|
Inotuzumab ozogamicin 0.9 mg(0.25 mg/ml initial concentration) IV soln
|
$7,107.35 |
$7,107.35 |
$7,107.35 |
$45,841.00
|
|
Ins cath ren art 1st bi
|
$3,357.90 |
$3,357.90 |
$3,357.90 |
$6,033.75
|
|
Ins cath ren art 1st uni
|
$2,535.44 |
$2,535.44 |
$2,535.44 |
$4,667.63
|
|
Ins cath ren art 2nd+ bi
|
$3,940.31 |
$3,940.31 |
$3,940.31 |
$5,408.65
|
|
Ins cath ren art 2nd+ uni
|
$3,426.37 |
$3,426.37 |
$3,426.37 |
$5,528.94
|
|
Insert cath pleura with image
|
$1,407.12 |
$1,407.12 |
$1,407.12 |
$2,239.02
|
|
Insert cath pleura without image
|
$500.41 |
$500.41 |
$500.41 |
$2,212.00
|
|
Insert hepatic shunt (tips)
|
$5,038.49 |
$5,038.49 |
$5,038.49 |
$9,754.48
|
|
Insertion catheter bladder non indwelling
|
$149.45 |
$149.45 |
$149.45 |
$237.13
|
|
Insertion catheter bladder temporary simple
|
$225.50 |
$225.50 |
$225.50 |
$273.60
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$2,310.76 |
$2,310.76 |
$2,310.76 |
$4,943.21
|
|
Insertion intra aortic balloon assist device percutaneous
|
$907.33 |
$907.33 |
$907.33 |
$2,549.95
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$3,810.95 |
$3,810.95 |
$3,810.95 |
$7,088.54
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$1,290.68 |
$1,290.68 |
$1,290.68 |
$2,618.40
|
|
Insertion of catheter vein
|
$1,133.04 |
$1,133.04 |
$1,133.04 |
$1,749.80
|
|
Insertion of catheter vein
|
$345.02 |
$345.02 |
$345.02 |
$858.05
|
|
Insertion of heart electrode 33211
|
$5,926.76 |
$5,926.76 |
$5,926.76 |
$9,090.00
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$10,336.51 |
$10,336.51 |
$10,336.51 |
$14,158.20
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$9,509.54 |
$9,509.54 |
$9,509.54 |
$12,813.28
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$16,591.47 |
$16,591.47 |
$16,591.47 |
$9,855.00
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$1,383.14 |
$1,383.14 |
$1,383.14 |
$2,079.43
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$1,430.29 |
$1,430.29 |
$1,430.29 |
$2,527.91
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$19,486.89 |
$19,486.89 |
$19,486.89 |
$29,997.52
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$5,810.52 |
$5,810.52 |
$5,810.52 |
$7,572.47
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$5,555.71 |
$5,555.71 |
$5,555.71 |
$7,673.12
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$6,140.57 |
$6,140.57 |
$6,140.57 |
$9,793.46
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$2,760.33 |
$2,760.33 |
$2,760.33 |
$5,470.54
|
|
Insert picvad cath
|
$4,270.56 |
$4,270.56 |
$4,270.56 |
$4,490.00
|
|
Insert pm/icd lead dual
|
$5,444.39 |
$5,444.39 |
$5,444.39 |
$7,562.63
|
|
Insert/repl sq defib w/eltrd
|
$15,558.07 |
$15,558.07 |
$15,558.07 |
$33,948.20
|
|
Insert sq defib electrode
|
$2,486.65 |
$2,486.65 |
$2,486.65 |
$8,167.68
|
|
Insert swan-ganz cath
|
$935.21 |
$935.21 |
$935.21 |
$2,164.52
|
|
Insert vad art access left hrt arterial access
|
$12,084.14 |
$12,084.14 |
$12,084.14 |
$5,062.80
|
|
Ins icd gen exist mlt leads
|
$17,730.66 |
$17,730.66 |
$17,730.66 |
$31,286.77
|
|
Ins icd gen exist sgl lead
|
$18,214.46 |
$18,214.46 |
$18,214.46 |
$24,159.72
|
|
Insitu hybridization manual
|
$97.17 |
$97.17 |
$97.17 |
$407.11
|
|
In situ hybridization per specimen each additional single probe stain
|
$96.35 |
$96.35 |
$96.35 |
$251.55
|
|
In situ hybridization per specimen initial single probe stain
|
$96.35 |
$96.35 |
$96.35 |
$338.40
|
|
Ins lv lead exist pm/icd
|
$8,260.89 |
$8,260.89 |
$8,260.89 |
$12,384.25
|
|
Ins picad w subq port 5yr>
|
$4,415.70 |
$4,415.70 |
$4,415.70 |
$4,341.66
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$1,443.41 |
$1,443.41 |
$1,443.41 |
$1,483.95
|
|
Ins pm gen exist dual lead
|
$17,730.66 |
$17,730.66 |
$17,730.66 |
$24,696.00
|
|
Ins pm gen w/exist mlt leads
|
$7,189.56 |
$7,189.56 |
$7,189.56 |
$15,600.75
|
|
Ins pq tunnld ip cath w/img
|
$2,369.60 |
$2,369.60 |
$2,369.60 |
$5,593.60
|
|
Ins/rpl ldless pm right vent w img & eval
|
$9,713.11 |
$9,713.11 |
$9,713.11 |
$24,135.54
|
|
Ins/rpl pm gen exist dual lead
|
$7,242.45 |
$7,242.45 |
$7,242.45 |
$11,593.70
|
|
Ins/rpl pm gen exist sgl lead
|
$6,279.36 |
$6,279.36 |
$6,279.36 |
$9,746.29
|
|
Ins/rpl pm w/tv ld atrl
|
$8,992.74 |
