|
Inj proc myelogram lumbar
|
$311.60 |
$311.60 |
$311.60 |
$838.30
|
|
Inj proc sialogram
|
$146.13 |
$146.13 |
$146.13 |
$373.00
|
|
Inj progesterone per 50 mg
|
$75.03 |
$75.03 |
$75.03 |
$13.76
|
|
Inj prohance multipack
|
$14.76 |
$14.76 |
$14.76 |
$10.40
|
|
Inj, releuko 1 mcg
|
$638.37 |
$638.37 |
$638.37 |
$475.36
|
|
Inj retacrit esrd on dialysi
|
$1.69 |
$1.69 |
$1.69 |
$349.45
|
|
Inj retro urethrocysto
|
$79.51 |
$79.51 |
$117.84 |
$447.74
|
|
Inj scleros sol mult veins
|
$156.57 |
$156.57 |
$156.57 |
$692.90
|
|
Inj scleros sol sgl vein
|
$78.28 |
$78.28 |
$78.28 |
$561.88
|
|
Inj sulf hexa lipid microsph
|
$363.84 |
$363.84 |
$363.84 |
$256.14
|
|
Inj testosterone cypionate
|
$60.03 |
$60.03 |
$60.03 |
$64.96
|
|
Inj, vancomycin hcl (mylan)
|
$20.18 |
$20.18 |
$20.18 |
$72.33
|
|
Inj w/fluor eval cv device
|
$213.06 |
$213.06 |
$1,893.71 |
$504.40
|
|
Ins cath ren art 1st bi
|
$2,018.43 |
$2,018.43 |
$2,426.53 |
$5,974.80
|
|
Ins cath ren art 1st uni
|
$1,857.06 |
$1,857.06 |
$1,869.02 |
$4,667.63
|
|
Ins cath ren art 2nd+ bi
|
$3,123.42 |
$3,123.42 |
$3,633.18 |
$5,663.98
|
|
Ins cath ren art 2nd+ uni
|
$1,816.47 |
$1,816.47 |
$2,393.99 |
$5,395.20
|
|
Ins cerv dilator (sep proc)
|
$1,073.02 |
$1,073.02 |
$1,073.02 |
$490.73
|
|
Insert cath pleura with image
|
$826.56 |
$826.56 |
$948.63 |
$2,194.40
|
|
Insert cath pleura without image
|
$794.52 |
$794.52 |
$794.52 |
$2,099.70
|
|
Insert drug delivery implant
|
$196.79 |
$196.79 |
$196.79 |
$280.00
|
|
Insert hepatic shunt (tips)
|
$2,570.20 |
$2,570.20 |
$2,570.20 |
$7,571.20
|
|
Insertion catheter bladder non indwelling
|
$59.28 |
$59.28 |
$59.28 |
$208.01
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$971.46 |
$971.46 |
$1,412.20 |
$4,897.20
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$2,116.15 |
$2,116.15 |
$2,116.15 |
$7,210.78
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$1,208.97 |
$1,208.97 |
$1,208.97 |
$2,585.25
|
|
Insertion of catheter vein
|
$523.13 |
$523.13 |
$523.13 |
$1,525.80
|
|
Insertion of catheter vein
|
$265.44 |
$265.44 |
$326.96 |
$870.59
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$6,354.18 |
$6,354.18 |
$6,354.18 |
$9,884.16
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$840.87 |
$840.87 |
$1,188.43 |
$2,103.75
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$876.48 |
$876.48 |
$1,188.43 |
$2,453.83
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$8,826.48 |
$8,826.48 |
$8,826.48 |
$29,180.00
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$3,527.15 |
$3,527.15 |
$3,527.15 |
$7,267.20
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$4,941.90 |
