|
Ins tun cvad 2 cath w/subq port(s)
|
$1,799.20 |
$1,799.20 |
$1,799.20 |
$7,826.00
|
|
Ins tun cv cath wo subq prt/pm
|
$20,203.95 |
$20,203.95 |
$20,203.95 |
$5,324.80
|
|
Ins tun cv cath wo subq prt/pm
|
$11,763.70 |
$11,763.70 |
$11,763.70 |
$4,218.00
|
|
Ins tun intraperit dia cath
|
$1,094.60 |
$1,094.60 |
$1,094.60 |
$4,570.00
|
|
Inst via cath agent pleurds
|
$400.40 |
$400.40 |
$400.40 |
$1,074.68
|
|
Insulin suppression panel
|
$742.95 |
$742.95 |
$742.95 |
$375.70
|
|
Insulin total
|
$51.35 |
$51.35 |
$51.35 |
$66.64
|
|
Ins vag brachytx device
|
$909.35 |
$909.35 |
$909.35 |
$950.00
|
|
Intens behave ther cardio dx
|
$171.60 |
$171.60 |
$171.60 |
$47.60
|
|
Interdental fixation
|
$1,557.40 |
$1,557.40 |
$1,557.40 |
$2,133.48
|
|
Interdental wirg oth/thn fx
|
$1,206.40 |
$1,206.40 |
$1,206.40 |
$1,944.80
|
|
Interdiscal perq aspir dx
|
$3,155.75 |
$3,155.75 |
$3,155.75 |
$1,222.26
|
|
Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper)
|
$5,053.11 |
$5,053.11 |
$5,053.11 |
$10,427.90
|
|
Interferon beta-1b / .25 mg
|
$1,662.71 |
$1,662.71 |
$1,662.71 |
$1,662.71
|
|
Interferon gamma 1-b inj
|
$26,394.13 |
$26,394.13 |
$26,394.13 |
$9,879.00
|
|
Internal nerve revision 64727
|
$806.00 |
$806.00 |
$806.00 |
$806.00
|
|
Interrogate subq defib
|
$351.00 |
$351.00 |
$351.00 |
$119.60
|
|
Interrogation vad in person
|
$343.20 |
$343.20 |
$343.20 |
$296.40
|
|
Interrog dev eval icpms ip
|
$261.95 |
$261.95 |
$261.95 |
$104.00
|
|
Interrog dev eval scrms ip
|
$197.60 |
$197.60 |
$197.60 |
$124.80
|
|
Interrog device eval heart
|
$353.60 |
$353.60 |
$353.60 |
$162.40
|
|
Interrog evl pm/ldls pm ip
|
$250.90 |
$250.90 |
$250.90 |
$127.20
|
|
Interrog&prgrmg ipnss
|
$411.45 |
$411.45 |
$411.45 |
$200.00
|
|
Interrog&prgrmg ipnss polysm
|
$1,344.85 |
$1,344.85 |
$1,344.85 |
$422.32
|
|
Interrog without prgrmg ipnss
|
$411.45 |
$411.45 |
$411.45 |
$147.00
|
|
Interthoracoscplr amputation
|
$5,387.20 |
$5,387.20 |
$5,387.20 |
$13,116.76
|
|
Intestinal stricturoplasty
|
$4,721.60 |
$4,721.60 |
$4,721.60 |
$2,351.50
|
|
Int hrhc lig 1 hroid without img
|
$959.40 |
$959.40 |
$959.40 |
$3,491.25
|
|
Int hrhc lig 2+hroid without img
|
$1,170.00 |
$1,170.00 |
$1,170.00 |
$3,245.23
|
|
Intra-atrial pacing
|
$29,224.65 |
$29,224.65 |
$29,224.65 |
$4,865.25
|
|
Intra-atrial recording
|
$28,967.25 |
$28,967.25 |
$28,967.25 |
$5,252.30
|
|
Intracard echo interv w/s&i
|
$4,879.55 |
$4,879.55 |
$4,879.55 |
$3,436.00
|
|
Intracran angioplsty w/stent
|
$24,629.80 |
$24,629.80 |
$24,629.80 |
$8,257.80
|
|
Intracranial angioplasty
|
$17,110.60 |
$17,110.60 |
$17,110.60 |
$5,181.00
|
|
