|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$5,888.16 |
$5,888.16 |
$5,888.16 |
$5,470.54
|
|
Insertion ureth cath
|
$4,379.04 |
$4,379.04 |
$4,379.04 |
$2,424.12
|
|
Insert pessary/other device
|
$424.32 |
$424.32 |
$424.32 |
$278.90
|
|
Insert pm/icd lead dual
|
$5,289.60 |
$5,289.60 |
$5,289.60 |
$7,562.63
|
|
Insert prost urethral stent
|
$4,371.84 |
$4,371.84 |
$4,371.84 |
$2,424.12
|
|
Insert/repl sq defib w/eltrd
|
$26,421.12 |
$26,421.12 |
$26,421.12 |
$33,948.20
|
|
Insert swan-ganz cath
|
$901.92 |
$901.92 |
$901.92 |
$2,164.52
|
|
Insert tunneled cv 2cath 2sits without port/pmp 36565
|
$7,575.84 |
$7,575.84 |
$7,575.84 |
$4,705.13
|
|
Insert uteri tandem/ovoids
|
$3,203.52 |
$3,203.52 |
$3,203.52 |
$3,986.00
|
|
Insert vad art access left hrt arterial access
|
$1,313.76 |
$1,313.76 |
$1,313.76 |
$5,062.80
|
|
Ins icd gen exist mlt leads
|
$53,420.16 |
$53,420.16 |
$53,420.16 |
$31,286.77
|
|
Ins icd gen exist sgl lead
|
$11,689.92 |
$11,689.92 |
$11,689.92 |
$24,159.72
|
|
Insitu hybridization manual
|
$39.69 |
$39.69 |
$39.69 |
$407.11
|
|
In situ hybridization per specimen each additional single probe stain
|
$143.04 |
$143.04 |
$143.04 |
$251.55
|
|
In situ hybridization per specimen initial single probe stain
|
$282.72 |
$282.72 |
$282.72 |
$338.40
|
|
Insj perq vad r hrt venous
|
$1,382.88 |
$1,382.88 |
$1,382.88 |
$4,981.60
|
|
Ins lv lead exist pm/icd
|
$11,028.00 |
$11,028.00 |
$11,028.00 |
$12,384.25
|
|
Ins mark abd/pel for right perq
|
$2,139.36 |
$2,139.36 |
$2,139.36 |
$2,070.00
|
|
Ins mark thor for right perq
|
$2,256.48 |
$2,256.48 |
$2,256.48 |
$2,396.35
|
|
Ins picad w subq port 5yr>
|
$8,410.08 |
$8,410.08 |
$8,410.08 |
$4,341.66
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$2,754.24 |
$2,754.24 |
$2,754.24 |
$1,483.95
|
|
Ins pm gen exist dual lead
|
$12,018.24 |
$12,018.24 |
$12,018.24 |
$24,696.00
|
|
Ins pm gen w/exist mlt leads
|
$19,013.28 |
$19,013.28 |
$19,013.28 |
$15,600.75
|
|
Ins pq tunnld ip cath w/img
|
$6,687.84 |
$6,687.84 |
$6,687.84 |
$5,593.60
|
|
Ins/rpl ldless pm right vent w img & eval
|
$13,523.52 |
$13,523.52 |
$13,523.52 |
$24,135.54
|
|
Ins/rpl pm gen exist dual lead
|
$16,258.08 |
$16,258.08 |
$16,258.08 |
$11,593.70
|
|
Ins/rpl pm gen exist sgl lead
|
$11,231.04 |
$11,231.04 |
$11,231.04 |
$9,746.29
|
|
Ins/rpl pm w/tv ld atrl
|
$3,962.40 |
$3,962.40 |
$3,962.40 |
$12,384.25
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$12,102.24 |
$12,102.24 |
$12,102.24 |
$25,106.90
|
|
Inst fibrinolysis agent ini day
|
$1,408.32 |
$1,408.32 |
$1,408.32 |
$1,095.00
|
|
Inst fibrinolysis agent sbsq d
|
$889.44 |
$889.44 |
$889.44 |
$898.12
|
|
Ins tun cvad 2 cath w/subq port(s)
|
$8,410.08 |
