|
Int hrhc lig 2+hroid without img
|
$553.80 |
$932.00 |
$1,396.00 |
|
|
Intra-atrial pacing
|
$636.80 |
$1,916.64 |
$5,041.63 |
|
|
Intra-atrial recording
|
$453.60 |
$1,643.11 |
$5,041.63 |
|
|
Intracard echo interv w/s&i
|
$838.40 |
$2,537.60 |
$6,462.59 |
|
|
Intracran angioplsty w/stent
|
$11,422.32 |
$11,422.32 |
$11,422.32 |
|
|
Intracranial angioplasty
|
$12,964.14 |
$12,964.14 |
$12,964.14 |
|
|
Intracranial complete study
|
$336.00 |
$588.00 |
$1,177.44 |
|
|
Intracranial limited study
|
$309.12 |
$353.60 |
$1,012.99 |
|
|
Intranasal biopsy 30100
|
$192.00 |
$346.40 |
$1,755.00 |
|
|
Intranasal reconstruction
|
$1,571.20 |
$1,571.20 |
$1,571.20 |
|
|
Intraop colon lavage add-on
|
$416.80 |
$416.80 |
$416.80 |
|
|
Intraop epicard/endocard/pace/map/ 93631
|
$3,514.20 |
$4,144.80 |
$4,144.80 |
|
|
Intraoral i+d tongue/floor lingual 41000
|
$297.60 |
$392.80 |
$965.47 |
|
|
Intraoral periapical first
|
$19,833.06 |
$19,833.06 |
$43,266.90 |
|
|
Intrapul surf admin endo tube
|
$84.60 |
$200.67 |
$492.00 |
|
|
Intrauterine transfusion ftl
|
$496.02 |
$872.00 |
$872.00 |
|
|
Intraventricular pacing
|
$632.00 |
$1,916.64 |
$5,041.63 |
|
|
Intrinsic factor antibody
|
$45.12 |
$48.57 |
$199.55 |
|
|
Intrm oph exam est patient
|
$183.20 |
$183.20 |
$183.20 |
|
|
Intro cath dialysis circuit
|
$269.40 |
$1,689.60 |
$14,265.68 |
|
|
Intro cath dialysis circuit w/pta
|
$402.60 |
$9,665.04 |
$28,014.72 |
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$550.80 |
$19,810.62 |
$23,092.77 |
|
|
Intro catheter aorta
|
$765.24 |
$2,867.20 |
$80,438.55 |
|
|
Intro cath svc/ivc
|
$687.12 |
$2,568.00 |
$2,800.85 |
|
|
Intro long gi tube
|
$50.40 |
$688.80 |
$1,871.35 |
|
|
Intro long gi tube w/mult fluo
|
$276.00 |
$424.45 |
$845.60 |
|
|
Intro windpipe wire/tube
|
$2,885.60 |
$2,885.60 |
$2,885.60 |
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$155.40 |
$2,836.80 |
$80,481.39 |
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$170.10 |
$1,002.60 |
$91,192.46 |
|
|
Intubation endotracheal emergency procedure
|
$273.12 |
$454.02 |
$40,968.65 |
|
|
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
|
$285.00 |
$1,796.00 |
$1,796.00 |
|
|
Io ga n-stim subsq w/reprog
|
$121.60 |
$121.60 |
$121.60 |
|
|
Ionm in operatng room 15 min
|
$68.40 |
$73.60 |
$307.45 |
|
|
Ionm remote/>1 pt or per hr
|
$232.00 |
$232.00 |
$708.54 |
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$10.59 |
$192.00 |
$96,623.60 |
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$5.33 |
$227.50 |
$5,702.50 |
|
|
Io radiation tx management
|
$593.60 |
$593.60 |
$593.60 |
|
|
Io rad tx deliver by elctrns
|
$4,403.24 |
$4,403.24 |
$4,403.24 |
|
|
Io rad tx delivery by x-ray
|
$5,638.10 |
$5,638.10 |
$5,638.10 |
|
|
Ioxaglate 39.3%-19.6% inj 200 ml
|
$380.22 |
$380.22 |
$380.22 |
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$188.80 |
$74,568.32 |
$110,829.85 |
|
|
Ip/obs cnsltj new/est low 45
|
$120.00 |
$208.80 |
$208.80 |
|
|
Ip/obs cnsltj new/est mod 60
|
$174.24 |
$303.20 |
$303.20 |
|
|
Ip/obs consltj new/est hi 80
|
$209.76 |
$365.60 |
$365.60 |
|
|
Ip/obs consltj new/est sf 35
|
$77.76 |
$136.00 |
$136.00 |
|
|
Ipratropium bromide comp
|
$2.40 |
$2.40 |
$2.40 |
|
|
Ipratropium bromide non-comp
|
$0.80 |
$1.20 |
$37.19 |
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$6.40 |
$138.25 |
$1,060.36 |
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$106.60 |