$4,941.90 |
$4,941.90 |
$5,236.80
|
|
Insert picvad cath
|
$3,089.03 |
$3,089.03 |
$3,089.03 |
$4,195.00
|
|
Insert pm/icd lead dual
|
$5,784.69 |
$5,784.69 |
$5,784.69 |
$7,115.90
|
|
Insert/repl sq defib w/eltrd
|
$21,536.07 |
$21,536.07 |
$21,536.07 |
$33,593.55
|
|
Insert swan-ganz cath
|
$1,021.15 |
$1,021.15 |
$1,443.78 |
$2,164.52
|
|
Insert tunneled cv 2cath 2sits without port/pmp 36565
|
$2,312.63 |
$2,312.63 |
$2,312.63 |
$4,997.60
|
|
Insert tunneled cv cath
|
$2,119.53 |
$2,119.53 |
$2,119.53 |
$4,520.00
|
|
Insert tunneled cv cath
|
$2,522.62 |
$2,522.62 |
$2,522.62 |
$6,028.07
|
|
Insert uteri tandem/ovoids
|
$460.81 |
$460.81 |
$460.81 |
$3,940.41
|
|
Insert vad art access left hrt arterial access
|
$2,584.97 |
$2,584.97 |
$2,584.97 |
$4,276.00
|
|
Ins icd gen exist sgl lead
|
$24,651.91 |
$24,651.91 |
$24,651.91 |
$23,230.50
|
|
Insitu hybridization auto
|
$160.78 |
$160.78 |
$377.37 |
$377.37
|
|
Insitu hybridization (fish)
|
$211.00 |
$211.00 |
$487.08 |
$481.00
|
|
Insitu hybridization manual
|
$160.78 |
$160.78 |
$377.37 |
$401.28
|
|
In situ hybridization per specimen each additional single probe stain
|
$98.11 |
$98.11 |
$98.11 |
$243.50
|
|
In situ hybridization per specimen initial single probe stain
|
$128.92 |
$128.92 |
$388.68 |
$338.40
|
|
Ins lv lead exist pm/icd
|
$5,836.11 |
$5,836.11 |
$5,836.11 |
$12,384.25
|
|
Ins mark abd/pel for right perq
|
$686.14 |
$686.14 |
$861.74 |
$2,477.24
|
|
Ins mark thor for right perq
|
$341.08 |
$341.08 |
$341.08 |
$2,503.80
|
|
Ins picad w subq port 5yr>
|
$2,770.98 |
$2,770.98 |
$2,770.98 |
$4,078.00
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$849.78 |
$849.78 |
$849.78 |
$1,690.00
|
|
Ins pq tunnld ip cath w/img
|
$2,381.71 |
$2,381.71 |
$2,381.71 |
$5,486.00
|
|
Ins/rpl pm gen exist dual lead
|
$5,090.24 |
$5,090.24 |
$5,090.24 |
$11,005.50
|
|
Ins/rpl pm w/tv ld atrl
|
$5,118.28 |
$5,118.28 |
$5,118.28 |
$11,583.66
|
|
Inst fibrinolysis agent ini day
|
$655.44 |
$655.44 |
$655.44 |
$1,043.35
|
|
Inst fibrinolysis agent sbsq d
|
$586.06 |
$586.06 |
$586.06 |
$997.05
|
|
Instillation anticarcinogenic agent bladder
|
$299.75 |
$299.75 |
$299.75 |
$638.40
|
|
Instll rx agnt into rnal tub
|
$430.65 |
$430.65 |
$430.65 |
$619.20
|
|
Ins tun cvad 2 cath w/subq port(s)
|
$3,688.60 |
$3,688.60 |
$3,688.60 |
$7,826.00
|
|
Ins tun cv cath wo subq prt/pm
|
$1,414.01 |
$1,414.01 |
$2,101.42 |
$5,324.80
|
|
Ins tun cv cath wo subq prt/pm
|
$1,414.01 |
$1,414.01 |
$1,451.80 |
$4,218.00
|
|
Ins tun intraperit dia cath
|
$4,333.05 |
$4,333.05 |
$4,333.05 |
$4,570.00
|
|
Inst via cath agent pleurds
|
$295.64 |
