|
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm
|
$7,989.60 |
$7,989.60 |
$7,989.60 |
|
|
Integra meshed bil wound mat
|
$5,564.40 |
$5,564.40 |
$35,932.20 |
|
|
Integra os putty 2.5cc - cost per 0.5cc
|
$4,953.60 |
$4,953.60 |
$4,953.60 |
|
|
Intens behave ther cardio dx
|
$19.55 |
$22.10 |
$43.00 |
|
|
Intens cardiac rehab no exer
|
$83.49 |
$83.49 |
$94.38 |
|
|
Intens cardiac rehab w/exerc
|
$83.49 |
$83.49 |
$94.38 |
|
|
Intercalary algrft compl
|
$483.92 |
$483.92 |
$547.04 |
|
|
Interdental fixation
|
$446.66 |
$1,666.50 |
$5,052.60 |
|
|
Interdental wirg oth/thn fx
|
$372.83 |
$421.46 |
$4,811.40 |
|
|
Interdiscal perq aspir dx
|
$969.00 |
$1,930.20 |
$2,792.40 |
|
|
Interferon alfa-2b inj
|
$0.60 |
$112.80 |
$6,501.00 |
|
|
Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper)
|
$33.60 |
$3,988.80 |
$5,318.40 |
|
|
Interferon beta-1a inj
|
$4,373.40 |
$4,373.40 |
$4,373.40 |
|
|
Interferon beta-1b / .25 mg
|
$225.60 |
$585.00 |
$1,282.20 |
|
|
Interferon gamma 1-b inj
|
$13,563.60 |
$13,563.60 |
$13,563.60 |
|
|
Interfyl, 1 mg
|
$2,996.40 |
$2,996.40 |
$6,389.60 |
|
|
Intermediate visual field xm
|
$13.11 |
$13.11 |
$14.82 |
|
|
Internal nerve revision 64727
|
$114.54 |
$129.48 |
$343.80 |
|
|
Interrogate subq defib
|
$22.77 |
$96.60 |
$765.60 |
|
|
Interrogation vad in person
|
$25.76 |
$76.00 |
$621.00 |
|
|
Interrog dev eval icpms ip
|
$13.11 |
$104.40 |
$649.80 |
|
|
Interrog dev eval scrms ip
|
$11.27 |
$163.80 |
$649.80 |
|
|
Interrog device eval heart
|
$23.00 |
$220.20 |
$595.80 |
|
|
Interrog evl pm/ldls pm ip
|
$14.82 |
$204.00 |
$369.60 |
|
|
Interrog without prgrmg ipnss
|
$109.50 |
$109.50 |
$109.50 |
|
|
Interstitial brachy inter
|
$415.20 |
$415.20 |
$415.20 |
|
|
Interthoracoscplr amputation
|
$897.46 |
$897.46 |
$1,014.52 |
|
|
Intestinal stricturoplasty
|
$691.61 |
$691.61 |
$781.82 |
|
|
Int hrhc lig 1 hroid without img
|
$220.11 |
$2,109.60 |
$4,520.00 |
|
|
Int hrhc lig 2+hroid without img
|
$245.41 |
$581.40 |
$3,190.50 |
|
|
Intra-atrial pacing
|
$101.43 |
$3,647.40 |
$15,996.60 |
|
|
Intra-atrial recording
|
$71.99 |
$3,647.40 |
$15,996.60 |
|
|
Intracard echo interv w/s&i
|
$69.46 |
$927.00 |
$4,802.40 |
|
|
Intracran angioplsty w/stent
|
$4,426.20 |
$8,401.80 |
$15,171.60 |
|
|
Intracranial angioplasty
|
$880.67 |
$7,673.40 |
$12,235.20 |
|
|
Intracranial complete study
|
$28.98 |
$769.80 |
$1,981.20 |
|
|
Intracranial limited study
|
$23.00 |
$238.80 |
$1,166.40 |
|
|
Intracranial vessel surgery
|
$1,469.93 |
$1,469.93 |
$1,661.66 |
|
|
Intracranial vessel surgery
|
$2,686.40 |
$2,686.40 |
$3,036.80 |
|
|
Intracranial vessel surgery
|
$1,849.20 |
$1,849.20 |
$2,090.40 |
|
|
Intracranial vessel surgery
|
$2,912.72 |
$2,912.72 |
$3,292.64 |
|
|
Intracranial vessel surgery
|
$1,423.01 |
$1,423.01 |
$1,608.62 |
|
|
Intracranial vessel surgery
|
$2,368.54 |
$2,368.54 |
$2,677.48 |
|
|
Intranasal biopsy 30100
|
$4,165.46 |
$4,165.46 |
$4,334.33 |
|
|
Intranasal reconstruction
|
$424.12 |
$424.12 |
$479.44 |
|
|
Intraop colon lavage add-on
|
$109.02 |
$109.02 |
$123.24 |
|
|
Intraop epicard/endocard/pace/map/ 93631
|
$247.48 |
$247.48 |
$279.76 |
|
|
Intraop hipec px 1st 60 min
|
$329.59 |
$329.59 |
$372.58 |
|
|
Intraoral i+d tongue/floor lingual 41000
|
$69.00 |
$1,663.80 |
$3,796.20 |
|
|
Intrapul surf admin endo tube
|
$35.65 |
$73.60 |
$720.00 |
|
|
Intrauterine transfusion ftl
|
$220.57 |
