|
Insj biomechanical device 22853
|
$167.80 |
$167.80 |
$167.80 |
$622.40
|
|
Ins lv lead exist pm/icd
|
$331.60 |
$331.60 |
$331.60 |
$12,384.25
|
|
Ins mark thor for right perq
|
$117.80 |
$117.80 |
$117.80 |
$2,477.45
|
|
Ins picad w subq port 5yr>
|
$209.00 |
$209.00 |
$209.00 |
$3,985.20
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$53.40 |
$53.40 |
$53.40 |
$1,690.00
|
|
Ins pm gen exist dual lead
|
$246.40 |
$246.40 |
$246.40 |
$23,665.85
|
|
Ins pm gen w/exist mlt leads
|
$236.80 |
$236.80 |
$236.80 |
$14,804.40
|
|
Ins pq tunnld ip cath w/img
|
$134.20 |
$134.20 |
$134.20 |
$5,377.00
|
|
Ins/rplc spi npg/rcvr pocket
|
$232.40 |
$232.40 |
$232.40 |
$24,061.80
|
|
Ins/rpl ldless pm right vent w img & eval
|
$314.20 |
$314.20 |
$314.20 |
$24,135.54
|
|
Ins/rpl pm gen exist dual lead
|
$224.00 |
$224.00 |
$224.00 |
$11,005.50
|
|
Ins/rpl pm gen exist sgl lead
|
$215.20 |
$215.20 |
$215.20 |
$9,428.64
|
|
Ins/rpl pm w/tv ld atrl
|
$301.20 |
$301.20 |
$301.20 |
$11,583.66
|
|
Ins/rpl prph sac/gstr npg/r
|
$201.80 |
$201.80 |
$201.80 |
$21,857.50
|
|
Instillation anticarcinogenic agent bladder
|
$199.80 |
$199.80 |
$199.80 |
$621.40
|
|
Ins tun cvad 2 cath w/subq port(s)
|
$237.40 |
$237.40 |
$237.40 |
$7,826.00
|
|
Ins tun cv cath wo subq prt/pm
|
$215.60 |
$215.60 |
$215.60 |
$5,324.80
|
|
Ins tun cv cath wo subq prt/pm
|
$174.20 |
$174.20 |
$174.20 |
$4,202.70
|
|
Ins tun intraperit dia cath
|
$147.80 |
$147.80 |
$147.80 |
$4,570.00
|
|
Inst via cath agent pleurds
|
$50.00 |
$50.00 |
$50.00 |
$1,065.00
|
|
Insulin total
|
$27.80 |
$27.80 |
$27.80 |
$66.64
|
|
Ins vag brachytx device
|
$106.20 |
$106.20 |
$106.20 |
$935.50
|
|
Intens behave ther cardio dx
|
$16.20 |
$16.20 |
$16.20 |
$47.60
|
|
Interdiscal perq aspir dx
|
$104.40 |
$104.40 |
$104.40 |
$1,222.26
|
|
Intermediate visual field xm
|
$24.00 |
$24.00 |
$24.00 |
$112.80
|
|
Internal nerve revision 64727
|
$122.80 |
$122.80 |
$122.80 |
$806.00
|
|
Interrogate subq defib
|
$17.40 |
$17.40 |
$17.40 |
$119.60
|
|
Interrogation vad in person
|
$19.20 |
$19.20 |
$19.20 |
$296.40
|
|
Interrog dev eval icpms ip
|
$31.80 |
$31.80 |
$31.80 |
$103.50
|
|
Interrog dev eval scrms ip
|
$24.80 |
$24.80 |
$24.80 |
$124.80
|
|
Interrog device eval heart
|
$36.20 |
$36.20 |
$36.20 |
$162.40
|
|
Interrog evl pm/ldls pm ip
|
$59.60 |
$59.60 |
$59.60 |
$124.80
|
|
Interstitial brachy inter
|
$1,761.00 |
$1,761.00 |
$1,761.00 |
$1,244.40
|
|
Intestinal stricturoplasty
|
$715.00 |
$715.00 |
$715.00 |
$2,351.50
|
|
Int hrhc lig 1 hroid without img
|
$774.00 |
$774.00 |
$774.00 |
$3,484.00
|
|
Int hrhc lig 2+hroid without img
|
$269.80 |
$269.80 |
$269.80 |
$3,245.23
|
|
Intra-atrial pacing
|
$74.40 |
$74.40 |
$74.40 |
$4,780.80
|
|
Intranasal biopsy 30100
|
$443.40 |
$443.40 |
$443.40 |
$2,133.48
|
|
Intraop colon lavage add-on
|
$110.20 |
$110.20 |
$110.20 |
$416.80
|
|
Intraoral i+d tongue/floor lingual 41000
|
$76.00 |
$76.00 |
$76.00 |
$1,331.45
|
|
Intraoral periapical first
|
$11.00 |
$11.00 |
$11.00 |
$54.88
|
|
Intrinsic factor antibody
|
$2.68 |
$2.68 |
$2.68 |
$63.15
|
|
Intrm oph exam est patient
|
$45.20 |
$45.20 |
$45.20 |
$161.25
|
|
Intro cath dialysis circuit
|
$110.00 |
$110.00 |
$110.00 |
$2,036.94
|
|
Intro cath dialysis circuit w/pta
|
$156.20 |
$156.20 |
$156.20 |
$8,690.50
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$204.40 |
$204.40 |
$204.40 |
$16,262.40
|
|
Intro catheter aorta
|
$658.60 |
$658.60 |
$658.60 |
$1,654.05
|
|
Intro cath svc/ivc
|
$69.60 |
$69.60 |
$69.60 |
$1,323.27
|
|
Intro long gi tube
|
$652.60 |
$652.60 |
$652.60 |
$957.18
|
|
Intro long gi tube w/mult fluo
|
$208.20 |
$208.20 |
$208.20 |
$466.00
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$57.00 |
$57.00 |
$57.00 |
$3,409.29
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$45.60 |
$45.60 |
$45.60 |
