|
Insertion intra aortic balloon assist device percutaneous
|
$1,667.10 |
$1,667.10 |
$1,667.10 |
$2,447.63
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$14,190.05 |
$14,190.05 |
$14,190.05 |
$7,210.78
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$6,890.25 |
$6,890.25 |
$6,890.25 |
$2,585.25
|
|
Insertion of catheter vein
|
$2,231.20 |
$2,231.20 |
$2,231.20 |
$1,525.80
|
|
Insertion of catheter vein
|
$1,513.00 |
$1,513.00 |
$1,513.00 |
$870.59
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$41,076.90 |
$41,076.90 |
$41,076.90 |
$12,384.25
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$37,630.20 |
$37,630.20 |
$37,630.20 |
$12,324.60
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$3,537.50 |
$3,537.50 |
$3,537.50 |
$2,103.75
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$5,215.60 |
$5,215.60 |
$5,215.60 |
$2,453.83
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$10,793.50 |
$10,793.50 |
$10,793.50 |
$7,183.68
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$15,928.10 |
$15,928.10 |
$15,928.10 |
$7,267.20
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$25,571.85 |
$25,571.85 |
$25,571.85 |
$9,332.50
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$15,376.55 |
$15,376.55 |
$15,376.55 |
$5,236.80
|
|
Insert pessary/other device
|
$336.00 |
$336.00 |
$336.00 |
$278.90
|
|
Insert pm/icd lead dual
|
$15,928.10 |
$15,928.10 |
$15,928.10 |
$7,115.90
|
|
Insert swan-ganz cath
|
$2,100.05 |
$2,100.05 |
$2,100.05 |
$2,164.52
|
|
Insert tunneled cv cath
|
$15,376.55 |
$15,376.55 |
$15,376.55 |
$6,028.07
|
|
In situ hybridization per specimen each additional single probe stain
|
$212.00 |
$212.00 |
$212.00 |
$243.50
|
|
In situ hybridization per specimen initial single probe stain
|
$424.00 |
$424.00 |
$424.00 |
$338.40
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$1,609.25 |
$1,609.25 |
$1,609.25 |
$1,690.00
|
|
Ins pq tunnld ip cath w/img
|
$6,400.20 |
$6,400.20 |
$6,400.20 |
$5,486.00
|
|
Ins/rpl pm gen exist dual lead
|
$36,341.60 |
$36,341.60 |
$36,341.60 |
$11,005.50
|
|
Ins/rpl pm gen exist sgl lead
|
$34,525.55 |
$34,525.55 |
$34,525.55 |
$9,428.64
|
|
Ins/rpl pm w/tv ld atrl
|
$37,630.20 |
$37,630.20 |
$37,630.20 |
$11,583.66
|
|
Instillation anticarcinogenic agent bladder
|
$807.50 |
$807.50 |
$807.50 |
$638.40
|
|
Ins tun cv cath wo subq prt/pm
|
$6,890.25 |
$6,890.25 |
$6,890.25 |
$4,218.00
|
|
Insulin total
|
$28.65 |
$28.65 |
$28.65 |
$66.64
|
|
Interdiscal perq aspir dx
|
$1,380.60 |
$1,380.60 |
$1,380.60 |
$1,222.26
|
|
Interrog device eval heart
|
$141.75 |
$141.75 |
$141.75 |
$162.40
|
|
Interrog evl pm/ldls pm ip
|
$85.00 |
$85.00 |
$85.00 |
$127.20
|
|
Intranasal biopsy 30100
|
$2,199.10 |
$2,199.10 |
$2,199.10 |
$2,265.00
|
|
