|
Inotuzumab ozogamicin 0.9 mg(0.25 mg/ml initial concentration) IV soln
|
$27,675.01 |
$27,675.01 |
$75,909.24 |
$44,026.28
|
|
Ins cath ren art 1st bi
|
$6,313.80 |
$6,313.80 |
$6,313.80 |
$5,753.10
|
|
Ins cath ren art 1st uni
|
$3,793.20 |
$3,793.20 |
$3,793.20 |
$4,660.00
|
|
Ins cath ren art 2nd+ bi
|
$6,313.80 |
$6,313.80 |
$6,313.80 |
$5,500.86
|
|
Ins cath ren art 2nd+ uni
|
$3,793.20 |
$3,793.20 |
$3,793.20 |
$5,395.20
|
|
Insert and remove bone pin
|
$6,114.60 |
$6,114.60 |
$6,114.60 |
$4,410.60
|
|
Insert cath pleura without image
|
$3,312.00 |
$3,312.00 |
$3,312.00 |
$2,073.18
|
|
Insert hepatic shunt (tips)
|
$18,997.68 |
$18,997.68 |
$18,997.68 |
$7,571.20
|
|
Insert intrauterine device iud
|
$1,602.62 |
$1,602.62 |
$6,090.48 |
$347.10
|
|
Insertion catheter bladder non indwelling
|
$251.40 |
$251.40 |
$362.05 |
$205.40
|
|
Insertion catheter bladder temporary simple
|
$251.40 |
$251.40 |
$338.93 |
$232.25
|
|
Insertion intra aortic balloon assist device percutaneous
|
$1,242.60 |
$1,242.60 |
$6,434.26 |
$2,529.45
|
|
Insertion intra-aortic circulation dev 33970
|
$10,628.40 |
$10,628.40 |
$10,628.40 |
$1,752.40
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$8,013.00 |
$8,013.00 |
$8,013.00 |
$7,210.78
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$4,047.60 |
$4,047.60 |
$5,391.76 |
$2,505.60
|
|
Insertion of catheter vein
|
$3,693.80 |
$3,693.80 |
$3,693.80 |
$1,477.00
|
|
Insertion of catheter vein
|
$3,934.01 |
$3,934.01 |
$3,934.01 |
$836.25
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$9,340.80 |
$9,340.80 |
$72,203.90 |
$12,384.25
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$8,028.60 |
$8,028.60 |
$58,346.70 |
$12,384.25
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$10,477.80 |
$10,477.80 |
$58,853.37 |
$10,100.35
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$2,944.80 |
$2,944.80 |
$2,944.80 |
$2,079.50
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$3,837.60 |
$3,837.60 |
$3,837.60 |
$2,419.65
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$22,439.40 |
$22,439.40 |
$89,496.45 |
$29,042.52
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$6,384.00 |
$6,384.00 |
$26,693.55 |
$7,200.05
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$14,173.80 |
$14,173.80 |
$23,874.41 |
$7,312.80
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$14,173.80 |
$14,173.80 |
$42,130.22 |
$9,332.50
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$11,889.86 |
$11,889.86 |
$11,889.86 |
$5,223.20
|
|
Insert pm/icd lead dual
|
$14,173.80 |
$14,173.80 |
$26,916.19 |
$7,115.20
|
|
Insert/repl sq defib w/eltrd
|
$89,252.00 |
$89,252.00 |
$89,252.00 |
$32,800.04
|
|
Insert sq defib electrode
|
$40,596.87 |
$40,596.87 |
$40,596.87 |
$8,167.68
|
|
Insert swan-ganz cath
|
$2,496.00 |
$2,496.00 |
$8,120.11 |
$2,210.50
|
|
