|
Ins/rplc spi npg/rcvr pocket
|
$7,784.10 |
$7,784.10 |
$7,784.10 |
$24,061.80
|
|
Ins/rpl ldless pm right vent w img & eval
|
$37,942.58 |
$37,942.58 |
$37,942.58 |
$24,135.54
|
|
Ins/rpl pm w/tv ld atrl
|
$4,420.98 |
$4,420.98 |
$4,420.98 |
$11,583.66
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$18,479.30 |
$18,479.30 |
$18,479.30 |
$27,318.11
|
|
Inst fibrinolysis agent ini day
|
$826.15 |
$826.15 |
$826.15 |
$1,043.35
|
|
Inst fibrinolysis agent sbsq d
|
$826.15 |
$826.15 |
$826.15 |
$997.05
|
|
Insti hexaminolevulinate hcl
|
$2,162.50 |
$2,162.50 |
$2,162.50 |
$2,356.80
|
|
Instillation anticarcinogenic agent bladder
|
$894.20 |
$894.20 |
$894.20 |
$638.40
|
|
Instill, bupivac and meloxic
|
$687.60 |
$687.60 |
$687.60 |
$687.60
|
|
Instill pharm renal pelvis
|
$3,463.15 |
$3,463.15 |
$3,463.15 |
$3,018.72
|
|
Ins tun cv cath wo subq prt/pm
|
$1,538.15 |
$1,538.15 |
$1,538.15 |
$5,324.80
|
|
Ins tun cv cath wo subq prt/pm
|
$2,044.48 |
$2,044.48 |
$2,044.48 |
$4,218.00
|
|
Inst via cath agent pleurds
|
$207.98 |
$207.98 |
$207.98 |
$1,074.68
|
|
Insulin total
|
$116.50 |
$116.50 |
$116.50 |
$66.64
|
|
Ins vag brachytx device
|
$1,339.18 |
$1,339.18 |
$1,339.18 |
$950.00
|
|
Integra os putty 2.5cc - cost per 0.5cc
|
$240.00 |
$240.00 |
$240.00 |
$3,803.11
|
|
Intens cardiac rehab no exer
|
$232.65 |
$232.65 |
$232.65 |
$238.40
|
|
Intens cardiac rehab w/exerc
|
$232.65 |
$232.65 |
$232.65 |
$238.40
|
|
Interdiscal perq aspir dx
|
$748.33 |
$748.33 |
$748.33 |
$1,222.26
|
|
Interferon alfa-2b inj
|
$2,855.75 |
$2,855.75 |
$2,855.75 |
$1,409.92
|
|
Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper)
|
$15,971.30 |
$15,971.30 |
$15,971.30 |
$10,427.90
|
|
Interrogation vad in person
|
$221.03 |
$221.03 |
$221.03 |
$296.80
|
|
Interrog dev eval icpms ip
|
$106.80 |
$106.80 |
$106.80 |
$104.00
|
|
Interrog&prgrmg ipnss
|
$761.83 |
$761.83 |
$761.83 |
$200.00
|
|
Interrog&prgrmg ipnss polysm
|
$2,105.53 |
$2,105.53 |
$2,105.53 |
$422.32
|
|
Interrog without prgrmg ipnss
|
$380.93 |
$380.93 |
$380.93 |
$147.00
|
|
Interstitial brachy inter
|
$1,394.75 |
$1,394.75 |
$1,394.75 |
$1,194.42
|
|
Intracard echo interv w/s&i
|
$2,218.93 |
$2,218.93 |
$2,218.93 |
$3,436.00
|
|
Intracran angioplsty w/stent
|
$9,045.05 |
$9,045.05 |
$9,045.05 |
$8,145.50
|
|
Intracranial angioplasty
|
$4,910.63 |
$4,910.63 |
$4,910.63 |
$5,181.00
|
|
Intracranial complete study
|
$795.30 |
$795.30 |
$795.30 |
$881.50
|
|
Intranasal biopsy 30100
|
$1,336.78 |
$1,336.78 |
$1,336.78 |
$2,265.00
|
|
Intraoral i+d tongue/floor lingual 41000
|
$1,182.15 |
$1,182.15 |
$1,182.15 |
$1,331.45
|
|
Intrapul surf admin endo tube
|
$124.58 |
$124.58 |