Intraoral i+d tongue/floor lingual 41000
|
$982.55 |
$982.55 |
$982.55 |
$1,331.45
|
|
Intrinsic factor antibody
|
$63.15 |
$63.15 |
$63.15 |
$65.00
|
|
Intro catheter aorta
|
$3,399.05 |
$3,399.05 |
$3,399.05 |
$1,678.05
|
|
Intro cath svc/ivc
|
$769.80 |
$769.80 |
$769.80 |
$1,323.27
|
|
Intro long gi tube
|
$689.90 |
$689.90 |
$689.90 |
$974.17
|
|
Intro long gi tube w/mult fluo
|
$443.10 |
$443.10 |
$443.10 |
$469.00
|
|
Intubation endotracheal emergency procedure
|
$1,334.85 |
$1,334.85 |
$1,334.85 |
$601.28
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$217.70 |
$217.70 |
$217.70 |
$165.67
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$83.28 |
$83.28 |
$83.28 |
$279.10
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$84,787.72 |
$84,787.72 |
$84,787.72 |
$62,692.46
|
|
Ip/obs cnsltj new/est low 45
|
$473.75 |
$473.75 |
$473.75 |
$174.20
|
|
Ip/obs cnsltj new/est mod 60
|
$662.70 |
$662.70 |
$662.70 |
$284.45
|
|
Ip/obs consltj new/est hi 80
|
$817.85 |
$817.85 |
$817.85 |
$332.80
|
|
Ip/obs consltj new/est sf 35
|
$487.25 |
$487.25 |
$487.25 |
$134.46
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$165.46 |
$165.46 |
$165.46 |
$173.98
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$7,113.26 |
$7,113.26 |
$7,113.26 |
$5,517.12
|
|
Iron
|
$49.95 |
$49.95 |
$49.95 |
$75.00
|
|
Iron binding capacity
|
$53.65 |
$53.65 |
$53.65 |
$63.91
|
|
Iron dextran 50 mg/ml injection solution
|
$363.89 |
$363.89 |
$363.89 |
$80.67
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$1,231.39 |
$1,231.39 |
$1,231.39 |
$187.06
|
|
Irrigation implantable venous access device for drug delivery systems
|
$303.75 |
$303.75 |
$303.75 |
$146.11
|
|
Isatuximab-irfc 20 mg/ml intravenous solution
|
$10,063.92 |
$10,063.92 |
$10,063.92 |
$8,273.35
|
|
Ivc venogram s&i
|
$6,074.90 |
$6,074.90 |
$6,074.90 |
$3,332.55
|
|
IV Fluids (each additional hour)
|
$122.75 |
$122.75 |
$122.75 |
$133.90
|
|
IV Fluids (first hour)
|
$624.55 |
$624.55 |
$624.55 |
$390.00
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$202.45 |
$202.45 |
$202.45 |
$162.68
|
|
IV Medicine Infusion (additional drug)
|
$134.25 |
$134.25 |
$134.25 |
$191.75
|
|
IV Medicine Infusion (each additional hour)
|
$103.90 |
$103.90 |
$103.90 |
$154.00
|
|
IV Medicine Infusion (first hour)
|
$461.60 |
$461.60 |
$461.60 |
$439.56
|
|
IV njx tst vasc flo flap/grf
|
$634.45 |
$634.45 |
$634.45 |
$476.00
|
|
IV Push Injection (each additional drug)
|
$129.65 |
$129.65 |
$129.65 |
$167.50
|
|
IV Push Injection (first drug)
|
$271.65 |
$271.65 |
$271.65 |
$252.76
|
|
Ivp w/nephrotomography
|
$2,395.65 |
$2,395.65 |
$2,395.65 |
$748.15
|
|
Ivp w/wo kub w/wo tomography
|
$2,395.65 |
$2,395.65 |
$2,395.65 |
$713.40
|
|
Jaw Joint (TMJ) X-ray (both sides, open and closed)
|
$867.90 |
