|
Inj naloxone hydrochloride
|
$69.21 |
$69.21 |
$69.21 |
$83.16
|
|
Inj nephrosto/ureterogram w/img exstng access
|
$301.25 |
$301.25 |
$301.25 |
$1,414.40
|
|
Inj pantoprazole(hikma) 40mg
|
$22.81 |
$22.81 |
$22.81 |
$34.61
|
|
Inj pemetrexed (accord) 10mg
|
$724.71 |
$724.71 |
$724.71 |
$33.79
|
|
Inj pemetrexed (sandoz) 10mg
|
$34.42 |
$34.42 |
$34.42 |
$95.26
|
|
Inj pemetrexed (teva) 10mg
|
$1,101.39 |
$1,101.39 |
$1,101.39 |
$200.85
|
|
Inj proc elbow arthro
|
$114.50 |
$114.50 |
$114.50 |
$432.00
|
|
Inj proc for lymphang
|
$236.50 |
$236.50 |
$236.50 |
$805.80
|
|
Inj proc lumbr disk ea lvl
|
$157.75 |
$157.75 |
$157.75 |
$1,139.40
|
|
Inj proc myelogram lumbar
|
$336.75 |
$336.75 |
$336.75 |
$856.00
|
|
Inj progesterone per 50 mg
|
$55.07 |
$55.07 |
$55.07 |
$14.93
|
|
Inj retro urethrocysto
|
$70.75 |
$70.75 |
$70.75 |
$450.00
|
|
Inj romidepsin non-lyo 0.1mg
|
$5,521.54 |
$5,521.54 |
$5,521.54 |
$9,892.69
|
|
Inj scleros sol mult veins
|
$109.75 |
$109.75 |
$109.75 |
$602.50
|
|
Inj scleros sol sgl vein
|
$101.25 |
$101.25 |
$101.25 |
$534.40
|
|
Inj(s) sclerosant spider veins limb/trunk
|
$90.00 |
$90.00 |
$90.00 |
$436.80
|
|
Inj testostero enanthate 1mg
|
$205.16 |
$205.16 |
$205.16 |
$157.81
|
|
Inj testosterone cypionate
|
$271.38 |
$271.38 |
$271.38 |
$62.80
|
|
Inj. tigecycline (accord)
|
$217.22 |
$217.22 |
$217.22 |
$182.46
|
|
Inj, vancomycin hcl (mylan)
|
$73.48 |
$73.48 |
$73.48 |
$76.59
|
|
Inj, vancomycin hcl (xellia)
|
$25.50 |
$25.50 |
$25.50 |
$85.20
|
|
Inj vasopressin (am reg) 1 u
|
$43.35 |
$43.35 |
$43.35 |
$40.24
|
|
Inj w/fluor eval cv device
|
$167.75 |
$167.75 |
$167.75 |
$463.40
|
|
Ins cath ren art 1st bi
|
$2,507.00 |
$2,507.00 |
$2,507.00 |
$5,741.00
|
|
Ins cath ren art 1st uni
|
$2,418.00 |
$2,418.00 |
$2,418.00 |
$4,692.00
|
|
Ins cath ren art 2nd+ bi
|
$2,699.00 |
$2,699.00 |
$2,699.00 |
$5,408.65
|
|
Ins cath ren art 2nd+ uni
|
$2,699.00 |
$2,699.00 |
$2,699.00 |
$5,419.00
|
|
Ins cerv dilator (sep proc)
|
$213.25 |
$213.25 |
$213.25 |
$488.35
|
|
Insert cath pleura with image
|
$764.00 |
$764.00 |
$764.00 |
$2,194.40
|
|
Insert cath pleura without image
|
$658.25 |
$658.25 |
$658.25 |
$2,019.00
|
|
Insert hepatic shunt (tips)
|
$7,005.00 |
$7,005.00 |
$7,005.00 |
$8,367.70
|
|
Insertion catheter bladder non indwelling
|
$48.25 |
$48.25 |
$48.25 |
$205.20
|
|
Insertion catheter bladder temporary simple
|
$48.25 |
$48.25 |
$48.25 |
$229.32
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$1,547.25 |
$1,547.25 |
$1,547.25 |
$4,731.80
|
|
Insertion intra aortic balloon assist device percutaneous
|
$3,611.50 |
$3,611.50 |
$3,611.50 |
$2,529.45
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$2,560.75 |
