|
Insertion catheter pleural indwelling tunneled with cuff
|
$2,846.40 |
$2,846.40 |
$2,846.40 |
$4,897.20
|
|
Insertion intra aortic balloon assist device percutaneous
|
$2,809.20 |
$2,809.20 |
$2,809.20 |
$2,447.63
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$8,073.60 |
$8,073.60 |
$8,073.60 |
$7,210.78
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$3,349.80 |
$3,349.80 |
$3,349.80 |
$2,585.25
|
|
Insertion of catheter vein
|
$512.40 |
$512.40 |
$512.40 |
$1,525.80
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$5,231.40 |
$5,231.40 |
$5,231.40 |
$12,384.25
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$4,956.60 |
$4,956.60 |
$4,956.60 |
$12,324.60
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$5,125.80 |
$5,125.80 |
$5,125.80 |
$9,884.16
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$1,823.40 |
$1,823.40 |
$1,823.40 |
$2,103.75
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$1,267.20 |
$1,267.20 |
$1,267.20 |
$2,453.83
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$6,004.80 |
$6,004.80 |
$6,004.80 |
$29,180.00
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$3,844.20 |
$3,844.20 |
$3,844.20 |
$7,183.68
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$5,097.00 |
$5,097.00 |
$5,097.00 |
$7,267.20
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$2,804.40 |
$2,804.40 |
$2,804.40 |
$9,332.50
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$2,205.60 |
$2,205.60 |
$2,205.60 |
$5,236.80
|
|
Insert pessary/other device
|
$859.20 |
$859.20 |
$859.20 |
$278.90
|
|
Insert pm/icd lead dual
|
$5,231.40 |
$5,231.40 |
$5,231.40 |
$7,115.90
|
|
Insert/repl sq defib w/eltrd
|
$6,004.80 |
$6,004.80 |
$6,004.80 |
$33,593.55
|
|
Insert vad art access left hrt arterial access
|
$48,647.40 |
$48,647.40 |
$48,647.40 |
$4,276.00
|
|
Ins icd gen exist sgl lead
|
$4,971.60 |
$4,971.60 |
$4,971.60 |
$23,230.50
|
|
Insitu hybridization (fish)
|
$255.60 |
$255.60 |
$255.60 |
$481.00
|
|
Insitu hybridization manual
|
$512.40 |
$512.40 |
$512.40 |
$401.28
|
|
In situ hybridization per specimen each additional single probe stain
|
$219.00 |
$219.00 |
$219.00 |
$243.50
|
|
In situ hybridization per specimen initial single probe stain
|
$275.40 |
$275.40 |
$275.40 |
$338.40
|
|
Ins lv lead exist pm/icd
|
$4,608.60 |
$4,608.60 |
$4,608.60 |
$12,384.25
|
|
Ins picad w subq port 5yr>
|
$1,624.80 |
$1,624.80 |
$1,624.80 |
$4,078.00
|
|
Ins pm gen w/exist mlt leads
|
$3,785.40 |
$3,785.40 |
$3,785.40 |
$14,804.40
|
|
Ins pq tunnld ip cath w/img
|
$7,670.40 |
$7,670.40 |
$7,670.40 |
$5,486.00
|
|
Ins/rpl ldless pm right vent w img & eval
|
$14,857.20 |
$14,857.20 |
$14,857.20 |
$24,135.54
|
|
Ins/rpl pm gen exist dual lead
|
$3,922.80 |
$3,922.80 |
$3,922.80 |
$11,005.50
|
|
Ins/rpl pm gen exist sgl lead
|
$3,785.40 |