Insert uteri tandem/ovoids
|
$9,680.69 |
$9,680.69 |
$9,680.69 |
$3,905.20
|
|
Insert vad art access left hrt arterial access
|
$10,843.20 |
$10,843.20 |
$10,843.20 |
$4,270.75
|
|
Ins icd gen exist mlt leads
|
$43,399.20 |
$43,399.20 |
$89,496.45 |
$31,286.77
|
|
Ins icd gen exist sgl lead
|
$16,569.00 |
$16,569.00 |
$88,121.39 |
$23,230.50
|
|
Insitu hybridization auto
|
$319.28 |
$319.28 |
$567.00 |
$377.37
|
|
Insitu hybridization (fish)
|
$422.39 |
$422.39 |
$432.60 |
$481.60
|
|
Insitu hybridization manual
|
$249.60 |
$249.60 |
$1,799.30 |
$401.28
|
|
In situ hybridization per specimen each additional single probe stain
|
$149.40 |
$149.40 |
$970.70 |
$241.15
|
|
In situ hybridization per specimen initial single probe stain
|
$400.20 |
$400.20 |
$1,283.03 |
$331.69
|
|
Insj biomechanical device 22853
|
$43,114.03 |
$43,114.03 |
$43,114.03 |
$622.40
|
|
Insj perq vad r hrt venous
|
$10,843.20 |
$10,843.20 |
$10,843.20 |
$3,796.00
|
|
Ins lv lead exist pm/icd
|
$10,477.80 |
$10,477.80 |
$63,155.08 |
$12,384.25
|
|
Ins mark abd/pel for right perq
|
$4,994.41 |
$4,994.41 |
$4,994.41 |
$2,414.36
|
|
Insole orthotic freedom sz6 6816
|
$129.90 |
$129.90 |
$129.90 |
$84.00
|
|
Ins picad w subq port 5yr>
|
$3,195.60 |
$3,195.60 |
$3,195.60 |
$3,985.20
|
|
Ins pm gen exist dual lead
|
$16,569.00 |
$16,569.00 |
$88,681.19 |
$23,665.85
|
|
Ins pm gen w/exist mlt leads
|
$28,530.60 |
$28,530.60 |
$52,245.19 |
$14,804.40
|
|
Ins pq tunnld ip cath w/img
|
$6,388.20 |
$6,388.20 |
$13,982.89 |
$5,377.00
|
|
Ins/rplc spi npg/rcvr pocket
|
$107,490.46 |
$107,490.46 |
$107,490.46 |
$24,061.80
|
|
Ins/rpl ldless pm right vent w img & eval
|
$30,753.60 |
$30,753.60 |
$89,252.00 |
$24,135.54
|
|
Ins/rpl pm gen exist dual lead
|
$7,695.00 |
$7,695.00 |
$55,151.83 |
$11,005.50
|
|
Ins/rpl pm gen exist sgl lead
|
$6,246.00 |
$6,246.00 |
$47,264.30 |
$9,428.64
|
|
Ins/rpl pm w/tv ld atrl
|
$8,028.60 |
$8,028.60 |
$58,346.70 |
$11,583.66
|
|
Ins/rpl prph sac/gstr npg/r
|
$75,293.27 |
$75,293.27 |
$75,293.27 |
$21,857.50
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$55,165.20 |
$55,165.20 |
$65,048.75 |
$25,694.00
|
|
Insrt/redo neurostim 1 array
|
$127,680.90 |
$127,680.90 |
$127,680.90 |
$21,817.60
|
|
Instillation anticarcinogenic agent bladder
|
$12,825.06 |
$12,825.06 |
$12,825.06 |
$621.40
|
|
Ins tun cv cath wo subq prt/pm
|
$10,876.08 |
$10,876.08 |
$20,682.64 |
$4,202.70
|
|
Insulin total
|
$98.40 |
$98.40 |
$185.29 |
$66.64
|
|
Ins vag brachytx device
|
$1,424.75 |
$1,424.75 |
$1,424.75 |
$935.50
|
|
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm
|
$14,646.83 |
$14,646.83 |
$14,646.83 |
$8,629.72
|
|
Integra meshed bil wound mat
|
$48,041.90 |
$48,041.90 |
$48,041.90 |
$9,924.16
|
|
Integra os putty 2.5cc - cost per 0.5cc
|
$11,048.84 |
$11,048.84 |
$11,048.84 |
$3,803.11
|
|
Interdental fixation
