|
Inj, uzedy, 1 mg
|
$11,643.18 |
$11,643.18 |
$11,643.18 |
$11,475.96
|
|
Inj, vancomycin hcl (mylan)
|
$65.21 |
$65.21 |
$65.21 |
$72.33
|
|
Inj vancomycin (xellia) 10mg
|
$79.21 |
$79.21 |
$79.21 |
$76.59
|
|
Inj w/fluor eval cv device
|
$215.40 |
$215.40 |
$215.40 |
$504.40
|
|
Inpatient consultation
|
$76.20 |
$76.20 |
$76.20 |
$73.80
|
|
Inpt/ed teleconsult30
|
$164.40 |
$164.40 |
$164.40 |
$164.40
|
|
Inpt/ed teleconsult50
|
$223.80 |
$223.80 |
$223.80 |
$223.80
|
|
Inpt/ed teleconsult70
|
$330.60 |
$330.60 |
$330.60 |
$330.60
|
|
Inpt/tele follow up 15
|
$64.80 |
$64.80 |
$64.80 |
$64.80
|
|
Inpt/tele follow up 25
|
$118.80 |
$118.80 |
$118.80 |
$118.80
|
|
Inpt/tele follow up 35
|
$171.60 |
$171.60 |
$171.60 |
$171.60
|
|
Ins cath ren art 1st bi
|
$3,481.80 |
$3,481.80 |
$3,481.80 |
$5,974.80
|
|
Ins cath ren art 1st uni
|
$2,633.40 |
$2,633.40 |
$2,633.40 |
$4,667.63
|
|
Ins cath ren art 2nd+ uni
|
$3,236.40 |
$3,236.40 |
$3,236.40 |
$5,395.20
|
|
Ins cerv dilator (sep proc)
|
$150.60 |
$150.60 |
$150.60 |
$490.73
|
|
Insert and remove bone pin
|
$381.00 |
$381.00 |
$381.00 |
$4,433.36
|
|
Insert brain-fluid device 61215
|
$1,432.80 |
$1,432.80 |
$1,432.80 |
$7,181.20
|
|
Insert cannula hemo oth 36815
|
$294.00 |
$294.00 |
$294.00 |
$5,983.35
|
|
Insert cannula vein-to-vein hemodialysis
|
$316.80 |
$316.80 |
$316.80 |
$7,279.50
|
|
Insert cath pleura with image
|
$314.40 |
$314.40 |
$314.40 |
$2,194.40
|
|
Insert cath pleura without image
|
$242.40 |
$242.40 |
$242.40 |
$2,099.70
|
|
Insert drug delivery implant
|
$257.40 |
$257.40 |
$257.40 |
$280.00
|
|
Insert epicard eltrd endo 33203
|
$1,564.20 |
$1,564.20 |
$1,564.20 |
$3,053.00
|
|
Insert epicardial lead open 33202
|
$1,504.20 |
$1,504.20 |
$1,504.20 |
$3,775.20
|
|
Insert intervert bimech device 22854
|
$632.40 |
$632.40 |
$632.40 |
$1,573.00
|
|
Insert intrauterine device iud
|
$129.60 |
$129.60 |
$129.60 |
$347.10
|
|
Insertion catheter artery nfs ther chemotx 36640
|
$334.20 |
$334.20 |
$334.20 |
$3,594.47
|
|
Insertion catheter bladder non indwelling
|
$109.80 |
$109.80 |
$109.80 |
$208.01
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$1,515.60 |
$1,515.60 |
$1,515.60 |
$4,897.20
|
|
Insertion intra aortic balloon assist device percutaneous
|
$511.80 |
$511.80 |
$511.80 |
$2,447.63
|
|
Insertion intra-aortic circulation dev 33970
|
$630.60 |
$630.60 |
$630.60 |
$1,752.40
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$2,067.60 |
$2,067.60 |
$2,067.60 |
$7,210.78
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$757.20 |
$757.20 |
$757.20 |
$2,585.25
|
|
Insertion of heart electrode 33211
|
$384.60 |
$384.60 |
$384.60 |
$6,820.50
