|
Inj lwr xtr fscl pln blk uni w/wo image
|
$2,129.44 |
$2,129.44 |
$2,129.44 |
$794.70
|
|
Inj, moxifloxacin 100 mg
|
$53.81 |
$53.81 |
$53.81 |
$101.31
|
|
Inj multihance
|
$3.46 |
$3.46 |
$3.46 |
$70.54
|
|
Inj naloxone hydrochloride
|
$20.70 |
$20.70 |
$20.70 |
$83.16
|
|
Inj nephrosto/ureterogram w/img exstng access
|
$1,496.23 |
$1,496.23 |
$1,496.23 |
$1,413.35
|
|
Inj non-compmd foam sclrsnt sgl trncl vein
|
$2,203.21 |
$2,203.21 |
$2,203.21 |
$2,726.90
|
|
Inj octafluoropropane mic,ml
|
$98.86 |
$98.86 |
$98.86 |
$211.40
|
|
Inj, pegcetacoplan, 1mg
|
$317.74 |
$317.74 |
$317.74 |
$3,662.96
|
|
Inj pegfilgrastim-bmez 0.5mg
|
$34.68 |
$34.68 |
$34.68 |
$6,614.40
|
|
Inj proc elbow arthro
|
$199.53 |
$199.53 |
$199.53 |
$432.00
|
|
Inj proc myelogram lumbar
|
$504.22 |
$504.22 |
$504.22 |
$838.30
|
|
Inj prohance multipack
|
$2.78 |
$2.78 |
$2.78 |
$10.40
|
|
Inj retacrit esrd on dialysi
|
$1.92 |
$1.92 |
$1.92 |
$349.45
|
|
Inj retro urethrocysto
|
$130.94 |
$130.94 |
$130.94 |
$447.74
|
|
Inj, rimabotulinumtoxinb
|
$24.55 |
$24.55 |
$24.55 |
$714.24
|
|
Inj scleros sol mult veins
|
$886.07 |
$886.07 |
$886.07 |
$692.90
|
|
Inj sulf hexa lipid microsph
|
$52.29 |
$52.29 |
$52.29 |
$256.14
|
|
Inj testosterone cypionate
|
$0.10 |
$0.10 |
$0.10 |
$64.96
|
|
Inj thrc fascial pln blk uni w/wo image
|
$1,712.95 |
$1,712.95 |
$1,712.95 |
$818.00
|
|
Inj triamcinolone ace X-ray 1mg
|
$38.12 |
$38.12 |
$38.12 |
$1,090.75
|
|
Inj, trivisc 1 mg
|
$13.33 |
$13.33 |
$13.33 |
$6.67
|
|
Inj w/fluor eval cv device
|
$503.92 |
$503.92 |
$503.92 |
$504.40
|
|
Inj., yutiq, 0.01 mg
|
$1,050.19 |
$1,050.19 |
$1,050.19 |
$14,458.60
|
|
Ins cerv dilator (sep proc)
|
$634.54 |
$634.54 |
$634.54 |
$490.73
|
|
Insert cath pleura with image
|
$1,929.15 |
$1,929.15 |
$1,929.15 |
$2,194.40
|
|
Insert cath pleura without image
|
$3,379.28 |
$3,379.28 |
$3,379.28 |
$2,099.70
|
|
Insert drug delivery implant
|
$258.89 |
$258.89 |
$258.89 |
$280.00
|
|
Insert intrauterine device iud
|
$199.89 |
$199.89 |
$199.89 |
$347.10
|
|
Insertion catheter bladder non indwelling
|
$273.52 |
$273.52 |
$273.52 |
$208.01
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$6,404.64 |
$6,404.64 |
$6,404.64 |
$4,897.20
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$9,351.55 |
$9,351.55 |
$9,351.55 |
$7,210.78
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$1,929.15 |
$1,929.15 |
$1,929.15 |
$2,585.25
|
|
Insertion of catheter vein
|
$721.88 |
$721.88 |
$721.88 |
$870.59
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$1,929.15 |
$1,929.15 |
$1,929.15 |
$2,103.75
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$2,320.01 |
