|
Interrog device eval heart
|
$51.32 |
$150.00 |
$264.00 |
|
|
Interrog evl pm/ldls pm ip
|
$51.32 |
$130.00 |
$380.24 |
|
|
Interrog&prgrmg ipnss
|
$130.73 |
$130.73 |
$130.73 |
|
|
Interrog&prgrmg ipnss polysm
|
$422.32 |
$422.32 |
$422.32 |
|
|
Interrog without prgrmg ipnss
|
$130.73 |
$130.73 |
$130.73 |
|
|
Interscap-thor myoelectronic
|
$30,131.21 |
$30,131.21 |
$30,131.21 |
|
|
Interscapular-thor switch CT
|
$27,336.45 |
$27,336.45 |
$27,336.45 |
|
|
Interstitial brachy inter
|
$106.40 |
$140.29 |
$176.96 |
|
|
Interthoracoscplr amputation
|
$17,653.66 |
$17,653.66 |
$17,653.66 |
|
|
Intestinal stricturoplasty
|
$1,491.21 |
$1,491.21 |
$1,491.21 |
|
|
Int hrhc lig 1 hroid without img
|
$3,816.64 |
$3,816.64 |
$3,816.64 |
|
|
Int hrhc lig 2+hroid without img
|
$3,816.64 |
$3,816.64 |
$3,816.64 |
|
|
Intl custm cong/latyp insert
|
$2,235.24 |
$2,235.24 |
$2,235.24 |
|
|
Intra-atrial pacing
|
$3,482.08 |
$14,965.00 |
$16,628.00 |
|
|
Intra-atrial recording
|
$3,482.08 |
$14,965.00 |
$16,628.00 |
|
|
Intracard echo interv w/s&i
|
$95.55 |
$3,176.32 |
$8,250.00 |
|
|
Intracran angioplsty w/stent
|
$2,086.45 |
$2,451.00 |
$12,994.00 |
|
|
Intracranial angioplasty
|
$1,932.04 |
$2,602.00 |
$15,209.00 |
|
|
Intracranial complete study
|
$328.08 |
$419.00 |
$2,730.00 |
|
|
Intracranial limited study
|
$143.75 |
$371.00 |
$1,609.00 |
|
|
Intracranial vessel surgery
|
$3,436.88 |
$3,436.88 |
$3,436.88 |
|
|
Intracranial vessel surgery
|
$6,119.31 |
$6,119.31 |
$6,119.31 |
|
|
Intracranial vessel surgery
|
$4,271.91 |
$4,271.91 |
$4,271.91 |
|
|
Intracranial vessel surgery
|
$6,687.25 |
$6,687.25 |
$6,687.25 |
|
|
Intracranial vessel surgery
|
$3,306.05 |
$3,306.05 |
$3,306.05 |
|
|
Intracranial vessel surgery
|
$5,449.21 |
$5,449.21 |
$5,449.21 |
|
|
Intranasal biopsy 30100
|
$2,133.48 |
$3,455.00 |
$3,839.00 |
|
|
Intranasal reconstruction
|
$8,139.99 |
$8,139.99 |
$8,139.99 |
|
|
Intraop colon lavage add-on
|
$234.61 |
$234.61 |
$234.61 |
|
|
Intraop epicard/endocard/pace/map/ 93631
|
$595.32 |
$595.32 |
$3,921.68 |
|
|
Intraop hipec px 1st 60 min
|
$500.07 |
$500.07 |
$500.07 |
|
|
Intraoral i+d tongue/floor lingual 41000
|
$741.60 |
$748.00 |
$748.00 |
|
|
Intraoral periapical first
|
$119.66 |
$119.66 |
$119.66 |
|
|
Intrapul surf admin endo tube
|
$27.26 |
$301.10 |
$475.00 |
|
|
Intrauterine transfusion ftl
|
$606.63 |
$606.63 |
$606.63 |
|
|
Intraventricular pacing
|
$3,969.84 |
$16,144.00 |
$22,304.00 |
|
|
Intrinsic factor antibody
|
$8.72 |
$20.81 |
$194.40 |
|
|
Intrm oph exam est patient
|
$183.07 |
$183.07 |
$183.07 |
|
|
Intro cath dialysis circuit
|
$272.16 |
$1,741.00 |
$2,440.00 |
|
|
Intro cath dialysis circuit w/pta
|
$7,826.12 |
$14,342.00 |
$17,199.00 |
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$15,873.70 |
$34,023.36 |
$40,103.84 |
|
|
Intro catheter aorta
|
$188.65 |
$2,122.00 |
$6,862.00 |
|
|
Intro cath svc/ivc
|
$143.82 |
$2,301.00 |
$7,591.00 |
|
|
Intro long gi tube
|
$1,247.13 |
$3,250.00 |
$5,327.00 |
|
|
Intro long gi tube w/mult fluo
|
$35.22 |
$393.00 |
$664.00 |
|
|
Intro windpipe wire/tube
|
$2,447.43 |
$2,447.43 |
$2,447.43 |
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$120.56 |
$16,160.00 |
$19,054.00 |
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$94.74 |
$2,513.00 |
$21,454.00 |
|
|
Intubation endotracheal emergency procedure
|
$292.88 |
$369.00 |
$1,185.60 |
|
|
Io anal gast n-stim init
|
$49.84 |
$62.72 |
$62.72 |
|
|
