|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$2,759.40 |
$2,759.40 |
$3,187.20 |
$5,236.80
|
|
Insertion ureth cath
|
$907.80 |
$907.80 |
$953.40 |
$2,365.38
|
|
Insert major vessel graft with bypass 33335
|
$3,494.40 |
$3,494.40 |
$3,669.00 |
$3,494.40
|
|
Insert nasal septal button
|
$555.60 |
$555.60 |
$583.20 |
$1,783.50
|
|
Insert pelv fixation device
|
$481.80 |
$481.80 |
$481.80 |
$490.25
|
|
Insert pessary/other device
|
$141.00 |
$141.00 |
$148.20 |
$278.90
|
|
Insert pm/icd lead dual
|
$3,541.80 |
$3,541.80 |
$4,090.80 |
$7,115.90
|
|
Insert/repl sq defib w/eltrd
|
$35,439.00 |
$35,439.00 |
$39,444.00 |
$33,593.55
|
|
Insert spine infusion device 62360
|
$558.00 |
$558.00 |
$586.20 |
$17,262.84
|
|
Insert sq defib electrode
|
$1,006.80 |
$1,006.80 |
$1,057.20 |
$8,167.68
|
|
Insert swan-ganz cath
|
$1,566.00 |
$1,566.00 |
$1,973.40 |
$2,164.52
|
|
Insert tray without bag/cath
|
$3.00 |
$3.00 |
$3.00 |
$15.19
|
|
Insert tunneled cv 2cath 2sits without port/pmp 36565
|
$1,839.60 |
$1,839.60 |
$1,931.40 |
$5,018.25
|
|
Insert vad art access left hrt arterial access
|
$5,062.80 |
$5,062.80 |
$5,848.20 |
$4,276.00
|
|
Ins icd gen exist mlt leads
|
$35,439.00 |
$35,439.00 |
$39,444.00 |
$31,286.77
|
|
Ins icd gen exist sgl lead
|
$20,243.40 |
$20,243.40 |
$23,381.40 |
$23,230.50
|
|
In situ hybridization per specimen initial single probe stain
|
$472.80 |
$472.80 |
$526.20 |
$340.00
|
|
Insj biomechanical device 22853
|
$508.80 |
$508.80 |
$534.00 |
$622.40
|
|
Insj perq vad r hrt venous
|
$6,750.60 |
$6,750.60 |
$7,797.00 |
$3,796.00
|
|
Ins left heart vent thor inscn ecmo
|
$1,629.00 |
$1,629.00 |
$1,710.60 |
$1,901.60
|
|
Ins lv lead exist pm/icd
|
$11,412.00 |
$11,412.00 |
$15,552.60 |
$12,384.25
|
|
Ins picad w subq port 5yr>
|
$2,359.80 |
$2,359.80 |
$2,478.00 |
$4,195.00
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$844.20 |
$844.20 |
$886.20 |
$1,690.00
|
|
Ins pm gen exist dual lead
|
$32,305.80 |
$32,305.80 |
$35,956.80 |
$24,159.72
|
|
Ins pm gen w/exist mlt leads
|
$15,494.40 |
$15,494.40 |
$17,245.20 |
$14,804.40
|
|
Ins pq tunnld ip cath w/img
|
$1,585.20 |
$1,585.20 |
$1,585.20 |
$5,486.00
|
|
Ins/rplc spi npg/rcvr pocket
|
$739.80 |
$739.80 |
$777.00 |
$24,061.80
|
|
Ins/rpl ldless pm right vent w img & eval
|
$18,978.60 |
$18,978.60 |
$21,123.60 |
$24,135.54
|
|
Ins/rpl pm gen exist dual lead
|
$11,412.00 |
$11,412.00 |
$13,181.40 |
$11,198.55
|
|
Ins/rpl pm gen exist sgl lead
|
$3,937.80 |
$3,937.80 |
$4,548.00 |
$9,558.78
|
|
Ins/rpl pm w/tv ld atrl
|
$11,412.00 |
$11,412.00 |
$13,181.40 |
