|
Ins icd gen exist sgl lead
|
$39,502.40 |
$39,502.40 |
$39,502.40 |
|
|
Insitu hybridization manual
|
$260.80 |
$260.80 |
$260.80 |
|
|
In situ hybridization per specimen each additional single probe stain
|
$291.20 |
$291.20 |
$312.80 |
|
|
In situ hybridization per specimen initial single probe stain
|
$340.00 |
$407.20 |
$483.20 |
|
|
Insj perq vad r hrt venous
|
$1,723.20 |
$1,723.20 |
$1,723.20 |
|
|
Ins lv lead exist pm/icd
|
$18,552.00 |
$18,552.00 |
$18,552.00 |
|
|
Ins mark abd/pel for right perq
|
$3,305.60 |
$3,305.60 |
$3,305.60 |
|
|
Ins mark thor for right perq
|
$2,988.80 |
$2,988.80 |
$2,988.80 |
|
|
Insole orthotic freedom sz6 6816
|
$12.80 |
$12.80 |
$12.80 |
|
|
Ins picad w subq port 5yr>
|
$4,635.20 |
$4,876.00 |
$6,184.80 |
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$2,251.20 |
$2,251.20 |
$2,251.20 |
|
|
Ins pm gen exist dual lead
|
$36,098.40 |
$36,098.40 |
$36,098.40 |
|
|
Ins pm gen w/exist mlt leads
|
$27,503.20 |
$27,503.20 |
$27,503.20 |
|
|
Ins pq tunnld ip cath w/img
|
$5,593.60 |
$5,593.60 |
$7,252.80 |
|
|
Ins/rpl ldless pm right vent w img & eval
|
$26,552.00 |
$26,552.00 |
$26,552.00 |
|
|
Ins/rpl pm gen exist dual lead
|
$17,504.00 |
$17,504.00 |
$17,504.00 |
|
|
Ins/rpl pm gen exist sgl lead
|
$3,384.00 |
$3,384.00 |
$13,994.40 |
|
|
Ins/rpl pm w/tv ld atrl
|
$4,896.80 |
$4,896.80 |
$17,368.00 |
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$56,256.80 |
$56,256.80 |
$56,256.80 |
|
|
Inst fibrinolysis agent ini day
|
$760.80 |
$760.80 |
$1,334.40 |
|
|
Inst fibrinolysis agent sbsq d
|
$725.60 |
$725.60 |
$1,217.60 |
|
|
Instillation anticarcinogenic agent bladder
|
$527.20 |
$712.80 |
$806.40 |
|
|
Ins tun cv cath wo subq prt/pm
|
$4,868.80 |
$4,868.80 |
$4,868.80 |
|
|
Ins tun cv cath wo subq prt/pm
|
$4,644.80 |
$4,644.80 |
$5,633.60 |
|
|
Ins tun intraperit dia cath
|
$4,609.60 |
$5,373.60 |
$5,904.00 |
|
|
Inst via cath agent pleurds
|
$970.40 |
$970.40 |
$1,168.80 |
|
|
Insulin total
|
$53.60 |
$115.20 |
$138.40 |
|
|
Ins vag brachytx device
|
$2,985.60 |
$2,985.60 |
$2,985.60 |
|
|
Interdental fixation
|
$5,102.40 |
$5,102.40 |
$5,102.40 |
|
|
Interdiscal perq aspir dx
|
$2,049.60 |
$2,049.60 |
$3,039.20 |
|
|
Interrog device eval heart
|
$1,548.80 |
$1,548.80 |
$1,548.80 |
|
|
Interrog evl pm/ldls pm ip
|
$136.00 |
$136.00 |
$136.00 |
|
|
Intra-atrial pacing
|
$6,196.80 |
$6,196.80 |
$6,196.80 |
|
|
Intra-atrial recording
|
$6,436.80 |
$6,436.80 |
$6,436.80 |
|
|
Intracard echo interv w/s&i
|
$2,382.40 |
$2,382.40 |
$5,442.40 |
|
|
Intracran angioplsty w/stent
|
$6,890.40 |
$6,890.40 |
$6,890.40 |
|
|
Intracranial angioplasty
|
$4,962.40 |
$4,962.40 |
$5,504.00 |
|
|
Intracranial complete study
|
$1,158.40 |
$1,158.40 |
$1,208.80 |
|
|
Intracranial limited study
|
$696.80 |
$700.80 |
$846.40 |
|
|
Intrauterine transfusion ftl
|
$2,896.80 |
$2,896.80 |
$2,896.80 |
|
|
Intraventricular pacing
|
$6,888.80 |
$6,888.80 |
$6,888.80 |
|
|
Intrinsic factor antibody
|
$56.80 |
$56.80 |
$56.80 |
|
|
Intro cath dialysis circuit
|
$3,960.00 |
$3,960.00 |
$5,300.80 |
|
|
Intro cath dialysis circuit w/pta
|
$18,717.60 |
$18,717.60 |
$18,953.60 |
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$26,214.40 |
$26,214.40 |
$26,658.40 |
|
|
Intro catheter aorta
|
$1,625.60 |
$1,625.60 |
$2,425.60 |
|
|
Intro cath svc/ivc
|
$1,622.40 |
$1,622.40 |
$2,492.00 |
|
|
Intro long gi tube
|
$1,160.00 |
$1,160.00 |
$1,256.00 |
|
|
Intro long gi tube w/mult fluo
|
$765.60 |
$765.60 |
$892.00 |
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$3,764.80 |
$3,764.80 |
$4,484.80 |
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$2,654.40 |
$2,654.40 |
