|
Insert swan-ganz cath
|
$814.08 |
$814.08 |
$1,125.00 |
|
|
Insert tunneled cv 2cath 2sits without port/pmp 36565
|
$3,054.72 |
$3,054.72 |
$5,613.75 |
|
|
Insert tunneled cv cath
|
$13,870.50 |
$13,870.50 |
$13,870.50 |
|
|
Insert vad art access left hrt arterial access
|
$1,383.75 |
$1,383.75 |
$4,233.28 |
|
|
Ins icd gen exist mlt leads
|
$16,960.00 |
$16,960.00 |
$16,960.00 |
|
|
Ins icd gen exist sgl lead
|
$12,889.60 |
$12,889.60 |
$26,494.50 |
|
|
Insitu hybridization auto
|
$176.00 |
$176.00 |
$359.25 |
|
|
Insitu hybridization (fish)
|
$153.60 |
$153.60 |
$974.25 |
|
|
Insitu hybridization manual
|
$176.00 |
$176.00 |
$456.00 |
|
|
In situ hybridization per specimen each additional single probe stain
|
$76.80 |
$76.80 |
$325.50 |
|
|
In situ hybridization per specimen initial single probe stain
|
$160.32 |
$160.32 |
$435.00 |
|
|
Insj biomechanical device 22853
|
$194.56 |
$194.56 |
$194.56 |
|
|
Insj perq vad r hrt venous
|
$263.36 |
$263.36 |
$263.36 |
|
|
Ins lv lead exist pm/icd
|
$5,291.52 |
$5,291.52 |
$11,747.25 |
|
|
Ins mark abd/pel for right perq
|
$2,129.25 |
$2,129.25 |
$2,129.25 |
|
|
Ins picad w subq port 5yr>
|
$1,899.52 |
$1,899.52 |
$3,800.25 |
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$1,946.25 |
$1,946.25 |
$1,946.25 |
|
|
Ins pm gen exist dual lead
|
$12,889.60 |
$12,889.60 |
$12,889.60 |
|
|
Ins pq tunnld ip cath w/img
|
$3,264.64 |
$3,264.64 |
$3,595.50 |
|
|
Ins/rplc spi npg/rcvr pocket
|
$28,439.25 |
$28,439.25 |
$28,439.25 |
|
|
Ins/rpl ldless pm right vent w img & eval
|
$9,497.60 |
$9,497.60 |
$31,441.50 |
|
|
Ins/rpl pm gen exist dual lead
|
$5,291.52 |
$5,291.52 |
$11,747.25 |
|
|
Ins/rpl pm gen exist sgl lead
|
$5,291.52 |
$5,291.52 |
$9,716.25 |
|
|
Ins/rpl pm w/tv ld atrl
|
$5,291.52 |
$5,291.52 |
$11,747.25 |
|
|
Inst fibrinolysis agent ini day
|
$1,668.75 |
$1,668.75 |
$1,668.75 |
|
|
Inst fibrinolysis agent sbsq d
|
$1,668.75 |
$1,668.75 |
$1,668.75 |
|
|
Insti hexaminolevulinate hcl
|
$2,636.25 |
$2,636.25 |
$2,636.25 |
|
|
Instillation anticarcinogenic agent bladder
|
$304.32 |
$304.32 |
$304.32 |
|
|
Ins tun cvad 2 cath w/subq port(s)
|
$273.60 |
$273.60 |
$273.60 |
|
|
Ins tun cv cath wo subq prt/pm
|
$3,662.25 |
$3,662.25 |
$3,662.25 |
|
|
Ins tun cv cath wo subq prt/pm
|
$2,010.56 |
$2,010.56 |
$4,150.50 |
|
|
Inst via cath agent pleurds
|
$55.04 |
$55.04 |
$965.25 |
|
|
Insulin for insulin pump use
|
$3,483.33 |
$3,483.33 |
$3,483.33 |
|
|
Insulin suppression panel
|
$822.00 |
$822.00 |
$822.00 |
|
|
Insulin tolerance panel
|
$1,405.50 |
$1,405.50 |
$1,405.50 |
|
|
Insulin tolerance panel
|
$626.25 |
$626.25 |
$626.25 |
|
|
Insulin total
|
$65.28 |
$65.28 |
$72.00 |
|
|
Integra meshed bil wound mat
|
$121.56 |
$121.56 |
$6,490.88 |
|
|
Integra os putty 2.5cc - cost per 0.5cc
|
$741.00 |
$741.00 |
$741.00 |
|
|
Interdiscal perq aspir dx
|
$325.76 |
$325.76 |
$1,869.00 |
|
|
Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper)
|
$18,661.40 |
$18,661.40 |
$18,661.40 |
|
|
Interferon beta-1a inj
|
$2,146.47 |
$2,146.47 |
$2,146.47 |
|
|
Interferon beta-1b / .25 mg
|
$18,589.08 |
$18,589.08 |
$18,589.08 |
|
|
Interferon gamma 1-b inj
|
$13,230.81 |
$13,230.81 |
$13,230.81 |
|
|
Interfyl, 1 mg
|
$1.50 |
$1.50 |
$1.50 |
|
|
Intermediate visual field xm
|
$84.75 |
$84.75 |
$84.75 |
|
|
Interphalangeal joint spacer
|
$2.25 |
$2.25 |
$2.25 |
|
|
Interrogate subq defib
|
$178.50 |
$178.50 |
$178.50 |
|
|
Interrog dev eval icpms ip
|
$128.25 |
$128.25 |
$128.25 |
|
|
Interrog dev eval scrms ip
|
$14.08 |
$14.08 |
$118.50 |
|
|
