|
Ins mark abd/pel for right perq
|
$2,566.50 |
$2,566.50 |
$2,566.50 |
$2,477.24
|
|
Ins mark thor for right perq
|
$2,831.25 |
$2,831.25 |
$2,831.25 |
$2,492.80
|
|
Insole orthotic freedom sz6 6816
|
$38.25 |
$38.25 |
$38.25 |
$84.00
|
|
Ins picad w subq port 5yr>
|
$5,089.50 |
$5,089.50 |
$5,089.50 |
$4,195.00
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$728.25 |
$728.25 |
$728.25 |
$1,690.00
|
|
Ins pm gen exist dual lead
|
$26,291.25 |
$26,291.25 |
$26,291.25 |
$24,159.72
|
|
Ins pm gen w/exist mlt leads
|
$19,539.00 |
$19,539.00 |
$19,539.00 |
$14,804.40
|
|
Ins pq tunnld ip cath w/img
|
$4,456.50 |
$4,456.50 |
$4,456.50 |
$5,486.00
|
|
Ins/rpl ldless pm right vent w img & eval
|
$11,581.50 |
$11,581.50 |
$11,581.50 |
$24,135.54
|
|
Ins/rpl pm gen exist dual lead
|
$15,819.75 |
$15,819.75 |
$15,819.75 |
$11,198.55
|
|
Ins/rpl pm gen exist sgl lead
|
$10,521.75 |
$10,521.75 |
$10,521.75 |
$9,558.78
|
|
Ins/rpl pm w/tv ld atrl
|
$8,724.00 |
$8,724.00 |
$8,724.00 |
$11,583.66
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$22,814.25 |
$22,814.25 |
$22,814.25 |
$27,318.11
|
|
Inst fibrinolysis agent sbsq d
|
$1,025.25 |
$1,025.25 |
$1,025.25 |
$997.05
|
|
Instillation anticarcinogenic agent bladder
|
$690.00 |
$690.00 |
$690.00 |
$645.01
|
|
Instill pharm renal pelvis
|
$2,632.50 |
$2,632.50 |
$2,632.50 |
$3,018.72
|
|
Instll rx agnt into rnal tub
|
$287.25 |
$287.25 |
$287.25 |
$619.20
|
|
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
|
$3,246.00 |
$3,246.00 |
$3,246.00 |
$4,218.00
|
|
Ins tun intraperit dia cath
|
$5,165.25 |
$5,165.25 |
$5,165.25 |
$4,570.00
|
|
Inst via cath agent pleurds
|
$2,517.75 |
$2,517.75 |
$2,517.75 |
$1,074.68
|
|
Insulin tolerance panel
|
$209.25 |
$209.25 |
$209.25 |
$258.40
|
|
Insulin total
|
$103.50 |
$103.50 |
$103.50 |
$66.64
|
|
Ins vag brachytx device
|
$651.00 |
$651.00 |
$651.00 |
$950.00
|
|
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm
|
$9,970.16 |
$9,970.16 |
$9,970.16 |
$8,629.72
|
|
Integra meshed bil wound mat
|
$35,280.97 |
$35,280.97 |
$35,280.97 |
$9,924.16
|
|
Integra os putty 2.5cc - cost per 0.5cc
|
$6,018.75 |
$6,018.75 |
$6,018.75 |
$3,803.11
|
|
Interdental fixation
|
$1,733.25 |
$1,733.25 |
$1,733.25 |
$2,133.48
|
|
Interdiscal perq aspir dx
|
$822.75 |
$822.75 |
$822.75 |
$1,222.26
|
|
Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper)
|
$29,609.96 |
$29,609.96 |
$29,609.96 |
$10,427.90
|
|
Intermediate visual field xm
|
$97.50 |
$97.50 |
$97.50 |
$112.80
|
|
Interrogate subq defib
|
$483.75 |
$483.75 |
$483.75 |
$119.60
|
|
Interrogation vad in person
|
$499.50 |
$499.50 |
$499.50 |
$296.40
|
|
Interrog dev eval icpms ip
|
$112.50 |
$112.50 |
