|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$146.30 |
$146.30 |
$146.30 |
$72.65
|
|
Hydroxyzine pamoate 25 mg capsule
|
$3.44 |
$3.44 |
$3.44 |
$1.28
|
|
Hydrxycorticsterds 17- (17-ohcs)
|
$73.10 |
$73.10 |
$73.10 |
$75.24
|
|
Hyoscyamine sulfate inj
|
$42.63 |
$42.63 |
$42.63 |
$123.83
|
|
Hypothermia ill neonate
|
$3,193.45 |
$3,193.45 |
$3,193.45 |
$744.84
|
|
Hyqvia 100mg immuneglobulin
|
$7,880.39 |
$7,880.39 |
$7,880.39 |
$13,494.15
|
|
Hysterosalpingography s&i
|
$1,156.00 |
$1,156.00 |
$1,156.00 |
$663.50
|
|
Hzv zoster vacc recombinant adjuvanted im inj
|
$575.79 |
$575.79 |
$575.79 |
$352.24
|
|
I-123 iobenguane diag
|
$13,551.76 |
$13,551.76 |
$13,551.76 |
$5,170.70
|
|
I-123 ioflupane diag
|
$2,692.80 |
$2,692.80 |
$2,692.80 |
$3,937.60
|
|
I-123 sod iodide diag per 100 uci
|
$239.14 |
$239.14 |
$239.14 |
$139.20
|
|
I-131 iobenguane sulf diag mibg
|
$5,947.52 |
$5,947.52 |
$5,947.52 |
$3,918.36
|
|
I131 iodide sol, rx
|
$24,952.60 |
$24,952.60 |
$24,952.60 |
$32.40
|
|
I131 max 100uci
|
$177.37 |
$177.37 |
$177.37 |
$53.39
|
|
I131 serum albumin, dx
|
$488.75 |
$488.75 |
$488.75 |
$847.84
|
|
Iaadi respiratory synctial virus
|
$55.25 |
$55.25 |
$55.25 |
$49.60
|
|
Ibandronate 3 mg/3 ml intravenous syringe
|
$667.25 |
$667.25 |
$667.25 |
$684.45
|
|
Ibuprofen injection
|
$1,214.20 |
$1,214.20 |
$1,214.20 |
$256.76
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$1,488.93 |
$1,488.93 |
$1,488.93 |
$980.94
|
|
Icatibant injection
|
$29,567.40 |
$29,567.40 |
$29,567.40 |
$8,695.05
|
|
Icd cobalt xt dr MRI is1 df1
|
$13,810.28 |
$13,810.28 |
$13,810.28 |
$35,347.68
|
|
Icd crtd cobalt hf MRI is1 df1
|
$21,834.38 |
$21,834.38 |
$21,834.38 |
$39,398.40
|
|
Icd crtp serena MRI
|
$16,479.38 |
$16,479.38 |
$16,479.38 |
$14,360.25
|
|
Icd reliance df4 ib 64cm
|
$5,555.60 |
$5,555.60 |
$5,555.60 |
$9,363.28
|
|
I&d abscss rtrphryngl/paraphryngl intraorl apprch
|
$7,897.35 |
$7,897.35 |
$7,897.35 |
$3,771.20
|
|
Idarubicin hcl injection
|
$647.37 |
$647.37 |
$647.37 |
$447.02
|
|
Idh1 common variants
|
$715.70 |
$715.70 |
$715.70 |
$416.25
|
|
Idh2 common variants
|
$1,096.50 |
$1,096.50 |
$1,096.50 |
$511.97
|
|
I&d upper arm/elbow deep abscess/hematoma
|
$6,970.00 |
$6,970.00 |
$6,970.00 |
$3,355.20
|
|
Idursulfase injection
|
$8,569.95 |
$8,569.95 |
$8,569.95 |
$5,583.80
|
|
I&d vag hemtma obst/postpart
|
$6,970.00 |
$6,970.00 |
$6,970.00 |
$3,334.38
|
|
Ifosfamide 1 gram intravenous solution
|
$323.48 |
$323.48 |
$323.48 |
$246.95
|
|
Igh@/bcl2 translocation alys
|
$767.55 |
$767.55 |
$767.55 |
$277.80
|
|
Ihc/icc per specimen each additional single antibody stain
|
$245.65 |
$245.65 |
$245.65 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$731.85 |
$731.85 |
$731.85 |
$322.55
|
|
Ihc/icc per specimen initial single antibody stain
|
$425.85 |
$425.85 |
$425.85 |
$272.30
|
|
Iliac/fem angio cath insert
|
$321.30 |
$321.30 |
$321.30 |
$1,856.01
|
|
Imetelstat 188 mg intravenous solution
|
$27,644.46 |
$27,644.46 |
$27,644.46 |
$20,373.55
|
|
Immobilizer shldr cntor adlt
|
$119.36 |
$119.36 |
$119.36 |
$175.47
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$13,896.09 |
$13,896.09 |
$13,896.09 |
$6,106.32
|
|
Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution
|
$6,040.73 |
$6,040.73 |
$6,040.73 |
$3,092.46
|
|
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution
|
$5,155.76 |
$5,155.76 |
$5,155.76 |
$3,846.15
|
|
Immunoassay tumor antigen quantitative ca 125
|
$84.15 |
$84.15 |
$84.15 |
$131.57
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$84.15 |
$84.15 |
$84.15 |
$116.40
|
|
Immunodiffusion nes
|
$56.95 |
$56.95 |
$56.95 |
$53.76
|
|
Immunofixation electrophoresis serum
|
$90.95 |
$90.95 |
$90.95 |
$141.60
|
|
Immunofluorescence per specimen initial single antibody stain
|
$593.30 |
$593.30 |
$593.30 |
$232.96
|
|
Impl ahmed 6x25x9.6mm glaucoma vlv w/sil ped ster
|
$1,353.20 |
$1,353.20 |
$1,353.20 |
$3,840.76
|
|
Implant cartilage 10mm synthetic
|
$15,575.19 |
$15,575.19 |
$15,575.19 |
$9,261.00
|
|
Implant cochlear osia osi300
|
$19,790.08 |
$19,790.08 |
$19,790.08 |
$17,698.33
|
|
