|
Inj hrt cath w/s&i sel right vent
|
$274.00 |
$274.00 |
$274.00 |
$999.96
|
|
Inj hydroxocobalamin IV 25mg
|
$2,728.24 |
$2,728.24 |
$2,728.24 |
$2,452.32
|
|
Inj ivig privigen 500 mg
|
$4,997.67 |
$4,997.67 |
$4,997.67 |
$6,967.29
|
|
Inj, kovaltry, 1 i.u
|
$5.10 |
$5.10 |
$5.10 |
$5.07
|
|
Inj, lidocaine w epinephrine
|
$36.99 |
$36.99 |
$36.99 |
$45.60
|
|
Inj mepivacaine hcl/10 ml
|
$18.76 |
$18.76 |
$18.76 |
$34.34
|
|
Inj. mycophenolate mofetil
|
$295.34 |
$295.34 |
$295.34 |
$252.66
|
|
Inj naloxone hydrochloride
|
$324.82 |
$324.82 |
$324.82 |
$83.16
|
|
Inj nephrosto/ureterogram w/img exstng access
|
$888.92 |
$888.92 |
$1,017.06 |
$1,413.35
|
|
Inj, nithiodote, 3mg / 125mg
|
$519.39 |
$519.39 |
$519.39 |
$468.10
|
|
Inj ogivri 10 mg
|
$3,621.22 |
$3,621.22 |
$3,621.22 |
$4,492.28
|
|
Inj, panzyga, 500 mg
|
$5,763.34 |
$5,763.34 |
$5,763.34 |
$8,041.38
|
|
Inj proc myelogram lumbar
|
$457.76 |
$457.76 |
$457.76 |
$838.30
|
|
Inj proc sialogram
|
$214.68 |
$214.68 |
$214.68 |
$373.00
|
|
Inj prohance multipack
|
$16.08 |
$16.08 |
$16.08 |
$10.40
|
|
Inj, releuko 1 mcg
|
$695.46 |
$695.46 |
$695.46 |
$475.36
|
|
Inj retacrit esrd on dialysi
|
$0.62 |
$0.62 |
$0.62 |
$349.45
|
|
Inj retro urethrocysto
|
$116.81 |
$116.81 |
$128.38 |
$447.74
|
|
Inj sulf hexa lipid microsph
|
$396.38 |
$396.38 |
$396.38 |
$256.14
|
|
Inj testosterone cypionate
|
$65.40 |
$65.40 |
$65.40 |
$64.96
|
|
Inj., tildrakizumab, 1 mg
|
$14,921.17 |
$14,921.17 |
$14,921.17 |
$26,635.60
|
|
Inj, vancomycin hcl (mylan)
|
$21.98 |
$21.98 |
$21.98 |
$72.33
|
|
Inj w/fluor eval cv device
|
$312.99 |
$312.99 |
$2,063.07 |
$504.40
|
|
Ins cath ren art 1st bi
|
$2,198.94 |
$2,198.94 |
$3,564.70 |
$5,974.80
|
|
Ins cath ren art 1st uni
|
$2,023.14 |
$2,023.14 |
$2,745.69 |
$4,667.63
|
|
Ins cath ren art 2nd+ bi
|
$3,958.10 |
$3,958.10 |
$4,588.47 |
$5,663.98
|
|
Ins cath ren art 2nd+ uni
|
$1,978.92 |
$1,978.92 |
$3,516.90 |
$5,395.20
|
|
Ins cerv dilator (sep proc)
|
$586.98 |
$586.98 |
$586.98 |
$490.73
|
|
Insert cath pleura with image
|
$900.48 |
$900.48 |
$1,393.59 |
$2,194.40
|
|
Insert hepatic shunt (tips)
|
$3,775.77 |
$3,775.77 |
$3,775.77 |
$7,571.20
|
|
Insertion catheter bladder non indwelling
|
$85.69 |
$85.69 |
$85.69 |
$208.01
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$1,058.34 |
$1,058.34 |
$2,074.60 |
$4,897.20
|
|
Insertion intra aortic balloon assist device percutaneous
|
$2,788.53 |
$2,788.53 |
$2,788.53 |
$2,447.63
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$3,108.74 |
$3,108.74 |
$3,108.74 |
$7,210.78
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$1,776.04 |
$1,776.04 |
$1,776.04 |
$2,585.25
|
|
Insertion of catheter vein
|