$2,320.01 |
$2,320.01 |
$2,453.83
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$4,952.88 |
$4,952.88 |
$4,952.88 |
$5,236.80
|
|
Insert pessary/other device
|
$436.20 |
$436.20 |
$436.20 |
$278.90
|
|
Insert swan-ganz cath
|
$2,785.63 |
$2,785.63 |
$2,785.63 |
$2,164.52
|
|
Insert ureteral support
|
$2,836.34 |
$2,836.34 |
$2,836.34 |
$2,836.34
|
|
Insitu hybridization auto
|
$1,289.15 |
$1,289.15 |
$1,289.15 |
$377.37
|
|
Insitu hybridization manual
|
$1,289.15 |
$1,289.15 |
$1,289.15 |
$401.28
|
|
In situ hybridization per specimen each additional single probe stain
|
$377.55 |
$377.55 |
$377.55 |
$243.50
|
|
In situ hybridization per specimen initial single probe stain
|
$698.23 |
$698.23 |
$698.23 |
$338.40
|
|
Insj perq vad r hrt venous
|
$20,514.47 |
$20,514.47 |
$20,514.47 |
$3,796.00
|
|
Ins mark abd/pel for right perq
|
$3,221.39 |
$3,221.39 |
$3,221.39 |
$2,477.24
|
|
Ins picad w subq port 5yr>
|
$4,952.88 |
$4,952.88 |
$4,952.88 |
$4,078.00
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$1,705.13 |
$1,705.13 |
$1,705.13 |
$1,690.00
|
|
Ins pq tunnld ip cath w/img
|
$6,404.64 |
$6,404.64 |
$6,404.64 |
$5,486.00
|
|
Inst tauro 1.35mg/hep 100u
|
$17.25 |
$17.25 |
$17.25 |
$8.58
|
|
Ins tun cv cath wo subq prt/pm
|
$5,842.81 |
$5,842.81 |
$5,842.81 |
$4,218.00
|
|
Ins tun intraperit dia cath
|
$6,404.64 |
$6,404.64 |
$6,404.64 |
$4,570.00
|
|
Insulin total
|
$41.36 |
$41.36 |
$41.36 |
$66.64
|
|
Interrogation vad in person
|
$328.13 |
$328.13 |
$328.13 |
$296.80
|
|
Interrog device eval heart
|
$129.11 |
$129.11 |
$129.11 |
$162.40
|
|
Interrog evl pm/ldls pm ip
|
$82.44 |
$82.44 |
$82.44 |
$127.20
|
|
Intra-atrial recording
|
$10,088.55 |
$10,088.55 |
$10,088.55 |
$5,252.30
|
|
Intraoral periapical first
|
$19.50 |
$19.50 |
$19.50 |
$54.88
|
|
Intrinsic factor antibody
|
$54.55 |
$54.55 |
$54.55 |
$65.00
|
|
Intro cath dialysis circuit
|
$1,562.18 |
$1,562.18 |
$1,562.18 |
$2,036.94
|
|
Intro cath dialysis circuit w/pta
|
$9,623.59 |
$9,623.59 |
$9,623.59 |
$8,690.50
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$15,408.82 |
$15,408.82 |
$15,408.82 |
$16,262.40
|
|
Intro catheter aorta
|
$420.82 |
$420.82 |
$420.82 |
$1,678.05
|
|
Intro cath svc/ivc
|
$463.08 |
$463.08 |
$463.08 |
$1,323.27
|
|
Intro long gi tube
|
$1,670.68 |
$1,670.68 |
$1,670.68 |
$974.17
|
|
Intro long gi tube w/mult fluo
|
$305.81 |
$305.81 |
$305.81 |
$469.00
|
|
Intubation endotracheal emergency procedure
|
$553.14 |
$553.14 |
$553.14 |
$601.28
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$0.36 |
$0.36 |
$0.36 |
$165.67
