|
Ins lv lead exist pm/icd
|
$9,178.50 |
$9,178.50 |
$9,178.50 |
$12,324.60
|
|
Ins mark abd/pel for right perq
|
$2,376.00 |
$2,376.00 |
$2,376.00 |
$2,070.00
|
|
Ins mark thor for right perq
|
$2,831.25 |
$2,831.25 |
$2,831.25 |
$2,477.45
|
|
Insole orthotic freedom sz6 6816
|
$38.25 |
$38.25 |
$38.25 |
$38.25
|
|
Ins picad w subq port 5yr>
|
$5,089.50 |
$5,089.50 |
$5,089.50 |
$4,602.00
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$728.25 |
$728.25 |
$728.25 |
$1,483.95
|
|
Ins pm gen exist dual lead
|
$19,065.75 |
$19,065.75 |
$19,065.75 |
$26,230.10
|
|
Ins pm gen w/exist mlt leads
|
$15,600.75 |
$15,600.75 |
$15,600.75 |
$17,245.20
|
|
Ins pq tunnld ip cath w/img
|
$4,113.75 |
$4,113.75 |
$4,113.75 |
$5,597.45
|
|
Ins/rplc spi npg/rcvr pocket
|
$36,000.00 |
$36,000.00 |
$36,000.00 |
$12,814.70
|
|
Ins/rpl ldless pm right vent w img & eval
|
$14,352.75 |
$14,352.75 |
$14,352.75 |
$24,705.20
|
|
Ins/rpl pm gen exist dual lead
|
$11,005.50 |
$11,005.50 |
$11,005.50 |
$11,437.35
|
|
Ins/rpl pm gen exist sgl lead
|
$7,319.25 |
$7,319.25 |
$7,319.25 |
$10,254.40
|
|
Ins/rpl pm w/tv ld atrl
|
$8,724.00 |
$8,724.00 |
$8,724.00 |
$13,299.00
|
|
Ins/rpl prph sac/gstr npg/r
|
$25,362.75 |
$25,362.75 |
$25,362.75 |
$21,134.25
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$22,814.25 |
$22,814.25 |
$22,814.25 |
$25,807.00
|
|
Inst fibrinolysis agent ini day
|
$1,359.75 |
$1,359.75 |
$1,359.75 |
$1,110.55
|
|
Inst fibrinolysis agent sbsq d
|
$1,025.25 |
$1,025.25 |
$1,025.25 |
$898.12
|
|
Instillation anticarcinogenic agent bladder
|
$970.50 |
$970.50 |
$970.50 |
$721.50
|
|
Ins tun cv cath wo subq prt/pm
|
$4,564.50 |
$4,564.50 |
$4,564.50 |
$5,324.80
|
|
Ins tun cv cath wo subq prt/pm
|
$4,218.00 |
$4,218.00 |
$4,218.00 |
$4,341.66
|
|
Ins tun intraperit dia cath
|
$4,896.00 |
$4,896.00 |
$4,896.00 |
$4,657.46
|
|
Inst via cath agent pleurds
|
$2,517.75 |
$2,517.75 |
$2,517.75 |
$1,065.00
|
|
Insulin total
|
$103.50 |
$103.50 |
$103.50 |
$72.15
|
|
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm
|
$9,970.16 |
$9,970.16 |
$9,970.16 |
$9,970.16
|
|
Integra meshed bil wound mat
|
$35,280.97 |
$35,280.97 |
$35,280.97 |
$35,280.97
|
|
Integra os putty 2.5cc - cost per 0.5cc
|
$6,018.75 |
$6,018.75 |
$6,018.75 |
$6,018.75
|
|
Interdental fixation
|
$1,733.25 |
$1,733.25 |
$1,733.25 |
$2,052.18
|
|
Interdiscal perq aspir dx
|
$822.75 |
$822.75 |
$822.75 |
$1,400.00
|
|
Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper)
|
$29,609.96 |
$29,609.96 |
$29,609.96 |
$29,609.96
|
|
Intermediate visual field xm
|
$73.50 |
$73.50 |
$73.50 |
$81.12
|
|
Interrogate subq defib
|
$336.75 |
$336.75 |
$336.75 |
$148.00
|
|
Interrog dev eval icpms ip
|
$112.50 |
$112.50 |
$112.50 |
$112.50
|
|
