|
Inst fibrinolysis agent ini day
|
$1,312.82 |
$1,312.82 |
$2,096.25 |
$1,043.35
|
|
Inst fibrinolysis agent sbsq d
|
$193.00 |
$193.00 |
$1,312.82 |
$997.05
|
|
Instillation anticarcinogenic agent bladder
|
$469.87 |
$469.87 |
$1,803.85 |
$645.01
|
|
Instll rx agnt into rnal tub
|
$619.20 |
$619.20 |
$619.20 |
$619.20
|
|
Ins trurl ablt trnsdc thr Ultrasound
|
$968.00 |
$968.00 |
$968.00 |
$397.60
|
|
Ins tun cvad 2 cath w/subq port(s)
|
$22,545.60 |
$22,545.60 |
$22,545.60 |
$7,826.00
|
|
Ins tun cv cath wo subq prt/pm
|
$5,324.80 |
$5,324.80 |
$5,324.80 |
$5,324.80
|
|
Ins tun cv cath wo subq prt/pm
|
$4,297.42 |
$4,297.42 |
$8,619.00 |
$4,218.00
|
|
Ins tun intraperit dia cath
|
$2,507.53 |
$2,507.53 |
$2,507.53 |
$4,570.00
|
|
Inst via cath agent pleurds
|
$406.88 |
$406.88 |
$632.00 |
$1,074.68
|
|
Insulin suppression panel
|
$386.40 |
$386.40 |
$386.40 |
$375.70
|
|
Insulin tolerance panel
|
$570.40 |
$570.40 |
$570.40 |
$313.53
|
|
Insulin tolerance panel
|
$258.40 |
$258.40 |
$258.40 |
$258.40
|
|
Insulin total
|
$55.00 |
$55.00 |
$105.30 |
$66.64
|
|
Ins vag brachytx device
|
$537.60 |
$537.60 |
$537.60 |
$950.00
|
|
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm
|
$2,333.79 |
$2,333.79 |
$2,333.79 |
$8,629.72
|
|
Integra os putty 2.5cc - cost per 0.5cc
|
$146.76 |
$146.76 |
$146.76 |
$3,803.11
|
|
Intens behave ther cardio dx
|
$60.80 |
$60.80 |
$60.80 |
$47.60
|
|
Intens cardiac rehab no exer
|
$238.40 |
$238.40 |
$238.40 |
$238.40
|
|
Intens cardiac rehab w/exerc
|
$238.40 |
$238.40 |
$238.40 |
$238.40
|
|
Intercalary algrft compl
|
$1,780.00 |
$1,780.00 |
$1,780.00 |
$1,864.80
|
|
Interdental fixation
|
$2,806.59 |
$2,806.59 |
$2,806.59 |
$2,133.48
|
|
Interdental wirg oth/thn fx
|
$1,693.60 |
$1,693.60 |
$1,693.60 |
$1,944.80
|
|
Interdiscal perq aspir dx
|
$662.40 |
$662.40 |
$662.40 |
$1,222.26
|
|
Interferon alfa-2b inj
|
$36.80 |
$36.80 |
$36.80 |
$1,409.92
|
|
Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper)
|
$10,427.90 |
$10,427.90 |
$10,427.90 |
$10,427.90
|
|
Interferon beta-1a inj
|
$1,851.20 |
$1,851.20 |
$1,851.20 |
$1,851.20
|
|
Intermediate visual field xm
|
$112.80 |
$112.80 |
$112.80 |
$112.80
|
|
Internal nerve revision 64727
|
$448.80 |
$448.80 |
$448.80 |
$806.00
|
|
Interrogate subq defib
|
$148.00 |
$148.00 |
$148.00 |
$119.60
|
|
Interrogation vad in person
|
$126.40 |
$126.40 |
$126.40 |
$296.40
|
|
Interrog dev eval icpms ip
|
$108.80 |
$108.80 |
$160.00 |
$104.00
|
|
Interrog dev eval scrms ip
|
$104.00 |
$104.00 |
$149.00 |
$124.80
|
|
Interrog device eval heart
|
$162.40 |
$162.40 |
$230.80 |
$162.40
|
|
Interrog evl pm/ldls pm ip
|
$115.20 |
$115.20 |
$169.00 |
$127.20
|
|
Interrog&prgrmg ipnss
|
$200.00 |
$200.00 |
$200.00 |
$200.00
|
|
Interrog&prgrmg ipnss polysm
|
$364.00 |
$364.00 |
$364.00 |
$422.32
|
|
Interrog without prgrmg ipnss
|
$118.40 |
$118.40 |
$118.40 |
$147.00
|
|
Intestinal stricturoplasty
|
$2,645.60 |
$2,645.60 |
$2,645.60 |
$2,351.50
|
|
Int hrhc lig 1 hroid without img
|
$824.80 |
$824.80 |
$824.80 |
$3,491.25
|
|
Int hrhc lig 2+hroid without img
|
$932.00 |
$932.00 |
$932.00 |
$3,245.23
|
|
Intra-atrial pacing
|
$1,916.64 |
