|
Ins sk-mnt crnl nstm pg/rcvr
|
$6,646.40 |
$6,646.40 |
$6,646.40 |
|
|
Ins subq extnsn pertneal cath
|
$229.20 |
$229.20 |
$293.60 |
|
|
Install spinal shunt 63741
|
$1,192.80 |
$1,192.80 |
$80,048.92 |
|
|
Inst fibrinolysis agent ini day
|
$175.20 |
$1,095.00 |
$12,833.20 |
|
|
Inst fibrinolysis agent sbsq d
|
$157.80 |
$1,153.20 |
$1,818.60 |
|
|
Insti hexaminolevulinate hcl
|
$927.68 |
$927.68 |
$5,537.52 |
|
|
Instillation anticarcinogenic agent bladder
|
$315.00 |
$571.20 |
$26,192.38 |
|
|
Instill, bupivac and meloxic
|
$46.67 |
$46.67 |
$46.67 |
|
|
Instll rx agnt into rnal tub
|
$272.50 |
$619.20 |
$107,067.60 |
|
|
Ins trurl ablt trnsdc thr Ultrasound
|
$968.00 |
$968.00 |
$968.00 |
|
|
Ins tun cvad 2 cath w/subq port(s)
|
$594.60 |
$6,730.20 |
$22,545.60 |
|
|
Ins tun cv cath wo subq prt/pm
|
$1,891.20 |
$6,115.00 |
$11,676.24 |
|
|
Ins tun cv cath wo subq prt/pm
|
$990.40 |
$4,211.28 |
$15,864.98 |
|
|
Ins tun intraperit dia cath
|
$560.80 |
$3,597.30 |
$16,163.05 |
|
|
Inst via cath agent pleurds
|
$484.20 |
$1,215.00 |
$4,748.10 |
|
|
Insulin for insulin pump use
|
$157.71 |
$157.71 |
$157.71 |
|
|
Insulin suppression panel
|
$386.40 |
$386.40 |
$386.40 |
|
|
Insulin tolerance panel
|
$570.40 |
$570.40 |
$570.40 |
|
|
Insulin tolerance panel
|
$258.40 |
$258.40 |
$258.40 |
|
|
Insulin total
|
$27.50 |
$90.60 |
$378.40 |
|
|
Ins vag brachytx device
|
$393.60 |
$615.00 |
$68,674.90 |
|
|
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm
|
$5,023.24 |
$11,763.60 |
$22,404.96 |
|
|
Integra meshed bil wound mat
|
$213.38 |
$19,256.49 |
$104,352.48 |
|
|
Integra os putty 2.5cc - cost per 0.5cc
|
$1,512.00 |
$11,102.40 |
$22,679.68 |
|
|
Intens behave ther cardio dx
|
$34.80 |
$47.60 |
$68.40 |
|
|
Intens cardiac rehab no exer
|
$186.00 |
$272.16 |
$288.00 |
|
|
Intens cardiac rehab w/exerc
|
$186.00 |
$272.16 |
$288.00 |
|
|
Intercalary algrft compl
|
$1,780.00 |
$1,780.00 |
$1,780.00 |
|
|
Interdental fixation
|
$1,760.40 |
$1,930.80 |
$2,350.20 |
|
|
Interdental wirg oth/thn fx
|
$1,693.60 |
$1,693.60 |
$1,693.60 |
|
|
Interdiscal perq aspir dx
|
$557.50 |
$1,268.85 |
$9,017.15 |
|
|
Interferon alfa-2b inj
|
$36.80 |
$443.30 |
$559.83 |
|
|
Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper)
|
$3,853.81 |
$3,853.81 |
$13,193.25 |
|
|
Interferon beta-1a inj
|
$1,851.20 |
$15,311.69 |
$15,311.69 |
|
|
Interferon beta-1b / .25 mg
|
$20.78 |
$20.78 |
$3,967.25 |
|
|
Intermediate visual field xm
|
$112.80 |
$112.80 |
$112.80 |
|
|
Internal nerve revision 64727
|
$448.80 |
$477.00 |
$63,680.21 |
|
|
Interphalangeal joint spacer
|
$4,528.16 |
$8,543.81 |
$9,593.68 |
|
|
Interrogate subq defib
|
$67.50 |
$157.50 |
$250.38 |
|
|
Interrogation vad in person
|
$126.40 |
$185.00 |
$185.00 |
|
|
Interrog dev eval icpms ip
|
$108.80 |
$120.00 |
$400.20 |
|
|
Interrog dev eval scrms ip
|
$26.95 |
$152.50 |
$1,099.00 |
|
|
Interrog device eval heart
|
$117.60 |
$242.50 |
$244.20 |
|
|
Interrog evl pm/ldls pm ip
|
$64.90 |
$160.00 |
$1,119.30 |
|
|
Interrog&prgrmg ipnss
|
$200.00 |
$270.00 |
$270.00 |
|
|
Interrog&prgrmg ipnss polysm
|
$364.00 |
$2,355.00 |
$2,355.00 |
|
|
Interrog without prgrmg ipnss
|
$118.40 |
$270.00 |
$270.00 |
|
|
Interstitial brachy inter
|
$826.65 |
$2,272.20 |
$3,086.40 |
|
|
Intestinal stricturoplasty
|
$2,645.60 |
$2,645.60 |
$2,645.60 |
|
|
Int hrhc lig 1 hroid without img
|
$571.20 |
$824.80 |
$21,321.75 |
|
|
Int hrhc lig 2+hroid without img
