|
Inst fibrinolysis agent ini day
|
$449.81 |
$449.81 |
$449.81 |
$1,043.35
|
|
Insti hexaminolevulinate hcl
|
$2,224.80 |
$2,224.80 |
$2,224.80 |
$2,356.80
|
|
Instillation anticarcinogenic agent bladder
|
$1,333.63 |
$1,333.63 |
$1,333.63 |
$645.01
|
|
Instill pharm renal pelvis
|
$3,875.38 |
$3,875.38 |
$3,875.38 |
$3,018.72
|
|
Instll rx agnt into rnal tub
|
$344.93 |
$344.93 |
$344.93 |
$619.20
|
|
Ins tun cvad 2 cath w/subq port(s)
|
$17,164.46 |
$17,164.46 |
$17,164.46 |
$7,826.00
|
|
Ins tun cv cath wo subq prt/pm
|
$1,933.01 |
$1,933.01 |
$1,933.01 |
$5,324.80
|
|
Ins tun cv cath wo subq prt/pm
|
$3,308.69 |
$3,308.69 |
$3,308.69 |
$4,218.00
|
|
Ins tun intraperit dia cath
|
$1,416.91 |
$1,416.91 |
$1,416.91 |
$4,570.00
|
|
Insulin total
|
$29.52 |
$29.52 |
$29.52 |
$66.64
|
|
Ins vag brachytx device
|
$1,053.94 |
$1,053.94 |
$1,053.94 |
$950.00
|
|
Intens cardiac rehab no exer
|
$175.34 |
$175.34 |
$175.34 |
$238.40
|
|
Intens cardiac rehab w/exerc
|
$175.34 |
$175.34 |
$175.34 |
$238.40
|
|
Interdiscal perq aspir dx
|
$2,731.10 |
$2,731.10 |
$2,731.10 |
$1,222.26
|
|
Interferon alfa-2b inj
|
$2,510.06 |
$2,510.06 |
$2,510.06 |
$1,409.92
|
|
Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper)
|
$11,717.04 |
$11,717.04 |
$11,717.04 |
$10,427.90
|
|
Interferon beta-1a inj
|
$920.70 |
$920.70 |
$920.70 |
$1,851.20
|
|
Interferon beta-1b / .25 mg
|
$993.83 |
$993.83 |
$993.83 |
$1,662.71
|
|
Interrogate subq defib
|
$109.44 |
$109.44 |
$109.44 |
$119.60
|
|
Interrogation vad in person
|
$249.07 |
$249.07 |
$249.07 |
$296.40
|
|
Interrog dev eval icpms ip
|
$237.07 |
$237.07 |
$237.07 |
$104.00
|
|
Interrog dev eval scrms ip
|
$237.07 |
$237.07 |
$237.07 |
$124.80
|
|
Interrog device eval heart
|
$237.07 |
$237.07 |
$237.07 |
$162.40
|
|
Interrog evl pm/ldls pm ip
|
$237.07 |
$237.07 |
$237.07 |
$127.20
|
|
Interstitial brachy inter
|
$680.83 |
$680.83 |
$680.83 |
$1,194.42
|
|
Intl custm cong/latyp insert
|
$2,374.56 |
$2,374.56 |
$2,374.56 |
$1,453.20
|
|
Intra-atrial pacing
|
$5,487.60 |
$5,487.60 |
$5,487.60 |
$4,865.25
|
|
Intra-atrial recording
|
$5,483.09 |
$5,483.09 |
$5,483.09 |
$5,252.30
|
|
Intracard echo interv w/s&i
|
$2,437.39 |
$2,437.39 |
$2,437.39 |
$3,436.00
|
|
Intracran angioplsty w/stent
|
$7,771.73 |
$7,771.73 |
$7,771.73 |
$8,257.80
|
|
Intracranial angioplasty
|
$7,337.57 |
$7,337.57 |
$7,337.57 |
$5,181.00
|
|
Intracranial complete study
|
$332.88 |
$332.88 |
$332.88 |
$881.50
|
|
Intracranial limited study
|
$664.22 |
$664.22 |
$664.22 |
$467.50
|
|
Intraop epicard/endocard/pace/map/ 93631
|
$12,804.58 |
$12,804.58 |
$12,804.58 |
$3,514.20
|
|
