|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$26,801.25 |
$26,801.25 |
$26,801.25 |
$29,180.00
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$6,820.50 |
$6,820.50 |
$6,820.50 |
$7,200.05
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$6,820.50 |
$6,820.50 |
$6,820.50 |
$7,267.20
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$7,037.25 |
$7,037.25 |
$7,037.25 |
$9,390.55
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$4,604.25 |
$4,604.25 |
$4,604.25 |
$5,236.80
|
|
Insert pessary/other device
|
$332.25 |
$332.25 |
$332.25 |
$278.90
|
|
Insert picvad cath
|
$2,907.75 |
$2,907.75 |
$2,907.75 |
$4,195.00
|
|
Insert pm/icd lead dual
|
$6,880.50 |
$6,880.50 |
$6,880.50 |
$7,115.90
|
|
Insert/repl sq defib w/eltrd
|
$26,801.25 |
$26,801.25 |
$26,801.25 |
$33,593.55
|
|
Insert sq defib electrode
|
$6,820.50 |
$6,820.50 |
$6,820.50 |
$8,167.68
|
|
Insert swan-ganz cath
|
$6,580.50 |
$6,580.50 |
$6,580.50 |
$2,164.52
|
|
Insert tunneled cv 2cath 2sits without port/pmp 36565
|
$5,018.25 |
$5,018.25 |
$5,018.25 |
$5,018.25
|
|
Insert tunneled cv cath
|
$3,252.75 |
$3,252.75 |
$3,252.75 |
$4,580.61
|
|
Insert vad art access left hrt arterial access
|
$5,240.25 |
$5,240.25 |
$5,240.25 |
$4,276.00
|
|
Insert vad art access left hrt art & vein access
|
$15,454.50 |
$15,454.50 |
$15,454.50 |
$3,777.27
|
|
Ins icd gen exist mlt leads
|
$26,801.25 |
$26,801.25 |
$26,801.25 |
$31,286.77
|
|
Ins icd gen exist sgl lead
|
$23,742.75 |
$23,742.75 |
$23,742.75 |
$23,230.50
|
|
Insitu hybridization (fish)
|
$907.50 |
$907.50 |
$907.50 |
$481.00
|
|
Insitu hybridization manual
|
$459.75 |
$459.75 |
$459.75 |
$401.28
|
|
In situ hybridization per specimen each additional single probe stain
|
$435.00 |
$435.00 |
$435.00 |
$243.00
|
|
In situ hybridization per specimen initial single probe stain
|
$384.75 |
$384.75 |
$384.75 |
$340.00
|
|
Insj phrnc nrv stim sys
|
$54,756.75 |
$54,756.75 |
$54,756.75 |
$53,251.79
|
|
Insj phrnc nrv stim transvns
|
$14,544.00 |
$14,544.00 |
$14,544.00 |
$13,142.86
|
|
Insj stablj dev without dcmprn
|
$15,258.00 |
$15,258.00 |
$15,258.00 |
$15,226.08
|
|
Insj stablj dev without dcmprn
|
$10,173.00 |
$10,173.00 |
$10,173.00 |
$10,418.40
|
|
Ins lv lead exist pm/icd
|
$9,178.50 |
$9,178.50 |
$9,178.50 |
$12,384.25
|
|
Ins mark abd/pel for right perq
|
$2,376.00 |
$2,376.00 |
$2,376.00 |
$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
|
$19,065.75 |
$19,065.75 |
$19,065.75 |
$24,159.72
|
|
Ins pm gen w/exist mlt leads
|
$15,600.75 |
$15,600.75 |
$15,600.75 |
$14,804.40
|
|
Ins pq tunnld ip cath w/img
|
$4,113.75 |
$4,113.75 |
$4,113.75 |
$5,486.00
|
|
Ins/rplc spi npg/rcvr pocket
|
$36,000.00 |
$36,000.00 |
$36,000.00 |
$24,061.80
|
|
Ins/rpl ldless pm right vent w img & eval
|
$14,352.75 |
$14,352.75 |
$14,352.75 |
$24,135.54
|
|
Ins/rpl pm gen exist dual lead
|
$11,005.50 |
$11,005.50 |
$11,005.50 |
$11,198.55
|
|
Ins/rpl pm gen exist sgl lead
|
$7,319.25 |
$7,319.25 |
$7,319.25 |
$9,558.78
