|
Ins/rpl pm gen exist sgl lead
|
$9,160.35 |
$9,160.35 |
$9,160.35 |
$9,558.78
|
|
Ins/rpl pm w/tv ld atrl
|
$11,583.66 |
$11,583.66 |
$11,583.66 |
$11,583.66
|
|
Ins/rpl prph sac/gstr npg/r
|
$23,735.94 |
$23,735.94 |
$23,735.94 |
$18,129.80
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$31,466.18 |
$31,466.18 |
$31,466.18 |
$27,318.11
|
|
Insrt/redo neurostim 1 array
|
$23,735.94 |
$23,735.94 |
$23,735.94 |
$21,817.60
|
|
Install spinal shunt 63741
|
$7,088.41 |
$7,088.41 |
$7,088.41 |
$7,181.20
|
|
Inst fibrinolysis agent ini day
|
$684.33 |
$684.33 |
$684.33 |
$1,043.35
|
|
Inst fibrinolysis agent sbsq d
|
$684.33 |
$684.33 |
$684.33 |
$997.05
|
|
Instillation anticarcinogenic agent bladder
|
$738.80 |
$738.80 |
$738.80 |
$645.01
|
|
Instill, bupivac and meloxic
|
$0.90 |
$0.90 |
$0.90 |
$687.07
|
|
Instill pharm renal pelvis
|
$2,490.99 |
$2,490.99 |
$2,490.99 |
$3,018.72
|
|
Instll rx agnt into rnal tub
|
$269.20 |
$269.20 |
$269.20 |
$619.20
|
|
Inst tauro 1.35mg/hep 100u
|
$7.68 |
$7.68 |
$7.68 |
$8.58
|
|
Ins tun cvad 2 cath w/subq port(s)
|
$5,983.35 |
$5,983.35 |
$5,983.35 |
$7,826.00
|
|
Ins tun cv cath wo subq prt/pm
|
$5,983.35 |
$5,983.35 |
$5,983.35 |
$5,324.80
|
|
Ins tun cv cath wo subq prt/pm
|
$3,483.84 |
$3,483.84 |
$3,483.84 |
$4,218.00
|
|
Ins tun intraperit dia cath
|
$3,906.18 |
$3,906.18 |
$3,906.18 |
$4,570.00
|
|
Inst via cath agent pleurds
|
$684.33 |
$684.33 |
$684.33 |
$1,074.68
|
|
Insulin suppression panel
|
$165.61 |
$165.61 |
$165.61 |
$375.70
|
|
Insulin tolerance panel
|
$285.03 |
$285.03 |
$285.03 |
$313.53
|
|
Insulin tolerance panel
|
$103.00 |
$103.00 |
$103.00 |
$258.40
|
|
Insulin total
|
$11.43 |
$11.43 |
$11.43 |
$66.64
|
|
Ins vag brachytx device
|
$336.70 |
$336.70 |
$336.70 |
$950.00
|
|
Intens behave ther cardio dx
|
$32.97 |
$32.97 |
$32.97 |
$47.60
|
|
Intens cardiac rehab no exer
|
$139.36 |
$139.36 |
$139.36 |
$238.40
|
|
Intens cardiac rehab w/exerc
|
$139.36 |
$139.36 |
$139.36 |
$238.40
|
|
Interdental fixation
|
$1,639.57 |
$1,639.57 |
$1,639.57 |
$2,133.48
|
|
Interdental wirg oth/thn fx
|
$1,639.57 |
$1,639.57 |
$1,639.57 |
$1,944.80
|
|
Interdiscal perq aspir dx
|
$778.78 |
$778.78 |
$778.78 |
$1,222.26
|
|
Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper)
|
$57.47 |
$57.47 |
$57.47 |
$10,427.90
|
|
Interferon beta-1a inj
|
$2,203.14 |
$2,203.14 |
$2,203.14 |
$1,851.20
|
|
Intermediate visual field xm
|
$65.75 |
$65.75 |
$65.75 |
$112.80
|
|
Interrogate subq defib
|
$41.27 |
$41.27 |
$41.27 |
$119.60
|
|
Interrogation vad in person