Intrapul surf admin endo tube
|
$146.30 |
$146.30 |
$146.30 |
$220.80
|
|
Intrauterine transfusion ftl
|
$890.02 |
$890.02 |
$890.02 |
$1,021.15
|
|
Intraventricular pacing
|
$5,483.09 |
$5,483.09 |
$5,483.09 |
$5,456.17
|
|
Intrinsic factor antibody
|
$48.10 |
$48.10 |
$48.10 |
$66.60
|
|
Intro cath dialysis circuit
|
$3,515.42 |
$3,515.42 |
$3,515.42 |
$2,043.30
|
|
Intro cath dialysis circuit w/pta
|
$15,642.34 |
$15,642.34 |
$15,642.34 |
$8,761.00
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$30,866.59 |
$30,866.59 |
$30,866.59 |
$16,275.00
|
|
Intro catheter aorta
|
$2,027.23 |
$2,027.23 |
$2,027.23 |
$1,678.05
|
|
Intro cath svc/ivc
|
$517.20 |
$517.20 |
$517.20 |
$1,329.90
|
|
Intro long gi tube
|
$462.58 |
$462.58 |
$462.58 |
$995.78
|
|
Intro long gi tube w/mult fluo
|
$431.38 |
$431.38 |
$431.38 |
$469.00
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$5,618.16 |
$5,618.16 |
$5,618.16 |
$3,472.95
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$5,357.57 |
$5,357.57 |
$5,357.57 |
$1,801.10
|
|
Intubation endotracheal emergency procedure
|
$1,343.28 |
$1,343.28 |
$1,343.28 |
$601.28
|
|
Iodine i-123 sod iodide mil
|
$371.18 |
$371.18 |
$371.18 |
$386.37
|
|
Iodine i-125 sodium iodide
|
$80.78 |
$80.78 |
$80.78 |
$245.64
|
|
Ionm in operatng room 15 min
|
$101.81 |
$101.81 |
$101.81 |
$203.73
|
|
Ionm remote/>1 pt or per hr
|
$339.26 |
$339.26 |
$339.26 |
$622.70
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$55.04 |
$55.04 |
$55.04 |
$165.67
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$50.83 |
$50.83 |
$50.83 |
$277.17
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$48,542.97 |
$48,542.97 |
$48,542.97 |
$62,692.46
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$160.93 |
$160.93 |
$160.93 |
$173.98
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$4,728.96 |
$4,728.96 |
$4,728.96 |
$5,517.12
|
|
Iron
|
$25.73 |
$25.73 |
$25.73 |
$74.75
|
|
Iron binding capacity
|
$30.67 |
$30.67 |
$30.67 |
$63.84
|
|
Iron dextran 50 mg/ml injection solution
|
$36.84 |
$36.84 |
$36.84 |
$81.70
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$79.66 |
$79.66 |
$79.66 |
$187.06
|
|
Irradiation of blood product each unit reference
|
$67.10 |
$67.10 |
$67.10 |
$115.48
|
|
Irrigation implantable venous access device for drug delivery systems
|
$118.13 |
$118.13 |
$118.13 |
$146.11
|
|
Ivc venogram s&i
|
$1,293.94 |
$1,293.94 |
$1,293.94 |
$3,341.00
|
|
IV Fluids (each additional hour)
|
$109.01 |
$109.01 |
$109.01 |
$133.90
|
|
IV Fluids (first hour)
|
$272.50 |
$272.50 |
$272.50 |
$390.00
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$186.96 |
$186.96 |
