|
Ins lv lead exist pm/icd
|
$16,240.45 |
$16,240.45 |
$22,084.56 |
|
|
Ins mark abd/pel for right perq
|
$429.50 |
$429.50 |
$3,195.20 |
|
|
Ins mark thor for right perq
|
$850.94 |
$850.94 |
$850.94 |
|
|
Insole orthotic freedom sz6 6816
|
$19.08 |
$136.66 |
$159.43 |
|
|
Ins picad w subq port 5yr>
|
$2,184.45 |
$2,184.45 |
$4,676.00 |
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$2,400.86 |
$3,144.62 |
$3,144.62 |
|
|
Ins pm gen exist dual lead
|
$9,864.72 |
$9,864.72 |
$28,476.00 |
|
|
Ins pm gen w/exist mlt leads
|
$10,851.12 |
$10,851.12 |
$10,851.12 |
|
|
Ins pq tunnld ip cath w/img
|
$1,852.98 |
$3,505.30 |
$7,283.20 |
|
|
Ins/rplc spi npg/rcvr pocket
|
$17,568.80 |
$52,475.52 |
$52,475.52 |
|
|
Ins/rpl ldless pm right vent w img & eval
|
$8,636.50 |
$8,636.50 |
$8,636.50 |
|
|
Ins/rpl pm gen exist dual lead
|
$12,134.40 |
$12,314.57 |
$16,745.71 |
|
|
Ins/rpl pm gen exist sgl lead
|
$6,548.00 |
$7,979.66 |
$10,851.12 |
|
|
Ins/rpl pm w/tv ld atrl
|
$7,607.49 |
$7,607.49 |
$20,408.80 |
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$9,642.77 |
$9,642.77 |
$9,642.77 |
|
|
Insrt/redo neurostim 1 array
|
$6,001.54 |
$6,001.54 |
$6,001.54 |
|
|
Inst fibrinolysis agent ini day
|
$449.81 |
$449.81 |
$1,586.40 |
|
|
Inst fibrinolysis agent sbsq d
|
$890.40 |
$890.40 |
$890.40 |
|
|
Insti hexaminolevulinate hcl
|
$2,224.80 |
$2,224.80 |
$2,224.80 |
|
|
Instillation anticarcinogenic agent bladder
|
$326.59 |
$460.80 |
$1,333.63 |
|
|
Instill, bupivac and meloxic
|
$946.51 |
$946.51 |
$946.51 |
|
|
Instill pharm renal pelvis
|
$3,875.38 |
$3,875.38 |
$3,875.38 |
|
|
Instll rx agnt into rnal tub
|
$307.50 |
$415.18 |
$415.18 |
|
|
Ins tun cvad 2 cath w/subq port(s)
|
$17,164.46 |
$17,164.46 |
$17,164.46 |
|
|
Ins tun cv cath wo subq prt/pm
|
$920.02 |
$920.02 |
$1,933.01 |
|
|
Ins tun cv cath wo subq prt/pm
|
$1,580.60 |
$3,308.69 |
$6,042.40 |
|
|
Ins tun intraperit dia cath
|
$1,123.14 |
$1,123.14 |
$4,864.80 |
|
|
Inst via cath agent pleurds
|
$2,180.80 |
$2,180.80 |
$2,180.80 |
|
|
Insulin total
|
$26.94 |
$29.52 |
$132.80 |
|
|
Ins vag brachytx device
|
$1,053.94 |
$1,053.94 |
$1,053.94 |
|
|
Intens cardiac rehab no exer
|
$175.34 |
$175.34 |
$175.34 |
|
|
Intens cardiac rehab w/exerc
|
$175.34 |
$175.34 |
$175.34 |
|
|
Interdental fixation
|
$2,273.60 |
$2,273.60 |
$2,273.60 |
|
|
Interdiscal perq aspir dx
|
$1,496.00 |
$2,731.10 |
$2,731.10 |
|
|
Interferon alfa-2b inj
|
$1,990.80 |
$2,098.04 |
$2,510.06 |
|
|
Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper)
|
$2,323.57 |
$2,323.57 |
$11,717.04 |
|
|
Interferon beta-1a inj
|
$920.70 |
$920.70 |
$920.70 |
|
|
Interferon beta-1b / .25 mg
|
$993.83 |
$993.83 |
$993.83 |
|
|
Interrogate subq defib
|
$102.59 |
$102.59 |
$109.44 |
|
|
Interrogation vad in person
|
$249.07 |
$249.07 |
$249.07 |
|
|
Interrog dev eval icpms ip
|
$108.30 |
$108.30 |
$237.07 |
|
|
Interrog dev eval scrms ip
|
$108.30 |
$108.30 |
$237.07 |
|
|
Interrog device eval heart
|
$108.30 |
$108.30 |
$237.07 |
|
|
Interrog evl pm/ldls pm ip
|
$108.30 |
$108.30 |
$237.07 |
|
|
Interstitial brachy inter
|
$680.83 |
$1,194.42 |
$1,194.42 |
|
|
Int hrhc lig 1 hroid without img
|
$2,828.00 |
$2,828.00 |
$2,828.00 |
|
|
Int hrhc lig 2+hroid without img
|
$3,003.20 |
$3,003.20 |
$3,003.20 |
|
|
Intl custm cong/latyp insert
|
$2,085.61 |
$2,770.32 |
$2,770.32 |
|
|
Intra-atrial pacing
|
$5,487.60 |
$7,143.92 |
$7,796.80 |
|
|
Intra-atrial recording
|
$5,483.09 |
$7,143.92 |
$7,143.92 |
|
|
Intracard echo interv w/s&i
|
$2,437.39 |
$2,996.00 |