Interrog dev eval scrms ip
|
$285.75 |
$285.75 |
$285.75 |
$152.50
|
|
Interrog device eval heart
|
$636.75 |
$636.75 |
$636.75 |
$181.50
|
|
Interrog evl pm/ldls pm ip
|
$202.50 |
$202.50 |
$202.50 |
$139.10
|
|
Interrog&prgrmg ipnss
|
$108.00 |
$108.00 |
$108.00 |
$200.00
|
|
Interrog without prgrmg ipnss
|
$108.00 |
$108.00 |
$108.00 |
$130.73
|
|
Int hrhc lig 1 hroid without img
|
$3,491.25 |
$3,491.25 |
$3,491.25 |
$2,814.00
|
|
Int hrhc lig 2+hroid without img
|
$3,767.25 |
$3,767.25 |
$3,767.25 |
$2,234.70
|
|
Intra-atrial pacing
|
$5,625.00 |
$5,625.00 |
$5,625.00 |
$4,251.46
|
|
Intra-atrial recording
|
$6,184.50 |
$6,184.50 |
$6,184.50 |
$5,252.30
|
|
Intracard echo interv w/s&i
|
$4,089.00 |
$4,089.00 |
$4,089.00 |
$4,467.45
|
|
Intracranial angioplasty
|
$9,051.00 |
$9,051.00 |
$9,051.00 |
$6,569.28
|
|
Intracranial complete study
|
$1,464.00 |
$1,464.00 |
$1,464.00 |
$950.00
|
|
Intracranial limited study
|
$1,091.25 |
$1,091.25 |
$1,091.25 |
$418.44
|
|
Intranasal biopsy 30100
|
$3,322.50 |
$3,322.50 |
$3,322.50 |
$1,583.14
|
|
Intrapul surf admin endo tube
|
$256.50 |
$256.50 |
$256.50 |
$237.00
|
|
Intrauterine transfusion ftl
|
$1,788.00 |
$1,788.00 |
$1,788.00 |
$1,164.88
|
|
Intraventricular pacing
|
$5,625.00 |
$5,625.00 |
$5,625.00 |
$5,625.00
|
|
Intrinsic factor antibody
|
$77.25 |
$77.25 |
$77.25 |
$77.25
|
|
Intrm oph exam est patient
|
$161.25 |
$161.25 |
$161.25 |
$183.20
|
|
Intro cath dialysis circuit
|
$1,643.25 |
$1,643.25 |
$1,643.25 |
$2,164.52
|
|
Intro cath dialysis circuit w/pta
|
$8,422.50 |
$8,422.50 |
$8,422.50 |
$8,717.80
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$13,140.75 |
$13,140.75 |
$13,140.75 |
$18,260.50
|
|
Intro catheter aorta
|
$2,623.50 |
$2,623.50 |
$2,623.50 |
$1,998.75
|
|
Intro cath svc/ivc
|
$1,942.50 |
$1,942.50 |
$1,942.50 |
$1,976.65
|
|
Intro long gi tube
|
$876.00 |
$876.00 |
$876.00 |
$880.75
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$3,510.75 |
$3,510.75 |
$3,510.75 |
$3,510.75
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$978.00 |
$978.00 |
$978.00 |
$1,633.03
|
|
Intubation endotracheal emergency procedure
|
$934.50 |
$934.50 |
$934.50 |
$600.00
|
|
Ionm in operatng room 15 min
|
$320.25 |
$320.25 |
$320.25 |
$238.00
|
|
Ionm remote/>1 pt or per hr
|
$1,336.50 |
$1,336.50 |
$1,336.50 |
$622.70
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$199.60 |
$199.60 |
$199.60 |
$199.60
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$244.04 |
$244.04 |
$244.04 |
$244.04
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$133,919.31 |
$133,919.31 |
$133,919.31 |
$133,919.31
|
|
Ipratropium bromide non-comp
|
$2.43 |
$2.43 |
$2.43 |
$2.43
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$378.32 |
$378.32 |