$3,785.40 |
$3,785.40 |
$9,428.64
|
|
Ins tun cvad 2 cath w/subq port(s)
|
$5,640.60 |
$5,640.60 |
$5,640.60 |
$7,826.00
|
|
Ins tun cv cath wo subq prt/pm
|
$2,739.00 |
$2,739.00 |
$2,739.00 |
$4,218.00
|
|
Ins tun intraperit dia cath
|
$3,691.20 |
$3,691.20 |
$3,691.20 |
$4,570.00
|
|
Insulin total
|
$165.60 |
$165.60 |
$165.60 |
$66.64
|
|
Ins vag brachytx device
|
$561.60 |
$561.60 |
$561.60 |
$950.00
|
|
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm
|
$7,989.60 |
$7,989.60 |
$7,989.60 |
$8,617.32
|
|
Integra meshed bil wound mat
|
$35,932.20 |
$35,932.20 |
$35,932.20 |
$9,924.16
|
|
Interdental fixation
|
$4,494.00 |
$4,494.00 |
$4,494.00 |
$2,133.48
|
|
Interferon alfa-2b inj
|
$111.00 |
$111.00 |
$111.00 |
$1,409.92
|
|
Interrogate subq defib
|
$117.00 |
$117.00 |
$117.00 |
$119.60
|
|
Interrog dev eval scrms ip
|
$234.00 |
$234.00 |
$234.00 |
$124.80
|
|
Interrog device eval heart
|
$234.00 |
$234.00 |
$234.00 |
$162.40
|
|
Interrog evl pm/ldls pm ip
|
$234.00 |
$234.00 |
$234.00 |
$127.20
|
|
Intracard echo interv w/s&i
|
$4,616.40 |
$4,616.40 |
$4,616.40 |
$3,436.00
|
|
Intrapul surf admin endo tube
|
$60.60 |
$60.60 |
$60.60 |
$220.80
|
|
Intraventricular pacing
|
$2,392.80 |
$2,392.80 |
$2,392.80 |
$5,456.17
|
|
Intrinsic factor antibody
|
$203.40 |
$203.40 |
$203.40 |
$65.00
|
|
Intro cath dialysis circuit
|
$2,582.40 |
$2,582.40 |
$2,582.40 |
$2,036.94
|
|
Intro cath dialysis circuit w/pta
|
$2,851.80 |
$2,851.80 |
$2,851.80 |
$8,690.50
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$3,122.40 |
$3,122.40 |
$3,122.40 |
$16,262.40
|
|
Intro catheter aorta
|
$580.80 |
$580.80 |
$580.80 |
$1,678.05
|
|
Intro cath svc/ivc
|
$2,478.60 |
$2,478.60 |
$2,478.60 |
$1,323.27
|
|
Intro long gi tube
|
$559.20 |
$559.20 |
$559.20 |
$974.17
|
|
Intro long gi tube w/mult fluo
|
$384.60 |
$384.60 |
$384.60 |
$469.00
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$4,370.40 |
$4,370.40 |
$4,370.40 |
$3,472.95
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$4,237.80 |
$4,237.80 |
$4,237.80 |
$1,801.10
|
|
Intubation endotracheal emergency procedure
|
$718.20 |
$718.20 |
$718.20 |
$601.28
|
|
Iodine i-123 sod iodide mil
|
$1,636.80 |
$1,636.80 |
$1,636.80 |
$386.37
|
|
Ionm in operatng room 15 min
|
$177.60 |
$177.60 |
$177.60 |
$200.78
|
|
Ionm remote/>1 pt or per hr
|
$1,008.00 |
$1,008.00 |
$1,008.00 |
$622.70
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$121.20 |
$121.20 |
$121.20 |
$165.67
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$6.80 |
$6.80 |
$6.80 |
$279.10
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$664.80 |
$664.80 |
$664.80 |
$62,692.46
|
|
Ipratropium bromide non-comp
|
$4.40 |
$4.40 |
$4.40 |
$4.06
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$1,091.20 |
$1,091.20 |
$1,091.20 |
$173.98
