|
Ins vag brachytx device
|
$358.23 |
$358.23 |
$358.23 |
$909.35
|
|
Intens cardiac rehab no exer
|
$148.28 |
$148.28 |
$148.28 |
$139.49
|
|
Intens cardiac rehab w/exerc
|
$148.28 |
$148.28 |
$148.28 |
$160.20
|
|
Interdental fixation
|
$1,744.44 |
$1,744.44 |
$1,744.44 |
$2,040.00
|
|
Interdental wirg oth/thn fx
|
$1,744.44 |
$1,744.44 |
$1,744.44 |
$1,809.68
|
|
Interdiscal perq aspir dx
|
$828.59 |
$828.59 |
$828.59 |
$1,222.26
|
|
Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper)
|
$56.23 |
$56.23 |
$56.23 |
$104.31
|
|
Interferon beta-1a inj
|
$2,203.14 |
$2,203.14 |
$2,203.14 |
$2,203.14
|
|
Intermediate visual field xm
|
$69.95 |
$69.95 |
$69.95 |
$81.12
|
|
Interrogate subq defib
|
$43.91 |
$43.91 |
$43.91 |
$148.00
|
|
Interrogation vad in person
|
$108.10 |
$108.10 |
$108.10 |
$301.98
|
|
Interrog dev eval icpms ip
|
$43.91 |
$43.91 |
$43.91 |
$108.80
|
|
Interrog dev eval scrms ip
|
$28.84 |
$28.84 |
$28.84 |
$152.50
|
|
Interrog device eval heart
|
$43.91 |
$43.91 |
$43.91 |
$162.40
|
|
Interrog evl pm/ldls pm ip
|
$43.91 |
$43.91 |
$43.91 |
$130.00
|
|
Interrog&prgrmg ipnss
|
$108.10 |
$108.10 |
$108.10 |
$200.00
|
|
Interrog without prgrmg ipnss
|
$108.10 |
$108.10 |
$108.10 |
$130.73
|
|
Interstitial brachy inter
|
$128.95 |
$128.95 |
$128.95 |
$1,348.20
|
|
Int hrhc lig 1 hroid without img
|
$3,229.60 |
$3,229.60 |
$3,229.60 |
$2,954.70
|
|
Int hrhc lig 2+hroid without img
|
$3,229.60 |
$3,229.60 |
$3,229.60 |
$2,234.70
|
|
Intra-atrial pacing
|
$8,936.20 |
$8,936.20 |
$8,936.20 |
$4,614.35
|
|
Intra-atrial recording
|
$8,936.20 |
$8,936.20 |
$8,936.20 |
$5,252.30
|
|
Intracranial complete study
|
$284.66 |
$284.66 |
$284.66 |
$903.50
|
|
Intracranial limited study
|
$125.23 |
$125.23 |
$125.23 |
$398.34
|
|
Intranasal biopsy 30100
|
$1,744.44 |
$1,744.44 |
$1,744.44 |
$1,618.86
|
|
Intranasal reconstruction
|
$6,966.64 |
$6,966.64 |
$6,966.64 |
$5,421.47
|
|
Intraoral i+d tongue/floor lingual 41000
|
$599.72 |
$599.72 |
$599.72 |
$1,182.15
|
|
Intraoral periapical first
|
$103.69 |
$103.69 |
$103.69 |
$97.46
|
|
Intrapul surf admin endo tube
|
$239.52 |
$239.52 |
$239.52 |
$220.80
|
|
Intrauterine transfusion ftl
|
$514.85 |
$514.85 |
$514.85 |
$1,004.25
|
|
Intraventricular pacing
|
$8,936.20 |
$8,936.20 |
$8,936.20 |
$5,625.00
|
|
Intrinsic factor antibody
|
$15.08 |
$15.08 |
$15.08 |
$76.77
|
|
Intrm oph exam est patient
|
$151.77 |
$151.77 |
$151.77 |
$183.07
|
|
Intro cath dialysis circuit
|
$1,829.42 |
$1,829.42 |
$1,829.42 |
$2,161.90
|
|
Intro cath dialysis circuit w/pta