$1,747.80
|
|
Intubation endotracheal emergency procedure
|
$198.80 |
$198.80 |
$198.80 |
$598.80
|
|
Iodine i-123 sod iodide mil
|
$444.60 |
$444.60 |
$444.60 |
$371.18
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$3.20 |
$3.20 |
$3.20 |
$170.06
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$3.00 |
$3.00 |
$3.00 |
$288.11
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$4,719.67 |
$4,719.67 |
$4,719.67 |
$62,692.46
|
|
Ip/obs cnsltj new/est low 45
|
$58.60 |
$58.60 |
$58.60 |
$174.20
|
|
Ip/obs cnsltj new/est mod 60
|
$87.40 |
$87.40 |
$87.40 |
$284.45
|
|
Ip/obs consltj new/est hi 80
|
$115.00 |
$115.00 |
$115.00 |
$332.80
|
|
Ip/obs consltj new/est sf 35
|
$38.00 |
$38.00 |
$38.00 |
$134.46
|
|
Ipratropium bromide non-comp
|
$1.20 |
$1.20 |
$1.20 |
$3.75
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$145.98 |
$145.98 |
$145.98 |
$174.47
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$2,144.88 |
$2,144.88 |
$2,144.88 |
$5,517.12
|
|
Iron
|
$30.80 |
$30.80 |
$30.80 |
$72.29
|
|
Iron binding capacity
|
$33.00 |
$33.00 |
$33.00 |
$63.60
|
|
Iron dextran 50 mg/ml injection solution
|
$48.77 |
$48.77 |
$48.77 |
$81.70
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$169.88 |
$169.88 |
$169.88 |
$187.06
|
|
Irradiation of blood product each unit reference
|
$46.00 |
$46.00 |
$46.00 |
$114.40
|
|
Irrigation implantable venous access device for drug delivery systems
|
$76.40 |
$76.40 |
$76.40 |
$144.62
|
|
Irrigation vagina and/or appl medicament tx disease
|
$17.00 |
$17.00 |
$17.00 |
$132.00
|
|
Island pedicle flap graft
|
$588.00 |
$588.00 |
$588.00 |
$2,468.80
|
|
Ivc venogram s&i
|
$2,301.00 |
$2,301.00 |
$2,301.00 |
$3,316.95
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$144.00 |
$144.00 |
$144.00 |
$190.56
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$124.60 |
$124.60 |
$124.60 |
$159.00
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$167.00 |
$167.00 |
$167.00 |
$153.60
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$312.00 |
$312.00 |
$312.00 |
$437.45
|
|
IV inj ra drug dx study
|
$305.80 |
$305.80 |
$305.80 |
$552.60
|
|
Ivp w/nephrotomography
|
$779.20 |
$779.20 |
$779.20 |
$748.15
|
|
Ivp w/wo kub w/wo tomography
|
$769.40 |
$769.40 |
$769.40 |
$692.18
|
|
Jak2 targeted sequence analysis
|
$59.00 |
$59.00 |
$59.00 |
$393.43
|
|
Jejunstmy tube plcmt
|
$161.00 |
$161.00 |
$161.00 |
$2,174.40
|
|
John cunningham antibody
|
$6.00 |
$6.00 |
$6.00 |
$66.31
|
|
J-tube placement
|
$91.60 |
$91.60 |
$91.60 |
$593.08
|
|
Ketamine and metabolite screen - quest
|
$21.20 |
$21.20 |
$21.20 |
$72.14
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$49.00 |
$49.00 |
$49.00 |
$58.50
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$12.77 |
$12.77 |
$12.77 |
$23.77
|
|
Kidney endoscopy & treatment
|
$264.60 |
$264.60 |
$264.60 |
$5,626.86
|
|
Kidney imaging morphology
|
$644.00 |
$644.00 |
$644.00 |
$785.00
|
|
Kidney imag w/bld flow multi
|
$1,276.80 |
$1,276.80 |
$1,276.80 |
$1,557.41
|
|
Kidney img w/bldflw sgl without rx
|
$855.00 |
$855.00 |
$855.00 |
$1,425.00
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$307.80 |
$307.80 |
$307.80 |
$673.36
|
|
Kit cast tcc 3in w/2reg boots total contact cast
|
$25.80 |
$25.80 |
$25.80 |
$174.00
|
|
Kit gene analys d816 variant
|
$56.00 |
$56.00 |
$56.00 |
$366.03
|
|
Kit lead specify 5-6-5
|
$2,771.80 |
$2,771.80 |
$2,771.80 |
$16,965.41
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$1,786.60 |
$1,786.60 |
$1,786.60 |
$1,667.50
|
|
Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm
|
$181.80 |
$181.80 |
$181.80 |
$923.90
|
|
Knee Arthroscopy (Cartilage Repair)
|
$437.00 |
$437.00 |
$437.00 |
$4,499.12
|
|
Knee arthroscopy/drainage
|
$364.40 |
$364.40 |
$364.40 |
$3,839.54
|
|
Knee arthroscopy dx
|
$294.40 |
$294.40 |
$294.40 |
$3,980.03
|
