|
Inj retro urethrocysto
|
$139.27 |
$139.27 |
$139.27 |
$443.50
|
|
Inj romidepsin non-lyo 0.1mg
|
$6,993.96 |
$6,993.96 |
$6,993.96 |
$9,892.69
|
|
Inj scleros sol mult veins
|
$83.41 |
$83.41 |
$83.41 |
$675.00
|
|
Inj scleros sol sgl vein
|
$79.99 |
$79.99 |
$79.99 |
$558.97
|
|
Inj testostero enanthate 1mg
|
$311.84 |
$311.84 |
$311.84 |
$123.24
|
|
Inj testosterone cypionate
|
$412.49 |
$412.49 |
$412.49 |
$64.80
|
|
Inj. tigecycline (accord)
|
$330.17 |
$330.17 |
$330.17 |
$188.03
|
|
Inj, vancomycin hcl (mylan)
|
$111.69 |
$111.69 |
$111.69 |
$76.59
|
|
Inj, vancomycin hcl (xellia)
|
$38.76 |
$38.76 |
$38.76 |
$85.20
|
|
Inj vasopressin (am reg) 1 u
|
$65.89 |
$65.89 |
$65.89 |
$41.79
|
|
Inj w/fluor eval cv device
|
$116.28 |
$116.28 |
$116.28 |
$503.92
|
|
Ins cath ren art 1st bi
|
$1,999.94 |
$1,999.94 |
$1,999.94 |
$5,753.10
|
|
Ins cath ren art 1st uni
|
$1,929.45 |
$1,929.45 |
$1,929.45 |
$4,660.00
|
|
Ins cath ren art 2nd+ bi
|
$2,051.24 |
$2,051.24 |
$2,051.24 |
$5,500.86
|
|
Ins cath ren art 2nd+ uni
|
$2,051.24 |
$2,051.24 |
$2,051.24 |
$5,395.20
|
|
Ins cerv dilator (sep proc)
|
$162.07 |
$162.07 |
$162.07 |
$480.28
|
|
Insert cath pleura with image
|
$609.52 |
$609.52 |
$609.52 |
$2,194.40
|
|
Insert cath pleura without image
|
$500.46 |
$500.46 |
$500.46 |
$2,073.18
|
|
Insert hepatic shunt (tips)
|
$5,589.99 |
$5,589.99 |
$5,589.99 |
$7,571.20
|
|
Insertion catheter bladder non indwelling
|
$36.67 |
$36.67 |
$36.67 |
$205.40
|
|
Insertion catheter bladder temporary simple
|
$36.67 |
$36.67 |
$36.67 |
$232.25
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$1,174.77 |
$1,174.77 |
$1,174.77 |
$4,782.00
|
|
Insertion intra aortic balloon assist device percutaneous
|
$655.50 |
$655.50 |
$655.50 |
$2,529.45
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$1,946.17 |
$1,946.17 |
$1,946.17 |
$7,210.78
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$506.16 |
$506.16 |
$506.16 |
$2,505.60
|
|
Insertion of catheter vein
|
$568.86 |
$568.86 |
$568.86 |
$1,477.00
|
|
Insertion of catheter vein
|
$127.30 |
$127.30 |
$127.30 |
$836.25
|
|
Insertion of heart electrode 33211
|
$1,826.85 |
$1,826.85 |
$1,826.85 |
$6,903.60
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$8,455.76 |
$8,455.76 |
$8,455.76 |
$12,384.25
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$8,455.76 |
$8,455.76 |
$8,455.76 |
$12,384.25
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$9,349.71 |
$9,349.71 |
$9,349.71 |
$10,100.35
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$327.37 |
$327.37 |
$327.37 |
$2,079.50
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$443.84 |
$443.84 |
$443.84 |
$2,419.65
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$14,698.78 |
$14,698.78 |
$14,698.78 |
$29,042.52
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$2,556.07 |
$2,556.07 |
$2,556.07 |
$7,200.05
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$3,127.78 |
$3,127.78 |
$3,127.78 |
$7,312.80
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$4,927.84 |
$4,927.84 |
$4,927.84 |
$9,332.50
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$1,184.46 |
$1,184.46 |
$1,184.46 |
$5,223.20
|
|
Insert pm/icd lead dual
|
$2,744.74 |
$2,744.74 |
$2,744.74 |
$7,115.20
|
|
Insert sq defib electrode
|
$2,805.92 |
$2,805.92 |
$2,805.92 |
$8,167.68
|
|
Insert swan-ganz cath
|
$492.86 |
$492.86 |
$492.86 |
$2,210.50
|
|
Insert vad art access left hrt arterial access
|
$2,881.54 |
$2,881.54 |
$2,881.54 |
$4,270.75
|
|
Ins icd gen exist mlt leads
|
$15,030.33 |
$15,030.33 |
$15,030.33 |
$31,286.77
|
|
Ins icd gen exist sgl lead
|
$12,511.88 |
$12,511.88 |
$12,511.88 |
$23,230.50
|
|
Insitu hybridization auto
|
$99.37 |
$99.37 |
$99.37 |
$377.37
|
|
Insitu hybridization manual
|
$99.37 |
$99.37 |
$99.37 |
$401.28
|
|
In situ hybridization per specimen each additional single probe stain
|
$65.93 |
$65.93 |
$65.93 |
$241.15
|
|
In situ hybridization per specimen initial single probe stain
|
$97.09 |
$97.09 |
$97.09 |
$331.69
|
|
Ins lv lead exist pm/icd
|
$9,349.71 |