Intracranial complete study
|
$1,137.50 |
$1,137.50 |
$1,137.50 |
$881.50
|
|
Intracranial limited study
|
$397.15 |
$397.15 |
$397.15 |
$467.50
|
|
Intracranial vessel surgery
|
$8,463.00 |
$8,463.00 |
$8,463.00 |
$3,436.88
|
|
Intracranial vessel surgery
|
$16,486.60 |
$16,486.60 |
$16,486.60 |
$6,119.31
|
|
Intracranial vessel surgery
|
$17,550.00 |
$17,550.00 |
$17,550.00 |
$6,687.25
|
|
Intranasal biopsy 30100
|
$244.40 |
$244.40 |
$244.40 |
$2,282.50
|
|
Intraop colon lavage add-on
|
$806.00 |
$806.00 |
$806.00 |
$416.80
|
|
Intraop epicard/endocard/pace/map/ 93631
|
$2,171.00 |
$2,171.00 |
$2,171.00 |
$3,514.20
|
|
Intraop hipec px 1st 60 min
|
$1,697.80 |
$1,697.80 |
$1,697.80 |
$49.84
|
|
Intraoral i+d tongue/floor lingual 41000
|
$351.00 |
$351.00 |
$351.00 |
$1,331.45
|
|
Intraoral periapical first
|
$32.50 |
$32.50 |
$32.50 |
$54.88
|
|
Intrapul surf admin endo tube
|
$323.70 |
$323.70 |
$323.70 |
$220.80
|
|
Intrauterine transfusion ftl
|
$1,710.80 |
$1,710.80 |
$1,710.80 |
$1,021.15
|
|
Intraventricular pacing
|
$29,224.65 |
$29,224.65 |
$29,224.65 |
$5,456.17
|
|
Intrinsic factor antibody
|
$67.60 |
$67.60 |
$67.60 |
$66.60
|
|
Intrm oph exam est patient
|
$385.45 |
$385.45 |
$385.45 |
$152.50
|
|
Intro cath dialysis circuit
|
$5,805.80 |
$5,805.80 |
$5,805.80 |
$2,043.30
|
|
Intro cath dialysis circuit w/pta
|
$21,309.60 |
$21,309.60 |
$21,309.60 |
$8,761.00
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$20,955.35 |
$20,955.35 |
$20,955.35 |
$16,275.00
|
|
Intro catheter aorta
|
$1,998.75 |
$1,998.75 |
$1,998.75 |
$1,678.05
|
|
Intro cath svc/ivc
|
$1,976.65 |
$1,976.65 |
$1,976.65 |
$1,329.90
|
|
Intro long gi tube
|
$2,803.45 |
$2,803.45 |
$2,803.45 |
$995.78
|
|
Intro long gi tube w/mult fluo
|
$410.80 |
$410.80 |
$410.80 |
$469.00
|
|
Intro windpipe wire/tube
|
$741.00 |
$741.00 |
$741.00 |
$2,447.43
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$4,444.05 |
$4,444.05 |
$4,444.05 |
$3,472.95
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$3,036.15 |
$3,036.15 |
$3,036.15 |
$1,801.10
|
|
Intubation endotracheal emergency procedure
|
$780.00 |
$780.00 |
$780.00 |
$601.28
|
|
Io anal gast n-stim init
|
$208.00 |
$208.00 |
$208.00 |
$341.60
|
|
Io anal gast n-stim subsq
|
$78.00 |
$78.00 |
$78.00 |
$146.38
|
|
Iodine i-123 sod iodide mil
|
$136.50 |
$136.50 |
$136.50 |
$386.37
|
|
Io ga n-stim subsq w/reprog
|
$169.00 |
$169.00 |
$169.00 |
$187.43
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$15.13 |
$15.13 |
$15.13 |
$165.67
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$13.40 |
$13.40 |
$13.40 |
$277.17
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$2,825.08 |
