|
Inj retacrit esrd on dialysi
|
$145.22 |
$145.22 |
$145.22 |
$307.40
|
|
Inj retro urethrocysto
|
$79.19 |
$79.19 |
$79.19 |
$551.29
|
|
Inj scleros sol mult veins
|
$260.03 |
$260.03 |
$260.03 |
$687.96
|
|
Inj scleros sol sgl vein
|
$260.03 |
$260.03 |
$260.03 |
$534.40
|
|
Inj secretin synthetic human
|
$356.20 |
$356.20 |
$356.20 |
$809.36
|
|
Inj secukinumab intrav 1mg
|
$2,781.65 |
$2,781.65 |
$2,781.65 |
$9,077.39
|
|
Inj(s) sclerosant spider veins limb/trunk
|
$309.08 |
$309.08 |
$309.08 |
$436.64
|
|
Inj. teprotumumab-trbw 10 mg
|
$19,596.48 |
$19,596.48 |
$19,596.48 |
$47,971.67
|
|
Inj testosterone cypionate
|
$152.90 |
$152.90 |
$152.90 |
$78.79
|
|
Inj, vancomycin hcl (mylan)
|
$548.00 |
$548.00 |
$548.00 |
$65.21
|
|
Inj w/fluor eval cv device
|
$1,023.67 |
$1,023.67 |
$1,023.67 |
$588.90
|
|
Ins cath ren art 1st bi
|
$4,326.74 |
$4,326.74 |
$4,326.74 |
$6,033.75
|
|
Ins cath ren art 1st uni
|
$3,090.45 |
$3,090.45 |
$3,090.45 |
$4,667.63
|
|
Ins cath ren art 2nd+ bi
|
$5,006.53 |
$5,006.53 |
$5,006.53 |
$5,408.65
|
|
Ins cath ren art 2nd+ uni
|
$4,203.16 |
$4,203.16 |
$4,203.16 |
$5,528.94
|
|
Ins cerv dilator (sep proc)
|
$275.92 |
$275.92 |
$275.92 |
$544.00
|
|
Insert cath pleura with image
|
$673.50 |
$673.50 |
$673.50 |
$2,239.02
|
|
Insert cath pleura without image
|
$2,168.17 |
$2,168.17 |
$2,168.17 |
$2,212.00
|
|
Insert hepatic shunt (tips)
|
$2,933.72 |
$2,933.72 |
$2,933.72 |
$9,754.48
|
|
Insertion catheter bladder non indwelling
|
$175.09 |
$175.09 |
$175.09 |
$237.13
|
|
Insertion catheter bladder temporary simple
|
$175.09 |
$175.09 |
$175.09 |
$273.60
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$3,332.94 |
$3,332.94 |
$3,332.94 |
$4,943.21
|
|
Insertion intra aortic balloon assist device percutaneous
|
$2,893.72 |
$2,893.72 |
$2,893.72 |
$2,549.95
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$9,465.61 |
$9,465.61 |
$9,465.61 |
$7,088.54
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$2,809.05 |
$2,809.05 |
$2,809.05 |
$2,618.40
|
|
Insertion of catheter vein
|
$1,727.30 |
$1,727.30 |
$1,727.30 |
$1,749.80
|
|
Insertion of catheter vein
|
$1,078.47 |
$1,078.47 |
$1,078.47 |
$858.05
|
|
Insertion of heart electrode 33211
|
$5,933.47 |
$5,933.47 |
$5,933.47 |
$9,090.00
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$4,761.58 |
$4,761.58 |
$4,761.58 |
$14,158.20
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$4,856.65 |
$4,856.65 |
$4,856.65 |
$12,813.28
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$5,451.78 |
$5,451.78 |
$5,451.78 |
$9,855.00
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$1,848.41 |
$1,848.41 |
$1,848.41 |
$2,079.43
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$1,760.45 |
$1,760.45 |
$1,760.45 |
$2,527.91
