|
Inj thrc fascial pln blk uni w/wo image
|
$1,629.60 |
$1,629.60 |
$1,629.60 |
$818.00
|
|
Inj, tyenne, 1 mg
|
$7,579.02 |
$7,579.02 |
$7,579.02 |
$3,525.12
|
|
Inj, vegzelma, 10 mg
|
$10,811.34 |
$10,811.34 |
$10,811.34 |
$1,291.28
|
|
Inj vocal cord bulking agent
|
$5,792.05 |
$5,792.05 |
$5,792.05 |
$1,480.00
|
|
Inj w/fluor eval cv device
|
$541.20 |
$541.20 |
$541.20 |
$463.40
|
|
Ins cath ren art 1st bi
|
$9,668.40 |
$9,668.40 |
$9,668.40 |
$5,741.00
|
|
Ins cath ren art 1st uni
|
$6,444.00 |
$6,444.00 |
$6,444.00 |
$4,692.00
|
|
Ins cath ren art 2nd+ bi
|
$9,251.40 |
$9,251.40 |
$9,251.40 |
$5,408.65
|
|
Ins cath ren art 2nd+ uni
|
$6,885.00 |
$6,885.00 |
$6,885.00 |
$5,419.00
|
|
Insert abdomen-venous drain
|
$3,199.20 |
$3,199.20 |
$3,199.20 |
$3,199.20
|
|
Insert cath pleura with image
|
$3,774.00 |
$3,774.00 |
$3,774.00 |
$2,194.40
|
|
Insert cath pleura without image
|
$1,680.60 |
$1,680.60 |
$1,680.60 |
$2,019.00
|
|
Insert intrauterine device iud
|
$28,694.47 |
$28,694.47 |
$28,694.47 |
$366.65
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$7,581.60 |
$7,581.60 |
$7,581.60 |
$4,731.80
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$11,363.40 |
$11,363.40 |
$11,363.40 |
$7,034.50
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$17,634.26 |
$17,634.26 |
$17,634.26 |
$2,511.00
|
|
Insertion of catheter vein
|
$1,279.80 |
$1,279.80 |
$1,279.80 |
$1,657.32
|
|
Insertion of catheter vein
|
$543.00 |
$543.00 |
$543.00 |
$836.25
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$12,317.40 |
$12,317.40 |
$12,317.40 |
$12,508.08
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$10,666.20 |
$10,666.20 |
$10,666.20 |
$10,100.35
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$2,179.80 |
$2,179.80 |
$2,179.80 |
$2,079.43
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$2,634.60 |
$2,634.60 |
$2,634.60 |
$2,414.10
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$7,060.20 |
$7,060.20 |
$7,060.20 |
$7,513.67
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$7,060.20 |
$7,060.20 |
$7,060.20 |
$7,342.20
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$14,173.80 |
$14,173.80 |
$14,173.80 |
$9,397.50
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$16,099.25 |
$16,099.25 |
$16,099.25 |
$5,236.80
|
|
Insert multi-comp penis pros
|
$73,419.64 |
$73,419.64 |
$73,419.64 |
$9,495.20
|
|
Insert self-contd prosthesis
|
$76,735.17 |
$76,735.17 |
$76,735.17 |
$21,998.10
|
|
Insert tunneled cv 2cath 2sits without port/pmp 36565
|
$5,337.00 |
$5,337.00 |
$5,337.00 |
$5,018.25
|
|
Insert uro/ves nck sphincter
|
$93,852.04 |
$93,852.04 |
$93,852.04 |
$21,998.10
|
|
Insert uteri tandem/ovoids
|
$4,081.80 |
$4,081.80 |
$4,081.80 |
$3,905.20
|
|
Insert vad art access left hrt arterial access
|
$2,560.80 |
$2,560.80 |
$2,560.80 |
$4,221.97
|
|