$2,560.75 |
$2,560.75 |
$7,034.50
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$893.50 |
$893.50 |
$893.50 |
$2,511.00
|
|
Insertion of catheter vein
|
$167.50 |
$167.50 |
$167.50 |
$836.25
|
|
Insertion of heart electrode 33211
|
$4,929.50 |
$4,929.50 |
$4,929.50 |
$7,392.84
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$12,265.00 |
$12,265.00 |
$12,265.00 |
$12,508.08
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$12,265.00 |
$12,265.00 |
$12,265.00 |
$12,384.25
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$12,917.50 |
$12,917.50 |
$12,917.50 |
$10,100.35
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$430.75 |
$430.75 |
$430.75 |
$2,079.43
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$738.50 |
$738.50 |
$738.50 |
$2,414.10
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$20,743.50 |
$20,743.50 |
$20,743.50 |
$29,146.96
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$4,929.50 |
$4,929.50 |
$4,929.50 |
$7,513.67
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$4,321.25 |
$4,321.25 |
$4,321.25 |
$7,342.20
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$6,484.00 |
$6,484.00 |
$6,484.00 |
$9,397.50
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$1,992.00 |
$1,992.00 |
$1,992.00 |
$5,236.80
|
|
Insert pm/icd lead dual
|
$3,218.50 |
$3,218.50 |
$3,218.50 |
$7,388.80
|
|
Insert/repl sq defib w/eltrd
|
$16,206.75 |
$16,206.75 |
$16,206.75 |
$33,297.72
|
|
Insert sq defib electrode
|
$3,692.00 |
$3,692.00 |
$3,692.00 |
$8,167.68
|
|
Insert swan-ganz cath
|
$701.75 |
$701.75 |
$701.75 |
$2,210.50
|
|
Insert vad art access left hrt arterial access
|
$3,791.50 |
$3,791.50 |
$3,791.50 |
$4,221.97
|
|
Ins icd gen exist mlt leads
|
$19,776.75 |
$19,776.75 |
$19,776.75 |
$31,286.77
|
|
Ins icd gen exist sgl lead
|
$13,353.25 |
$13,353.25 |
$13,353.25 |
$23,742.75
|
|
Insitu hybridization auto
|
$297.50 |
$297.50 |
$297.50 |
$371.00
|
|
Insitu hybridization manual
|
$130.75 |
$130.75 |
$130.75 |
$388.20
|
|
In situ hybridization per specimen each additional single probe stain
|
$86.75 |
$86.75 |
$86.75 |
$243.60
|
|
In situ hybridization per specimen initial single probe stain
|
$80.25 |
$80.25 |
$80.25 |
$326.04
|
|
Ins lv lead exist pm/icd
|
$12,917.50 |
$12,917.50 |
$12,917.50 |
$12,087.24
|
|
Ins picad w subq port 5yr>
|
$1,675.00 |
$1,675.00 |
$1,675.00 |
$3,912.93
|
|
Ins pm gen exist dual lead
|
$19,776.75 |
$19,776.75 |
$19,776.75 |
$24,696.00
|
|
Ins pm gen w/exist mlt leads
|
$12,265.00 |
$12,265.00 |
$12,265.00 |
$14,804.40
|
|
Ins pq tunnld ip cath w/img
|
$3,067.50 |
$3,067.50 |
$3,067.50 |
$5,377.00
|
|
Ins/rpl ldless pm right vent w img & eval
|
$8,655.75 |
$8,655.75 |
