|
Insertion catheter pleural indwelling tunneled with cuff
|
$1,476.40 |
$1,476.40 |
$1,476.40 |
$4,943.21
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$2,573.78 |
$2,573.78 |
$2,573.78 |
$7,088.54
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$1,411.83 |
$1,411.83 |
$1,411.83 |
$2,618.40
|
|
Insertion of catheter vein
|
$448.67 |
$448.67 |
$448.67 |
$1,749.80
|
|
Insertion of catheter vein
|
$147.95 |
$147.95 |
$147.95 |
$858.05
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$3,277.66 |
$3,277.66 |
$3,277.66 |
$14,158.20
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$730.83 |
$730.83 |
$730.83 |
$2,079.43
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$1,176.44 |
$1,176.44 |
$1,176.44 |
$2,527.91
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$24,814.50 |
$24,814.50 |
$24,814.50 |
$29,997.52
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$5,807.46 |
$5,807.46 |
$5,807.46 |
$9,793.46
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$1,968.78 |
$1,968.78 |
$1,968.78 |
$5,470.54
|
|
Insertion ureth cath
|
$464.43 |
$464.43 |
$464.43 |
$2,424.12
|
|
Insert picvad cath
|
$2,294.41 |
$2,294.41 |
$2,294.41 |
$4,490.00
|
|
Insert swan-ganz cath
|
$1,183.05 |
$1,183.05 |
$1,183.05 |
$2,164.52
|
|
Insert tunneled cv 2cath 2sits without port/pmp 36565
|
$2,264.16 |
$2,264.16 |
$2,264.16 |
$4,705.13
|
|
Insitu hybridization auto
|
$448.92 |
$448.92 |
$448.92 |
$398.16
|
|
Insitu hybridization manual
|
$411.81 |
$411.81 |
$411.81 |
$407.11
|
|
In situ hybridization per specimen each additional single probe stain
|
$264.88 |
$264.88 |
$264.88 |
$251.55
|
|
In situ hybridization per specimen initial single probe stain
|
$199.30 |
$199.30 |
$199.30 |
$338.40
|
|
Ins lv lead exist pm/icd
|
$11,321.56 |
$11,321.56 |
$11,321.56 |
$12,384.25
|
|
Ins picad w subq port 5yr>
|
$2,294.41 |
$2,294.41 |
$2,294.41 |
$4,341.66
|
|
Ins/rpl ldless pm right vent w img & eval
|
$5,659.26 |
$5,659.26 |
$5,659.26 |
$24,135.54
|
|
Ins/rpl prph sac/gstr npg/r
|
$13,232.39 |
$13,232.39 |
$13,232.39 |
$22,662.25
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$9,452.18 |
$9,452.18 |
$9,452.18 |
$25,106.90
|
|
Inst fibrinolysis agent ini day
|
$407.23 |
$407.23 |
$407.23 |
$1,095.00
|
|
Inst fibrinolysis agent sbsq d
|
$407.23 |
$407.23 |
$407.23 |
$898.12
|
|
Ins tun cvad 2 cath w/subq port(s)
|
$6,831.88 |
$6,831.88 |
$6,831.88 |
$6,396.57
|
|
Ins tun cv cath wo subq prt/pm
|
$3,046.08 |
$3,046.08 |
$3,046.08 |
$5,888.85
|
|
Ins tun cv cath wo subq prt/pm
|
$2,861.28 |
$2,861.28 |
$2,861.28 |
$4,748.00
|
|
Inst via cath agent pleurds
|
$972.57 |
$972.57 |
$972.57 |
$1,074.68
|
|
Insulin total
|
$34.32 |
$34.32 |
$34.32 |
$67.60
|
|
Integra meshed bil wound mat
|
$13,477.18 |
$13,477.18 |
$13,477.18 |
$13,503.69
|
|
Integra os putty 2.5cc - cost per 0.5cc
|
$915.12 |
$915.12 |
$915.12 |
$2,908.50
|
|
Interdental fixation
|
$1,074.00 |
$1,074.00 |
$1,074.00 |
$2,133.48
|
|
Interdiscal perq aspir dx
|
$1,122.04 |
$1,122.04 |
$1,122.04 |
$1,222.26
|
|
Interrog dev eval scrms ip
|
$11.70 |
$11.70 |
$11.70 |
$124.80
|
|
Interrog device eval heart
|
$28.22 |
$28.22 |
$28.22 |
$150.00
|
|
Interrog evl pm/ldls pm ip
|
$25.42 |
$25.42 |
$25.42 |
$127.20
|
|
Interstitial brachy inter
|
$2,018.35 |
$2,018.35 |
$2,018.35 |
$1,244.40
|
|
Intra-atrial recording
|
$1,481.23 |
$1,481.23 |
$1,481.23 |
$5,707.00
|
|
Intracard echo interv w/s&i
|
$2,300.51 |
$2,300.51 |
$2,300.51 |
$3,982.59
|
|
Intracran angioplsty w/stent
|
$3,833.34 |
$3,833.34 |
$3,833.34 |
$11,364.78
|
|
Intracranial angioplasty
|
$3,833.34 |
$3,833.34 |
$3,833.34 |
$7,149.60
|
|
Intrinsic factor antibody
|
$50.08 |
$50.08 |
$50.08 |
$59.95
|
|
Intro cath dialysis circuit
|
$593.82 |
$593.82 |
$593.82 |
$2,317.80
|
|
Intro cath dialysis circuit w/pta
|
$1,840.41 |
$1,840.41 |
$1,840.41 |
$8,761.00
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$3,740.05 |
$3,740.05 |
$3,740.05 |
$15,625.00
|
|
Intro catheter aorta
|
$212.26 |
$212.26 |
$212.26 |
$1,861.61
|
|
Intro cath svc/ivc
|
$184.05 |
$184.05 |
$184.05 |
$1,350.75