$112.50 |
$104.00
|
|
Interrog dev eval scrms ip
|
$301.50 |
$301.50 |
$301.50 |
$124.80
|
|
Interrog device eval heart
|
$510.00 |
$510.00 |
$510.00 |
$162.40
|
|
Interrog evl pm/ldls pm ip
|
$189.00 |
$189.00 |
$189.00 |
$127.20
|
|
Interrog&prgrmg ipnss
|
$108.00 |
$108.00 |
$108.00 |
$200.00
|
|
Interrog&prgrmg ipnss polysm
|
$351.00 |
$351.00 |
$351.00 |
$422.32
|
|
Interrog without prgrmg ipnss
|
$108.00 |
$108.00 |
$108.00 |
$147.00
|
|
Int hrhc lig 1 hroid without img
|
$3,102.75 |
$3,102.75 |
$3,102.75 |
$3,491.25
|
|
Int hrhc lig 2+hroid without img
|
$3,274.50 |
$3,274.50 |
$3,274.50 |
$3,245.23
|
|
Intra-atrial pacing
|
$5,625.00 |
$5,625.00 |
$5,625.00 |
$4,865.25
|
|
Intra-atrial recording
|
$5,625.00 |
$5,625.00 |
$5,625.00 |
$5,252.30
|
|
Intracard echo interv w/s&i
|
$4,691.25 |
$4,691.25 |
$4,691.25 |
$3,436.00
|
|
Intracranial angioplasty
|
$9,051.00 |
$9,051.00 |
$9,051.00 |
$5,181.00
|
|
Intracranial complete study
|
$1,552.50 |
$1,552.50 |
$1,552.50 |
$881.50
|
|
Intracranial limited study
|
$906.00 |
$906.00 |
$906.00 |
$467.50
|
|
Intranasal biopsy 30100
|
$2,607.00 |
$2,607.00 |
$2,607.00 |
$2,282.50
|
|
Intrapul surf admin endo tube
|
$256.50 |
$256.50 |
$256.50 |
$220.80
|
|
Intrauterine transfusion ftl
|
$1,788.00 |
$1,788.00 |
$1,788.00 |
$1,021.15
|
|
Intraventricular pacing
|
$7,275.00 |
$7,275.00 |
$7,275.00 |
$5,456.17
|
|
Intrinsic factor antibody
|
$102.75 |
$102.75 |
$102.75 |
$66.60
|
|
Intrm oph exam est patient
|
$161.25 |
$161.25 |
$161.25 |
$152.50
|
|
Intro cath dialysis circuit
|
$1,242.75 |
$1,242.75 |
$1,242.75 |
$2,043.30
|
|
Intro cath dialysis circuit w/pta
|
$8,422.50 |
$8,422.50 |
$8,422.50 |
$8,761.00
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$13,140.75 |
$13,140.75 |
$13,140.75 |
$16,275.00
|
|
Intro catheter aorta
|
$2,111.25 |
$2,111.25 |
$2,111.25 |
$1,678.05
|
|
Intro cath svc/ivc
|
$1,350.75 |
$1,350.75 |
$1,350.75 |
$1,329.90
|
|
Intro long gi tube
|
$876.00 |
$876.00 |
$876.00 |
$995.78
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$4,632.75 |
$4,632.75 |
$4,632.75 |
$3,472.95
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$978.00 |
$978.00 |
$978.00 |
$1,801.10
|
|
Intubation endotracheal emergency procedure
|
$725.25 |
$725.25 |
$725.25 |
$601.28
|
|
Ionm in operatng room 15 min
|
$320.25 |
$320.25 |
$320.25 |
$203.73
|
|
Ionm remote/>1 pt or per hr
|
$1,070.25 |
$1,070.25 |
$1,070.25 |
$622.70
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$199.60 |
$199.60 |
$199.60 |
$165.67
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$244.04 |
$244.04 |
$244.04 |
$277.17
|
|
Io rad tx deliver by elctrns
|
$9,192.00 |
$9,192.00 |
$9,192.00 |
$9,332.31