$3,132.80 |
|
|
Intubation endotracheal emergency procedure
|
$396.80 |
$552.80 |
$944.00 |
|
|
Iodine i-123 sod iodide mil
|
$658.40 |
$658.40 |
$658.40 |
|
|
Ionm in operatng room 15 min
|
$260.00 |
$260.00 |
$260.00 |
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$18.00 |
$20.00 |
$20.00 |
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$100.00 |
$140.00 |
$900.00 |
|
|
Io rad tx delivery by x-ray
|
$16,071.20 |
$16,071.20 |
$16,071.20 |
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$7,797.00 |
$7,797.00 |
$19,697.11 |
|
|
Ipratropium bromide non-comp
|
$0.96 |
$3.60 |
$5.29 |
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$289.24 |
$289.24 |
$289.24 |
|
|
Iron
|
$30.40 |
$64.00 |
$80.80 |
|
|
Iron binding capacity
|
$41.60 |
$48.00 |
$90.40 |
|
|
Iron dextran 50 mg/ml injection solution
|
$85.08 |
$86.34 |
$332.00 |
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$66.18 |
$66.59 |
$162.68 |
|
|
Irradiation of blood product each unit reference
|
$104.84 |
$168.80 |
$171.20 |
|
|
Irrigation implantable venous access device for drug delivery systems
|
$125.60 |
$168.80 |
$172.80 |
|
|
Isatuximab-irfc 20 mg/ml intravenous solution
|
$9,300.00 |
$9,300.00 |
$9,300.00 |
|
|
Ivc venogram s&i
|
$5,008.80 |
$5,008.80 |
$5,555.20 |
|
|
IV Fluids (each additional hour)
|
$131.20 |
$153.60 |
$203.20 |
|
|
IV Fluids (first hour)
|
$370.40 |
$461.60 |
$530.40 |
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$179.20 |
$194.40 |
$255.20 |
|
|
IV inj ra drug dx study
|
$792.80 |
$792.80 |
$792.80 |
|
|
IV Medicine Infusion (additional drug)
|
$206.40 |
$260.80 |
$292.80 |
|
|
IV Medicine Infusion (each additional hour)
|
$161.60 |
$180.80 |
$245.60 |
|
|
IV Medicine Infusion (first hour)
|
$491.20 |
$524.80 |
$580.00 |
|
|
IV Push Injection (each additional drug)
|
$128.00 |
$186.40 |
$273.60 |
|
|
IV Push Injection (first drug)
|
$228.00 |
$376.00 |
$391.20 |
|
|
Ivp w/nephrotomography
|
$728.80 |
$728.80 |
$1,183.20 |
|
|
Ivp w/wo kub w/wo tomography
|
$714.40 |
$1,091.20 |
$1,124.80 |
|
|
Jaw Joint (TMJ) X-ray (both sides, open and closed)
|
$382.40 |
$442.40 |
$498.40 |
|
|
Jaw (Mandible) X-ray (complete)
|
$356.80 |
$478.40 |
$607.20 |
|
|
Kerecis marigen shld sq cm
|
$1,771.20 |
$1,771.20 |
$1,771.20 |
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$44.80 |
$48.80 |
$76.80 |
|
|
Ketorolac (Toradol) Pain Shot, 15 mg
|
$60.64 |
$61.20 |
$1,245.72 |
|
|
Kidney function study
|
$1,542.40 |
$1,542.40 |
$1,772.80 |
|
|
Kidney imaging morphology
|
$936.80 |
$936.80 |
$936.80 |
|
|
Kidney img w/bldflw sgl without rx
|
$1,616.80 |
$1,810.40 |
$2,049.60 |
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$778.40 |
$854.40 |
$1,036.00 |
|
|
Kidney (Retroperitoneal) Ultrasound (limited)
|
$567.20 |
$660.80 |
$720.00 |
|
|
Kit case 4.2mm spinejack
|
$11,662.40 |
$11,662.40 |
$11,662.40 |
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$9,400.00 |
$9,400.00 |
$13,160.00 |
|
|
Kit gene analys d816 variant
|
$526.40 |
$526.40 |
$526.40 |
|
|
Kit hfx iq ipg bundle
|
$46,908.80 |
$46,908.80 |
$46,908.80 |
|
|
Kit lead specify 5-6-5
|
$1,152.00 |
$1,152.00 |
$18,040.80 |
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$2,058.00 |
$2,058.00 |
$4,116.00 |
|
|
Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm
|
$820.80 |
$820.80 |
$820.80 |
|
|
Kit sound processor cochlear osia 2
|
$7,744.80 |
$7,744.80 |
$7,744.80 |
|
|
Kit tissue closure sealant adhesive air leak progel 4 ml pleura
|
$4,537.60 |
$4,537.60 |
$4,537.60 |
|
|
Knee MRI (with and without contrast)
|
$3,582.40 |
$3,904.80 |
$4,594.40 |
|
|
Knee MRI (with contrast)
|
$3,064.00 |
$3,369.60 |
$3,850.40 |
|
