|
Intracranial limited study
|
$353.60 |
$353.60 |
$353.60 |
$467.50
|
|
Intranasal biopsy 30100
|
$346.40 |
$346.40 |
$346.40 |
$2,282.50
|
|
Intranasal reconstruction
|
$1,571.20 |
$1,571.20 |
$1,571.20 |
$5,741.00
|
|
Intraop colon lavage add-on
|
$416.80 |
$416.80 |
$416.80 |
$416.80
|
|
Intraop epicard/endocard/pace/map/ 93631
|
$4,144.80 |
$4,144.80 |
$4,144.80 |
$3,514.20
|
|
Intraoral i+d tongue/floor lingual 41000
|
$392.80 |
$392.80 |
$392.80 |
$1,331.45
|
|
Intraoral periapical first
|
$19,833.06 |
$19,833.06 |
$19,833.06 |
$54.88
|
|
Intrapul surf admin endo tube
|
$147.55 |
$147.55 |
$416.83 |
$220.80
|
|
Intrauterine transfusion ftl
|
$872.00 |
$872.00 |
$872.00 |
$1,021.15
|
|
Intraventricular pacing
|
$632.00 |
$632.00 |
$632.00 |
$5,456.17
|
|
Intrinsic factor antibody
|
$48.57 |
$48.57 |
$199.55 |
$66.60
|
|
Intrm oph exam est patient
|
$183.20 |
$183.20 |
$183.20 |
$152.50
|
|
Intro cath dialysis circuit
|
$1,689.60 |
$1,689.60 |
$4,911.37 |
$2,043.30
|
|
Intro cath dialysis circuit w/pta
|
$11,512.96 |
$11,512.96 |
$14,720.12 |
$8,761.00
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$21,671.12 |
$21,671.12 |
$21,671.12 |
$16,275.00
|
|
Intro catheter aorta
|
$2,867.20 |
$2,867.20 |
$2,867.20 |
$1,678.05
|
|
Intro cath svc/ivc
|
$2,568.00 |
$2,568.00 |
$2,568.00 |
$1,329.90
|
|
Intro long gi tube
|
$50.40 |
$50.40 |
$50.40 |
$995.78
|
|
Intro long gi tube w/mult fluo
|
$276.00 |
$276.00 |
$276.00 |
$469.00
|
|
Intro windpipe wire/tube
|
$2,885.60 |
$2,885.60 |
$2,885.60 |
$2,447.43
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$2,836.80 |
$2,836.80 |
$2,988.70 |
$3,472.95
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$863.87 |
$863.87 |
$863.87 |
$1,801.10
|
|
Intubation endotracheal emergency procedure
|
$421.92 |
$421.92 |
$450.00 |
$601.28
|
|
Io anal gast n-stim init
|
$98.40 |
$98.40 |
$98.40 |
$341.60
|
|
Io anal gast n-stim subsq
|
$76.80 |
$76.80 |
$76.80 |
$146.38
|
|
Iodine i-123 sod iodide mil
|
$1,796.00 |
$1,796.00 |
$1,796.00 |
$386.37
|
|
Io ga n-stim subsq w/reprog
|
$121.60 |
$121.60 |
$121.60 |
$187.43
|
|
Ionm in operatng room 15 min
|
$73.60 |
$73.60 |
$73.60 |
$203.73
|
|
Ionm remote/>1 pt or per hr
|
$232.00 |
$232.00 |
$232.00 |
$622.70
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$10.59 |
$10.59 |
$192.00 |
$165.67
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$13.83 |
$13.83 |
$227.50 |
$277.17
|
|
Io radiation tx management
|
$593.60 |
$593.60 |
$593.60 |
$593.60
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$188.80 |
$188.80 |
$110,829.85 |
$62,692.46
|
|
