|
Ins cerv dilator (sep proc)
|
$151.90 |
$151.90 |
$151.90 |
$480.28
|
|
Insert cath pleura with image
|
$8,529.95 |
$8,529.95 |
$8,529.95 |
$2,194.40
|
|
Insert cath pleura without image
|
$2,247.70 |
$2,247.70 |
$2,247.70 |
$2,073.18
|
|
Insert intrauterine device iud
|
$21,082.12 |
$21,082.12 |
$21,082.12 |
$347.10
|
|
Insertion catheter bladder non indwelling
|
$49,866.02 |
$49,866.02 |
$49,866.02 |
$205.40
|
|
Insertion catheter bladder temporary simple
|
$2,865.80 |
$2,865.80 |
$2,865.80 |
$232.25
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$11,191.33 |
$11,191.33 |
$11,191.33 |
$4,782.00
|
|
Insertion intra aortic balloon assist device percutaneous
|
$1,800.40 |
$1,800.40 |
$1,800.40 |
$2,529.45
|
|
Insertion intra-aortic circulation dev 33970
|
$2,826.60 |
$2,826.60 |
$2,826.60 |
$1,752.40
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$9,296.25 |
$9,296.25 |
$9,296.25 |
$7,210.78
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$1,278.90 |
$1,278.90 |
$1,278.90 |
$2,505.60
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$44,380.26 |
$44,380.26 |
$44,380.26 |
$12,384.25
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$41,741.53 |
$41,741.53 |
$41,741.53 |
$12,384.25
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$140,910.16 |
$140,910.16 |
$140,910.16 |
$10,100.35
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$1,297.10 |
$1,297.10 |
$1,297.10 |
$2,079.50
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$8,351.83 |
$8,351.83 |
$8,351.83 |
$2,419.65
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$133,439.10 |
$133,439.10 |
$133,439.10 |
$29,042.52
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$7,087.50 |
$7,087.50 |
$7,087.50 |
$7,200.05
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$3,559.50 |
$3,559.50 |
$3,559.50 |
$7,312.80
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$23,871.43 |
$23,871.43 |
$23,871.43 |
$9,332.50
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$9,489.90 |
$9,489.90 |
$9,489.90 |
$5,223.20
|
|
Insert multi-comp penis pros
|
$114,771.36 |
$114,771.36 |
$114,771.36 |
$21,998.10
|
|
Insert pessary/other device
|
$343.00 |
$343.00 |
$343.00 |
$278.50
|
|
Insert/repl sq defib w/eltrd
|
$201,721.60 |
$201,721.60 |
$201,721.60 |
$32,800.04
|
|
Insert sq defib electrode
|
$18,418.40 |
$18,418.40 |
$18,418.40 |
$8,167.68
|
|
Insert tunneled cv cath
|
$7,725.20 |
$7,725.20 |
$7,725.20 |
$4,520.00
|
|
Insert vad art access left hrt arterial access
|
$3,231.20 |
$3,231.20 |
$3,231.20 |
$4,270.75
|
|
Ins icd gen exist mlt leads
|
$54,215.70 |
$54,215.70 |
$54,215.70 |
$31,286.77
|
|
Ins icd gen exist sgl lead
|
$12,433.40 |
$12,433.40 |
$12,433.40 |
$23,230.50
|
|
Insitu hybridization (fish)
|
$21,831.80 |
$21,831.80 |
$21,831.80 |
$481.60
|
|
Insitu hybridization manual
|
$459.20 |
$459.20 |
$459.20 |
$401.28
|
|
In situ hybridization per specimen each additional single probe stain
|
$23,679.80 |
$23,679.80 |
$23,679.80 |
$241.15
|
|
In situ hybridization per specimen initial single probe stain
|
$22,683.75 |
$22,683.75 |
$22,683.75 |
$331.69
|
|
Insj perq vad r hrt venous
|
$7,254.80 |
$7,254.80 |
$7,254.80 |
$3,796.00
|
|
Ins mark thor for right perq
|
$1,250.90 |
$1,250.90 |
$1,250.90 |
$2,477.45
|
|
Ins pm gen exist dual lead
|
$13,707.40 |
$13,707.40 |
$13,707.40 |
$23,665.85
|
|
Ins pm gen w/exist mlt leads
|
$32,985.40 |
$32,985.40 |
$32,985.40 |
$14,804.40
|
|
Ins pq tunnld ip cath w/img
|
$8,705.46 |
$8,705.46 |
$8,705.46 |
$5,377.00
|
|
Ins/rplc spi npg/rcvr pocket
|
$142,814.89 |
$142,814.89 |
$142,814.89 |
$24,061.80
|
|
Ins/rpl ldless pm right vent w img & eval
|
$41,293.70 |
$41,293.70 |
$41,293.70 |
$24,135.54
|
|
Ins/rpl pm gen exist sgl lead
|
$11,116.00 |
$11,116.00 |
$11,116.00 |
$9,428.64
|
|
Ins/rpl prph sac/gstr npg/r
|
$56,693.80 |
$56,693.80 |
$56,693.80 |
$21,857.50
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$137,257.98 |
$137,257.98 |
$137,257.98 |
$25,694.00
|
|
Inst fibrinolysis agent ini day
|
$1,050.70 |
$1,050.70 |
$1,050.70 |
$1,036.05
|
|
Instillation anticarcinogenic agent bladder
|
$26,192.38 |
$26,192.38 |
$26,192.38 |
$621.40
|
|
Ins tun cv cath wo subq prt/pm
|
$10,021.20 |
$10,021.20 |
$10,021.20 |
$5,324.80
|
|
Ins tun cv cath wo subq prt/pm
|
$7,216.81 |
$7,216.81 |
$7,216.81 |
$4,202.70
|
|
