|
Ins cath ren art 1st uni
|
$6,012.50 |
$6,012.50 |
$6,012.50 |
$4,667.63
|
|
Ins cath ren art 2nd+ bi
|
$5,408.65 |
$5,408.65 |
$5,408.65 |
$5,663.98
|
|
Ins cath ren art 2nd+ uni
|
$6,012.50 |
$6,012.50 |
$6,012.50 |
$5,395.20
|
|
Insert abdomen-venous drain
|
$36,865.40 |
$36,865.40 |
$36,865.40 |
$4,039.47
|
|
Insert cannula hemo oth 36815
|
$10,476.70 |
$10,476.70 |
$10,476.70 |
$5,983.35
|
|
Insert cannula vein-to-vein hemodialysis
|
$10,476.70 |
$10,476.70 |
$10,476.70 |
$7,279.50
|
|
Insert cath pleura with image
|
$9,275.50 |
$9,275.50 |
$9,275.50 |
$2,194.40
|
|
Insert cath pleura without image
|
$2,681.90 |
$2,681.90 |
$2,681.90 |
$2,099.70
|
|
Insert hepatic shunt (tips)
|
$36,865.40 |
$36,865.40 |
$36,865.40 |
$7,571.20
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$10,601.50 |
$10,601.50 |
$10,601.50 |
$4,897.20
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$8,944.00 |
$8,944.00 |
$8,944.00 |
$7,210.78
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$2,595.45 |
$2,595.45 |
$2,595.45 |
$2,585.25
|
|
Insertion of cannula
|
$10,476.70 |
$10,476.70 |
$10,476.70 |
$4,341.66
|
|
Insertion of catheter vein
|
$1,387.10 |
$1,387.10 |
$1,387.10 |
$1,525.80
|
|
Insertion of catheter vein
|
$1,387.10 |
$1,387.10 |
$1,387.10 |
$870.59
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$1,983.15 |
$1,983.15 |
$1,983.15 |
$2,103.75
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$2,776.80 |
$2,776.80 |
$2,776.80 |
$2,453.83
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$9,390.55 |
$9,390.55 |
$9,390.55 |
$9,332.50
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$8,350.55 |
$8,350.55 |
$8,350.55 |
$5,236.80
|
|
Insert picvad cath
|
$4,899.05 |
$4,899.05 |
$4,899.05 |
$4,195.00
|
|
Insert swan-ganz cath
|
$5,100.55 |
$5,100.55 |
$5,100.55 |
$2,164.52
|
|
Insert tunneled cv 2cath 2sits without port/pmp 36565
|
$6,144.45 |
$6,144.45 |
$6,144.45 |
$4,997.60
|
|
Insert tunneled cv cath
|
$8,271.90 |
$8,271.90 |
$8,271.90 |
$4,520.00
|
|
Insert tunneled cv cath
|
$15,077.40 |
$15,077.40 |
$15,077.40 |
$6,028.07
|
|
Insitu hybridization auto
|
$250.25 |
$250.25 |
$250.25 |
$377.37
|
|
Insitu hybridization manual
|
$324.35 |
$324.35 |
$324.35 |
$401.28
|
|
In situ hybridization per specimen each additional single probe stain
|
$689.00 |
$689.00 |
$689.00 |
$243.50
|
|
In situ hybridization per specimen initial single probe stain
|
$689.00 |
$689.00 |
$689.00 |
$338.40
|
|
Ins mark abd/pel for right perq
|
$4,835.35 |
$4,835.35 |
$4,835.35 |
$2,477.24
|
|
Ins mark thor for right perq
|
$4,790.50 |
$4,790.50 |
$4,790.50 |
$2,503.80
|
|
Ins picad w subq port 5yr>
|
$5,068.05 |
$5,068.05 |
$5,068.05 |
$4,078.00
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$1,010.75 |