|
|
Intro long gi tube
|
$314.45 |
$314.45 |
$314.45 |
$1,036.00
|
|
Intro long gi tube w/mult fluo
|
$78.04 |
$78.04 |
$78.04 |
$477.85
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$2,627.42 |
$2,627.42 |
$2,627.42 |
$3,510.75
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$2,627.42 |
$2,627.42 |
$2,627.42 |
$1,825.16
|
|
Intubation endotracheal emergency procedure
|
$448.16 |
$448.16 |
$448.16 |
$617.60
|
|
Ionm in operatng room 15 min
|
$61.78 |
$61.78 |
$61.78 |
$200.78
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$2.94 |
$2.94 |
$2.94 |
$165.67
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$18.10 |
$18.10 |
$18.10 |
$182.21
|
|
Iron
|
$30.25 |
$30.25 |
$30.25 |
$70.72
|
|
Iron binding capacity
|
$27.71 |
$27.71 |
$27.71 |
$63.00
|
|
Irradiation of blood product each unit reference
|
$63.30 |
$63.30 |
$63.30 |
$124.24
|
|
Ivc venogram s&i
|
$1,469.79 |
$1,469.79 |
$1,469.79 |
$3,332.55
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$79.57 |
$79.57 |
$79.57 |
$191.75
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$45.00 |
$45.00 |
$45.00 |
$174.40
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$69.91 |
$69.91 |
$69.91 |
$155.00
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$190.15 |
$190.15 |
$190.15 |
$460.85
|
|
IV inj ra drug dx study
|
$299.71 |
$299.71 |
$299.71 |
$560.00
|
|
Ivp w/nephrotomography
|
$325.38 |
$325.38 |
$325.38 |
$790.08
|
|
Ivp w/wo kub w/wo tomography
|
$204.89 |
$204.89 |
$204.89 |
$713.05
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$30.76 |
$30.76 |
$30.76 |
$56.61
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$8.45 |
$8.45 |
$8.45 |
$29.52
|
|
Kidney imag w/bld flow multi
|
$581.11 |
$581.11 |
$581.11 |
$1,566.50
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$220.14 |
$220.14 |
$220.14 |
$668.25
|
|
Kit case 4.2mm spinejack
|
$3,811.48 |
$3,811.48 |
$3,811.48 |
$7,751.14
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$3,225.80 |
$3,225.80 |
$3,225.80 |
$9,400.00
|
|
Kit lead specify 5-6-5
|
$18,479.58 |
$18,479.58 |
$18,479.58 |
$15,875.64
|
|
Knee MRI (with and without contrast)
|
$1,272.78 |
$1,272.78 |
$1,272.78 |
$2,950.00
|
|
Knee MRI (with contrast)
|
$1,148.48 |
$1,148.48 |
$1,148.48 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$1,034.85 |
$1,034.85 |
$1,034.85 |
$2,181.10
|
|
Knee X-ray
|
$137.27 |
$137.27 |
$137.27 |
$443.90
|
|
Kras gene variants exon 2
|
$477.65 |
$477.65 |
$477.65 |
$495.00
|
|
Lactate dehydrogenase (ldh)
|
$26.95 |
$26.95 |
$26.95 |
$53.30
|
|
Lactic acid
|
$49.83 |
$49.83 |
$49.83 |
$102.90
|
|
Lactoferrin fecal qualitative
|
$19.07 |
$19.07 |
$19.07 |
$88.40
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$15,145.66 |
$15,145.66 |
$15,145.66 |
$21,487.67
|
|
Laryngoscopy direct w/wo tracheoscopy dx exc newborn
|
$445.87 |
$445.87 |
$445.87 |
$2,480.71
|
|
Laryngoscopy w/fb removal
|
$445.62 |
$445.62 |
$445.62 |
$3,390.75
|
|
Lead acuity x4 spiral l 86cm
|
$6,855.76 |
$6,855.76 |
$6,855.76 |
$5,831.00
|
|
Lead capillary
|
$40.68 |
$40.68 |
$40.68 |
$62.40
|
|
Lead ingevity 45cm pfret MRI
|
$2,012.80 |
$2,012.80 |
$2,012.80 |
$3,844.75
|
|
Lead tachy durata sj4 58cm
|
$4,804.38 |
$4,804.38 |
$4,804.38 |
$6,696.00
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$383.85 |
$383.85 |
$383.85 |
$1,100.74
|
|
Lens, intraocular (new tech)
|
$730.30 |
$730.30 |
$730.30 |
$892.70
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$3,818.36 |
$3,818.36 |
$3,818.36 |
$5,001.00
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$3,204.24 |
$3,204.24 |
$3,204.24 |
$6,694.24
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$48.41 |
$48.41 |
$48.41 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$6.11 |
$6.11 |
$6.11 |
$71.40
|
|
Liberta rc ipg
|
$20,750.60 |
$20,750.60 |
$20,750.60 |
$39,840.21
|
|
Lidocaine therapeutic drug level
|
$46.02 |
$46.02 |
$46.02 |
$83.85
|
|
Ligation/major artery/extremity 37618
|
$489.85 |
$489.85 |
$489.85 |
$1,567.80
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$116.76 |
$116.76 |
$116.76 |
$172.25
|