|
Inj nephrosto/ureterogram w/img exstng access
|
$1,605.00 |
$1,605.00 |
$1,605.00 |
$1,413.35
|
|
Inj pegfilgrastim-bmez 0.5mg
|
$5,688.86 |
$5,688.86 |
$5,688.86 |
$6,614.40
|
|
Inj peritoneal venous shunt
|
$582.60 |
$582.60 |
$582.60 |
$406.80
|
|
Inj proc elbow arthro
|
$278.40 |
$278.40 |
$278.40 |
$432.00
|
|
Inj proc for lymphang
|
$2,400.00 |
$2,400.00 |
$2,400.00 |
$742.40
|
|
Inj proc myelogram lumbar
|
$281.40 |
$281.40 |
$281.40 |
$838.30
|
|
Inj progesterone per 50 mg
|
$120.00 |
$120.00 |
$120.00 |
$13.76
|
|
Inj retacrit esrd on dialysi
|
$307.40 |
$307.40 |
$307.40 |
$349.45
|
|
Inj retro urethrocysto
|
$1,170.00 |
$1,170.00 |
$1,170.00 |
$447.74
|
|
Inj, rimabotulinumtoxinb
|
$1,296.37 |
$1,296.37 |
$1,296.37 |
$714.24
|
|
Inj testosterone cypionate
|
$122.55 |
$122.55 |
$122.55 |
$64.96
|
|
Inj., tildrakizumab, 1 mg
|
$24,563.40 |
$24,563.40 |
$24,563.40 |
$26,635.60
|
|
Inj w/fluor eval cv device
|
$573.00 |
$573.00 |
$573.00 |
$504.40
|
|
Inotuzumab ozogamicin 0.9 mg(0.25 mg/ml initial concentration) IV soln
|
$3,406.33 |
$3,406.33 |
$3,406.33 |
$41,083.73
|
|
Ins cath ren art 1st bi
|
$6,071.40 |
$6,071.40 |
$6,071.40 |
$5,974.80
|
|
Ins cath ren art 1st uni
|
$5,603.40 |
$5,603.40 |
$5,603.40 |
$4,667.63
|
|
Ins cath ren art 2nd+ bi
|
$5,603.40 |
$5,603.40 |
$5,603.40 |
$5,663.98
|
|
Ins cath ren art 2nd+ uni
|
$9,660.60 |
$9,660.60 |
$9,660.60 |
$5,395.20
|
|
Insert cath pleura with image
|
$1,101.60 |
$1,101.60 |
$1,101.60 |
$2,194.40
|
|
Insert hepatic shunt (tips)
|
$5,600.40 |
$5,600.40 |
$5,600.40 |
$7,571.20
|
|
Insertion catheter bladder non indwelling
|
$332.40 |
$332.40 |
$332.40 |
$208.01
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$3,027.00 |
$3,027.00 |
$3,027.00 |
$4,897.20
|
|
Insertion intra aortic balloon assist device percutaneous
|
$3,301.80 |
$3,301.80 |
$3,301.80 |
$2,447.63
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$9,660.60 |
$9,660.60 |
$9,660.60 |
$7,210.78
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$3,342.00 |
$3,342.00 |
$3,342.00 |
$2,585.25
|
|
Insertion of catheter vein
|
$955.20 |
$955.20 |
$955.20 |
$1,525.80
|
|
Insertion of catheter vein
|
$2,128.80 |
$2,128.80 |
$2,128.80 |
$870.59
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$31,180.80 |
$31,180.80 |
$31,180.80 |
$12,384.25
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$19,604.40 |
$19,604.40 |
$19,604.40 |
$12,324.60
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$17,238.00 |
$17,238.00 |
$17,238.00 |
$9,884.16
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$2,595.00 |
$2,595.00 |
$2,595.00 |
$2,103.75
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$2,815.20 |
$2,815.20 |
$2,815.20 |
$2,453.83
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$42,991.80 |
$42,991.80 |
$42,991.80 |
