|
Intracranial limited study
|
$125.80 |
$1,069.77 |
$2,361.00 |
|
|
Intranasal biopsy 30100
|
$5,278.00 |
$5,278.00 |
$5,278.00 |
|
|
Intraop epicard/endocard/pace/map/ 93631
|
$992.94 |
$992.94 |
$992.94 |
|
|
Intraoral i+d tongue/floor lingual 41000
|
$1,862.00 |
$1,862.00 |
$2,992.10 |
|
|
Intrapul surf admin endo tube
|
$222.00 |
$358.80 |
$785.00 |
|
|
Intrauterine transfusion ftl
|
$2,574.39 |
$2,574.39 |
$2,574.39 |
|
|
Intraventricular pacing
|
$1,597.52 |
$2,873.13 |
$24,538.00 |
|
|
Intrinsic factor antibody
|
$61.82 |
$177.84 |
$808.23 |
|
|
Intrm oph exam est patient
|
$161.46 |
$161.46 |
$161.46 |
|
|
Intro cath dialysis circuit
|
$612.13 |
$1,833.39 |
$1,919.00 |
|
|
Intro cath dialysis circuit w/pta
|
$4,370.44 |
$7,326.15 |
$7,326.15 |
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$8,828.20 |
$9,207.12 |
$9,207.12 |
|
|
Intro catheter aorta
|
$434.53 |
$1,463.28 |
$5,365.43 |
|
|
Intro cath svc/ivc
|
$552.64 |
$1,323.27 |
$2,117.00 |
|
|
Intro long gi tube
|
$333.60 |
$458.64 |
$2,769.00 |
|
|
Intro long gi tube w/mult fluo
|
$127.88 |
$564.33 |
$2,101.00 |
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$1,788.54 |
$2,388.43 |
$5,175.00 |
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$1,194.36 |
$1,510.47 |
$4,221.00 |
|
|
Intubation endotracheal emergency procedure
|
$174.05 |
$877.00 |
$1,785.44 |
|
|
Io anal gast n-stim subsq
|
$143.00 |
$187.20 |
$187.20 |
|
|
Iodine i-123 sod iodide mil
|
$1,683.83 |
$1,683.83 |
$2,725.87 |
|
|
Io ga n-stim subsq w/reprog
|
$114.00 |
$305.76 |
$305.76 |
|
|
Ionm in operatng room 15 min
|
$254.00 |
$286.26 |
$286.26 |
|
|
Ionm remote/>1 pt or per hr
|
$448.11 |
$448.11 |
$950.00 |
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$37.29 |
$257.40 |
$579.81 |
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$14.80 |
$321.75 |
$844.20 |
|
|
Io rad tx deliver by elctrns
|
$9,332.31 |
$9,332.31 |
$9,332.31 |
|
|
Io rad tx delivery by x-ray
|
$11,887.20 |
$11,887.20 |
$66,499.00 |
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$422.10 |
$422.10 |
$126,553.55 |
|
|
Ipratropium bromide non-comp
|
$6.47 |
$8.33 |
$13.88 |
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$61.64 |
$61.64 |
$477.49 |
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$159.28 |
$159.28 |
$7,149.60 |
|
|
Iron
|
$15.40 |
$130.65 |
$996.46 |
|
|
Iron binding capacity
|
$40.00 |
$143.52 |
$259.95 |
|
|
Iron dextran 50 mg/ml injection solution
|
$56.64 |
$68.20 |
$315.57 |
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$2.73 |
$2.73 |
$825.57 |
|
|
Irradiation of blood product each unit reference
|
$85.55 |
$241.02 |
$493.50 |
|
|
Irrigation implantable venous access device for drug delivery systems
|
$90.58 |
$286.00 |
$329.16 |
|
|
Isatuximab-irfc 20 mg/ml intravenous solution
|
$0.01 |
$0.01 |
$13,458.34 |
|
|
Island pedicle flap graft
|
$6,905.00 |
$6,905.00 |
$6,905.00 |
|
|
IV cipaglucosidase alfa-atga
|
$1,795.00 |
$1,795.00 |
$1,795.00 |
|
|
Ivc venogram s&i
|
$1,287.31 |
$1,994.85 |
$10,857.00 |
|
|
IV Fluids (each additional hour)
|
$110.76 |
$210.00 |
$713.65 |
|
|
IV Fluids (first hour)
|
$225.56 |
$678.00 |
$1,485.91 |
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$68.08 |
$427.05 |
$615.97 |
|
|
IV inj ra drug dx study
|
$281.19 |
$281.19 |
$1,265.00 |
|
|
IV Medicine Infusion (additional drug)
|
$83.48 |
$427.05 |
$1,523.43 |
|
|
IV Medicine Infusion (each additional hour)
|
$106.47 |
$206.00 |
$283.90 |
|
|
IV Medicine Infusion (first hour)
|
$278.84 |
$678.00 |
$1,485.91 |
|
|
IV Push Injection (each additional drug)
|
$94.43 |
