|
Inj proc lumbr disk ea lvl
|
$1,786.05 |
$1,786.05 |
$1,786.05 |
$1,224.30
|
|
Inj proc myelogram lumbar
|
$787.50 |
$787.50 |
$787.50 |
$922.80
|
|
Inj retro urethrocysto
|
$2,339.40 |
$2,339.40 |
$2,339.40 |
$551.29
|
|
Inj scleros sol sgl vein
|
$1,452.15 |
$1,452.15 |
$1,452.15 |
$534.40
|
|
Inj secukinumab intrav 1mg
|
$40,592.86 |
$40,592.86 |
$40,592.86 |
$8,235.53
|
|
Inj testosterone cypionate
|
$260.11 |
$260.11 |
$260.11 |
$81.39
|
|
Inj, tislelizumab-jsgr
|
$23,821.18 |
$23,821.18 |
$23,821.18 |
$45,250.97
|
|
Inj, vancomycin hcl (mylan)
|
$382.69 |
$382.69 |
$382.69 |
$72.33
|
|
Inj, vegzelma, 10 mg
|
$4,963.32 |
$4,963.32 |
$4,963.32 |
$9,504.89
|
|
Inj w/fluor eval cv device
|
$1,179.61 |
$1,179.61 |
$1,179.61 |
$588.90
|
|
Ins cath ren art 1st bi
|
$11,623.82 |
$11,623.82 |
$11,623.82 |
$6,033.75
|
|
Ins cath ren art 1st uni
|
$8,333.83 |
$8,333.83 |
$8,333.83 |
$4,667.63
|
|
Ins cath ren art 2nd+ uni
|
$16,968.55 |
$16,968.55 |
$16,968.55 |
$5,528.94
|
|
Ins cerv dilator (sep proc)
|
$1,029.68 |
$1,029.68 |
$1,029.68 |
$544.00
|
|
Insert cath pleura with image
|
$3,079.91 |
$3,079.91 |
$3,079.91 |
$2,239.02
|
|
Insertion catheter bladder non indwelling
|
$1,252.04 |
$1,252.04 |
$1,252.04 |
$237.13
|
|
Insertion catheter bladder temporary simple
|
$836.82 |
$836.82 |
$836.82 |
$273.60
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$13,597.20 |
$13,597.20 |
$13,597.20 |
$4,943.21
|
|
Insertion intra aortic balloon assist device percutaneous
|
$6,415.58 |
$6,415.58 |
$6,415.58 |
$2,549.95
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$23,582.73 |
$23,582.73 |
$23,582.73 |
$7,088.54
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$6,263.43 |
$6,263.43 |
$6,263.43 |
$2,618.40
|
|
Insertion of catheter vein
|
$1,075.55 |
$1,075.55 |
$1,075.55 |
$1,749.80
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$44,766.60 |
$44,766.60 |
$44,766.60 |
$14,158.20
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$8,854.98 |
$8,854.98 |
$8,854.98 |
$9,855.00
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$7,345.24 |
$7,345.24 |
$7,345.24 |
$2,079.43
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$6,640.44 |
$6,640.44 |
$6,640.44 |
$2,527.91
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$29,931.00 |
$29,931.00 |
$29,931.00 |
$29,997.52
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$27,947.88 |
$27,947.88 |
$27,947.88 |
$7,572.47
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$11,060.76 |
$11,060.76 |
$11,060.76 |
$7,673.12
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$20,572.97 |
$20,572.97 |
$20,572.97 |
$9,793.46
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$11,310.72 |
$11,310.72 |
$11,310.72 |
$5,470.54
|
|
Insert pm/icd lead dual
|
$11,618.23 |
$11,618.23 |
$11,618.23 |
$7,562.63
|
|
Insert swan-ganz cath
|
$12,326.92 |
$12,326.92 |
$12,326.92 |
$2,164.52
|
|
Insert tunneled cv cath
|
$14,125.66 |
$14,125.66 |
$14,125.66 |
$6,028.07
|
|
Insert vad art access left hrt arterial access
|
$17,153.48 |
$17,153.48 |
$17,153.48 |
$5,062.80
|
|
Insitu hybridization auto
|
$1,945.52 |
$1,945.52 |
$1,945.52 |
$398.16
|
|
Insitu hybridization manual
|
$1,945.52 |
$1,945.52 |
$1,945.52 |
$407.11
|
|
In situ hybridization per specimen each additional single probe stain
|
$551.47 |
$551.47 |
$551.47 |
$251.55
|
|
In situ hybridization per specimen initial single probe stain
|
$1,101.73 |
$1,101.73 |
$1,101.73 |
$338.40
|
|
Insj perq vad r hrt venous
|
$18,341.03 |
$18,341.03 |
$18,341.03 |
$4,981.60
|
|
Ins lv lead exist pm/icd
|
$45,355.54 |
$45,355.54 |
$45,355.54 |
$12,384.25
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$2,444.87 |
$2,444.87 |
$2,444.87 |
$1,483.95
|
|
Ins pq tunnld ip cath w/img
|
$11,082.59 |
$11,082.59 |
$11,082.59 |
$5,593.60
|
|
Ins/rpl ldless pm right vent w img & eval
|
$56,228.63 |
$56,228.63 |
$56,228.63 |
$24,135.54
|
|
Ins/rpl pm gen exist dual lead
|
$23,374.10 |
$23,374.10 |
$23,374.10 |
$11,593.70
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$21,260.58 |
$21,260.58 |
$21,260.58 |
$25,106.90
|
|
Ins tun cv cath wo subq prt/pm
|
$7,917.14 |
$7,917.14 |
$7,917.14 |
$4,748.00
|
|
Insulin total
|
$84.94 |
$84.94 |
$84.94 |
$67.60
|
|
Interrog evl pm/ldls pm ip
|