$768.50 |
$768.50 |
$768.50 |
$1,525.80
|
|
Insertion of catheter vein
|
$289.18 |
$289.18 |
$480.32 |
$870.59
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$9,473.26 |
$9,473.26 |
$9,473.26 |
$12,384.25
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$6,536.79 |
$6,536.79 |
$6,536.79 |
$12,324.60
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$6,922.44 |
$6,922.44 |
$7,023.87 |
$9,884.16
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$1,235.29 |
$1,235.29 |
$1,294.71 |
$2,103.75
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$1,287.61 |
$1,287.61 |
$1,294.71 |
$2,453.83
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$9,615.84 |
$9,615.84 |
$9,917.94 |
$29,180.00
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$3,230.96 |
$3,230.96 |
$3,230.96 |
$7,183.68
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$3,598.08 |
$3,598.08 |
$3,842.59 |
$7,267.20
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$5,030.90 |
$5,030.90 |
$5,030.90 |
$9,332.50
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$2,573.86 |
$2,573.86 |
$2,573.86 |
$5,236.80
|
|
Insert picvad cath
|
$4,537.96 |
$4,537.96 |
$4,537.96 |
$4,195.00
|
|
Insert pm/icd lead dual
|
$4,148.30 |
$4,148.30 |
$6,302.02 |
$7,115.90
|
|
Insert/repl sq defib w/eltrd
|
$6,647.74 |
$6,647.74 |
$23,462.06 |
$33,593.55
|
|
Insert swan-ganz cath
|
$1,112.47 |
$1,112.47 |
$1,700.73 |
$2,164.52
|
|
Insert tunneled cv cath
|
$3,113.70 |
$3,113.70 |
$3,113.70 |
$4,520.00
|
|
Insert vad art access left hrt arterial access
|
$1,318.27 |
$1,318.27 |
$2,816.15 |
$4,276.00
|
|
Ins icd gen exist sgl lead
|
$26,856.55 |
$26,856.55 |
$26,856.55 |
$23,230.50
|
|
Insitu hybridization auto
|
$203.45 |
$203.45 |
$411.12 |
$377.37
|
|
Insitu hybridization (fish)
|
$138.04 |
$138.04 |
$530.64 |
$481.00
|
|
Insitu hybridization manual
|
$203.45 |
$203.45 |
$411.12 |
$401.28
|
|
In situ hybridization per specimen each additional single probe stain
|
$124.16 |
$124.16 |
$124.16 |
$243.50
|
|
In situ hybridization per specimen initial single probe stain
|
$163.14 |
$163.14 |
$423.44 |
$338.40
|
|
Insj perq vad r hrt venous
|
$1,318.27 |
$1,318.27 |
$1,318.27 |
$3,796.00
|
|
Ins lv lead exist pm/icd
|
$6,358.04 |
$6,358.04 |
$7,010.80 |
$12,384.25
|
|
Ins mark abd/pel for right perq
|
$938.81 |
$938.81 |
$938.81 |
$2,477.24
|
|
Ins picad w subq port 5yr>
|
$4,070.73 |
$4,070.73 |
$4,070.73 |
$4,078.00
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$1,248.37 |
$1,248.37 |
$1,248.37 |
$1,690.00
|
|
Ins pq tunnld ip cath w/img
|
$3,498.86 |
$3,498.86 |
$3,498.86 |
$5,486.00
|
|
Ins/rpl pm gen exist dual lead
|
$5,545.46 |
$5,545.46 |
$5,545.46 |
$11,005.50
|
|
Ins/rpl pm w/tv ld atrl