|
$101.60 |
$101.60 |
$101.60 |
$296.40
|
|
Interrog dev eval icpms ip
|
$41.27 |
$41.27 |
$41.27 |
$104.00
|
|
Interrog dev eval scrms ip
|
$27.11 |
$27.11 |
$27.11 |
$124.80
|
|
Interrog device eval heart
|
$41.27 |
$41.27 |
$41.27 |
$162.40
|
|
Interrog evl pm/ldls pm ip
|
$41.27 |
$41.27 |
$41.27 |
$127.20
|
|
Interrog&prgrmg ipnss
|
$101.60 |
$101.60 |
$101.60 |
$200.00
|
|
Interrog&prgrmg ipnss polysm
|
$331.96 |
$331.96 |
$331.96 |
$422.32
|
|
Interrog without prgrmg ipnss
|
$101.60 |
$101.60 |
$101.60 |
$147.00
|
|
Interstitial brachy inter
|
$121.20 |
$121.20 |
$121.20 |
$1,194.42
|
|
Int hrhc lig 1 hroid without img
|
$3,035.44 |
$3,035.44 |
$3,035.44 |
$3,491.25
|
|
Int hrhc lig 2+hroid without img
|
$3,035.44 |
$3,035.44 |
$3,035.44 |
$3,245.23
|
|
Intra-atrial pacing
|
$8,398.96 |
$8,398.96 |
$8,398.96 |
$4,865.25
|
|
Intra-atrial recording
|
$8,398.96 |
$8,398.96 |
$8,398.96 |
$5,252.30
|
|
Intracranial complete study
|
$267.55 |
$267.55 |
$267.55 |
$881.50
|
|
Intracranial limited study
|
$117.70 |
$117.70 |
$117.70 |
$467.50
|
|
Intranasal biopsy 30100
|
$1,639.57 |
$1,639.57 |
$1,639.57 |
$2,282.50
|
|
Intranasal reconstruction
|
$6,547.81 |
$6,547.81 |
$6,547.81 |
$5,741.00
|
|
Intraoral i+d tongue/floor lingual 41000
|
$563.67 |
$563.67 |
$563.67 |
$1,331.45
|
|
Intraoral periapical first
|
$97.46 |
$97.46 |
$97.46 |
$54.88
|
|
Intrapul surf admin endo tube
|
$225.12 |
$225.12 |
$225.12 |
$220.80
|
|
Intrauterine transfusion ftl
|
$483.90 |
$483.90 |
$483.90 |
$1,021.15
|
|
Intraventricular pacing
|
$8,398.96 |
$8,398.96 |
$8,398.96 |
$5,456.17
|
|
Intrinsic factor antibody
|
$15.08 |
$15.08 |
$15.08 |
$66.60
|
|
Intrm oph exam est patient
|
$142.64 |
$142.64 |
$142.64 |
$152.50
|
|
Intro cath dialysis circuit
|
$1,719.44 |
$1,719.44 |
$1,719.44 |
$2,043.30
|
|
Intro cath dialysis circuit w/pta
|
$6,310.78 |
$6,310.78 |
$6,310.78 |
$8,761.00
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$12,552.42 |
$12,552.42 |
$12,552.42 |
$16,275.00
|
|
Intro long gi tube
|
$1,037.75 |
$1,037.75 |
$1,037.75 |
$995.78
|
|
Intro windpipe wire/tube
|
$1,908.75 |
$1,908.75 |
$1,908.75 |
$2,447.43
|
|
Intubation endotracheal emergency procedure
|
$257.04 |
$257.04 |
$257.04 |
$601.28
|
|
Io anal gast n-stim subsq
|
$65.75 |
$65.75 |
$65.75 |
$146.38
|
|
Iodine i-125 sodium iodide
|
$230.87 |
$230.87 |
$230.87 |
$245.64
|
|
Io ga n-stim subsq w/reprog
|
$41.27 |
$41.27 |
$41.27 |
$187.43
|
|
Io rad tx deliver by elctrns
|
$8,461.38 |
$8,461.38 |
$8,461.38 |
$9,332.31
|
|
Io rad tx delivery by x-ray