$461.09 |
$461.09 |
$461.09 |
$127.20
|
|
Intra-atrial pacing
|
$13,813.58 |
$13,813.58 |
$13,813.58 |
$5,155.51
|
|
Intra-atrial recording
|
$13,297.45 |
$13,297.45 |
$13,297.45 |
$5,707.00
|
|
Intracard echo interv w/s&i
|
$8,996.62 |
$8,996.62 |
$8,996.62 |
$3,982.59
|
|
Intracranial complete study
|
$1,411.28 |
$1,411.28 |
$1,411.28 |
$883.30
|
|
Intracranial limited study
|
$492.14 |
$492.14 |
$492.14 |
$423.52
|
|
Intrapul surf admin endo tube
|
$351.71 |
$351.71 |
$351.71 |
$239.52
|
|
Intraventricular pacing
|
$13,297.45 |
$13,297.45 |
$13,297.45 |
$5,775.22
|
|
Intrinsic factor antibody
|
$100.17 |
$100.17 |
$100.17 |
$59.95
|
|
Intro cath dialysis circuit
|
$7,134.35 |
$7,134.35 |
$7,134.35 |
$2,317.80
|
|
Intro cath dialysis circuit w/pta
|
$21,252.98 |
$21,252.98 |
$21,252.98 |
$8,761.00
|
|
Intro catheter aorta
|
$4,571.53 |
$4,571.53 |
$4,571.53 |
$1,861.61
|
|
Intro cath svc/ivc
|
$3,631.90 |
$3,631.90 |
$3,631.90 |
$1,350.75
|
|
Intro long gi tube w/mult fluo
|
$1,007.27 |
$1,007.27 |
$1,007.27 |
$477.85
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$5,120.54 |
$5,120.54 |
$5,120.54 |
$3,510.75
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$4,604.17 |
$4,604.17 |
$4,604.17 |
$1,825.16
|
|
Intubation endotracheal emergency procedure
|
$1,563.34 |
$1,563.34 |
$1,563.34 |
$617.60
|
|
Ionm in operatng room 15 min
|
$564.38 |
$564.38 |
$564.38 |
$200.78
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$149.13 |
$149.13 |
$149.13 |
$165.67
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$289.84 |
$289.84 |
$289.84 |
$172.69
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$9,745.47 |
$9,745.47 |
$9,745.47 |
$62,692.46
|
|
Ipratropium bromide non-comp
|
$18.60 |
$18.60 |
$18.60 |
$6.78
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$234.20 |
$234.20 |
$234.20 |
$207.09
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$1,759.99 |
$1,759.99 |
$1,759.99 |
$6,958.38
|
|
Iron
|
$48.01 |
$48.01 |
$48.01 |
$70.72
|
|
Iron binding capacity
|
$64.02 |
$64.02 |
$64.02 |
$63.00
|
|
Iron dextran 50 mg/ml injection solution
|
$214.31 |
$214.31 |
$214.31 |
$71.09
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$1,141.27 |
$1,141.27 |
$1,141.27 |
$174.72
|
|
Irradiation of blood product each unit reference
|
$225.94 |
$225.94 |
$225.94 |
$124.24
|
|
Irrigation implantable venous access device for drug delivery systems
|
$599.49 |
$599.49 |
$599.49 |
$154.50
|
|
Isatuximab-irfc 20 mg/ml intravenous solution
|
$8,224.08 |
$8,224.08 |
$8,224.08 |
$11,781.02
|
|
Ivc venogram s&i
|
$14,780.98 |
$14,780.98 |
$14,780.98 |
$3,332.55
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$492.07 |
$492.07 |
$492.07 |
$191.75
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$383.96 |
$383.96 |
$383.96 |
$174.40
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$503.25 |
$503.25 |
$503.25 |
$155.00
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$1,390.46 |
$1,390.46 |
$1,390.46 |
$460.85
|
|
IV inj ra drug dx study
|
$1,789.84 |
$1,789.84 |
$1,789.84 |
$560.00
|
|
Ivp w/nephrotomography
|
$794.68 |
$794.68 |
$794.68 |
$790.08
|
|
Ivp w/wo kub w/wo tomography
|
$794.68 |
$794.68 |
$794.68 |
$713.05
|
|
Jak2 targeted sequence analysis
|
$1,236.54 |
$1,236.54 |
$1,236.54 |
$378.30
|
|
John cunningham antibody
|
$59.12 |
$59.12 |
$59.12 |
$48.57
|
|
Ketamine and metabolite screen - quest
|
$83.48 |
$83.48 |
$83.48 |
$68.15
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$60.32 |
$60.32 |
$60.32 |
$56.61
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$365.25 |
$365.25 |
$365.25 |
$29.52
|
|
Kidney imag w/bld flow multi
|
$5,565.25 |
$5,565.25 |
$5,565.25 |
$1,566.50
|
|
Kidney img w/bldflw sgl without rx
|
$2,863.26 |
$2,863.26 |
$2,863.26 |
$1,468.04
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$2,374.56 |
$2,374.56 |
$2,374.56 |
$668.25
|
|
Kit gene analys d816 variant
|
$833.64 |
$833.64 |
$833.64 |
$355.00
|
|
Knee MRI (with and without contrast)
|
$10,197.42 |
$10,197.42 |
$10,197.42 |
$2,950.00
|
|
Knee MRI (with contrast)
|
$7,823.28 |
$7,823.28 |
$7,823.28 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$9,055.08 |
$9,055.08 |
$9,055.08 |
$2,181.10
|
|
Knee X-ray
|
$2,121.23 |
$2,121.23 |
$2,121.23 |
$443.90
|