|
Insertion of catheter vein
|
$4,252.80 |
$4,252.80 |
$4,252.80 |
$858.05
|
|
Insertion of heart electrode 33211
|
$5,254.56 |
$5,254.56 |
$5,254.56 |
$9,090.00
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$5,613.12 |
$5,613.12 |
$5,613.12 |
$14,158.20
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$5,613.12 |
$5,613.12 |
$5,613.12 |
$12,813.28
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$1,182.24 |
$1,182.24 |
$1,182.24 |
$9,855.00
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$1,311.84 |
$1,311.84 |
$1,311.84 |
$2,079.43
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$2,403.84 |
$2,403.84 |
$2,403.84 |
$2,527.91
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$15,692.64 |
$15,692.64 |
$15,692.64 |
$29,997.52
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$10,592.16 |
$10,592.16 |
$10,592.16 |
$7,572.47
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$6,664.32 |
$6,664.32 |
$6,664.32 |
$7,673.12
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$19,197.12 |
$19,197.12 |
$19,197.12 |
$9,793.46
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$4,134.72 |
$4,134.72 |
$4,134.72 |
$5,470.54
|
|
Insertion ureth cath
|
$2,933.76 |
$2,933.76 |
$2,933.76 |
$2,424.12
|
|
Insert pessary/other device
|
$347.04 |
$347.04 |
$347.04 |
$278.90
|
|
Insert pm/icd lead dual
|
$7,536.48 |
$7,536.48 |
$7,536.48 |
$7,562.63
|
|
Insert prost urethral stent
|
$2,423.52 |
$2,423.52 |
$2,423.52 |
$2,424.12
|
|
Insert/repl sq defib w/eltrd
|
$35,227.20 |
$35,227.20 |
$35,227.20 |
$33,948.20
|
|
Insert swan-ganz cath
|
$1,825.92 |
$1,825.92 |
$1,825.92 |
$2,164.52
|
|
Insert tunneled cv 2cath 2sits without port/pmp 36565
|
$5,026.56 |
$5,026.56 |
$5,026.56 |
$4,705.13
|
|
Insert vad art access left hrt arterial access
|
$1,018.56 |
$1,018.56 |
$1,018.56 |
$5,062.80
|
|
Ins icd gen exist sgl lead
|
$16,668.00 |
$16,668.00 |
$16,668.00 |
$24,159.72
|
|
Insitu hybridization manual
|
$39.69 |
$39.69 |
$39.69 |
$407.11
|
|
In situ hybridization per specimen each additional single probe stain
|
$66.72 |
$66.72 |
$66.72 |
$251.55
|
|
In situ hybridization per specimen initial single probe stain
|
$66.72 |
$66.72 |
$66.72 |
$338.40
|
|
Insj perq vad r hrt venous
|
$1,822.56 |
$1,822.56 |
$1,822.56 |
$4,981.60
|
|
Ins lv lead exist pm/icd
|
$17,309.76 |
$17,309.76 |
$17,309.76 |
$12,384.25
|
|
Ins mark abd/pel for right perq
|
$1,912.32 |
$1,912.32 |
$1,912.32 |
$2,070.00
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$1,476.48 |
$1,476.48 |
$1,476.48 |
$1,483.95
|
|
Ins pm gen exist dual lead
|
$16,385.76 |
$16,385.76 |
$16,385.76 |
$24,696.00
|
|
Ins pm gen w/exist mlt leads
|
$19,039.68 |
$19,039.68 |
$19,039.68 |
$15,600.75
|
|
Ins pq tunnld ip cath w/img
|
$5,585.28 |
$5,585.28 |
$5,585.28 |
$5,593.60
