|
Hydrocolld drg <=16 without bdr
|
$17.82 |
$17.82 |
$17.82 |
$7.76
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$26.19 |
$26.19 |
$428.14 |
$140.54
|
|
Hydrogel drg <= 16 in w/bdr
|
$58.60 |
$58.60 |
$58.60 |
$30.14
|
|
Hydrogel drsg gel filler
|
$12.15 |
$12.15 |
$12.15 |
$32.50
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$279.00 |
$279.00 |
$279.00 |
$112.66
|
|
Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge
|
$294.92 |
$294.92 |
$294.92 |
$294.92
|
|
Hydromorphone injection
|
$85.79 |
$85.79 |
$85.79 |
$80.38
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$111.13 |
$111.13 |
$111.13 |
$72.65
|
|
Hydrxycorticsterds 17- (17-ohcs)
|
$71.91 |
$71.91 |
$121.09 |
$73.45
|
|
Hymenotomy
|
$1,644.90 |
$1,644.90 |
$1,644.90 |
$4,358.89
|
|
Hyoid myotomy & suspension
|
$3,334.72 |
$3,334.72 |
$3,334.72 |
$6,311.00
|
|
#hypersens-actinomyces ab
|
$22.95 |
$22.95 |
$22.95 |
$32.00
|
|
Hyperthermia gen intrcv prb
|
$1,880.11 |
$1,880.11 |
$1,880.11 |
$1,173.60
|
|
Hyperthermia ntrstl prb>5
|
$659.02 |
$659.02 |
$659.02 |
$1,995.20
|
|
Hypnotherapy
|
$154.52 |
$154.52 |
$154.52 |
$244.80
|
|
Hypothermia ill neonate
|
$1,291.16 |
$1,291.16 |
$1,291.16 |
$567.20
|
|
Hysterosalpingography s&i
|
$284.04 |
$284.04 |
$908.52 |
$669.12
|
|
Hysteroscopy ablation
|
$5,913.07 |
$5,913.07 |
$5,913.07 |
$5,865.75
|
|
Hysteroscopy biopsy
|
$4,753.18 |
$4,753.18 |
$4,753.18 |
$5,419.00
|
|
Hysteroscopy dx sep proc
|
$4,977.38 |
$4,977.38 |
$4,977.38 |
$3,997.50
|
|
Hysteroscopy lysis
|
$3,113.21 |
$3,113.21 |
$3,113.21 |
$5,766.75
|
|
Hysteroscopy remove fb
|
$4,502.48 |
$4,502.48 |
$4,502.48 |
$4,719.18
|
|
Hysteroscopy remove myoma
|
$3,289.45 |
$3,289.45 |
$3,289.45 |
$5,463.96
|
|
Hysteroscopy resect septum
|
$4,023.33 |
$4,023.33 |
$4,023.33 |
$5,766.75
|
|
Hysterotomy abdominal 59100
|
$4,258.45 |
$4,258.45 |
$4,258.45 |
$5,110.00
|
|
I-131 iobenguane sulf diag mibg
|
$2,397.60 |
$2,397.60 |
$2,397.60 |
$3,638.48
|
|
I131 iodide cap, rx
|
$42.39 |
$42.39 |
$42.39 |
$71.70
|
|
I131 max 100uci
|
$87.48 |
$87.48 |
$87.48 |
$53.39
|
|
Iadna legionella pneumophila amplified probe tq
|
$100.89 |
$100.89 |
$159.34 |
$109.80
|
|
Ia infect ag ab qual/semiquant sgl step
|
$102.11 |
$102.11 |
$102.11 |
$50.60
|
|
Ibandronate 3 mg/3 ml intravenous syringe
|
$949.32 |
$949.32 |
$949.32 |
$684.45
|
|
Ibmfs seq alys pnl 30 genes
|
$9,377.40 |
$9,377.40 |
$9,377.40 |
$2,828.00
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$596.07 |
$596.07 |
$987.93 |
$980.94
|
|
Icatibant injection
|
$218.07 |
$218.07 |
$20,065.49 |
$8,695.05
|
|
Icd cobalt xt dr MRI is1 df1