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$4,581.01 |
$4,581.01 |
$4,581.01 |
$29,997.52
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$3,903.41 |
$3,903.41 |
$3,903.41 |
$7,572.47
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$3,424.18 |
$3,424.18 |
$3,424.18 |
$7,673.12
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$7,548.70 |
$7,548.70 |
$7,548.70 |
$9,793.46
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$1,268.90 |
$1,268.90 |
$1,268.90 |
$5,470.54
|
|
Insert pm/icd lead dual
|
$3,424.18 |
$3,424.18 |
$3,424.18 |
$7,562.63
|
|
Insert/repl sq defib w/eltrd
|
$31,205.59 |
$31,205.59 |
$31,205.59 |
$33,948.20
|
|
Insert sq defib electrode
|
$2,391.75 |
$2,391.75 |
$2,391.75 |
$8,167.68
|
|
Insert swan-ganz cath
|
$1,858.00 |
$1,858.00 |
$1,858.00 |
$2,164.52
|
|
Insert tunneled cv 2cath 2sits without port/pmp 36565
|
$5,113.67 |
$5,113.67 |
$5,113.67 |
$4,705.13
|
|
Insert vad art access left hrt arterial access
|
$15,103.71 |
$15,103.71 |
$15,103.71 |
$5,062.80
|
|
Insitu hybridization auto
|
$38.36 |
$38.36 |
$38.36 |
$398.16
|
|
Insitu hybridization manual
|
$75.08 |
$75.08 |
$75.08 |
$407.11
|
|
In situ hybridization per specimen each additional single probe stain
|
$32.88 |
$32.88 |
$32.88 |
$251.55
|
|
In situ hybridization per specimen initial single probe stain
|
$99.80 |
$99.80 |
$99.80 |
$338.40
|
|
Insj phrnc nrv stim sys
|
$39,558.75 |
$39,558.75 |
$39,558.75 |
$53,251.79
|
|
Ins lv lead exist pm/icd
|
$3,537.62 |
$3,537.62 |
$3,537.62 |
$12,384.25
|
|
Ins picad w subq port 5yr>
|
$3,010.44 |
$3,010.44 |
$3,010.44 |
$4,341.66
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$545.81 |
$545.81 |
$545.81 |
$1,483.95
|
|
Ins pq tunnld ip cath w/img
|
$2,397.78 |
$2,397.78 |
$2,397.78 |
$5,593.60
|
|
Ins/rpl ldless pm right vent w img & eval
|
$17,833.29 |
$17,833.29 |
$17,833.29 |
$24,135.54
|
|
Ins/rpl pm w/tv ld atrl
|
$4,761.58 |
$4,761.58 |
$4,761.58 |
$12,384.25
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$3,201.69 |
$3,201.69 |
$3,201.69 |
$25,106.90
|
|
Inst fibrinolysis agent ini day
|
$1,153.00 |
$1,153.00 |
$1,153.00 |
$1,095.00
|
|
Ins tun cvad 2 cath w/subq port(s)
|
$6,342.83 |
$6,342.83 |
$6,342.83 |
$6,396.57
|
|
Ins tun cv cath wo subq prt/pm
|
$5,229.57 |
$5,229.57 |
$5,229.57 |
$4,748.00
|
|
Insulin total
|
$2.82 |
$2.82 |
$2.82 |
$67.60
|
|
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm
|
$8,172.05 |
$8,172.05 |
$8,172.05 |
$10,176.64
|
|
Integra meshed bil wound mat
|
$13,812.34 |
$13,812.34 |
$13,812.34 |
$24,354.93
|
|
Integra os putty 2.5cc - cost per 0.5cc
|
$2,198.85 |
$2,198.85 |
$2,198.85 |
$3,182.40
|
|
Interdiscal perq aspir dx
|
$529.37 |
$529.37 |
$529.37 |
$1,222.26
|
|
Interferon alfa-2b inj
|
$1,673.60 |
$1,673.60 |
$1,673.60 |
$494.64
|
