|
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
|
$114.40 |
$114.40 |
$114.40 |
$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 |
$296.40
|
|
Interrog dev eval icpms ip
|
$297.05 |
$297.05 |
$297.05 |
$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
|
$10,249.85 |
$10,249.85 |
$10,249.85 |
$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
|
$36,314.85 |
$36,314.85 |
$36,314.85 |
$4,865.25
|
|
Intra-atrial recording
|
$36,057.45 |
$36,057.45 |
$36,057.45 |
$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 |
$8,257.80
|
|
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
|
$705.25 |
$705.25 |
$705.25 |
$467.50
|
|
Intracranial vessel surgery
|
$8,463.00 |
$8,463.00 |
$8,463.00 |
$3,436.88
|
|
Intracranial vessel surgery
|
$16,486.60 |
$16,486.60 |
$16,486.60 |
$6,119.31
|
|
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 |
$6,687.25
|
|
Intracranial vessel surgery
|
$14,193.40 |
$14,193.40 |
$14,193.40 |
$5,449.21
|
|
Intranasal biopsy 30100
|
$5,536.70 |
$5,536.70 |
$5,536.70 |
$2,282.50
|
|
Intranasal reconstruction
|
$1,601.60 |
$1,601.60 |
$1,601.60 |
$5,741.00
|
|
Intraop colon lavage add-on
|
$806.00 |
$806.00 |
$806.00 |
$416.80
|
|
Intraop epicard/endocard/pace/map/ 93631
|
$19,583.85 |
$19,583.85 |
$19,583.85 |
$3,514.20
|
|
Intraop hipec px 1st 60 min
|
$1,697.80 |
$1,697.80 |
$1,697.80 |
$49.84
|
|
Intraoral i+d tongue/floor lingual 41000
|
$1,903.85 |
$1,903.85 |
$1,903.85 |
$1,331.45
|
|
Intraventricular pacing
|
$36,314.85 |
$36,314.85 |
$36,314.85 |
$5,456.17
|
|
Intrinsic factor antibody
|
$29.25 |
$29.25 |
$29.25 |
$66.60
|
|
Intrm oph exam est patient
|
$481.65 |
$481.65 |
$481.65 |
$152.50
|
|
Intro cath dialysis circuit
|
$7,257.25 |
$7,257.25 |
$7,257.25 |
$2,043.30
|
|
Intro cath dialysis circuit w/pta
|
$26,637.00 |
$26,637.00 |
$26,637.00 |
$8,761.00
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$26,194.35 |
$26,194.35 |
$26,194.35 |
$16,275.00
|
|
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 |
$1,329.90
|
|
Intro long gi tube
|
$3,504.15 |
$3,504.15 |
$3,504.15 |
$995.78
|
|
Intro long gi tube w/mult fluo
|
$650.65 |
$650.65 |
$650.65 |
$469.00
|
|
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
|
$373.75 |
$373.75 |
$373.75 |
$341.60
|
|
Io anal gast n-stim subsq
|
$333.45 |
$333.45 |
$333.45 |
$146.38
|
|
Iodine i-123 sod iodide mil
|
$150.15 |
$150.15 |
$150.15 |
$386.37
|
|
Io ga n-stim subsq w/reprog
|
$208.65 |
$208.65 |
$208.65 |
$187.43
|
|
Ionm in operatng room 15 min
|
$490.10 |
$490.10 |
$490.10 |
$203.73
|
|
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 |
$277.17
|
|
Io rad tx deliver by elctrns
|
$42,857.10 |
$42,857.10 |
$42,857.10 |
$9,332.31
|
|
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 |
$168.44
|
|
Ip/obs cnsltj new/est mod 60
