|
Inj hrt cath w/s&i sel hrt art
|
$3,336.75 |
$3,336.75 |
$3,336.75 |
$1,192.50
|
|
Inj hrt cath w/s&i sel left vent
|
$656.55 |
$656.55 |
$656.55 |
$1,214.40
|
|
Inj hrt cath w/s&i sel right vent
|
$1,886.85 |
$1,886.85 |
$1,886.85 |
$947.65
|
|
Inj imip 4 cilas 4 releb 2mg
|
$1,155.60 |
$1,155.60 |
$1,155.60 |
$743.18
|
|
Inj mepivacaine hcl/10 ml
|
$59.23 |
$59.23 |
$59.23 |
$30.04
|
|
Inj mogamulizumab-kpkc, 1 mg
|
$6,329.70 |
$6,329.70 |
$6,329.70 |
$3,458.76
|
|
Inj. mycophenolate mofetil
|
$466.65 |
$466.65 |
$466.65 |
$281.88
|
|
Inj nephrosto/ureterogram w/img exstng access
|
$818.10 |
$818.10 |
$818.10 |
$1,522.56
|
|
Inj, nithiodote, 3mg / 125mg
|
$820.80 |
$820.80 |
$820.80 |
$431.00
|
|
Inj ogivri 10 mg
|
$3,600.00 |
$3,600.00 |
$3,600.00 |
$3,990.07
|
|
Inj, pedmark, 100 mg
|
$385.20 |
$385.20 |
$385.20 |
$96.08
|
|
Inj pegfilgrastim-bmez 0.5mg
|
$5,299.47 |
$5,299.47 |
$5,299.47 |
$6,244.73
|
|
Inj pemetrexed, hospira 10mg
|
$3,600.00 |
$3,600.00 |
$3,600.00 |
$64.35
|
|
Inj peritoneal venous shunt
|
$265.50 |
$265.50 |
$265.50 |
$386.88
|
|
Inj proc for lymphang
|
$1,687.50 |
$1,687.50 |
$1,687.50 |
$1,372.00
|
|
Inj proc myelogram lumbar
|
$1,508.40 |
$1,508.40 |
$1,508.40 |
$922.80
|
|
Inj progesterone per 50 mg
|
$129.24 |
$129.24 |
$129.24 |
$21.68
|
|
Inj, releuko 1 mcg
|
$1,099.01 |
$1,099.01 |
$1,099.01 |
$466.81
|
|
Inj retacrit esrd on dialysi
|
$1,905.99 |
$1,905.99 |
$1,905.99 |
$278.13
|
|
Inj testosterone cypionate
|
$501.84 |
$501.84 |
$501.84 |
$80.28
|
|
Inj thiotepa nos 1 mg
|
$3,600.00 |
$3,600.00 |
$3,600.00 |
$4,185.93
|
|
Inj, tofidence, 1 mg
|
$3,600.00 |
$3,600.00 |
$3,600.00 |
$346.32
|
|
Inj w/fluor eval cv device
|
$338.85 |
$338.85 |
$338.85 |
$588.90
|
|
Ins cath ren art 1st bi
|
$4,558.05 |
$4,558.05 |
$4,558.05 |
$6,033.75
|
|
Ins cath ren art 1st uni
|
$4,011.30 |
$4,011.30 |
$4,011.30 |
$4,667.63
|
|
Ins cath ren art 2nd+ uni
|
$5,515.20 |
$5,515.20 |
$5,515.20 |
$5,528.94
|
|
Ins cerv dilator (sep proc)
|
$222.75 |
$222.75 |
$222.75 |
$544.00
|
|
Insert cath pleura with image
|
$957.60 |
$957.60 |
$957.60 |
$2,239.02
|
|
Insert cath pleura without image
|
$2,984.85 |
$2,984.85 |
$2,984.85 |
$2,212.00
|
|
Insert hepatic shunt (tips)
|
$4,806.00 |
$4,806.00 |
$4,806.00 |
$9,754.48
|
|
Insertion catheter bladder non indwelling
|
$164.70 |
$164.70 |
$164.70 |
$237.13
|
|
Insertion catheter bladder temporary simple
|
$198.90 |
$198.90 |
$198.90 |
$273.60
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$3,029.40 |
$3,029.40 |
$3,029.40 |
$4,943.21
|
|
Insertion intra aortic balloon assist device percutaneous
|
$4,993.20 |
$4,993.20 |
$4,993.20 |
$2,549.95
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$5,775.75 |
$5,775.75 |
$5,775.75 |
$7,088.54
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$2,276.55 |
$2,276.55 |
