|
Ins pm gen w/exist mlt leads
|
$5,716.41 |
$5,716.41 |
$11,794.25 |
|
|
Ins pq tunnld ip cath w/img
|
$3,749.30 |
$3,749.30 |
$6,757.71 |
|
|
Ins/rplc spi npg/rcvr pocket
|
$46,212.60 |
$46,212.60 |
$49,017.47 |
|
|
Ins/rpl ldless pm right vent w img & eval
|
$33,700.42 |
$33,700.42 |
$33,700.42 |
|
|
Ins/rpl pm gen exist dual lead
|
$4,097.01 |
$4,097.01 |
$15,106.00 |
|
|
Ins/rpl pm gen exist sgl lead
|
$3,865.85 |
$3,865.85 |
$3,865.85 |
|
|
Ins/rpl pm w/tv ld atrl
|
$4,346.58 |
$4,346.58 |
$10,385.05 |
|
|
Ins/rpl prph sac/gstr npg/r
|
$32,149.97 |
$32,149.97 |
$33,831.84 |
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$31,590.00 |
$31,590.00 |
$31,590.00 |
|
|
Insrt/redo neurostim 1 array
|
$24,012.98 |
$24,012.98 |
$24,012.98 |
|
|
Inst fibrinolysis agent ini day
|
$574.70 |
$574.70 |
$574.70 |
|
|
Inst fibrinolysis agent sbsq d
|
$891.15 |
$891.15 |
$891.15 |
|
|
Insti hexaminolevulinate hcl
|
$5,905.57 |
$5,905.57 |
$5,905.57 |
|
|
Instillation anticarcinogenic agent bladder
|
$481.56 |
$481.56 |
$10,406.95 |
|
|
Instll rx agnt into rnal tub
|
$83,703.88 |
$83,703.88 |
$83,703.88 |
|
|
Ins tun cv cath wo subq prt/pm
|
$1,069.25 |
$1,773.69 |
$7,027.84 |
|
|
Ins tun intraperit dia cath
|
$7,339.08 |
$7,339.08 |
$7,339.08 |
|
|
Inst via cath agent pleurds
|
$524.57 |
$524.57 |
$524.57 |
|
|
Insulin total
|
$30.55 |
$48.66 |
$79.30 |
|
|
Ins vag brachytx device
|
$25,064.58 |
$25,064.58 |
$25,064.58 |
|
|
Integra meshed bil wound mat
|
$9,955.85 |
$9,955.85 |
$9,955.85 |
|
|
Interdental wirg oth/thn fx
|
$810.12 |
$810.12 |
$810.12 |
|
|
Interdiscal perq aspir dx
|
$633.07 |
$633.07 |
$2,708.23 |
|
|
Interferon alfa-2b inj
|
$473.03 |
$473.03 |
$473.03 |
|
|
Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper)
|
$33,167.33 |
$33,167.33 |
$33,167.33 |
|
|
Interrog dev eval scrms ip
|
$16.28 |
$16.28 |
$16.28 |
|
|
Interrog device eval heart
|
$41.44 |
$41.44 |
$41.44 |
|
|
Interrog evl pm/ldls pm ip
|
$39.59 |
$39.59 |
$39.59 |
|
|
Interstitial brachy inter
|
$3,658.20 |
$3,658.20 |
$3,658.20 |
|
|
Intra-atrial pacing
|
$1,575.65 |
$2,901.60 |
$8,708.05 |
|
|
Intra-atrial recording
|
$1,575.65 |
$2,901.60 |
$8,594.95 |
|
|
Intracard echo interv w/s&i
|
$857.66 |
$857.66 |
$4,656.60 |
|
|
Intracran angioplsty w/stent
|
$2,921.89 |
$2,921.89 |
$19,517.54 |
|
|
Intracranial angioplasty
|
$2,131.20 |
$2,131.20 |
$2,131.20 |
|
|
Intracranial complete study
|
$336.61 |
$336.61 |
$680.55 |
|
|
Intracranial limited study
|
$238.37 |
$238.37 |
$396.50 |
|
|
Intrapul surf admin endo tube
|
$100.64 |
$100.64 |
$328.25 |
|
|
Intrauterine transfusion ftl
|
$1,021.15 |
$1,021.15 |
$1,021.15 |
|
|
Intraventricular pacing
|
$2,901.60 |
$6,938.89 |
$7,718.10 |
|
|
Intrinsic factor antibody
|
$59.66 |
$79.30 |
$162.50 |
|
|
Intro cath dialysis circuit
|
$1,034.15 |
$1,034.15 |
$6,643.31 |
|
|
Intro cath dialysis circuit w/pta
|
$7,292.70 |
$7,292.70 |
$9,041.61 |
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$12,700.44 |
$12,700.44 |
$21,445.19 |
|
|
Intro catheter aorta
|
$230.05 |
$230.05 |
$1,432.60 |
|
|
Intro cath svc/ivc
|
$234.30 |
$234.30 |
$1,329.90 |
|
|
Intro long gi tube
|
$481.00 |
$481.00 |
$1,489.80 |
|
|
Intro long gi tube w/mult fluo
|
$34.00 |
$34.00 |
$1,007.50 |
|
|
Intro windpipe wire/tube
|
$1,898.47 |
$1,898.47 |
$1,898.47 |
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$915.47 |
$915.47 |
$30,287.70 |
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$610.41 |
$610.41 |
$30,287.70 |
|
|
Intubation endotracheal emergency procedure
|
$263.53 |
$572.00 |
$1,626.30 |
|
|
Ionm in operatng room 15 min
|