Insert vad art access left hrt art & vein access
|
$4,039.80 |
$4,039.80 |
$4,039.80 |
$2,889.60
|
|
Insitu hybridization (fish)
|
$406.80 |
$406.80 |
$406.80 |
$481.60
|
|
Insitu hybridization manual
|
$566.40 |
$566.40 |
$566.40 |
$388.20
|
|
In situ hybridization per specimen each additional single probe stain
|
$543.00 |
$543.00 |
$543.00 |
$243.60
|
|
In situ hybridization per specimen initial single probe stain
|
$543.00 |
$543.00 |
$543.00 |
$326.04
|
|
Insj biomechanical device
|
$185,872.65 |
$185,872.65 |
$185,872.65 |
$1,573.00
|
|
Insj biomechanical device 22853
|
$145,454.78 |
$145,454.78 |
$145,454.78 |
$622.40
|
|
Insj perq vad r hrt venous
|
$4,847.40 |
$4,847.40 |
$4,847.40 |
$3,345.87
|
|
Ins mark thor for right perq
|
$2,503.80 |
$2,503.80 |
$2,503.80 |
$2,477.45
|
|
Insole orthotic freedom sz6 6816
|
$642.50 |
$642.50 |
$642.50 |
$84.00
|
|
Ins pq tunnld ip cath w/img
|
$6,388.20 |
$6,388.20 |
$6,388.20 |
$5,377.00
|
|
Ins/rplcmt prq eltrd ra pn 1
|
$28,614.85 |
$28,614.85 |
$28,614.85 |
$13,802.89
|
|
Ins/rplc spi npg/rcvr pocket
|
$111,458.28 |
$111,458.28 |
$111,458.28 |
$23,746.69
|
|
Ins/rpl ldless pm right vent w img & eval
|
$26,397.60 |
$26,397.60 |
$26,397.60 |
$23,369.00
|
|
Ins/rpl pm w/tv ld atrl
|
$10,132.80 |
$10,132.80 |
$10,132.80 |
$12,371.40
|
|
Ins/rpl prph sac/gstr npg/r
|
$58,416.95 |
$58,416.95 |
$58,416.95 |
$15,339.48
|
|
Inst fibrinolysis agent ini day
|
$1,089.00 |
$1,089.00 |
$1,089.00 |
$1,090.80
|
|
Inst fibrinolysis agent sbsq d
|
$1,089.00 |
$1,089.00 |
$1,089.00 |
$1,018.47
|
|
Instillation anticarcinogenic agent bladder
|
$21,204.28 |
$21,204.28 |
$21,204.28 |
$621.40
|
|
Ins tun cv cath wo subq prt/pm
|
$3,595.80 |
$3,595.80 |
$3,595.80 |
$4,202.70
|
|
Insulin total
|
$58.80 |
$58.80 |
$58.80 |
$66.64
|
|
Ins vag brachytx device
|
$1,962.00 |
$1,962.00 |
$1,962.00 |
$897.75
|
|
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm
|
$16,331.61 |
$16,331.61 |
$16,331.61 |
$8,629.72
|
|
Integra meshed bil wound mat
|
$34,870.70 |
$34,870.70 |
$34,870.70 |
$9,924.00
|
|
Integra os putty 2.5cc - cost per 0.5cc
|
$13,347.34 |
$13,347.34 |
$13,347.34 |
$3,825.00
|
|
Interfyl, 1 mg
|
$8,973.00 |
$8,973.00 |
$8,973.00 |
$5,118.52
|
|
Intrinsic factor antibody
|
$114.00 |
$114.00 |
$114.00 |
$66.60
|
|
Intro cath dialysis circuit
|
$3,994.20 |
$3,994.20 |
$3,994.20 |
$2,035.00
|
|
Intro cath dialysis circuit w/pta
|
$11,763.00 |
$11,763.00 |
$11,763.00 |
$8,761.00
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$26,111.40 |
$26,111.40 |
$26,111.40 |
$15,805.00
|
|
Intro catheter aorta
|
$1,623.60 |
$1,623.60 |
$1,623.60 |
$1,654.05
|
|
Intro cath svc/ivc
|
$2,682.60 |
$2,682.60 |
$2,682.60 |
$1,329.90
|
|
Intro long gi tube
|
$894.00 |
$894.00 |
$894.00 |
$990.00
|
|
Intro long gi tube w/mult fluo
|
$178.80 |
$178.80 |
$178.80 |
