|
Inj, vancomycin hcl (mylan)
|
$113.68 |
$113.68 |
$113.68 |
$89.83
|
|
Inj w/fluor eval cv device
|
$476.68 |
$476.68 |
$476.68 |
$588.90
|
|
Ins cath ren art 1st bi
|
$6,395.09 |
$6,395.09 |
$6,395.09 |
$6,033.75
|
|
Ins cath ren art 1st uni
|
$4,263.00 |
$4,263.00 |
$4,263.00 |
$4,667.63
|
|
Ins cath ren art 2nd+ bi
|
$6,395.09 |
$6,395.09 |
$6,395.09 |
$5,408.65
|
|
Ins cath ren art 2nd+ uni
|
$4,263.00 |
$4,263.00 |
$4,263.00 |
$5,528.94
|
|
Ins cerv dilator (sep proc)
|
$447.28 |
$447.28 |
$447.28 |
$544.00
|
|
Insert abdomen-venous drain
|
$3,699.70 |
$3,699.70 |
$3,699.70 |
$4,391.00
|
|
Insert cath pleura with image
|
$1,295.17 |
$1,295.17 |
$1,295.17 |
$2,239.02
|
|
Insert cath pleura without image
|
$872.99 |
$872.99 |
$872.99 |
$2,212.00
|
|
Insert hepatic shunt (tips)
|
$6,539.35 |
$6,539.35 |
$6,539.35 |
$9,754.48
|
|
Insertion catheter bladder non indwelling
|
$190.52 |
$190.52 |
$190.52 |
$237.13
|
|
Insertion catheter bladder temporary simple
|
$149.75 |
$149.75 |
$149.75 |
$273.60
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$4,515.84 |
$4,515.84 |
$4,515.84 |
$4,943.21
|
|
Insertion intra aortic balloon assist device percutaneous
|
$768.32 |
$768.32 |
$768.32 |
$2,549.95
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$7,088.54 |
$7,088.54 |
$7,088.54 |
$7,088.54
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$1,772.24 |
$1,772.24 |
$1,772.24 |
$2,618.40
|
|
Insertion of catheter vein
|
$1,490.00 |
$1,490.00 |
$1,490.00 |
$1,749.80
|
|
Insertion of catheter vein
|
$755.39 |
$755.39 |
$755.39 |
$858.05
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$14,990.48 |
$14,990.48 |
$14,990.48 |
$14,158.20
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$14,990.48 |
$14,990.48 |
$14,990.48 |
$12,813.28
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$21,183.68 |
$21,183.68 |
$21,183.68 |
$9,855.00
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$1,976.86 |
$1,976.86 |
$1,976.86 |
$2,079.43
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$1,976.86 |
$1,976.86 |
$1,976.86 |
$2,527.91
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$45,510.03 |
$45,510.03 |
$45,510.03 |
$29,997.52
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$8,369.60 |
$8,369.60 |
$8,369.60 |
$7,572.47
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$6,442.52 |
$6,442.52 |
$6,442.52 |
$7,673.12
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$7,956.43 |
$7,956.43 |
$7,956.43 |
$9,793.46
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$4,143.05 |
$4,143.05 |
$4,143.05 |
$5,470.54
|
|
Insert picvad cath
|
$4,092.09 |
$4,092.09 |
$4,092.09 |
$4,490.00
|
|
Insert pm/icd lead dual
|
$6,442.52 |
$6,442.52 |
$6,442.52 |
$7,562.63
|
|
Insert/repl sq defib w/eltrd
|
$40,152.17 |
$40,152.17 |
$40,152.17 |
$33,948.20
|
|
Insert swan-ganz cath
|
$1,929.43 |
$1,929.43 |
$1,929.43 |
$2,164.52
|
|
Insert tunneled cv 2cath 2sits without port/pmp 36565
|
$4,100.72 |
$4,100.72 |
$4,100.72 |
$4,705.13
|
|
Insert tunneled cv cath
|
$3,595.04 |
$3,595.04 |
$3,595.04 |
$4,520.00
|
|
Insert vad art access left hrt arterial access
|
$2,384.54 |
$2,384.54 |
$2,384.54 |
$5,062.80
|
|
Ins icd gen exist mlt leads
|
$32,776.69 |
$32,776.69 |
$32,776.69 |
$31,286.77
|
|
Ins icd gen exist sgl lead
|
$31,215.75 |
$31,215.75 |
$31,215.75 |
$24,159.72
|
|
Insitu hybridization auto
|
$50.96 |
$50.96 |
$50.96 |
$398.16
|
|
Insitu hybridization (fish)
|
$155.45 |
$155.45 |
$155.45 |
$481.60
|
|
Insitu hybridization manual
|
$58.80 |
$58.80 |
$58.80 |
$407.11
|
|
In situ hybridization per specimen each additional single probe stain
|
$98.00 |
$98.00 |
$98.00 |
$251.55
|
|
In situ hybridization per specimen initial single probe stain
|
$108.26 |
$108.26 |
$108.26 |
$338.40
|
|
Insj perq vad r hrt venous
|
$930.22 |
$930.22 |
$930.22 |
$4,981.60
|
|
Ins lv lead exist pm/icd
|
$20,566.68 |
$20,566.68 |
$20,566.68 |
$12,384.25
|
|
Ins mark abd/pel for right perq
|
$1,614.65 |
$1,614.65 |
$1,614.65 |
$2,070.00
|
|
Ins picad w subq port 5yr>
|
$4,092.09 |
$4,092.09 |
$4,092.09 |
$4,341.66
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$1,423.36 |
$1,423.36 |
$1,423.36 |
$1,483.95
|
|
Ins pm gen w/exist mlt leads
|
$12,172.39 |
$12,172.39 |
$12,172.39 |