Ins tun intraperit dia cath
|
$16,163.05 |
$16,163.05 |
$16,163.05 |
$4,570.00
|
|
Insulin total
|
$103.60 |
$103.60 |
$103.60 |
$66.64
|
|
Ins vag brachytx device
|
$49,592.20 |
$49,592.20 |
$49,592.20 |
$935.50
|
|
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm
|
$5,023.24 |
$5,023.24 |
$5,023.24 |
$8,629.72
|
|
Integra meshed bil wound mat
|
$471.10 |
$471.10 |
$471.10 |
$9,924.16
|
|
Intens behave ther cardio dx
|
$47.60 |
$47.60 |
$47.60 |
$47.60
|
|
Interdiscal perq aspir dx
|
$1,112.30 |
$1,112.30 |
$1,112.30 |
$1,222.26
|
|
Interrogate subq defib
|
$157.50 |
$157.50 |
$157.50 |
$119.60
|
|
Interrog evl pm/ldls pm ip
|
$200.20 |
$200.20 |
$200.20 |
$124.80
|
|
Int hrhc lig 2+hroid without img
|
$10,749.90 |
$10,749.90 |
$10,749.90 |
$3,245.23
|
|
Intra-atrial pacing
|
$16,191.00 |
$16,191.00 |
$16,191.00 |
$4,780.80
|
|
Intracranial angioplasty
|
$4,699.10 |
$4,699.10 |
$4,699.10 |
$4,962.40
|
|
Intracranial complete study
|
$2,235.10 |
$2,235.10 |
$2,235.10 |
$874.99
|
|
Intracranial limited study
|
$869.40 |
$869.40 |
$869.40 |
$465.01
|
|
Intrapul surf admin endo tube
|
$145.60 |
$145.60 |
$145.60 |
$220.80
|
|
Intrauterine transfusion ftl
|
$550.20 |
$550.20 |
$550.20 |
$1,063.50
|
|
Intraventricular pacing
|
$6,409.90 |
$6,409.90 |
$6,409.90 |
$5,456.17
|
|
Intrinsic factor antibody
|
$134.40 |
$134.40 |
$134.40 |
$63.15
|
|
Intro cath dialysis circuit
|
$2,604.59 |
$2,604.59 |
$2,604.59 |
$2,036.94
|
|
Intro cath dialysis circuit w/pta
|
$5,732.48 |
$5,732.48 |
$5,732.48 |
$8,690.50
|
|
Intro catheter aorta
|
$968.10 |
$968.10 |
$968.10 |
$1,654.05
|
|
Intro cath svc/ivc
|
$11,743.82 |
$11,743.82 |
$11,743.82 |
$1,323.27
|
|
Intro long gi tube
|
$516.60 |
$516.60 |
$516.60 |
$957.18
|
|
Intro long gi tube w/mult fluo
|
$508.90 |
$508.90 |
$508.90 |
$466.00
|
|
Intro windpipe wire/tube
|
$2,944.90 |
$2,944.90 |
$2,944.90 |
$2,447.43
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$109,330.65 |
$109,330.65 |
$109,330.65 |
$3,409.29
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$952.70 |
$952.70 |
$952.70 |
$1,747.80
|
|
Intubation endotracheal emergency procedure
|
$565.60 |
$565.60 |
$565.60 |
$598.80
|
|
Iodine i-123 sod iodide mil
|
$1,405.60 |
$1,405.60 |
$1,405.60 |
$371.18
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$475.65 |
$475.65 |
$475.65 |
$170.06
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$1,914.97 |
$1,914.97 |
$1,914.97 |
$288.11
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$196,998.20 |
$196,998.20 |
$196,998.20 |
$62,692.46
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$684.42 |
$684.42 |
$684.42 |
$174.47
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$16,605.75 |
$16,605.75 |
$16,605.75 |
$5,517.12
|
|
Iron
|
$79.10 |
$79.10 |
$79.10 |
$72.29
|
|
Iron binding capacity
|
$73.50 |
$73.50 |
$73.50 |
$63.60
|
|
Iron dextran 50 mg/ml injection solution
|
$98.52 |
$98.52 |
$98.52 |
$81.70
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$243.07 |
$243.07 |
$243.07 |
$187.06
|
|
Irradiation of blood product each unit reference
|
$27.30 |
$27.30 |
$27.30 |
$114.40
|
|
Irrigation implantable venous access device for drug delivery systems
|
$194.60 |
$194.60 |
$194.60 |
$144.62
|
|
Ivc venogram s&i
|
$3,923.50 |
$3,923.50 |
$3,923.50 |
$3,316.95
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$214.20 |
$214.20 |
$214.20 |
$190.56
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$260.40 |
$260.40 |
$260.40 |
$159.00
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$193.90 |
$193.90 |
$193.90 |
$153.60
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$428.40 |
$428.40 |
$428.40 |
$437.45
|
|
Ivp w/wo kub w/wo tomography
|
$1,164.80 |
$1,164.80 |
$1,164.80 |
$692.18
|
|
Jak2 targeted sequence analysis
|
$470.40 |
$470.40 |
$470.40 |
$393.43
|
|
Ketamine and metabolite screen - quest
|
$26.60 |
$26.60 |
$26.60 |
$72.14
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$100.80 |
$100.80 |
$100.80 |
$58.50
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$94.32 |
$94.32 |
$94.32 |
$23.77
|
|
Kidney img w/bldflw sgl without rx
|
$2,247.70 |
$2,247.70 |
$2,247.70 |
$1,425.00
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$1,474.20 |
$1,474.20 |
$1,474.20 |
$673.36
|
|
Kit case 4.2mm spinejack
|
$18,908.32 |
$18,908.32 |
$18,908.32 |
$7,751.14
|