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$133,919.31 |
$133,919.31 |
$133,919.31 |
$62,692.46
|
|
Ipratropium bromide non-comp
|
$2.43 |
$2.43 |
$2.43 |
$4.06
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$378.32 |
$378.32 |
$378.32 |
$173.98
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$11,014.86 |
$11,014.86 |
$11,014.86 |
$5,517.12
|
|
Iron
|
$451.50 |
$451.50 |
$451.50 |
$74.75
|
|
Iron binding capacity
|
$89.25 |
$89.25 |
$89.25 |
$63.84
|
|
Iron dextran 50 mg/ml injection solution
|
$140.34 |
$140.34 |
$140.34 |
$81.70
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$133.11 |
$133.11 |
$133.11 |
$187.06
|
|
Irradiation of blood product each unit reference
|
$157.50 |
$157.50 |
$157.50 |
$115.48
|
|
Irrigation implantable venous access device for drug delivery systems
|
$166.50 |
$166.50 |
$166.50 |
$146.11
|
|
Isatuximab-irfc 20 mg/ml intravenous solution
|
$15,760.97 |
$15,760.97 |
$15,760.97 |
$8,273.35
|
|
Ivc venogram s&i
|
$3,524.25 |
$3,524.25 |
$3,524.25 |
$3,341.00
|
|
IV Fluids (each additional hour)
|
$658.50 |
$658.50 |
$658.50 |
$133.90
|
|
IV Fluids (first hour)
|
$725.25 |
$725.25 |
$725.25 |
$390.00
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$650.25 |
$650.25 |
$650.25 |
$162.00
|
|
IV Medicine Infusion (additional drug)
|
$666.00 |
$666.00 |
$666.00 |
$191.75
|
|
IV Medicine Infusion (each additional hour)
|
$611.25 |
$611.25 |
$611.25 |
$154.00
|
|
IV Medicine Infusion (first hour)
|
$771.00 |
$771.00 |
$771.00 |
$441.75
|
|
IV Push Injection (each additional drug)
|
$680.25 |
$680.25 |
$680.25 |
$166.80
|
|
IV Push Injection (first drug)
|
$680.25 |
$680.25 |
$680.25 |
$254.52
|
|
Ixabepilone 15 mg intravenous solution
|
$22,346.52 |
$22,346.52 |
$22,346.52 |
$10,695.32
|
|
Jaw Joint (TMJ) X-ray (both sides, open and closed)
|
$546.00 |
$546.00 |
$546.00 |
$330.05
|
|
Jaw (Mandible) X-ray (complete)
|
$421.50 |
$421.50 |
$421.50 |
$362.05
|
|
Jejunstmy tube plcmt
|
$3,895.50 |
$3,895.50 |
$3,895.50 |
$2,174.40
|
|
Ketamine and metabolite screen - quest
|
$136.50 |
$136.50 |
$136.50 |
$72.14
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$285.75 |
$285.75 |
$285.75 |
$58.56
|
|
Ketorolac (Toradol) Pain Shot, 15 mg
|
$17.11 |
$17.11 |
$17.11 |
$23.50
|
|
Kidney function study
|
$1,133.25 |
$1,133.25 |
$1,133.25 |
$935.22
|
|
Kidney imaging morphology
|
$1,113.00 |
$1,113.00 |
$1,113.00 |
$785.00
|
|
Kidney img w/bldflw sgl without rx
|
$1,565.25 |
$1,565.25 |
$1,565.25 |
$1,427.40
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$1,104.00 |
$1,104.00 |
$1,104.00 |
$673.36
|
|
Kidney (Retroperitoneal) Ultrasound (limited)
|
$532.50 |
$532.50 |
$532.50 |
$492.25
|