|
$64,074.00 |
$64,074.00 |
$64,074.00 |
$34,093.09
|
|
Icd crtd cobalt hf MRI is1 df1
|
$54,763.80 |
$54,763.80 |
$54,763.80 |
$39,070.50
|
|
Icd crtp serena MRI
|
$50,985.00 |
$50,985.00 |
$50,985.00 |
$14,360.25
|
|
Icd reliance df4 ib 64cm
|
$15,300.60 |
$15,300.60 |
$15,300.60 |
$9,264.83
|
|
Icg angiography i&r uni/bi
|
$788.39 |
$788.39 |
$788.39 |
$610.80
|
|
Icut allergy test-delayed
|
$64.87 |
$64.87 |
$64.87 |
$46.45
|
|
Icut allergy test drug/bug
|
$58.63 |
$58.63 |
$58.63 |
$70.29
|
|
I&d abscss rtrphryngl/paraphryngl intraorl apprch
|
$2,462.23 |
$2,462.23 |
$2,462.23 |
$3,592.74
|
|
Idarubicin hcl injection
|
$474.69 |
$474.69 |
$474.69 |
$447.02
|
|
I&d/bursa/foot 28001
|
$2,539.51 |
$2,539.51 |
$2,539.51 |
$1,917.33
|
|
Identify sperm tissue
|
$380.95 |
$380.95 |
$380.95 |
$157.60
|
|
I&d frarm&/wrst deep absc/hematoma
|
$2,539.68 |
$2,539.68 |
$2,539.68 |
$3,839.54
|
|
Idh1 common variants
|
$641.36 |
$641.36 |
$641.36 |
$415.35
|
|
Idh2 common variants
|
$981.65 |
$981.65 |
$981.65 |
$486.00
|
|
I&d intramural/intramuscular/submuc abscess transanal anes
|
$2,147.18 |
$2,147.18 |
$2,147.18 |
$3,245.23
|
|
I&d lacrimal gland
|
$551.57 |
$551.57 |
$551.57 |
$1,435.20
|
|
I&d lacrimal sac
|
$3,205.90 |
$3,205.90 |
$3,205.90 |
$2,760.73
|
|
I&d upper arm/elbow deep abscess/hematoma
|
$941.67 |
$941.67 |
$3,371.02 |
$3,371.02
|
|
I & d vag hematoma non-ob 57023
|
$3,325.14 |
$3,325.14 |
$3,325.14 |
$3,444.42
|
|
I&d vag hemtma obst/postpart
|
$1,606.08 |
$1,606.08 |
$1,606.08 |
$3,370.52
|
|
Ifosfamide 1 gram intravenous solution
|
$320.36 |
$320.36 |
$428.76 |
$246.95
|
|
Igh gene rearrang dir probe
|
$82.26 |
$82.26 |
$82.26 |
$111.50
|
|
Igh gene rearrange amp meth
|
$583.33 |
$583.33 |
$583.33 |
$464.25
|
|
Igh@ var region somatic mutation analy
|
$993.40 |
$993.40 |
$993.40 |
$660.80
|
|
Igk rearrangeabn clonal pop
|
$369.03 |
$369.03 |
$369.03 |
$399.36
|
|
Ihc/icc per specimen each additional single antibody stain
|
$113.40 |
$113.40 |
$153.27 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$276.19 |
$276.19 |
$276.19 |
$331.20
|
|
Ihc/icc per specimen initial single antibody stain
|
$158.67 |
$158.67 |
$351.07 |
$277.90
|
|
Iiv3 vacc no prsv 0.25 ml im
|
$28.71 |
$28.71 |
$28.71 |
$29.70
|
|
Ikbkap gene
|
$476.25 |
$476.25 |
$476.25 |
$173.49
|
|
Iliac/fem angio cath insert
|
$1,300.58 |
$1,300.58 |
$1,300.58 |
$1,856.01
|
|
Iliac revasc add-on 37222
|
$7,719.48 |
$7,719.48 |
$7,719.48 |
$6,082.65
|
|
Img rta detcj/mntr ds staff
|
$197.42 |
$197.42 |
$197.42 |
$70.29
|
|
Img rta detc/mntr ds phy/qhp
|
$44.93 |