|
$6,714.45 |
$6,714.45 |
$6,714.45 |
$8,761.00
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$13,355.34 |
$13,355.34 |
$13,355.34 |
$18,260.50
|
|
Intro long gi tube
|
$1,104.13 |
$1,104.13 |
$1,104.13 |
$880.75
|
|
Intro windpipe wire/tube
|
$2,030.84 |
$2,030.84 |
$2,030.84 |
$1,910.40
|
|
Intubation endotracheal emergency procedure
|
$273.48 |
$273.48 |
$273.48 |
$565.00
|
|
Io anal gast n-stim subsq
|
$69.95 |
$69.95 |
$69.95 |
$129.56
|
|
Iodine i-125 sodium iodide
|
$245.64 |
$245.64 |
$245.64 |
$230.87
|
|
Io ga n-stim subsq w/reprog
|
$43.91 |
$43.91 |
$43.91 |
$187.43
|
|
Io rad tx deliver by elctrns
|
$9,002.61 |
$9,002.61 |
$9,002.61 |
$9,332.31
|
|
Io rad tx delivery by x-ray
|
$9,002.61 |
$9,002.61 |
$9,002.61 |
$10,127.56
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$176.88 |
$176.88 |
$176.88 |
$261.10
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$64.77 |
$64.77 |
$64.77 |
$111.98
|
|
Iron
|
$6.47 |
$6.47 |
$6.47 |
$67.50
|
|
Iron binding capacity
|
$8.74 |
$8.74 |
$8.74 |
$55.00
|
|
Iron dextran 50 mg/ml injection solution
|
$17.67 |
$17.67 |
$17.67 |
$38.16
|
|
Iron stain peripheral blood
|
$6.88 |
$6.88 |
$6.88 |
$17.60
|
|
Irradiation of blood product each unit reference
|
$46.22 |
$46.22 |
$46.22 |
$127.49
|
|
Irrigation implantable venous access device for drug delivery systems
|
$69.95 |
$69.95 |
$69.95 |
$149.00
|
|
Irrigation sphenoid sinus
|
$1,744.44 |
$1,744.44 |
$1,744.44 |
$1,618.86
|
|
Irrigation vagina and/or appl medicament tx disease
|
$69.95 |
$69.95 |
$69.95 |
$132.00
|
|
Isatuximab-irfc 20 mg/ml intravenous solution
|
$78.05 |
$78.05 |
$78.05 |
$82.86
|
|
Island pedicle flap graft
|
$2,154.21 |
$2,154.21 |
$2,154.21 |
$2,468.80
|
|
Ivc venogram s&i
|
$3,706.68 |
$3,706.68 |
$3,706.68 |
$2,975.00
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$83.81 |
$83.81 |
$83.81 |
$186.55
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$54.34 |
$54.34 |
$54.34 |
$153.40
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$248.12 |
$248.12 |
$248.12 |
$476.50
|
|
IV inj ra drug dx study
|
$473.22 |
$473.22 |
$473.22 |
$473.22
|
|
IV njx tst vasc flo flap/grf
|
$469.93 |
$469.93 |
$469.93 |
$441.68
|
|
Ivp w/nephrotomography
|
$209.65 |
$209.65 |
$209.65 |
$673.90
|
|
Ivp w/wo kub w/wo tomography
|
$209.65 |
$209.65 |
$209.65 |
$687.80
|
|
Ixabepilone 15 mg intravenous solution
|
$134.06 |
$134.06 |
$134.06 |
$189.96
|
|
Jak2 targeted sequence analysis
|
$185.20 |
$185.20 |
$185.20 |
$465.74
|
|
Jaw arthroscopy/surgery
|
$3,821.05 |
$3,821.05 |
