|
Inj testosterone cypionate
|
$73.17 |
$73.17 |
$73.17 |
$64.80
|
|
Inj., tildrakizumab, 1 mg
|
$27,967.38 |
$27,967.38 |
$27,967.38 |
$26,635.60
|
|
Inj, tofidence, 1 mg
|
$4,662.00 |
$4,662.00 |
$4,662.00 |
$92.13
|
|
Inj triamcinolone ace X-ray 1mg
|
$1,256.85 |
$1,256.85 |
$1,256.85 |
$1,090.75
|
|
Inj, tyenne, 1 mg
|
$3,768.24 |
$3,768.24 |
$3,768.24 |
$3,525.12
|
|
Inj, uzedy, 1 mg
|
$11,729.37 |
$11,729.37 |
$11,729.37 |
$11,475.96
|
|
Inj, vancomycin hcl (xellia)
|
$86.84 |
$86.84 |
$86.84 |
$85.20
|
|
Inj vasopressin (am reg) 1 u
|
$41.79 |
$41.79 |
$41.79 |
$41.79
|
|
Inj w/fluor eval cv device
|
$282.24 |
$282.24 |
$282.24 |
$503.92
|
|
Ins cath ren art 1st bi
|
$3,207.96 |
$3,207.96 |
$3,207.96 |
$5,753.10
|
|
Ins cath ren art 1st uni
|
$1,899.66 |
$1,899.66 |
$1,899.66 |
$4,660.00
|
|
Ins cath ren art 2nd+ bi
|
$4,164.72 |
$4,164.72 |
$4,164.72 |
$5,500.86
|
|
Ins cath ren art 2nd+ uni
|
$2,814.00 |
$2,814.00 |
$2,814.00 |
$5,395.20
|
|
Ins cerv dilator (sep proc)
|
$147.84 |
$147.84 |
$147.84 |
$480.28
|
|
Insert cath pleura with image
|
$858.48 |
$858.48 |
$858.48 |
$2,194.40
|
|
Insert cath pleura without image
|
$1,219.26 |
$1,219.26 |
$1,219.26 |
$2,073.18
|
|
Insert hepatic shunt (tips)
|
$2,086.98 |
$2,086.98 |
$2,086.98 |
$7,571.20
|
|
Insert intrauterine device iud
|
$126.42 |
$126.42 |
$126.42 |
$347.10
|
|
Insertion catheter bladder non indwelling
|
$109.20 |
$109.20 |
$109.20 |
$205.40
|
|
Insertion catheter bladder temporary simple
|
$113.40 |
$113.40 |
$113.40 |
$232.25
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$2,059.68 |
$2,059.68 |
$2,059.68 |
$4,782.00
|
|
Insertion intra aortic balloon assist device percutaneous
|
$2,565.36 |
$2,565.36 |
$2,565.36 |
$2,529.45
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$5,319.72 |
$5,319.72 |
$5,319.72 |
$7,210.78
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$1,946.70 |
$1,946.70 |
$1,946.70 |
$2,505.60
|
|
Insertion of catheter vein
|
$590.10 |
$590.10 |
$590.10 |
$1,477.00
|
|
Insertion of catheter vein
|
$372.96 |
$372.96 |
$372.96 |
$836.25
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$12,102.72 |
$12,102.72 |
$12,102.72 |
$12,384.25
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$6,777.54 |
$6,777.54 |
$6,777.54 |
$12,384.25
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$9,094.68 |
$9,094.68 |
$9,094.68 |
$10,100.35
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$1,536.78 |
$1,536.78 |
$1,536.78 |
$2,079.50
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$2,474.22 |
$2,474.22 |
$2,474.22 |
$2,419.65
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$23,644.32 |
$23,644.32 |
$23,644.32 |
$29,042.52
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$5,071.50 |