$378.32 |
$378.32
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$11,014.86 |
$11,014.86 |
$11,014.86 |
$11,014.86
|
|
Iron
|
$428.25 |
$428.25 |
$428.25 |
$70.72
|
|
Iron binding capacity
|
$89.25 |
$89.25 |
$89.25 |
$63.00
|
|
Iron dextran 50 mg/ml injection solution
|
$140.34 |
$140.34 |
$140.34 |
$140.34
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$133.11 |
$133.11 |
$133.11 |
$133.11
|
|
Irradiation of blood product each unit reference
|
$206.25 |
$206.25 |
$206.25 |
$140.80
|
|
Irrigation implantable venous access device for drug delivery systems
|
$153.75 |
$153.75 |
$153.75 |
$163.32
|
|
Isatuximab-irfc 20 mg/ml intravenous solution
|
$15,760.97 |
$15,760.97 |
$15,760.97 |
$15,760.97
|
|
Ivc venogram s&i
|
$4,438.50 |
$4,438.50 |
$4,438.50 |
$3,115.24
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$456.75 |
$456.75 |
$456.75 |
$214.80
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$454.50 |
$454.50 |
$454.50 |
$179.50
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$456.75 |
$456.75 |
$456.75 |
$175.20
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$722.25 |
$722.25 |
$722.25 |
$506.74
|
|
Ixabepilone 15 mg intravenous solution
|
$22,346.52 |
$22,346.52 |
$22,346.52 |
$22,346.52
|
|
Jejunstmy tube plcmt
|
$3,895.50 |
$3,895.50 |
$3,895.50 |
$2,174.40
|
|
J-tube placement
|
$904.50 |
$904.50 |
$904.50 |
$437.40
|
|
Ketamine and metabolite screen - quest
|
$136.50 |
$136.50 |
$136.50 |
$66.00
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$285.75 |
$285.75 |
$285.75 |
$50.70
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$17.11 |
$17.11 |
$17.11 |
$17.11
|
|
Kidney function study
|
$1,133.25 |
$1,133.25 |
$1,133.25 |
$549.70
|
|
Kidney imaging morphology
|
$1,238.25 |
$1,238.25 |
$1,238.25 |
$612.00
|
|
Kidney img w/bldflw sgl without rx
|
$1,584.75 |
$1,584.75 |
$1,584.75 |
$1,465.10
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$972.75 |
$972.75 |
$972.75 |
$691.73
|
|
Kit case 4.2mm spinejack
|
$9,652.39 |
$9,652.39 |
$9,652.39 |
$7,751.14
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$10,575.00 |
$10,575.00 |
$10,575.00 |
$10,575.00
|
|
Kit gene analys d816 variant
|
$268.50 |
$268.50 |
$268.50 |
$401.00
|
|
Kit hfx iq ipg bundle
|
$58,500.00 |
$58,500.00 |
$58,500.00 |
$58,500.00
|
|
Kit ipg optimizer smart
|
$51,750.00 |
$51,750.00 |
$51,750.00 |
$51,750.00
|
|
Kit lead specify 5-6-5
|
$73,912.50 |
$73,912.50 |
$73,912.50 |
$54,950.40
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$801.57 |
$801.57 |
$801.57 |
$801.57
|
|
Kit tissue closure sealant adhesive air leak progel 4 ml pleura
|
$2,836.08 |
$2,836.08 |
$2,836.08 |
$2,836.08
|
|
Knee MRI (with and without contrast)
|
$2,628.75 |
$2,628.75 |
$2,628.75 |
$3,008.26
|