|
Graft nerve adv 3-4x70mm
|
$7,846.32 |
$7,846.32 |
$7,846.32 |
$20,782.10
|
|
Guided cath fluid drainage 10030
|
$2,043.60 |
$2,043.60 |
$2,043.60 |
$1,327.76
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$4.00 |
$4.00 |
$4.00 |
$24.41
|
|
Hand X-ray
|
$511.20 |
$511.20 |
$511.20 |
$345.87
|
|
Haptoglobin quantitative
|
$45.00 |
$45.00 |
$45.00 |
$91.80
|
|
Hcg quantitative
|
$55.00 |
$55.00 |
$55.00 |
$137.15
|
|
Head CT scan (with and without contrast)
|
$569.00 |
$569.00 |
$569.00 |
$1,818.96
|
|
Head CT scan (without contrast)
|
$296.00 |
$296.00 |
$296.00 |
$1,268.90
|
|
Hematocrit
|
$25.40 |
$25.40 |
$25.40 |
$33.57
|
|
Hemodialysis one evaluation
|
$2,029.80 |
$2,029.80 |
$2,029.80 |
$1,338.00
|
|
Hemoglobin
|
$48.20 |
$48.20 |
$48.20 |
$32.76
|
|
Heparin assay
|
$79.80 |
$79.80 |
$79.80 |
$138.84
|
|
Hepatitis b core antibody igm
|
$172.40 |
$172.40 |
$172.40 |
$88.80
|
|
Hepatitis b core antibody total
|
$483.80 |
$483.80 |
$483.80 |
$77.50
|
|
Hepatitis b surface antibody
|
$177.20 |
$177.20 |
$177.20 |
$81.12
|
|
Hepatitis c antibody
|
$55.00 |
$55.00 |
$55.00 |
$108.00
|
|
Hepatobiliary system imaging
|
$2,308.00 |
$2,308.00 |
$2,308.00 |
$1,438.99
|
|
Heterophile antibodies screening
|
$90.20 |
$90.20 |
$90.20 |
$72.00
|
|
Hip X-ray
|
$528.80 |
$528.80 |
$528.80 |
$296.05
|
|
Homocysteine
|
$372.20 |
$372.20 |
$372.20 |
$125.00
|
|
Homogenization tissue
|
$24.00 |
$24.00 |
$24.00 |
$41.00
|
|
Hydration IV infusion each additional hour
|
$295.80 |
$295.80 |
$295.80 |
$133.11
|
|
Hydration IV infusion initial 31minutes - 1 hour
|
$1,035.40 |
$1,035.40 |
$1,035.40 |
$385.20
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$135.60 |
$135.60 |
$135.60 |
$153.08
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$15.80 |
$15.80 |
$15.80 |
$120.72
|
|
Hysterosalpingography s&i
|
$1,817.40 |
$1,817.40 |
$1,817.40 |
$663.50
|
|
Iadna legionella pneumophila amplified probe tq
|
$145.60 |
$145.60 |
$145.60 |
$109.00
|
|
Ihc/icc per specimen each additional single antibody stain
|
$473.80 |
$473.80 |
$473.80 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$886.60 |
$886.60 |
$886.60 |
$328.79
|
|
Ihc/icc per specimen initial single antibody stain
|
$459.60 |
$459.60 |
$459.60 |
$272.30
|
|
Immunoassay tumor antigen quantitative ca 125
|
$85.00 |
$85.00 |
$85.00 |
$131.95
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$85.00 |
$85.00 |
$85.00 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$49.60 |
$49.60 |
$49.60 |
$48.38
|
|
Immunofixation electrophoresis serum
|
$236.60 |
$236.60 |
$236.60 |
$142.50
|
|
Implant neuroelectrodes
|
$19,865.00 |
$19,865.00 |
$19,865.00 |
$8,763.11
|
|
Impl neurostim electr perc
|
$19,151.20 |
$19,151.20 |
$19,151.20 |
$7,672.50
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$5,488.80 |
$5,488.80 |
$5,488.80 |
$2,056.93
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$342.00 |
$342.00 |
$342.00 |
$82.00
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$257.20 |
$257.20 |
$257.20 |
$76.32
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$288.00 |
$288.00 |
$288.00 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$487.80 |
$487.80 |
$487.80 |
$100.02
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$983.80 |
$983.80 |
$983.80 |
$81.20
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$496.00 |
$496.00 |
$496.00 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$770.20 |
$770.20 |
$770.20 |
$129.00
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$480.80 |
$480.80 |
$480.80 |
$98.02
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$49.60 |
$49.60 |
$49.60 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$402.40 |
$402.40 |
$402.40 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$362.00 |
$362.00 |
$362.00 |
$139.68
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$420.20 |
$420.20 |
$420.20 |
$167.00
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$1,333.60 |
$1,333.60 |
$1,333.60 |
$861.00
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$584.60 |
$584.60 |
$584.60 |
$179.92
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$140.00 |
$140.00 |
$140.00 |
$147.55
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$362.00 |
$362.00 |
$362.00 |
$136.03