$3,821.05 |
$3,594.44
|
|
Jaw arthroscopy/surgery
|
$3,821.05 |
$3,821.05 |
$3,821.05 |
$3,594.44
|
|
Jejunstmy tube plcmt
|
$2,234.01 |
$2,234.01 |
$2,234.01 |
$2,174.40
|
|
John cunningham antibody
|
$16.89 |
$16.89 |
$16.89 |
$39.65
|
|
Keratoprosthesis
|
$16,827.95 |
$16,827.95 |
$16,827.95 |
$9,646.43
|
|
Ketogenic steroids fract
|
$15.47 |
$15.47 |
$15.47 |
$81.12
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$8.17 |
$8.17 |
$8.17 |
$52.50
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$0.80 |
$0.80 |
$0.80 |
$17.11
|
|
Kidney endoscopy
|
$5,986.78 |
$5,986.78 |
$5,986.78 |
$1,808.00
|
|
Kidney endoscopy
|
$5,986.78 |
$5,986.78 |
$5,986.78 |
$4,414.20
|
|
Kidney endoscopy
|
$4,061.71 |
$4,061.71 |
$4,061.71 |
$2,486.40
|
|
Kidney endoscopy
|
$5,986.78 |
$5,986.78 |
$5,986.78 |
$4,751.59
|
|
Kidney endoscopy & biopsy
|
$10,890.00 |
$10,890.00 |
$10,890.00 |
$3,850.20
|
|
Kidney endoscopy & biopsy
|
$4,061.71 |
$4,061.71 |
$4,061.71 |
$2,860.80
|
|
Kidney endoscopy & treatment
|
$10,890.00 |
$10,890.00 |
$10,890.00 |
$7,976.07
|
|
Kidney endoscopy & treatment
|
$5,986.78 |
$5,986.78 |
$5,986.78 |
$4,965.89
|
|
Kidney endoscopy & treatment
|
$10,890.00 |
$10,890.00 |
$10,890.00 |
$4,565.45
|
|
Kidney endoscopy & treatment
|
$5,986.78 |
$5,986.78 |
$5,986.78 |
$3,505.24
|
|
Kidney function study
|
$473.22 |
$473.22 |
$473.22 |
$549.70
|
|
Kidney imaging morphology
|
$473.22 |
$473.22 |
$473.22 |
$693.60
|
|
Kidney imag w/bld flow multi
|
$633.90 |
$633.90 |
$633.90 |
$1,319.61
|
|
Kidney img w/bldflw sgl without rx
|
$633.90 |
$633.90 |
$633.90 |
$1,425.00
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$125.23 |
$125.23 |
$125.23 |
$618.54
|
|
Kit gene analys d816 variant
|
$124.87 |
$124.87 |
$124.87 |
$276.38
|
|
Knee Arthroscopy (Cartilage Repair)
|
$3,821.05 |
$3,821.05 |
$3,821.05 |
$3,594.44
|
|
Knee arthroscopy/drainage
|
$3,821.05 |
$3,821.05 |
$3,821.05 |
$3,591.33
|
|
Knee arthroscopy dx
|
$3,821.05 |
$3,821.05 |
$3,821.05 |
$3,591.33
|
|
Knee Arthroscopy (Meniscus Repair)
|
$3,821.05 |
$3,821.05 |
$3,821.05 |
$3,705.22
|
|
Knee arthroscopy/surgery
|
$1,884.74 |
$1,884.74 |
$1,884.74 |
$2,211.05
|
|
Knee arthroscopy/surgery
|
$1,884.74 |
$1,884.74 |
$1,884.74 |
$2,974.01
|
|
Knee arthroscopy/surgery
|
$3,821.05 |
$3,821.05 |
$3,821.05 |
$3,591.33
|
|
Knee arthroscopy/surgery
|
$3,821.05 |
$3,821.05 |
$3,821.05 |
$3,594.44
|
|
Knee arthroscopy/surgery
|
$3,821.05 |
$3,821.05 |
$3,821.05 |
$3,594.44
|
|
Knee arthroscopy/surgery
|
$3,821.05 |
$3,821.05 |
$3,821.05 |
$3,594.44
|
