|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$2,958.23 |
$2,958.23 |
$2,958.23 |
$9,855.00
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$1,843.20 |
$1,843.20 |
$1,843.20 |
$2,079.43
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$1,308.92 |
$1,308.92 |
$1,308.92 |
$2,527.91
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$26,545.58 |
$26,545.58 |
$26,545.58 |
$29,997.52
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$8,711.28 |
$8,711.28 |
$8,711.28 |
$7,572.47
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$1,629.78 |
$1,629.78 |
$1,629.78 |
$7,673.12
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$5,713.10 |
$5,713.10 |
$5,713.10 |
$9,793.46
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$1,805.01 |
$1,805.01 |
$1,805.01 |
$5,470.54
|
|
Insert pm/icd lead dual
|
$1,555.19 |
$1,555.19 |
$1,555.19 |
$7,562.63
|
|
Insert/repl sq defib w/eltrd
|
$23,300.53 |
$23,300.53 |
$23,300.53 |
$33,948.20
|
|
Insert sq defib electrode
|
$4,629.74 |
$4,629.74 |
$4,629.74 |
$8,167.68
|
|
Insert swan-ganz cath
|
$1,059.98 |
$1,059.98 |
$1,059.98 |
$2,164.52
|
|
Insert tunneled cv 2cath 2sits without port/pmp 36565
|
$1,805.01 |
$1,805.01 |
$1,805.01 |
$4,705.13
|
|
Insert uteri tandem/ovoids
|
$1,439.45 |
$1,439.45 |
$1,439.45 |
$3,986.00
|
|
Insert vad art access left hrt arterial access
|
$917.60 |
$917.60 |
$917.60 |
$5,062.80
|
|
Insitu hybridization auto
|
$346.32 |
$346.32 |
$346.32 |
$398.16
|
|
Insitu hybridization manual
|
$346.32 |
$346.32 |
$346.32 |
$407.11
|
|
In situ hybridization per specimen each additional single probe stain
|
$166.36 |
$166.36 |
$166.36 |
$251.55
|
|
In situ hybridization per specimen initial single probe stain
|
$83.18 |
$83.18 |
$83.18 |
$338.40
|
|
Insj phrnc nrv stim sys
|
$24,184.68 |
$24,184.68 |
$24,184.68 |
$53,251.79
|
|
Ins lv lead exist pm/icd
|
$2,517.78 |
$2,517.78 |
$2,517.78 |
$12,384.25
|
|
Ins mark abd/pel for right perq
|
$891.85 |
$891.85 |
$891.85 |
$2,070.00
|
|
Ins picad w subq port 5yr>
|
$2,156.66 |
$2,156.66 |
$2,156.66 |
$4,341.66
|
|
Ins pm gen w/exist mlt leads
|
$10,862.32 |
$10,862.32 |
$10,862.32 |
$15,600.75
|
|
Ins pq tunnld ip cath w/img
|
$4,172.72 |
$4,172.72 |
$4,172.72 |
$5,593.60
|
|
Ins/rpl ldless pm right vent w img & eval
|
$18,809.92 |
$18,809.92 |
$18,809.92 |
$24,135.54
|
|
Ins/rpl pm gen exist dual lead
|
$11,801.82 |
$11,801.82 |
$11,801.82 |
$11,593.70
|
|
Ins/rpl pm gen exist sgl lead
|
$4,552.78 |
$4,552.78 |
$4,552.78 |
$9,746.29
|
|
Ins/rpl pm w/tv ld atrl
|
$1,385.28 |
$1,385.28 |
$1,385.28 |
$12,384.25
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$32,634.00 |
$32,634.00 |
$32,634.00 |
$25,106.90
|
|
Inst fibrinolysis agent ini day
|
$733.20 |
$733.20 |
$733.20 |
$1,095.00
|
|
Inst fibrinolysis agent sbsq d
|
$733.20 |
$733.20 |
$733.20 |
$898.12
|
|
Insti hexaminolevulinate hcl
|
$2,607.24 |
$2,607.24 |
$2,607.24 |
$2,359.80
|
|
Instillation anticarcinogenic agent bladder
|
$339.81 |
$339.81 |
$339.81 |
$721.50
|
|
Ins tun cv cath wo subq prt/pm
|
$1,034.82 |
$1,034.82 |
$1,034.82 |
$4,748.00
|
|
Inst via cath agent pleurds
|
$1,260.96 |
$1,260.96 |
$1,260.96 |
$1,074.68
|
|
Insulin total
|
$21.02 |
$21.02 |
$21.02 |
$67.60
|
|
Ins vag brachytx device
|
$222.89 |
$222.89 |
$222.89 |
$909.35
|
|
Interdiscal perq aspir dx
|
$707.74 |
$707.74 |
$707.74 |
$1,222.26
|
|
Interrog dev eval icpms ip
|
$10.96 |
$10.96 |
$10.96 |
$106.80
|
|
Interrog device eval heart
|
$23.09 |
$23.09 |
$23.09 |
$150.00
|
|
Interrog evl pm/ldls pm ip
|
$45.00 |
$45.00 |
$45.00 |
$127.20
|
|
Int hrhc lig 2+hroid without img
|
$2,772.93 |
$2,772.93 |
$2,772.93 |
$2,997.10
|
|
Intra-atrial recording
|
$8,224.36 |
$8,224.36 |
$8,224.36 |
$5,707.00
|
|
Intracard echo interv w/s&i
|
$2,302.88 |
$2,302.88 |
$2,302.88 |
$3,982.59
|
|
Intracran angioplsty w/stent
|
$3,427.98 |
$3,427.98 |
$3,427.98 |
$11,364.78
|
|
Intracranial angioplasty
|
$3,012.10 |
$3,012.10 |
$3,012.10 |
$7,149.60
|
|
Intracranial complete study
|
$262.56 |
$262.56 |
$262.56 |
$883.30
|
|
Intracranial limited study
|
$125.80 |
$125.80 |
$125.80 |
$423.52
|
|