|
$778.05 |
$778.05 |
$778.05 |
$260.15
|
|
Ip/obs consltj new/est hi 80
|
$1,103.70 |
$1,103.70 |
$1,103.70 |
$303.16
|
|
Ip/obs consltj new/est sf 35
|
$390.00 |
$390.00 |
$390.00 |
$126.40
|
|
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 |
$74.75
|
|
Iron binding capacity
|
$61.10 |
$61.10 |
$61.10 |
$63.84
|
|
Iron dextran 50 mg/ml injection solution
|
$94.90 |
$94.90 |
$94.90 |
$81.70
|
|
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 |
$30.40 |
$187.06
|
|
Irradiation of blood product each unit reference
|
$61.75 |
$61.75 |
$61.75 |
$115.48
|
|
Irrigation implantable venous access device for drug delivery systems
|
$333.45 |
$333.45 |
$333.45 |
$146.11
|
|
Irrigation tray
|
$4.55 |
$4.55 |
$4.55 |
$9.67
|
|
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
|
$4,459.00 |
$4,459.00 |
$4,459.00 |
$2,468.80
|
|
Ivc venogram s&i
|
$17,972.50 |
$17,972.50 |
$17,972.50 |
$3,341.00
|
|
IV Fluids (each additional hour)
|
$126.75 |
$126.75 |
$126.75 |
$133.90
|
|
IV Fluids (first hour)
|
$254.15 |
$254.15 |
$254.15 |
$390.00
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$156.65 |
$156.65 |
$156.65 |
$162.00
|
|
IV inj ra drug dx study
|
$2,252.90 |
$2,252.90 |
$2,252.90 |
$567.00
|
|
IV Medicine Infusion (additional drug)
|
$156.65 |
$156.65 |
$156.65 |
$191.75
|
|
IV Medicine Infusion (each additional hour)
|
$126.75 |
$126.75 |
$126.75 |
$154.00
|
|
IV Medicine Infusion (first hour)
|
$273.65 |
$273.65 |
$273.65 |
$441.75
|
|
IV njx tst vasc flo flap/grf
|
$507.00 |
$507.00 |
$507.00 |
$476.00
|
|
IV Push Injection (each additional drug)
|
$258.70 |
$258.70 |
$258.70 |
$166.80
|
|
IV Push Injection (first drug)
|
$1,181.70 |
$1,181.70 |
$1,181.70 |
$254.52
|
|
Ivp w/nephrotomography
|
$1,138.15 |
$1,138.15 |
$1,138.15 |
$729.00
|
|
Ivp w/wo kub w/wo tomography
|
$1,138.15 |
$1,138.15 |
$1,138.15 |
$713.40
|
|
Ixabepilone 15 mg intravenous solution
|
$18,856.29 |
$18,856.29 |
$18,856.29 |
$10,695.32
|
|
Jak2 targeted sequence analysis
|
$830.70 |
$830.70 |
$830.70 |
$405.00
|
|
Jaw Joint (TMJ) X-ray (both sides, open and closed)
|
$556.40 |
$556.40 |
$556.40 |
$330.05
|
|
Jaw (Mandible) X-ray (complete)
|
$661.70 |
$661.70 |
$661.70 |
$362.05
|
|
Jejunstmy tube plcmt
|
$7,090.20 |
$7,090.20 |
$7,090.20 |
$2,174.40
|
|
J-tube placement
|
$681.20 |
$681.20 |
$681.20 |
$593.08
|
|
Kafo fem fx cast thermoplas
|
$926.25 |
$926.25 |
$926.25 |
$2,710.45
|
|
Keratomileusis
|
$432.25 |
$432.25 |
$432.25 |
$2,335.20
|
|
Ketogenic steroids fract
|
$83.85 |
$83.85 |
$83.85 |
$82.74
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$133.90 |
$133.90 |
$133.90 |
$58.56
|
|
Ketorolac (Toradol) Pain Shot, 15 mg
|
$15.29 |
$15.29 |
$15.29 |
$23.50
|
|
Kidney endoscopy
|
$1,453.40 |
$1,453.40 |
$1,453.40 |
$5,110.00
|