$867.90 |
$867.90 |
$330.05
|
|
Jaw (Mandible) X-ray (complete)
|
$674.85 |
$674.85 |
$674.85 |
$362.05
|
|
John cunningham antibody
|
$43.90 |
$43.90 |
$43.90 |
$78.00
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$33.30 |
$33.30 |
$33.30 |
$58.56
|
|
Ketorolac (Toradol) Pain Shot, 15 mg
|
$95.14 |
$95.14 |
$95.14 |
$23.52
|
|
Kidney imag w/bld flow multi
|
$2,881.55 |
$2,881.55 |
$2,881.55 |
$1,566.50
|
|
Kidney img w/bldflw sgl without rx
|
$2,371.35 |
$2,371.35 |
$2,371.35 |
$1,433.22
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$978.55 |
$978.55 |
$978.55 |
$673.36
|
|
Kidney (Retroperitoneal) Ultrasound (limited)
|
$915.30 |
$915.30 |
$915.30 |
$490.75
|
|
Kit cast tcc 3in w/2reg boots total contact cast
|
$185.30 |
$185.30 |
$185.30 |
$174.00
|
|
Kit gene analys d816 variant
|
$1,457.80 |
$1,457.80 |
$1,457.80 |
$374.61
|
|
Kit lead specify 5-6-5
|
$3,555.00 |
$3,555.00 |
$3,555.00 |
$16,672.10
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$315.00 |
$315.00 |
$315.00 |
$1,635.87
|
|
Knee MRI (with and without contrast)
|
$2,861.30 |
$2,861.30 |
$2,861.30 |
$3,022.20
|
|
Knee MRI (with contrast)
|
$2,376.80 |
$2,376.80 |
$2,376.80 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$1,409.10 |
$1,409.10 |
$1,409.10 |
$2,130.88
|
|
Knee X-ray
|
$604.60 |
$604.60 |
$604.60 |
$432.18
|
|
Knee X-ray (1 to 2 views, both knees)
|
$462.90 |
$462.90 |
$462.90 |
$290.40
|
|
Knee X-ray (3 views, both knees)
|
$507.45 |
$507.45 |
$507.45 |
$363.60
|
|
Knee X-ray (standing, both knees)
|
$462.90 |
$462.90 |
$462.90 |
$251.20
|
|
Kyleena, 19.5 mg
|
$2,900.29 |
$2,900.29 |
$2,900.29 |
$2,125.00
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$52.21 |
$52.21 |
$52.21 |
$33.60
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$967.00 |
$967.00 |
$967.00 |
$175.92
|
|
Lactate dehydrogenase (ldh)
|
$108.30 |
$108.30 |
$108.30 |
$55.50
|
|
Lactation class
|
$33.75 |
$33.75 |
$33.75 |
$104.96
|
|
Lactic acid
|
$444.90 |
$444.90 |
$444.90 |
$107.10
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$22,832.14 |
$22,832.14 |
$22,832.14 |
$19,124.00
|
|
Large Joint Injection or Fluid Draw (both sides)
|
$1,189.15 |
$1,189.15 |
$1,189.15 |
$740.40
|
|
Largsc w/rmvl foreign bdy(s)
|
$1,596.70 |
$1,596.70 |
$1,596.70 |
$765.97
|
|
Laryngoscopy direct w/wo tracheoscopy dx exc newborn
|
$4,109.80 |
$4,109.80 |
$4,109.80 |
$2,514.60
|
|
Laryngoscopy w/fb removal
|
$2,828.95 |
$2,828.95 |
$2,828.95 |
$2,854.09
|
|
Laryngoscopy w/w/o tracheoscopy aspiration
|
$801.70 |
$801.70 |
$801.70 |
$981.40
|
|
Lead capillary
|
$48.90 |
$48.90 |
$48.90 |
$57.50
|
|
Lead ingevity 45cm pfret MRI
|
$350.00 |
$350.00 |
$350.00 |
$2,928.00
|
|
Leg Artery Ultrasound (complete, both legs)
|
$1,453.60 |
$1,453.60 |
$1,453.60 |
$990.00
|