$124.58 |
$220.80
|
|
Intrauterine transfusion ftl
|
$1,164.88 |
$1,164.88 |
$1,164.88 |
$1,063.50
|
|
Intrinsic factor antibody
|
$119.25 |
$119.25 |
$119.25 |
$65.00
|
|
Intro cath dialysis circuit
|
$534.70 |
$534.70 |
$534.70 |
$2,036.94
|
|
Intro cath dialysis circuit w/pta
|
$4,873.75 |
$4,873.75 |
$4,873.75 |
$8,690.50
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$21,832.30 |
$21,832.30 |
$21,832.30 |
$16,262.40
|
|
Intro catheter aorta
|
$1,941.13 |
$1,941.13 |
$1,941.13 |
$1,678.05
|
|
Intro cath svc/ivc
|
$634.93 |
$634.93 |
$634.93 |
$1,323.27
|
|
Intro long gi tube
|
$171.33 |
$171.33 |
$171.33 |
$974.17
|
|
Intro long gi tube w/mult fluo
|
$477.85 |
$477.85 |
$477.85 |
$469.00
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$1,833.53 |
$1,833.53 |
$1,833.53 |
$3,472.95
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$1,633.03 |
$1,633.03 |
$1,633.03 |
$1,801.10
|
|
Intubation endotracheal emergency procedure
|
$475.63 |
$475.63 |
$475.63 |
$601.28
|
|
Io anal gast n-stim subsq
|
$245.43 |
$245.43 |
$245.43 |
$158.09
|
|
Iodine i-123 sod iodide mil
|
$223.03 |
$223.03 |
$223.03 |
$386.37
|
|
Io ga n-stim subsq w/reprog
|
$187.43 |
$187.43 |
$187.43 |
$187.43
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$760.50 |
$760.50 |
$760.50 |
$165.67
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$1,022.50 |
$1,022.50 |
$1,022.50 |
$279.10
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$71,042.45 |
$71,042.45 |
$71,042.45 |
$62,692.46
|
|
Ipratropium bromide non-comp
|
$1.70 |
$1.70 |
$1.70 |
$4.06
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$254.65 |
$254.65 |
$254.65 |
$173.98
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$5,837.00 |
$5,837.00 |
$5,837.00 |
$5,517.12
|
|
Iron
|
$85.93 |
$85.93 |
$85.93 |
$75.00
|
|
Iron binding capacity
|
$120.60 |
$120.60 |
$120.60 |
$63.91
|
|
Iron dextran 50 mg/ml injection solution
|
$120.95 |
$120.95 |
$120.95 |
$80.67
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$169.30 |
$169.30 |
$169.30 |
$187.06
|
|
Irradiation of blood product each unit reference
|
$140.80 |
$140.80 |
$140.80 |
$115.20
|
|
Irrigation implantable venous access device for drug delivery systems
|
$42.58 |
$42.58 |
$42.58 |
$146.11
|
|
Isatuximab-irfc 20 mg/ml intravenous solution
|
$8,273.35 |
$8,273.35 |
$8,273.35 |
$8,273.35
|
|
Ivc venogram s&i
|
$2,043.98 |
$2,043.98 |
$2,043.98 |
$3,332.55
|
|
IV Fluids (each additional hour)
|
$27.15 |
$27.15 |
$27.15 |
$133.90
|
|
IV Fluids (first hour)
|
$140.15 |
$140.15 |
$140.15 |
$390.00
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$39.15 |
$39.15 |
$39.15 |
$162.68
|
|
IV inj ra drug dx study
|