$15,600.75
|
|
Ins pq tunnld ip cath w/img
|
$4,543.68 |
$4,543.68 |
$4,543.68 |
$5,593.60
|
|
Ins/rplc spi npg/rcvr pocket
|
$34,615.17 |
$34,615.17 |
$34,615.17 |
$21,097.15
|
|
Ins/rpl ldless pm right vent w img & eval
|
$25,574.48 |
$25,574.48 |
$25,574.48 |
$24,135.54
|
|
Ins/rpl pm gen exist sgl lead
|
$8,908.20 |
$8,908.20 |
$8,908.20 |
$9,746.29
|
|
Ins/rpl pm w/tv ld atrl
|
$36,127.12 |
$36,127.12 |
$36,127.12 |
$12,384.25
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$4,618.16 |
$4,618.16 |
$4,618.16 |
$25,106.90
|
|
Install spinal shunt 63741
|
$5,312.78 |
$5,312.78 |
$5,312.78 |
$6,839.00
|
|
Inst fibrinolysis agent ini day
|
$735.40 |
$735.40 |
$735.40 |
$1,095.00
|
|
Inst fibrinolysis agent sbsq d
|
$735.40 |
$735.40 |
$735.40 |
$898.12
|
|
Instillation anticarcinogenic agent bladder
|
$364.56 |
$364.56 |
$364.56 |
$721.50
|
|
Ins tun cvad 2 cath w/subq port(s)
|
$6,785.13 |
$6,785.13 |
$6,785.13 |
$6,396.57
|
|
Ins tun cv cath wo subq prt/pm
|
$3,749.09 |
$3,749.09 |
$3,749.09 |
$5,888.85
|
|
Ins tun cv cath wo subq prt/pm
|
$3,787.90 |
$3,787.90 |
$3,787.90 |
$4,748.00
|
|
Inst via cath agent pleurds
|
$1,071.34 |
$1,071.34 |
$1,071.34 |
$1,074.68
|
|
Insulin total
|
$30.38 |
$30.38 |
$30.38 |
$67.60
|
|
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm
|
$7,160.28 |
$7,160.28 |
$7,160.28 |
$9,970.16
|
|
Interdiscal perq aspir dx
|
$799.68 |
$799.68 |
$799.68 |
$1,222.26
|
|
Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper)
|
$5,611.88 |
$5,611.88 |
$5,611.88 |
$5,977.59
|
|
Interrog dev eval icpms ip
|
$45.87 |
$45.87 |
$45.87 |
$106.80
|
|
Intracard echo interv w/s&i
|
$1,259.11 |
$1,259.11 |
$1,259.11 |
$3,982.59
|
|
Intrauterine transfusion ftl
|
$510.78 |
$510.78 |
$510.78 |
$1,004.25
|
|
Intrinsic factor antibody
|
$7.84 |
$7.84 |
$7.84 |
$59.95
|
|
Intro cath dialysis circuit
|
$1,546.84 |
$1,546.84 |
$1,546.84 |
$2,317.80
|
|
Intro cath dialysis circuit w/pta
|
$13,077.91 |
$13,077.91 |
$13,077.91 |
$8,761.00
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$13,640.43 |
$13,640.43 |
$13,640.43 |
$15,625.00
|
|
Intro catheter aorta
|
$538.61 |
$538.61 |
$538.61 |
$1,861.61
|
|
Intro cath svc/ivc
|
$357.12 |
$357.12 |
$357.12 |
$1,350.75
|
|
Intro long gi tube
|
$959.62 |
$959.62 |
$959.62 |
$1,036.00
|
|
Intro long gi tube w/mult fluo
|
$405.72 |
$405.72 |
$405.72 |
$477.85
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$6,193.60 |
$6,193.60 |
$6,193.60 |
$3,510.75
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$6,193.60 |
$6,193.60 |
$6,193.60 |
$1,825.16
|
|
Intubation endotracheal emergency procedure
|
$258.33 |
$258.33 |
$258.33 |
$617.60
|
|
Ionm remote/>1 pt or per hr
|
$314.00 |
$314.00 |
$314.00 |
$622.70
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$470.01 |
$470.01 |
$470.01 |
$165.67
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$1,195.60 |
$1,195.60 |
$1,195.60 |
$182.21
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$14,700.00 |
$14,700.00 |
$14,700.00 |
$62,692.46
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$141.52 |
$141.52 |
$141.52 |
$203.92
|
|
Iron
|
$12.55 |
$12.55 |
$12.55 |
$70.72
|
|
Iron binding capacity
|
$154.45 |
$154.45 |
$154.45 |
$63.00
|
|
Iron dextran 50 mg/ml injection solution
|
$148.18 |
$148.18 |
$148.18 |
$73.22
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$235.20 |
$235.20 |
$235.20 |
$169.30
|
|
Irradiation of blood product each unit reference
|
$91.73 |
$91.73 |
$91.73 |
$124.24
|
|
Irrigation implantable venous access device for drug delivery systems
|
$137.60 |
$137.60 |
$137.60 |
$154.50
|
|
Ivc venogram s&i
|
$6,471.14 |
$6,471.14 |
$6,471.14 |
$3,332.55
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$140.34 |
$140.34 |
$140.34 |
$191.75
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$98.79 |
$98.79 |
$98.79 |
$174.40
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$85.85 |
$85.85 |
$85.85 |
$155.00
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$452.37 |
$452.37 |
$452.37 |
$460.85
|
|
Ivp w/wo kub w/wo tomography
|
$743.24 |
$743.24 |
$743.24 |
$713.05
|
|
Jak2 targeted sequence analysis
|
$192.57 |
$192.57 |
$192.57 |
$378.30
|
|
John cunningham antibody
|
$555.50 |
$555.50 |
$555.50 |
$48.57
|