|
$8,461.38 |
$8,461.38 |
$8,461.38 |
$9,046.18
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$183.41 |
$183.41 |
$183.41 |
$62,692.46
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$65.26 |
$65.26 |
$65.26 |
$5,517.12
|
|
Iron
|
$6.47 |
$6.47 |
$6.47 |
$74.75
|
|
Iron binding capacity
|
$8.74 |
$8.74 |
$8.74 |
$63.84
|
|
Iron dextran 50 mg/ml injection solution
|
$18.03 |
$18.03 |
$18.03 |
$81.70
|
|
Iron stain peripheral blood
|
$6.88 |
$6.88 |
$6.88 |
$30.55
|
|
Irradiation of blood product each unit reference
|
$43.44 |
$43.44 |
$43.44 |
$115.48
|
|
Irrigation implantable venous access device for drug delivery systems
|
$65.75 |
$65.75 |
$65.75 |
$146.11
|
|
Irrigation sphenoid sinus
|
$1,639.57 |
$1,639.57 |
$1,639.57 |
$3,062.80
|
|
Irrigation vagina and/or appl medicament tx disease
|
$65.75 |
$65.75 |
$65.75 |
$132.00
|
|
Isatuximab-irfc 20 mg/ml intravenous solution
|
$82.86 |
$82.86 |
$82.86 |
$8,273.35
|
|
Island pedicle flap graft
|
$2,024.70 |
$2,024.70 |
$2,024.70 |
$2,468.80
|
|
IV cipaglucosidase alfa-atga
|
$720.01 |
$720.01 |
$720.01 |
$769.78
|
|
Ivc venogram s&i
|
$3,483.84 |
$3,483.84 |
$3,483.84 |
$3,341.00
|
|
IV Fluids (each additional hour)
|
$51.07 |
$51.07 |
$51.07 |
$133.90
|
|
IV Fluids (first hour)
|
$233.20 |
$233.20 |
$233.20 |
$390.00
|
|
IV inj ra drug dx study
|
$444.77 |
$444.77 |
$444.77 |
$567.00
|
|
IV Medicine Infusion (additional drug)
|
$78.78 |
$78.78 |
$78.78 |
$191.75
|
|
IV Medicine Infusion (each additional hour)
|
$51.07 |
$51.07 |
$51.07 |
$154.00
|
|
IV Medicine Infusion (first hour)
|
$233.20 |
$233.20 |
$233.20 |
$441.75
|
|
IV njx tst vasc flo flap/grf
|
$441.68 |
$441.68 |
$441.68 |
$476.00
|
|
IV Push Injection (each additional drug)
|
$51.07 |
$51.07 |
$51.07 |
$166.80
|
|
IV Push Injection (first drug)
|
$233.20 |
$233.20 |
$233.20 |
$254.52
|
|
Ivp w/nephrotomography
|
$197.04 |
$197.04 |
$197.04 |
$729.00
|
|
Ivp w/wo kub w/wo tomography
|
$197.04 |
$197.04 |
$197.04 |
$713.40
|
|
Ixabepilone 15 mg intravenous solution
|
$138.67 |
$138.67 |
$138.67 |
$10,695.32
|
|
Jak2 targeted sequence analysis
|
$185.20 |
$185.20 |
$185.20 |
$405.00
|
|
Jaw arthroscopy/surgery
|
$3,591.33 |
$3,591.33 |
$3,591.33 |
$4,350.00
|
|
Jaw arthroscopy/surgery
|
$3,591.33 |
$3,591.33 |
$3,591.33 |
$4,499.12
|
|
Jaw Joint (TMJ) X-ray (both sides, open and closed)
|
$97.46 |
$97.46 |
$97.46 |
$330.05
|
|
Jaw (Mandible) X-ray (complete)
|
$117.70 |
$117.70 |
$117.70 |
$362.05
|
|
Jejunstmy tube plcmt
|
$2,099.70 |
$2,099.70 |
$2,099.70 |
$2,174.40
|