$186.96 |
$162.00
|
|
IV Medicine Infusion (additional drug)
|
$207.55 |
$207.55 |
$207.55 |
$191.75
|
|
IV Medicine Infusion (each additional hour)
|
$186.96 |
$186.96 |
$186.96 |
$154.00
|
|
IV Medicine Infusion (first hour)
|
$463.20 |
$463.20 |
$463.20 |
$441.75
|
|
IV Push Injection (each additional drug)
|
$136.90 |
$136.90 |
$136.90 |
$166.80
|
|
IV Push Injection (first drug)
|
$176.98 |
$176.98 |
$176.98 |
$254.52
|
|
Ivp w/nephrotomography
|
$277.34 |
$277.34 |
$277.34 |
$729.00
|
|
Ivp w/wo kub w/wo tomography
|
$207.98 |
$207.98 |
$207.98 |
$713.40
|
|
Ixabepilone 15 mg intravenous solution
|
$5,010.97 |
$5,010.97 |
$5,010.97 |
$10,695.32
|
|
Jak2 targeted sequence analysis
|
$918.91 |
$918.91 |
$918.91 |
$405.00
|
|
Jaw Joint (TMJ) X-ray (both sides, open and closed)
|
$138.43 |
$138.43 |
$138.43 |
$330.05
|
|
Jaw (Mandible) X-ray (complete)
|
$138.43 |
$138.43 |
$138.43 |
$362.05
|
|
John cunningham antibody
|
$516.10 |
$516.10 |
$516.10 |
$78.60
|
|
J-tube placement
|
$4,002.77 |
$4,002.77 |
$4,002.77 |
$593.08
|
|
Kafo dbl solid stirrup band/
|
$1,985.47 |
$1,985.47 |
$1,985.47 |
$2,185.15
|
|
Kafo dbl solid stirrup without j
|
$1,951.54 |
$1,951.54 |
$1,951.54 |
$2,276.79
|
|
Kafo fem fx cast molded to p
|
$2,888.69 |
$2,888.69 |
$2,888.69 |
$3,130.66
|
|
Kafo fem fx cast semi-rigid
|
$2,076.24 |
$2,076.24 |
$2,076.24 |
$2,130.02
|
|
Kafo fem fx cast thermoplas
|
$2,300.50 |
$2,300.50 |
$2,300.50 |
$2,710.45
|
|
Kafo femoral fx cast rigid
|
$2,272.13 |
$2,272.13 |
$2,272.13 |
$2,148.69
|
|
Kafo femoral fx cast soft
|
$1,753.39 |
$1,753.39 |
$1,753.39 |
$879.20
|
|
Kafo pla sin up w/wo k/a cus
|
$3,660.05 |
$3,660.05 |
$3,660.05 |
$3,660.05
|
|
Kafo plas sing free knee mol
|
$2,987.76 |
$2,987.76 |
$2,987.76 |
$2,987.76
|
|
Kafo plastic pediatric size
|
$321.07 |
$321.07 |
$321.07 |
$321.07
|
|
Kafo sing fre stirr thi/calf
|
$2,015.47 |
$2,015.47 |
$2,015.47 |
$2,351.38
|
|
Kafo sng/dbl mechanical act
|
$6,960.86 |
$6,960.86 |
$6,960.86 |
$8,121.01
|
|
Kafo sng solid stirrup without j
|
$1,572.10 |
$1,572.10 |
$1,572.10 |
$1,834.11
|
|
Kafo without joint multi-axis an
|
$2,408.59 |
$2,408.59 |
$2,408.59 |
$1,724.80
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$42.58 |
$42.58 |
$42.58 |
$58.56
|
|
Ketorolac (Toradol) Pain Shot, 15 mg
|
$27.59 |
$27.59 |
$27.59 |
$23.50
|
|
Kidney endoscopy
|
$1,539.26 |
$1,539.26 |
$1,539.26 |
$5,110.00
|
|
Kidney endoscopy & treatment
|
$2,101.34 |
$2,101.34 |
$2,101.34 |
$5,728.00
|
|
Kidney imaging morphology
|
$746.88 |
$746.88 |
$746.88 |
$785.00
|
|
Kidney imag w/bld flow multi
|
$744.00 |
$744.00 |
$744.00 |
$1,566.50
|