|
|
Ins/rpl ldless pm right vent w img & eval
|
$21,961.92 |
$21,961.92 |
$21,961.92 |
$24,135.54
|
|
Ins/rpl pm gen exist dual lead
|
$11,769.60 |
$11,769.60 |
$11,769.60 |
$11,593.70
|
|
Ins/rpl pm gen exist sgl lead
|
$4,314.24 |
$4,314.24 |
$4,314.24 |
$9,746.29
|
|
Ins/rpl pm w/tv ld atrl
|
$11,616.48 |
$11,616.48 |
$11,616.48 |
$12,384.25
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$12,792.96 |
$12,792.96 |
$12,792.96 |
$25,106.90
|
|
Inst fibrinolysis agent ini day
|
$871.20 |
$871.20 |
$871.20 |
$1,095.00
|
|
Inst fibrinolysis agent sbsq d
|
$886.08 |
$886.08 |
$886.08 |
$898.12
|
|
Insti hexaminolevulinate hcl
|
$2,656.80 |
$2,656.80 |
$2,656.80 |
$2,359.80
|
|
Instillation anticarcinogenic agent bladder
|
$972.96 |
$972.96 |
$972.96 |
$721.50
|
|
Ins tun cvad 2 cath w/subq port(s)
|
$5,026.56 |
$5,026.56 |
$5,026.56 |
$6,396.57
|
|
Ins tun cv cath wo subq prt/pm
|
$7,231.20 |
$7,231.20 |
$7,231.20 |
$5,888.85
|
|
Ins tun cv cath wo subq prt/pm
|
$3,075.84 |
$3,075.84 |
$3,075.84 |
$4,748.00
|
|
Ins tun intraperit dia cath
|
$2,622.72 |
$2,622.72 |
$2,622.72 |
$4,657.46
|
|
Inst via cath agent pleurds
|
$951.84 |
$951.84 |
$951.84 |
$1,074.68
|
|
Insulin total
|
$12.98 |
$12.98 |
$12.98 |
$67.60
|
|
Ins vag brachytx device
|
$490.08 |
$490.08 |
$490.08 |
$909.35
|
|
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm
|
$14,772.54 |
$14,772.54 |
$14,772.54 |
$9,970.16
|
|
Integra meshed bil wound mat
|
$42,388.54 |
$42,388.54 |
$42,388.54 |
$25,450.30
|
|
Integra os putty 2.5cc - cost per 0.5cc
|
$4,233.60 |
$4,233.60 |
$4,233.60 |
$2,908.50
|
|
Intens cardiac rehab no exer
|
$300.48 |
$300.48 |
$300.48 |
$238.40
|
|
Intens cardiac rehab w/exerc
|
$300.48 |
$300.48 |
$300.48 |
$238.40
|
|
Interdental fixation
|
$2,122.56 |
$2,122.56 |
$2,122.56 |
$2,133.48
|
|
Interdiscal perq aspir dx
|
$939.84 |
$939.84 |
$939.84 |
$1,222.26
|
|
Interrogate subq defib
|
$61.44 |
$61.44 |
$61.44 |
$139.10
|
|
Interrog device eval heart
|
$69.12 |
$69.12 |
$69.12 |
$150.00
|
|
Interrog evl pm/ldls pm ip
|
$50.88 |
$50.88 |
$50.88 |
$127.20
|
|
Interstitial brachy inter
|
$638.88 |
$638.88 |
$638.88 |
$1,244.40
|
|
Int hrhc lig 1 hroid without img
|
$1,891.20 |
$1,891.20 |
$1,891.20 |
$3,245.23
|
|
Intracard echo interv w/s&i
|
$5,033.76 |
$5,033.76 |
$5,033.76 |
$3,982.59
|
|
Intracran angioplsty w/stent
|
$23,136.00 |
$23,136.00 |
$23,136.00 |
$11,364.78
|
|
Intracranial angioplasty
|
$21,399.84 |
$21,399.84 |
$21,399.84 |
$7,149.60
|
|
Intracranial complete study
|
$447.36 |
$447.36 |
$447.36 |
$883.30
|
|
Intracranial limited study
|
$154.08 |
$154.08 |
$154.08 |
$423.52
|
|
Intranasal biopsy 30100
|
$2,122.56 |
$2,122.56 |
$2,122.56 |
$1,850.94
|
|
Intraoral i+d tongue/floor lingual 41000
|
$799.20 |
$799.20 |
$799.20 |
$1,182.15