Io anal gast n-stim subsq
|
$63.84 |
$81.12 |
$81.12 |
|
|
Iodine i-123 sod iodide mil
|
$246.96 |
$1,615.65 |
$2,390.49 |
|
|
Iodine i-125 sodium iodide
|
$533.40 |
$533.40 |
$533.40 |
|
|
Io ga n-stim subsq w/reprog
|
$51.32 |
$51.32 |
$98.56 |
|
|
Ionm in operatng room 15 min
|
$37.55 |
$238.00 |
$238.00 |
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$0.55 |
$0.55 |
$25.86 |
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$0.21 |
$2.24 |
$110.45 |
|
|
Io radiation tx management
|
$378.62 |
$378.62 |
$378.62 |
|
|
Io rad tx deliver by elctrns
|
$10,127.56 |
$10,127.56 |
$10,127.56 |
|
|
Io rad tx delivery by x-ray
|
$10,127.56 |
$10,127.56 |
$10,127.56 |
|
|
Ioxaglate 39.3%-19.6% inj 200 ml
|
$0.54 |
$0.54 |
$0.54 |
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$257.94 |
$257.94 |
$4,495.67 |
|
|
Ip/obs cnsltj new/est low 45
|
$293.00 |
$293.00 |
$293.00 |
|
|
Ip/obs cnsltj new/est mod 60
|
$293.00 |
$293.00 |
$293.00 |
|
|
Ip/obs consltj new/est hi 80
|
$293.00 |
$293.00 |
$293.00 |
|
|
Ip/obs consltj new/est sf 35
|
$201.00 |
$201.00 |
$201.00 |
|
|
Ipratropium bromide non-comp
|
$0.55 |
$0.55 |
$0.55 |
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$2.48 |
$2.48 |
$90.81 |
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$91.02 |
$91.02 |
$91.02 |
|
|
Iron
|
$8.93 |
$26.00 |
$102.40 |
|
|
Iron binding capacity
|
$12.06 |
$24.08 |
$135.20 |
|
|
Iron dextran 50 mg/ml injection solution
|
$12.94 |
$24.95 |
$26.62 |
|
|
Iron stain peripheral blood
|
$9.49 |
$9.49 |
$22.09 |
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$0.33 |
$0.33 |
$1.23 |
|
|
Irradiation of blood product each unit reference
|
$27.30 |
$52.17 |
$129.00 |
|
|
Irrigation implantable venous access device for drug delivery systems
|
$35.72 |
$241.00 |
$457.00 |
|
|
Irrigation sphenoid sinus
|
$2,133.48 |
$2,133.48 |
$2,133.48 |
|
|
Irrigation syringe
|
$6.00 |
$6.00 |
$6.00 |
|
|
Irrigation tray
|
$9.67 |
$9.67 |
$9.67 |
|
|
Irrigation vagina and/or appl medicament tx disease
|
$81.12 |
$81.12 |
$81.12 |
|
|
Isatuximab-irfc 20 mg/ml intravenous solution
|
$116.33 |
$116.33 |
$116.33 |
|
|
Island pedicle flap graft
|
$2,837.09 |
$2,837.09 |
$2,837.09 |
|
|
IV cipaglucosidase alfa-atga
|
$875.50 |
$875.50 |
$875.50 |
|
|
Ivc venogram s&i
|
$348.27 |
$4,657.00 |
$9,334.00 |
|
|
IV Fluids (each additional hour)
|
$64.39 |
$230.00 |
$259.00 |
|
|
IV Fluids (first hour)
|
$158.48 |
$522.40 |
$685.00 |
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$28.18 |
$227.00 |
$258.40 |
|
|
IV inj ra drug dx study
|
$431.76 |
$549.70 |
$549.70 |
|
|
IV Medicine Infusion (additional drug)
|
$68.32 |
$248.00 |
$449.00 |
|
|
IV Medicine Infusion (each additional hour)
|
$64.39 |
$244.00 |
$278.00 |
|
|
IV Medicine Infusion (first hour)
|
$171.36 |
$608.00 |
$685.00 |
|
|
IV njx tst vasc flo flap/grf
|
$614.27 |
$614.27 |
$614.27 |
|
|
IV Push Injection (each additional drug)
|
$64.39 |
$254.00 |
$432.00 |
|
|
IV Push Injection (first drug)
|
$89.60 |
$300.80 |
$619.00 |
|
|
Ivp w/nephrotomography
|
$241.18 |
$241.18 |
$440.16 |
|
|
Ivp w/wo kub w/wo tomography
|
$169.20 |
$423.00 |
$1,300.80 |
|
|
Ixabepilone 15 mg intravenous solution
|
$193.17 |
$193.17 |
$193.17 |
|
|
Jak2 targeted sequence analysis
|
$172.96 |
$757.00 |
$1,574.00 |
|
|
Jaw arthroscopy/surgery
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
|
|
Jaw arthroscopy/surgery
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
|