$8,655.75 |
$23,369.00
|
|
Ins/rpl pm gen exist dual lead
|
$7,489.25 |
$7,489.25 |
$7,489.25 |
$11,408.40
|
|
Ins/rpl pm gen exist sgl lead
|
$7,489.25 |
$7,489.25 |
$7,489.25 |
$9,558.78
|
|
Ins/rpl pm w/tv ld atrl
|
$9,526.50 |
$9,526.50 |
$9,526.50 |
$12,371.40
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$25,694.00 |
$25,694.00 |
$25,694.00 |
$25,807.00
|
|
Inst fibrinolysis agent ini day
|
$540.75 |
$540.75 |
$540.75 |
$1,090.80
|
|
Inst fibrinolysis agent sbsq d
|
$532.00 |
$532.00 |
$532.00 |
$1,018.47
|
|
Instillation anticarcinogenic agent bladder
|
$200.25 |
$200.25 |
$200.25 |
$621.40
|
|
Ins tun cv cath wo subq prt/pm
|
$1,675.00 |
$1,675.00 |
$1,675.00 |
$5,324.80
|
|
Ins tun cv cath wo subq prt/pm
|
$1,595.00 |
$1,595.00 |
$1,595.00 |
$4,202.70
|
|
Ins tun intraperit dia cath
|
$2,271.25 |
$2,271.25 |
$2,271.25 |
$4,657.46
|
|
Inst via cath agent pleurds
|
$324.00 |
$324.00 |
$324.00 |
$1,093.50
|
|
Insulin total
|
$108.75 |
$108.75 |
$108.75 |
$66.64
|
|
Interdiscal perq aspir dx
|
$294.50 |
$294.50 |
$294.50 |
$1,180.84
|
|
Interrog dev eval scrms ip
|
$24.50 |
$24.50 |
$24.50 |
$124.80
|
|
Interrog evl pm/ldls pm ip
|
$35.25 |
$35.25 |
$35.25 |
$124.80
|
|
Intracard echo interv w/s&i
|
$2,462.50 |
$2,462.50 |
$2,462.50 |
$3,429.40
|
|
Intrapul surf admin endo tube
|
$62.75 |
$62.75 |
$62.75 |
$220.80
|
|
Intrinsic factor antibody
|
$143.00 |
$143.00 |
$143.00 |
$66.60
|
|
Intro cath dialysis circuit
|
$276.00 |
$276.00 |
$276.00 |
$2,035.00
|
|
Intro cath dialysis circuit w/pta
|
$1,947.75 |
$1,947.75 |
$1,947.75 |
$8,761.00
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$3,937.00 |
$3,937.00 |
$3,937.00 |
$15,805.00
|
|
Intro catheter aorta
|
$441.00 |
$441.00 |
$441.00 |
$1,654.05
|
|
Intro cath svc/ivc
|
$540.00 |
$540.00 |
$540.00 |
$1,329.90
|
|
Intro long gi tube
|
$389.50 |
$389.50 |
$389.50 |
$990.00
|
|
Intro long gi tube w/mult fluo
|
$207.00 |
$207.00 |
$207.00 |
$449.40
|
|
Intro windpipe wire/tube
|
$694.50 |
$694.50 |
$694.50 |
$2,369.76
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$2,512.50 |
$2,512.50 |
$2,512.50 |
$3,303.76
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$2,512.50 |
$2,512.50 |
$2,512.50 |
$1,633.03
|
|
Intubation endotracheal emergency procedure
|
$282.25 |
$282.25 |
$282.25 |
$589.60
|
|
Iodine i-123 sod iodide mil
|
$350.74 |
$350.74 |
$350.74 |
$350.74
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$70.31 |
$70.31 |
$70.31 |
$172.98
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$261.84 |
$261.84 |
$261.84 |
$279.10
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$79.78 |
$79.78 |
$79.78 |
$163.87
|
|
Iron
|
$239.25 |
$239.25 |
$239.25 |
$74.40
|
