|
In situ hybridization per specimen each additional single probe stain
|
$71.00 |
$219.00 |
$811.00 |
|
|
In situ hybridization per specimen initial single probe stain
|
$241.00 |
$279.00 |
$811.00 |
|
|
Insj biomechanical device 22853
|
$53,869.79 |
$53,869.79 |
$53,869.79 |
|
|
Insj perq vad r hrt venous
|
$2,091.00 |
$2,564.00 |
$3,165.50 |
|
|
Insj phrnc nrv stim sys
|
$73,125.65 |
$73,125.65 |
$73,125.65 |
|
|
Ins lv lead exist pm/icd
|
$1,292.00 |
$1,595.00 |
$40,695.00 |
|
|
Ins mark abd/pel for right perq
|
$581.50 |
$862.00 |
$3,138.60 |
|
|
Ins mark thor for right perq
|
$458.00 |
$679.00 |
$679.00 |
|
|
Insole orthotic freedom sz6 6816
|
$416.96 |
$416.96 |
$416.96 |
|
|
Ins picad w subq port 5yr>
|
$1,727.50 |
$2,389.00 |
$12,747.00 |
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$601.00 |
$831.00 |
$7,806.00 |
|
|
Ins pm gen exist dual lead
|
$30,659.50 |
$41,199.50 |
$246,010.00 |
|
|
Ins pm gen w/exist mlt leads
|
$9,276.50 |
$11,452.50 |
$74,429.00 |
|
|
Ins pq tunnld ip cath w/img
|
$3,635.50 |
$5,027.00 |
$13,449.00 |
|
|
Ins/rplc spi npg/rcvr pocket
|
$26,879.00 |
$36,490.50 |
$180,260.37 |
|
|
Ins/rpl ldless pm right vent w img & eval
|
$17,381.00 |
$21,457.50 |
$31,415.40 |
|
|
Ins/rpl pm gen exist dual lead
|
$4,166.00 |
$5,143.50 |
$22,061.00 |
|
|
Ins/rpl pm gen exist sgl lead
|
$2,832.50 |
$3,496.50 |
$120,041.00 |
|
|
Ins/rpl pm w/tv ld atrl
|
$2,065.50 |
$16,872.00 |
$79,143.00 |
|
|
Ins/rpl prph sac/gstr npg/r
|
$105,235.24 |
$105,235.24 |
$123,130.61 |
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$33,211.50 |
$41,001.50 |
$165,362.00 |
|
|
Insrt/redo neurostim 1 array
|
$25,221.50 |
$34,874.00 |
$204,144.90 |
|
|
Inst fibrinolysis agent ini day
|
$407.00 |
$676.00 |
$1,297.80 |
|
|
Inst fibrinolysis agent sbsq d
|
$1,179.60 |
$1,179.60 |
$1,179.60 |
|
|
Instillation anticarcinogenic agent bladder
|
$123.50 |
$182.50 |
$15,084.53 |
|
|
Instll rx agnt into rnal tub
|
$225.50 |
$259.50 |
$352.50 |
|
|
Ins tun cv cath wo subq prt/pm
|
$2,675.00 |
$3,698.00 |
$13,449.00 |
|
|
Ins tun cv cath wo subq prt/pm
|
$1,706.00 |
$2,358.50 |
$11,037.50 |
|
|
Ins tun intraperit dia cath
|
$3,602.00 |
$4,890.00 |
$4,890.00 |
|
|
Inst via cath agent pleurds
|
$725.50 |
$886.50 |
$1,003.00 |
|
|
Insulin total
|
$55.50 |
$108.00 |
$508.00 |
|
|
Ins vag brachytx device
|
$254.00 |
$328.00 |
$328.00 |
|
|
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm
|
$17,784.00 |
$17,784.00 |
$28,966.58 |
|
|
Integra meshed bil wound mat
|
$187.00 |
$187.00 |
$95,010.94 |
|
|
Integra os putty 2.5cc - cost per 0.5cc
|
$1,924.00 |
$3,185.00 |
$21,850.95 |
|
|
Intens cardiac rehab no exer
|
$127.00 |
$137.50 |
$137.50 |
|
|
Intens cardiac rehab w/exerc
|
$127.00 |
$137.50 |
$137.50 |
|
|
Interdental fixation
|
$1,063.00 |
$1,470.00 |
$3,481.80 |
|
|
Interdental wirg oth/thn fx
|
$1,375.00 |
$1,375.00 |
$1,375.00 |
|
|
Interdiscal perq aspir dx
|
$500.00 |
$620.00 |
$2,076.00 |
|
|
Interferon alfa-2b inj
|
$265.00 |
$265.00 |
$265.00 |
|
|
Interfyl, 1 mg
|
$14.00 |
$14.00 |
$12,540.00 |
|
|
Intermediate visual field xm
|
$56.00 |
$78.00 |
$78.00 |
|
|
Interrogate subq defib
|
$44.50 |
$48.50 |
$60.00 |
|
|
Interrogation vad in person
|
$185.50 |
$228.00 |
$251.00 |
|
|
Interrog dev eval icpms ip
|
$38.50 |
$47.50 |
$47.50 |
|
|
Interrog dev eval scrms ip
|
$38.50 |
$47.50 |
$47.50 |
|
|
Interrog device eval heart
|
$66.50 |
$71.50 |
$82.50 |
|
|
Interrog evl pm/ldls pm ip
|
$38.50 |
$47.50 |
$47.50 |
|
|
Intra-atrial pacing
|
$1,025.00 |
$3,826.00 |
$41,724.00 |
|
|
