|
Insert cath pleura with image
|
$396.00 |
$396.00 |
$396.00 |
$2,194.40
|
|
Insert cath pleura without image
|
$218.40 |
$218.40 |
$218.40 |
$2,099.70
|
|
Insert drug delivery implant
|
$142.80 |
$142.80 |
$142.80 |
$280.00
|
|
Insert intrauterine device iud
|
$140.40 |
$140.40 |
$140.40 |
$347.10
|
|
Insertion catheter bladder non indwelling
|
$478.20 |
$478.20 |
$478.20 |
$208.01
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$343.80 |
$343.80 |
$343.80 |
$4,897.20
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$1,911.00 |
$1,911.00 |
$1,911.00 |
$7,210.78
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$1,101.60 |
$1,101.60 |
$1,101.60 |
$2,585.25
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$1,003.20 |
$1,003.20 |
$1,003.20 |
$12,384.25
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$990.00 |
$990.00 |
$990.00 |
$12,324.60
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$1,101.60 |
$1,101.60 |
$1,101.60 |
$2,103.75
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$1,358.40 |
$1,358.40 |
$1,358.40 |
$2,453.83
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$1,987.80 |
$1,987.80 |
$1,987.80 |
$7,183.68
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$3,449.40 |
$3,449.40 |
$3,449.40 |
$5,236.80
|
|
Insert nasal septal button
|
$175.80 |
$175.80 |
$175.80 |
$1,783.50
|
|
Insert pelv fixation device
|
$489.00 |
$489.00 |
$489.00 |
$874.40
|
|
Insert spine fixation device
|
$1,090.80 |
$1,090.80 |
$1,090.80 |
$1,965.60
|
|
Insert spine fixation device
|
$100.80 |
$100.80 |
$100.80 |
$105.83
|
|
Insert spine fixation device
|
$1,333.80 |
$1,333.80 |
$1,333.80 |
$1,333.80
|
|
Insert spine fixation device
|
$1,124.40 |
$1,124.40 |
$1,124.40 |
$1,756.92
|
|
Insert swan-ganz cath
|
$868.20 |
$868.20 |
$868.20 |
$2,164.52
|
|
Insert tissue expander(s)
|
$1,586.40 |
$1,586.40 |
$1,586.40 |
$4,332.25
|
|
Insitu hybridization manual
|
$928.20 |
$928.20 |
$928.20 |
$401.28
|
|
In situ hybridization per specimen each additional single probe stain
|
$297.60 |
$297.60 |
$297.60 |
$243.50
|
|
In situ hybridization per specimen initial single probe stain
|
$410.40 |
$410.40 |
$410.40 |
$338.40
|
|
Ins picad w subq port 5yr>
|
$2,153.40 |
$2,153.40 |
$2,153.40 |
$4,078.00
|
|
Ins pq tunnld ip cath w/img
|
$358.80 |
$358.80 |
$358.80 |
$5,486.00
|
|
Ins/rplc spi npg/rcvr pocket
|
$897.60 |
$897.60 |
$897.60 |
$24,061.80
|
|
Ins/rpl pm gen exist dual lead
|
$787.80 |
$787.80 |
$787.80 |
$11,005.50
|
|
Ins/rpl pm gen exist sgl lead
|
$541.80 |
$541.80 |
$541.80 |
$9,428.64
|
|
Instillation anticarcinogenic agent bladder
|
$348.60 |
$348.60 |
$348.60 |
$638.40
|
|
Ins tun cvad 2 cath w/subq port(s)
|
$1,188.00 |
$1,188.00 |
$1,188.00 |
$7,826.00
|
|
Ins tun cv cath wo subq prt/pm
|
$1,461.60 |
$1,461.60 |
$1,461.60 |
$4,218.00
|
|
Insulin for insulin pump use
|
$1,864.20 |
$1,864.20 |
$1,864.20 |
$67.93
|
|
Insulin total
|
$96.00 |
$96.00 |
$96.00 |
$66.64
|
|
Integra meshed bil wound mat
|
$5,564.40 |
$5,564.40 |
$5,564.40 |
$9,924.16
|
|
Integra os putty 2.5cc - cost per 0.5cc
|
$4,953.60 |
$4,953.60 |
$4,953.60 |
$3,803.11
|
|
Interferon alfa-2b inj
|
$24.00 |
$24.00 |
$24.00 |
$1,409.92
|
|
Internal nerve revision 64727
|
$343.80 |
$343.80 |
$343.80 |
$806.00
|
|
Interrog dev eval scrms ip
|
$48.00 |
$48.00 |
$48.00 |
$124.80
|
|
Interrog device eval heart
|
$87.60 |
$87.60 |
$87.60 |
$162.40
|
|
Interrog evl pm/ldls pm ip
|
$87.60 |
$87.60 |
$87.60 |
$127.20
|
|
Int hrhc lig 1 hroid without img
|
$559.20 |
$559.20 |
$559.20 |
$3,491.25
|
|
Int hrhc lig 2+hroid without img
|
$594.60 |
$594.60 |
$594.60 |
$3,245.23
|
|
Intrinsic factor antibody
|
$144.60 |
$144.60 |
$144.60 |
$65.00
|
|
Intubation endotracheal emergency procedure
|
$1,266.00 |
$1,266.00 |
$1,266.00 |
$601.28
|
|
Ionm in operatng room 15 min
|
$116.40 |
$116.40 |
$116.40 |
$200.78
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$12.00 |
$12.00 |
$12.00 |
$165.67
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$11.40 |
$11.40 |
$11.40 |
$279.10
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$88,416.60 |