$343.00 |
$521.67 |
|
|
IV Push Injection (first drug)
|
$147.41 |
$408.79 |
$678.00 |
|
|
Ivp w/nephrotomography
|
$862.29 |
$862.29 |
$938.00 |
|
|
Ivp w/wo kub w/wo tomography
|
$523.63 |
$645.84 |
$1,478.00 |
|
|
Ixabepilone 15 mg intravenous solution
|
$319.11 |
$319.11 |
$12,739.53 |
|
|
Jak2 targeted sequence analysis
|
$601.77 |
$852.00 |
$9,925.92 |
|
|
Jaw Joint (TMJ) X-ray (both sides, open and closed)
|
$128.47 |
$271.44 |
$717.06 |
|
|
Jaw (Mandible) X-ray (complete)
|
$182.04 |
$392.45 |
$1,112.98 |
|
|
Jejunstmy tube plcmt
|
$3,153.00 |
$3,153.00 |
$3,153.00 |
|
|
John cunningham antibody
|
$66.31 |
$199.17 |
$1,727.70 |
|
|
Keratoprosthesis
|
$10,476.00 |
$10,476.00 |
$10,476.00 |
|
|
Ketogenic steroids fract
|
$81.12 |
$81.12 |
$81.12 |
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$17.47 |
$178.62 |
$511.25 |
|
|
Ketorolac (Toradol) Pain Shot, 15 mg
|
$16.45 |
$16.45 |
$209.74 |
|
|
Kidney endoscopy
|
$14,031.00 |
$14,031.00 |
$14,031.00 |
|
|
Kidney endoscopy & biopsy
|
$25,522.00 |
$25,522.00 |
$25,522.00 |
|
|
Kidney endoscopy & treatment
|
$14,031.00 |
$14,031.00 |
$14,031.00 |
|
|
Kidney imaging morphology
|
$553.80 |
$553.80 |
$553.80 |
|
|
Kidney imag w/bld flow multi
|
$2,047.00 |
$2,392.00 |
$2,392.00 |
|
|
Kidney img w/bldflw sgl without rx
|
$454.66 |
$824.46 |
$4,983.55 |
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$253.38 |
$618.54 |
$2,362.97 |
|
|
Kidney (Retroperitoneal) Ultrasound (limited)
|
$253.38 |
$606.00 |
$3,145.06 |
|
|
Kit case 4.2mm spinejack
|
$5,791.69 |
$7,751.14 |
$7,751.14 |
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$7,292.01 |
$8,081.88 |
$19,364.00 |
|
|
Kit gene analys d816 variant
|
$170.43 |
$170.43 |
$601.00 |
|
|
Kit hfx iq ipg bundle
|
$33,859.00 |
$42,421.35 |
$42,421.35 |
|
|
Kit ipg optimizer smart
|
$49,011.18 |
$49,011.18 |
$49,011.18 |
|
|
Kit lead specify 5-6-5
|
$6,332.44 |
$16,965.41 |
$16,965.41 |
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$1,103.21 |
$1,340.86 |
$1,340.86 |
|
|
Kit sound processor cochlear osia 2
|
$16,851.58 |
$16,851.58 |
$16,851.58 |
|
|
Kit tissue closure sealant adhesive air leak progel 4 ml pleura
|
$1,638.82 |
$1,638.82 |
$1,638.82 |
|
|
Knee Arthroscopy (Cartilage Smoothing)
|
$8,718.00 |
$8,718.00 |
$8,718.00 |
|
|
Knee arthroscopy/drainage
|
$8,264.00 |
$8,264.00 |
$8,264.00 |
|
|
Knee arthroscopy dx
|
$8,718.00 |
$8,718.00 |
$8,718.00 |
|
|
Knee Arthroscopy (Meniscus Trimming)
|
$11,309.00 |
$11,309.00 |
$11,309.00 |
|
|
Knee arthroscopy/surgery
|
$8,718.00 |
$8,718.00 |
$8,718.00 |
|
|
Knee arthroscopy/surgery
|
$8,264.00 |
$8,264.00 |
$8,264.00 |
|
|
Knee arthroscopy/surgery
|
$8,718.00 |
$8,718.00 |
$8,718.00 |
|
|
Knee arthroscopy/surgery
|
$8,718.00 |
$8,718.00 |
$8,718.00 |
|
|
Knee arthroscopy/surgery
|
$8,718.00 |
$8,718.00 |
$8,718.00 |
|
|
Knee arthroscopy/surgery
|
$8,718.00 |
$8,718.00 |
$8,718.00 |
|
|
Knee arthroscopy/surgery
|
$8,718.00 |
$8,718.00 |
$8,718.00 |
|
|
Knee arthroscopy/surgery
|
$8,718.00 |
$8,718.00 |
$8,718.00 |
|
|
Knee arthroscopy/surgery
|
$11,309.00 |
$11,309.00 |
$11,309.00 |
|
|
Knee arthroscopy/surgery
|
$8,718.00 |
$8,718.00 |
$8,718.00 |
|
|
Knee arthroscopy/surgery
|
$8,718.00 |
$8,718.00 |
$8,718.00 |
|
|
Knee arthroscopy/surgery
|
$8,264.00 |
$8,264.00 |
$8,264.00 |
|
|
Knee arthroscopy/surgery
|
$11,309.00 |
$11,309.00 |
$11,309.00 |
|
|
Knee arthroscopy/surgery
|
$8,718.00 |
$8,718.00 |
$8,718.00 |
|
|
Knee MRI (with and without contrast)
|
$2,014.88 |
$3,806.00 |
$10,474.74 |
|
|
Knee MRI (with contrast)
|
$1,445.08 |
$1,900.86 |
$8,487.87 |
|