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$210.60 |
$210.60 |
$210.60 |
$5,517.12
|
|
Iron
|
$48.00 |
$48.00 |
$48.00 |
$75.00
|
|
Iron binding capacity
|
$100.80 |
$100.80 |
$100.80 |
$63.91
|
|
Iron dextran 50 mg/ml injection solution
|
$72.00 |
$72.00 |
$72.00 |
$80.67
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$555.60 |
$555.60 |
$555.60 |
$187.06
|
|
Irradiation of blood product each unit reference
|
$98.40 |
$98.40 |
$98.40 |
$115.20
|
|
Irrigation implantable venous access device for drug delivery systems
|
$142.20 |
$142.20 |
$142.20 |
$146.11
|
|
Irrigation tray
|
$2.40 |
$2.40 |
$2.40 |
$9.67
|
|
Isatuximab-irfc 20 mg/ml intravenous solution
|
$149.40 |
$149.40 |
$149.40 |
$8,273.35
|
|
Ivc venogram s&i
|
$1,510.20 |
$1,510.20 |
$1,510.20 |
$3,332.55
|
|
IV Fluids (each additional hour)
|
$322.20 |
$322.20 |
$322.20 |
$133.90
|
|
IV Fluids (first hour)
|
$1,143.00 |
$1,143.00 |
$1,143.00 |
$390.00
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$285.60 |
$285.60 |
$285.60 |
$162.68
|
|
IV Medicine Infusion (additional drug)
|
$285.60 |
$285.60 |
$285.60 |
$191.75
|
|
IV Medicine Infusion (each additional hour)
|
$285.60 |
$285.60 |
$285.60 |
$154.00
|
|
IV Medicine Infusion (first hour)
|
$1,143.00 |
$1,143.00 |
$1,143.00 |
$439.56
|
|
IV Push Injection (each additional drug)
|
$147.00 |
$147.00 |
$147.00 |
$167.50
|
|
IV Push Injection (first drug)
|
$165.60 |
$165.60 |
$165.60 |
$252.76
|
|
Ivp w/wo kub w/wo tomography
|
$1,283.40 |
$1,283.40 |
$1,283.40 |
$713.40
|
|
Ixabepilone 15 mg intravenous solution
|
$361.20 |
$361.20 |
$361.20 |
$10,695.32
|
|
Jak2 targeted sequence analysis
|
$1,170.00 |
$1,170.00 |
$1,170.00 |
$405.00
|
|
Jaw Joint (TMJ) X-ray (both sides, open and closed)
|
$675.60 |
$675.60 |
$675.60 |
$330.05
|
|
Jaw (Mandible) X-ray (complete)
|
$412.80 |
$412.80 |
$412.80 |
$362.05
|
|
John cunningham antibody
|
$3,164.40 |
$3,164.40 |
$3,164.40 |
$78.00
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$174.60 |
$174.60 |
$174.60 |
$58.56
|
|
Ketorolac (Toradol) Pain Shot, 15 mg
|
$24.60 |
$24.60 |
$24.60 |
$23.52
|
|
Kidney imag w/bld flow multi
|
$1,161.00 |
$1,161.00 |
$1,161.00 |
$1,566.50
|
|
Kidney img w/bldflw sgl without rx
|
$1,552.20 |
$1,552.20 |
$1,552.20 |
$1,433.22
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$732.60 |
$732.60 |
$732.60 |
$673.36
|
|
Kidney (Retroperitoneal) Ultrasound (limited)
|
$697.80 |
$697.80 |
$697.80 |
$490.75
|
|
Kit cast tcc 3in w/2reg boots total contact cast
|
$382.20 |
$382.20 |
$382.20 |
$174.00
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$10,797.00 |
$10,797.00 |
$10,797.00 |
$9,423.50
|
|
Kit gene analys d816 variant
|
$1,111.20 |
$1,111.20 |
$1,111.20 |
$374.61
|
|
Kit lead specify 5-6-5
|
$12,081.00 |
$12,081.00 |
$12,081.00 |
$16,672.10
|