$29,180.00
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$5,566.80 |
$5,566.80 |
$5,566.80 |
$7,183.68
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$11,926.20 |
$11,926.20 |
$11,926.20 |
$7,267.20
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$20,575.20 |
$20,575.20 |
$20,575.20 |
$9,332.50
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$7,066.20 |
$7,066.20 |
$7,066.20 |
$5,236.80
|
|
Insert pm/icd lead dual
|
$5,224.80 |
$5,224.80 |
$5,224.80 |
$7,115.90
|
|
Insert/repl sq defib w/eltrd
|
$31,522.80 |
$31,522.80 |
$31,522.80 |
$33,593.55
|
|
Insert sq defib electrode
|
$5,205.00 |
$5,205.00 |
$5,205.00 |
$8,167.68
|
|
Insert swan-ganz cath
|
$2,550.60 |
$2,550.60 |
$2,550.60 |
$2,164.52
|
|
Insert vad art access left hrt arterial access
|
$9,225.00 |
$9,225.00 |
$9,225.00 |
$4,276.00
|
|
Ins icd gen exist mlt leads
|
$19,479.00 |
$19,479.00 |
$19,479.00 |
$31,286.77
|
|
Ins icd gen exist sgl lead
|
$11,433.00 |
$11,433.00 |
$11,433.00 |
$23,230.50
|
|
Insitu hybridization auto
|
$1,036.80 |
$1,036.80 |
$1,036.80 |
$377.37
|
|
Insitu hybridization manual
|
$973.20 |
$973.20 |
$973.20 |
$401.28
|
|
In situ hybridization per specimen each additional single probe stain
|
$151.80 |
$151.80 |
$151.80 |
$243.50
|
|
In situ hybridization per specimen initial single probe stain
|
$910.80 |
$910.80 |
$910.80 |
$338.40
|
|
Insj perq vad r hrt venous
|
$16,611.60 |
$16,611.60 |
$16,611.60 |
$3,796.00
|
|
Ins lv lead exist pm/icd
|
$14,128.80 |
$14,128.80 |
$14,128.80 |
$12,384.25
|
|
Ins mark abd/pel for right perq
|
$2,851.80 |
$2,851.80 |
$2,851.80 |
$2,477.24
|
|
Ins picad w subq port 5yr>
|
$5,603.40 |
$5,603.40 |
$5,603.40 |
$4,078.00
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$1,870.20 |
$1,870.20 |
$1,870.20 |
$1,690.00
|
|
Ins pm gen exist dual lead
|
$14,130.00 |
$14,130.00 |
$14,130.00 |
$24,159.72
|
|
Ins pq tunnld ip cath w/img
|
$9,709.80 |
$9,709.80 |
$9,709.80 |
$5,486.00
|
|
Ins/rpl ldless pm right vent w img & eval
|
$12,330.60 |
$12,330.60 |
$12,330.60 |
$24,135.54
|
|
Ins/rpl pm gen exist dual lead
|
$11,329.80 |
$11,329.80 |
$11,329.80 |
$11,005.50
|
|
Ins/rpl pm w/tv ld atrl
|
$12,581.40 |
$12,581.40 |
$12,581.40 |
$11,583.66
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$51,092.40 |
$51,092.40 |
$51,092.40 |
$27,318.11
|
|
Inst fibrinolysis agent ini day
|
$1,104.60 |
$1,104.60 |
$1,104.60 |
$1,043.35
|
|
Instillation anticarcinogenic agent bladder
|
$804.60 |
$804.60 |
$804.60 |
$638.40
|
|
Ins tun cv cath wo subq prt/pm
|
$5,418.60 |
$5,418.60 |
$5,418.60 |
$4,218.00
|
|
Inst via cath agent pleurds
|
$1,290.60 |
$1,290.60 |
$1,290.60 |
$1,074.68
|
|
Insulin total
|
$119.40 |
$119.40 |
$119.40 |
$66.64
|
|
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm
|
$6,354.00 |
$6,354.00 |
$6,354.00 |
$8,617.32
|
