|
Hysterectomy/revise vagina 58280
|
$683.79 |
$683.79 |
$772.98 |
|
|
Hysteroplasty 58540
|
$592.02 |
$592.02 |
$669.24 |
|
|
Hysterorrhaphy of ruptured uterus 59350
|
$179.17 |
$179.17 |
$202.54 |
|
|
Hysterosalpingography s&i
|
$213.00 |
$784.00 |
$3,618.60 |
|
|
Hysteroscopy ablation
|
$158.24 |
$660.60 |
$3,295.20 |
|
|
Hysteroscopy biopsy
|
$149.27 |
$515.40 |
$5,180.40 |
|
|
Hysteroscopy dx sep proc
|
$98.21 |
$366.60 |
$1,279.50 |
|
|
Hysteroscopy lysis
|
$182.62 |
$206.44 |
$1,007.50 |
|
|
Hysteroscopy remove fb
|
$142.60 |
$161.20 |
$976.00 |
|
|
Hysteroscopy remove myoma
|
$230.23 |
$260.26 |
$1,732.00 |
|
|
Hysteroscopy resect septum
|
$201.25 |
$201.25 |
$227.50 |
|
|
Hysterotomy abdominal 59100
|
$553.38 |
$625.56 |
$3,761.40 |
|
|
Hzv zoster vacc recombinant adjuvanted im inj
|
$72.68 |
$150.00 |
$270.00 |
|
|
I-123 iobenguane diag
|
$4,006.80 |
$10,866.00 |
$12,202.20 |
|
|
I-123 ioflupane diag
|
$5,594.40 |
$8,455.20 |
$11,215.20 |
|
|
I-123 sod iodide diag per 100 uci
|
$83.40 |
$139.20 |
$1,122.60 |
|
|
I125 iothalamate, dx
|
$518.40 |
$518.40 |
$518.40 |
|
|
I-131 iobenguane sulf diag mibg
|
$7,450.80 |
$7,450.80 |
$7,450.80 |
|
|
I131 iodide cap, rx
|
$38.00 |
$184.20 |
$823.80 |
|
|
I131 iodide sol, rx
|
$52.20 |
$52.20 |
$345.60 |
|
|
I131 max 100uci
|
$179.40 |
$179.40 |
$179.40 |
|
|
I-131 sod iodide sol diag per mci
|
$114.60 |
$114.60 |
$823.80 |
|
|
Iaadi respiratory synctial virus
|
$10.40 |
$75.00 |
$119.40 |
|
|
Iadna legionella pneumophila amplified probe tq
|
$24.38 |
$195.60 |
$591.00 |
|
|
Ia infect ag ab qual/semiquant sgl step
|
$12.42 |
$96.00 |
$179.40 |
|
|
Ibandronate 3 mg/3 ml intravenous syringe
|
$105.00 |
$486.60 |
$6,468.60 |
|
|
Ibmfs seq alys pnl 30 genes
|
$1,689.58 |
$1,689.58 |
$1,909.96 |
|
|
Ibuprofen injection
|
$150.00 |
$150.00 |
$150.00 |
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$37.80 |
$496.00 |
$2,792.80 |
|
|
Icatibant injection
|
$1,016.40 |
$20,171.40 |
$35,979.60 |
|
|
Icd cobalt xt dr MRI is1 df1
|
$17,601.60 |
$41,422.80 |
$139,505.40 |
|
|
Icd crtd cobalt hf MRI is1 df1
|
$8,633.00 |
$45,067.20 |
$146,978.40 |
|
|
Icd crtp serena MRI
|
$5,940.00 |
$24,360.60 |
$47,350.20 |
|
|
Icd reliance df4 ib 64cm
|
$594.00 |
$18,804.00 |
$68,619.60 |
|
|
Icg angiography i&r uni/bi
|
$29.90 |
$29.90 |
$33.80 |
|
|
Icut allergy test-delayed
|
$37.20 |
$37.20 |
$37.20 |
|
|
Icut allergy test drug/bug
|
$0.69 |
$0.78 |
$115.80 |
|
|
Icut allergy titrate-airborn
|
$28.20 |
$28.20 |
$28.20 |
|
|
I&d abscess posterior spine l/s/ls-22015
|
$618.70 |
$618.70 |
$699.40 |
|
|
I&d abscss rtrphryngl/paraphryngl intraorl apprch
|
$249.55 |
$3,948.00 |
$4,651.80 |
|
|
Idarubicin hcl injection
|
$98.08 |
$555.60 |
$7,371.00 |
|
|
I&d/bursa/foot 28001
|
$83.49 |
$94.38 |
$2,223.20 |
|
|
Idecabtagene vicleucel car
|
$4,393,800.00 |
$4,393,800.00 |
$4,393,800.00 |
|
|
Identify sperm tissue
|
$74.98 |
$74.98 |
$84.76 |
|
|
Idet 1 or more levels
|
$102.35 |
$102.35 |
$115.70 |
|
|
Idet single level
|
$221.49 |
$221.49 |
$250.38 |
|
|
I&d frarm&/wrst deep absc/hematoma
|
$437.23 |
$1,037.40 |
$7,427.20 |
|
|
Idh1 common variants
|
$133.40 |
$133.40 |
$543.16 |
|
|
Idh2 common variants
|
$204.24 |
$204.24 |
$831.76 |
|
|
I&d intramural/intramuscular/submuc abscess transanal anes
|
$285.20 |
$322.40 |
$1,070.50 |
|
|
I&d lacrimal gland
|
$83.72 |
$83.72 |
$94.64 |
|
|
I&d lacrimal sac
|
