|
Insert cath pleura without image
|
$906.24 |
$906.24 |
$906.24 |
$2,073.18
|
|
Insert hepatic shunt (tips)
|
$1,945.82 |
$1,945.82 |
$1,945.82 |
$7,571.20
|
|
Insertion catheter bladder non indwelling
|
$158.12 |
$158.12 |
$158.12 |
$205.40
|
|
Insertion catheter bladder temporary simple
|
$175.23 |
$175.23 |
$175.23 |
$232.25
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$3,089.83 |
$3,089.83 |
$3,089.83 |
$4,782.00
|
|
Insertion intra aortic balloon assist device percutaneous
|
$3,014.31 |
$3,014.31 |
$3,014.31 |
$2,529.45
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$9,145.00 |
$9,145.00 |
$9,145.00 |
$7,210.78
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$1,978.27 |
$1,978.27 |
$1,978.27 |
$2,505.60
|
|
Insertion of catheter vein
|
$432.47 |
$432.47 |
$432.47 |
$836.25
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$11,136.84 |
$11,136.84 |
$11,136.84 |
$12,384.25
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$8,575.65 |
$8,575.65 |
$8,575.65 |
$12,384.25
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$6,574.37 |
$6,574.37 |
$6,574.37 |
$10,100.35
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$1,959.39 |
$1,959.39 |
$1,959.39 |
$2,079.50
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$1,959.39 |
$1,959.39 |
$1,959.39 |
$2,419.65
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$19,033.99 |
$19,033.99 |
$19,033.99 |
$29,042.52
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$5,186.10 |
$5,186.10 |
$5,186.10 |
$7,200.05
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$5,161.32 |
$5,161.32 |
$5,161.32 |
$7,312.80
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$8,100.70 |
$8,100.70 |
$8,100.70 |
$9,332.50
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$5,295.84 |
$5,295.84 |
$5,295.84 |
$5,223.20
|
|
Insert pm/icd lead dual
|
$3,678.06 |
$3,678.06 |
$3,678.06 |
$7,115.20
|
|
Insert/repl sq defib w/eltrd
|
$6,564.93 |
$6,564.93 |
$6,564.93 |
$32,800.04
|
|
Insert sq defib electrode
|
$6,987.96 |
$6,987.96 |
$6,987.96 |
$8,167.68
|
|
Insert swan-ganz cath
|
$1,749.35 |
$1,749.35 |
$1,749.35 |
$2,210.50
|
|
Insert tunneled cv 2cath 2sits without port/pmp 36565
|
$4,501.11 |
$4,501.11 |
$4,501.11 |
$4,803.00
|
|
Insert vad art access left hrt arterial access
|
$5,034.47 |
$5,034.47 |
$5,034.47 |
$4,270.75
|
|
Ins icd gen exist mlt leads
|
$27,113.45 |
$27,113.45 |
$27,113.45 |
$31,286.77
|
|
Ins icd gen exist sgl lead
|
$30,473.50 |
$30,473.50 |
$30,473.50 |
$23,230.50
|
|
Insitu hybridization manual
|
$317.42 |
$317.42 |
$317.42 |
$401.28
|
|
In situ hybridization per specimen each additional single probe stain
|
$125.67 |
$125.67 |
$125.67 |
$241.15
|
|
In situ hybridization per specimen initial single probe stain
|
$164.61 |
$164.61 |
$164.61 |
$331.69
|
|
Ins lv lead exist pm/icd
|
$6,771.43 |
$6,771.43 |
$6,771.43 |
$12,384.25
|
|
Ins mark abd/pel for right perq
|
$935.15 |
$935.15 |
$935.15 |
$2,414.36
|
|
Ins picad w subq port 5yr>
|
$3,469.79 |
$3,469.79 |
$3,469.79 |
$3,985.20
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$1,085.60 |
$1,085.60 |
$1,085.60 |
$1,690.00
|
|
Ins pm gen w/exist mlt leads
|
$7,964.41 |
$7,964.41 |
$7,964.41 |
$14,804.40
|
|
Ins pq tunnld ip cath w/img
|
$424.80 |
$424.80 |
$424.80 |
$5,377.00
|
|
Ins/rpl pm gen exist dual lead
|
$9,228.19 |
$9,228.19 |
$9,228.19 |
$11,005.50
|
|
Ins/rpl pm gen exist sgl lead
|
$9,319.64 |
$9,319.64 |
$9,319.64 |
$9,428.64
|
|
Ins/rpl pm w/tv ld atrl
|
$15,034.97 |
$15,034.97 |
$15,034.97 |
$11,583.66
|
|
Inst fibrinolysis agent ini day
|
$1,171.74 |
$1,171.74 |
$1,171.74 |
$1,036.05
|
|
Insti hexaminolevulinate hcl
|
$748.71 |
$748.71 |
$748.71 |
$2,224.80
|
|
Instillation anticarcinogenic agent bladder
|
$892.08 |
$892.08 |
$892.08 |
$621.40
|
|
Instill, bupivac and meloxic
|
$11.82 |
$11.82 |
$11.82 |
$687.60
|
|
Ins tun cv cath wo subq prt/pm
|
$1,490.93 |
$1,490.93 |
$1,490.93 |
$5,324.80
|
|
Ins tun cv cath wo subq prt/pm
|
$3,727.62 |
$3,727.62 |
$3,727.62 |
$4,202.70
|
|
Insulin total
|
$74.93 |
$74.93 |
$74.93 |
$66.64
|
|
Ins vag brachytx device
|
$345.74 |
$345.74 |
$345.74 |
$935.50
|
|
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm
|
$6,027.65 |
$6,027.65 |
$6,027.65 |
$8,629.72
|
|