$295.64 |
$295.64 |
$1,074.68
|
|
Insulin for insulin pump use
|
$0.03 |
$0.03 |
$0.03 |
$67.93
|
|
Insulin total
|
$9.46 |
$9.46 |
$104.55 |
$66.64
|
|
Ins vag brachytx device
|
$225.03 |
$225.03 |
$225.03 |
$950.00
|
|
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm
|
$11,244.17 |
$11,244.17 |
$11,244.17 |
$8,617.32
|
|
Integra meshed bil wound mat
|
$5,115.57 |
$5,115.57 |
$5,115.57 |
$9,924.16
|
|
Interdiscal perq aspir dx
|
$629.66 |
$629.66 |
$629.66 |
$1,222.26
|
|
Interfyl, 1 mg
|
$5,115.57 |
$5,115.57 |
$5,115.57 |
$4,656.80
|
|
Interrog dev eval icpms ip
|
$35.18 |
$35.18 |
$35.18 |
$104.00
|
|
Intracard echo interv w/s&i
|
$2,291.74 |
$2,291.74 |
$2,291.74 |
$3,436.00
|
|
Intracran angioplsty w/stent
|
$8,020.07 |
$8,020.07 |
$8,020.07 |
$8,145.50
|
|
Intracranial angioplasty
|
$7,126.39 |
$7,126.39 |
$7,126.39 |
$5,181.00
|
|
Intracranial complete study
|
$293.50 |
$293.50 |
$377.61 |
$881.50
|
|
Intracranial limited study
|
$198.39 |
$198.39 |
$370.48 |
$467.50
|
|
Intrapul surf admin endo tube
|
$45.90 |
$45.90 |
$207.87 |
$220.80
|
|
Intrinsic factor antibody
|
$8.67 |
$8.67 |
$14.84 |
$65.00
|
|
Intro cath dialysis circuit
|
$1,274.66 |
$1,274.66 |
$1,274.66 |
$2,036.94
|
|
Intro cath dialysis circuit w/pta
|
$3,956.92 |
$3,956.92 |
$5,063.67 |
$8,690.50
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$7,725.04 |
$7,725.04 |
$8,253.55 |
$16,262.40
|
|
Intro catheter aorta
|
$427.34 |
$427.34 |
$427.34 |
$1,678.05
|
|
Intro cath svc/ivc
|
$381.91 |
$381.91 |
$381.91 |
$1,323.27
|
|
Intro long gi tube
|
$153.50 |
$153.50 |
$153.50 |
$974.17
|
|
Intro long gi tube w/mult fluo
|
$157.11 |
$157.11 |
$300.37 |
$469.00
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$1,664.86 |
$1,664.86 |
$2,131.10 |
$3,472.95
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$995.32 |
$995.32 |
$1,332.07 |
$1,801.10
|
|
Intubation endotracheal emergency procedure
|
$169.98 |
$169.98 |
$169.98 |
$601.28
|
|
Iodine i-123 sod iodide mil
|
$664.99 |
$664.99 |
$664.99 |
$386.37
|
|
Iodine i-125 sodium iodide
|
$187.95 |
$187.95 |
$187.95 |
$245.64
|
|
Iodine i-131 iobenguane 1mci
|
$0.55 |
$0.55 |
$0.55 |
$159,864.60
|
|
Ionm in operatng room 15 min
|
$32.23 |
$32.23 |
$289.51 |
$200.78
|
|
Ionm remote/>1 pt or per hr
|
$175.16 |
$175.16 |
$1,156.32 |
$622.70
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$201.23 |
$201.23 |
$201.23 |
$165.67
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$637.88 |
$637.88 |
$637.88 |
$279.10
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$93.73 |
$93.73 |
$93.73 |
$173.98
|
|
Iron
|
$34.53 |
$34.53 |
$90.06 |
$75.00
|