|
Insulin suppression panel
|
$375.70 |
$375.70 |
$375.70 |
$386.07
|
|
Insulin tolerance panel
|
$491.40 |
$491.40 |
$491.40 |
$258.40
|
|
Insulin total
|
$50.70 |
$50.70 |
$100.00 |
$66.64
|
|
Ins vag brachytx device
|
$1,136.85 |
$1,136.85 |
$1,136.85 |
$950.00
|
|
Intens behave ther cardio dx
|
$171.60 |
$171.60 |
$171.60 |
$47.60
|
|
Intens cardiac rehab no exer
|
$517.40 |
$517.40 |
$517.40 |
$238.40
|
|
Intens cardiac rehab w/exerc
|
$517.40 |
$517.40 |
$517.40 |
$238.40
|
|
Interdental fixation
|
$5,536.70 |
$5,536.70 |
$5,536.70 |
$2,133.48
|
|
Interdental wirg oth/thn fx
|
$5,536.70 |
$5,536.70 |
$5,536.70 |
$2,061.50
|
|
Interdiscal perq aspir dx
|
$3,944.85 |
$3,944.85 |
$3,944.85 |
$1,222.26
|
|
Interferon alfa-2a inj
|
$164.45 |
$164.45 |
$164.45 |
$31.80
|
|
Interferon alfa-2b inj
|
$30.55 |
$30.55 |
$30.55 |
$1,409.92
|
|
Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper)
|
$5,053.11 |
$5,053.11 |
$5,053.11 |
$10,427.90
|
|
Interferon beta-1b / .25 mg
|
$1,662.71 |
$1,662.71 |
$1,662.71 |
$1,662.71
|
|
Interferon gamma 1-b inj
|
$26,394.13 |
$26,394.13 |
$26,394.13 |
$9,879.00
|
|
Intermediate visual field xm
|
$221.65 |
$221.65 |
$221.65 |
$112.80
|
|
Internal nerve revision 64727
|
$806.00 |
$806.00 |
$806.00 |
$806.00
|
|
Interrogate subq defib
|
$211.90 |
$211.90 |
$211.90 |
$119.60
|
|
Interrogation vad in person
|
$429.00 |
$429.00 |
$429.00 |
$296.80
|
|
Interrog dev eval icpms ip
|
$174.20 |
$174.20 |
$174.20 |
$104.00
|
|
Interrog dev eval scrms ip
|
$220.35 |
$220.35 |
$220.35 |
$124.80
|
|
Interrog device eval heart
|
$388.70 |
$388.70 |
$388.70 |
$162.40
|
|
Interrog evl pm/ldls pm ip
|
$286.00 |
$286.00 |
$286.00 |
$127.20
|
|
Interrog&prgrmg ipnss
|
$514.15 |
$514.15 |
$514.15 |
$200.00
|
|
Interrog&prgrmg ipnss polysm
|
$1,680.90 |
$1,680.90 |
$1,680.90 |
$422.32
|
|
Interrog without prgrmg ipnss
|
$514.15 |
$514.15 |
$514.15 |
$147.00
|
|
Intestinal stricturoplasty
|
$4,721.60 |
$4,721.60 |
$4,721.60 |
$2,351.50
|
|
Int hrhc lig 1 hroid without img
|
$959.40 |
$959.40 |
$959.40 |
$3,491.25
|
|
Int hrhc lig 2+hroid without img
|
$10,249.85 |
$10,249.85 |
$10,249.85 |
$3,245.23
|
|
Intra-atrial pacing
|
$35,451.00 |
$35,451.00 |
$35,451.00 |
$4,850.82
|
|
Intra-atrial recording
|
$35,451.00 |
$35,451.00 |
$35,451.00 |
$5,252.30
|
|
Intracard echo interv w/s&i
|
$5,996.25 |
$5,996.25 |
$5,996.25 |
$3,436.00
|
|
Intracran angioplsty w/stent
|
$30,787.25 |
$30,787.25 |
$30,787.25 |
$8,145.50
|
|
Intracranial angioplasty
|
$21,388.25 |
$21,388.25 |
$21,388.25 |
$5,181.00
|
|
Intracranial complete study
|
$1,363.70 |
$1,363.70 |
$1,363.70 |
