|
Insertion catheter pleural indwelling tunneled with cuff
|
$7,622.64 |
$7,622.64 |
$7,622.64 |
$4,782.00
|
|
Insertion intra aortic balloon assist device percutaneous
|
$12,027.60 |
$12,027.60 |
$12,027.60 |
$2,529.45
|
|
Insertion intra-aortic circulation dev 33970
|
$12,027.60 |
$12,027.60 |
$12,027.60 |
$1,752.40
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$13,946.40 |
$13,946.40 |
$13,946.40 |
$7,210.78
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$6,406.56 |
$6,406.56 |
$6,406.56 |
$2,505.60
|
|
Insertion of catheter vein
|
$3,863.52 |
$3,863.52 |
$3,863.52 |
$1,477.00
|
|
Insertion of catheter vein
|
$1,383.12 |
$1,383.12 |
$1,383.12 |
$836.25
|
|
Insertion of heart electrode 33211
|
$17,876.16 |
$17,876.16 |
$17,876.16 |
$6,903.60
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$22,923.36 |
$22,923.36 |
$22,923.36 |
$12,384.25
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$27,469.44 |
$27,469.44 |
$27,469.44 |
$12,384.25
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$12,901.68 |
$12,901.68 |
$12,901.68 |
$10,100.35
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$4,060.80 |
$4,060.80 |
$4,060.80 |
$2,079.50
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$4,519.44 |
$4,519.44 |
$4,519.44 |
$2,419.65
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$61,072.56 |
$61,072.56 |
$61,072.56 |
$29,042.52
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$17,876.16 |
$17,876.16 |
$17,876.16 |
$7,200.05
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$18,145.44 |
$18,145.44 |
$18,145.44 |
$7,312.80
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$17,876.16 |
$17,876.16 |
$17,876.16 |
$9,332.50
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$10,997.28 |
$10,997.28 |
$10,997.28 |
$5,223.20
|
|
Insert pessary/other device
|
$486.00 |
$486.00 |
$486.00 |
$278.50
|
|
Insert pm/icd lead dual
|
$19,385.28 |
$19,385.28 |
$19,385.28 |
$7,115.20
|
|
Insert/repl sq defib w/eltrd
|
$62,493.12 |
$62,493.12 |
$62,493.12 |
$32,800.04
|
|
Insert swan-ganz cath
|
$3,355.20 |
$3,355.20 |
$3,355.20 |
$2,210.50
|
|
Insert tunneled cv cath
|
$6,798.24 |
$6,798.24 |
$6,798.24 |
$4,520.00
|
|
Insert uteri tandem/ovoids
|
$10,662.48 |
$10,662.48 |
$10,662.48 |
$3,905.20
|
|
Insert vad art access left hrt arterial access
|
$13,300.56 |
$13,300.56 |
$13,300.56 |
$4,270.75
|
|
Insert vad art access left hrt art & vein access
|
$10,934.64 |
$10,934.64 |
$10,934.64 |
$3,677.40
|
|
In situ hybridization per specimen each additional single probe stain
|
$420.48 |
$420.48 |
$420.48 |
$241.15
|
|
In situ hybridization per specimen initial single probe stain
|
$566.64 |
$566.64 |
$566.64 |
$331.69
|
|
Insj perq vad r hrt venous
|
$13,300.56 |
$13,300.56 |
$13,300.56 |
$3,796.00
|
|
Ins lv lead exist pm/icd
|
$22,605.12 |
$22,605.12 |
$22,605.12 |
$12,384.25
|
|
Ins mark abd/pel for right perq
