|
Insitu hybridization manual
|
$1,613.30 |
$1,613.30 |
$1,613.30 |
$401.28
|
|
In situ hybridization per specimen each additional single probe stain
|
$607.75 |
$607.75 |
$607.75 |
$243.50
|
|
In situ hybridization per specimen initial single probe stain
|
$437.45 |
$437.45 |
$437.45 |
$338.40
|
|
Insj perq vad r hrt venous
|
$4,981.60 |
$4,981.60 |
$4,981.60 |
$3,796.00
|
|
Ins lv lead exist pm/icd
|
$19,181.50 |
$19,181.50 |
$19,181.50 |
$12,384.25
|
|
Ins picad w subq port 5yr>
|
$11,763.70 |
$11,763.70 |
$11,763.70 |
$4,078.00
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$2,310.75 |
$2,310.75 |
$2,310.75 |
$1,690.00
|
|
Ins pm gen exist dual lead
|
$27,751.75 |
$27,751.75 |
$27,751.75 |
$24,159.72
|
|
Ins pm gen w/exist mlt leads
|
$29,274.05 |
$29,274.05 |
$29,274.05 |
$14,804.40
|
|
Ins pq tunnld ip cath w/img
|
$10,552.10 |
$10,552.10 |
$10,552.10 |
$5,486.00
|
|
Ins/rpl ldless pm right vent w img & eval
|
$24,705.20 |
$24,705.20 |
$24,705.20 |
$24,135.54
|
|
Ins/rpl pm gen exist dual lead
|
$16,998.80 |
$16,998.80 |
$16,998.80 |
$11,005.50
|
|
Ins/rpl pm gen exist sgl lead
|
$14,779.05 |
$14,779.05 |
$14,779.05 |
$9,428.64
|
|
Ins/rpl pm w/tv ld atrl
|
$17,480.45 |
$17,480.45 |
$17,480.45 |
$11,583.66
|
|
Ins/rpl prph sac/gstr npg/r
|
$18,129.80 |
$18,129.80 |
$18,129.80 |
$18,129.80
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$25,106.90 |
$25,106.90 |
$25,106.90 |
$27,318.11
|
|
Inst fibrinolysis agent ini day
|
$1,848.60 |
$1,848.60 |
$1,848.60 |
$1,043.35
|
|
Inst fibrinolysis agent sbsq d
|
$1,848.60 |
$1,848.60 |
$1,848.60 |
$997.05
|
|
Insti hexaminolevulinate hcl
|
$63.18 |
$63.18 |
$63.18 |
$2,356.80
|
|
Instillation anticarcinogenic agent bladder
|
$1,995.50 |
$1,995.50 |
$1,995.50 |
$638.40
|
|
Instill pharm renal pelvis
|
$6,728.80 |
$6,728.80 |
$6,728.80 |
$3,018.72
|
|
Instll rx agnt into rnal tub
|
$727.35 |
$727.35 |
$727.35 |
$619.20
|
|
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
|
|
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
|
|
Intens behave ther cardio dx
|
$133.90 |
$133.90 |
$133.90 |
$47.60
|
|
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
|
|
Interrogate subq defib
|
$139.10 |
$139.10 |
$139.10 |
$119.60
|
|
Interrogation vad in person
|
$343.20 |
$343.20 |
$343.20 |
$296.80
|
|
Interrog dev eval icpms ip
|
$139.10 |
$139.10 |
$139.10 |
$104.00
|
|
Interrog dev eval scrms ip
|
$91.65 |
$91.65 |
$91.65 |
$124.80
|
|
Interrog device eval heart
|
$139.10 |
$139.10 |
$139.10 |
$162.40
|
|
Interrog evl pm/ldls pm ip
|
$139.10 |
$139.10 |
$139.10 |
$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
|
|
Intra-atrial pacing
|
$28,360.80 |
$28,360.80 |
$28,360.80 |
$4,850.82
|
|
Intra-atrial recording
|
$28,360.80 |
$28,360.80 |
$28,360.80 |
$5,252.30
|
|
Intracard echo interv w/s&i
|
$4,467.45 |
$4,467.45 |
$4,467.45 |
$3,436.00
|
|
Intracran angioplsty w/stent
|
$24,629.80 |
$24,629.80 |
$24,629.80 |
$8,145.50
|
|
Intracranial angioplasty
|
$17,110.60 |
$17,110.60 |
$17,110.60 |
$5,181.00
|
|
Intracranial complete study
|
$903.50 |
$903.50 |
$903.50 |
