|
Instll rx agnt into rnal tub
|
$727.35 |
$727.35 |
$727.35 |
$619.20
|
|
Ins trurl ablt trnsdc thr Ultrasound
|
$1,383.20 |
$1,383.20 |
$1,383.20 |
$397.60
|
|
Ins tun cvad 2 cath w/subq port(s)
|
$20,203.95 |
$20,203.95 |
$20,203.95 |
$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
|
$10,552.10 |
$10,552.10 |
$10,552.10 |
$4,570.00
|
|
Inst via cath agent pleurds
|
$1,848.60 |
$1,848.60 |
$1,848.60 |
$1,074.68
|
|
Insulin suppression panel
|
$742.95 |
$742.95 |
$742.95 |
$375.70
|
|
Insulin tolerance panel
|
$462.15 |
$462.15 |
$462.15 |
$258.40
|
|
Insulin total
|
$51.35 |
$51.35 |
$51.35 |
$66.64
|
|
Ins vag brachytx device
|
$909.35 |
$909.35 |
$909.35 |
$950.00
|
|
Integra os putty 2.5cc - cost per 0.5cc
|
$345.07 |
$345.07 |
$345.07 |
$3,803.11
|
|
Intens behave ther cardio dx
|
$133.90 |
$133.90 |
$171.60 |
$47.60
|
|
Intens cardiac rehab no exer
|
$517.40 |
$517.40 |
$517.40 |
$238.40
|
|
Intens cardiac rehab w/exerc
|
$517.40 |
$517.40 |
$517.40 |
$238.40
|
|
Intercalary algrft compl
|
$3,380.00 |
$3,380.00 |
$3,380.00 |
$1,864.80
|
|
Interdental fixation
|
$4,429.10 |
$4,429.10 |
$4,429.10 |
$2,133.48
|
|
Interdental wirg oth/thn fx
|
$4,429.10 |
$4,429.10 |
$4,429.10 |
$1,944.80
|
|
Interdiscal perq aspir dx
|
$3,155.75 |
$3,155.75 |
$3,155.75 |
$1,222.26
|
|
Interferon alfa-2a inj
|
$50.05 |
$50.05 |
$50.05 |
$31.80
|
|
Interferon alfa-2b inj
|
$75.08 |
$75.08 |
$75.08 |
$1,409.92
|
|
Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper)
|
$122.62 |
$5,053.11 |
$5,053.11 |
$10,427.90
|
|
Interferon beta-1a inj
|
$2,290.34 |
$2,290.34 |
$2,290.34 |
$1,851.20
|
|
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
|
|
Intermediate visual field xm
|
$291.85 |
$291.85 |
$291.85 |
$112.80
|
|
Internal nerve revision 64727
|
$806.00 |
$806.00 |
$806.00 |
$806.00
|
|
Interrogate subq defib
|
$139.10 |
$139.10 |
$351.00 |
$119.60
|
|
Interrogation vad in person
|
$343.20 |
$343.20 |
$343.20 |
$296.40
|
|
Interrog dev eval icpms ip
|
$139.10 |
$139.10 |
$261.95 |
$104.00
|
|
Interrog dev eval scrms ip
|
$91.65 |
$91.65 |
$197.60 |
$124.80
|
|
Interrog device eval heart
|
$139.10 |
$139.10 |
$353.60 |
$162.40
|
|
Interrog evl pm/ldls pm ip
|
$139.10 |
$139.10 |
$250.90 |
$129.13
|
|
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
|
|
Interstitial brachy inter
|
$2,390.70 |
$2,390.70 |
$2,390.70 |
$1,194.42
|
|
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
|
|
Intestine transplnt cadaver
|
$22,922.90 |
$22,922.90 |
$22,922.90 |
$22,922.90
|
|
Int hrhc lig 1 hroid without img
|
$8,199.75 |
$8,199.75 |
$8,199.75 |
$3,491.25
|
|
Int hrhc lig 2+hroid without img
|
$8,199.75 |
$8,199.75 |
$8,199.75 |
$3,245.23
|
|
Intl custm cong/latyp insert
|
$1,008.40 |
$1,008.40 |
$1,008.40 |
$1,453.20
|
|
Intra-atrial pacing
|
$28,360.80 |
$28,360.80 |
$29,224.65 |
$4,865.25
|
|
Intra-atrial recording
|
$28,360.80 |
$28,360.80 |