$5,071.50 |
$5,071.50 |
$7,200.05
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$4,463.76 |
$4,463.76 |
$4,463.76 |
$7,312.80
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$8,344.56 |
$8,344.56 |
$8,344.56 |
$9,332.50
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$3,813.18 |
$3,813.18 |
$3,813.18 |
$5,223.20
|
|
Insert pessary/other device
|
$100.38 |
$100.38 |
$100.38 |
$278.50
|
|
Insert pm/icd lead dual
|
$5,400.78 |
$5,400.78 |
$5,400.78 |
$7,115.20
|
|
Insert/repl sq defib w/eltrd
|
$10,583.58 |
$10,583.58 |
$10,583.58 |
$32,800.04
|
|
Insert sq defib electrode
|
$4,831.68 |
$4,831.68 |
$4,831.68 |
$8,167.68
|
|
Insert swan-ganz cath
|
$1,089.48 |
$1,089.48 |
$1,089.48 |
$2,210.50
|
|
Insert tunneled cv cath
|
$2,087.82 |
$2,087.82 |
$2,087.82 |
$4,520.00
|
|
Insert uteri tandem/ovoids
|
$1,820.28 |
$1,820.28 |
$1,820.28 |
$3,905.20
|
|
Insert vad art access left hrt arterial access
|
$687.54 |
$687.54 |
$687.54 |
$4,270.75
|
|
Insert vad art access left hrt art & vein access
|
$687.54 |
$687.54 |
$687.54 |
$3,677.40
|
|
Ins icd gen exist sgl lead
|
$25,127.34 |
$25,127.34 |
$25,127.34 |
$23,230.50
|
|
Insitu hybridization manual
|
$391.44 |
$391.44 |
$391.44 |
$401.28
|
|
In situ hybridization per specimen each additional single probe stain
|
$343.98 |
$343.98 |
$343.98 |
$241.15
|
|
In situ hybridization per specimen initial single probe stain
|
$310.80 |
$310.80 |
$310.80 |
$331.69
|
|
Insj perq vad r hrt venous
|
$653.10 |
$653.10 |
$653.10 |
$3,796.00
|
|
Insj phrnc nrv stim sys
|
$36,960.42 |
$36,960.42 |
$36,960.42 |
$52,995.29
|
|
Ins lv lead exist pm/icd
|
$7,058.52 |
$7,058.52 |
$7,058.52 |
$12,384.25
|
|
Ins mark abd/pel for right perq
|
$901.74 |
$901.74 |
$901.74 |
$2,414.36
|
|
Ins picad w subq port 5yr>
|
$3,564.96 |
$3,564.96 |
$3,564.96 |
$3,985.20
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$568.68 |
$568.68 |
$568.68 |
$1,690.00
|
|
Ins pm gen exist dual lead
|
$6,284.46 |
$6,284.46 |
$6,284.46 |
$23,665.85
|
|
Ins pm gen w/exist mlt leads
|
$8,103.90 |
$8,103.90 |
$8,103.90 |
$14,804.40
|
|
Ins pq tunnld ip cath w/img
|
$3,087.42 |
$3,087.42 |
$3,087.42 |
$5,377.00
|
|
Ins/rplc spi npg/rcvr pocket
|
$16,197.30 |
$16,197.30 |
$16,197.30 |
$24,061.80
|
|
Ins/rpl ldless pm right vent w img & eval
|
$14,044.38 |
$14,044.38 |
$14,044.38 |
$24,135.54
|
|
Ins/rpl pm gen exist dual lead
|
$8,103.90 |
$8,103.90 |
$8,103.90 |
$11,005.50
|
|
Ins/rpl pm gen exist sgl lead
|
$7,105.56 |
$7,105.56 |
$7,105.56 |
$9,428.64
|
|
Ins/rpl pm w/tv ld atrl
|
$8,471.82 |
$8,471.82 |
$8,471.82 |
$11,583.66
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$23,509.50 |
$23,509.50 |
$23,509.50 |
$25,694.00
|
|
Inst fibrinolysis agent ini day
