|
Ins/rpl wireless pulm art sensor incl s&i
|
$7,350.20 |
$7,350.20 |
$34,604.05 |
|
|
Insrt/redo neurostim 1 array
|
$58,106.24 |
$58,106.24 |
$58,106.24 |
|
|
Inst fibrinolysis agent ini day
|
$1,008.15 |
$1,008.15 |
$1,008.15 |
|
|
Inst fibrinolysis agent sbsq d
|
$1,327.95 |
$1,327.95 |
$1,327.95 |
|
|
Instillation anticarcinogenic agent bladder
|
$2,761.59 |
$2,761.59 |
$23,367.58 |
|
|
Ins tun cv cath wo subq prt/pm
|
$1,554.15 |
$1,554.15 |
$1,914.25 |
|
|
Ins tun cv cath wo subq prt/pm
|
$1,372.80 |
$1,496.30 |
$8,323.63 |
|
|
Ins tun intraperit dia cath
|
$1,062.75 |
$1,062.75 |
$3,776.50 |
|
|
Insulin total
|
$38.25 |
$82.55 |
$130.00 |
|
|
Ins vag brachytx device
|
$29,050.45 |
$29,050.45 |
$29,050.45 |
|
|
Intens cardiac rehab no exer
|
$205.40 |
$205.40 |
$205.40 |
|
|
Intens cardiac rehab w/exerc
|
$328.25 |
$328.25 |
$328.25 |
|
|
Interdiscal perq aspir dx
|
$5,252.55 |
$5,252.55 |
$5,252.55 |
|
|
Internal nerve revision 64727
|
$6,451.83 |
$6,451.83 |
$6,451.83 |
|
|
Interrogate subq defib
|
$327.60 |
$327.60 |
$327.60 |
|
|
Interrog dev eval scrms ip
|
$48.10 |
$48.10 |
$48.10 |
|
|
Interrog device eval heart
|
$83.85 |
$83.85 |
$83.85 |
|
|
Interrog evl pm/ldls pm ip
|
$49.40 |
$49.40 |
$276.90 |
|
|
Interrog&prgrmg ipnss
|
$951.60 |
$951.60 |
$951.60 |
|
|
Interrog without prgrmg ipnss
|
$539.50 |
$539.50 |
$539.50 |
|
|
Interstitial brachy inter
|
$3,841.50 |
$3,841.50 |
$3,841.50 |
|
|
Int hrhc lig 1 hroid without img
|
$447.85 |
$447.85 |
$10,321.63 |
|
|
Int hrhc lig 2+hroid without img
|
$11,219.92 |
$11,219.92 |
$11,219.92 |
|
|
Intra-atrial pacing
|
$8,161.40 |
$8,161.40 |
$8,161.40 |
|
|
Intra-atrial recording
|
$8,323.90 |
$8,323.90 |
$8,323.90 |
|
|
Intracard echo interv w/s&i
|
$6,636.50 |
$6,636.50 |
$6,636.50 |
|
|
Intracran angioplsty w/stent
|
$4,265.95 |
$4,265.95 |
$4,265.95 |
|
|
Intracranial angioplasty
|
$10,336.30 |
$10,336.30 |
$10,336.30 |
|
|
Intracranial complete study
|
$995.80 |
$995.80 |
$995.80 |
|
|
Intracranial limited study
|
$473.85 |
$473.85 |
$473.85 |
|
|
Intranasal biopsy 30100
|
$53.30 |
$53.30 |
$7,884.74 |
|
|
Intrapul surf admin endo tube
|
$39.00 |
$39.00 |
$237.90 |
|
|
Intrauterine transfusion ftl
|
$1,004.25 |
$1,004.25 |
$3,019.25 |
|
|
Intraventricular pacing
|
$4,854.20 |
$4,854.20 |
$4,854.20 |
|
|
Intrinsic factor antibody
|
$53.30 |
$97.50 |
$270.40 |
|
|
Intrm oph exam est patient
|
$129.35 |
$129.35 |
$129.35 |
|
|
Intro cath dialysis circuit
|
$4,046.95 |
$4,046.95 |
$4,926.43 |
|
|
Intro cath dialysis circuit w/pta
|
$8,683.70 |
$8,683.70 |
$16,543.98 |
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$15,501.20 |
$15,501.20 |
$15,501.20 |
|
|
Intro catheter aorta
|
$13,392.82 |
$13,392.82 |
$20,865.25 |
|
|
Intro cath svc/ivc
|
$7,419.88 |
$7,419.88 |
$36,914.25 |
|
|
Intro long gi tube
|
$1,482.65 |
$1,482.65 |
$1,482.65 |
|
|
Intro long gi tube w/mult fluo
|
$154.05 |
$154.05 |
$442.00 |
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$26,498.08 |
$26,498.08 |
$101,048.09 |
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$37,805.40 |
$37,805.40 |
$37,805.40 |
|
|
Intubation endotracheal emergency procedure
|
$239.25 |
$594.10 |
$59,342.80 |
|
|
Iodine i-123 sod iodide mil
|
$867.75 |
$867.75 |
$1,741.35 |
|
|
Ionm in operatng room 15 min
|
$183.95 |
$183.95 |
$183.95 |
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$4.50 |
$187.04 |
$210.01 |
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$279.10 |
$279.10 |
$489.04 |
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$15,016.03 |