$9,349.71 |
$9,349.71 |
$12,384.25
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$467.97 |
$467.97 |
$467.97 |
$1,690.00
|
|
Ins pm gen exist dual lead
|
$15,030.33 |
$15,030.33 |
$15,030.33 |
$23,665.85
|
|
Ins pm gen w/exist mlt leads
|
$9,321.40 |
$9,321.40 |
$9,321.40 |
$14,804.40
|
|
Ins pq tunnld ip cath w/img
|
$2,331.30 |
$2,331.30 |
$2,331.30 |
$5,377.00
|
|
Ins/rplc spi npg/rcvr pocket
|
$10,753.81 |
$10,753.81 |
$10,753.81 |
$24,061.80
|
|
Ins/rpl ldless pm right vent w img & eval
|
$6,690.28 |
$6,690.28 |
$6,690.28 |
$24,135.54
|
|
Ins/rpl pm gen exist dual lead
|
$5,518.55 |
$5,518.55 |
$5,518.55 |
$11,005.50
|
|
Ins/rpl pm gen exist sgl lead
|
$4,875.97 |
$4,875.97 |
$4,875.97 |
$9,428.64
|
|
Ins/rpl pm w/tv ld atrl
|
$8,455.76 |
$8,455.76 |
$8,455.76 |
$11,583.66
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$19,527.44 |
$19,527.44 |
$19,527.44 |
$25,694.00
|
|
Inst fibrinolysis agent ini day
|
$221.54 |
$221.54 |
$221.54 |
$1,036.05
|
|
Instillation anticarcinogenic agent bladder
|
$200.64 |
$200.64 |
$200.64 |
$621.40
|
|
Ins tun cv cath wo subq prt/pm
|
$986.10 |
$986.10 |
$986.10 |
$5,324.80
|
|
Ins tun cv cath wo subq prt/pm
|
$986.10 |
$986.10 |
$986.10 |
$4,202.70
|
|
Inst via cath agent pleurds
|
$232.75 |
$232.75 |
$232.75 |
$1,065.00
|
|
Insulin total
|
$70.49 |
$70.49 |
$70.49 |
$66.64
|
|
Ins vag brachytx device
|
$103.93 |
$103.93 |
$103.93 |
$935.50
|
|
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm
|
$500.46 |
$500.46 |
$500.46 |
$8,629.72
|
|
Intens cardiac rehab no exer
|
$78.47 |
$78.47 |
$78.47 |
$238.40
|
|
Intens cardiac rehab w/exerc
|
$78.47 |
$78.47 |
$78.47 |
$238.40
|
|
Interdiscal perq aspir dx
|
$390.45 |
$390.45 |
$390.45 |
$1,222.26
|
|
Interrog dev eval scrms ip
|
$38.00 |
$38.00 |
$38.00 |
$124.80
|
|
Interrog evl pm/ldls pm ip
|
$25.84 |
$25.84 |
$25.84 |
$124.80
|
|
Interstitial brachy inter
|
$199.12 |
$199.12 |
$199.12 |
$1,244.40
|
|
Intra-atrial pacing
|
$1,946.55 |
$1,946.55 |
$1,946.55 |
$4,780.80
|
|
Intra-atrial recording
|
$1,946.55 |
$1,946.55 |
$1,946.55 |
$5,252.30
|
|
Intracard echo interv w/s&i
|
$1,782.58 |
$1,782.58 |
$1,782.58 |
$3,461.04
|
|
Intracranial angioplasty
|
$3,054.63 |
$3,054.63 |
$3,054.63 |
$4,962.40
|
|
Intrapul surf admin endo tube
|
$49.78 |
$49.78 |
$49.78 |
$220.80
|
|
Intraventricular pacing
|
$1,946.55 |
$1,946.55 |
$1,946.55 |
$5,456.17
|
|
Intrinsic factor antibody
|
$25.46 |
$25.46 |
$25.46 |
$63.15
|
|
Intro cath dialysis circuit
|
$213.56 |
$213.56 |
$213.56 |
$2,036.94
|
|
Intro cath dialysis circuit w/pta
|
$1,505.94 |
$1,505.94 |
$1,505.94 |
$8,690.50
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$3,043.42 |
$3,043.42 |
$3,043.42 |
$16,262.40
|
|
Intro catheter aorta
|
$262.01 |
$262.01 |
$262.01 |
$1,654.05
|
|
Intro cath svc/ivc
|
$148.96 |
$148.96 |
$148.96 |
$1,323.27
|
|
Intro long gi tube
|
$279.49 |
$279.49 |
$279.49 |
$957.18
|
|
Intro long gi tube w/mult fluo
|
$94.62 |
$94.62 |
$94.62 |
$466.00
|
|
Intro windpipe wire/tube
|
$503.12 |
$503.12 |
$503.12 |
$2,447.43
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$1,818.68 |
$1,818.68 |
$1,818.68 |
$3,409.29
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$1,818.68 |
$1,818.68 |
$1,818.68 |
$1,747.80
|
|
Intubation endotracheal emergency procedure
|
$122.55 |
$122.55 |
$122.55 |
$598.80
|
|
Iodine i-123 sod iodide mil
|
$266.56 |
$266.56 |
$266.56 |
$371.18
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$53.44 |
$53.44 |
$53.44 |
$170.06
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$199.00 |
$199.00 |
$199.00 |
$288.11
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$101.06 |
$101.06 |
$101.06 |
$174.47
|
|
Iron
|
$13.87 |
$13.87 |
$13.87 |
$72.29
|
|
Iron binding capacity
|
$18.24 |
$18.24 |
$18.24 |
$63.60
|
|
Irrigation implantable venous access device for drug delivery systems
|
$86.83 |
$86.83 |
$86.83 |
$144.62
|
|
Ivc venogram s&i
|
$1,498.15 |
$1,498.15 |
$1,498.15 |
$3,316.95
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$79.42 |
$79.42 |
$79.42 |
$190.56
|