|
Inj nephrosto/ureterogram w/img exstng access
|
$2,092.80 |
$2,092.80 |
$2,092.80 |
$1,413.35
|
|
Inj, nithiodote, 3mg / 125mg
|
$3.60 |
$3.60 |
$3.60 |
$468.10
|
|
Inj nivolumab 2 mg hyaluron
|
$48.60 |
$48.60 |
$48.60 |
$15,599.68
|
|
Inj pegfilgrastim-bmez 0.5mg
|
$1,239.00 |
$1,239.00 |
$1,239.00 |
$6,614.40
|
|
Inj. pemetrexed, 10 mg
|
$156.60 |
$156.60 |
$156.60 |
$104.72
|
|
Inj., plazomicin, 5 mg
|
$85.80 |
$85.80 |
$85.80 |
$607.16
|
|
Inj proc ankle arthr
|
$576.00 |
$576.00 |
$576.00 |
$405.31
|
|
Inj proc elbow arthro
|
$551.40 |
$551.40 |
$551.40 |
$432.00
|
|
Inj proc myelogram lumbar
|
$1,349.40 |
$1,349.40 |
$1,349.40 |
$838.30
|
|
Inj prohance multipack
|
$110.40 |
$110.40 |
$110.40 |
$10.40
|
|
Inj, releuko 1 mcg
|
$1.80 |
$1.80 |
$1.80 |
$475.36
|
|
Inj., rolapitant, 0.5 mg
|
$1.80 |
$1.80 |
$1.80 |
$1.80
|
|
Inj scleros sol mult veins
|
$992.40 |
$992.40 |
$992.40 |
$692.90
|
|
Inj scleros sol sgl vein
|
$1,246.20 |
$1,246.20 |
$1,246.20 |
$561.88
|
|
Inj(s) sclerosant spider veins limb/trunk
|
$12.00 |
$12.00 |
$12.00 |
$436.80
|
|
Inj sulf hexa lipid microsph
|
$397.80 |
$397.80 |
$397.80 |
$256.14
|
|
Inj, sutimlimab-jome, 10 mg
|
$34.80 |
$34.80 |
$34.80 |
$3,453.73
|
|
Inj teclistamab cqyv 0.5 mg
|
$55.80 |
$55.80 |
$55.80 |
$17,517.56
|
|
Inj. teprotumumab-trbw 10 mg
|
$768.00 |
$768.00 |
$768.00 |
$35,034.78
|
|
Inj testosterone cypionate
|
$57.60 |
$57.60 |
$57.60 |
$64.96
|
|
Inj, tislelizumab-jsgr
|
$103.20 |
$103.20 |
$103.20 |
$9,764.09
|
|
Inj, tyenne, 1 mg
|
$12.80 |
$12.80 |
$12.80 |
$3,525.12
|
|
Inj, vancomycin hcl (xellia)
|
$33.60 |
$33.60 |
$33.60 |
$85.20
|
|
Inj w/fluor eval cv device
|
$626.40 |
$626.40 |
$626.40 |
$504.40
|
|
Inj zanidatamab-hrii, 2 mg
|
$44.40 |
$44.40 |
$44.40 |
$8,532.00
|
|
Insert and remove bone pin
|
$3,505.20 |
$3,505.20 |
$3,505.20 |
$4,433.36
|
|
Insert cath pleura with image
|
$3,918.60 |
$3,918.60 |
$3,918.60 |
$2,194.40
|
|
Insertion catheter bladder non indwelling
|
$1,524.00 |
$1,524.00 |
$1,524.00 |
$208.01
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$6,770.40 |
$6,770.40 |
$6,770.40 |
$4,897.20
|
|
Insertion intra aortic balloon assist device percutaneous
|
$2,263.80 |
$2,263.80 |
$2,263.80 |
$2,447.63
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$2,413.80 |
$2,413.80 |
$2,413.80 |
$7,210.78
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$2,515.80 |
$2,515.80 |
$2,515.80 |
$2,585.25
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$18,426.00 |
$18,426.00 |
$18,426.00 |
$12,324.60
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$2,515.80 |
$2,515.80 |
$2,515.80 |
$2,103.75
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$2,515.80 |
$2,515.80 |