$22,520.14 |
$96,539.94 |
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$35.75 |
$116.67 |
$304.21 |
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$6,655.71 |
$6,655.71 |
$7,984.64 |
|
|
Iron
|
$21.75 |
$72.15 |
$83.20 |
|
|
Iron binding capacity
|
$34.50 |
$72.15 |
$83.20 |
|
|
Iron dextran 50 mg/ml injection solution
|
$20.68 |
$31.81 |
$41.35 |
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$181.08 |
$211.09 |
$253.12 |
|
|
Irradiation of blood product each unit reference
|
$82.55 |
$85.80 |
$179.40 |
|
|
Irrigation implantable venous access device for drug delivery systems
|
$117.00 |
$140.40 |
$193.05 |
|
|
Isatuximab-irfc 20 mg/ml intravenous solution
|
$2,427.96 |
$7,535.29 |
$10,094.64 |
|
|
Ivc venogram s&i
|
$2,178.80 |
$2,178.80 |
$4,737.85 |
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$184.60 |
$191.10 |
$314.60 |
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$222.95 |
$222.95 |
$287.95 |
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$57.20 |
$191.10 |
$287.95 |
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$185.90 |
$222.95 |
$577.20 |
|
|
IV inj ra drug dx study
|
$733.20 |
$733.20 |
$733.20 |
|
|
Ivp w/nephrotomography
|
$697.45 |
$878.15 |
$1,194.05 |
|
|
Ivp w/wo kub w/wo tomography
|
$685.75 |
$759.85 |
$1,099.15 |
|
|
Jak2 targeted sequence analysis
|
$312.65 |
$312.65 |
$550.55 |
|
|
John cunningham antibody
|
$945.75 |
$1,164.15 |
$1,294.15 |
|
|
J-tube placement
|
$619.45 |
$619.45 |
$619.45 |
|
|
Keratoprosthesis
|
$33,104.45 |
$33,104.45 |
$33,104.45 |
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$23.25 |
$73.45 |
$113.75 |
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$11.31 |
$19.74 |
$27.59 |
|
|
Kidney endoscopy
|
$13,856.80 |
$13,856.80 |
$13,856.80 |
|
|
Kidney function study
|
$2,848.95 |
$2,848.95 |
$2,848.95 |
|
|
Kidney imaging morphology
|
$1,392.95 |
$1,392.95 |
$1,392.95 |
|
|
Kidney imag w/bld flow multi
|
$1,370.85 |
$1,370.85 |
$4,008.55 |
|
|
Kidney img w/bldflw sgl without rx
|
$1,195.35 |
$1,467.70 |
$3,025.75 |
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$43.50 |
$679.25 |
$1,043.25 |
|
|
Knee Arthroscopy (Cartilage Repair)
|
$598.50 |
$5,711.26 |
$12,302.71 |
|
|
Knee arthroscopy dx
|
$408.75 |
$408.75 |
$408.75 |
|
|
Knee Arthroscopy (Meniscus Repair)
|
$5,933.74 |
$11,567.37 |
$22,474.97 |
|
|
Knee arthroscopy/surgery
|
$504.00 |
$6,515.18 |
$24,365.36 |
|
|
Knee arthroscopy/surgery
|
$11,603.11 |
$11,603.11 |
$11,603.11 |
|
|
Knee arthroscopy/surgery
|
$486.75 |
$486.75 |
$11,314.54 |
|
|
Knee arthroscopy/surgery
|
$1,432.50 |
$6,545.12 |
$15,788.42 |
|
|
Knee arthroscopy/surgery
|
$660.00 |
$10,888.27 |
$21,984.06 |
|
|
Knee arthroscopy/surgery
|
$5,912.85 |
$11,701.64 |
$16,745.84 |
|
|
Knee arthroscopy/surgery
|
$10,888.27 |
$22,076.13 |
$48,944.77 |
|
|
Knee arthroscopy/surgery
|
$31,847.67 |
$31,847.67 |
$31,847.67 |
|
|
Knee arthroscopy/surgery
|
$11,665.72 |
$11,665.72 |
$11,665.72 |
|
|
Knee arthroscopy/surgery
|
$24,632.72 |
$24,632.72 |
$80,006.91 |
|
|
Knee arthroscopy/surgery
|
$33,023.22 |
$33,023.22 |
$33,023.22 |
|
|
Knee MRI (with and without contrast)
|
$2,486.90 |
$2,624.05 |
$4,537.65 |
|
|
Knee MRI (with contrast)
|
$2,267.20 |
$2,406.30 |
$4,174.95 |
|
|
Knee MRI (without contrast)
|
$80.25 |
$3,027.70 |
$3,874.00 |
|
|
Knee X-ray
|
$128.25 |
$583.70 |
$828.10 |
|
|
Kras gene addl variants
|
$254.80 |
$317.20 |
$343.20 |
|
|
Kras gene variants exon 2
|
$480.35 |
$557.05 |
$684.45 |
|