$449.40
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$4,098.00 |
$4,098.00 |
$4,098.00 |
$3,303.76
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$2,571.60 |
$2,571.60 |
$2,571.60 |
$1,633.03
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$72.00 |
$72.00 |
$72.00 |
$172.98
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$231.00 |
$231.00 |
$231.00 |
$279.10
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$36,128.46 |
$36,128.46 |
$36,128.46 |
$62,692.46
|
|
Ipratropium bromide non-comp
|
$4.80 |
$4.80 |
$4.80 |
$3.75
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$90.00 |
$90.00 |
$90.00 |
$163.87
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$11,886.24 |
$11,886.24 |
$11,886.24 |
$5,476.68
|
|
Iron
|
$54.00 |
$54.00 |
$54.00 |
$74.40
|
|
Iron binding capacity
|
$63.60 |
$63.60 |
$63.60 |
$63.79
|
|
Iron dextran 50 mg/ml injection solution
|
$90.00 |
$90.00 |
$90.00 |
$80.95
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$125.70 |
$125.70 |
$125.70 |
$187.06
|
|
Isatuximab-irfc 20 mg/ml intravenous solution
|
$17,354.94 |
$17,354.94 |
$17,354.94 |
$8,273.35
|
|
Ivc venogram s&i
|
$4,543.80 |
$4,543.80 |
$4,543.80 |
$3,316.95
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$235.20 |
$235.20 |
$235.20 |
$191.75
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$451.80 |
$451.80 |
$451.80 |
$157.50
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$178.80 |
$178.80 |
$178.80 |
$151.80
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$384.60 |
$384.60 |
$384.60 |
$439.56
|
|
IV inj ra drug dx study
|
$786.00 |
$786.00 |
$786.00 |
$549.70
|
|
Ivp w/wo kub w/wo tomography
|
$1,041.00 |
$1,041.00 |
$1,041.00 |
$692.18
|
|
Jak2 targeted sequence analysis
|
$489.60 |
$489.60 |
$489.60 |
$379.87
|
|
John cunningham antibody
|
$132.60 |
$132.60 |
$132.60 |
$72.60
|
|
Kafo dbl solid stirrup band/
|
$7,829.98 |
$7,829.98 |
$7,829.98 |
$2,185.15
|
|
Kafo dbl solid stirrup without j
|
$7,696.25 |
$7,696.25 |
$7,696.25 |
$2,562.92
|
|
Kafo fem fx cast molded to p
|
$6,561.91 |
$6,561.91 |
$6,561.91 |
$3,130.66
|
|
Kafo fem fx cast semi-rigid
|
$4,661.65 |
$4,661.65 |
$4,661.65 |
$2,130.02
|
|
Kafo fem fx cast thermoplas
|
$4,633.93 |
$4,633.93 |
$4,633.93 |
$2,710.45
|
|
Kafo femoral fx cast rigid
|
$5,101.51 |
$5,101.51 |
$5,101.51 |
$2,138.81
|
|
Kafo pla sin up w/wo k/a cus
|
$8,217.70 |
$8,217.70 |
$8,217.70 |
$4,806.65
|
|
Kafo plas sing free knee mol
|
$6,708.31 |
$6,708.31 |
$6,708.31 |
$3,923.78
|
|
Kafo plastic pediatric size
|
$1,509.14 |
$1,509.14 |
$1,509.14 |
$409.90
|
|
Kafo sing fre stirr thi/calf
|
$4,525.27 |
$4,525.27 |
$4,525.27 |
$2,646.89
|
|
Kafo sng/dbl mechanical act
|
$13,060.92 |
$13,060.92 |
$13,060.92 |
$9,695.60
|
|
Kafo sng solid stirrup without j
|
$6,199.70 |
$6,199.70 |
$6,199.70 |
$2,064.55
|