|
$5,576.01 |
$5,576.01 |
$6,181.41 |
$11,583.66
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$15,117.00 |
$15,117.00 |
$15,117.00 |
$27,318.11
|
|
Ins tun cv cath wo subq prt/pm
|
$1,540.47 |
$1,540.47 |
$1,540.47 |
$5,324.80
|
|
Ins tun cv cath wo subq prt/pm
|
$1,540.47 |
$1,540.47 |
$2,132.78 |
$4,218.00
|
|
Ins tun intraperit dia cath
|
$4,720.56 |
$4,720.56 |
$4,720.56 |
$4,570.00
|
|
Insulin total
|
$11.17 |
$11.17 |
$113.90 |
$66.64
|
|
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm
|
$12,249.75 |
$12,249.75 |
$12,249.75 |
$8,617.32
|
|
Integra meshed bil wound mat
|
$5,573.06 |
$5,573.06 |
$5,573.06 |
$9,924.16
|
|
Interfyl, 1 mg
|
$5,573.06 |
$5,573.06 |
$5,573.06 |
$4,656.80
|
|
Interrog dev eval icpms ip
|
$38.33 |
$38.33 |
$38.33 |
$104.00
|
|
Intracard echo interv w/s&i
|
$2,496.69 |
$2,496.69 |
$2,496.69 |
$3,436.00
|
|
Intracranial complete study
|
$301.56 |
$301.56 |
$411.38 |
$881.50
|
|
Intracranial limited study
|
$203.84 |
$203.84 |
$403.61 |
$467.50
|
|
Intrapul surf admin endo tube
|
$8.84 |
$8.84 |
$226.46 |
$220.80
|
|
Intrinsic factor antibody
|
$16.17 |
$16.17 |
$20.47 |
$65.00
|
|
Intro cath dialysis circuit
|
$1,872.55 |
$1,872.55 |
$1,872.55 |
$2,036.94
|
|
Intro cath dialysis circuit w/pta
|
$5,516.52 |
$5,516.52 |
$5,812.94 |
$8,690.50
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$8,991.67 |
$8,991.67 |
$11,348.51 |
$16,262.40
|
|
Intro catheter aorta
|
$627.79 |
$627.79 |
$627.79 |
$1,678.05
|
|
Intro cath svc/ivc
|
$561.04 |
$561.04 |
$561.04 |
$1,323.27
|
|
Intro long gi tube
|
$225.50 |
$225.50 |
$225.50 |
$974.17
|
|
Intro long gi tube w/mult fluo
|
$163.99 |
$163.99 |
$327.23 |
$469.00
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$2,321.69 |
$2,321.69 |
$2,445.77 |
$3,472.95
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$1,084.33 |
$1,084.33 |
$1,956.89 |
$1,801.10
|
|
Intubation endotracheal emergency procedure
|
$235.43 |
$235.43 |
$235.43 |
$601.28
|
|
Ionm in operatng room 15 min
|
$35.11 |
$35.11 |
$35.11 |
$200.78
|
|
Ionm remote/>1 pt or per hr
|
$190.82 |
$190.82 |
$190.82 |
$622.70
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$193.77 |
$193.77 |
$193.77 |
$165.67
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$694.93 |
$694.93 |
$694.93 |
$279.10
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$102.11 |
$102.11 |
$102.11 |
$173.98
|
|
Iron
|
$40.77 |
$40.77 |
$98.11 |
$75.00
|
|
Iron binding capacity
|
$5.29 |
$5.29 |
$62.98 |
$63.91
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$167.50 |
$167.50 |
$167.50 |
$187.06
|
|
Irrigation implantable venous access device for drug delivery systems
|
$121.41 |
$121.41 |
$121.41 |
$146.11
|