|
|
Ins/rpl pm w/tv ld atrl
|
$8,724.00 |
$8,724.00 |
$8,724.00 |
$11,583.66
|
|
Ins/rpl prph sac/gstr npg/r
|
$25,362.75 |
$25,362.75 |
$25,362.75 |
$18,129.80
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$22,814.25 |
$22,814.25 |
$22,814.25 |
$27,318.11
|
|
Inst fibrinolysis agent ini day
|
$1,359.75 |
$1,359.75 |
$1,359.75 |
$1,043.35
|
|
Inst fibrinolysis agent sbsq d
|
$1,025.25 |
$1,025.25 |
$1,025.25 |
$997.05
|
|
Instillation anticarcinogenic agent bladder
|
$970.50 |
$970.50 |
$970.50 |
$645.01
|
|
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 |
$4,218.00
|
|
Ins tun intraperit dia cath
|
$4,896.00 |
$4,896.00 |
$4,896.00 |
$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
|
|
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
|
$73.50 |
$73.50 |
$73.50 |
$112.80
|
|
Interrogate subq defib
|
$336.75 |
$336.75 |
$336.75 |
$119.60
|
|
Interrog dev eval icpms ip
|
$112.50 |
$112.50 |
$112.50 |
$104.00
|
|
Interrog dev eval scrms ip
|
$285.75 |
$285.75 |
$285.75 |
$124.80
|
|
Interrog device eval heart
|
$636.75 |
$636.75 |
$636.75 |
$162.40
|
|
Interrog evl pm/ldls pm ip
|
$202.50 |
$202.50 |
$202.50 |
$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
|
$3,491.25 |
$3,491.25 |
$3,491.25 |
$3,491.25
|
|
Int hrhc lig 2+hroid without img
|
$3,767.25 |
$3,767.25 |
$3,767.25 |
$3,245.23
|
|
Intra-atrial pacing
|
$5,625.00 |
$5,625.00 |
$5,625.00 |
$4,865.25
|
|
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 |
$3,436.00
|
|
Intracranial angioplasty
|
$9,051.00 |
$9,051.00 |
$9,051.00 |
$5,181.00
|
|
Intracranial complete study
|
$1,464.00 |
$1,464.00 |
$1,464.00 |
$881.50
|
|
Intracranial limited study
|
$1,091.25 |
$1,091.25 |
$1,091.25 |
$467.50
|
|
Intranasal biopsy 30100
|
$3,322.50 |
$3,322.50 |
$3,322.50 |
$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
|
$5,625.00 |
$5,625.00 |
$5,625.00 |
$5,456.17
|
|
Intrinsic factor antibody
|
$77.25 |
$77.25 |
$77.25 |
$66.60
|
|
Intrm oph exam est patient
|
$161.25 |
$161.25 |
$161.25 |
$152.50
|
|
Intro cath dialysis circuit
|
$1,643.25 |
$1,643.25 |
$1,643.25 |
$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
|
$2,623.50 |
$2,623.50 |
$2,623.50 |
$1,678.05
|
|
Intro cath svc/ivc
|
$1,942.50 |
$1,942.50 |
$1,942.50 |
$1,329.90
|
|
Intro long gi tube
|
$876.00 |
$876.00 |
$876.00 |
$995.78
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$3,510.75 |
$3,510.75 |
$3,510.75 |
$3,472.95
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$978.00 |
$978.00 |
$978.00 |
$1,801.10
|
|
Intubation endotracheal emergency procedure
|
$934.50 |
$934.50 |
$934.50 |
$601.28
|
|
Ionm in operatng room 15 min
|
$320.25 |
$320.25 |
$320.25 |
$203.73
|
|
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 |
$165.67
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$244.04 |
$244.04 |
$244.04 |
$277.17
|
|
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
|
$428.25 |
$428.25 |
$428.25 |
$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
|