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$100.00 |
$100.00 |
$100.00 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$100.00 |
$100.00 |
$100.00 |
$236.08
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$186.20 |
$186.20 |
$186.20 |
$92.50
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$307.40 |
$307.40 |
$307.40 |
$108.75
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$515.20 |
$515.20 |
$515.20 |
$727.50
|
|
Infectious agent nucleic acid quantification bk virus
|
$1,055.60 |
$1,055.60 |
$1,055.60 |
$279.40
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$1,078.20 |
$1,078.20 |
$1,078.20 |
$252.00
|
|
Infectious agent nucleic acid quantification hiv-1
|
$778.20 |
$778.20 |
$778.20 |
$374.00
|
|
Initiation & management bipap/cpap initial day
|
$394.40 |
$394.40 |
$394.40 |
$576.00
|
|
Inj anifrolumab-fnia 1mg
|
$32,563.20 |
$32,563.20 |
$32,563.20 |
$9,878.82
|
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
|
$2,397.80 |
$2,397.80 |
$2,397.80 |
$1,214.78
|
|
Injection arthrography hip without anesthesia (both sides)
|
$750.40 |
$750.40 |
$750.40 |
$495.84
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$581.80 |
$581.80 |
$581.80 |
$494.65
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$3,434.40 |
$3,434.40 |
$3,434.40 |
$1,023.50
|
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
|
$3,272.00 |
$3,272.00 |
$3,272.00 |
$1,952.40
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
|
$1,199.00 |
$1,199.00 |
$1,199.00 |
$1,029.45
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
|
$3,596.80 |
$3,596.80 |
$3,596.80 |
$1,814.40
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
|
$1,586.60 |
$1,586.60 |
$1,586.60 |
$1,017.90
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
|
$4,737.20 |
$4,737.20 |
$4,737.20 |
$1,995.00
|
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
|
$4,834.00 |
$4,834.00 |
$4,834.00 |
$1,817.24
|
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
|
$1,843.20 |
$1,843.20 |
$1,843.20 |
$1,681.24
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$1,605.20 |
$1,605.20 |
$1,605.20 |
$548.80
|
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
|
$1,605.20 |
$1,605.20 |
$1,605.20 |
$632.00
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$239.80 |
$239.80 |
$239.80 |
$166.38
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$239.80 |
$239.80 |
$239.80 |
$145.60
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$239.80 |
$239.80 |
$239.80 |
$249.32
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$183.00 |
$183.00 |
$183.00 |
$135.60
|
|
Inject sacroiliac joint
|
$2,364.80 |
$2,364.80 |
$2,364.80 |
$1,028.95
|
|
Inj, lidocaine w epinephrine
|
$5.60 |
$5.60 |
$5.60 |
$47.52
|
|
Inj., tildrakizumab, 1 mg
|
$73,040.40 |
$73,040.40 |
$73,040.40 |
$26,635.60
|
|
Ins cerv dilator (sep proc)
|
$1,465.20 |
$1,465.20 |
$1,465.20 |
$480.28
|
|
Insert cath pleura with image
|
$900.80 |
$900.80 |
$900.80 |
$2,194.40
|
|
Insertion catheter bladder non indwelling
|
$356.40 |
$356.40 |
$356.40 |
$205.40
|
|
Insertion catheter bladder temporary simple
|
$355.80 |
$355.80 |
$355.80 |
$232.25
|
|
Insertion intra aortic balloon assist device percutaneous
|
$1,777.40 |
$1,777.40 |
$1,777.40 |
$2,529.45
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$4,020.80 |
$4,020.80 |
$4,020.80 |
$2,419.65
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$7,439.20 |
$7,439.20 |
$7,439.20 |
$7,200.05
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$23,846.40 |
$23,846.40 |
$23,846.40 |
$9,332.50
|
|
Instillation anticarcinogenic agent bladder
|
$1,040.80 |
$1,040.80 |
$1,040.80 |
$621.40
|
|
Ins tun cv cath wo subq prt/pm
|
$11,785.40 |
$11,785.40 |
$11,785.40 |
$4,202.70
|
|
Insulin total
|
$204.00 |
$204.00 |
$204.00 |
$66.64
|
|
Intrinsic factor antibody
|
$300.80 |
$300.80 |
$300.80 |
$63.15
|
|
Intro cath dialysis circuit w/pta
|
$12,076.40 |
$12,076.40 |
$12,076.40 |
$8,690.50
|
|
Intubation endotracheal emergency procedure
|
$850.40 |
$850.40 |
$850.40 |
$598.80
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$5.40 |
$5.40 |
$5.40 |
$170.06
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$2.60 |
$2.60 |
$2.60 |
$288.11
|
|
Iron
|
$20.00 |
$20.00 |
$20.00 |
$72.29
|
