|
Icatibant injection
|
$151.64 |
$151.64 |
$1,249.60 |
|
|
Icd cobalt xt dr MRI is1 df1
|
$22,261.65 |
$22,261.65 |
$62,924.34 |
|
|
Icd crtd cobalt hf MRI is1 df1
|
$9,362.92 |
$37,050.00 |
$83,070.25 |
|
|
Icd crtp serena MRI
|
$11,550.12 |
$11,550.12 |
$35,393.40 |
|
|
Icd reliance df4 ib 64cm
|
$5,557.50 |
$5,557.50 |
$15,838.21 |
|
|
Icg angiography i&r uni/bi
|
$28.60 |
$368.50 |
$368.50 |
|
|
Icut allergy test-delayed
|
$46.45 |
$46.45 |
$46.45 |
|
|
Icut allergy test drug/bug
|
$0.66 |
$70.29 |
$192.19 |
|
|
Icut allergy titrate-airborn
|
$28.98 |
$28.98 |
$181.00 |
|
|
I&d abscess posterior spine l/s/ls-22015
|
$591.80 |
$7,413.38 |
$7,413.38 |
|
|
I&d abscss rtrphryngl/paraphryngl intraorl apprch
|
$238.70 |
$3,837.72 |
$3,837.72 |
|
|
Idarubicin hcl injection
|
$53.90 |
$53.90 |
$53.90 |
|
|
I&d/bursa/foot 28001
|
$79.86 |
$1,917.33 |
$1,917.33 |
|
|
Idecabtagene vicleucel car
|
$526,587.59 |
$526,587.59 |
$1,904,566.00 |
|
|
Identify sperm tissue
|
$63.23 |
$63.23 |
$71.72 |
|
|
Idet 1 or more levels
|
$97.90 |
$97.90 |
$97.90 |
|
|
Idet single level
|
$211.86 |
$211.86 |
$211.86 |
|
|
I&d frarm&/wrst deep absc/hematoma
|
$418.22 |
$3,839.54 |
$3,839.54 |
|
|
Idh1 common variants
|
$127.60 |
$193.25 |
$1,132.00 |
|
|
Idh2 common variants
|
$195.36 |
$295.79 |
$1,306.00 |
|
|
I&d intramural/intramuscular/submuc abscess transanal anes
|
$272.80 |
$3,245.23 |
$12,593.00 |
|
|
I&d lacrimal gland
|
$80.08 |
$1,146.13 |
$2,418.24 |
|
|
I&d lacrimal sac
|
$100.98 |
$2,760.73 |
$7,449.00 |
|
|
I&d upper arm/elbow deep abscess/hematoma
|
$134.64 |
$3,386.84 |
$4,582.16 |
|
|
Idursulfase injection
|
$537.93 |
$537.93 |
$7,538.40 |
|
|
I & d vag hematoma non-ob 57023
|
$197.56 |
$3,386.84 |
$3,386.84 |
|
|
I&d vag hemtma obst/postpart
|
$111.98 |
$3,386.84 |
$3,386.84 |
|
|
Ifnl3 gene
|
$48.40 |
$73.37 |
$277.00 |
|
|
Ifosfamide 1 gram intravenous solution
|
$99.12 |
$99.12 |
$99.12 |
|
|
Igh@/bcl2 translocation alys
|
$136.84 |
$207.31 |
$207.31 |
|
|
Igh gene rearrang dir probe
|
$68.55 |
$68.55 |
$68.55 |
|
|
Igh gene rearrange amp meth
|
$197.99 |
$197.99 |
$881.83 |
|
|
Igh@ var region somatic mutation analy
|
$194.48 |
$294.52 |
$1,313.40 |
|
|
Igk rearrangeabn clonal pop
|
$172.73 |
$172.73 |
$919.80 |
|
|
Ihc/icc per specimen each additional single antibody stain
|
$72.00 |
$220.80 |
$326.71 |
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$128.40 |
$425.68 |
$841.62 |
|
|
Ihc/icc per specimen initial single antibody stain
|
$189.60 |
$202.78 |
$807.18 |
|
|
Iiv3 vacc no prsv 0.25 ml im
|
$37.44 |
$43.42 |
$46.79 |
|
|
Ikbkap gene
|
$25.96 |
$39.31 |
$39.31 |
|
|
Ileostomy/jejunostomy non-tube 44310
|
$641.30 |
$10,907.53 |
$13,424.66 |
|
|
Iliac bone graft microvasc
|
$1,628.44 |
$7,413.38 |
$7,413.38 |
|
|
Iliac/fem angio cath insert
|
$8.14 |
$1,359.94 |
$5,502.00 |
|
|
Iliac revasc add-on 37222
|
$10,006.62 |
$10,582.23 |
$10,582.23 |
|
|
Imbrication/diaphragm/transthor/transabd 39545
|
$550.22 |
$550.22 |
$550.22 |
|
|
Imetelstat 188 mg intravenous solution
|
$54.15 |
$54.15 |
$8,648.50 |
|
|
Img rta detcj/mntr ds staff
|
$70.29 |
$70.29 |
$70.29 |
|
|
Img rta detc/mntr ds phy/qhp
|
$10.12 |
$46.45 |
$46.45 |
|
|
Img rta detc/mntr ds poc aly
|
$70.29 |
$70.29 |
$70.29 |
|
|
Immob elbow child sm
|
$183.24 |
$183.24 |
$225.52 |
|
|
Immobilizer shldr cntor adlt
|
$106.20 |
$235.37 |
$289.69 |
|
|
Immobilizer shldr dlx str 24-36in med
|
$114.60 |