$2,825.08 |
$2,825.08 |
$62,692.46
|
|
Ip/obs cnsltj new/est low 45
|
$572.00 |
$572.00 |
$572.00 |
$168.44
|
|
Ip/obs cnsltj new/est mod 60
|
$778.05 |
$778.05 |
$778.05 |
$260.15
|
|
Ip/obs consltj new/est hi 80
|
$1,103.70 |
$1,103.70 |
$1,103.70 |
$303.16
|
|
Ip/obs consltj new/est sf 35
|
$390.00 |
$390.00 |
$390.00 |
$126.40
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$26.78 |
$26.78 |
$26.78 |
$173.98
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$952.54 |
$952.54 |
$952.54 |
$5,517.12
|
|
Iron
|
$29.25 |
$29.25 |
$29.25 |
$74.75
|
|
Iron binding capacity
|
$39.00 |
$39.00 |
$39.00 |
$63.84
|
|
Iron dextran 50 mg/ml injection solution
|
$43.62 |
$43.62 |
$43.62 |
$81.70
|
|
Iron stain peripheral blood
|
$30.55 |
$30.55 |
$30.55 |
$30.55
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$30.40 |
$30.40 |
$30.40 |
$187.06
|
|
Irradiation of blood product each unit reference
|
$176.15 |
$176.15 |
$176.15 |
$115.48
|
|
Irrigation implantable venous access device for drug delivery systems
|
$266.50 |
$266.50 |
$266.50 |
$146.11
|
|
Irrigation vagina and/or appl medicament tx disease
|
$130.00 |
$130.00 |
$130.00 |
$132.00
|
|
Isatuximab-irfc 20 mg/ml intravenous solution
|
$578.11 |
$578.11 |
$578.11 |
$8,273.35
|
|
Island pedicle flap graft
|
$3,068.00 |
$3,068.00 |
$3,068.00 |
$2,468.80
|
|
Ivc venogram s&i
|
$14,443.00 |
$14,443.00 |
$14,443.00 |
$3,341.00
|
|
IV Fluids (each additional hour)
|
$206.70 |
$206.70 |
$206.70 |
$133.90
|
|
IV Fluids (first hour)
|
$945.10 |
$945.10 |
$945.10 |
$390.00
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$495.30 |
$495.30 |
$495.30 |
$162.00
|
|
IV Medicine Infusion (additional drug)
|
$319.15 |
$319.15 |
$319.15 |
$191.75
|
|
IV Medicine Infusion (each additional hour)
|
$206.70 |
$206.70 |
$206.70 |
$154.00
|
|
IV Medicine Infusion (first hour)
|
$945.10 |
$945.10 |
$945.10 |
$441.75
|
|
IV njx tst vasc flo flap/grf
|
$507.00 |
$507.00 |
$507.00 |
$476.00
|
|
IV Push Injection (each additional drug)
|
$206.70 |
$206.70 |
$206.70 |
$166.80
|
|
IV Push Injection (first drug)
|
$945.10 |
$945.10 |
$945.10 |
$254.52
|
|
Ivp w/nephrotomography
|
$798.20 |
$798.20 |
$798.20 |
$729.00
|
|
Ivp w/wo kub w/wo tomography
|
$938.60 |
$938.60 |
$938.60 |
$713.40
|
|
Ixabepilone 15 mg intravenous solution
|
$18,856.29 |
$18,856.29 |
$18,856.29 |
$10,695.32
|
|
Jak2 targeted sequence analysis
|
$830.70 |
$830.70 |
$830.70 |
$405.00
|
|
Jaw Joint (TMJ) X-ray (both sides, open and closed)
|
$457.60 |
$457.60 |
$457.60 |
$330.05
|
|
Jaw (Mandible) X-ray (complete)
|
$542.10 |
$542.10 |
$542.10 |
$362.05
|
