|
Hydromorphone injection
|
$13.41 |
$19.14 |
$46.81 |
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$7.00 |
$60.99 |
$106.05 |
|
|
Hydrxycorticsterds 17- (17-ohcs)
|
$21.09 |
$90.00 |
$100.32 |
|
|
Hymovis injection 1 mg
|
$24.91 |
$24.91 |
$24.91 |
|
|
Hyoscyamine sulfate inj
|
$71.29 |
$229.27 |
$363.74 |
|
|
Hyperbaric oxygen therapy
|
$174.90 |
$1,461.90 |
$3,162.72 |
|
|
#hypersens-actinomyces ab
|
$16.43 |
$16.43 |
$91.08 |
|
|
Hypothermia ill neonate
|
$337.50 |
$337.50 |
$337.50 |
|
|
Hyqvia 100mg immuneglobulin
|
$42.26 |
$42.26 |
$42.26 |
|
|
Hysterorrhaphy of ruptured uterus 59350
|
$1,106.40 |
$1,106.40 |
$1,106.40 |
|
|
Hysterosalpingography s&i
|
$212.53 |
$585.00 |
$2,289.28 |
|
|
Hysteroscopy ablation
|
$3,525.56 |
$3,525.56 |
$4,255.00 |
|
|
Hysteroscopy biopsy
|
$209.35 |
$209.35 |
$2,552.80 |
|
|
Hysteroscopy dx sep proc
|
$184.44 |
$950.00 |
$2,394.40 |
|
|
Hysteroscopy remove fb
|
$191.86 |
$191.86 |
$2,975.00 |
|
|
Hzv zoster vacc recombinant adjuvanted im inj
|
$142.22 |
$197.79 |
$631.93 |
|
|
I-123 iobenguane diag
|
$2,691.70 |
$4,840.00 |
$4,840.00 |
|
|
I-123 ioflupane diag
|
$2,875.00 |
$2,875.00 |
$4,482.21 |
|
|
I-123 sod iodide diag per 100 uci
|
$64.90 |
$105.00 |
$312.74 |
|
|
I125 iothalamate, dx
|
$830.00 |
$830.00 |
$830.00 |
|
|
I-131 iobenguane sulf diag mibg
|
$635.00 |
$635.00 |
$635.00 |
|
|
I131 iodide cap, rx
|
$28.60 |
$65.00 |
$333.19 |
|
|
I131 iodide sol, rx
|
$18.70 |
$18.70 |
$18.70 |
|
|
I131 max 100uci
|
$50.97 |
$50.97 |
$50.97 |
|
|
Iaadi respiratory synctial virus
|
$14.85 |
$29.70 |
$99.00 |
|
|
Iadna legionella pneumophila amplified probe tq
|
$110.55 |
$115.00 |
$205.70 |
|
|
Ia infect ag ab qual/semiquant sgl step
|
$42.40 |
$66.69 |
$118.14 |
|
|
Ia nfct ab sarscov2 covid19
|
$32.33 |
$32.33 |
$46.40 |
|
|
Ibandronate 3 mg/3 ml intravenous syringe
|
$38.76 |
$152.82 |
$540.00 |
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$397.77 |
$829.38 |
$2,726.86 |
|
|
Icd cobalt xt dr MRI is1 df1
|
$8,336.62 |
$16,332.88 |
$46,712.64 |
|
|
Icd crtd cobalt hf MRI is1 df1
|
$12,103.02 |
$21,728.44 |
$61,581.45 |
|
|
Icd crtp serena MRI
|
$4,463.94 |
$9,933.00 |
$23,482.73 |
|
|
Icd reliance df4 ib 64cm
|
$6,037.77 |
$6,429.06 |
$6,497.50 |
|
|
Icut allergy test-delayed
|
$43.20 |
$43.20 |
$109.18 |
|
|
Icut allergy test drug/bug
|
$10.45 |
$24.80 |
$183.91 |
|
|
Icut allergy titrate-airborn
|
$24.80 |
$24.80 |
$46.11 |
|
|
I&d abscess posterior spine l/s/ls-22015
|
$4,262.40 |
$4,262.40 |
$4,262.40 |
|
|
I&d abscss rtrphryngl/paraphryngl intraorl apprch
|
$1,988.80 |
$1,988.80 |
$1,988.80 |
|
|
Idarubicin hcl injection
|
$92.93 |
$151.01 |
$237.78 |
|
|
I&d/bursa/foot 28001
|
$211.47 |
$211.47 |
$2,255.20 |
|
|
I&d frarm&/wrst deep absc/hematoma
|
$2,626.40 |
$2,626.40 |
$2,626.40 |
|
|
Idh1 common variants
|
$258.18 |
$560.00 |
$712.80 |
|
|
Idh2 common variants
|
$271.36 |
$560.00 |
$786.50 |
|
|
I&d intramural/intramuscular/submuc abscess transanal anes
|
$1,239.20 |
$1,239.20 |
$1,239.20 |
|
|
I&d upper arm/elbow deep abscess/hematoma
|
$382.13 |
$2,014.65 |
$2,311.20 |
|
|
Idursulfase injection
|
$838.94 |
$838.94 |
$838.94 |
|
|
I&d vag hemtma obst/postpart
|
$2,797.20 |
$2,797.20 |
$2,797.20 |
|
|
Ifosfamide 1 gram intravenous solution
|
$62.39 |
$67.37 |
$160.15 |
|
|
Igh@/bcl2 translocation alys
|
$284.46 |
$284.46 |
$284.46 |
|
|
Igh gene rearrange amp meth
|
$141.51 |
$347.50 |
$1,868.25 |
|
|
Igh@ var region somatic mutation analy
|