$1,010.75 |
$1,010.75 |
$1,690.00
|
|
Ins pq tunnld ip cath w/img
|
$5,890.95 |
$5,890.95 |
$5,890.95 |
$5,486.00
|
|
Inst fibrinolysis agent ini day
|
$1,913.60 |
$1,913.60 |
$1,913.60 |
$1,043.35
|
|
Inst fibrinolysis agent sbsq d
|
$1,841.45 |
$1,841.45 |
$1,841.45 |
$997.05
|
|
Instll rx agnt into rnal tub
|
$744.25 |
$744.25 |
$744.25 |
$619.20
|
|
Ins tun cvad 2 cath w/subq port(s)
|
$10,699.00 |
$10,699.00 |
$10,699.00 |
$7,826.00
|
|
Ins tun cv cath wo subq prt/pm
|
$8,208.85 |
$8,208.85 |
$8,208.85 |
$5,324.80
|
|
Ins tun cv cath wo subq prt/pm
|
$7,675.20 |
$7,675.20 |
$7,675.20 |
$4,218.00
|
|
Ins tun intraperit dia cath
|
$10,502.70 |
$10,502.70 |
$10,502.70 |
$4,570.00
|
|
Inst via cath agent pleurds
|
$1,896.70 |
$1,896.70 |
$1,896.70 |
$1,074.68
|
|
Insulin total
|
$72.15 |
$72.15 |
$72.15 |
$66.64
|
|
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm
|
$24,596.00 |
$24,596.00 |
$24,596.00 |
$8,617.32
|
|
Integra meshed bil wound mat
|
$103,108.85 |
$103,108.85 |
$103,108.85 |
$9,924.16
|
|
Integra os putty 2.5cc - cost per 0.5cc
|
$9,115.60 |
$9,115.60 |
$9,115.60 |
$3,803.11
|
|
Interdiscal perq aspir dx
|
$1,662.05 |
$1,662.05 |
$1,662.05 |
$1,222.26
|
|
Interferon alfa-2b inj
|
$229.45 |
$229.45 |
$229.45 |
$1,409.92
|
|
Interferon beta-1b / .25 mg
|
$4,083.95 |
$4,083.95 |
$4,083.95 |
$1,662.71
|
|
Interfyl, 1 mg
|
$9,107.80 |
$9,107.80 |
$9,107.80 |
$4,656.80
|
|
Interrogate subq defib
|
$428.35 |
$428.35 |
$428.35 |
$119.60
|
|
Interrog dev eval icpms ip
|
$201.50 |
$201.50 |
$201.50 |
$104.00
|
|
Interrog dev eval scrms ip
|
$317.85 |
$317.85 |
$317.85 |
$124.80
|
|
Interrog device eval heart
|
$423.80 |
$423.80 |
$423.80 |
$162.40
|
|
Interrog evl pm/ldls pm ip
|
$353.60 |
$353.60 |
$353.60 |
$127.20
|
|
Interrog&prgrmg ipnss
|
$266.50 |
$266.50 |
$266.50 |
$200.00
|
|
Interrog&prgrmg ipnss polysm
|
$824.85 |
$824.85 |
$824.85 |
$422.32
|
|
Interrog without prgrmg ipnss
|
$252.85 |
$252.85 |
$252.85 |
$147.00
|
|
Intracard echo interv w/s&i
|
$4,791.80 |
$4,791.80 |
$4,791.80 |
$3,436.00
|
|
Intracranial complete study
|
$1,021.80 |
$1,021.80 |
$1,021.80 |
$881.50
|
|
Intracranial limited study
|
$775.45 |
$775.45 |
$775.45 |
$467.50
|
|
Intrapul surf admin endo tube
|
$214.50 |
$214.50 |
$214.50 |
$220.80
|
|
Intrinsic factor antibody
|
$20.15 |
$20.15 |
$20.15 |
$65.00
|
|
Intro cath dialysis circuit
|
$2,812.55 |
$2,812.55 |
$2,812.55 |
$2,036.94
|
|
Intro cath dialysis circuit w/pta
|
$7,322.90 |
$7,322.90 |
$7,322.90 |
$8,690.50
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$12,687.35 |
$12,687.35 |
$12,687.35 |
$16,262.40
|
|
Intro catheter aorta
|
$4,340.05 |
$4,340.05 |
$4,340.05 |
$1,678.05
|
|
Intro cath svc/ivc
|
$4,154.80 |
$4,154.80 |