$2,515.80 |
$2,453.83
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$8,913.60 |
$8,913.60 |
$8,913.60 |
$7,183.68
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$2,791.20 |
$2,791.20 |
$2,791.20 |
$9,332.50
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$3,013.20 |
$3,013.20 |
$3,013.20 |
$5,236.80
|
|
Insert pessary/other device
|
$647.40 |
$647.40 |
$647.40 |
$278.90
|
|
Insert swan-ganz cath
|
$4,506.00 |
$4,506.00 |
$4,506.00 |
$2,164.52
|
|
Insitu hybridization auto
|
$1,021.20 |
$1,021.20 |
$1,021.20 |
$377.37
|
|
Insitu hybridization manual
|
$818.40 |
$818.40 |
$818.40 |
$401.28
|
|
In situ hybridization per specimen initial single probe stain
|
$125.40 |
$125.40 |
$125.40 |
$338.40
|
|
Ins picad w subq port 5yr>
|
$4,602.00 |
$4,602.00 |
$4,602.00 |
$4,078.00
|
|
Ins pq tunnld ip cath w/img
|
$11,504.40 |
$11,504.40 |
$11,504.40 |
$5,486.00
|
|
Instill, bupivac and meloxic
|
$1.80 |
$1.80 |
$1.80 |
$687.60
|
|
Ins tun cvad 2 cath w/subq port(s)
|
$7,889.40 |
$7,889.40 |
$7,889.40 |
$7,826.00
|
|
Ins tun cv cath wo subq prt/pm
|
$3,211.20 |
$3,211.20 |
$3,211.20 |
$4,218.00
|
|
Insulin total
|
$89.40 |
$89.40 |
$89.40 |
$66.64
|
|
Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper)
|
$3,823.80 |
$3,823.80 |
$3,823.80 |
$10,427.90
|
|
Int hrhc lig 1 hroid without img
|
$992.40 |
$992.40 |
$992.40 |
$3,491.25
|
|
Intrinsic factor antibody
|
$205.80 |
$205.80 |
$205.80 |
$65.00
|
|
Intro cath dialysis circuit
|
$2,651.40 |
$2,651.40 |
$2,651.40 |
$2,036.94
|
|
Intro cath dialysis circuit w/pta
|
$9,544.20 |
$9,544.20 |
$9,544.20 |
$8,690.50
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$2,651.40 |
$2,651.40 |
$2,651.40 |
$16,262.40
|
|
Intro catheter aorta
|
$6,850.80 |
$6,850.80 |
$6,850.80 |
$1,678.05
|
|
Intro cath svc/ivc
|
$6,835.20 |
$6,835.20 |
$6,835.20 |
$1,323.27
|
|
Intro long gi tube
|
$628.20 |
$628.20 |
$628.20 |
$974.17
|
|
Intro long gi tube w/mult fluo
|
$763.20 |
$763.20 |
$763.20 |
$469.00
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$6,549.60 |
$6,549.60 |
$6,549.60 |
$3,472.95
|
|
Intubation endotracheal emergency procedure
|
$2,197.80 |
$2,197.80 |
$2,197.80 |
$601.28
|
|
Ionm in operatng room 15 min
|
$191.40 |
$191.40 |
$191.40 |
$200.78
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$133.20 |
$133.20 |
$133.20 |
$165.67
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$16.40 |
$16.40 |
$16.40 |
$279.10
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$496.20 |
$496.20 |
$496.20 |
$62,692.46
|
|
Ipratropium bromide non-comp
|
$55.20 |
$55.20 |
$55.20 |
$4.06
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$2,248.80 |
$2,248.80 |
$2,248.80 |
$173.98