$308.99 |
$565.00 |
$2,582.16 |
|
|
Igk rearrangeabn clonal pop
|
$454.30 |
$566.50 |
$1,604.46 |
|
|
Ihc/icc per specimen each additional single antibody stain
|
$111.30 |
$165.89 |
$967.45 |
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$63.80 |
$207.50 |
$486.54 |
|
|
Ihc/icc per specimen initial single antibody stain
|
$113.42 |
$210.00 |
$967.45 |
|
|
Iiv3 vacc no prsv 0.25 ml im
|
$19.61 |
$27.72 |
$36.80 |
|
|
Ikbkap gene
|
$45.60 |
$142.50 |
$354.57 |
|
|
Ileostomy/jejunostomy non-tube 44310
|
$4,592.00 |
$4,592.00 |
$4,592.00 |
|
|
Iliac/fem angio cath insert
|
$102.30 |
$1,601.66 |
$6,181.92 |
|
|
Iliac revasc add-on 37222
|
$2,420.51 |
$4,510.00 |
$16,928.05 |
|
|
Imetelstat 188 mg intravenous solution
|
$136.79 |
$136.79 |
$206.13 |
|
|
Img rta detc/mntr ds phy/qhp
|
$32.33 |
$32.33 |
$32.33 |
|
|
Immntx 1 sting insect
|
$109.60 |
$109.60 |
$109.60 |
|
|
Immntx 4 sting insects
|
$193.60 |
$193.60 |
$193.60 |
|
|
Immntx 5 sting insects
|
$229.60 |
$229.60 |
$229.60 |
|
|
Immob elbow child sm
|
$47.20 |
$70.00 |
$269.04 |
|
|
Immobilizer shldr cntor adlt
|
$75.00 |
$95.09 |
$216.65 |
|
|
Immobilizer shldr dlx str 24-36in med
|
$29.60 |
$147.50 |
$157.32 |
|
|
Immobilizer shldr sling med
|
$22.40 |
$22.40 |
$74.20 |
|
|
Immt breast prosthesis 19340
|
$1,505.37 |
$1,505.37 |
$8,499.20 |
|
|
Immune complex assay
|
$27.93 |
$166.32 |
$386.10 |
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$120.68 |
$138.93 |
$2,346.56 |
|
|
Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution
|
$78.44 |
$182.56 |
$235.34 |
|
|
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution
|
$123.14 |
$161.64 |
$5,989.85 |
|
|
Immune globulin ig human im use 90281
|
$133.60 |
$133.60 |
$133.60 |
|
|
Immunoassay tumor antigen quantitative ca 125
|
$20.90 |
$117.50 |
$337.27 |
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$26.40 |
$110.00 |
$301.14 |
|
|
Immunoassay tumor qual
|
$128.79 |
$128.79 |
$128.79 |
|
|
Immunodiff gel qual ea antigen/ab
|
$12.54 |
$60.00 |
$175.20 |
|
|
Immunodiffusion nes
|
$20.90 |
$56.71 |
$96.36 |
|
|
Immunofixation electrophoresis serum
|
$69.54 |
$142.50 |
$373.45 |
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$82.50 |
$108.52 |
$636.90 |
|
|
Immunofluorescence per specimen initial single antibody stain
|
$76.45 |
$161.65 |
$946.00 |
|
|
Immunoglobulin assay
|
$14.25 |
$125.00 |
$358.60 |
|
|
Immunology procedure
|
$55.44 |
$142.56 |
$281.45 |
|
|
Immunotherapy 2/> injections
|
$76.80 |
$76.80 |
$76.80 |
|
|
Implant 11 volt lithium-ion backup battery for controller pocket
|
$5,650.00 |
$5,650.00 |
$5,650.00 |
|
|
Implant biventricular device 33976
|
$12,864.80 |
$12,864.80 |
$12,864.80 |
|
|
Implant cartilage 10mm synthetic
|
$478.54 |
$1,706.53 |
$15,400.00 |
|
|
Implant cochlear device
|
$10,783.20 |
$10,783.20 |
$10,783.20 |
|
|
Implant cochlear osia osi300
|
$4,490.97 |
$4,490.97 |
$12,709.85 |
|
|
Implant hormone pellet(s) 11980
|
$50.88 |
$50.88 |
$429.60 |
|
|
Implant neuroelectrodes
|
$1,752.18 |
$1,752.18 |
$3,796.00 |
|
|
Implant neuroelectrodes
|
$5,325.00 |
$5,325.00 |
$17,089.72 |
|
|
Implant neuroelectrodes
|
$1,315.46 |
$4,440.00 |
$10,328.98 |
|
|
Implant power module patient cable cable 14 volt
|
$14,070.00 |
$14,070.00 |
$14,070.00 |
|
|
Implant/replace hearing aid
|
$6,264.80 |
$6,264.80 |
$6,264.80 |
|
|
Implant single ventricular device 33975
|
$4,438.75 |
$4,438.75 |
$10,716.80 |
|
|
Implant spine infusion pump
|
$461.10 |
$461.10 |
$461.10 |
|