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$0.40 |
$0.40 |
$0.40 |
$279.10
|
|
Iron
|
$23.42 |
$23.42 |
$23.42 |
$75.00
|
|
Iron binding capacity
|
$31.63 |
$31.63 |
$31.63 |
$63.91
|
|
Iron dextran 50 mg/ml injection solution
|
$24.84 |
$24.84 |
$24.84 |
$80.67
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$0.46 |
$0.46 |
$0.46 |
$187.06
|
|
Irradiation of blood product each unit reference
|
$364.21 |
$364.21 |
$364.21 |
$115.20
|
|
Irrigation implantable venous access device for drug delivery systems
|
$146.22 |
$146.22 |
$146.22 |
$146.11
|
|
Ivc venogram s&i
|
$5,491.15 |
$5,491.15 |
$5,491.15 |
$3,332.55
|
|
IV Fluids (each additional hour)
|
$133.11 |
$133.11 |
$133.11 |
$133.90
|
|
IV Fluids (first hour)
|
$348.36 |
$348.36 |
$348.36 |
$390.00
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$168.98 |
$168.98 |
$168.98 |
$162.68
|
|
IV inj ra drug dx study
|
$773.62 |
$773.62 |
$773.62 |
$567.00
|
|
IV Medicine Infusion (additional drug)
|
$80.28 |
$80.28 |
$80.28 |
$191.75
|
|
IV Medicine Infusion (each additional hour)
|
$133.11 |
$133.11 |
$133.11 |
$154.00
|
|
IV Medicine Infusion (first hour)
|
$348.36 |
$348.36 |
$348.36 |
$439.56
|
|
IV Push Injection (each additional drug)
|
$133.11 |
$133.11 |
$133.11 |
$167.50
|
|
IV Push Injection (first drug)
|
$348.36 |
$348.36 |
$348.36 |
$252.76
|
|
Ivp w/wo kub w/wo tomography
|
$336.54 |
$336.54 |
$336.54 |
$713.40
|
|
Jak2 targeted sequence analysis
|
$492.40 |
$492.40 |
$492.40 |
$405.00
|
|
Jaw Joint (TMJ) X-ray (both sides, open and closed)
|
$201.75 |
$201.75 |
$201.75 |
$330.05
|
|
Jaw (Mandible) X-ray (complete)
|
$275.16 |
$275.16 |
$275.16 |
$362.05
|
|
John cunningham antibody
|
$52.10 |
$52.10 |
$52.10 |
$78.00
|
|
Ketamine and metabolite screen - quest
|
$335.41 |
$335.41 |
$335.41 |
$72.14
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$29.58 |
$29.58 |
$29.58 |
$58.56
|
|
Ketorolac (Toradol) Pain Shot, 15 mg
|
$2.27 |
$2.27 |
$2.27 |
$23.52
|
|
Kidney imag w/bld flow multi
|
$859.59 |
$859.59 |
$859.59 |
$1,566.50
|
|
Kidney img w/bldflw sgl without rx
|
$859.59 |
$859.59 |
$859.59 |
$1,433.22
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$323.71 |
$323.71 |
$323.71 |
$673.36
|
|
Kidney (Retroperitoneal) Ultrasound (limited)
|
$323.71 |
$323.71 |
$323.71 |
$490.75
|
|
Kit cast tcc 3in w/2reg boots total contact cast
|
$56.56 |
$56.56 |
$56.56 |
$174.00
|
|
Kit gene analys d816 variant
|
$366.03 |
$366.03 |
$366.03 |
$374.61
|
|
Knee MRI (with and without contrast)
|
$2,278.18 |
$2,278.18 |
$2,278.18 |
$3,022.20
|
|
Knee MRI (with contrast)
|
$2,278.18 |
$2,278.18 |
$2,278.18 |
$2,394.58
|