|
|
Intrapul surf admin endo tube
|
$152.64 |
$152.64 |
$152.64 |
$239.52
|
|
Intrinsic factor antibody
|
$45.36 |
$45.36 |
$45.36 |
$59.95
|
|
Intro cath dialysis circuit
|
$1,825.92 |
$1,825.92 |
$1,825.92 |
$2,317.80
|
|
Intro cath dialysis circuit w/pta
|
$6,385.44 |
$6,385.44 |
$6,385.44 |
$8,761.00
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$11,941.92 |
$11,941.92 |
$11,941.92 |
$15,625.00
|
|
Intro catheter aorta
|
$3,947.52 |
$3,947.52 |
$3,947.52 |
$1,861.61
|
|
Intro cath svc/ivc
|
$1,376.16 |
$1,376.16 |
$1,376.16 |
$1,350.75
|
|
Intro long gi tube
|
$869.76 |
$869.76 |
$869.76 |
$1,036.00
|
|
Intro long gi tube w/mult fluo
|
$826.56 |
$826.56 |
$826.56 |
$477.85
|
|
Intro windpipe wire/tube
|
$2,369.76 |
$2,369.76 |
$2,369.76 |
$2,316.30
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$1,472.64 |
$1,472.64 |
$1,472.64 |
$3,510.75
|
|
Intubation endotracheal emergency procedure
|
$488.16 |
$488.16 |
$488.16 |
$617.60
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$125.39 |
$125.39 |
$125.39 |
$165.67
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$69.34 |
$69.34 |
$69.34 |
$182.21
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$43,245.36 |
$43,245.36 |
$43,245.36 |
$62,692.46
|
|
Ipratropium bromide non-comp
|
$5.28 |
$5.28 |
$5.28 |
$4.77
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$156.89 |
$156.89 |
$156.89 |
$203.92
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$4,593.06 |
$4,593.06 |
$4,593.06 |
$5,837.00
|
|
Iron
|
$59.52 |
$59.52 |
$59.52 |
$70.72
|
|
Iron binding capacity
|
$66.24 |
$66.24 |
$66.24 |
$63.00
|
|
Iron dextran 50 mg/ml injection solution
|
$50.39 |
$50.39 |
$50.39 |
$73.22
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$68.07 |
$68.07 |
$68.07 |
$169.30
|
|
Irradiation of blood product each unit reference
|
$60.00 |
$60.00 |
$60.00 |
$124.24
|
|
Irrigation implantable venous access device for drug delivery systems
|
$96.96 |
$96.96 |
$96.96 |
$154.50
|
|
Ivc venogram s&i
|
$5,590.56 |
$5,590.56 |
$5,590.56 |
$3,332.55
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$83.52 |
$83.52 |
$83.52 |
$191.75
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$75.36 |
$75.36 |
$75.36 |
$174.40
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$62.40 |
$62.40 |
$62.40 |
$155.00
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$254.88 |
$254.88 |
$254.88 |
$460.85
|
|
Ivp w/nephrotomography
|
$1,653.60 |
$1,653.60 |
$1,653.60 |
$790.08
|
|
Ivp w/wo kub w/wo tomography
|
$1,693.44 |
$1,693.44 |
$1,693.44 |
$713.05
|
|
Ixabepilone 15 mg intravenous solution
|
$7,216.15 |
$7,216.15 |
$7,216.15 |
$10,695.32
|
|
Jak2 targeted sequence analysis
|
$188.16 |
$188.16 |
$188.16 |
$378.30
|
|
John cunningham antibody
|
$725.32 |
$725.32 |
$725.32 |
$48.57
|