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$78.88 |
$78.88 |
$78.88 |
$72.65
|
|
Hymenotomy
|
$9,506.90 |
$9,506.90 |
$9,506.90 |
$4,358.89
|
|
Hymovis injection 1 mg
|
$559.26 |
$559.26 |
$559.26 |
$28.00
|
|
Hyoscyamine sulfate inj
|
$252.53 |
$252.53 |
$252.53 |
$123.83
|
|
Hyperbaric oxygen therapy
|
$548.60 |
$548.60 |
$548.60 |
$1,081.04
|
|
Hyperthermia ext gen deep
|
$478.40 |
$478.40 |
$478.40 |
$1,683.20
|
|
Hyqvia 100mg immuneglobulin
|
$57.37 |
$57.37 |
$57.37 |
$13,494.15
|
|
Hysterectomy/revise vagina 58275
|
$4,427.80 |
$4,427.80 |
$4,427.80 |
$1,918.20
|
|
Hysterectomy/revise vagina 58280
|
$4,765.80 |
$4,765.80 |
$4,765.80 |
$2,053.20
|
|
Hysterosalpingography s&i
|
$1,084.20 |
$1,084.20 |
$1,084.20 |
$669.12
|
|
Hysteroscopy ablation
|
$1,278.55 |
$1,278.55 |
$1,278.55 |
$5,865.75
|
|
Hysteroscopy biopsy
|
$1,192.75 |
$1,192.75 |
$1,192.75 |
$5,419.00
|
|
Hysteroscopy dx sep proc
|
$757.90 |
$757.90 |
$757.90 |
$3,997.50
|
|
Hysteroscopy lysis
|
$1,352.00 |
$1,352.00 |
$1,352.00 |
$5,766.75
|
|
Hysteroscopy remove fb
|
$1,040.00 |
$1,040.00 |
$1,040.00 |
$4,719.18
|
|
Hysteroscopy remove myoma
|
$14,760.20 |
$14,760.20 |
$14,760.20 |
$5,463.96
|
|
Hysteroscopy resect septum
|
$1,495.00 |
$1,495.00 |
$1,495.00 |
$5,766.75
|
|
Hzv zoster vacc recombinant adjuvanted im inj
|
$549.18 |
$549.18 |
$549.18 |
$352.24
|
|
I-123 iobenguane diag
|
$5,730.40 |
$5,730.40 |
$5,730.40 |
$5,170.70
|
|
I-123 ioflupane diag
|
$2,949.05 |
$2,949.05 |
$2,949.05 |
$4,158.00
|
|
I-123 sod iodide diag per 100 uci
|
$136.50 |
$136.50 |
$136.50 |
$147.46
|
|
I131 iodide cap, rx
|
$117.00 |
$117.00 |
$117.00 |
$71.70
|
|
I-131 sod iodide sol diag per mci
|
$117.00 |
$117.00 |
$117.00 |
$114.60
|
|
Iadna legionella pneumophila amplified probe tq
|
$157.30 |
$157.30 |
$157.30 |
$109.80
|
|
Ia infect ag ab qual/semiquant sgl step
|
$81.25 |
$81.25 |
$81.25 |
$50.60
|
|
Ibandronate 3 mg/3 ml intravenous syringe
|
$328.38 |
$328.38 |
$328.38 |
$684.45
|
|
Ibuprofen injection
|
$386.10 |
$386.10 |
$386.10 |
$256.76
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$131.00 |
$131.00 |
$131.00 |
$980.94
|
|
Icatibant injection
|
$8,695.05 |
$8,695.05 |
$8,695.05 |
$8,695.05
|
|
Icd cobalt xt dr MRI is1 df1
|
$46,340.45 |
$46,340.45 |
$46,340.45 |
$34,093.09
|
|
Icd crtd cobalt hf MRI is1 df1
|
$64,190.75 |
$64,190.75 |
$64,190.75 |
$39,070.50
|
|
Icd crtp serena MRI
|
$22,672.65 |
$22,672.65 |
$22,672.65 |
$14,360.25
|
|
Icd reliance df4 ib 64cm
|
$10,984.35 |
$10,984.35 |
$10,984.35 |
$9,264.83
|
|
Icut allergy test-delayed
|
$31.20 |
$31.20 |
$31.20 |
$46.45
|
|
Icut allergy test drug/bug
|
$105.95 |
$105.95 |
$105.95 |
$70.29
|
|
I&d abscess posterior spine l/s/ls-22015
|
$3,286.40 |
$3,286.40 |
$3,286.40 |
$2,286.40
|
|
Idarubicin hcl injection
|
$36.15 |
$36.15 |
$36.15 |
$447.02
|
|
I&d/bursa/foot 28001
|
$520.00 |
$520.00 |
$520.00 |
$1,917.33
|
|
Idecabtagene vicleucel car
|
$33,955.69 |
$33,955.69 |
$33,955.69 |
$1,129,895.40
|
|
Idet 1 or more levels
|
$787.80 |
$787.80 |
$787.80 |
$4,649.60
|
|
Idet single level
|
$1,521.00 |
$1,521.00 |
$1,521.00 |
$3,347.50
|
|
I&d frarm&/wrst deep absc/hematoma
|
$1,401.40 |
$1,401.40 |
$1,401.40 |
$3,839.54
|
|
Idh1 common variants
|
$866.45 |
$866.45 |
$866.45 |
$415.35
|
|
Idh2 common variants
|
$1,326.65 |
$1,326.65 |
$1,326.65 |
$486.00
|
|
I&d intramural/intramuscular/submuc abscess transanal anes
|
$1,526.20 |
$1,526.20 |
$1,526.20 |
$3,245.23
|
|
I&d upper arm/elbow deep abscess/hematoma
|
$777.40 |
$777.40 |
$777.40 |
$3,371.02
