|
Ins/rpl wireless pulm art sensor incl s&i
|
$24,213.03 |
$42,308.59 |
$48,275.20 |
|
|
Inst fibrinolysis agent ini day
|
$678.99 |
$2,065.18 |
$2,065.18 |
|
|
Inst fibrinolysis agent sbsq d
|
$607.03 |
$2,065.18 |
$2,065.18 |
|
|
Instillation anticarcinogenic agent bladder
|
$364.52 |
$412.86 |
$412.86 |
|
|
Instill, bupivac and meloxic
|
$1,929.36 |
$1,929.36 |
$1,929.36 |
|
|
Ins tun cvad 2 cath w/subq port(s)
|
$8,228.41 |
$8,228.41 |
$8,228.41 |
|
|
Ins tun cv cath wo subq prt/pm
|
$6,986.63 |
$6,986.63 |
$6,986.63 |
|
|
Ins tun cv cath wo subq prt/pm
|
$1,556.30 |
$4,202.70 |
$4,202.70 |
|
|
Ins tun intraperit dia cath
|
$8,273.99 |
$8,273.99 |
$8,273.99 |
|
|
Inst via cath agent pleurds
|
$670.95 |
$3,657.26 |
$3,657.26 |
|
|
Insulin total
|
$12.94 |
$183.09 |
$1,880.25 |
|
|
Ins vag brachytx device
|
$441.19 |
$1,822.66 |
$1,822.66 |
|
|
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm
|
$19,778.00 |
$19,778.00 |
$19,778.00 |
|
|
Integra meshed bil wound mat
|
$688.00 |
$688.00 |
$688.00 |
|
|
Intens cardiac rehab no exer
|
$794.14 |
$794.14 |
$794.14 |
|
|
Intens cardiac rehab w/exerc
|
$794.14 |
$794.14 |
$794.14 |
|
|
Interdiscal perq aspir dx
|
$455.07 |
$3,058.94 |
$3,058.94 |
|
|
Interferon alfa-2b inj
|
$1,268.23 |
$1,771.29 |
$1,912.00 |
|
|
Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper)
|
$6,405.64 |
$12,152.00 |
$13,694.87 |
|
|
Interferon beta-1a inj
|
$2,315.38 |
$2,315.38 |
$2,801.61 |
|
|
Interferon beta-1b / .25 mg
|
$3,108.00 |
$3,108.00 |
$3,156.00 |
|
|
Intermediate visual field xm
|
$1,586.00 |
$1,586.00 |
$1,586.00 |
|
|
Interrogate subq defib
|
$40.50 |
$417.04 |
$417.04 |
|
|
Interrog dev eval scrms ip
|
$512.77 |
$512.77 |
$512.77 |
|
|
Interrog device eval heart
|
$215.59 |
$1,649.24 |
$1,649.24 |
|
|
Interrog evl pm/ldls pm ip
|
$59.10 |
$283.41 |
$425.15 |
|
|
Intra-atrial pacing
|
$1,977.00 |
$32,886.50 |
$54,057.00 |
|
|
Intra-atrial recording
|
$1,977.00 |
$20,348.27 |
$54,057.00 |
|
|
Intracard echo interv w/s&i
|
$2,129.19 |
$23,284.01 |
$23,284.01 |
|
|
Intracran angioplsty w/stent
|
$11,909.96 |
$11,909.96 |
$12,095.37 |
|
|
Intracranial angioplasty
|
$9,676.66 |
$14,549.12 |
$14,549.12 |
|
|
Intracranial complete study
|
$265.82 |
$1,230.16 |
$1,230.16 |
|
|
Intracranial limited study
|
$193.13 |
$985.98 |
$3,681.96 |
|
|
Intraoral i+d tongue/floor lingual 41000
|
$1,331.45 |
$1,331.45 |
$1,331.45 |
|
|
Intrapul surf admin endo tube
|
$78.41 |
$480.33 |
$1,091.00 |
|
|
Intrauterine transfusion ftl
|
$2,679.09 |
$2,679.09 |
$5,013.80 |
|
|
Intraventricular pacing
|
$1,334.70 |
$7,175.84 |
$54,057.00 |
|
|
Intrinsic factor antibody
|
$10.91 |
$244.44 |
$1,476.25 |
|
|
Intro cath dialysis circuit
|
$1,317.93 |
$6,750.49 |
$6,750.49 |
|
|
Intro cath dialysis circuit w/pta
|
$6,187.77 |
$19,554.57 |
$19,554.57 |
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$12,271.92 |
$44,850.71 |
$44,850.71 |
|
|
Intro catheter aorta
|
$635.92 |
$6,368.00 |
$6,368.00 |
|
|
Intro cath svc/ivc
|
$345.14 |
$8,246.91 |
$8,246.91 |
|
|
Intro long gi tube
|
$541.75 |
$2,580.34 |
$2,580.34 |
|
|
Intro long gi tube w/mult fluo
|
$146.78 |
$1,703.73 |
$5,266.32 |
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$1,163.09 |
$8,653.72 |
$8,653.72 |
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$1,104.38 |
$8,974.23 |
$8,974.23 |
|
|
Intubation endotracheal emergency procedure
|
$176.58 |
$3,590.76 |
$3,590.76 |
|
|
Iodine i-123 sod iodide mil
|
$330.15 |
$2,062.00 |
$10,274.36 |
|
|
Ionm in operatng room 15 min
|
$123.19 |
$413.47 |
$413.47 |
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$0.12 |
$491.84 |