$88,416.60 |
$88,416.60 |
$62,692.46
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$283.20 |
$283.20 |
$283.20 |
$173.98
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$7,417.80 |
$7,417.80 |
$7,417.80 |
$5,517.12
|
|
Iron
|
$48.00 |
$48.00 |
$48.00 |
$75.00
|
|
Iron binding capacity
|
$63.00 |
$63.00 |
$63.00 |
$63.91
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$313.80 |
$313.80 |
$313.80 |
$187.06
|
|
Irrigation implantable venous access device for drug delivery systems
|
$112.20 |
$112.20 |
$112.20 |
$146.11
|
|
Isatuximab-irfc 20 mg/ml intravenous solution
|
$10,494.60 |
$10,494.60 |
$10,494.60 |
$8,273.35
|
|
Island pedicle flap graft
|
$1,597.80 |
$1,597.80 |
$1,597.80 |
$2,468.80
|
|
IV Fluids (each additional hour)
|
$87.60 |
$87.60 |
$87.60 |
$133.90
|
|
IV Fluids (first hour)
|
$264.60 |
$264.60 |
$264.60 |
$390.00
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$108.00 |
$108.00 |
$108.00 |
$162.68
|
|
IV Medicine Infusion (additional drug)
|
$181.20 |
$181.20 |
$181.20 |
$191.75
|
|
IV Medicine Infusion (each additional hour)
|
$140.40 |
$140.40 |
$140.40 |
$154.00
|
|
IV Medicine Infusion (first hour)
|
$477.00 |
$477.00 |
$477.00 |
$439.56
|
|
IV Push Injection (each additional drug)
|
$111.00 |
$111.00 |
$111.00 |
$167.50
|
|
IV Push Injection (first drug)
|
$226.20 |
$226.20 |
$226.20 |
$252.76
|
|
Ivp w/wo kub w/wo tomography
|
$475.80 |
$475.80 |
$475.80 |
$713.40
|
|
Ixabepilone 15 mg intravenous solution
|
$8,562.60 |
$8,562.60 |
$8,562.60 |
$10,695.32
|
|
Jaw Joint (TMJ) X-ray (both sides, open and closed)
|
$150.60 |
$150.60 |
$150.60 |
$330.05
|
|
Jaw (Mandible) X-ray (complete)
|
$170.40 |
$170.40 |
$170.40 |
$362.05
|
|
Jejunstmy tube plcmt
|
$462.00 |
$462.00 |
$462.00 |
$2,174.40
|
|
Ketorolac (Toradol) Pain Shot, 15 mg
|
$17.40 |
$17.40 |
$17.40 |
$23.52
|
|
Kidney imaging (3d)
|
$682.20 |
$682.20 |
$682.20 |
$472.92
|
|
Kidney imaging morphology
|
$591.00 |
$591.00 |
$591.00 |
$785.00
|
|
Kidney img w/bldflw sgl without rx
|
$739.20 |
$739.20 |
$739.20 |
$1,433.22
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$405.00 |
$405.00 |
$405.00 |
$673.36
|
|
Kidney (Retroperitoneal) Ultrasound (limited)
|
$142.80 |
$142.80 |
$142.80 |
$490.75
|
|
Kit cast tcc 3in w/2reg boots total contact cast
|
$174.00 |
$174.00 |
$174.00 |
$174.00
|
|
Kit lead specify 5-6-5
|
$18,036.00 |
$18,036.00 |
$18,036.00 |
$16,672.10
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$712.20 |
$712.20 |
$712.20 |
$1,635.87
|
|
Knee Arthroscopy (Cartilage Smoothing)
|
$1,536.60 |
$1,536.60 |
$1,536.60 |
$4,712.46
|
|
Knee arthroscopy dx
|
$795.60 |
$795.60 |
$795.60 |
$3,980.03
|
|
Knee Arthroscopy (Meniscus Trimming)
|
$1,639.20 |
$1,639.20 |
$1,639.20 |
$5,339.00
|
|
Knee arthroscopy/surgery
|
$1,000.80 |
$1,000.80 |
$1,000.80 |
$4,350.00
|
|
Knee arthroscopy/surgery
|
$1,045.80 |
$1,045.80 |
$1,045.80 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$975.60 |
$975.60 |
$975.60 |
$5,148.00
|
|
Knee arthroscopy/surgery
|
$1,200.00 |
$1,200.00 |
$1,200.00 |
$4,161.00
|
|
Knee arthroscopy/surgery
|
$1,639.20 |
$1,639.20 |
$1,639.20 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$1,742.40 |
$1,742.40 |
$1,742.40 |
$4,881.00
|
|
Knee arthroscopy/surgery
|
$1,129.20 |
$1,129.20 |
$1,129.20 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$2,967.00 |
$2,967.00 |
$2,967.00 |
$9,001.20
|
|
Knee arthroscopy/surgery
|
$3,067.80 |
$3,067.80 |
$3,067.80 |
$8,718.00
|
|
Knee MRI (with and without contrast)
|
$1,857.00 |
$1,857.00 |
$1,857.00 |
$3,022.20
|
|
Knee MRI (with contrast)
|
$1,384.20 |
$1,384.20 |
$1,384.20 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$966.60 |
$966.60 |
$966.60 |
$2,130.88
|
|
Knee X-ray
|
$215.40 |
$215.40 |
$215.40 |
$432.18
|
|
Knee X-ray (1 to 2 views, both knees)
|
$118.80 |
$118.80 |
$118.80 |
$290.40
|
|
Knee X-ray (3 views, both knees)
|
$161.40 |
$161.40 |
$161.40 |
$363.60
|
|
Knee X-ray (standing, both knees)
|
$107.40 |
$107.40 |
$107.40 |
$251.20
|
|
Kras gene addl variants
|
$673.20 |
$673.20 |
$673.20 |
$387.20
|