$8,410.08 |
$8,410.08 |
$6,396.57
|
|
Ins tun cv cath wo subq prt/pm
|
$12,626.40 |
$12,626.40 |
$12,626.40 |
$5,888.85
|
|
Ins tun cv cath wo subq prt/pm
|
$5,256.48 |
$5,256.48 |
$5,256.48 |
$4,748.00
|
|
Ins tun intraperit dia cath
|
$3,682.56 |
$3,682.56 |
$3,682.56 |
$4,657.46
|
|
Inst via cath agent pleurds
|
$1,321.92 |
$1,321.92 |
$1,321.92 |
$1,074.68
|
|
Insulin total
|
$12.98 |
$12.98 |
$12.98 |
$67.60
|
|
Ins vag brachytx device
|
$5,563.68 |
$5,563.68 |
$5,563.68 |
$909.35
|
|
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm
|
$13,928.40 |
$13,928.40 |
$13,928.40 |
$9,970.16
|
|
Integra meshed bil wound mat
|
$40,790.56 |
$40,790.56 |
$40,790.56 |
$25,450.30
|
|
Integra os putty 2.5cc - cost per 0.5cc
|
$3,716.16 |
$3,716.16 |
$3,716.16 |
$2,908.50
|
|
Interdental fixation
|
$2,240.64 |
$2,240.64 |
$2,240.64 |
$2,133.48
|
|
Interdiscal perq aspir dx
|
$1,595.52 |
$1,595.52 |
$1,595.52 |
$1,222.26
|
|
Interrogate subq defib
|
$116.16 |
$116.16 |
$116.16 |
$139.10
|
|
Interrogation vad in person
|
$272.16 |
$272.16 |
$272.16 |
$280.00
|
|
Interrog device eval heart
|
$99.36 |
$99.36 |
$99.36 |
$150.00
|
|
Interrog evl pm/ldls pm ip
|
$56.64 |
$56.64 |
$56.64 |
$127.20
|
|
Interstitial brachy inter
|
$1,758.72 |
$1,758.72 |
$1,758.72 |
$1,244.40
|
|
Int hrhc lig 1 hroid without img
|
$1,990.56 |
$1,990.56 |
$1,990.56 |
$3,245.23
|
|
Intracard echo interv w/s&i
|
$3,431.52 |
$3,431.52 |
$3,431.52 |
$3,982.59
|
|
Intracran angioplsty w/stent
|
$7,157.76 |
$7,157.76 |
$7,157.76 |
$11,364.78
|
|
Intracranial angioplasty
|
$6,840.48 |
$6,840.48 |
$6,840.48 |
$7,149.60
|
|
Intracranial complete study
|
$1,113.60 |
$1,113.60 |
$1,113.60 |
$883.30
|
|
Intracranial limited study
|
$780.48 |
$780.48 |
$780.48 |
$423.52
|
|
Intranasal biopsy 30100
|
$2,240.64 |
$2,240.64 |
$2,240.64 |
$1,850.94
|
|
Intraoral i+d tongue/floor lingual 41000
|
$4,652.16 |
$4,652.16 |
$4,652.16 |
$1,182.15
|
|
Intrapul surf admin endo tube
|
$116.64 |
$116.64 |
$116.64 |
$239.52
|
|
Intraventricular pacing
|
$10,991.52 |
$10,991.52 |
$10,991.52 |
$5,775.22
|
|
Intrinsic factor antibody
|
$45.36 |
$45.36 |
$45.36 |
$59.95
|
|
Intro cath dialysis circuit
|
$866.40 |
$866.40 |
$866.40 |
$2,317.80
|
|
Intro cath dialysis circuit w/pta
|
$6,104.16 |
$6,104.16 |
$6,104.16 |
$8,761.00
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$12,336.48 |
$12,336.48 |
$12,336.48 |
$15,625.00
|
|
Intro catheter aorta
|
$1,916.16 |
$1,916.16 |
$1,916.16 |
$1,861.61
|
|
Intro cath svc/ivc
|
$1,293.12 |
$1,293.12 |
$1,293.12 |
$1,350.75
|
|
Intro long gi tube
|
$1,626.72 |
$1,626.72 |
$1,626.72 |
$1,036.00
|
|
Intro long gi tube w/mult fluo
|
$475.68 |
$475.68 |
$475.68 |
$477.85
|
|
