|
Insti hexaminolevulinate hcl
|
$1,968.40 |
$1,968.40 |
$1,968.40 |
$2,224.80
|
|
Instillation anticarcinogenic agent bladder
|
$337.50 |
$337.50 |
$1,405.60 |
$621.40
|
|
Instll rx agnt into rnal tub
|
$202.80 |
$202.80 |
$1,299.20 |
$619.20
|
|
Ins trurl ablt trnsdc thr Ultrasound
|
$397.60 |
$397.60 |
$397.60 |
$397.60
|
|
Ins tun cvad 2 cath w/subq port(s)
|
$193.80 |
$193.80 |
$14,985.60 |
$7,826.00
|
|
Ins tun cv cath wo subq prt/pm
|
$177.60 |
$177.60 |
$11,267.20 |
$5,324.80
|
|
Ins tun cv cath wo subq prt/pm
|
$3,236.70 |
$3,236.70 |
$6,910.40 |
$4,202.70
|
|
Ins tun intraperit dia cath
|
$118.95 |
$118.95 |
$11,440.80 |
$4,570.00
|
|
Inst via cath agent pleurds
|
$1,736.00 |
$1,736.00 |
$1,736.00 |
$1,065.00
|
|
Insulin for insulin pump use
|
$2,600.89 |
$2,600.89 |
$2,600.89 |
$396.18
|
|
Insulin suppression panel
|
$1,271.20 |
$1,271.20 |
$1,271.20 |
$386.07
|
|
Insulin tolerance panel
|
$963.20 |
$963.20 |
$963.20 |
$393.34
|
|
Insulin tolerance panel
|
$980.00 |
$980.00 |
$980.00 |
$258.40
|
|
Insulin total
|
$20.70 |
$20.70 |
$66.64 |
$66.64
|
|
Ins vag brachytx device
|
$1,321.60 |
$1,321.60 |
$1,321.60 |
$935.50
|
|
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm
|
$4,930.80 |
$4,930.80 |
$4,930.80 |
$8,629.72
|
|
Integra meshed bil wound mat
|
$6,827.54 |
$6,827.54 |
$6,827.54 |
$9,924.16
|
|
Integra os putty 2.5cc - cost per 0.5cc
|
$5,391.40 |
$5,391.40 |
$5,391.40 |
$3,803.11
|
|
Intens behave ther cardio dx
|
$151.20 |
$151.20 |
$151.20 |
$47.60
|
|
Intens cardiac rehab no exer
|
$459.20 |
$459.20 |
$459.20 |
$238.40
|
|
Intens cardiac rehab w/exerc
|
$459.20 |
$459.20 |
$459.20 |
$238.40
|
|
Intercalary algrft compl
|
$1,864.80 |
$1,864.80 |
$1,864.80 |
$1,864.80
|
|
Interdental fixation
|
$5,258.40 |
$5,258.40 |
$5,258.40 |
$2,133.48
|
|
Interdental wirg oth/thn fx
|
$3,914.40 |
$3,914.40 |
$3,914.40 |
$1,944.80
|
|
Interdiscal perq aspir dx
|
$624.15 |
$624.15 |
$3,768.80 |
$1,222.26
|
|
Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper)
|
$13,933.84 |
$13,933.84 |
$13,933.84 |
$10,427.90
|
|
Interferon beta-1a inj
|
$1,602.70 |
$1,602.70 |
$1,602.70 |
$1,851.20
|
|
Interferon beta-1b / .25 mg
|
$13,879.85 |
$13,879.85 |
$13,879.85 |
$1,662.71
|
|
Interferon gamma 1-b inj
|
$9,879.00 |
$9,879.00 |
$9,879.00 |
$9,879.00
|
|
Interfyl, 1 mg
|
$3,234.00 |
$3,234.00 |
$3,234.00 |
$4,656.80
|
|
Intermediate visual field xm
|
$216.72 |
$216.72 |
$216.72 |
$112.80
|
|
Internal nerve revision 64727
|
$1,831.20 |
$1,831.20 |
$1,831.20 |
$806.00
|
|
Interphalangeal joint spacer
|
$3,435.60 |
$3,435.60 |
$3,435.60 |