$11,583.66
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$30,168.00 |
$30,168.00 |
$33,577.20 |
$27,318.11
|
|
Ins subq extnsn pertneal cath
|
$218.40 |
$218.40 |
$229.20 |
$2,479.93
|
|
Install spinal shunt 63741
|
$1,135.80 |
$1,135.80 |
$1,192.80 |
$7,181.20
|
|
Inst fibrinolysis agent ini day
|
$166.80 |
$166.80 |
$175.20 |
$1,043.35
|
|
Inst fibrinolysis agent sbsq d
|
$150.00 |
$150.00 |
$157.80 |
$997.05
|
|
Ins tun cvad 2 cath w/subq port(s)
|
$566.40 |
$566.40 |
$594.60 |
$7,826.00
|
|
Ins tun cv cath wo subq prt/pm
|
$1,801.20 |
$1,801.20 |
$1,891.20 |
$5,324.80
|
|
Ins tun cv cath wo subq prt/pm
|
$2,709.60 |
$2,709.60 |
$3,130.20 |
$4,218.00
|
|
Ins tun intraperit dia cath
|
$3,913.80 |
$3,913.80 |
$4,520.40 |
$4,570.00
|
|
Inst via cath agent pleurds
|
$461.40 |
$461.40 |
$484.20 |
$1,074.68
|
|
Insulin total
|
$81.00 |
$81.00 |
$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
|
$33.00 |
$33.00 |
$34.80 |
$47.60
|
|
Intens cardiac rehab no exer
|
$166.80 |
$166.80 |
$186.00 |
$238.40
|
|
Intens cardiac rehab w/exerc
|
$166.80 |
$166.80 |
$186.00 |
$238.40
|
|
Interferon alfa-2b inj
|
$559.83 |
$559.83 |
$559.83 |
$1,409.92
|
|
Interferon beta-1a inj
|
$14,089.80 |
$14,089.80 |
$15,311.69 |
$1,851.20
|
|
Interferon beta-1b / .25 mg
|
$141.38 |
$141.38 |
$141.38 |
$1,662.71
|
|
Internal nerve revision 64727
|
$454.20 |
$454.20 |
$477.00 |
$806.00
|
|
Interstitial brachy inter
|
$1,645.20 |
$1,645.20 |
$1,797.00 |
$1,194.42
|
|
Int hrhc lig 1 hroid without img
|
$544.20 |
$544.20 |
$571.20 |
$3,491.25
|
|
Int hrhc lig 2+hroid without img
|
$553.80 |
$553.80 |
$581.40 |
$3,245.23
|
|
Intra-atrial pacing
|
$3,729.60 |
$3,729.60 |
$4,151.40 |
$4,865.25
|
|
Intra-atrial recording
|
$3,729.60 |
$3,729.60 |
$4,151.40 |
$5,252.30
|
|
Intracard echo interv w/s&i
|
$4,412.40 |
$4,412.40 |
$4,911.00 |
$3,436.00
|
|
Intranasal biopsy 30100
|
$192.00 |
$192.00 |
$201.60 |
$2,282.50
|
|
Intraop epicard/endocard/pace/map/ 93631
|
$3,514.20 |
$3,514.20 |
$3,690.00 |
$3,514.20
|
|
Intraoral i+d tongue/floor lingual 41000
|
$297.60 |
$297.60 |
$312.60 |
$1,331.45
|
|
Intrapul surf admin endo tube
|
$84.60 |
$84.60 |
$94.20 |
$220.80
|
|
Intraventricular pacing
|
$3,292.80 |
$3,292.80 |
$3,664.80 |
$5,456.17
|
|
Intrinsic factor antibody
|
$116.40 |
$116.40 |
$122.40 |
$66.60
|
|
Intro cath dialysis circuit
|
$2,001.60 |
$2,001.60 |
$2,268.00 |
$2,043.30
|
|
Intro cath dialysis circuit w/pta
|
$7,486.80 |
$7,486.80 |
$8,436.60 |
$8,761.00
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$12,918.00 |
$12,918.00 |
