|
Insert uteri tandem/ovoids
|
$7,627.40 |
$7,627.40 |
$7,627.40 |
$3,940.41
|
|
Insert vad art access left hrt arterial access
|
$21,540.20 |
$21,540.20 |
$26,511.02 |
$4,276.00
|
|
Ins icd gen exist mlt leads
|
$24,183.59 |
$24,183.59 |
$29,764.42 |
$31,286.77
|
|
Ins icd gen exist sgl lead
|
$20,833.14 |
$20,833.14 |
$20,833.14 |
$23,230.50
|
|
Insitu hybridization auto
|
$595.91 |
$595.91 |
$733.43 |
$372.81
|
|
Insitu hybridization manual
|
$595.91 |
$595.91 |
$733.43 |
$401.28
|
|
In situ hybridization per specimen each additional single probe stain
|
$377.55 |
$377.55 |
$464.68 |
$243.00
|
|
In situ hybridization per specimen initial single probe stain
|
$318.32 |
$318.32 |
$391.78 |
$340.00
|
|
Insj perq vad r hrt venous
|
$20,514.47 |
$20,514.47 |
$25,248.58 |
$3,796.00
|
|
Ins lv lead exist pm/icd
|
$11,881.43 |
$11,881.43 |
$12,755.65 |
$12,384.25
|
|
Ins mark abd/pel for right perq
|
$4,233.80 |
$4,233.80 |
$4,545.32 |
$2,477.24
|
|
Ins mark thor for right perq
|
$4,233.80 |
$4,233.80 |
$4,233.80 |
$2,492.80
|
|
Ins picad w subq port 5yr>
|
$6,509.50 |
$6,509.50 |
$6,988.46 |
$4,195.00
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$1,705.13 |
$1,705.13 |
$2,098.16 |
$1,690.00
|
|
Ins pm gen exist dual lead
|
$19,405.31 |
$19,405.31 |
$19,405.31 |
$24,159.72
|
|
Ins pm gen w/exist mlt leads
|
$20,384.72 |
$20,384.72 |
$20,384.72 |
$14,804.40
|
|
Ins pq tunnld ip cath w/img
|
$8,417.52 |
$8,417.52 |
$9,036.87 |
$5,486.00
|
|
Ins/rpl ldless pm right vent w img & eval
|
$21,158.42 |
$21,158.42 |
$26,041.14 |
$24,135.54
|
|
Ins/rpl pm gen exist dual lead
|
$11,881.43 |
$11,881.43 |
$12,755.65 |
$11,198.55
|
|
Ins/rpl pm gen exist sgl lead
|
$7,025.69 |
$7,025.69 |
$7,025.69 |
$9,558.78
|
|
Ins/rpl pm w/tv ld atrl
|
$11,881.43 |
$11,881.43 |
$12,755.65 |
$11,583.66
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$9,727.28 |
$9,727.28 |
$11,972.03 |
$27,318.11
|
|
Instillation anticarcinogenic agent bladder
|
$293.47 |
$293.47 |
$293.47 |
$645.01
|
|
Inst tauro 1.35mg/hep 100u
|
$17.25 |
$17.25 |
$21.23 |
$8.58
|
|
Ins tun cv cath wo subq prt/pm
|
$6,509.50 |
$6,509.50 |
$7,191.15 |
$4,218.00
|
|
Ins tun intraperit dia cath
|
$8,417.52 |
$8,417.52 |
$9,036.87 |
$4,570.00
|
|
Inst via cath agent pleurds
|
$11,411.70 |
$11,411.70 |
$14,045.17 |
$1,074.68
|
|
Insulin total
|
$41.36 |
$41.36 |
$50.90 |
$66.64
|
|
Ins vag brachytx device
|
$884.35 |
$884.35 |
$958.48 |
$950.00
|
|
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm
|
$2.83 |
$2.83 |
$2.83 |
$8,629.72
|
|
Intens behave ther cardio dx
|
$109.25 |
$109.25 |
$109.25 |
$47.60
|
|
Interdental fixation
|
$3,762.02 |
$3,762.02 |
$3,762.02 |
$2,133.48
|
|