$8,992.74 |
$8,992.74 |
$12,384.25
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$22,628.31 |
$22,628.31 |
$22,628.31 |
$25,106.90
|
|
Inst fibrinolysis agent ini day
|
$305.25 |
$305.25 |
$305.25 |
$1,095.00
|
|
Inst fibrinolysis agent sbsq d
|
$305.25 |
$305.25 |
$305.25 |
$898.12
|
|
Ins tun cv cath wo subq prt/pm
|
$2,174.03 |
$2,174.03 |
$2,174.03 |
$4,748.00
|
|
Ins tun intraperit dia cath
|
$2,398.50 |
$2,398.50 |
$2,398.50 |
$4,657.46
|
|
Insulin total
|
$21.32 |
$21.32 |
$21.32 |
$67.60
|
|
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm
|
$3,877.17 |
$3,877.17 |
$3,877.17 |
$9,970.16
|
|
Integra meshed bil wound mat
|
$3,877.17 |
$3,877.17 |
$3,877.17 |
$25,450.30
|
|
Integra os putty 2.5cc - cost per 0.5cc
|
$1,356.08 |
$1,356.08 |
$1,356.08 |
$2,908.50
|
|
Interdiscal perq aspir dx
|
$635.50 |
$635.50 |
$635.50 |
$1,222.26
|
|
Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper)
|
$920.45 |
$920.45 |
$920.45 |
$5,977.59
|
|
Interrog dev eval icpms ip
|
$54.53 |
$54.53 |
$54.53 |
$106.80
|
|
Interrog device eval heart
|
$79.34 |
$79.34 |
$79.34 |
$150.00
|
|
Interrog evl pm/ldls pm ip
|
$54.53 |
$54.53 |
$54.53 |
$127.20
|
|
Intra-atrial pacing
|
$5,157.39 |
$5,157.39 |
$5,157.39 |
$5,155.51
|
|
Intra-atrial recording
|
$5,157.39 |
$5,157.39 |
$5,157.39 |
$5,707.00
|
|
Intracard echo interv w/s&i
|
$1,427.01 |
$1,427.01 |
$1,427.01 |
$3,982.59
|
|
Intracran angioplsty w/stent
|
$2,847.45 |
$2,847.45 |
$2,847.45 |
$11,364.78
|
|
Intracranial angioplasty
|
$4,350.10 |
$4,350.10 |
$4,350.10 |
$7,149.60
|
|
Intracranial complete study
|
$220.58 |
$220.58 |
$220.58 |
$883.30
|
|
Intracranial limited study
|
$114.80 |
$114.80 |
$114.80 |
$423.52
|
|
Intraop epicard/endocard/pace/map/ 93631
|
$1,322.46 |
$1,322.46 |
$1,322.46 |
$3,690.00
|
|
Intrapul surf admin endo tube
|
$171.59 |
$171.59 |
$171.59 |
$239.52
|
|
Intraventricular pacing
|
$5,157.39 |
$5,157.39 |
$5,157.39 |
$5,775.22
|
|
Intrinsic factor antibody
|
$14.56 |
$14.56 |
$14.56 |
$59.95
|
|
Intro cath dialysis circuit
|
$448.34 |
$448.34 |
$448.34 |
$2,317.80
|
|
Intro cath dialysis circuit w/pta
|
$3,138.76 |
$3,138.76 |
$3,138.76 |
$8,761.00
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$6,405.43 |
$6,405.43 |
$6,405.43 |
$15,625.00
|
|
Intro catheter aorta
|
$945.67 |
$945.67 |
$945.67 |
$1,861.61
|
|
Intro cath svc/ivc
|
$367.77 |
$367.77 |
$367.77 |
$1,350.75
|
|
Intro long gi tube
|
$459.41 |
$459.41 |
$459.41 |
$1,036.00
|
|
Intro long gi tube w/mult fluo
|
$206.23 |
$206.23 |
$206.23 |
$477.85
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$1,161.33 |
$1,161.33 |
$1,161.33 |
$3,510.75
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$995.28 |
$995.28 |
$995.28 |
$1,825.16
|
|
Intubation endotracheal emergency procedure
|
$389.71 |
$389.71 |
$389.71 |
$617.60
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$137.56 |
$137.56 |
$137.56 |
$165.67
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$293.97 |
$293.97 |
$293.97 |
$182.21
|
|
Ioxaglate 39.3%-19.6% inj 200 ml
|
$727.34 |
$727.34 |
$727.34 |
$1,014.73
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$11,070.00 |
$11,070.00 |
$11,070.00 |
$62,692.46
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$33.21 |
$33.21 |
$33.21 |
$203.92
|
|
Iron
|
$91.02 |
$91.02 |
$91.02 |
$70.72
|
|
Iron binding capacity
|
$33.42 |
$33.42 |
$33.42 |
$63.00
|
|
Iron dextran 50 mg/ml injection solution
|
$41.21 |
$41.21 |
$41.21 |
$73.22
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$88.56 |
$88.56 |
$88.56 |
$169.30
|
|
Irrigation implantable venous access device for drug delivery systems
|
$64.17 |
$64.17 |
$64.17 |
$154.50
|
|
Ivc venogram s&i
|
$1,797.03 |
$1,797.03 |
$1,797.03 |
$3,332.55
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$151.50 |
$151.50 |
$151.50 |
$191.75
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$94.10 |
$94.10 |
$94.10 |
$174.40
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$98.61 |
$98.61 |
$98.61 |
$155.00
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$352.40 |
$352.40 |
$352.40 |
$460.85
|
|
IV inj ra drug dx study
|
$260.56 |
$260.56 |
$260.56 |
$560.00
|
|
Ivp w/nephrotomography
|
$1,286.38 |
$1,286.38 |
$1,286.38 |
$790.08
|