$3,190.20
|
|
Interrogate subq defib
|
$193.20 |
$193.20 |
$193.20 |
$119.60
|
|
Interrogation vad in person
|
$296.80 |
$296.80 |
$296.80 |
$296.40
|
|
Interrog dev eval icpms ip
|
$31.05 |
$31.05 |
$101.92 |
$103.50
|
|
Interrog dev eval scrms ip
|
$16.05 |
$16.05 |
$175.84 |
$124.80
|
|
Interrog device eval heart
|
$49.20 |
$49.20 |
$285.60 |
$162.40
|
|
Interrog evl pm/ldls pm ip
|
$63.45 |
$63.45 |
$234.64 |
$124.80
|
|
Interrog&prgrmg ipnss
|
$226.24 |
$226.24 |
$226.24 |
$200.00
|
|
Interrog&prgrmg ipnss polysm
|
$739.20 |
$739.20 |
$739.20 |
$422.32
|
|
Interrog without prgrmg ipnss
|
$226.24 |
$226.24 |
$226.24 |
$147.00
|
|
Interscap-thor myoelectronic
|
$20,890.80 |
$20,890.80 |
$20,890.80 |
$20,890.80
|
|
Interscapular-thor switch CT
|
$17,665.20 |
$17,665.20 |
$17,665.20 |
$17,665.20
|
|
Interstitial brachy inter
|
$182.00 |
$182.00 |
$182.00 |
$1,244.40
|
|
Int hrhc lig 1 hroid without img
|
$682.95 |
$682.95 |
$4,648.00 |
$3,484.00
|
|
Int hrhc lig 2+hroid without img
|
$6,759.20 |
$6,759.20 |
$6,759.20 |
$3,245.23
|
|
Intl custm cong/latyp insert
|
$1,453.20 |
$1,453.20 |
$1,453.20 |
$1,453.20
|
|
Intra-atrial pacing
|
$3,909.60 |
$3,909.60 |
$6,059.20 |
$4,780.80
|
|
Intra-atrial recording
|
$3,909.60 |
$3,909.60 |
$6,059.20 |
$5,252.30
|
|
Intracard echo interv w/s&i
|
$1,311.90 |
$1,311.90 |
$3,304.00 |
$3,461.04
|
|
Intracran angioplsty w/stent
|
$720.90 |
$720.90 |
$2,945.60 |
$8,145.50
|
|
Intracranial angioplasty
|
$2,755.20 |
$2,755.20 |
$2,755.20 |
$4,962.40
|
|
Intracranial complete study
|
$1,568.00 |
$1,568.00 |
$1,568.00 |
$874.99
|
|
Intracranial limited study
|
$498.40 |
$498.40 |
$498.40 |
$465.01
|
|
Intranasal biopsy 30100
|
$4,788.00 |
$4,788.00 |
$4,788.00 |
$2,133.48
|
|
Intranasal reconstruction
|
$11,435.20 |
$11,435.20 |
$11,435.20 |
$6,311.00
|
|
Intraop colon lavage add-on
|
$88.80 |
$88.80 |
$431.20 |
$416.80
|
|
Intraop epicard/endocard/pace/map/ 93631
|
$1,239.15 |
$1,239.15 |
$3,007.20 |
$3,690.00
|
|
Intraop hipec px 1st 60 min
|
$49.84 |
$49.84 |
$49.84 |
$49.84
|
|
Intraoral i+d tongue/floor lingual 41000
|
$2,872.80 |
$2,872.80 |
$2,872.80 |
$1,331.45
|
|
Intraoral periapical first
|
$54.88 |
$54.88 |
$54.88 |
$54.88
|
|
Intrapul surf admin endo tube
|
$380.80 |
$380.80 |
$380.80 |
$220.80
|
|
Intrauterine transfusion ftl
|
$2,408.00 |
$2,408.00 |
$2,408.00 |
$1,063.50
|
|
Intraventricular pacing
|
$3,909.60 |
$3,909.60 |
$6,059.20 |
$5,456.17
|
|
Intrinsic factor antibody
|
$28.00 |
$28.00 |
$28.00 |
$63.15
|
|
Intrm oph exam est patient
|
$146.72 |
$146.72 |
$146.72 |
$161.25
|
|
