|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$20,836.90 |
$20,836.90 |
$20,836.90 |
$7,312.80
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$19,987.75 |
$19,987.75 |
$19,987.75 |
$9,332.50
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$7,817.45 |
$7,817.45 |
$7,817.45 |
$5,223.20
|
|
Insert pessary/other device
|
$557.60 |
$557.60 |
$557.60 |
$278.50
|
|
Insert pm/icd lead dual
|
$20,836.90 |
$20,836.90 |
$20,836.90 |
$7,115.20
|
|
Insert prost urethral stent
|
$4,995.45 |
$4,995.45 |
$4,995.45 |
$2,467.08
|
|
Insert/repl sq defib w/eltrd
|
$80,687.95 |
$80,687.95 |
$80,687.95 |
$32,800.04
|
|
Insert sq defib electrode
|
$20,836.90 |
$20,836.90 |
$20,836.90 |
$8,167.68
|
|
Insert swan-ganz cath
|
$3,768.05 |
$3,768.05 |
$3,768.05 |
$2,210.50
|
|
Insert tunneled cv 2cath 2sits without port/pmp 36565
|
$7,817.45 |
$7,817.45 |
$7,817.45 |
$4,803.00
|
|
Insert tunneled cv cath
|
$13,477.60 |
$13,477.60 |
$13,477.60 |
$5,983.35
|
|
Insert vad art access left hrt arterial access
|
$7,655.10 |
$7,655.10 |
$7,655.10 |
$4,270.75
|
|
Ins icd gen exist mlt leads
|
$80,687.95 |
$80,687.95 |
$80,687.95 |
$31,286.77
|
|
Ins icd gen exist sgl lead
|
$57,811.05 |
$57,811.05 |
$57,811.05 |
$23,230.50
|
|
Insitu hybridization auto
|
$416.50 |
$416.50 |
$416.50 |
$377.37
|
|
Insitu hybridization manual
|
$583.95 |
$583.95 |
$583.95 |
$401.28
|
|
In situ hybridization per specimen each additional single probe stain
|
$328.95 |
$328.95 |
$328.95 |
$241.15
|
|
In situ hybridization per specimen initial single probe stain
|
$717.40 |
$717.40 |
$717.40 |
$331.69
|
|
Insj perq vad r hrt venous
|
$7,916.90 |
$7,916.90 |
$7,916.90 |
$3,796.00
|
|
Ins lv lead exist pm/icd
|
$26,189.35 |
$26,189.35 |
$26,189.35 |
$12,384.25
|
|
Ins picad w subq port 5yr>
|
$7,817.45 |
$7,817.45 |
$7,817.45 |
$3,985.20
|
|
Ins pm gen exist dual lead
|
$57,811.05 |
$57,811.05 |
$57,811.05 |
$23,665.85
|
|
Ins pm gen w/exist mlt leads
|
$47,789.55 |
$47,789.55 |
$47,789.55 |
$14,804.40
|
|
Ins pq tunnld ip cath w/img
|
$8,485.55 |
$8,485.55 |
$8,485.55 |
$5,377.00
|
|
Ins/rpl ldless pm right vent w img & eval
|
$45,843.90 |
$45,843.90 |
$45,843.90 |
$24,135.54
|
|
Ins/rpl pm gen exist dual lead
|
$26,189.35 |
$26,189.35 |
$26,189.35 |
$11,005.50
|
|
Ins/rpl pm gen exist sgl lead
|
$20,836.90 |
$20,836.90 |
$20,836.90 |
$9,428.64
|
|
Ins/rpl pm w/tv ld atrl
|
$26,189.35 |
$26,189.35 |
$26,189.35 |
$11,583.66
|
|
Inst fibrinolysis agent ini day
|
$1,759.50 |
$1,759.50 |
$1,759.50 |
$1,036.05
|
|
Inst fibrinolysis agent sbsq d
|
$1,759.50 |
$1,759.50 |
$1,759.50 |
$898.12
|
|
Insti hexaminolevulinate hcl
|
$1,156.00 |
$1,156.00 |
$1,156.00 |
$2,224.80
|
|
Instillation anticarcinogenic agent bladder
|
$1,674.50 |
$1,674.50 |
$1,674.50 |
$621.40
|
|
Ins tun cvad 2 cath w/subq port(s)