Ip/obs cnsltj new/est low 45
|
$208.80 |
$208.80 |
$208.80 |
$168.44
|
|
Ip/obs cnsltj new/est mod 60
|
$303.20 |
$303.20 |
$303.20 |
$260.15
|
|
Ip/obs consltj new/est hi 80
|
$365.60 |
$365.60 |
$365.60 |
$303.16
|
|
Ip/obs consltj new/est sf 35
|
$136.00 |
$136.00 |
$136.00 |
$126.40
|
|
Ipratropium bromide comp
|
$2.40 |
$2.40 |
$2.40 |
$2.40
|
|
Ipratropium bromide non-comp
|
$0.96 |
$0.96 |
$0.96 |
$4.06
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$19.50 |
$19.50 |
$522.90 |
$173.98
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$106.60 |
$106.60 |
$9,268.95 |
$5,517.12
|
|
Iron
|
$29.90 |
$29.90 |
$33.57 |
$74.75
|
|
Iron binding capacity
|
$33.57 |
$33.57 |
$48.75 |
$63.84
|
|
Iron dextran 50 mg/ml injection solution
|
$35.40 |
$35.40 |
$185.90 |
$81.70
|
|
Iron stain peripheral blood
|
$17.60 |
$17.60 |
$17.60 |
$30.55
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$1.72 |
$1.72 |
$174.00 |
$187.06
|
|
Irradiation of blood product each unit reference
|
$137.15 |
$137.15 |
$164.99 |
$115.48
|
|
Irrigation implantable venous access device for drug delivery systems
|
$106.18 |
$106.18 |
$106.18 |
$146.11
|
|
Irrigation sphenoid sinus
|
$936.00 |
$936.00 |
$936.00 |
$3,062.80
|
|
Irrigation vagina and/or appl medicament tx disease
|
$132.00 |
$132.00 |
$132.00 |
$132.00
|
|
Isatuximab-irfc 20 mg/ml intravenous solution
|
$2,779.35 |
$2,779.35 |
$2,779.35 |
$8,273.35
|
|
Island pedicle flap graft
|
$2,468.80 |
$2,468.80 |
$2,468.80 |
$2,468.80
|
|
Ivc venogram s&i
|
$3,342.69 |
$3,342.69 |
$3,342.69 |
$3,341.00
|
|
IV Fluids (each additional hour)
|
$82.47 |
$82.47 |
$4,095.00 |
$133.90
|
|
IV Fluids (first hour)
|
$372.07 |
$372.07 |
$1,896.96 |
$390.00
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$122.28 |
$122.28 |
$19,464.35 |
$162.00
|
|
IV inj ra drug dx study
|
$80.80 |
$80.80 |
$80.80 |
$567.00
|
|
IV Medicine Infusion (additional drug)
|
$122.28 |
$122.28 |
$134.55 |
$191.75
|
|
IV Medicine Infusion (each additional hour)
|
$82.47 |
$82.47 |
$12,598.62 |
$154.00
|
|
IV Medicine Infusion (first hour)
|
$372.07 |
$372.07 |
$9,972.30 |
$441.75
|
|
IV njx tst vasc flo flap/grf
|
$268.00 |
$268.00 |
$268.00 |
$476.00
|
|
IV Push Injection (each additional drug)
|
$82.47 |
$82.47 |
$9,652.76 |
$166.80
|
|
IV Push Injection (first drug)
|
$372.07 |
$372.07 |
$3,114.28 |
$254.52
|
|
Ivp w/nephrotomography
|
$291.20 |
$291.20 |
$291.20 |
$729.00
|
|
Ivp w/wo kub w/wo tomography
|
$245.60 |
$245.60 |
$245.60 |
$713.40
|
|
Ixabepilone 15 mg intravenous solution
|
$18,131.05 |
$18,131.05 |
$18,131.05 |
$10,695.32
|
|