|
$348.18 |
$348.18 |
$348.18 |
$1,036.05
|
|
Inst fibrinolysis agent sbsq d
|
$599.76 |
$599.76 |
$599.76 |
$898.12
|
|
Insti hexaminolevulinate hcl
|
$2,664.90 |
$2,664.90 |
$2,664.90 |
$2,224.80
|
|
Instillation anticarcinogenic agent bladder
|
$437.22 |
$437.22 |
$437.22 |
$621.40
|
|
Instill, bupivac and meloxic
|
$588.92 |
$588.92 |
$588.92 |
$687.60
|
|
Ins tun cv cath wo subq prt/pm
|
$2,485.56 |
$2,485.56 |
$2,485.56 |
$4,202.70
|
|
Ins tun intraperit dia cath
|
$2,742.18 |
$2,742.18 |
$2,742.18 |
$4,570.00
|
|
Inst via cath agent pleurds
|
$428.82 |
$428.82 |
$428.82 |
$1,065.00
|
|
Insulin total
|
$126.00 |
$126.00 |
$126.00 |
$66.64
|
|
Ins vag brachytx device
|
$226.38 |
$226.38 |
$226.38 |
$935.50
|
|
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm
|
$4,290.87 |
$4,290.87 |
$4,290.87 |
$8,629.72
|
|
Integra os putty 2.5cc - cost per 0.5cc
|
$104.14 |
$104.14 |
$104.14 |
$3,803.11
|
|
Interdental fixation
|
$552.30 |
$552.30 |
$552.30 |
$2,133.48
|
|
Interdiscal perq aspir dx
|
$389.34 |
$389.34 |
$389.34 |
$1,222.26
|
|
Interrog dev eval scrms ip
|
$31.08 |
$31.08 |
$31.08 |
$124.80
|
|
Interrog device eval heart
|
$294.42 |
$294.42 |
$294.42 |
$162.40
|
|
Interrog evl pm/ldls pm ip
|
$165.06 |
$165.06 |
$165.06 |
$124.80
|
|
Interrog&prgrmg ipnss polysm
|
$627.90 |
$627.90 |
$627.90 |
$422.32
|
|
Interstitial brachy inter
|
$2,212.98 |
$2,212.98 |
$2,212.98 |
$1,244.40
|
|
Intra-atrial pacing
|
$1,918.56 |
$1,918.56 |
$1,918.56 |
$4,780.80
|
|
Intra-atrial recording
|
$4,781.70 |
$4,781.70 |
$4,781.70 |
$5,252.30
|
|
Intracard echo interv w/s&i
|
$2,445.24 |
$2,445.24 |
$2,445.24 |
$3,461.04
|
|
Intracran angioplsty w/stent
|
$11,422.32 |
$11,422.32 |
$11,422.32 |
$8,145.50
|
|
Intracranial angioplasty
|
$12,964.14 |
$12,964.14 |
$12,964.14 |
$4,962.40
|
|
Intracranial complete study
|
$336.00 |
$336.00 |
$336.00 |
$874.99
|
|
Intracranial limited study
|
$309.12 |
$309.12 |
$309.12 |
$465.01
|
|
Intraoral i+d tongue/floor lingual 41000
|
$338.94 |
$338.94 |
$338.94 |
$1,331.45
|
|
Intrapul surf admin endo tube
|
$129.36 |
$129.36 |
$129.36 |
$220.80
|
|
Intrauterine transfusion ftl
|
$496.02 |
$496.02 |
$496.02 |
$1,063.50
|
|
Intraventricular pacing
|
$2,433.48 |
$2,433.48 |
$2,433.48 |
$5,456.17
|
|
Intrinsic factor antibody
|
$45.36 |
$45.36 |
$45.36 |
$63.15
|
|
Intro cath dialysis circuit
|
$869.82 |
$869.82 |
$869.82 |
$2,036.94
|
|
Intro cath dialysis circuit w/pta
|
$9,665.04 |
$9,665.04 |
$9,665.04 |
$8,690.50
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$7,055.58 |
$7,055.58 |
$7,055.58 |
$16,262.40
|
|
Intro catheter aorta
|
$765.24 |
$765.24 |
$765.24 |
$1,654.05
|
|
Intro cath svc/ivc
|
$687.12 |
$687.12 |
$687.12 |
$1,323.27
|