Interrog device eval heart
|
$72.96 |
$72.96 |
$247.50 |
|
|
Interrog evl pm/ldls pm ip
|
$54.08 |
$54.08 |
$150.00 |
|
|
Intestinal stricturoplasty
|
$824.96 |
$824.96 |
$824.96 |
|
|
Int hrhc lig 1 hroid without img
|
$285.44 |
$285.44 |
$285.44 |
|
|
Int hrhc lig 2+hroid without img
|
$315.84 |
$315.84 |
$315.84 |
|
|
Intra-atrial pacing
|
$4,748.80 |
$4,748.80 |
$7,125.00 |
|
|
Intra-atrial recording
|
$4,748.80 |
$4,748.80 |
$7,464.75 |
|
|
Intracard echo interv w/s&i
|
$737.92 |
$737.92 |
$1,425.00 |
|
|
Intracranial complete study
|
$301.76 |
$301.76 |
$880.50 |
|
|
Intracranial limited study
|
$301.76 |
$301.76 |
$463.50 |
|
|
Intranasal biopsy 30100
|
$842.88 |
$842.88 |
$3,792.00 |
|
|
Intraoral i+d tongue/floor lingual 41000
|
$87.04 |
$87.04 |
$87.04 |
|
|
Intrauterine transfusion ftl
|
$1,074.75 |
$1,074.75 |
$1,074.75 |
|
|
Intraventricular pacing
|
$4,748.80 |
$4,748.80 |
$4,748.80 |
|
|
Intrinsic factor antibody
|
$53.76 |
$53.76 |
$94.50 |
|
|
Intro cath dialysis circuit
|
$1,582.08 |
$1,582.08 |
$2,406.00 |
|
|
Intro cath dialysis circuit w/pta
|
$2,871.04 |
$2,871.04 |
$7,267.50 |
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$8,023.04 |
$8,023.04 |
$10,936.50 |
|
|
Intro catheter aorta
|
$636.16 |
$636.16 |
$1,533.75 |
|
|
Intro cath svc/ivc
|
$907.20 |
$907.20 |
$1,359.75 |
|
|
Intro long gi tube
|
$407.04 |
$407.04 |
$1,462.50 |
|
|
Intro long gi tube w/mult fluo
|
$147.20 |
$147.20 |
$323.25 |
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$260.80 |
$260.80 |
$2,416.50 |
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$260.80 |
$260.80 |
$260.80 |
|
|
Intubation endotracheal emergency procedure
|
$250.88 |
$250.88 |
$776.25 |
|
|
Iodine i-131 iobenguane 1mci
|
$214,104.38 |
$214,104.38 |
$214,104.38 |
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$1.47 |
$1.47 |
$343.83 |
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$1.83 |
$1.83 |
$598.50 |
|
|
Io radiation tx management
|
$884.25 |
$884.25 |
$884.25 |
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$5,563.23 |
$5,563.23 |
$78,266.58 |
|
|
Ip/obs cnsltj new/est low 45
|
$20.48 |
$20.48 |
$20.48 |
|
|
Ip/obs cnsltj new/est mod 60
|
$28.48 |
$28.48 |
$28.48 |
|
|
Ip/obs consltj new/est hi 80
|
$37.76 |
$37.76 |
$37.76 |
|
|
Ip/obs consltj new/est sf 35
|
$14.40 |
$14.40 |
$14.40 |
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$43.86 |
$43.86 |
$410.74 |
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$7,177.77 |
$7,177.77 |
$7,177.77 |
|
|
Iron
|
$43.50 |
$43.50 |
$87.04 |
|
|
Iron binding capacity
|
$38.40 |
$38.40 |
$73.50 |
|
|
Iron dextran 50 mg/ml injection solution
|
$41.90 |
$41.90 |
$117.84 |
|
|
Iron stain peripheral blood
|
$39.00 |
$39.00 |
$39.00 |
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$71.54 |
$71.54 |
$307.68 |
|
|
Irradiation of blood product each unit reference
|
$121.50 |
$121.50 |
$198.40 |
|
|
Irrigation implantable venous access device for drug delivery systems
|
$73.92 |
$73.92 |
$130.50 |
|
|
Isatuximab-irfc 20 mg/ml intravenous solution
|
$10,211.78 |
$10,211.78 |
$10,211.78 |
|
|
Ivc venogram s&i
|
$1,428.48 |
$1,428.48 |
$8,301.00 |
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$115.20 |
$115.20 |
$204.00 |
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$124.16 |
$124.16 |
$251.25 |
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$134.40 |
$134.40 |
$225.75 |
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$209.92 |
$209.92 |
$441.75 |
|
|
IV inj ra drug dx study
|
$1,005.75 |
$1,005.75 |
$1,005.75 |
|