|
$2,955.60 |
$2,955.60 |
$2,955.60 |
$2,414.36
|
|
Ins picad w subq port 5yr>
|
$9,601.20 |
$9,601.20 |
$9,601.20 |
$3,985.20
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$4,135.68 |
$4,135.68 |
$4,135.68 |
$1,690.00
|
|
Ins pq tunnld ip cath w/img
|
$9,862.56 |
$9,862.56 |
$9,862.56 |
$5,377.00
|
|
Ins/rpl ldless pm right vent w img & eval
|
$41,193.36 |
$41,193.36 |
$41,193.36 |
$24,135.54
|
|
Ins/rpl pm gen exist dual lead
|
$22,605.12 |
$22,605.12 |
$22,605.12 |
$11,005.50
|
|
Ins/rpl pm w/tv ld atrl
|
$32,828.40 |
$32,828.40 |
$32,828.40 |
$11,583.66
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$61,405.20 |
$61,405.20 |
$61,405.20 |
$25,694.00
|
|
Inst fibrinolysis agent ini day
|
$1,841.76 |
$1,841.76 |
$1,841.76 |
$1,036.05
|
|
Inst fibrinolysis agent sbsq d
|
$1,601.28 |
$1,601.28 |
$1,601.28 |
$898.12
|
|
Insti hexaminolevulinate hcl
|
$3,423.74 |
$3,423.74 |
$3,423.74 |
$2,224.80
|
|
Instillation anticarcinogenic agent bladder
|
$1,441.44 |
$1,441.44 |
$1,441.44 |
$621.40
|
|
Instll rx agnt into rnal tub
|
$2,749.68 |
$2,749.68 |
$2,749.68 |
$619.20
|
|
Ins tun cv cath wo subq prt/pm
|
$11,676.24 |
$11,676.24 |
$11,676.24 |
$5,324.80
|
|
Ins tun cv cath wo subq prt/pm
|
$8,516.16 |
$8,516.16 |
$8,516.16 |
$4,202.70
|
|
Inst via cath agent pleurds
|
$1,732.32 |
$1,732.32 |
$1,732.32 |
$1,065.00
|
|
Insulin total
|
$56.88 |
$56.88 |
$56.88 |
$66.64
|
|
Integra meshed bil wound mat
|
$16,920.00 |
$16,920.00 |
$16,920.00 |
$9,924.16
|
|
Integra os putty 2.5cc - cost per 0.5cc
|
$1,512.00 |
$1,512.00 |
$1,512.00 |
$3,803.11
|
|
Intens cardiac rehab no exer
|
$275.04 |
$275.04 |
$275.04 |
$238.40
|
|
Intens cardiac rehab w/exerc
|
$275.04 |
$275.04 |
$275.04 |
$238.40
|
|
Interdiscal perq aspir dx
|
$4,094.64 |
$4,094.64 |
$4,094.64 |
$1,222.26
|
|
Intra-atrial pacing
|
$16,390.08 |
$16,390.08 |
$16,390.08 |
$4,780.80
|
|
Intra-atrial recording
|
$16,390.08 |
$16,390.08 |
$16,390.08 |
$5,252.30
|
|
Intracard echo interv w/s&i
|
$6,382.08 |
$6,382.08 |
$6,382.08 |
$3,461.04
|
|
Intracran angioplsty w/stent
|
$16,781.04 |
$16,781.04 |
$16,781.04 |
$8,145.50
|
|
Intracranial angioplasty
|
$3,466.80 |
$3,466.80 |
$3,466.80 |
$4,962.40
|
|
Intracranial complete study
|
$1,129.68 |
$1,129.68 |
$1,129.68 |
$874.99
|
|
Intracranial limited study
|
$585.36 |
$585.36 |
$585.36 |
$465.01
|
|
Intraoral i+d tongue/floor lingual 41000
|
$2,870.64 |
$2,870.64 |
$2,870.64 |
$1,331.45
|
|
Intrapul surf admin endo tube
|
$439.20 |
$439.20 |
$439.20 |
$220.80
|
|
Intraventricular pacing
|
$16,390.08 |
$16,390.08 |
$16,390.08 |
$5,456.17
|
|
Intrinsic factor antibody
|
$54.00 |
$54.00 |
$54.00 |
$63.15
|
|
Intro cath dialysis circuit
|
$3,355.20 |
$3,355.20 |
$3,355.20 |
$2,036.94
|
|
Intro cath dialysis circuit w/pta
|
$23,443.20 |
$23,443.20 |
$23,443.20 |
$8,690.50
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$35,681.76 |