$186.06 |
$228.99 |
|
|
Immobilizer shldr sling med
|
$184.64 |
$184.64 |
$227.25 |
|
|
Immt breast prosthesis 19340
|
$470.58 |
$7,717.23 |
$15,027.54 |
|
|
Immune complex assay
|
$16.28 |
$24.37 |
$350.00 |
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$25.07 |
$49.69 |
$192.00 |
|
|
Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution
|
$82.19 |
$82.19 |
$2,694.02 |
|
|
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution
|
$7.13 |
$49.00 |
$49.00 |
|
|
Immunoassay tumor antigen quantitative ca 125
|
$20.81 |
$51.00 |
$348.00 |
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$20.81 |
$51.00 |
$364.00 |
|
|
Immunoassay tumor qual
|
$16.72 |
$25.57 |
$92.26 |
|
|
Immunodiff gel qual ea antigen/ab
|
$7.00 |
$11.98 |
$53.36 |
|
|
Immunodiffusion nes
|
$9.24 |
$14.05 |
$226.20 |
|
|
Immunoelectrophoresis assay
|
$19.80 |
$19.80 |
$19.80 |
|
|
Immunofixation electrophoresis serum
|
$22.34 |
$54.60 |
$531.00 |
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$17.38 |
$207.45 |
$357.00 |
|
|
Immunofluorescence per specimen initial single antibody stain
|
$21.56 |
$202.78 |
$2,184.00 |
|
|
Immunoglobulin assay
|
$8.36 |
$12.46 |
$55.50 |
|
|
Immunology procedure
|
$43.20 |
$187.70 |
$231.02 |
|
|
Impact tooth remov part bony
|
$226.20 |
$1,967.49 |
$1,967.49 |
|
|
Impedence cardiogram
|
$152.54 |
$152.54 |
$329.00 |
|
|
Imp extar knee shck absrb
|
$21,762.05 |
$21,762.05 |
$21,762.05 |
|
|
Impl absrb msh/prsth dly cls
|
$241.78 |
$241.78 |
$241.78 |
|
|
Impl ahmed 6x25x9.6mm glaucoma vlv w/sil ped ster
|
$1,265.45 |
$1,265.45 |
$1,557.47 |
|
|
Implant 11 volt lithium-ion backup battery for controller pocket
|
$1,635.04 |
$1,635.04 |
$1,635.04 |
|
|
Implantation iris prosthesis
|
$471.90 |
$19,426.56 |
$19,426.56 |
|
|
Implant biventricular device 33976
|
$953.92 |
$953.92 |
$953.92 |
|
|
Implant brain electrodes
|
$769.12 |
$769.12 |
$769.12 |
|
|
Implant brain electrodes
|
$954.80 |
$954.80 |
$954.80 |
|
|
Implant brain electrodes
|
$990.88 |
$990.88 |
$990.88 |
|
|
Implant cartilage 10mm synthetic
|
$3,072.00 |
$5,874.00 |
$45,435.42 |
|
|
Implant cochlear device
|
$742.94 |
$37,640.10 |
$37,640.10 |
|
|
Implant cochlear osia osi300
|
$8,925.46 |
$8,925.46 |
$10,985.18 |
|
|
Implant eye drug system
|
$511.28 |
$18,182.13 |
$18,182.13 |
|
|
Implant hormone pellet(s) 11980
|
$34.10 |
$472.21 |
$472.21 |
|
|
Implant nerve end
|
$144.76 |
$144.76 |
$144.76 |
|
|
Implant neuroelectrde addl
|
$174.68 |
$174.68 |
$174.68 |
|
|
Implant neuroelectrde addl
|
$307.56 |
$307.56 |
$307.56 |
|
|
Implant neuroelectrode
|
$941.60 |
$941.60 |
$941.60 |
|
|
Implant neuroelectrode
|
$1,421.20 |
$1,421.20 |
$1,421.20 |
|
|
Implant neuroelectrodes
|
$524.92 |
$25,376.43 |
$25,376.43 |
|
|
Implant neuroelectrodes
|
$280.72 |
$14,756.87 |
$14,756.87 |
|
|
Implant neuroelectrodes
|
$201.52 |
$7,766.27 |
$9,992.69 |
|
|
Implant neuroelectrodes
|
$187.00 |
$7,766.27 |
$7,766.27 |
|
|
Implant neuroelectrodes
|
$618.20 |
$618.20 |
$618.20 |
|
|
Implant neuroelectrodes
|
$976.58 |
$976.58 |
$976.58 |
|
|
Implant neurostim arrays
|
$551.10 |
$36,061.23 |
$36,061.23 |
|
|
Implant power module patient cable cable 14 volt
|
$9,652.50 |
$9,652.50 |
$9,652.50 |
|
|
Implant single ventricular device 33975
|
$790.90 |
$790.90 |
$790.90 |
|
|
Implant spinal canal cath
|
$570.02 |
$8,453.60 |
$8,453.60 |
|
|
Implant spine infusion pump
|
$272.80 |
$20,914.85 |
$20,914.85 |
|