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$1,269.00 |
$1,269.00 |
$1,269.00 |
$12,384.25
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$1,080.60 |
$1,080.60 |
$1,080.60 |
$2,103.75
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$828.00 |
$828.00 |
$828.00 |
$2,453.83
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$7,590.00 |
$7,590.00 |
$7,590.00 |
$7,183.68
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$2,278.20 |
$2,278.20 |
$2,278.20 |
$5,236.80
|
|
Insertion ureth cath
|
$953.40 |
$953.40 |
$953.40 |
$2,412.45
|
|
Insert major vessel graft with bypass 33335
|
$3,669.00 |
$3,669.00 |
$3,669.00 |
$3,669.00
|
|
Insert nasal septal button
|
$583.20 |
$583.20 |
$583.20 |
$1,783.50
|
|
Insert pelv fixation device
|
$481.80 |
$481.80 |
$481.80 |
$874.40
|
|
Insert pessary/other device
|
$148.20 |
$148.20 |
$148.20 |
$278.90
|
|
Insert/repl sq defib w/eltrd
|
$1,259.40 |
$1,259.40 |
$1,259.40 |
$33,593.55
|
|
Insert spine infusion device 62360
|
$586.20 |
$586.20 |
$586.20 |
$17,262.84
|
|
Insert sq defib electrode
|
$1,057.20 |
$1,057.20 |
$1,057.20 |
$8,167.68
|
|
Insert swan-ganz cath
|
$306.00 |
$306.00 |
$306.00 |
$2,164.52
|
|
Insert tray without bag/cath
|
$3.00 |
$3.00 |
$3.00 |
$15.19
|
|
Insert tunneled cv 2cath 2sits without port/pmp 36565
|
$1,931.40 |
$1,931.40 |
$1,931.40 |
$4,997.60
|
|
Insert vad art access left hrt arterial access
|
$956.40 |
$956.40 |
$956.40 |
$4,276.00
|
|
Insj biomechanical device 22853
|
$534.00 |
$534.00 |
$534.00 |
$622.40
|
|
Ins left heart vent thor inscn ecmo
|
$1,710.60 |
$1,710.60 |
$1,710.60 |
$1,901.60
|
|
Ins lv lead exist pm/icd
|
$981.00 |
$981.00 |
$981.00 |
$12,384.25
|
|
Ins picad w subq port 5yr>
|
$2,478.00 |
$2,478.00 |
$2,478.00 |
$4,078.00
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$886.20 |
$886.20 |
$886.20 |
$1,690.00
|
|
Ins pq tunnld ip cath w/img
|
$1,585.20 |
$1,585.20 |
$1,585.20 |
$5,486.00
|
|
Ins/rplc spi npg/rcvr pocket
|
$777.00 |
$777.00 |
$777.00 |
$24,061.80
|
|
Ins/rpl pm gen exist dual lead
|
$859.80 |
$859.80 |
$859.80 |
$11,005.50
|
|
Ins subq extnsn pertneal cath
|
$229.20 |
$229.20 |
$229.20 |
$2,479.93
|
|
Install spinal shunt 63741
|
$1,192.80 |
$1,192.80 |
$1,192.80 |
$7,181.20
|
|
Inst fibrinolysis agent ini day
|
$175.20 |
$175.20 |
$175.20 |
$1,043.35
|
|
Inst fibrinolysis agent sbsq d
|
$157.80 |
$157.80 |
$157.80 |
$997.05
|
|
Ins tun cvad 2 cath w/subq port(s)
|
$594.60 |
$594.60 |
$594.60 |
$7,826.00
|
|
Ins tun cv cath wo subq prt/pm
|
$1,891.20 |
$1,891.20 |
$1,891.20 |
$5,324.80
|
|
Ins tun cv cath wo subq prt/pm
|
$1,520.40 |
$1,520.40 |
$1,520.40 |
$4,218.00
|
|
Ins tun intraperit dia cath
|