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$122.40 |
$122.40 |
$122.40 |
$5,517.12
|
|
Iron
|
$253.80 |
$253.80 |
$253.80 |
$75.00
|
|
Iron binding capacity
|
$94.80 |
$94.80 |
$94.80 |
$63.91
|
|
Iron dextran 50 mg/ml injection solution
|
$119.20 |
$119.20 |
$119.20 |
$80.67
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$400.20 |
$400.20 |
$400.20 |
$187.06
|
|
Irradiation of blood product each unit reference
|
$186.60 |
$186.60 |
$186.60 |
$115.20
|
|
Irrigation implantable venous access device for drug delivery systems
|
$159.60 |
$159.60 |
$159.60 |
$146.11
|
|
Isatuximab-irfc 20 mg/ml intravenous solution
|
$156.60 |
$156.60 |
$156.60 |
$8,273.35
|
|
Ivc venogram s&i
|
$2,688.00 |
$2,688.00 |
$2,688.00 |
$3,332.55
|
|
IV Fluids (each additional hour)
|
$266.40 |
$266.40 |
$266.40 |
$133.90
|
|
IV Fluids (first hour)
|
$316.20 |
$316.20 |
$316.20 |
$390.00
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$189.00 |
$189.00 |
$189.00 |
$162.68
|
|
IV Medicine Infusion (additional drug)
|
$319.20 |
$319.20 |
$319.20 |
$191.75
|
|
IV Medicine Infusion (each additional hour)
|
$266.40 |
$266.40 |
$266.40 |
$154.00
|
|
IV Medicine Infusion (first hour)
|
$362.40 |
$362.40 |
$362.40 |
$439.56
|
|
IV Push Injection (each additional drug)
|
$222.00 |
$222.00 |
$222.00 |
$167.50
|
|
IV Push Injection (first drug)
|
$316.20 |
$316.20 |
$316.20 |
$252.76
|
|
Ixabepilone 15 mg intravenous solution
|
$573.00 |
$573.00 |
$573.00 |
$10,695.32
|
|
Jak2 targeted sequence analysis
|
$1,227.60 |
$1,227.60 |
$1,227.60 |
$405.00
|
|
Jaw Joint (TMJ) X-ray (both sides, open and closed)
|
$424.20 |
$424.20 |
$424.20 |
$330.05
|
|
Jaw (Mandible) X-ray (complete)
|
$424.20 |
$424.20 |
$424.20 |
$362.05
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$66.60 |
$66.60 |
$66.60 |
$58.56
|
|
Ketorolac (Toradol) Pain Shot, 15 mg
|
$66.20 |
$66.20 |
$66.20 |
$23.52
|
|
Kidney imag w/bld flow multi
|
$1,858.20 |
$1,858.20 |
$1,858.20 |
$1,566.50
|
|
Kidney img w/bldflw sgl without rx
|
$880.20 |
$880.20 |
$880.20 |
$1,433.22
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$1,363.20 |
$1,363.20 |
$1,363.20 |
$673.36
|
|
Kidney (Retroperitoneal) Ultrasound (limited)
|
$872.40 |
$872.40 |
$872.40 |
$490.75
|
|
Kit gene analys d816 variant
|
$1,122.00 |
$1,122.00 |
$1,122.00 |
$374.61
|
|
Kit hfx iq ipg bundle
|
$56,811.60 |
$56,811.60 |
$56,811.60 |
$33,859.00
|
|
Kit lead specify 5-6-5
|
$6,860.40 |
$6,860.40 |
$6,860.40 |
$16,672.10
|
|
Knee MRI (with and without contrast)
|
$6,049.20 |
$6,049.20 |
$6,049.20 |
$3,022.20
|
|
Knee MRI (with contrast)
|
$4,936.20 |
$4,936.20 |
$4,936.20 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$3,834.60 |
$3,834.60 |
$3,834.60 |
$2,130.88
|