$35,681.76 |
$35,681.76 |
$16,262.40
|
|
Intro catheter aorta
|
$2,088.00 |
$2,088.00 |
$2,088.00 |
$1,654.05
|
|
Intro cath svc/ivc
|
$1,394.64 |
$1,394.64 |
$1,394.64 |
$1,323.27
|
|
Intro long gi tube
|
$2,025.36 |
$2,025.36 |
$2,025.36 |
$957.18
|
|
Intro long gi tube w/mult fluo
|
$843.12 |
$843.12 |
$843.12 |
$466.00
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$10,907.28 |
$10,907.28 |
$10,907.28 |
$3,409.29
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$9,711.36 |
$9,711.36 |
$9,711.36 |
$1,747.80
|
|
Intubation endotracheal emergency procedure
|
$1,098.00 |
$1,098.00 |
$1,098.00 |
$598.80
|
|
Iodine i-125 sodium iodide
|
$105.84 |
$105.84 |
$105.84 |
$245.64
|
|
Ionm in operatng room 15 min
|
$178.56 |
$178.56 |
$178.56 |
$200.16
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$31.52 |
$31.52 |
$31.52 |
$170.06
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$27.13 |
$27.13 |
$27.13 |
$288.11
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$469.40 |
$469.40 |
$469.40 |
$62,692.46
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$40.79 |
$40.79 |
$40.79 |
$174.47
|
|
Iron
|
$89.28 |
$89.28 |
$89.28 |
$72.29
|
|
Iron binding capacity
|
$87.84 |
$87.84 |
$87.84 |
$63.60
|
|
Iron dextran 50 mg/ml injection solution
|
$78.52 |
$78.52 |
$78.52 |
$81.70
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$2.81 |
$2.81 |
$2.81 |
$187.06
|
|
Irrigation implantable venous access device for drug delivery systems
|
$164.16 |
$164.16 |
$164.16 |
$144.62
|
|
Isatuximab-irfc 20 mg/ml intravenous solution
|
$225.48 |
$225.48 |
$225.48 |
$8,273.35
|
|
Ivc venogram s&i
|
$6,798.24 |
$6,798.24 |
$6,798.24 |
$3,316.95
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$268.56 |
$268.56 |
$268.56 |
$190.56
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$252.72 |
$252.72 |
$252.72 |
$159.00
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$278.64 |
$278.64 |
$278.64 |
$153.60
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$396.00 |
$396.00 |
$396.00 |
$437.45
|
|
Ivp w/wo kub w/wo tomography
|
$1,087.20 |
$1,087.20 |
$1,087.20 |
$692.18
|
|
Jak2 targeted sequence analysis
|
$754.56 |
$754.56 |
$754.56 |
$393.43
|
|
John cunningham antibody
|
$1,243.44 |
$1,243.44 |
$1,243.44 |
$66.31
|
|
Ketamine and metabolite screen - quest
|
$25.20 |
$25.20 |
$25.20 |
$72.14
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$89.28 |
$89.28 |
$89.28 |
$58.50
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$43.20 |
$43.20 |
$43.20 |
$23.77
|
|
Kidney imaging morphology
|
$2,952.72 |
$2,952.72 |
$2,952.72 |
$785.00
|
|
Kidney imag w/bld flow multi
|
$4,206.24 |
$4,206.24 |
$4,206.24 |
$1,557.41
|
|
Kidney img w/bldflw sgl without rx
|
$1,206.72 |
$1,206.72 |
$1,206.72 |
$1,425.00
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$1,712.16 |
$1,712.16 |
$1,712.16 |
$673.36
|