|
$13,477.60 |
$13,477.60 |
$13,477.60 |
$7,826.00
|
|
Ins tun cv cath wo subq prt/pm
|
$7,817.45 |
$7,817.45 |
$7,817.45 |
$4,202.70
|
|
Inst via cath agent pleurds
|
$1,759.50 |
$1,759.50 |
$1,759.50 |
$1,065.00
|
|
Insulin for insulin pump use
|
$3,947.78 |
$3,947.78 |
$3,947.78 |
$396.18
|
|
Insulin tolerance panel
|
$416.50 |
$416.50 |
$416.50 |
$258.40
|
|
Insulin total
|
$46.75 |
$46.75 |
$46.75 |
$66.64
|
|
Integra meshed bil wound mat
|
$11,054.11 |
$11,054.11 |
$11,054.11 |
$9,924.16
|
|
Integra os putty 2.5cc - cost per 0.5cc
|
$3,182.40 |
$3,182.40 |
$3,182.40 |
$3,803.11
|
|
Interdiscal perq aspir dx
|
$1,971.15 |
$1,971.15 |
$1,971.15 |
$1,222.26
|
|
Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper)
|
$22,911.70 |
$22,911.70 |
$22,911.70 |
$10,427.90
|
|
Interferon beta-1a inj
|
$29,145.28 |
$29,145.28 |
$29,145.28 |
$1,851.20
|
|
Interferon beta-1b / .25 mg
|
$21,067.63 |
$21,067.63 |
$21,067.63 |
$1,662.71
|
|
Interferon gamma 1-b inj
|
$14,994.92 |
$14,994.92 |
$14,994.92 |
$9,879.00
|
|
Interphalangeal joint spacer
|
$2,781.20 |
$2,781.20 |
$2,781.20 |
$3,190.20
|
|
Interrogate subq defib
|
$107.95 |
$107.95 |
$107.95 |
$119.60
|
|
Interrogation vad in person
|
$263.50 |
$263.50 |
$263.50 |
$296.40
|
|
Interrog dev eval icpms ip
|
$107.95 |
$107.95 |
$107.95 |
$103.50
|
|
Interrog device eval heart
|
$107.95 |
$107.95 |
$107.95 |
$162.40
|
|
Interrog evl pm/ldls pm ip
|
$107.95 |
$107.95 |
$107.95 |
$124.80
|
|
Int hrhc lig 1 hroid without img
|
$6,605.35 |
$6,605.35 |
$6,605.35 |
$3,484.00
|
|
Intracard echo interv w/s&i
|
$1,649.00 |
$1,649.00 |
$1,649.00 |
$3,461.04
|
|
Intracran angioplsty w/stent
|
$38,125.05 |
$38,125.05 |
$38,125.05 |
$8,145.50
|
|
Intracranial angioplasty
|
$23,919.85 |
$23,919.85 |
$23,919.85 |
$4,962.40
|
|
Intracranial complete study
|
$985.15 |
$985.15 |
$985.15 |
$874.99
|
|
Intracranial limited study
|
$442.00 |
$442.00 |
$442.00 |
$465.01
|
|
Intracranial vessel surgery
|
$44,306.25 |
$44,306.25 |
$44,306.25 |
$8,463.00
|
|
Intranasal biopsy 30100
|
$3,740.85 |
$3,740.85 |
$3,740.85 |
$2,133.48
|
|
Intraoral i+d tongue/floor lingual 41000
|
$1,541.05 |
$1,541.05 |
$1,541.05 |
$1,331.45
|
|
Intrapul surf admin endo tube
|
$502.35 |
$502.35 |
$502.35 |
$220.80
|
|
Intraventricular pacing
|
$16,421.15 |
$16,421.15 |
$16,421.15 |
$5,456.17
|
|
Intrinsic factor antibody
|
$62.05 |
$62.05 |
$62.05 |
$63.15
|
|
Intro cath dialysis circuit
|
$3,928.70 |
$3,928.70 |
$3,928.70 |
$2,036.94
|
|
Intro cath dialysis circuit w/pta
|
$14,018.20 |
$14,018.20 |
$14,018.20 |
$8,690.50
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$26,980.70 |
$26,980.70 |
$26,980.70 |
$16,262.40
|
|
Intro catheter aorta
|
$2,337.50 |
$2,337.50 |
$2,337.50 |
$1,654.05
|
|
Intro cath svc/ivc
|
$1,998.35 |