$105.57 |
$3,177.00 |
$7,494.40 |
|
|
I&d upper arm/elbow deep abscess/hematoma
|
$140.76 |
$422.40 |
$3,355.20 |
|
|
Idursulfase injection
|
$5,992.80 |
$6,966.00 |
$8,137.60 |
|
|
I & d vag hematoma non-ob 57023
|
$206.54 |
$3,515.40 |
$8,048.24 |
|
|
I&d vag hemtma obst/postpart
|
$117.07 |
$117.07 |
$132.34 |
|
|
Ifnl3 gene
|
$50.60 |
$50.60 |
$205.72 |
|
|
Ifosfamide 1 gram intravenous solution
|
$46.73 |
$268.20 |
$3,108.60 |
|
|
Igh@/bcl2 translocation alys
|
$143.06 |
$143.06 |
$583.12 |
|
|
Igh gene rearrange amp meth
|
$199.50 |
$757.20 |
$1,594.80 |
|
|
Igh@ var region somatic mutation analy
|
$575.00 |
$1,416.60 |
$2,296.20 |
|
|
Igk rearrangeabn clonal pop
|
$199.50 |
$975.00 |
$1,594.80 |
|
|
Ihc/icc per specimen each additional single antibody stain
|
$42.00 |
$183.20 |
$913.50 |
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$84.60 |
$424.20 |
$1,052.59 |
|
|
Ihc/icc per specimen initial single antibody stain
|
$84.60 |
$337.20 |
$1,465.50 |
|
|
Iiv3 vacc no prsv 0.25 ml im
|
$16.50 |
$16.50 |
$24.00 |
|
|
Ikbkap gene
|
$27.14 |
$552.60 |
$600.60 |
|
|
Ileostomy/jejunostomy non-tube 44310
|
$670.45 |
$757.90 |
$1,809.00 |
|
|
Iliac bone graft microvasc
|
$1,702.46 |
$1,702.46 |
$1,924.52 |
|
|
Iliac/fem angio cath insert
|
$8.51 |
$2,881.20 |
$8,445.60 |
|
|
Iliac revasc add-on 37222
|
$533.50 |
$8,640.60 |
$15,442.20 |
|
|
Iloprost non-comp unit dose
|
$161.40 |
$161.40 |
$424.80 |
|
|
Imatinib 100 mg tab
|
$120.60 |
$248.00 |
$1,282.20 |
|
|
Imbrication/diaphragm/transthor/transabd 39545
|
$575.23 |
$575.23 |
$650.26 |
|
|
Imetelstat 188 mg intravenous solution
|
$98.40 |
$99.00 |
$99.00 |
|
|
Img rta detcj/mntr ds staff
|
$29.50 |
$29.50 |
$29.50 |
|
|
Img rta detc/mntr ds phy/qhp
|
$10.58 |
$11.96 |
$19.50 |
|
|
Img rta detc/mntr ds poc aly
|
$68.00 |
$68.00 |
$68.00 |
|
|
Immntx 4 sting insects
|
$71.50 |
$71.50 |
$71.50 |
|
|
Immntx 5 sting insects
|
$123.50 |
$123.50 |
$123.50 |
|
|
Immobilizer shldr cntor adlt
|
$21.00 |
$362.40 |
$631.80 |
|
|
Immobilizer shldr dlx str 24-36in med
|
$16.34 |
$239.20 |
$760.80 |
|
|
Immobilizer shldr sling med
|
$115.80 |
$115.80 |
$366.60 |
|
|
Immt breast prosthesis 19340
|
$491.97 |
$491.97 |
$556.14 |
|
|
Immune complex assay
|
$88.80 |
$160.16 |
$421.80 |
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$232.00 |
$629.40 |
$18,293.40 |
|
|
Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution
|
$191.40 |
$2,854.20 |
$15,186.40 |
|
|
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution
|
$421.80 |
$920.40 |
$5,101.20 |
|
|
Immune globulin ig human im use 90281
|
$214.00 |
$214.00 |
$214.00 |
|
|
Immunoassay tumor antigen quantitative ca 125
|
$78.00 |
$133.20 |
$3,299.40 |
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$85.00 |
$141.00 |
$3,408.60 |
|
|
Immunoassay tumor qual
|
$17.48 |
$167.40 |
$233.40 |
|
|
Immunodiff gel qual ea antigen/ab
|
$21.00 |
$66.60 |
$595.80 |
|
|
Immunodiffusion nes
|
$9.66 |
$135.60 |
$238.80 |
|
|
Immunoelectrophoresis assay
|
$20.70 |
$20.70 |
$23.40 |
|
|
Immunofixation electrophoresis serum
|
$57.60 |
$129.60 |
$1,809.60 |
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$72.60 |
$168.00 |
$903.60 |
|
|
Immunofluorescence per specimen initial single antibody stain
|
$55.20 |
$171.60 |
$664.80 |
|
|
Immunoglobulin assay
|
$19.50 |
$78.44 |
$684.60 |
|
|
Immunology procedure
|
$28.80 |
$173.16 |
$759.00 |
|