$881.50
|
|
Intracranial limited study
|
$397.15 |
$397.15 |
$397.15 |
$467.50
|
|
Intrapul surf admin endo tube
|
$323.70 |
$323.70 |
$323.70 |
$220.80
|
|
Intraventricular pacing
|
$28,360.80 |
$28,360.80 |
$28,360.80 |
$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 |
$161.25
|
|
Intro cath dialysis circuit
|
$5,805.80 |
$5,805.80 |
$5,805.80 |
$2,036.94
|
|
Intro cath dialysis circuit w/pta
|
$21,309.60 |
$21,309.60 |
$21,309.60 |
$8,690.50
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$20,955.35 |
$20,955.35 |
$20,955.35 |
$16,262.40
|
|
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 |
$1,323.27
|
|
Intro long gi tube
|
$2,803.45 |
$2,803.45 |
$2,803.45 |
$974.17
|
|
Intro long gi tube w/mult fluo
|
$410.80 |
$410.80 |
$410.80 |
$469.00
|
|
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
|
$694.20 |
$694.20 |
$694.20 |
$601.28
|
|
Iodine i-123 sod iodide mil
|
$136.50 |
$136.50 |
$136.50 |
$386.37
|
|
Ionm in operatng room 15 min
|
$98.15 |
$98.15 |
$98.15 |
$200.78
|
|
Ionm remote/>1 pt or per hr
|
$622.70 |
$622.70 |
$622.70 |
$622.70
|
|
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 |
$279.10
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$2,825.08 |
$2,825.08 |
$2,825.08 |
$62,692.46
|
|
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 |
$75.00
|
|
Iron binding capacity
|
$39.00 |
$39.00 |
$39.00 |
$63.91
|
|
Iron dextran 50 mg/ml injection solution
|
$43.62 |
$43.62 |
$43.62 |
$80.67
|
|
Iron stain peripheral blood
|
$30.55 |
$30.55 |
$30.55 |
$30.55
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$111.80 |
$111.80 |
$111.80 |
$187.06
|
|
Irradiation of blood product each unit reference
|
$176.15 |
$176.15 |
$176.15 |
$115.20
|
|
Irrigation implantable venous access device for drug delivery systems
|
$266.50 |
$266.50 |
$266.50 |
$146.11
|
|
Isatuximab-irfc 20 mg/ml intravenous solution
|
$578.11 |
$578.11 |
$578.11 |
$8,273.35
|
|
Ivc venogram s&i
|
$14,116.70 |
$14,116.70 |
$14,116.70 |
$3,332.55
|
|
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 |
$162.68
|
|
IV inj ra drug dx study
|
$1,802.45 |
$1,802.45 |
$1,802.45 |
$567.00
|
|
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 |
$439.56
|
|
IV Push Injection (each additional drug)
|
$206.70 |
$206.70 |
$206.70 |
$167.50
|
|
IV Push Injection (first drug)
|
$945.10 |
$945.10 |
$945.10 |
$252.76
|
|
Ivp w/wo kub w/wo tomography
|
$798.20 |
$798.20 |
$798.20 |
$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)
|
$395.20 |
$395.20 |
$395.20 |
$330.05
|
|
Jaw (Mandible) X-ray (complete)
|
$477.10 |
$477.10 |
$477.10 |
$362.05
|
|
Jejunstmy tube plcmt
|
$5,671.90 |
$5,671.90 |
$5,671.90 |
$2,174.40
|
|
Ketamine and metabolite screen - quest
|
$12.35 |
$12.35 |
$12.35 |
$72.14
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$36.40 |
$36.40 |
$36.40 |
$58.56
|
|
Ketorolac (Toradol) Pain Shot, 15 mg
|
$15.29 |
$15.29 |
$15.29 |
$23.52
|
|
Kidney imag w/bld flow multi
|
$2,414.10 |
$2,414.10 |
$2,414.10 |
$1,566.50
|
|
Kidney img w/bldflw sgl without rx
|
$2,414.10 |
$2,414.10 |
$2,414.10 |
$1,433.22
|