$682.20 |
$682.20 |
$682.20 |
$4,570.00
|
|
Inst via cath agent pleurds
|
$484.20 |
$484.20 |
$484.20 |
$1,074.68
|
|
Insulin total
|
$90.60 |
$90.60 |
$90.60 |
$66.64
|
|
Integra meshed bil wound mat
|
$13,495.80 |
$13,495.80 |
$13,495.80 |
$9,924.16
|
|
Integra os putty 2.5cc - cost per 0.5cc
|
$10,981.80 |
$10,981.80 |
$10,981.80 |
$3,803.11
|
|
Intens behave ther cardio dx
|
$34.80 |
$34.80 |
$34.80 |
$47.60
|
|
Interferon alfa-2b inj
|
$559.83 |
$559.83 |
$559.83 |
$1,409.92
|
|
Interferon beta-1a inj
|
$15,311.69 |
$15,311.69 |
$15,311.69 |
$1,851.20
|
|
Internal nerve revision 64727
|
$477.00 |
$477.00 |
$477.00 |
$806.00
|
|
Int hrhc lig 1 hroid without img
|
$571.20 |
$571.20 |
$571.20 |
$3,491.25
|
|
Int hrhc lig 2+hroid without img
|
$581.40 |
$581.40 |
$581.40 |
$3,245.23
|
|
Intranasal biopsy 30100
|
$201.60 |
$201.60 |
$201.60 |
$2,265.00
|
|
Intraop epicard/endocard/pace/map/ 93631
|
$3,690.00 |
$3,690.00 |
$3,690.00 |
$3,690.00
|
|
Intraoral i+d tongue/floor lingual 41000
|
$312.60 |
$312.60 |
$312.60 |
$1,331.45
|
|
Intrapul surf admin endo tube
|
$94.20 |
$94.20 |
$94.20 |
$220.80
|
|
Intrinsic factor antibody
|
$122.40 |
$122.40 |
$122.40 |
$65.00
|
|
Intro cath dialysis circuit
|
$269.40 |
$269.40 |
$269.40 |
$2,036.94
|
|
Intro cath dialysis circuit w/pta
|
$402.60 |
$402.60 |
$402.60 |
$8,690.50
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$550.80 |
$550.80 |
$550.80 |
$16,262.40
|
|
Intro catheter aorta
|
$1,274.40 |
$1,274.40 |
$1,274.40 |
$1,678.05
|
|
Intro cath svc/ivc
|
$1,034.40 |
$1,034.40 |
$1,034.40 |
$1,323.27
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$155.40 |
$155.40 |
$155.40 |
$3,472.95
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$372.00 |
$372.00 |
$372.00 |
$1,801.10
|
|
Intubation endotracheal emergency procedure
|
$436.80 |
$436.80 |
$436.80 |
$601.28
|
|
Iodine i-123 sod iodide mil
|
$299.40 |
$299.40 |
$299.40 |
$386.37
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$284.99 |
$284.99 |
$284.99 |
$165.67
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$484.73 |
$484.73 |
$484.73 |
$279.10
|
|
Ioxaglate 39.3%-19.6% inj 200 ml
|
$380.22 |
$380.22 |
$380.22 |
$763.50
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$64,192.30 |
$64,192.30 |
$64,192.30 |
$62,692.46
|
|
Ip/obs cnsltj new/est low 45
|
$155.40 |
$155.40 |
$155.40 |
$174.20
|
|
Ip/obs cnsltj new/est mod 60
|
$237.60 |
$237.60 |
$237.60 |
$284.45
|
|
Ip/obs consltj new/est hi 80
|
$298.80 |
$298.80 |
$298.80 |
$332.80
|
|
Ip/obs consltj new/est sf 35
|
$117.60 |
$117.60 |
$117.60 |
$134.46
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$1,060.36 |
$1,060.36 |
$1,060.36 |
$173.98
|