$2,276.55 |
$2,618.40
|
|
Insertion of catheter vein
|
$293.40 |
$293.40 |
$293.40 |
$858.05
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$15,281.10 |
$15,281.10 |
$15,281.10 |
$14,158.20
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$2,597.85 |
$2,597.85 |
$2,597.85 |
$12,813.28
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$1,698.30 |
$1,698.30 |
$1,698.30 |
$9,855.00
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$1,724.85 |
$1,724.85 |
$1,724.85 |
$2,079.43
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$2,155.95 |
$2,155.95 |
$2,155.95 |
$2,527.91
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$4,153.50 |
$4,153.50 |
$4,153.50 |
$29,997.52
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$5,372.55 |
$5,372.55 |
$5,372.55 |
$7,572.47
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$1,737.45 |
$1,737.45 |
$1,737.45 |
$7,673.12
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$12,762.45 |
$12,762.45 |
$12,762.45 |
$9,793.46
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$4,760.10 |
$4,760.10 |
$4,760.10 |
$5,470.54
|
|
Insert pm/icd lead dual
|
$1,737.45 |
$1,737.45 |
$1,737.45 |
$7,562.63
|
|
Insert swan-ganz cath
|
$1,724.40 |
$1,724.40 |
$1,724.40 |
$2,164.52
|
|
Insert tunneled cv cath
|
$6,520.95 |
$6,520.95 |
$6,520.95 |
$6,028.07
|
|
Insert vad art access left hrt arterial access
|
$9,991.80 |
$9,991.80 |
$9,991.80 |
$5,062.80
|
|
Insert vad art access left hrt art & vein access
|
$1,817.10 |
$1,817.10 |
$1,817.10 |
$6,740.80
|
|
Ins icd gen exist mlt leads
|
$2,157.75 |
$2,157.75 |
$2,157.75 |
$31,286.77
|
|
In situ hybridization per specimen each additional single probe stain
|
$54.00 |
$54.00 |
$54.00 |
$251.55
|
|
In situ hybridization per specimen initial single probe stain
|
$54.00 |
$54.00 |
$54.00 |
$338.40
|
|
Ins lv lead exist pm/icd
|
$2,330.55 |
$2,330.55 |
$2,330.55 |
$12,384.25
|
|
Ins mark thor for right perq
|
$2,199.15 |
$2,199.15 |
$2,199.15 |
$2,396.35
|
|
Ins picad w subq port 5yr>
|
$4,881.15 |
$4,881.15 |
$4,881.15 |
$4,341.66
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$965.70 |
$965.70 |
$965.70 |
$1,483.95
|
|
Ins pm gen exist dual lead
|
$1,965.15 |
$1,965.15 |
$1,965.15 |
$24,696.00
|
|
Ins pm gen w/exist mlt leads
|
$1,811.25 |
$1,811.25 |
$1,811.25 |
$15,600.75
|
|
Ins pq tunnld ip cath w/img
|
$4,591.35 |
$4,591.35 |
$4,591.35 |
$5,593.60
|
|
Ins/rpl ldless pm right vent w img & eval
|
$25,140.15 |
$25,140.15 |
$25,140.15 |
$24,135.54
|
|
Ins/rpl pm w/tv ld atrl
|
$2,139.30 |
$2,139.30 |
$2,139.30 |
$12,384.25
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$3,641.85 |
$3,641.85 |
$3,641.85 |
$25,106.90
|
|
Ins tun cvad 2 cath w/subq port(s)
|
$4,456.80 |
$4,456.80 |
$4,456.80 |
$6,396.57
|
|
Ins tun cv cath wo subq prt/pm
|
$3,551.85 |
$3,551.85 |
$3,551.85 |