Implant ureth bulk agent
|
$1,768.00 |
$1,768.00 |
$1,768.00 |
$2,141.57
|
|
Impl ear abutment ba300 9mm
|
$3,217.76 |
$3,217.76 |
$3,217.76 |
$3,974.88
|
|
Implt neurostim elctr each
|
$4,449.13 |
$4,449.13 |
$4,449.13 |
$4,449.13
|
|
Imuglucerase injection
|
$4,637.17 |
$4,637.17 |
$4,637.17 |
$3,399.59
|
|
In-111 capromab pendet
|
$195.68 |
$195.68 |
$195.68 |
$3,196.38
|
|
In-111 oxyquinolin per 0.5 mci
|
$11,169.07 |
$11,169.07 |
$11,169.07 |
$2,581.82
|
|
In-111 pentetate dtpa / 0.5 mci
|
$7,049.32 |
$7,049.32 |
$7,049.32 |
$2,565.10
|
|
In-111 pentetreotide
|
$10,187.93 |
$10,187.93 |
$10,187.93 |
$4,961.43
|
|
Inactivated je vacc im
|
$786.81 |
$786.81 |
$786.81 |
$481.34
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$3,976.30 |
$3,976.30 |
$3,976.30 |
$2,080.80
|
|
Incision of breast lesion
|
$3,976.30 |
$3,976.30 |
$3,976.30 |
$2,577.85
|
|
Incision of eardrum
|
$683.40 |
$683.40 |
$683.40 |
$556.00
|
|
Incision of toe tendons 28011
|
$3,941.45 |
$3,941.45 |
$3,941.45 |
$2,068.30
|
|
Incision of tongue fold
|
$3,740.85 |
$3,740.85 |
$3,740.85 |
$1,792.50
|
|
Incisn windpipe
|
$7,897.35 |
$7,897.35 |
$7,897.35 |
$3,819.23
|
|
Incobotulinumtoxin a
|
$1,359.43 |
$1,359.43 |
$1,359.43 |
$1,339.57
|
|
Indigotindisulfonate 8 mg/ml soln 5 ml ampule
|
$503.94 |
$503.94 |
$503.94 |
$766.66
|
|
Induced ab 1+vag supp d&c
|
$4,328.20 |
$4,328.20 |
$4,328.20 |
$1,194.40
|
|
Induced ab 1+ vag sup w/dlv fetus
|
$4,328.20 |
$4,328.20 |
$4,328.20 |
$1,881.75
|
|
Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s)
|
$303.45 |
$303.45 |
$303.45 |
$137.15
|
|
Infect ag ia direct hiv-1 antgn
|
$132.60 |
$132.60 |
$132.60 |
$95.55
|
|
Infect ag ia optc obs influenza
|
$66.30 |
$66.30 |
$66.30 |
$72.93
|
|
Infect ag if hep delta agent
|
$74.80 |
$74.80 |
$74.80 |
$125.97
|
|
Infect ag if influenza b
|
$50.15 |
$50.15 |
$50.15 |
$40.52
|
|
Infect ag if legionella pneumophila
|
$62.90 |
$62.90 |
$62.90 |
$72.58
|
|
Infect ag if pneumocystis carinii
|
$48.45 |
$48.45 |
$48.45 |
$68.69
|
|
Infect ag na hpv high-risk types
|
$141.95 |
$141.95 |
$141.95 |
$139.32
|
|
Infect ag na influenza r/amp 1st 2 types
|
$387.60 |
$387.60 |
$387.60 |
$217.88
|
|
Infect ag na resp virus 12-25 targets
|
$1,679.60 |
$1,679.60 |
$1,679.60 |
$845.40
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$48.45 |
$48.45 |
$48.45 |
$82.50
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$55.25 |
$55.25 |
$55.25 |
$72.00
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$56.95 |
$56.95 |
$56.95 |
$76.45
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$48.45 |
$48.45 |
$48.45 |
$75.40
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$42.50 |
$42.50 |
$42.50 |
$81.06
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$42.50 |
$42.50 |
$42.50 |
$60.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$96.90 |
$96.90 |
$96.90 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$48.45 |
$48.45 |
$48.45 |
$130.90
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$48.45 |
$48.45 |
$48.45 |
$99.00
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$48.45 |
$48.45 |
$48.45 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$141.95 |
$141.95 |
$141.95 |
$275.00
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$141.95 |
$141.95 |
$141.95 |
$137.67
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$150.45 |
$150.45 |
$150.45 |
$167.05
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$1,679.60 |
$1,679.60 |
$1,679.60 |
$861.00
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$141.95 |
$141.95 |
$141.95 |
$184.50
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$141.95 |
$141.95 |
$141.95 |
$151.25
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$168.30 |
$168.30 |
$168.30 |
$210.00
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$141.95 |
$141.95 |
$141.95 |
$136.03
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$206.55 |
$206.55 |
$206.55 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$575.45 |
$575.45 |
$575.45 |
$217.80
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$575.45 |
$575.45 |
$575.45 |
$236.08
|