|
Interdiscal perq aspir dx
|
$2,077.20 |
$2,077.20 |
$2,077.20 |
$1,222.26
|
|
Interferon alfa-2b inj
|
$51.21 |
$51.21 |
$51.21 |
$1,409.92
|
|
Interferon beta-1a inj
|
$12,503.22 |
$12,503.22 |
$12,503.22 |
$1,851.20
|
|
Interferon beta-1b / .25 mg
|
$1,140.98 |
$1,140.98 |
$1,140.98 |
$1,662.71
|
|
Intra-atrial pacing
|
$3,704.40 |
$3,704.40 |
$3,704.40 |
$4,850.82
|
|
Intracard echo interv w/s&i
|
$4,675.80 |
$4,675.80 |
$4,675.80 |
$3,436.00
|
|
Intracran angioplsty w/stent
|
$13,572.60 |
$13,572.60 |
$13,572.60 |
$8,145.50
|
|
Intracranial complete study
|
$837.60 |
$837.60 |
$837.60 |
$881.50
|
|
Intracranial limited study
|
$358.20 |
$358.20 |
$358.20 |
$467.50
|
|
Intrapul surf admin endo tube
|
$108.60 |
$108.60 |
$108.60 |
$220.80
|
|
Intraventricular pacing
|
$5,236.20 |
$5,236.20 |
$5,236.20 |
$5,456.17
|
|
Intrinsic factor antibody
|
$64.20 |
$64.20 |
$64.20 |
$65.00
|
|
Intro cath dialysis circuit
|
$2,796.00 |
$2,796.00 |
$2,796.00 |
$2,036.94
|
|
Intro cath dialysis circuit w/pta
|
$12,157.20 |
$12,157.20 |
$12,157.20 |
$8,690.50
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$24,665.40 |
$24,665.40 |
$24,665.40 |
$16,262.40
|
|
Intro catheter aorta
|
$1,514.40 |
$1,514.40 |
$1,514.40 |
$1,678.05
|
|
Intro cath svc/ivc
|
$2,919.60 |
$2,919.60 |
$2,919.60 |
$1,323.27
|
|
Intro long gi tube
|
$678.60 |
$678.60 |
$678.60 |
$974.17
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$3,181.20 |
$3,181.20 |
$3,181.20 |
$3,472.95
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$3,181.20 |
$3,181.20 |
$3,181.20 |
$1,801.10
|
|
Intubation endotracheal emergency procedure
|
$502.20 |
$502.20 |
$502.20 |
$601.28
|
|
Ionm in operatng room 15 min
|
$262.20 |
$262.20 |
$262.20 |
$200.78
|
|
Ionm remote/>1 pt or per hr
|
$289.80 |
$289.80 |
$289.80 |
$622.70
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$44.46 |
$44.46 |
$44.46 |
$165.67
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$42.29 |
$42.29 |
$42.29 |
$279.10
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$261.10 |
$261.10 |
$261.10 |
$62,692.46
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$188.06 |
$188.06 |
$188.06 |
$173.98
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$111.98 |
$111.98 |
$111.98 |
$5,517.12
|
|
Iron
|
$81.00 |
$81.00 |
$81.00 |
$75.00
|
|
Iron binding capacity
|
$46.80 |
$46.80 |
$46.80 |
$63.91
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$165.19 |
$165.19 |
$165.19 |
$187.06
|
|
Irradiation of blood product each unit reference
|
$191.40 |
$191.40 |
$191.40 |
$115.20
|
|
Irrigation implantable venous access device for drug delivery systems
|
$165.00 |
$165.00 |
$165.00 |
$146.11
|
|
Ivc venogram s&i
|
$2,204.40 |
$2,204.40 |
$2,204.40 |
$3,332.55
|
|
IV Fluids (each additional hour)
|
$181.20 |
$181.20 |
$181.20 |
$133.90
|