Intra-atrial recording
|
$1,025.00 |
$3,826.00 |
$41,724.00 |
|
|
Intracard echo interv w/s&i
|
$696.00 |
$2,319.00 |
$4,887.50 |
|
|
Intracran angioplsty w/stent
|
$3,503.50 |
$4,756.50 |
$4,756.50 |
|
|
Intracranial angioplasty
|
$2,919.00 |
$3,865.80 |
$3,963.00 |
|
|
Intracranial complete study
|
$284.50 |
$664.00 |
$1,261.00 |
|
|
Intracranial limited study
|
$115.00 |
$449.00 |
$882.00 |
|
|
Intranasal biopsy 30100
|
$784.00 |
$1,084.00 |
$1,084.00 |
|
|
Intraop epicard/endocard/pace/map/ 93631
|
$765.00 |
$944.50 |
$1,272.50 |
|
|
Intraoral i+d tongue/floor lingual 41000
|
$1,015.00 |
$1,208.00 |
$1,404.00 |
|
|
Intrapul surf admin endo tube
|
$65.00 |
$152.40 |
$390.00 |
|
|
Intrauterine transfusion ftl
|
$563.00 |
$695.00 |
$2,020.00 |
|
|
Intraventricular pacing
|
$1,025.00 |
$3,826.00 |
$41,724.00 |
|
|
Intrinsic factor antibody
|
$59.00 |
$80.00 |
$544.00 |
|
|
Intrm oph exam est patient
|
$53.50 |
$74.00 |
$74.00 |
|
|
Intro cath dialysis circuit
|
$1,260.50 |
$2,179.50 |
$4,896.50 |
|
|
Intro cath dialysis circuit w/pta
|
$6,605.50 |
$8,155.00 |
$20,518.50 |
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$13,351.50 |
$14,888.00 |
$40,160.00 |
|
|
Intro catheter aorta
|
$158.50 |
$1,130.50 |
$44,111.71 |
|
|
Intro cath svc/ivc
|
$298.00 |
$494.00 |
$2,295.50 |
|
|
Intro long gi tube
|
$468.50 |
$648.00 |
$1,035.00 |
|
|
Intro long gi tube w/mult fluo
|
$223.00 |
$484.50 |
$3,080.00 |
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$518.00 |
$1,181.50 |
$3,860.40 |
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$879.00 |
$1,181.50 |
$5,479.20 |
|
|
Intubation endotracheal emergency procedure
|
$427.50 |
$733.50 |
$2,617.00 |
|
|
Io anal gast n-stim subsq
|
$125.50 |
$170.00 |
$170.00 |
|
|
Io ga n-stim subsq w/reprog
|
$189.00 |
$261.50 |
$261.50 |
|
|
Ionm in operatng room 15 min
|
$152.00 |
$283.00 |
$311.50 |
|
|
Ionm remote/>1 pt or per hr
|
$607.00 |
$878.00 |
$1,084.00 |
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$1.00 |
$1.00 |
$636.00 |
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$108,656.64 |
$108,656.64 |
$108,656.64 |
|
|
Ipratropium bromide non-comp
|
$27.00 |
$27.00 |
$120.00 |
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$149.70 |
$171.34 |
$206.00 |
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$14,835.42 |
$14,835.42 |
$16,980.30 |
|
|
Iron
|
$75.00 |
$146.00 |
$358.20 |
|
|
Iron binding capacity
|
$25.20 |
$35.50 |
$271.00 |
|
|
Iron dextran 50 mg/ml injection solution
|
$90.00 |
$90.00 |
$90.00 |
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$315.42 |
$315.42 |
$360.48 |
|
|
Irradiation of blood product each unit reference
|
$62.00 |
$69.00 |
$128.50 |
|
|
Irrigation implantable venous access device for drug delivery systems
|
$22.00 |
$137.50 |
$295.50 |
|
|
Island pedicle flap graft
|
$1,036.00 |
$1,406.50 |
$1,406.50 |
|
|
Ivc venogram s&i
|
$1,558.00 |
$3,598.00 |
$6,990.00 |
|
|
IV Fluids (each additional hour)
|
$29.50 |
$98.40 |
$187.50 |
|
|
IV Fluids (first hour)
|
$59.50 |
$320.40 |
$497.00 |
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$23.50 |
$105.00 |
$368.50 |
|
|
IV Medicine Infusion (additional drug)
|
$29.00 |
$187.50 |
$259.50 |
|
|
IV Medicine Infusion (each additional hour)
|
$29.50 |
$127.20 |
$187.50 |
|
|
IV Medicine Infusion (first hour)
|
$100.50 |
$375.00 |
$518.00 |
|
|
IV Push Injection (each additional drug)
|
$47.00 |
$171.00 |
$229.00 |
|
|
IV Push Injection (first drug)
|
$54.50 |
$212.00 |
$234.60 |
|
|
Ivp w/nephrotomography
|
$439.00 |
$729.00 |
$941.00 |
|