|
|
Idursulfase injection
|
$2,519.32 |
$2,519.32 |
$2,519.32 |
$5,646.08
|
|
I & d vag hematoma non-ob 57023
|
$1,346.80 |
$1,346.80 |
$1,346.80 |
$3,444.42
|
|
I&d vag hemtma obst/postpart
|
$2,512.90 |
$2,512.90 |
$2,512.90 |
$3,370.52
|
|
Ifosfamide 1 gram intravenous solution
|
$335.53 |
$335.53 |
$335.53 |
$246.95
|
|
Igh gene rearrange amp meth
|
$887.90 |
$887.90 |
$887.90 |
$464.25
|
|
Igh@ var region somatic mutation analy
|
$1,320.80 |
$1,320.80 |
$1,320.80 |
$660.80
|
|
Igk rearrangeabn clonal pop
|
$774.80 |
$774.80 |
$774.80 |
$399.36
|
|
Ihc/icc per specimen each additional single antibody stain
|
$160.55 |
$160.55 |
$160.55 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$1,613.30 |
$1,613.30 |
$1,613.30 |
$331.20
|
|
Ihc/icc per specimen initial single antibody stain
|
$768.30 |
$768.30 |
$768.30 |
$277.90
|
|
Ikbkap gene
|
$176.15 |
$176.15 |
$176.15 |
$173.49
|
|
Ileostomy/jejunostomy non-tube 44310
|
$5,031.00 |
$5,031.00 |
$5,031.00 |
$1,976.40
|
|
Iliac revasc add-on 37222
|
$4,854.20 |
$4,854.20 |
$4,854.20 |
$6,082.65
|
|
Imbrication/diaphragm/transthor/transabd 39545
|
$3,814.20 |
$3,814.20 |
$3,814.20 |
$2,181.60
|
|
Imetelstat 188 mg intravenous solution
|
$32,477.90 |
$32,477.90 |
$32,477.90 |
$20,373.55
|
|
Img rta detcj/mntr ds staff
|
$13.65 |
$13.65 |
$13.65 |
$70.29
|
|
Immob elbow child sm
|
$117.00 |
$117.00 |
$117.00 |
$85.39
|
|
Immobilizer shldr cntor adlt
|
$80.60 |
$80.60 |
$80.60 |
$175.60
|
|
Immobilizer shldr dlx str 24-36in med
|
$343.20 |
$343.20 |
$343.20 |
$118.43
|
|
Immobilizer shldr sling med
|
$25.35 |
$25.35 |
$25.35 |
$126.00
|
|
Immt breast prosthesis 19340
|
$2,724.80 |
$2,724.80 |
$2,724.80 |
$5,110.00
|
|
Immune complex assay
|
$109.20 |
$109.20 |
$109.20 |
$101.60
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$40.85 |
$40.85 |
$40.85 |
$6,106.32
|
|
Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution
|
$5,326.31 |
$5,326.31 |
$5,326.31 |
$2,900.11
|
|
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution
|
$45.45 |
$45.45 |
$45.45 |
$3,846.15
|
|
Immunoassay tumor antigen quantitative ca 125
|
$93.60 |
$93.60 |
$93.60 |
$132.00
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$93.60 |
$93.60 |
$93.60 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$53.95 |
$53.95 |
$53.95 |
$48.57
|
|
Immunodiffusion nes
|
$63.05 |
$63.05 |
$63.05 |
$53.76
|
|
Immunofixation electrophoresis serum
|
$105.95 |
$105.95 |
$105.95 |
$142.50
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$161.85 |
$161.85 |
$161.85 |
$154.05
|
|
Immunofluorescence per specimen initial single antibody stain
|
$768.30 |
$768.30 |
$768.30 |
$234.27
|
|
Immunoglobulin assay
|
$55.90 |
$55.90 |
$55.90 |
$78.00
|
|
Immunology procedure
|
$211.90 |
$211.90 |
$211.90 |
$150.70
|
|
Impact tooth remov part bony
|
$357.50 |
$357.50 |
$357.50 |
$1,300.00
|
|
Impedence cardiogram
|
$481.65 |
$481.65 |
$481.65 |
$152.54
|
|
Impl absrb msh/prsth dly cls
|
$1,833.00 |
$1,833.00 |
$1,833.00 |
$750.40
|
|
Implantation iris prosthesis
|
$3,051.75 |
$3,051.75 |
$3,051.75 |
$19,332.98
|
|
Implant cartilage 10mm synthetic
|
$54.60 |
$54.60 |
$54.60 |
$8,332.51
|
|
Implant hormone pellet(s) 11980
|
$778.05 |
$778.05 |
$778.05 |
$315.75
|
|
Implant nerve end
|
$1,115.40 |
$1,115.40 |
$1,115.40 |
$4,760.00
|
|
Implant neuroelectrodes
|
$34,162.70 |
$34,162.70 |
$34,162.70 |
$18,334.40
|
|
Implant neuroelectrodes
|
$10,395.45 |
$10,395.45 |
$10,395.45 |
$8,836.80
|
|
Implant neuroelectrodes
|
$15,876.90 |
$15,876.90 |
$15,876.90 |
$7,728.86
|