Jak2 targeted sequence analysis
|
$370.40 |
$370.40 |
$370.40 |
$405.00
|
|
Jaw arthroscopy/surgery
|
$2,595.20 |
$2,595.20 |
$2,595.20 |
$4,350.00
|
|
Jaw arthroscopy/surgery
|
$3,110.40 |
$3,110.40 |
$3,110.40 |
$4,499.12
|
|
Jaw Joint (TMJ) X-ray (both sides, open and closed)
|
$288.73 |
$288.73 |
$288.73 |
$330.05
|
|
Jaw (Mandible) X-ray (complete)
|
$376.47 |
$376.47 |
$376.47 |
$362.05
|
|
Jejunstmy tube plcmt
|
$604.80 |
$604.80 |
$604.80 |
$2,174.40
|
|
Jkt lso inter
|
$41.27 |
$41.27 |
$41.27 |
$41.27
|
|
John cunningham antibody
|
$48.57 |
$48.57 |
$48.57 |
$78.60
|
|
J-tube placement
|
$348.80 |
$348.80 |
$348.80 |
$593.08
|
|
Keratoprosthesis
|
$6,963.20 |
$6,963.20 |
$6,963.20 |
$10,476.00
|
|
Ketamine and metabolite screen - quest
|
$72.14 |
$72.14 |
$72.14 |
$72.14
|
|
Ketogenic steroids fract
|
$39.20 |
$39.20 |
$39.20 |
$82.74
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$33.57 |
$33.57 |
$78.00 |
$58.56
|
|
Ketorolac (Toradol) Pain Shot, 15 mg
|
$76.02 |
$76.02 |
$33,843.22 |
$23.50
|
|
Kidney endoscopy
|
$1,808.00 |
$1,808.00 |
$1,808.00 |
$5,110.00
|
|
Kidney endoscopy
|
$1,932.80 |
$1,932.80 |
$1,932.80 |
$5,728.00
|
|
Kidney endoscopy
|
$2,486.40 |
$2,486.40 |
$2,486.40 |
$4,081.37
|
|
Kidney endoscopy
|
$3,617.60 |
$3,617.60 |
$3,617.60 |
$5,741.00
|
|
Kidney endoscopy & biopsy
|
$2,072.00 |
$2,072.00 |
$2,072.00 |
$6,311.00
|
|
Kidney endoscopy & biopsy
|
$2,860.80 |
$2,860.80 |
$2,860.80 |
$3,326.40
|
|
Kidney endoscopy & treatment
|
$2,105.60 |
$2,105.60 |
$2,105.60 |
$9,744.00
|
|
Kidney endoscopy & treatment
|
$2,384.00 |
$2,384.00 |
$2,384.00 |
$5,728.00
|
|
Kidney endoscopy & treatment
|
$2,852.80 |
$2,852.80 |
$2,852.80 |
$7,431.20
|
|
Kidney endoscopy & treatment
|
$3,075.20 |
$3,075.20 |
$3,075.20 |
$5,626.86
|
|
Kidney function study
|
$241.60 |
$241.60 |
$241.60 |
$935.22
|
|
Kidney imaging morphology
|
$376.00 |
$376.00 |
$376.00 |
$785.00
|
|
Kidney imag w/bld flow multi
|
$1,198.36 |
$1,198.36 |
$1,285.70 |
$1,566.50
|
|
Kidney img w/bldflw sgl without rx
|
$885.95 |
$885.95 |
$995.59 |
$1,427.40
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$853.45 |
$853.45 |
$937.52 |
$673.36
|
|
Kidney (Retroperitoneal) Ultrasound (limited)
|
$481.04 |
$481.04 |
$543.40 |
$492.25
|
|
Kit case 4.2mm spinejack
|
$5,937.40 |
$5,937.40 |
$5,937.40 |
$7,177.60
|
|
Kit cast tcc 3in w/2reg boots total contact cast
|
$103.20 |
$103.20 |
$257.21 |
$174.00
|
|
Kit cath f 8f w/glv + wipe ster
|
$1.31 |
$1.31 |
$20.00 |
$9.49
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$6,430.77 |
$6,430.77 |
$11,618.40 |
$9,423.50
|