$14,920.80 |
$16,275.00
|
|
Intro catheter aorta
|
$1,702.20 |
$1,702.20 |
$1,963.80 |
$1,678.05
|
|
Intro cath svc/ivc
|
$1,965.00 |
$1,965.00 |
$2,270.40 |
$1,329.90
|
|
Intro long gi tube
|
$596.40 |
$596.40 |
$688.80 |
$995.78
|
|
Intro long gi tube w/mult fluo
|
$450.60 |
$450.60 |
$492.60 |
$469.00
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$2,481.60 |
$2,481.60 |
$2,866.80 |
$3,472.95
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$1,002.60 |
$1,002.60 |
$1,158.00 |
$1,801.10
|
|
Intubation endotracheal emergency procedure
|
$378.00 |
$378.00 |
$436.80 |
$601.28
|
|
Iodine i-123 sod iodide mil
|
$285.00 |
$285.00 |
$299.40 |
$386.37
|
|
Ionm in operatng room 15 min
|
$68.40 |
$68.40 |
$76.80 |
$203.73
|
|
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 |
$277.17
|
|
Ioxaglate 39.3%-19.6% inj 200 ml
|
$380.22 |
$380.22 |
$380.22 |
$763.50
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$59,306.92 |
$59,306.92 |
$64,192.30 |
$62,692.46
|
|
Ip/obs cnsltj new/est low 45
|
$148.20 |
$148.20 |
$155.40 |
$168.44
|
|
Ip/obs cnsltj new/est mod 60
|
$226.20 |
$226.20 |
$237.60 |
$260.15
|
|
Ip/obs consltj new/est hi 80
|
$284.40 |
$284.40 |
$298.80 |
$303.16
|
|
Ip/obs consltj new/est sf 35
|
$112.20 |
$112.20 |
$117.60 |
$126.40
|
|
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
|
$4,940.54 |
$4,940.54 |
$5,317.81 |
$5,517.12
|
|
Iron
|
$231.00 |
$231.00 |
$243.00 |
$74.75
|
|
Iron binding capacity
|
$49.20 |
$49.20 |
$52.20 |
$63.84
|
|
Iron dextran 50 mg/ml injection solution
|
$72.32 |
$72.32 |
$78.46 |
$81.70
|
|
Iron stain peripheral blood
|
$334.80 |
$334.80 |
$372.60 |
$30.55
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$120.85 |
$120.85 |
$124.11 |
$187.06
|
|
Irradiation of blood product each unit reference
|
$304.20 |
$304.20 |
$319.80 |
$115.48
|
|
Irrigation implantable venous access device for drug delivery systems
|
$126.00 |
$126.00 |
$141.00 |
$146.11
|
|
Irrigation syringe
|
$20.40 |
$20.40 |
$21.60 |
$3.60
|
|
Irrigation vagina and/or appl medicament tx disease
|
$85.80 |
$85.80 |
$90.00 |
$132.00
|
|
Isatuximab-irfc 20 mg/ml intravenous solution
|
$6,713.14 |
$6,713.14 |
$7,745.39 |
$8,273.35
|
|
Ivc venogram s&i
|
$3,594.60 |
$3,594.60 |
$3,871.20 |
$3,341.00
|
|
IV Fluids (each additional hour)
|
$54.00 |
$54.00 |
$60.00 |
$133.90
|
|
IV Fluids (first hour)
|
$266.40 |
$266.40 |
$297.00 |
$390.00
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$132.60 |
$132.60 |
$147.60 |
$162.00
|
|
IV Medicine Infusion (additional drug)
|
$99.60 |
$99.60 |
$111.00 |
$191.75
|