|
Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper)
|
$5,977.59 |
$5,977.59 |
$5,977.59 |
$6,405.64
|
|
Interrogation vad in person
|
$136.73 |
$136.73 |
$136.73 |
$280.00
|
|
Interrog dev eval icpms ip
|
$33.43 |
$33.43 |
$33.43 |
$106.80
|
|
Interrog dev eval scrms ip
|
$119.74 |
$119.74 |
$119.74 |
$124.80
|
|
Interrog device eval heart
|
$124.40 |
$124.40 |
$124.40 |
$150.00
|
|
Interrog evl pm/ldls pm ip
|
$124.40 |
$124.40 |
$124.40 |
$127.20
|
|
Interrog&prgrmg ipnss
|
$926.40 |
$926.40 |
$926.40 |
$200.00
|
|
Interrog without prgrmg ipnss
|
$926.40 |
$926.40 |
$926.40 |
$118.40
|
|
Intra-atrial pacing
|
$6,009.37 |
$6,009.37 |
$6,009.37 |
$5,155.51
|
|
Intracard echo interv w/s&i
|
$2,805.22 |
$2,805.22 |
$2,805.22 |
$3,982.59
|
|
Intracranial angioplasty
|
$3,500.90 |
$3,500.90 |
$3,500.90 |
$7,149.60
|
|
Intracranial complete study
|
$841.73 |
$841.73 |
$841.73 |
$883.30
|
|
Intracranial limited study
|
$563.90 |
$563.90 |
$563.90 |
$423.52
|
|
Intrinsic factor antibody
|
$5.48 |
$5.48 |
$5.48 |
$59.95
|
|
Intro cath dialysis circuit
|
$3,133.74 |
$3,133.74 |
$3,133.74 |
$2,317.80
|
|
Intro cath dialysis circuit w/pta
|
$6,800.96 |
$6,800.96 |
$6,800.96 |
$8,761.00
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$6,667.52 |
$6,667.52 |
$6,667.52 |
$15,625.00
|
|
Intro catheter aorta
|
$1,524.27 |
$1,524.27 |
$1,524.27 |
$1,861.61
|
|
Intro cath svc/ivc
|
$1,089.15 |
$1,089.15 |
$1,089.15 |
$1,350.75
|
|
Intro long gi tube w/mult fluo
|
$383.06 |
$383.06 |
$383.06 |
$477.85
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$4,631.43 |
$4,631.43 |
$4,631.43 |
$3,510.75
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$3,859.57 |
$3,859.57 |
$3,859.57 |
$1,825.16
|
|
Intubation endotracheal emergency procedure
|
$621.71 |
$621.71 |
$621.71 |
$617.60
|
|
Iodine i-123 sod iodide mil
|
$852.14 |
$852.14 |
$852.14 |
$677.98
|
|
Ionm in operatng room 15 min
|
$252.36 |
$252.36 |
$252.36 |
$200.78
|
|
Ionm remote/>1 pt or per hr
|
$229.62 |
$229.62 |
$229.62 |
$622.70
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$139.20 |
$139.20 |
$139.20 |
$180.03
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$644.73 |
$644.73 |
$644.73 |
$189.27
|
|
Ioxaglate 39.3%-19.6% inj 200 ml
|
$2,198.85 |
$2,198.85 |
$2,198.85 |
$1,014.73
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$37,739.67 |
$37,739.67 |
$37,739.67 |
$64,192.30
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$302.77 |
$302.77 |
$302.77 |
$240.89
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$3,822.03 |
$3,822.03 |
$3,822.03 |
$7,723.52
|
|
Iron
|
$68.78 |
$68.78 |
$68.78 |
$70.72
|
|
Iron binding capacity
|
$24.39 |
$24.39 |
$24.39 |
$63.00
|
|
Iron dextran 50 mg/ml injection solution
|
$49.32 |
$49.32 |
$49.32 |
$69.95
|