|
$2,881.80 |
$2,881.80 |
$2,881.80 |
$2,133.48
|
|
Interdiscal perq aspir dx
|
$3,113.62 |
$3,113.62 |
$3,113.62 |
$1,222.26
|
|
Interferon alfa-2b inj
|
$15,948.87 |
$15,948.87 |
$15,948.87 |
$1,409.92
|
|
Interferon beta-1a inj
|
$9,637.96 |
$9,637.96 |
$9,637.96 |
$1,851.20
|
|
Interferon beta-1b / .25 mg
|
$7,546.46 |
$7,546.46 |
$7,546.46 |
$1,662.71
|
|
Interfyl, 1 mg
|
$6,340.80 |
$6,340.80 |
$6,340.80 |
$4,656.80
|
|
Interrogate subq defib
|
$3,572.96 |
$3,572.96 |
$3,572.96 |
$119.60
|
|
Interrogation vad in person
|
$609.38 |
$609.38 |
$609.38 |
$296.40
|
|
Interrog device eval heart
|
$114.00 |
$114.00 |
$197.44 |
$162.40
|
|
Interrog evl pm/ldls pm ip
|
$100.20 |
$100.20 |
$161.67 |
$124.80
|
|
Interstitial brachy inter
|
$2,228.03 |
$2,228.03 |
$2,228.03 |
$1,244.40
|
|
Intra-atrial pacing
|
$9,139.80 |
$9,139.80 |
$27,869.51 |
$4,780.80
|
|
Intra-atrial recording
|
$9,139.80 |
$9,139.80 |
$27,869.51 |
$5,252.30
|
|
Intracard echo interv w/s&i
|
$5,213.40 |
$5,213.40 |
$6,867.98 |
$3,461.04
|
|
Intracranial complete study
|
$1,813.46 |
$1,813.46 |
$1,813.46 |
$874.99
|
|
Intracranial limited study
|
$991.18 |
$991.18 |
$991.18 |
$465.01
|
|
Intraop epicard/endocard/pace/map/ 93631
|
$8,323.95 |
$8,323.95 |
$8,323.95 |
$3,690.00
|
|
Intraoral i+d tongue/floor lingual 41000
|
$865.80 |
$865.80 |
$865.80 |
$1,331.45
|
|
Intrapul surf admin endo tube
|
$332.40 |
$332.40 |
$463.76 |
$220.80
|
|
Intraventricular pacing
|
$8,364.00 |
$8,364.00 |
$21,655.74 |
$5,456.17
|
|
Intrinsic factor antibody
|
$101.40 |
$101.40 |
$189.96 |
$63.15
|
|
Intro cath dialysis circuit
|
$3,473.03 |
$3,473.03 |
$3,473.03 |
$2,036.94
|
|
Intro cath dialysis circuit w/pta
|
$12,518.48 |
$12,518.48 |
$12,518.48 |
$8,690.50
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$14,002.20 |
$14,002.20 |
$14,002.20 |
$16,262.40
|
|
Intro catheter aorta
|
$22,173.64 |
$22,173.64 |
$22,173.64 |
$1,654.05
|
|
Intro cath svc/ivc
|
$1,539.00 |
$1,539.00 |
$3,354.26 |
$1,323.27
|
|
Intro long gi tube
|
$940.20 |
$940.20 |
$940.20 |
$957.18
|
|
Intro long gi tube w/mult fluo
|
$323.40 |
$323.40 |
$696.38 |
$466.00
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$8,398.02 |
$8,398.02 |
$43,346.65 |
$3,409.29
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$7,654.63 |
$7,654.63 |
$38,173.91 |
$1,747.80
|
|
Intubation endotracheal emergency procedure
|
$909.00 |
$909.00 |
$1,004.25 |
$598.80
|
|
Iodine i-123 sod iodide mil
|
$194.40 |
$194.40 |
$194.40 |
$371.18
|
|
Ionm in operatng room 15 min
|
$1,184.29 |
$1,184.29 |
$1,184.29 |
$200.16
|
|
Ionm remote/>1 pt or per hr
|
$1,904.22 |
$1,904.22 |
$1,904.22 |
$622.70
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$445.72 |
$445.72 |
$445.72 |
$170.06
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$162.12 |
$162.12 |
$1,183.32 |
$288.11
|