$1,998.35 |
$1,998.35 |
$1,323.27
|
|
Intro long gi tube
|
$2,465.00 |
$2,465.00 |
$2,465.00 |
$957.18
|
|
Intro long gi tube w/mult fluo
|
$804.95 |
$804.95 |
$804.95 |
$466.00
|
|
Intro windpipe wire/tube
|
$4,163.30 |
$4,163.30 |
$4,163.30 |
$2,447.43
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$1,490.05 |
$1,490.05 |
$1,490.05 |
$3,409.29
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$1,186.60 |
$1,186.60 |
$1,186.60 |
$1,747.80
|
|
Intubation endotracheal emergency procedure
|
$683.40 |
$683.40 |
$683.40 |
$598.80
|
|
Iodine i-131 iobenguane 1mci
|
$110,302.77 |
$110,302.77 |
$110,302.77 |
$159,864.60
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$389.68 |
$389.68 |
$389.68 |
$170.06
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$678.30 |
$678.30 |
$678.30 |
$288.11
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$96,090.78 |
$96,090.78 |
$96,090.78 |
$62,692.46
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$465.51 |
$465.51 |
$465.51 |
$174.47
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$8,134.81 |
$8,134.81 |
$8,134.81 |
$5,517.12
|
|
Iron
|
$26.35 |
$26.35 |
$26.35 |
$72.29
|
|
Iron binding capacity
|
$35.70 |
$35.70 |
$35.70 |
$63.60
|
|
Iron dextran 50 mg/ml injection solution
|
$133.56 |
$133.56 |
$133.56 |
$81.70
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$203.00 |
$203.00 |
$203.00 |
$187.06
|
|
Irradiation of blood product each unit reference
|
$90.95 |
$90.95 |
$90.95 |
$114.40
|
|
Irrigation implantable venous access device for drug delivery systems
|
$174.25 |
$174.25 |
$174.25 |
$144.62
|
|
Isatuximab-irfc 20 mg/ml intravenous solution
|
$11,573.35 |
$11,573.35 |
$11,573.35 |
$8,273.35
|
|
Ivc venogram s&i
|
$15,025.45 |
$15,025.45 |
$15,025.45 |
$3,316.95
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$241.40 |
$241.40 |
$241.40 |
$190.56
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$147.90 |
$147.90 |
$147.90 |
$159.00
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$149.60 |
$149.60 |
$149.60 |
$153.60
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$478.55 |
$478.55 |
$478.55 |
$437.45
|
|
IV inj ra drug dx study
|
$1,932.05 |
$1,932.05 |
$1,932.05 |
$552.60
|
|
Ivp w/wo kub w/wo tomography
|
$826.20 |
$826.20 |
$826.20 |
$692.18
|
|
Ixabepilone 15 mg intravenous solution
|
$16,066.09 |
$16,066.09 |
$16,066.09 |
$10,695.32
|
|
Jejunstmy tube plcmt
|
$4,476.95 |
$4,476.95 |
$4,476.95 |
$2,174.40
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$32.30 |
$32.30 |
$32.30 |
$58.50
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$15.91 |
$15.91 |
$15.91 |
$23.77
|
|
Kidney imag w/bld flow multi
|
$2,570.40 |
$2,570.40 |
$2,570.40 |
$1,557.41
|
|
Kidney img w/bldflw sgl without rx
|
$2,570.40 |
$2,570.40 |
$2,570.40 |
$1,425.00
|