|
$581.40 |
$10,749.90 |
$20,952.57 |
|
|
Intra-atrial pacing
|
$1,807.92 |
$5,960.00 |
$16,390.08 |
|
|
Intra-atrial recording
|
$2,723.40 |
$4,780.80 |
$16,390.08 |
|
|
Intracard echo interv w/s&i
|
$1,450.00 |
$2,492.00 |
$6,585.60 |
|
|
Intracran angioplsty w/stent
|
$1,161.00 |
$7,777.00 |
$41,689.65 |
|
|
Intracranial angioplasty
|
$1,161.00 |
$4,680.00 |
$12,495.00 |
|
|
Intracranial complete study
|
$425.37 |
$1,242.72 |
$2,235.10 |
|
|
Intracranial limited study
|
$119.46 |
$869.40 |
$1,397.40 |
|
|
Intranasal biopsy 30100
|
$201.60 |
$346.40 |
$32,928.89 |
|
|
Intranasal reconstruction
|
$1,571.20 |
$1,571.20 |
$33,843.12 |
|
|
Intraop colon lavage add-on
|
$416.80 |
$416.80 |
$416.80 |
|
|
Intraop epicard/endocard/pace/map/ 93631
|
$3,690.00 |
$4,144.80 |
$4,285.00 |
|
|
Intraoral i+d tongue/floor lingual 41000
|
$312.60 |
$1,956.50 |
$2,870.64 |
|
|
Intrapul surf admin endo tube
|
$94.20 |
$151.20 |
$439.20 |
|
|
Intrauterine transfusion ftl
|
$550.20 |
$550.20 |
$5,809.65 |
|
|
Intraventricular pacing
|
$1,807.92 |
$5,560.00 |
$16,390.08 |
|
|
Intrinsic factor antibody
|
$26.25 |
$87.84 |
$309.40 |
|
|
Intrm oph exam est patient
|
$183.20 |
$183.20 |
$183.20 |
|
|
Intro cath dialysis circuit
|
$269.40 |
$2,268.00 |
$20,090.96 |
|
|
Intro cath dialysis circuit w/pta
|
$402.60 |
$8,784.69 |
$27,252.00 |
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$550.80 |
$17,400.00 |
$60,224.81 |
|
|
Intro catheter aorta
|
$200.00 |
$1,274.40 |
$46,292.25 |
|
|
Intro cath svc/ivc
|
$200.00 |
$1,175.00 |
$73,780.11 |
|
|
Intro long gi tube
|
$392.06 |
$1,245.00 |
$20,923.51 |
|
|
Intro long gi tube w/mult fluo
|
$54.40 |
$508.90 |
$843.12 |
|
|
Intro windpipe wire/tube
|
$1,630.00 |
$2,944.90 |
$2,944.90 |
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$155.40 |
$3,252.60 |
$110,247.93 |
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$365.40 |
$2,255.00 |
$117,616.72 |
|
|
Intubation endotracheal emergency procedure
|
$130.00 |
$598.80 |
$55,706.34 |
|
|
Io anal gast n-stim init
|
$98.40 |
$98.40 |
$98.40 |
|
|
Io anal gast n-stim subsq
|
$76.80 |
$76.80 |
$76.80 |
|
|
Iodine i-123 sod iodide mil
|
$299.40 |
$1,405.60 |
$1,796.00 |
|
|
Iodine i-125 sodium iodide
|
$105.84 |
$105.84 |
$122.50 |
|
|
Io ga n-stim subsq w/reprog
|
$121.60 |
$121.60 |
$121.60 |
|
|
Ionm in operatng room 15 min
|
$73.60 |
$289.10 |
$909.60 |
|
|
Ionm remote/>1 pt or per hr
|
$232.00 |
$778.80 |
$923.30 |
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$1.50 |
$10.93 |
$3,450.47 |
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$0.56 |
$7.20 |
$3,285.93 |
|
|
Io radiation tx management
|
$593.60 |
$593.60 |
$593.60 |
|
|
Io rad tx deliver by elctrns
|
$6,330.00 |
$6,330.00 |
$6,330.00 |
|
|
Io rad tx delivery by x-ray
|
$6,910.00 |
$6,910.00 |
$6,910.00 |
|
|
Ioxaglate 39.3%-19.6% inj 200 ml
|
$380.22 |
$380.22 |
$380.22 |
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$188.80 |
$1,133.96 |
$226,783.20 |
|
|
Ip/obs cnsltj new/est low 45
|
$155.40 |
$334.20 |
$607.20 |
|
|
Ip/obs cnsltj new/est mod 60
|
$237.60 |
$535.20 |
$749.60 |
|
|
Ip/obs consltj new/est hi 80
|
$298.80 |
$687.00 |
$906.00 |
|
|
Ip/obs consltj new/est sf 35
|
$117.60 |
$316.80 |
$457.60 |
|
|
Ipratropium bromide comp
|
$2.40 |
$2.40 |
$2.40 |
|
|
Ipratropium bromide non-comp
|
$1.20 |
$1.20 |
$7.72 |
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$17.11 |
$162.75 |
$2,700.00 |
|
