|
Interferon alfa-2b inj
|
$112.80 |
$4,544.40 |
$6,501.00 |
$1,409.92
|
|
Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper)
|
$33.60 |
$2,752.20 |
$5,318.40 |
$10,427.90
|
|
Interferon beta-1b / .25 mg
|
$225.60 |
$585.00 |
$1,282.20 |
$1,662.71
|
|
Interferon gamma 1-b inj
|
$13,563.60 |
$13,563.60 |
$13,563.60 |
$9,879.00
|
|
Interrogate subq defib
|
$96.00 |
$96.60 |
$226.20 |
$119.60
|
|
Interrogation vad in person
|
$555.60 |
$555.60 |
$621.00 |
$296.40
|
|
Interrog dev eval icpms ip
|
$112.80 |
$123.60 |
$649.80 |
$104.00
|
|
Interrog dev eval scrms ip
|
$133.20 |
$163.80 |
$649.80 |
$124.80
|
|
Interrog device eval heart
|
$205.80 |
$232.80 |
$595.80 |
$162.40
|
|
Interrog evl pm/ldls pm ip
|
$96.00 |
$197.40 |
$369.60 |
$127.20
|
|
Int hrhc lig 1 hroid without img
|
$2,109.60 |
$2,109.60 |
$2,370.60 |
$3,491.25
|
|
Int hrhc lig 2+hroid without img
|
$1,911.60 |
$1,911.60 |
$2,810.40 |
$3,245.23
|
|
Intra-atrial pacing
|
$3,647.40 |
$3,647.40 |
$5,913.60 |
$4,865.25
|
|
Intra-atrial recording
|
$3,647.40 |
$3,647.40 |
$6,265.80 |
$5,252.30
|
|
Intracard echo interv w/s&i
|
$1,233.60 |
$4,080.60 |
$4,802.40 |
$3,436.00
|
|
Intracran angioplsty w/stent
|
$4,426.20 |
$4,426.20 |
$8,440.20 |
$8,257.80
|
|
Intracranial angioplasty
|
$9,783.00 |
$9,783.00 |
$10,237.80 |
$5,181.00
|
|
Intracranial complete study
|
$889.20 |
$889.20 |
$1,169.40 |
$881.50
|
|
Intracranial limited study
|
$718.20 |
$718.20 |
$725.40 |
$467.50
|
|
Intraoral i+d tongue/floor lingual 41000
|
$2,236.20 |
$2,236.20 |
$3,796.20 |
$1,331.45
|
|
Intrapul surf admin endo tube
|
$699.00 |
$699.00 |
$699.00 |
$220.80
|
|
Intrauterine transfusion ftl
|
$3,684.00 |
$3,684.00 |
$3,684.00 |
$1,021.15
|
|
Intraventricular pacing
|
$3,647.40 |
$3,647.40 |
$6,268.20 |
$5,456.17
|
|
Intrinsic factor antibody
|
$117.00 |
$150.00 |
$492.00 |
$66.60
|
|
Intro cath dialysis circuit
|
$2,470.80 |
$3,652.20 |
$14,043.00 |
$2,043.30
|
|
Intro cath dialysis circuit w/pta
|
$5,757.00 |
$6,959.40 |
$11,656.80 |
$8,761.00
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$2,470.80 |
$3,652.20 |
$14,043.00 |
$16,275.00
|
|
Intro catheter aorta
|
$1,912.80 |
$4,540.80 |
$7,651.20 |
$1,678.05
|
|
Intro cath svc/ivc
|
$3,760.80 |
$8,350.20 |
$12,349.80 |
$1,329.90
|
|
Intro long gi tube
|
$586.80 |
$663.60 |
$1,695.60 |
$995.78
|
|
Intro long gi tube w/mult fluo
|
$721.20 |
$780.60 |
$1,226.40 |
$469.00
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$1,980.00 |
$4,101.00 |
$4,629.00 |
$3,472.95
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$3,632.40 |
$4,011.60 |
$4,559.40 |
$1,801.10
|
|
Intubation endotracheal emergency procedure
|
