|
Ins/rpl pm gen exist sgl lead
|
$4,548.00 |
$4,548.00 |
$4,548.00 |
$9,428.64
|
|
Ins/rpl pm w/tv ld atrl
|
$13,181.40 |
$13,181.40 |
$13,181.40 |
$11,583.66
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$33,577.20 |
$33,577.20 |
$33,577.20 |
$27,318.11
|
|
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
|
$3,130.20 |
$3,130.20 |
$3,130.20 |
$4,218.00
|
|
Ins tun intraperit dia cath
|
$4,520.40 |
$4,520.40 |
$4,520.40 |
$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
|
|
Intens cardiac rehab no exer
|
$186.00 |
$186.00 |
$186.00 |
$238.40
|
|
Intens cardiac rehab w/exerc
|
$186.00 |
$186.00 |
$186.00 |
$238.40
|
|
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
|
|
Intra-atrial pacing
|
$4,151.40 |
$4,151.40 |
$4,151.40 |
$4,850.82
|
|
Intra-atrial recording
|
$4,151.40 |
$4,151.40 |
$4,151.40 |
$5,252.30
|
|
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
|
$2,268.00 |
$2,268.00 |
$2,268.00 |
$2,036.94
|
|
Intro cath dialysis circuit w/pta
|
$10,258.20 |
$10,258.20 |
$10,258.20 |
$8,690.50
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$14,920.80 |
$14,920.80 |
$14,920.80 |
$16,262.40
|
|
Intro catheter aorta
|
$1,702.20 |
$1,702.20 |
$1,702.20 |
$1,678.05
|
|
Intro cath svc/ivc
|
$2,270.40 |
$2,270.40 |
$2,270.40 |
$1,323.27
|
|
Intro long gi tube
|
$688.80 |
$688.80 |
$688.80 |
$974.17
|
|
Intro long gi tube w/mult fluo
|
$492.60 |
$492.60 |
$492.60 |
$469.00
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$2,866.80 |
$2,866.80 |
$2,866.80 |
$3,472.95
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$1,158.00 |
$1,158.00 |
$1,158.00 |
$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
|
|
Ionm in operatng room 15 min
|
$76.80 |
$76.80 |
$76.80 |
$200.78
|
|
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
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$5,317.81 |
$5,317.81 |
$5,317.81 |
$5,517.12
|
|
Iron
|
$108.00 |
$108.00 |
$108.00 |
$75.00
|
|
Iron binding capacity
|
$49.80 |
$49.80 |
$49.80 |
$63.91
|
|
Iron dextran 50 mg/ml injection solution
|
$78.46 |
$78.46 |
$78.46 |
$80.67
|
|
Iron stain peripheral blood
|
$372.60 |
$372.60 |
$372.60 |
$30.55
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$124.11 |
$124.11 |
$124.11 |
$187.06
|
|
Irradiation of blood product each unit reference
|
$33.00 |
$33.00 |
$33.00 |
$115.20
|
|
Irrigation implantable venous access device for drug delivery systems
|
$141.00 |
$141.00 |
$141.00 |
$146.11
|
|
Irrigation syringe
|
$21.60 |
$21.60 |
$21.60 |
$3.60
|
|
Irrigation vagina and/or appl medicament tx disease
|
$90.00 |
$90.00 |
$90.00 |
$132.00
|
|
Isatuximab-irfc 20 mg/ml intravenous solution
|
$7,745.39 |
$7,745.39 |
$7,745.39 |
$8,273.35
|
|
Ivc venogram s&i
|
$3,594.60 |
$3,594.60 |
$3,594.60 |
$3,332.55
|
|
IV Fluids (each additional hour)
|
$60.00 |
$60.00 |
$60.00 |
$133.90
|
|
IV Fluids (first hour)