Intraventricular pacing
|
$1,597.52 |
$1,597.52 |
$1,597.52 |
$5,775.22
|
|
Intrinsic factor antibody
|
$111.00 |
$111.00 |
$111.00 |
$59.95
|
|
Intro cath dialysis circuit
|
$612.13 |
$612.13 |
$612.13 |
$2,317.80
|
|
Intro cath dialysis circuit w/pta
|
$4,370.44 |
$4,370.44 |
$4,370.44 |
$8,761.00
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$8,828.20 |
$8,828.20 |
$8,828.20 |
$15,625.00
|
|
Intro catheter aorta
|
$434.53 |
$434.53 |
$434.53 |
$1,861.61
|
|
Intro cath svc/ivc
|
$552.64 |
$552.64 |
$552.64 |
$1,350.75
|
|
Intro long gi tube
|
$333.60 |
$333.60 |
$333.60 |
$1,036.00
|
|
Intro long gi tube w/mult fluo
|
$127.88 |
$127.88 |
$127.88 |
$477.85
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$2,388.43 |
$2,388.43 |
$2,388.43 |
$3,510.75
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$1,194.36 |
$1,194.36 |
$1,194.36 |
$1,825.16
|
|
Intubation endotracheal emergency procedure
|
$174.05 |
$174.05 |
$174.05 |
$617.60
|
|
Iodine i-123 sod iodide mil
|
$2,725.87 |
$2,725.87 |
$2,725.87 |
$677.98
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$14.80 |
$14.80 |
$14.80 |
$163.53
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$74,300.07 |
$74,300.07 |
$74,300.07 |
$62,692.46
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$158.97 |
$158.97 |
$158.97 |
$205.26
|
|
Iron
|
$15.40 |
$15.40 |
$15.40 |
$70.72
|
|
Iron binding capacity
|
$95.91 |
$95.91 |
$95.91 |
$63.00
|
|
Iron dextran 50 mg/ml injection solution
|
$56.64 |
$56.64 |
$56.64 |
$72.32
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$93.53 |
$93.53 |
$93.53 |
$163.28
|
|
Irradiation of blood product each unit reference
|
$85.55 |
$85.55 |
$85.55 |
$124.24
|
|
Irrigation implantable venous access device for drug delivery systems
|
$90.58 |
$90.58 |
$90.58 |
$154.50
|
|
Isatuximab-irfc 20 mg/ml intravenous solution
|
$8,335.70 |
$8,335.70 |
$8,335.70 |
$9,856.39
|
|
Ivc venogram s&i
|
$1,287.31 |
$1,287.31 |
$1,287.31 |
$3,332.55
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$83.48 |
$83.48 |
$83.48 |
$191.75
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$68.08 |
$68.08 |
$68.08 |
$174.40
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$109.52 |
$109.52 |
$109.52 |
$155.00
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$278.84 |
$278.84 |
$278.84 |
$460.85
|
|
Ivp w/wo kub w/wo tomography
|
$523.63 |
$523.63 |
$523.63 |
$713.05
|
|
Ixabepilone 15 mg intravenous solution
|
$12,739.53 |
$12,739.53 |
$12,739.53 |
$10,695.32
|
|
John cunningham antibody
|
$66.31 |
$66.31 |
$66.31 |
$48.57
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$17.47 |
$17.47 |
$17.47 |
$56.61
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$20.60 |
$20.60 |
$20.60 |
$29.52
|
|
Kidney img w/bldflw sgl without rx
|
$454.66 |
$454.66 |
$454.66 |
$1,468.04
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$253.38 |
$253.38 |
$253.38 |
$668.25
|
|
Knee MRI (with and without contrast)
|
$2,014.88 |
$2,014.88 |
$2,014.88 |
$2,950.00
|
|
Knee MRI (with contrast)
|
$1,445.08 |
$1,445.08 |
$1,445.08 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$825.84 |
$825.84 |
$825.84 |
$2,181.10
|
|
Knee X-ray
|
$122.25 |
$122.25 |
$122.25 |
$443.90
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$29.89 |
$29.89 |
$29.89 |
$39.60
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$93.34 |
$93.34 |
$93.34 |
$172.80
|
|
Lactate dehydrogenase (ldh)
|
$42.04 |
$42.04 |
$42.04 |
$53.30
|
|
Lactated ringers intravenous solution
|
$4.67 |
$4.67 |
$4.67 |
$48.00
|
|
Lactic acid
|
$23.09 |
$23.09 |
$23.09 |
$102.90
|
|
Lactoferrin fecal qualitative
|
$37.89 |
$37.89 |
$37.89 |
$88.40
|
|
Laryngoscopy direct w/wo tracheoscopy dx exc newborn
|
$1,162.10 |
$1,162.10 |
$1,162.10 |
$2,480.71
|
|
Laryngoscopy w/bx & op scope
|
$3,358.12 |
$3,358.12 |
$3,358.12 |
$3,986.00
|
|
Lead acuity x4 spiral l 86cm
|
$0.30 |
$0.30 |
$0.30 |
$5,831.00
|
|
Lead capillary
|
$41.44 |
$41.44 |
$41.44 |
$62.40
|
|
Lead ingevity 45cm pfret MRI
|
$0.30 |
$0.30 |
$0.30 |
$3,854.16
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$360.53 |
$360.53 |
$360.53 |
$1,100.74
|