$846.00 |
$3,684.00 |
|
|
Intraventricular pacing
|
$100.28 |
$8,922.00 |
$21,337.16 |
|
|
Intrinsic factor antibody
|
$25.50 |
$99.33 |
$492.00 |
|
|
Intrm oph exam est patient
|
$31.97 |
$31.97 |
$36.14 |
|
|
Intro cath dialysis circuit
|
$1,716.00 |
$2,582.40 |
$14,043.00 |
|
|
Intro cath dialysis circuit w/pta
|
$2,851.80 |
$10,528.00 |
$16,682.82 |
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$2,163.60 |
$9,353.00 |
$33,182.38 |
|
|
Intro catheter aorta
|
$580.80 |
$4,321.20 |
$7,651.20 |
|
|
Intro cath svc/ivc
|
$458.00 |
$2,478.60 |
$12,349.80 |
|
|
Intro long gi tube
|
$235.20 |
$1,016.00 |
$3,526.20 |
|
|
Intro long gi tube w/mult fluo
|
$329.40 |
$423.60 |
$1,226.40 |
|
|
Intro windpipe wire/tube
|
$95.91 |
$95.91 |
$108.42 |
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$1,106.50 |
$4,629.00 |
$7,361.40 |
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$228.50 |
$4,559.40 |
$5,288.40 |
|
|
Intubation endotracheal emergency procedure
|
$309.00 |
$877.60 |
$3,560.40 |
|
|
Io anal gast n-stim init
|
$28.75 |
$28.75 |
$32.50 |
|
|
Io anal gast n-stim subsq
|
$11.27 |
$11.27 |
$12.74 |
|
|
Iodine i-123 sod iodide mil
|
$704.80 |
$753.00 |
$4,029.60 |
|
|
Iodine i-131 iobenguane 1mci
|
$1,027.20 |
$1,027.20 |
$1,027.20 |
|
|
Io ga n-stim subsq w/reprog
|
$23.69 |
$23.69 |
$26.78 |
|
|
Ionm in operatng room 15 min
|
$44.00 |
$191.40 |
$854.70 |
|
|
Ionm remote/>1 pt or per hr
|
$169.28 |
$821.40 |
$3,504.00 |
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$1.20 |
$41.40 |
$1,080.00 |
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$0.60 |
$16.40 |
$2,178.60 |
|
|
Io radiation tx management
|
$209.07 |
$209.07 |
$236.34 |
|
|
Io rad tx delivery by x-ray
|
$6,892.20 |
$6,892.20 |
$6,892.20 |
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$369.00 |
$511.80 |
$88,416.60 |
|
|
Ip/obs cnsltj new/est low 45
|
$67.62 |
$76.44 |
$366.00 |
|
|
Ip/obs cnsltj new/est mod 60
|
$94.07 |
$106.34 |
$512.40 |
|
|
Ip/obs consltj new/est hi 80
|
$125.81 |
$142.22 |
$633.60 |
|
|
Ip/obs consltj new/est sf 35
|
$48.30 |
$54.60 |
$101.40 |
|
|
Ipratropium bromide non-comp
|
$2.00 |
$15.40 |
$55.40 |
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$7.80 |
$1,122.40 |
$7,858.80 |
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$111.60 |
$169.80 |
$7,417.80 |
|
|
Iron
|
$20.00 |
$41.40 |
$340.00 |
|
|
Iron binding capacity
|
$15.50 |
$58.80 |
$484.20 |
|
|
Iron dextran 50 mg/ml injection solution
|
$10.20 |
$92.80 |
$715.30 |
|
|
Iron stain peripheral blood
|
$4.60 |
$5.20 |
$147.00 |
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$6.75 |
$312.80 |
$994.60 |
|
|
Irradiation of blood product each unit reference
|
$43.50 |
$138.00 |
$294.60 |
|
|
Irrigation implantable venous access device for drug delivery systems
|
$99.50 |
$142.20 |
$312.00 |
|
|
Irrigation sphenoid sinus
|
$118.68 |
$118.68 |
$134.16 |
|
|
Irrigation syringe
|
$1.80 |
$1.80 |
$1.80 |
|
|
Irrigation tray
|
$1.80 |
$2.40 |
$5.40 |
|
|
Irrigation vagina and/or appl medicament tx disease
|
$16.33 |
$68.00 |
$891.20 |
|
|
Isatuximab-irfc 20 mg/ml intravenous solution
|
$92.40 |
$149.40 |
$10,494.60 |
|
|
Island pedicle flap graft
|
$543.95 |
$614.90 |
$3,768.60 |
|
|
Ivc venogram s&i
|
$1,510.20 |
$5,562.00 |
$12,662.65 |
|
|
IV Fluids (each additional hour)
|
$62.40 |
$135.52 |
$812.00 |
|
|
IV Fluids (first hour)
|
$231.60 |
$522.00 |
$1,143.00 |
|