$5,344.00 |
|
|
Intracran angioplsty w/stent
|
$7,771.73 |
$7,771.73 |
$7,771.73 |
|
|
Intracranial angioplasty
|
$7,337.57 |
$7,337.57 |
$7,337.57 |
|
|
Intracranial complete study
|
$332.88 |
$719.82 |
$1,917.60 |
|
|
Intracranial limited study
|
$479.81 |
$479.81 |
$664.22 |
|
|
Intraop epicard/endocard/pace/map/ 93631
|
$12,804.58 |
$12,804.58 |
$12,804.58 |
|
|
Intraoral i+d tongue/floor lingual 41000
|
$1,461.60 |
$1,461.60 |
$1,461.60 |
|
|
Intrapul surf admin endo tube
|
$146.30 |
$146.30 |
$265.60 |
|
|
Intrauterine transfusion ftl
|
$890.02 |
$890.02 |
$1,729.60 |
|
|
Intraventricular pacing
|
$5,483.09 |
$7,143.92 |
$7,143.92 |
|
|
Intrinsic factor antibody
|
$48.10 |
$56.11 |
$60.59 |
|
|
Intrm oph exam est patient
|
$23.02 |
$23.02 |
$23.02 |
|
|
Intro cath dialysis circuit
|
$2,568.00 |
$3,515.42 |
$3,515.42 |
|
|
Intro cath dialysis circuit w/pta
|
$13,980.00 |
$15,642.34 |
$15,642.34 |
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$22,407.20 |
$30,866.59 |
$30,866.59 |
|
|
Intro catheter aorta
|
$2,027.23 |
$2,027.23 |
$2,808.00 |
|
|
Intro cath svc/ivc
|
$251.27 |
$251.27 |
$695.20 |
|
|
Intro long gi tube
|
$462.58 |
$664.00 |
$1,213.60 |
|
|
Intro long gi tube w/mult fluo
|
$246.29 |
$431.38 |
$700.00 |
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$3,832.14 |
$3,832.14 |
$5,618.16 |
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$3,372.99 |
$3,372.99 |
$5,357.57 |
|
|
Intubation endotracheal emergency procedure
|
$466.40 |
$832.00 |
$1,343.28 |
|
|
Iodine i-123 sod iodide mil
|
$371.18 |
$433.05 |
$433.05 |
|
|
Iodine i-125 sodium iodide
|
$80.78 |
$94.25 |
$94.25 |
|
|
Ionm in operatng room 15 min
|
$101.81 |
$125.10 |
$125.10 |
|
|
Ionm remote/>1 pt or per hr
|
$339.26 |
$416.98 |
$416.98 |
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$0.78 |
$8.00 |
$200.00 |
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$17.40 |
$57.70 |
$400.00 |
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$14,014.08 |
$48,542.97 |
$56,633.47 |
|
|
Ipratropium bromide non-comp
|
$2.40 |
$3.97 |
$11.45 |
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$119.65 |
$239.43 |
$441.16 |
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$965.44 |
$4,728.96 |
$5,517.12 |
|
|
Iron
|
$23.52 |
$25.73 |
$92.80 |
|
|
Iron binding capacity
|
$28.06 |
$30.67 |
$105.60 |
|
|
Iron dextran 50 mg/ml injection solution
|
$36.84 |
$42.97 |
$88.15 |
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$30.72 |
$72.44 |
$161.15 |
|
|
Irradiation of blood product each unit reference
|
$67.10 |
$82.21 |
$164.00 |
|
|
Irrigation implantable venous access device for drug delivery systems
|
$29.62 |
$120.80 |
$237.60 |
|
|
Isatuximab-irfc 20 mg/ml intravenous solution
|
$5,053.68 |
$7,633.04 |
$7,633.04 |
|
|
Ivc venogram s&i
|
$1,293.94 |
$1,293.94 |
$2,675.20 |
|
|
IV Fluids (each additional hour)
|
$66.08 |
$132.80 |
$190.40 |
|
|
IV Fluids (first hour)
|
$165.09 |
$342.40 |
$632.80 |
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$107.20 |
$180.80 |
$240.80 |
|
|
IV inj ra drug dx study
|
$345.02 |
$345.02 |
$801.60 |
|
|
IV Medicine Infusion (additional drug)
|
$123.65 |
$208.00 |
$384.00 |
|
|
IV Medicine Infusion (each additional hour)
|
$112.28 |
$190.40 |
$248.00 |
|
|
IV Medicine Infusion (first hour)
|
$280.67 |
$463.20 |
$705.60 |
|
|
IV Push Injection (each additional drug)
|
$92.12 |
$136.90 |
$240.80 |
|
|
IV Push Injection (first drug)
|
$127.34 |
$180.77 |
$484.80 |
|
|
Ivp w/nephrotomography
|
$228.54 |
$277.34 |
$1,202.40 |
|