$28,967.25 |
$5,252.30
|
|
Intracard echo interv w/s&i
|
$4,467.45 |
$4,467.45 |
$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 |
$5,350.00
|
|
Intracranial complete study
|
$903.50 |
$903.50 |
$1,137.50 |
$883.30
|
|
Intracranial limited study
|
$397.15 |
$397.15 |
$605.80 |
$473.85
|
|
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
|
$10,826.40 |
$10,826.40 |
$10,826.40 |
$4,271.91
|
|
Intracranial vessel surgery
|
$17,550.00 |
$17,550.00 |
$17,550.00 |
$6,687.25
|
|
Intracranial vessel surgery
|
$8,148.40 |
$8,148.40 |
$8,148.40 |
$3,306.05
|
|
Intracranial vessel surgery
|
$14,193.40 |
$14,193.40 |
$14,193.40 |
$5,449.21
|
|
Intranasal biopsy 30100
|
$4,429.10 |
$4,429.10 |
$4,429.10 |
$2,282.50
|
|
Intranasal reconstruction
|
$1,601.60 |
$1,601.60 |
$1,601.60 |
$5,741.00
|
|
Intraop colon lavage add-on
|
$806.00 |
$806.00 |
$806.00 |
$416.80
|
|
Intraop epicard/endocard/pace/map/ 93631
|
$17,837.95 |
$17,837.95 |
$17,837.95 |
$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
|
$1,522.95 |
$1,522.95 |
$1,522.95 |
$1,228.24
|
|
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
|
$28,360.80 |
$28,360.80 |
$29,224.65 |
$5,456.17
|
|
Intrinsic factor antibody
|
$67.60 |
$67.60 |
$67.60 |
$65.00
|
|
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 |
$2,053.14
|
|
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 |
$16,338.40
|
|
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 |
$1,346.13
|
|
Intro long gi tube
|
$2,803.45 |
$2,803.45 |
$2,803.45 |
$1,007.40
|
|
Intro long gi tube w/mult fluo
|
$410.80 |
$410.80 |
$547.95 |
$469.00
|
|
Intro windpipe wire/tube
|
$5,156.45 |
$5,156.45 |
$5,156.45 |
$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 |
$1,914.00
|
|
Intubation endotracheal emergency procedure
|
$694.20 |
$694.20 |
$780.00 |
$604.20
|
|
Io anal gast n-stim init
|
$299.00 |
$299.00 |
$299.00 |
$341.60
|
|
Io anal gast n-stim subsq
|
$266.50 |
$266.50 |
$266.50 |
$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
|
|
Ionm in operatng room 15 min
|
$98.15 |
$98.15 |
$171.60 |
$209.22
|
|
Ionm remote/>1 pt or per hr
|
$622.70 |
$622.70 |
$1,148.55 |
$622.70
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$9.37 |
$15.13 |
$15.13 |
$165.67
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$13.40 |
$13.40 |
$24.96 |
$269.41
|
|
Io radiation tx management
|
$1,495.00 |
$1,495.00 |
$1,495.00 |
$593.60
|
|
Io rad tx deliver by elctrns
|
$34,285.55 |
$34,285.55 |
$34,285.55 |
$9,332.31
|
|
Io rad tx delivery by x-ray
|
$34,285.55 |
$34,285.55 |
$34,285.55 |
$9,046.18
|
|
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
|
|
Ipratropium bromide non-comp
|
$2.41 |
$2.41 |
$2.41 |
$4.06
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$26.78 |
$26.78 |
$36.22 |
$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 |
$74.40
|
|
Iron binding capacity
|
$39.00 |
$39.00 |
$39.00 |
$63.84
|