$881.50
|
|
Intracranial limited study
|
$496.60 |
$496.60 |
$496.60 |
$467.50
|
|
Intracranial vessel surgery
|
$8,463.00 |
$8,463.00 |
$8,463.00 |
$8,463.00
|
|
Intracranial vessel surgery
|
$16,486.60 |
$16,486.60 |
$16,486.60 |
$16,486.60
|
|
Intracranial vessel surgery
|
$10,826.40 |
$10,826.40 |
$10,826.40 |
$4,271.91
|
|
Intracranial vessel surgery
|
$17,550.00 |
$17,550.00 |
$17,550.00 |
$17,550.00
|
|
Intracranial vessel surgery
|
$8,148.40 |
$8,148.40 |
$8,148.40 |
$3,306.05
|
|
Intranasal biopsy 30100
|
$5,536.70 |
$5,536.70 |
$5,536.70 |
$2,265.00
|
|
Intraop colon lavage add-on
|
$806.00 |
$806.00 |
$806.00 |
$416.80
|
|
Intraop epicard/endocard/pace/map/ 93631
|
$2,171.00 |
$2,171.00 |
$2,171.00 |
$3,690.00
|
|
Intraoral i+d tongue/floor lingual 41000
|
$1,903.85 |
$1,903.85 |
$1,903.85 |
$1,331.45
|
|
Intrapul surf admin endo tube
|
$331.50 |
$331.50 |
$331.50 |
$220.80
|
|
Intrauterine transfusion ftl
|
$1,710.80 |
$1,710.80 |
$1,710.80 |
$1,063.50
|
|
Intraventricular pacing
|
$35,451.00 |
$35,451.00 |
$35,451.00 |
$5,456.17
|
|
Intrinsic factor antibody
|
$8.00 |
$8.00 |
$33.80 |
$65.00
|
|
Intrm oph exam est patient
|
$481.65 |
$481.65 |
$481.65 |
$161.25
|
|
Intro cath dialysis circuit
|
$7,257.25 |
$7,257.25 |
$7,257.25 |
$2,036.94
|
|
Intro cath dialysis circuit w/pta
|
$26,637.00 |
$26,637.00 |
$26,637.00 |
$8,690.50
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$26,194.35 |
$26,194.35 |
$26,194.35 |
$16,262.40
|
|
Intro catheter aorta
|
$2,498.60 |
$2,498.60 |
$2,498.60 |
$1,678.05
|
|
Intro cath svc/ivc
|
$2,470.65 |
$2,470.65 |
$2,470.65 |
$1,323.27
|
|
Intro long gi tube
|
$3,504.15 |
$3,504.15 |
$3,504.15 |
$974.17
|
|
Intro long gi tube w/mult fluo
|
$513.50 |
$513.50 |
$513.50 |
$469.00
|
|
Intro windpipe wire/tube
|
$741.00 |
$741.00 |
$741.00 |
$2,447.43
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$5,554.90 |
$5,554.90 |
$5,554.90 |
$3,472.95
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$3,795.35 |
$3,795.35 |
$3,795.35 |
$1,801.10
|
|
Intubation endotracheal emergency procedure
|
$867.75 |
$867.75 |
$867.75 |
$601.28
|
|
Io anal gast n-stim init
|
$208.00 |
$208.00 |
$208.00 |
$341.60
|
|
Io anal gast n-stim subsq
|
$78.00 |
$78.00 |
$78.00 |
$158.09
|
|
Iodine i-123 sod iodide mil
|
$150.15 |
$150.15 |
$150.15 |
$386.37
|
|
Io ga n-stim subsq w/reprog
|
$169.00 |
$169.00 |
$169.00 |
$187.43
|
|
Ionm in operatng room 15 min
|
$490.10 |
$490.10 |
$490.10 |
$200.78
|
|
Ionm remote/>1 pt or per hr
|
$1,148.55 |
$1,148.55 |
$1,148.55 |
$622.70
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$15.13 |
$15.13 |