$961.80 |
$1,547.40 |
$3,560.40 |
$601.28
|
|
Iodine i-123 sod iodide mil
|
$4,029.60 |
$4,029.60 |
$4,029.60 |
$386.37
|
|
Iodine i-131 iobenguane 1mci
|
$1,027.20 |
$1,027.20 |
$1,027.20 |
$159,864.60
|
|
Ionm in operatng room 15 min
|
$191.40 |
$191.40 |
$358.80 |
$203.73
|
|
Ionm remote/>1 pt or per hr
|
$415.80 |
$1,576.80 |
$3,504.00 |
$622.70
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$147.60 |
$173.40 |
$1,080.00 |
$165.67
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$7.00 |
$2,178.60 |
$2,178.60 |
$277.17
|
|
Io rad tx delivery by x-ray
|
$6,892.20 |
$6,892.20 |
$6,892.20 |
$9,046.18
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$369.00 |
$440.40 |
$17,385.60 |
$62,692.46
|
|
Ipratropium bromide non-comp
|
$14.40 |
$49.35 |
$55.40 |
$4.06
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$1,572.00 |
$1,591.20 |
$7,858.80 |
$173.98
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$115.20 |
$115.20 |
$122.40 |
$5,517.12
|
|
Iron
|
$42.60 |
$83.40 |
$284.40 |
$74.75
|
|
Iron binding capacity
|
$60.00 |
$104.40 |
$484.20 |
$63.84
|
|
Iron dextran 50 mg/ml injection solution
|
$92.80 |
$194.40 |
$357.60 |
$81.70
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$6.75 |
$574.80 |
$855.60 |
$187.06
|
|
Irradiation of blood product each unit reference
|
$137.40 |
$142.20 |
$229.20 |
$115.48
|
|
Irrigation implantable venous access device for drug delivery systems
|
$124.20 |
$150.60 |
$312.00 |
$146.11
|
|
Irrigation tray
|
$1.80 |
$3.60 |
$5.40 |
$9.67
|
|
Irrigation vagina and/or appl medicament tx disease
|
$652.20 |
$652.20 |
$652.20 |
$132.00
|
|
Isatuximab-irfc 20 mg/ml intravenous solution
|
$156.60 |
$156.60 |
$156.60 |
$8,273.35
|
|
Island pedicle flap graft
|
$3,768.60 |
$3,768.60 |
$3,768.60 |
$2,468.80
|
|
Ivc venogram s&i
|
$2,833.20 |
$2,938.80 |
$9,229.80 |
$3,341.00
|
|
IV Fluids (each additional hour)
|
$86.40 |
$134.40 |
$298.20 |
$133.90
|
|
IV Fluids (first hour)
|
$421.80 |
$490.20 |
$771.00 |
$390.00
|
|
Ivig non-lyophilized, nos
|
$548.80 |
$548.80 |
$548.80 |
$402.40
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$133.20 |
$159.00 |
$422.40 |
$162.00
|
|
IV inj ra drug dx study
|
$564.00 |
$564.00 |
$564.00 |
$567.00
|
|
IV Medicine Infusion (additional drug)
|
$228.60 |
$298.20 |
$697.80 |
$191.75
|
|
IV Medicine Infusion (each additional hour)
|
$130.20 |
$298.20 |
$697.80 |
$154.00
|
|
IV Medicine Infusion (first hour)
|
$422.40 |
$505.80 |
$771.00 |
$441.75
|
|
IV Push Injection (each additional drug)
|
$144.60 |
$238.80 |
$438.00 |
$166.80
|
|
IV Push Injection (first drug)
|
$203.40 |
$306.60 |
$438.00 |
$254.52
|
|