Integra meshed bil wound mat
|
$7,205.53 |
$7,205.53 |
$7,205.53 |
$9,924.16
|
|
Integra os putty 2.5cc - cost per 0.5cc
|
$146.30 |
$146.30 |
$146.30 |
$3,803.11
|
|
Interdiscal perq aspir dx
|
$418.90 |
$418.90 |
$418.90 |
$1,222.26
|
|
Interrog device eval heart
|
$66.67 |
$66.67 |
$66.67 |
$162.40
|
|
Interrog evl pm/ldls pm ip
|
$63.72 |
$63.72 |
$63.72 |
$124.80
|
|
Intracard echo interv w/s&i
|
$2,461.48 |
$2,461.48 |
$2,461.48 |
$3,461.04
|
|
Intrapul surf admin endo tube
|
$113.87 |
$113.87 |
$113.87 |
$220.80
|
|
Intrinsic factor antibody
|
$86.73 |
$86.73 |
$86.73 |
$63.15
|
|
Intro cath dialysis circuit
|
$985.89 |
$985.89 |
$985.89 |
$2,036.94
|
|
Intro cath dialysis circuit w/pta
|
$7,041.65 |
$7,041.65 |
$7,041.65 |
$8,690.50
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$10,562.18 |
$10,562.18 |
$10,562.18 |
$16,262.40
|
|
Intro catheter aorta
|
$1,192.39 |
$1,192.39 |
$1,192.39 |
$1,654.05
|
|
Intro cath svc/ivc
|
$1,040.17 |
$1,040.17 |
$1,040.17 |
$1,323.27
|
|
Intro long gi tube
|
$1,239.59 |
$1,239.59 |
$1,239.59 |
$957.18
|
|
Intro long gi tube w/mult fluo
|
$329.81 |
$329.81 |
$329.81 |
$466.00
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$3,528.20 |
$3,528.20 |
$3,528.20 |
$3,409.29
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$2,803.09 |
$2,803.09 |
$2,803.09 |
$1,747.80
|
|
Intubation endotracheal emergency procedure
|
$672.60 |
$672.60 |
$672.60 |
$598.80
|
|
Ionm remote/>1 pt or per hr
|
$1,118.05 |
$1,118.05 |
$1,118.05 |
$622.70
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$2.39 |
$2.39 |
$2.39 |
$170.06
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$345.15 |
$345.15 |
$345.15 |
$288.11
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$523.76 |
$523.76 |
$523.76 |
$62,692.46
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$5.83 |
$5.83 |
$5.83 |
$174.47
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$159.25 |
$159.25 |
$159.25 |
$5,517.12
|
|
Iron
|
$42.48 |
$42.48 |
$42.48 |
$72.29
|
|
Iron binding capacity
|
$54.87 |
$54.87 |
$54.87 |
$63.60
|
|
Iron dextran 50 mg/ml injection solution
|
$10.06 |
$10.06 |
$10.06 |
$81.70
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$6.81 |
$6.81 |
$6.81 |
$187.06
|
|
Irrigation implantable venous access device for drug delivery systems
|
$149.27 |
$149.27 |
$149.27 |
$144.62
|
|
Ivc venogram s&i
|
$2,534.05 |
$2,534.05 |
$2,534.05 |
$3,316.95
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$257.24 |
$257.24 |
$257.24 |
$190.56
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$143.96 |
$143.96 |
$143.96 |
$159.00
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$113.87 |
$113.87 |
$113.87 |
$153.60
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$598.26 |
$598.26 |
$598.26 |
$437.45
|
|
Ivp w/nephrotomography
|
$1,015.39 |
$1,015.39 |
$1,015.39 |
$748.15
|
|
Ivp w/wo kub w/wo tomography
|
$849.01 |
$849.01 |
$849.01 |
$692.18
|
|
Ixabepilone 15 mg intravenous solution
|
$3,427.30 |
$3,427.30 |
$3,427.30 |
$10,695.32
|
|
John cunningham antibody
|
$19.47 |
$19.47 |
$19.47 |
$66.31
|
|
J-tube placement
|
$295.59 |
$295.59 |
$295.59 |
$593.08
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$84.37 |
$84.37 |
$84.37 |
$58.50
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$2.79 |
$2.79 |
$2.79 |
$23.77
|
|
Kidney endoscopy
|
$2,310.44 |
$2,310.44 |
$2,310.44 |
$5,728.00
|
|
Kidney imag w/bld flow multi
|
$1,250.21 |
$1,250.21 |
$1,250.21 |
$1,557.41
|
|
Kidney img w/bldflw sgl without rx
|
$1,307.44 |
$1,307.44 |
$1,307.44 |
$1,425.00
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$793.55 |
$793.55 |
$793.55 |
$673.36
|
|
Kit case 4.2mm spinejack
|
$4,976.14 |
$4,976.14 |
$4,976.14 |
$7,751.14
|
|
Kit cath f 8f w/glv + wipe ster
|
$14.90 |
$14.90 |
$14.90 |
$9.49
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$6,239.25 |
$6,239.25 |
$6,239.25 |
$9,482.25
|
|
Kit ipg optimizer smart
|
$26,845.00 |
$26,845.00 |
$26,845.00 |
$49,011.18
|
|
Kit lead specify 5-6-5
|
$40,110.86 |
$40,110.86 |
$40,110.86 |
$16,965.41
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$641.35 |
$641.35 |
$641.35 |
$1,667.50
|
|
Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm
|
$1,373.97 |
$1,373.97 |
$1,373.97 |
$923.90
|