$44.93 |
$44.93 |
$51.36
|
|
Img rta detc/mntr ds poc aly
|
$85.70 |
$85.70 |
$85.70 |
$71.25
|
|
Immob elbow child sm
|
$168.02 |
$168.02 |
$168.02 |
$85.39
|
|
Immobilizer lwr extrem nylon 20in reinforc 21-35in
|
$54.00 |
$54.00 |
$54.00 |
$259.20
|
|
Immobilizer shldr cntor adlt
|
$382.08 |
$382.08 |
$382.08 |
$175.60
|
|
Immobilizer shldr dlx str 24-36in med
|
$299.33 |
$299.33 |
$299.33 |
$118.43
|
|
Immobilizer shldr sling med
|
$19.27 |
$19.27 |
$19.27 |
$126.00
|
|
Immt breast prosthesis 19340
|
$3,849.50 |
$3,849.50 |
$3,849.50 |
$5,110.00
|
|
Immune complex assay
|
$174.76 |
$174.76 |
$174.76 |
$101.60
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$52.38 |
$52.38 |
$6,106.32 |
$6,106.32
|
|
Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution
|
$4,040.28 |
$4,040.28 |
$4,040.28 |
$2,900.11
|
|
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution
|
$69.39 |
$69.39 |
$69.39 |
$3,846.15
|
|
Immunoassay tumor antigen quantitative ca 125
|
$83.88 |
$83.88 |
$139.88 |
$132.00
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$64.62 |
$64.62 |
$132.86 |
$116.40
|
|
Immunoassay tumor qual
|
$86.69 |
$86.69 |
$86.69 |
$66.50
|
|
Immunodiff gel qual ea antigen/ab
|
$22.95 |
$22.95 |
$134.46 |
$48.57
|
|
Immunodiffusion nes
|
$109.79 |
$109.79 |
$109.79 |
$53.76
|
|
Immunofixation electrophoresis serum
|
$72.90 |
$72.90 |
$346.24 |
$142.50
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$1,007.00 |
$1,007.00 |
$1,007.00 |
$154.05
|
|
Immunofluorescence per specimen initial single antibody stain
|
$156.33 |
$156.33 |
$1,007.00 |
$234.27
|
|
Immunoglobulin assay
|
$68.89 |
$68.89 |
$68.89 |
$78.00
|
|
Immunology procedure
|
$321.98 |
$321.98 |
$321.98 |
$150.70
|
|
Impedence cardiogram
|
$76.95 |
$76.95 |
$80.11 |
$152.54
|
|
Implant 11 volt lithium-ion backup battery for controller pocket
|
$5,000.40 |
$5,000.40 |
$5,000.40 |
$1,754.00
|
|
Implant cartilage 10mm synthetic
|
$11,811.60 |
$11,811.60 |
$11,811.60 |
$8,332.51
|
|
Implant cochlear device
|
$20,433.28 |
$20,433.28 |
$20,433.28 |
$34,229.98
|
|
Implant cochlear osia osi300
|
$9,893.61 |
$9,893.61 |
$21,892.96 |
$16,195.55
|
|
Implant eye drug system
|
$5,837.83 |
$5,837.83 |
$5,837.83 |
$13,647.20
|
|
Implant hormone pellet(s) 11980
|
$204.13 |
$204.13 |
$204.13 |
$315.75
|
|
Implant nerve end
|
$2,152.40 |
$2,152.40 |
$2,152.40 |
$4,760.00
|
|
Implant neuroelectrodes
|
$7,828.38 |
$7,828.38 |
$7,828.38 |
$18,334.40
|
|
Implant neuroelectrodes
|
$4,809.60 |
$4,809.60 |
$4,809.60 |
$8,836.80
|
|
Implant neuroelectrodes
|
$8,659.65 |
$8,659.65 |
$8,659.65 |
$7,728.86
|