$491.84 |
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$0.12 |
$757.58 |
$757.58 |
|
|
Io rad tx deliver by elctrns
|
$21,935.50 |
$21,935.50 |
$21,935.50 |
|
|
Io rad tx delivery by x-ray
|
$12,438.79 |
$12,438.79 |
$61,206.00 |
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$41,315.12 |
$52,277.70 |
$55,747.24 |
|
|
Ipratropium bromide non-comp
|
$29.20 |
$29.20 |
$45.00 |
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$547.39 |
$547.39 |
$11,684.00 |
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$13,777.38 |
$13,777.38 |
$15,518.99 |
|
|
Iron
|
$47.22 |
$249.45 |
$2,306.07 |
|
|
Iron binding capacity
|
$6.13 |
$189.84 |
$1,000.50 |
|
|
Iron dextran 50 mg/ml injection solution
|
$175.22 |
$481.37 |
$842.39 |
|
|
Iron stain peripheral blood
|
$98.05 |
$98.05 |
$1,246.12 |
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$357.52 |
$877.70 |
$3,162.32 |
|
|
Irradiation of blood product each unit reference
|
$357.94 |
$690.71 |
$978.78 |
|
|
Irrigation implantable venous access device for drug delivery systems
|
$61.18 |
$216.45 |
$977.00 |
|
|
Isatuximab-irfc 20 mg/ml intravenous solution
|
$4,332.25 |
$19,493.01 |
$19,493.01 |
|
|
Ivc venogram s&i
|
$1,390.40 |
$6,392.07 |
$21,209.65 |
|
|
IV Fluids (each additional hour)
|
$45.58 |
$159.02 |
$678.77 |
|
|
IV Fluids (first hour)
|
$148.60 |
$933.33 |
$933.33 |
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$57.07 |
$1,144.31 |
$1,144.31 |
|
|
IV inj ra drug dx study
|
$209.75 |
$1,041.94 |
$5,809.50 |
|
|
IV Medicine Infusion (additional drug)
|
$67.70 |
$1,144.31 |
$1,144.31 |
|
|
IV Medicine Infusion (each additional hour)
|
$48.64 |
$159.02 |
$982.46 |
|
|
IV Medicine Infusion (first hour)
|
$190.73 |
$554.83 |
$1,150.93 |
|
|
IV Push Injection (each additional drug)
|
$64.34 |
$184.31 |
$910.11 |
|
|
IV Push Injection (first drug)
|
$121.79 |
$223.19 |
$914.40 |
|
|
Ivp w/nephrotomography
|
$454.78 |
$5,163.00 |
$10,511.60 |
|
|
Ivp w/wo kub w/wo tomography
|
$372.77 |
$603.57 |
$10,443.40 |
|
|
Ixabepilone 15 mg intravenous solution
|
$12,195.44 |
$22,073.52 |
$31,166.00 |
|
|
Jak2 targeted sequence analysis
|
$77.28 |
$379.87 |
$379.87 |
|
|
Jaw Joint (TMJ) X-ray (both sides, open and closed)
|
$114.40 |
$1,170.25 |
$1,948.49 |
|
|
Jaw (Mandible) X-ray (complete)
|
$66.18 |
$836.50 |
$3,474.00 |
|
|
John cunningham antibody
|
$9.44 |
$2,550.94 |
$6,956.76 |
|
|
Kerecis marigen shld sq cm
|
$1.00 |
$1.00 |
$1.00 |
|
|
Ketamine and metabolite screen - quest
|
$32.92 |
$161.88 |
$161.88 |
|
|
Ketogenic steroids fract
|
$1,017.00 |
$1,071.75 |
$1,781.71 |
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$13.85 |
$75.00 |
$275.94 |
|
|
Ketorolac (Toradol) Pain Shot, 15 mg
|
$318.33 |
$318.33 |
$318.33 |
|
|
Kidney function study
|
$1,325.77 |
$1,828.21 |
$8,502.00 |
|
|
Kidney imaging morphology
|
$5,223.50 |
$5,223.50 |
$7,003.75 |
|
|
Kidney imag w/bld flow multi
|
$660.68 |
$7,347.98 |
$10,733.73 |
|
|
Kidney img w/bldflw sgl without rx
|
$416.71 |
$4,975.20 |
$17,044.00 |
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$214.01 |
$2,370.61 |
$3,019.00 |
|
|
Kidney (Retroperitoneal) Ultrasound (limited)
|
$114.47 |
$1,670.11 |
$1,896.48 |
|
|
Kit case 4.2mm spinejack
|
$5,090.12 |
$5,090.12 |
$5,090.12 |
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$6,461.68 |
$6,461.68 |
$6,461.68 |
|
|
Kit gene analys d816 variant
|
$374.61 |
$374.61 |
$2,572.00 |
|
|
Kit hfx iq ipg bundle
|
$32,501.08 |
$32,501.08 |
$32,501.08 |
|
|
Kit ipg optimizer smart
|
$65,638.43 |
$65,638.43 |
$65,638.43 |
|
|
Kit lead specify 5-6-5
|
$12,357.59 |
$14,289.42 |
$19,501.24 |
|