$15.13 |
$165.67
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$13.40 |
$13.40 |
$13.40 |
$279.10
|
|
Io radiation tx management
|
$1,495.00 |
$1,495.00 |
$1,495.00 |
$593.60
|
|
Io rad tx delivery by x-ray
|
$42,857.10 |
$42,857.10 |
$42,857.10 |
$9,046.18
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$2,825.08 |
$2,825.08 |
$2,825.08 |
$62,692.46
|
|
Ip/obs cnsltj new/est low 45
|
$572.00 |
$572.00 |
$572.00 |
$174.20
|
|
Ip/obs cnsltj new/est mod 60
|
$778.05 |
$778.05 |
$778.05 |
$284.45
|
|
Ip/obs consltj new/est hi 80
|
$1,103.70 |
$1,103.70 |
$1,103.70 |
$332.80
|
|
Ip/obs consltj new/est sf 35
|
$390.00 |
$390.00 |
$390.00 |
$134.46
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$427.70 |
$427.70 |
$427.70 |
$173.98
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$952.54 |
$952.54 |
$952.54 |
$5,517.12
|
|
Iron
|
$93.60 |
$93.60 |
$93.60 |
$75.00
|
|
Iron binding capacity
|
$83.20 |
$83.20 |
$83.20 |
$63.91
|
|
Iron dextran 50 mg/ml injection solution
|
$94.90 |
$94.90 |
$94.90 |
$80.67
|
|
Iron stain peripheral blood
|
$54.60 |
$54.60 |
$54.60 |
$30.55
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$30.40 |
$30.40 |
$470.00 |
$187.06
|
|
Irradiation of blood product each unit reference
|
$61.75 |
$61.75 |
$61.75 |
$115.20
|
|
Irrigation implantable venous access device for drug delivery systems
|
$333.45 |
$333.45 |
$333.45 |
$146.11
|
|
Irrigation vagina and/or appl medicament tx disease
|
$130.00 |
$130.00 |
$130.00 |
$132.00
|
|
Isatuximab-irfc 20 mg/ml intravenous solution
|
$578.11 |
$578.11 |
$578.11 |
$8,273.35
|
|
Island pedicle flap graft
|
$3,068.00 |
$3,068.00 |
$3,068.00 |
$2,468.80
|
|
Ivc venogram s&i
|
$17,646.20 |
$17,646.20 |
$17,646.20 |
$3,332.55
|
|
IV Fluids (each additional hour)
|
$258.70 |
$258.70 |
$258.70 |
$133.90
|
|
IV Fluids (first hour)
|
$1,181.70 |
$1,181.70 |
$1,181.70 |
$390.00
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$619.45 |
$619.45 |
$619.45 |
$162.68
|
|
IV inj ra drug dx study
|
$2,252.90 |
$2,252.90 |
$2,252.90 |
$567.00
|
|
IV Medicine Infusion (additional drug)
|
$399.10 |
$399.10 |
$399.10 |
$191.75
|
|
IV Medicine Infusion (each additional hour)
|
$258.70 |
$258.70 |
$258.70 |
$154.00
|
|
IV Medicine Infusion (first hour)
|
$1,181.70 |
$1,181.70 |
$1,181.70 |
$439.56
|
|
IV Push Injection (each additional drug)
|
$258.70 |
$258.70 |
$258.70 |
$167.50
|
|
IV Push Injection (first drug)
|
$1,181.70 |
$1,181.70 |
$1,181.70 |
$252.76
|
|
Ivp w/nephrotomography
|
$140.40 |
$140.40 |
$1,391.00 |
$748.15
|
|
Ivp w/wo kub w/wo tomography
|
$1,138.15 |
$1,138.15 |
$1,138.15 |
$713.40
|