$1,916.64 |
$1,916.64 |
$4,865.25
|
|
Intra-atrial recording
|
$548.00 |
$548.00 |
$1,643.11 |
$5,252.30
|
|
Intracard echo interv w/s&i
|
$1,159.00 |
$1,159.00 |
$5,810.34 |
$3,436.00
|
|
Intracranial complete study
|
$588.00 |
$588.00 |
$588.00 |
$881.50
|
|
Intracranial limited study
|
$353.60 |
$353.60 |
$353.60 |
$467.50
|
|
Intranasal biopsy 30100
|
$346.40 |
$346.40 |
$1,755.00 |
$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
|
|
Intrapul surf admin endo tube
|
$387.78 |
$387.78 |
$387.78 |
$220.80
|
|
Intrauterine transfusion ftl
|
$872.00 |
$872.00 |
$872.00 |
$1,021.15
|
|
Intraventricular pacing
|
$1,916.64 |
$1,916.64 |
$1,916.64 |
$5,456.17
|
|
Intrinsic factor antibody
|
$48.57 |
$48.57 |
$195.00 |
$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 |
$9,438.61 |
$2,043.30
|
|
Intro cath dialysis circuit w/pta
|
$10,528.64 |
$10,528.64 |
$10,836.94 |
$8,761.00
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$21,280.28 |
$21,280.28 |
$21,280.28 |
$16,275.00
|
|
Intro catheter aorta
|
$1,548.30 |
$1,548.30 |
$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
|
$519.35 |
$519.35 |
$744.36 |
$995.78
|
|
Intro long gi tube w/mult fluo
|
$356.95 |
$356.95 |
$424.45 |
$469.00
|
|
Intro windpipe wire/tube
|
$2,885.60 |
$2,885.60 |
$2,885.60 |
$2,447.43
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$3,294.85 |
$3,294.85 |
$5,606.65 |
$3,472.95
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$2,265.25 |
$2,265.25 |
$2,367.32 |
$1,801.10
|
|
Intubation endotracheal emergency procedure
|
$416.49 |
$416.49 |
$13,933.15 |
$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
|
$240.18 |
$240.18 |
$307.45 |
$203.73
|
|
Ionm remote/>1 pt or per hr
|
$240.18 |
$240.18 |
$240.18 |
$622.70
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$17.35 |
$17.35 |
$96,623.60 |
$165.67
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$13.83 |
$13.83 |
$5,702.50 |
$277.17
|
|
Io radiation tx management
|
$593.60 |
$593.60 |
$593.60 |
$593.60
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$272.20 |
$272.20 |
$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
|
$1.14 |
$1.14 |
$1.14 |
$4.06
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$37.14 |
$37.14 |
$522.90 |
$173.98
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$9,268.95 |
$9,268.95 |
$9,268.95 |
$5,517.12
|
|
Iron
|
$33.57 |
$33.57 |
$1,024.00 |
$74.75
|
|
Iron binding capacity
|
$33.57 |
$33.57 |
$1,035.00 |
$63.84
|
|
Iron dextran 50 mg/ml injection solution
|
$33.72 |
$33.72 |
$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)
|
$1.38 |
$1.38 |
$158.45 |
$187.06
|
|
Irradiation of blood product each unit reference
|
$32.50 |
$32.50 |
$164.99 |
$115.48
|
|
Irrigation implantable venous access device for drug delivery systems
|
$113.04 |
$113.04 |
$149.00 |
$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
|
$2,766.73 |
$2,766.73 |
$3,900.00 |
$3,341.00
|
|
IV Fluids (each additional hour)
|
$87.80 |
$87.80 |
$4,105.30 |
$133.90
|
|
IV Fluids (first hour)
|
$396.11 |
$396.11 |
$2,204.00 |
$390.00
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$130.19 |
$130.19 |
$5,538.35 |
$162.00
|