$335.83 |
$335.83 |
$335.83 |
$567.00
|
|
IV Medicine Infusion (additional drug)
|
$41.45 |
$41.45 |
$41.45 |
$191.75
|
|
IV Medicine Infusion (each additional hour)
|
$27.15 |
$27.15 |
$27.15 |
$154.00
|
|
IV Medicine Infusion (first hour)
|
$3,567.08 |
$3,567.08 |
$3,567.08 |
$439.56
|
|
IV Push Injection (each additional drug)
|
$27.15 |
$27.15 |
$27.15 |
$167.50
|
|
IV Push Injection (first drug)
|
$140.15 |
$140.15 |
$140.15 |
$252.76
|
|
Ivp w/wo kub w/wo tomography
|
$692.18 |
$692.18 |
$692.18 |
$713.40
|
|
Ixabepilone 15 mg intravenous solution
|
$12,112.38 |
$12,112.38 |
$12,112.38 |
$10,695.32
|
|
Jak2 targeted sequence analysis
|
$564.95 |
$564.95 |
$564.95 |
$405.00
|
|
Jaw Joint (TMJ) X-ray (both sides, open and closed)
|
$266.08 |
$266.08 |
$266.08 |
$330.05
|
|
Jaw (Mandible) X-ray (complete)
|
$352.83 |
$352.83 |
$352.83 |
$362.05
|
|
John cunningham antibody
|
$915.05 |
$915.05 |
$915.05 |
$78.00
|
|
Ketamine and metabolite screen - quest
|
$66.00 |
$66.00 |
$66.00 |
$72.14
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$95.38 |
$95.38 |
$95.38 |
$58.56
|
|
Ketorolac (Toradol) Pain Shot, 15 mg
|
$14.33 |
$14.33 |
$14.33 |
$23.52
|
|
Kidney function study
|
$545.55 |
$545.55 |
$545.55 |
$935.22
|
|
Kidney imag w/bld flow multi
|
$2,010.33 |
$2,010.33 |
$2,010.33 |
$1,566.50
|
|
Kidney img w/bldflw sgl without rx
|
$1,794.98 |
$1,794.98 |
$1,794.98 |
$1,433.22
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$552.83 |
$552.83 |
$552.83 |
$673.36
|
|
Kidney (Retroperitoneal) Ultrasound (limited)
|
$462.83 |
$462.83 |
$462.83 |
$490.75
|
|
Kit case 4.2mm spinejack
|
$694.17 |
$694.17 |
$694.17 |
$7,177.60
|
|
Kit gene analys d816 variant
|
$259.53 |
$259.53 |
$259.53 |
$374.61
|
|
Kit hfx iq ipg bundle
|
$10,750.00 |
$10,750.00 |
$10,750.00 |
$33,859.00
|
|
Kit lead specify 5-6-5
|
$5,775.00 |
$5,775.00 |
$5,775.00 |
$16,672.10
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$367.50 |
$367.50 |
$367.50 |
$1,635.87
|
|
Kit sound processor cochlear osia 2
|
$148.75 |
$148.75 |
$148.75 |
$8,425.00
|
|
Knee MRI (with and without contrast)
|
$2,495.38 |
$2,495.38 |
$2,495.38 |
$3,022.20
|
|
Knee MRI (with contrast)
|
$2,315.95 |
$2,315.95 |
$2,315.95 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$1,922.30 |
$1,922.30 |
$1,922.30 |
$2,130.88
|
|
Knee X-ray
|
$334.25 |
$334.25 |
$334.25 |
$432.18
|
|
Knee X-ray (1 to 2 views, both knees)
|
$216.65 |
$216.65 |
$216.65 |
$290.40
|
|
Knee X-ray (3 views, both knees)
|
$227.45 |
$227.45 |
$227.45 |
$363.60
|
|
Knee X-ray (standing, both knees)
|
$433.25 |
$433.25 |
$433.25 |
$251.20
|
|
Ko elastic w/joints pre ots
|
$105.72 |
$105.72 |
$105.72 |
$137.05
|