$5,888.85
|
|
Ins tun cv cath wo subq prt/pm
|
$3,903.30 |
$3,903.30 |
$3,903.30 |
$4,748.00
|
|
Insulin total
|
$3.60 |
$3.60 |
$3.60 |
$67.60
|
|
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm
|
$9,096.30 |
$9,096.30 |
$9,096.30 |
$9,970.16
|
|
Integra os putty 2.5cc - cost per 0.5cc
|
$3,182.40 |
$3,182.40 |
$3,182.40 |
$2,959.60
|
|
Interdiscal perq aspir dx
|
$1,112.40 |
$1,112.40 |
$1,112.40 |
$1,222.26
|
|
Interferon alfa-2b inj
|
$87.30 |
$87.30 |
$87.30 |
$559.83
|
|
Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper)
|
$3,600.00 |
$3,600.00 |
$3,600.00 |
$6,283.01
|
|
Interrog dev eval icpms ip
|
$60.30 |
$60.30 |
$60.30 |
$106.80
|
|
Interrog dev eval scrms ip
|
$89.55 |
$89.55 |
$89.55 |
$124.80
|
|
Intrinsic factor antibody
|
$9.00 |
$9.00 |
$9.00 |
$59.95
|
|
Intro cath dialysis circuit
|
$1,486.80 |
$1,486.80 |
$1,486.80 |
$2,317.80
|
|
Intro cath dialysis circuit w/pta
|
$10,621.80 |
$10,621.80 |
$10,621.80 |
$8,761.00
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$21,456.00 |
$21,456.00 |
$21,456.00 |
$15,625.00
|
|
Intro catheter aorta
|
$1,382.40 |
$1,382.40 |
$1,382.40 |
$1,861.61
|
|
Intro cath svc/ivc
|
$768.60 |
$768.60 |
$768.60 |
$1,350.75
|
|
Intro long gi tube w/mult fluo
|
$728.10 |
$728.10 |
$728.10 |
$477.85
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$4,742.10 |
$4,742.10 |
$4,742.10 |
$3,510.75
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$1,747.80 |
$1,747.80 |
$1,747.80 |
$1,825.16
|
|
Intubation endotracheal emergency procedure
|
$468.90 |
$468.90 |
$468.90 |
$617.60
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$306.00 |
$306.00 |
$306.00 |
$153.03
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$1,097.93 |
$1,097.93 |
$1,097.93 |
$153.98
|
|
Ioxaglate 39.3%-19.6% inj 200 ml
|
$3,182.40 |
$3,182.40 |
$3,182.40 |
$1,014.73
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$40,500.00 |
$40,500.00 |
$40,500.00 |
$55,747.24
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$130.05 |
$130.05 |
$130.05 |
$198.22
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$3,923.10 |
$3,923.10 |
$3,923.10 |
$5,626.93
|
|
Iron
|
$227.25 |
$227.25 |
$227.25 |
$70.72
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$345.60 |
$345.60 |
$345.60 |
$162.68
|
|
Irrigation implantable venous access device for drug delivery systems
|
$515.25 |
$515.25 |
$515.25 |
$154.50
|
|
Ivc venogram s&i
|
$4,205.70 |
$4,205.70 |
$4,205.70 |
$3,332.55
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$466.65 |
$466.65 |
$466.65 |
$191.75
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$589.50 |
$589.50 |
$589.50 |
$174.40
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$291.60 |
$291.60 |
$291.60 |
$155.00
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$466.65 |
$466.65 |
$466.65 |
$460.85
|