Intro cath dialysis circuit
|
$1,311.00 |
$1,311.00 |
$3,836.00 |
$2,036.94
|
|
Intro cath dialysis circuit w/pta
|
$4,277.85 |
$4,277.85 |
$15,668.80 |
$8,690.50
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$6,786.15 |
$6,786.15 |
$17,427.20 |
$16,262.40
|
|
Intro catheter aorta
|
$1,699.65 |
$1,699.65 |
$2,693.60 |
$1,654.05
|
|
Intro cath svc/ivc
|
$1,058.10 |
$1,058.10 |
$4,256.00 |
$1,323.27
|
|
Intro long gi tube
|
$3,712.80 |
$3,712.80 |
$3,712.80 |
$957.18
|
|
Intro long gi tube w/mult fluo
|
$884.80 |
$884.80 |
$884.80 |
$466.00
|
|
Intro windpipe wire/tube
|
$3,287.20 |
$3,287.20 |
$3,287.20 |
$2,447.43
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$448.50 |
$448.50 |
$3,561.60 |
$3,409.29
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$277.65 |
$277.65 |
$1,444.80 |
$1,747.80
|
|
Intubation endotracheal emergency procedure
|
$305.40 |
$305.40 |
$924.00 |
$598.80
|
|
Io anal gast n-stim init
|
$341.60 |
$341.60 |
$341.60 |
$341.60
|
|
Io anal gast n-stim subsq
|
$308.00 |
$308.00 |
$308.00 |
$170.00
|
|
Iodine i-123 sod iodide mil
|
$310.24 |
$310.24 |
$310.24 |
$371.18
|
|
Iodine i-125 sodium iodide
|
$394.80 |
$394.80 |
$394.80 |
$245.64
|
|
Iodine i-131 iobenguane 1mci
|
$159,864.60 |
$159,864.60 |
$159,864.60 |
$159,864.60
|
|
Io ga n-stim subsq w/reprog
|
$254.24 |
$254.24 |
$254.24 |
$187.43
|
|
Ionm in operatng room 15 min
|
$403.20 |
$403.20 |
$403.20 |
$200.16
|
|
Ionm remote/>1 pt or per hr
|
$436.80 |
$436.80 |
$436.80 |
$622.70
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$3.15 |
$3.15 |
$256.73 |
$170.06
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$3.15 |
$3.15 |
$446.88 |
$288.11
|
|
Io radiation tx management
|
$868.00 |
$868.00 |
$868.00 |
$593.60
|
|
Io rad tx deliver by elctrns
|
$10,500.00 |
$10,500.00 |
$10,500.00 |
$9,332.31
|
|
Io rad tx delivery by x-ray
|
$6,221.60 |
$6,221.60 |
$6,221.60 |
$9,046.18
|
|
Ioxaglate 39.3%-19.6% inj 200 ml
|
$2.24 |
$2.24 |
$2.24 |
$763.50
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$58,439.04 |
$58,439.04 |
$58,439.04 |
$62,692.46
|
|
Ip/obs cnsltj new/est low 45
|
$55.65 |
$55.65 |
$55.65 |
$174.20
|
|
Ip/obs cnsltj new/est mod 60
|
$70.65 |
$70.65 |
$70.65 |
$284.45
|
|
Ip/obs consltj new/est hi 80
|
$90.90 |
$90.90 |
$90.90 |
$332.80
|
|
Ip/obs consltj new/est sf 35
|
$35.40 |
$35.40 |
$35.40 |
$134.46
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$92.09 |
$92.09 |
$306.68 |
$174.47
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$1,650.00 |
$1,650.00 |
$5,359.40 |
$5,517.12
|
|
Iron
|
$30.45 |
$30.45 |
$80.08 |
$72.29
|