$9,268.95 |
$9,268.95 |
|
|
Iron
|
$29.90 |
$53.30 |
$1,027.00 |
|
|
Iron binding capacity
|
$33.57 |
$49.80 |
$1,810.55 |
|
|
Iron dextran 50 mg/ml injection solution
|
$19.20 |
$80.67 |
$185.90 |
|
|
Iron stain peripheral blood
|
$17.60 |
$17.60 |
$372.60 |
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$1.32 |
$120.85 |
$33,187.02 |
|
|
Irradiation of blood product each unit reference
|
$24.60 |
$164.99 |
$319.80 |
|
|
Irrigation implantable venous access device for drug delivery systems
|
$71.40 |
$141.00 |
$251.00 |
|
|
Irrigation sphenoid sinus
|
$936.00 |
$936.00 |
$936.00 |
|
|
Irrigation syringe
|
$20.40 |
$21.60 |
$21.60 |
|
|
Irrigation vagina and/or appl medicament tx disease
|
$85.80 |
$132.00 |
$132.00 |
|
|
Isatuximab-irfc 20 mg/ml intravenous solution
|
$124.92 |
$2,779.35 |
$7,745.39 |
|
|
Island pedicle flap graft
|
$2,468.80 |
$2,468.80 |
$2,468.80 |
|
|
Ivc venogram s&i
|
$141.00 |
$2,766.73 |
$7,274.00 |
|
|
IV Fluids (each additional hour)
|
$26.40 |
$115.72 |
$33,215.50 |
|
|
IV Fluids (first hour)
|
$191.52 |
$444.49 |
$33,215.50 |
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$76.88 |
$132.60 |
$19,464.35 |
|
|
IV inj ra drug dx study
|
$80.80 |
$80.80 |
$950.24 |
|
|
IV Medicine Infusion (additional drug)
|
$84.00 |
$146.31 |
$60,145.45 |
|
|
IV Medicine Infusion (each additional hour)
|
$26.88 |
$115.72 |
$25,454.49 |
|
|
IV Medicine Infusion (first hour)
|
$120.48 |
$522.12 |
$25,454.49 |
|
|
IV njx tst vasc flo flap/grf
|
$268.00 |
$268.00 |
$151,359.68 |
|
|
IV Push Injection (each additional drug)
|
$61.20 |
$120.54 |
$29,708.30 |
|
|
IV Push Injection (first drug)
|
$67.68 |
$444.49 |
$11,062.20 |
|
|
Ivp w/nephrotomography
|
$291.20 |
$440.40 |
$1,151.08 |
|
|
Ivp w/wo kub w/wo tomography
|
$245.60 |
$547.33 |
$1,030.06 |
|
|
Ixabepilone 15 mg intravenous solution
|
$334.52 |
$18,131.05 |
$18,131.05 |
|
|
Jak2 targeted sequence analysis
|
$370.40 |
$370.40 |
$512.85 |
|
|
Jaw arthroscopy/surgery
|
$2,595.20 |
$2,595.20 |
$2,595.20 |
|
|
Jaw arthroscopy/surgery
|
$3,110.40 |
$3,110.40 |
$3,110.40 |
|
|
Jaw Joint (TMJ) X-ray (both sides, open and closed)
|
$157.44 |
$288.73 |
$552.96 |
|
|
Jaw (Mandible) X-ray (complete)
|
$213.00 |
$327.04 |
$583.00 |
|
|
Jejunstmy tube plcmt
|
$318.24 |
$604.80 |
$604.80 |
|
|
Jkt lso inter
|
$41.27 |
$41.27 |
$63.49 |
|
|
John cunningham antibody
|
$39.65 |
$48.57 |
$74.10 |
|
|
J-tube placement
|
$348.80 |
$348.80 |
$2,217.56 |
|
|
Keratoprosthesis
|
$6,963.20 |
$6,963.20 |
$6,963.20 |
|
|
Ketamine and metabolite screen - quest
|
$70.80 |
$72.14 |
$79.20 |
|
|
Ketogenic steroids fract
|
$39.20 |
$39.20 |
$242.40 |
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$30.55 |
$43.80 |
$162.00 |
|
|
Ketorolac (Toradol) Pain Shot, 15 mg
|
$9.20 |
$47.76 |
$37,868.60 |
|
|
Kidney endoscopy
|
$1,808.00 |
$1,808.00 |
$1,808.00 |
|
|
Kidney endoscopy
|
$1,932.80 |
$1,932.80 |
$5,098.80 |
|
|
Kidney endoscopy
|
$2,486.40 |
$2,486.40 |
$2,486.40 |
|
|
Kidney endoscopy
|
$3,617.60 |
$3,617.60 |
$3,617.60 |
|
|
Kidney endoscopy & biopsy
|
$2,072.00 |
$2,072.00 |
$2,072.00 |
|
|
Kidney endoscopy & biopsy
|
$2,860.80 |
$2,860.80 |
$2,860.80 |
|
|
Kidney endoscopy & treatment
|
$2,105.60 |
$2,105.60 |
$2,105.60 |
|
|
Kidney endoscopy & treatment
|
$2,384.00 |
$2,384.00 |
$3,312.96 |
|
|
Kidney endoscopy & treatment
|
$2,852.80 |
$2,852.80 |
$2,852.80 |
|