Ixabepilone 15 mg intravenous solution
|
$272.40 |
$399.60 |
$13,200.00 |
$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)
|
$405.00 |
$443.40 |
$686.40 |
$330.05
|
|
Jaw (Mandible) X-ray (complete)
|
$405.00 |
$456.60 |
$686.40 |
$362.05
|
|
Jejunstmy tube plcmt
|
$3,168.00 |
$3,660.60 |
$5,083.20 |
$2,174.40
|
|
John cunningham antibody
|
$56.40 |
$62.40 |
$78.60 |
$78.60
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$52.80 |
$201.60 |
$1,114.80 |
$58.56
|
|
Ketorolac (Toradol) Pain Shot, 15 mg
|
$34.80 |
$126.60 |
$253.20 |
$23.50
|
|
Kidney endoscopy
|
$3,015.00 |
$3,015.00 |
$3,964.20 |
$5,728.00
|
|
Kidney imaging morphology
|
$897.00 |
$897.00 |
$2,370.00 |
$785.00
|
|
Kidney imag w/bld flow multi
|
$1,094.40 |
$1,750.80 |
$5,354.40 |
$1,566.50
|
|
Kidney img w/bldflw sgl without rx
|
$1,128.00 |
$1,858.80 |
$2,901.00 |
$1,427.40
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$469.80 |
$861.00 |
$1,469.40 |
$673.36
|
|
Kidney (Retroperitoneal) Ultrasound (limited)
|
$523.20 |
$606.00 |
$677.40 |
$492.25
|
|
Kit case 4.2mm spinejack
|
$7,833.60 |
$7,833.60 |
$12,441.00 |
$7,177.60
|
|
Kit cath f 8f w/glv + wipe ster
|
$5.40 |
$5.40 |
$24.00 |
$9.49
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$8,967.60 |
$10,076.40 |
$15,094.80 |
$9,423.50
|
|
Kit gene analys d816 variant
|
$1,159.80 |
$1,229.40 |
$1,303.80 |
$374.40
|
|
Kit hfx iq ipg bundle
|
$56,811.60 |
$56,811.60 |
$56,811.60 |
$33,859.00
|
|
Kit ipg optimizer smart
|
$55,402.80 |
$55,402.80 |
$74,319.00 |
$49,011.18
|
|
Kit lead specify 5-6-5
|
$6,860.40 |
$17,425.20 |
$54,950.40 |
$16,672.10
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$1,269.60 |
$1,965.60 |
$2,619.00 |
$1,635.87
|
|
Kit sound processor cochlear osia 2
|
$8,362.80 |
$8,362.80 |
$38,541.00 |
$8,425.00
|
|
Kit tissue closure sealant adhesive air leak progel 4 ml pleura
|
$1,621.80 |
$3,480.00 |
$4,799.40 |
$2,254.50
|
|
Kit trach suct cls 30.5cm
|
$39.00 |
$39.00 |
$39.00 |
$35.26
|
|
Knee MRI (with and without contrast)
|
$5,810.40 |
$6,512.40 |
$9,808.20 |
$3,034.80
|
|
Knee MRI (with contrast)
|
$1,860.60 |
$4,742.40 |
$8,004.00 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$3,682.80 |
$4,125.00 |
$6,214.20 |
$2,122.12
|
|
Knee X-ray
|
$405.00 |
$456.60 |
$686.40 |
$428.12
|
|
Knee X-ray (1 to 2 views, both knees)
|
$405.00 |
$456.60 |
$686.40 |
$291.20
|
|
Knee X-ray (3 views, both knees)
|
$405.00 |
$456.60 |
$686.40 |
$363.60
|
|
Knee X-ray (standing, both knees)
|
$405.00 |
$456.60 |
$686.40 |
$252.50
|
|
Kras gene addl variants
|
$454.20 |
$1,930.80 |
$2,046.60 |
$387.20
|
|
Kras gene variants exon 2
|
$361.80 |
$778.20 |
$1,353.60 |
$536.20
|