Interdental wirg oth/thn fx
|
$3,762.02 |
$3,762.02 |
$3,762.02 |
$1,944.80
|
|
Interdiscal perq aspir dx
|
$1,994.36 |
$1,994.36 |
$2,141.10 |
$1,222.26
|
|
Intermediate visual field xm
|
$192.19 |
$192.19 |
$192.19 |
$112.80
|
|
Interrogate subq defib
|
$135.56 |
$135.56 |
$135.56 |
$119.60
|
|
Interrogation vad in person
|
$328.13 |
$328.13 |
$403.86 |
$296.40
|
|
Interrog dev eval icpms ip
|
$135.56 |
$135.56 |
$135.56 |
$104.00
|
|
Interrog dev eval scrms ip
|
$61.13 |
$61.13 |
$65.64 |
$124.80
|
|
Interrog device eval heart
|
$135.56 |
$135.56 |
$166.85 |
$162.40
|
|
Interrog evl pm/ldls pm ip
|
$135.56 |
$135.56 |
$145.53 |
$127.20
|
|
Intra-atrial pacing
|
$12,416.68 |
$12,416.68 |
$12,416.68 |
$4,865.25
|
|
Intra-atrial recording
|
$10,088.55 |
$10,088.55 |
$12,416.68 |
$5,252.30
|
|
Intracard echo interv w/s&i
|
$4,140.71 |
$4,140.71 |
$5,096.26 |
$3,436.00
|
|
Intracran angioplsty w/stent
|
$1,351.73 |
$1,351.73 |
$1,351.73 |
$8,257.80
|
|
Intracranial angioplasty
|
$1,373.02 |
$1,373.02 |
$1,373.02 |
$5,181.00
|
|
Intracranial complete study
|
$425.45 |
$425.45 |
$425.45 |
$881.50
|
|
Intracranial limited study
|
$425.45 |
$425.45 |
$425.45 |
$467.50
|
|
Intraoral i+d tongue/floor lingual 41000
|
$1,628.32 |
$1,628.32 |
$1,748.12 |
$1,331.45
|
|
Intraoral periapical first
|
$19.50 |
$19.50 |
$24.00 |
$54.88
|
|
Intraventricular pacing
|
$12,416.68 |
$12,416.68 |
$12,416.68 |
$5,456.17
|
|
Intrinsic factor antibody
|
$54.55 |
$54.55 |
$67.14 |
$66.60
|
|
Intrm oph exam est patient
|
$391.06 |
$391.06 |
$391.06 |
$152.50
|
|
Intro cath dialysis circuit
|
$2,053.14 |
$2,053.14 |
$2,204.22 |
$2,043.30
|
|
Intro cath dialysis circuit w/pta
|
$12,648.13 |
$12,648.13 |
$13,578.76 |
$8,761.00
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$20,251.58 |
$20,251.58 |
$21,741.66 |
$16,275.00
|
|
Intro catheter aorta
|
$824.68 |
$824.68 |
$1,236.94 |
$1,678.05
|
|
Intro cath svc/ivc
|
$819.38 |
$819.38 |
$1,108.27 |
$1,329.90
|
|
Intro long gi tube
|
$2,357.31 |
$2,357.31 |
$2,357.31 |
$995.78
|
|
Intro long gi tube w/mult fluo
|
$338.10 |
$338.10 |
$338.10 |
$469.00
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$378.20 |
$378.20 |
$465.48 |
$3,472.95
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$372.03 |
$372.03 |
$831.56 |
$1,801.10
|
|
Intubation endotracheal emergency procedure
|
$618.08 |
$618.08 |
$680.79 |
$601.28
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$0.36 |
$0.36 |
$0.44 |
$165.67
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$0.40 |
$0.40 |
$0.49 |
$277.17
|
|
Io rad tx delivery by x-ray
|
$26,549.84 |
$26,549.84 |
$26,584.59 |
$9,046.18
|
|
Iron
|
$23.42 |
$23.42 |
$28.82 |
$74.75
|
|
Iron binding capacity