$4,154.80 |
$1,323.27
|
|
Intro long gi tube
|
$880.75 |
$880.75 |
$880.75 |
$974.17
|
|
Intro long gi tube w/mult fluo
|
$767.65 |
$767.65 |
$767.65 |
$469.00
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$2,828.80 |
$2,828.80 |
$2,828.80 |
$3,472.95
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$2,828.80 |
$2,828.80 |
$2,828.80 |
$1,801.10
|
|
Iodine i-123 sod iodide mil
|
$1,256.45 |
$1,256.45 |
$1,256.45 |
$386.37
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$3.25 |
$3.25 |
$3.25 |
$165.67
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$3.25 |
$3.25 |
$3.25 |
$279.10
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$733.20 |
$733.20 |
$733.20 |
$62,692.46
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$53.95 |
$53.95 |
$53.95 |
$173.98
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$302.90 |
$302.90 |
$302.90 |
$5,517.12
|
|
Iron
|
$429.00 |
$429.00 |
$429.00 |
$75.00
|
|
Iron binding capacity
|
$142.35 |
$142.35 |
$142.35 |
$63.91
|
|
Iron dextran 50 mg/ml injection solution
|
$139.10 |
$139.10 |
$139.10 |
$80.67
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$1,758.25 |
$1,758.25 |
$1,758.25 |
$187.06
|
|
Irradiation of blood product each unit reference
|
$81.25 |
$81.25 |
$81.25 |
$115.20
|
|
Irrigation implantable venous access device for drug delivery systems
|
$347.75 |
$347.75 |
$347.75 |
$146.11
|
|
Isatuximab-irfc 20 mg/ml intravenous solution
|
$364.00 |
$364.00 |
$364.00 |
$8,273.35
|
|
Ivc venogram s&i
|
$6,561.75 |
$6,561.75 |
$6,561.75 |
$3,332.55
|
|
IV Fluids (each additional hour)
|
$174.85 |
$174.85 |
$174.85 |
$133.90
|
|
IV Fluids (first hour)
|
$318.50 |
$318.50 |
$318.50 |
$390.00
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$55.90 |
$55.90 |
$55.90 |
$162.68
|
|
IV inj ra drug dx study
|
$1,082.90 |
$1,082.90 |
$1,082.90 |
$567.00
|
|
IV Medicine Infusion (additional drug)
|
$191.75 |
$191.75 |
$191.75 |
$191.75
|
|
IV Medicine Infusion (each additional hour)
|
$199.55 |
$199.55 |
$199.55 |
$154.00
|
|
IV Medicine Infusion (first hour)
|
$460.85 |
$460.85 |
$460.85 |
$439.56
|
|
IV Push Injection (each additional drug)
|
$155.35 |
$155.35 |
$155.35 |
$167.50
|
|
IV Push Injection (first drug)
|
$318.50 |
$318.50 |
$318.50 |
$252.76
|
|
Ivp w/nephrotomography
|
$1,518.40 |
$1,518.40 |
$1,518.40 |
$748.15
|
|
Ivp w/wo kub w/wo tomography
|
$1,416.35 |
$1,416.35 |
$1,416.35 |
$713.40
|
|
Ixabepilone 15 mg intravenous solution
|
$850.85 |
$850.85 |
$850.85 |
$10,695.32
|
|
Jak2 targeted sequence analysis
|
$484.90 |
$484.90 |
$484.90 |
$405.00
|
|
Jaw Joint (TMJ) X-ray (both sides, open and closed)
|
$806.00 |
$806.00 |
$806.00 |
$330.05
|
|
Jaw (Mandible) X-ray (complete)
|
$849.55 |
$849.55 |
$849.55 |
$362.05
|