|
$297.00 |
$297.00 |
$297.00 |
$390.00
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$147.60 |
$147.60 |
$147.60 |
$162.68
|
|
IV Medicine Infusion (additional drug)
|
$111.00 |
$111.00 |
$111.00 |
$191.75
|
|
IV Medicine Infusion (each additional hour)
|
$64.20 |
$64.20 |
$64.20 |
$154.00
|
|
IV Medicine Infusion (first hour)
|
$309.60 |
$309.60 |
$309.60 |
$439.56
|
|
IV Push Injection (each additional drug)
|
$68.40 |
$68.40 |
$68.40 |
$167.50
|
|
IV Push Injection (first drug)
|
$181.20 |
$181.20 |
$181.20 |
$252.76
|
|
Ivp w/nephrotomography
|
$481.20 |
$481.20 |
$481.20 |
$748.15
|
|
Ivp w/wo kub w/wo tomography
|
$426.00 |
$426.00 |
$426.00 |
$713.40
|
|
Ixabepilone 15 mg intravenous solution
|
$5,633.09 |
$5,633.09 |
$5,633.09 |
$10,695.32
|
|
Jak2 targeted sequence analysis
|
$495.00 |
$495.00 |
$495.00 |
$405.00
|
|
Jaw Joint (TMJ) X-ray (both sides, open and closed)
|
$232.20 |
$232.20 |
$232.20 |
$330.05
|
|
Jaw (Mandible) X-ray (complete)
|
$232.80 |
$232.80 |
$232.80 |
$362.05
|
|
Jejunstmy tube plcmt
|
$364.20 |
$364.20 |
$364.20 |
$2,174.40
|
|
J-tube placement
|
$437.40 |
$437.40 |
$437.40 |
$593.08
|
|
Ketamine and metabolite screen - quest
|
$79.20 |
$79.20 |
$79.20 |
$72.14
|
|
Ketogenic steroids fract
|
$82.80 |
$82.80 |
$82.80 |
$82.80
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$43.80 |
$43.80 |
$43.80 |
$58.56
|
|
Ketorolac (Toradol) Pain Shot, 15 mg
|
$26.95 |
$26.95 |
$26.95 |
$23.52
|
|
Kidney endoscopy
|
$5,098.80 |
$5,098.80 |
$5,098.80 |
$5,728.00
|
|
Kidney imaging morphology
|
$757.80 |
$757.80 |
$757.80 |
$785.00
|
|
Kidney imag w/bld flow multi
|
$699.00 |
$699.00 |
$699.00 |
$1,566.50
|
|
Kidney img w/bldflw sgl without rx
|
$806.40 |
$806.40 |
$806.40 |
$1,433.22
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$486.00 |
$486.00 |
$486.00 |
$673.36
|
|
Kidney (Retroperitoneal) Ultrasound (limited)
|
$372.00 |
$372.00 |
$372.00 |
$490.75
|
|
Kit case 4.2mm spinejack
|
$10,027.20 |
$10,027.20 |
$10,027.20 |
$7,177.60
|
|
Kit cast tcc 3in w/2reg boots total contact cast
|
$86.40 |
$86.40 |
$86.40 |
$174.00
|
|
Kit cath f 8f w/glv + wipe ster
|
$6.60 |
$6.60 |
$6.60 |
$9.49
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$10,575.00 |
$10,575.00 |
$10,575.00 |
$9,423.50
|
|
Kit irrigator stoma cone 7721
|
$7.20 |
$7.20 |
$7.20 |
$7.20
|
|
Kit lead specify 5-6-5
|
$12,555.00 |
$12,555.00 |
$12,555.00 |
$16,672.10
|
|
Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm
|
$1,866.60 |
$1,866.60 |
$1,866.60 |
$360.12
|
|
Kit tissue closure sealant adhesive air leak progel 4 ml pleura
|
$1,969.20 |
$1,969.20 |
$1,969.20 |
$2,254.50
|
|
Kit trach suct cls 30.5cm
|
$28.20 |
$28.20 |
$28.20 |
$35.26
|
|
Knee Arthroscopy (Meniscus Trimming)
|
$755.40 |
$755.40 |
$755.40 |
$5,339.00
|
|
Knee arthroscopy/surgery
|
$784.20 |
$784.20 |
$784.20 |
$4,881.00
|