Intro windpipe wire/tube
|
$2,714.88 |
$2,714.88 |
$2,714.88 |
$2,316.30
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$3,267.36 |
$3,267.36 |
$3,267.36 |
$3,510.75
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$1,579.68 |
$1,579.68 |
$1,579.68 |
$1,825.16
|
|
Intubation endotracheal emergency procedure
|
$1,770.72 |
$1,770.72 |
$1,770.72 |
$617.60
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$110.14 |
$110.14 |
$110.14 |
$165.67
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$93.60 |
$93.60 |
$93.60 |
$182.21
|
|
Io rad tx deliver by elctrns
|
$5,956.80 |
$5,956.80 |
$5,956.80 |
$9,046.18
|
|
Io rad tx delivery by x-ray
|
$5,956.80 |
$5,956.80 |
$5,956.80 |
$10,127.56
|
|
Ipratropium bromide non-comp
|
$5.28 |
$5.28 |
$5.28 |
$4.77
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$127.39 |
$127.39 |
$127.39 |
$203.92
|
|
Iron
|
$59.04 |
$59.04 |
$59.04 |
$70.72
|
|
Iron binding capacity
|
$36.96 |
$36.96 |
$36.96 |
$63.00
|
|
Iron dextran 50 mg/ml injection solution
|
$52.91 |
$52.91 |
$52.91 |
$73.22
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$60.52 |
$60.52 |
$60.52 |
$169.30
|
|
Irrigation implantable venous access device for drug delivery systems
|
$142.56 |
$142.56 |
$142.56 |
$154.50
|
|
Ivc venogram s&i
|
$2,553.60 |
$2,553.60 |
$2,553.60 |
$3,332.55
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$117.12 |
$117.12 |
$117.12 |
$191.75
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$98.88 |
$98.88 |
$98.88 |
$174.40
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$120.96 |
$120.96 |
$120.96 |
$155.00
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$389.76 |
$389.76 |
$389.76 |
$460.85
|
|
Ivp w/nephrotomography
|
$1,100.64 |
$1,100.64 |
$1,100.64 |
$790.08
|
|
Ivp w/wo kub w/wo tomography
|
$762.24 |
$762.24 |
$762.24 |
$713.05
|
|
Ixabepilone 15 mg intravenous solution
|
$3,030.79 |
$3,030.79 |
$3,030.79 |
$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
|
|
Ketamine and metabolite screen - quest
|
$5.24 |
$5.24 |
$5.24 |
$68.15
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$143.04 |
$143.04 |
$143.04 |
$56.61
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$44.76 |
$44.76 |
$44.76 |
$29.52
|
|
Kidney function study
|
$544.80 |
$544.80 |
$544.80 |
$549.70
|
|
Kidney imag w/bld flow multi
|
$1,424.64 |
$1,424.64 |
$1,424.64 |
$1,566.50
|
|
Kidney img w/bldflw sgl without rx
|
$1,217.28 |
$1,217.28 |
$1,217.28 |
$1,468.04
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$984.96 |
$984.96 |
$984.96 |
$668.25
|
|
Kit cath f 8f w/glv + wipe ster
|
$7.05 |
$7.05 |
$7.05 |
$8.68
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$11,280.00 |
$11,280.00 |
$11,280.00 |
$9,482.25
|