|
$31.63 |
$31.63 |
$38.93 |
$63.84
|
|
Iron dextran 50 mg/ml injection solution
|
$23.05 |
$23.05 |
$24.84 |
$81.70
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$0.46 |
$0.46 |
$0.56 |
$187.06
|
|
Irradiation of blood product each unit reference
|
$92.99 |
$92.99 |
$114.45 |
$115.48
|
|
Irrigation implantable venous access device for drug delivery systems
|
$192.19 |
$192.19 |
$206.34 |
$146.11
|
|
Irrigation vagina and/or appl medicament tx disease
|
$335.52 |
$335.52 |
$335.52 |
$132.00
|
|
Ivc venogram s&i
|
$5,491.15 |
$5,491.15 |
$6,758.34 |
$3,341.00
|
|
IV Fluids (each additional hour)
|
$133.11 |
$133.11 |
$163.83 |
$133.90
|
|
IV Fluids (first hour)
|
$348.36 |
$348.36 |
$428.75 |
$390.00
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$168.98 |
$168.98 |
$207.98 |
$162.00
|
|
IV inj ra drug dx study
|
$837.15 |
$837.15 |
$1,091.56 |
$567.00
|
|
IV Medicine Infusion (additional drug)
|
$80.28 |
$80.28 |
$98.80 |
$191.75
|
|
IV Medicine Infusion (each additional hour)
|
$133.11 |
$133.11 |
$163.83 |
$154.00
|
|
IV Medicine Infusion (first hour)
|
$348.36 |
$348.36 |
$428.75 |
$441.75
|
|
IV Push Injection (each additional drug)
|
$133.11 |
$133.11 |
$163.83 |
$166.80
|
|
IV Push Injection (first drug)
|
$348.36 |
$348.36 |
$428.75 |
$254.52
|
|
Ivp w/wo kub w/wo tomography
|
$336.54 |
$336.54 |
$336.54 |
$713.40
|
|
Jak2 targeted sequence analysis
|
$492.40 |
$492.40 |
$606.03 |
$405.00
|
|
Jaw arthroscopy/surgery
|
$5,712.22 |
$5,712.22 |
$5,712.22 |
$4,499.12
|
|
Jaw Joint (TMJ) X-ray (both sides, open and closed)
|
$201.75 |
$201.75 |
$238.91 |
$330.05
|
|
Jaw (Mandible) X-ray (complete)
|
$275.16 |
$275.16 |
$338.66 |
$362.05
|
|
John cunningham antibody
|
$52.10 |
$52.10 |
$64.12 |
$78.60
|
|
Ketamine and metabolite screen - quest
|
$335.41 |
$335.41 |
$412.82 |
$72.14
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$29.58 |
$29.58 |
$36.40 |
$58.56
|
|
Ketorolac (Toradol) Pain Shot, 15 mg
|
$2.27 |
$2.27 |
$2.79 |
$23.50
|
|
Kidney imaging morphology
|
$1,067.57 |
$1,067.57 |
$1,067.57 |
$785.00
|
|
Kidney imag w/bld flow multi
|
$1,129.74 |
$1,129.74 |
$1,212.86 |
$1,566.50
|
|
Kidney img w/bldflw sgl without rx
|
$1,129.74 |
$1,129.74 |
$1,212.86 |
$1,427.40
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$425.45 |
$425.45 |
$456.76 |
$673.36
|
|
Kidney (Retroperitoneal) Ultrasound (limited)
|
$425.45 |
$425.45 |
$456.76 |
$492.25
|
|
Kit cast tcc 3in w/2reg boots total contact cast
|
$56.56 |
$56.56 |
$69.62 |
$174.00
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$11,280.00 |
$11,280.00 |
$11,280.00 |
$9,423.50
|
|
Kit gene analys d816 variant
|
$366.03 |
$366.03 |
$450.50 |
$374.40
|