$82.79 |
$82.79 |
$388.05 |
|
|
Ionm remote/>1 pt or per hr
|
$1,114.10 |
$1,114.10 |
$1,170.00 |
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$11.99 |
$11.99 |
$315.02 |
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$103.05 |
$153.98 |
$788.77 |
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$230.57 |
$230.57 |
$134,989.56 |
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$25.55 |
$25.55 |
$401.07 |
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$8,936.52 |
$8,936.52 |
$11,188.36 |
|
|
Iron
|
$45.00 |
$70.67 |
$95.00 |
|
|
Iron binding capacity
|
$24.14 |
$48.00 |
$70.20 |
|
|
Iron dextran 50 mg/ml injection solution
|
$42.82 |
$62.12 |
$62.12 |
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$53.50 |
$262.08 |
$487.13 |
|
|
Irradiation of blood product each unit reference
|
$71.04 |
$73.45 |
$141.00 |
|
|
Irrigation implantable venous access device for drug delivery systems
|
$100.36 |
$111.80 |
$204.00 |
|
|
Irrigation vagina and/or appl medicament tx disease
|
$255.21 |
$255.21 |
$255.21 |
|
|
Isatuximab-irfc 20 mg/ml intravenous solution
|
$13,555.98 |
$13,555.98 |
$13,555.98 |
|
|
Ivc venogram s&i
|
$1,395.64 |
$2,171.65 |
$3,783.65 |
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$75.94 |
$150.80 |
$287.00 |
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$71.87 |
$150.80 |
$287.00 |
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$67.62 |
$150.80 |
$287.00 |
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$150.80 |
$229.40 |
$512.85 |
|
|
IV inj ra drug dx study
|
$145.60 |
$145.60 |
$145.60 |
|
|
Ivp w/nephrotomography
|
$322.92 |
$322.92 |
$748.15 |
|
|
Ivp w/wo kub w/wo tomography
|
$330.32 |
$330.32 |
$1,128.00 |
|
|
Ixabepilone 15 mg intravenous solution
|
$139.88 |
$139.88 |
$22,113.32 |
|
|
Jak2 targeted sequence analysis
|
$215.62 |
$215.62 |
$555.10 |
|
|
John cunningham antibody
|
$889.20 |
$1,034.80 |
$1,592.00 |
|
|
J-tube placement
|
$14,277.03 |
$14,277.03 |
$14,277.03 |
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$29.90 |
$64.10 |
$149.50 |
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$7.66 |
$12.47 |
$42.00 |
|
|
Kidney function study
|
$1,751.75 |
$1,751.75 |
$1,751.75 |
|
|
Kidney imaging morphology
|
$769.51 |
$769.51 |
$3,072.55 |
|
|
Kidney imag w/bld flow multi
|
$1,257.54 |
$1,257.54 |
$1,763.45 |
|
|
Kidney img w/bldflw sgl without rx
|
$782.83 |
$782.83 |
$1,555.45 |
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$282.75 |
$400.16 |
$1,017.00 |
|
|
Kit case 4.2mm spinejack
|
$5,116.80 |
$5,116.80 |
$6,396.00 |
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$6,110.00 |
$6,110.00 |
$6,110.00 |
|
|
Kit gene analys d816 variant
|
$269.27 |
$269.27 |
$269.27 |
|
|
Kit hfx iq ipg bundle
|
$22,254.70 |
$22,254.70 |
$45,500.00 |
|
|
Kit lead specify 5-6-5
|
$8,612.50 |
$8,612.50 |
$20,800.00 |
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$1,105.00 |
$1,105.00 |
$1,105.00 |
|
|
Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm
|
$547.30 |
$547.30 |
$547.30 |
|
|
Kit sound processor cochlear osia 2
|
$22,008.58 |
$22,008.58 |
$22,008.58 |
|
|
Knee Arthroscopy (Cartilage Repair)
|
$1,906.45 |
$6,774.73 |
$6,891.33 |
|
|
Knee arthroscopy dx
|
$1,222.65 |
$1,222.65 |
$1,222.65 |
|
|
Knee Arthroscopy (Meniscus Repair)
|
$1,811.55 |
$6,718.91 |
$7,526.10 |
|
|
Knee arthroscopy/surgery
|
$1,363.05 |
$8,284.33 |
$17,179.19 |
|
|
Knee arthroscopy/surgery
|
$1,422.20 |
$6,659.50 |
$7,248.14 |
|
|
Knee arthroscopy/surgery
|
$1,501.50 |
$7,550.68 |
$7,798.88 |
|
|
Knee arthroscopy/surgery
|
$6,568.06 |
$6,568.06 |
$6,568.06 |
|
