|
Inj scleros sol mult veins
|
$557.08 |
$557.08 |
$557.08 |
$687.96
|
|
Inj scleros sol sgl vein
|
$371.48 |
$371.48 |
$371.48 |
$534.40
|
|
Inj secretin synthetic human
|
$670.39 |
$670.39 |
$670.39 |
$1,459.08
|
|
Inj secukinumab intrav 1mg
|
$2,678.09 |
$2,678.09 |
$2,678.09 |
$5,994.20
|
|
Inj, spesolimab-sbzo, 1 mg
|
$55,701.08 |
$55,701.08 |
$55,701.08 |
$178,150.09
|
|
Inj teplizumab mzwv 5 mcg
|
$0.08 |
$0.08 |
$0.08 |
$37.65
|
|
Inj. teprotumumab-trbw 10 mg
|
$36,385.12 |
$36,385.12 |
$36,385.12 |
$42,164.34
|
|
Inj, tofidence, 1 mg
|
$4,837.26 |
$4,837.26 |
$4,837.26 |
$346.32
|
|
Inj vasopressin (am reg) 1 u
|
$40.24 |
$40.24 |
$40.24 |
$34.68
|
|
Inj w/fluor eval cv device
|
$412.04 |
$412.04 |
$412.04 |
$588.90
|
|
Inotuzumab ozogamicin 0.9 mg(0.25 mg/ml initial concentration) IV soln
|
$48,445.48 |
$48,445.48 |
$48,445.48 |
$45,841.00
|
|
Ins cath ren art 1st bi
|
$1,726.87 |
$1,726.87 |
$1,726.87 |
$6,033.75
|
|
Ins cath ren art 1st uni
|
$1,398.60 |
$1,398.60 |
$1,398.60 |
$4,667.63
|
|
Ins cath ren art 2nd+ bi
|
$1,882.27 |
$1,882.27 |
$1,882.27 |
$5,408.65
|
|
Ins cath ren art 2nd+ uni
|
$1,398.60 |
$1,398.60 |
$1,398.60 |
$5,528.94
|
|
Ins device for right guide open
|
$92.95 |
$92.95 |
$92.95 |
$113.62
|
|
Insert cath pleura with image
|
$1,384.99 |
$1,384.99 |
$1,384.99 |
$2,239.02
|
|
Insert cath pleura without image
|
$1,731.01 |
$1,731.01 |
$1,731.01 |
$2,212.00
|
|
Insert hepatic shunt (tips)
|
$3,233.51 |
$3,233.51 |
$3,233.51 |
$9,754.48
|
|
Insertion catheter bladder non indwelling
|
$131.43 |
$131.43 |
$131.43 |
$237.13
|
|
Insertion catheter bladder temporary simple
|
$74.60 |
$74.60 |
$74.60 |
$273.60
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$3,402.82 |
$3,402.82 |
$3,402.82 |
$4,943.21
|
|
Insertion intra aortic balloon assist device percutaneous
|
$2,447.63 |
$2,447.63 |
$2,447.63 |
$2,549.95
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$1,671.22 |
$1,671.22 |
$1,671.22 |
$7,088.54
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$868.17 |
$868.17 |
$868.17 |
$2,618.40
|
|
Insertion of catheter vein
|
$1,009.36 |
$1,009.36 |
$1,009.36 |
$1,749.80
|
|
Insertion of catheter vein
|
$627.82 |
$627.82 |
$627.82 |
$858.05
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$10,656.00 |
$10,656.00 |
$10,656.00 |
$14,158.20
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$10,656.00 |
$10,656.00 |
$10,656.00 |
$12,813.28
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$2,958.23 |
$2,958.23 |
$2,958.23 |
$9,855.00
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$1,843.20 |
$1,843.20 |
$1,843.20 |
$2,079.43
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$1,308.92 |
$1,308.92 |
$1,308.92 |
$2,527.91
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$26,545.58 |
$26,545.58 |
$26,545.58 |
$29,997.52
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$8,711.28 |
$8,711.28 |
$8,711.28 |
$7,572.47
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$1,629.78 |
$1,629.78 |
$1,629.78 |
$7,673.12
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$5,713.10 |
$5,713.10 |
$5,713.10 |
$9,793.46
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$1,805.01 |
$1,805.01 |
$1,805.01 |
$5,470.54
|
|
Insert pm/icd lead dual
|
$1,555.19 |
$1,555.19 |
$1,555.19 |
$7,562.63
|
|
Insert/repl sq defib w/eltrd
|
$23,300.53 |
$23,300.53 |
$23,300.53 |
$33,948.20
|
|
Insert sq defib electrode
|
$4,629.74 |
$4,629.74 |
$4,629.74 |
$8,167.68
|
|
Insert swan-ganz cath
|
$1,059.98 |
$1,059.98 |
$1,059.98 |
$2,164.52
|
|
Insert tunneled cv 2cath 2sits without port/pmp 36565
|
$1,805.01 |
$1,805.01 |
$1,805.01 |
$4,705.13
|
|
Insert uteri tandem/ovoids
|
$1,439.45 |
$1,439.45 |
$1,439.45 |
$3,986.00
|
|
Insert vad art access left hrt arterial access
|
$917.60 |
$917.60 |
$917.60 |
$5,062.80
|
|
Insitu hybridization auto
|
$346.32 |
$346.32 |
$346.32 |
$398.16
|
|
Insitu hybridization manual
|
$346.32 |
$346.32 |
$346.32 |
$407.11
|
|
In situ hybridization per specimen each additional single probe stain
|
$166.36 |
$166.36 |
$166.36 |
$251.55
|
|
In situ hybridization per specimen initial single probe stain
|
$83.18 |
$83.18 |
$83.18 |
$338.40
|
|
Insj phrnc nrv stim sys
|
$24,184.68 |
$24,184.68 |
$24,184.68 |
$53,251.79
|
|
Insj phrnc nrv stim transvns
|
$12,093.08 |
$12,093.08 |
$12,093.08 |
$14,544.00
|
|
Ins lv lead exist pm/icd
|
$2,517.78 |
$2,517.78 |
$2,517.78 |
$12,384.25
|
|
Ins mark abd/pel for right perq
|
$891.85 |
$891.85 |
$891.85 |
$2,070.00
|
|
Ins picad w subq port 5yr>
|
$2,156.66 |
$2,156.66 |
$2,156.66 |
$4,341.66
|
|
Ins pm gen w/exist mlt leads
|
$10,862.32 |
$10,862.32 |
$10,862.32 |
$15,600.75
|
|
Ins pq tunnld ip cath w/img
|
$4,172.72 |
$4,172.72 |
$4,172.72 |
$5,593.60
|
|
Ins/rpl ldless pm right vent w img & eval
|
$18,809.92 |
$18,809.92 |
$18,809.92 |
$24,135.54
|
|
Ins/rpl pm gen exist dual lead
|
$11,801.82 |
$11,801.82 |
$11,801.82 |
$11,593.70
|
|
Ins/rpl pm gen exist sgl lead
|
$4,552.78 |
$4,552.78 |
$4,552.78 |
$9,746.29
|
|
Ins/rpl pm w/tv ld atrl
|
$1,385.28 |
$1,385.28 |
$1,385.28 |
$12,384.25
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$32,634.00 |
$32,634.00 |
$32,634.00 |
$25,106.90
|
|
Inst fibrinolysis agent ini day
|
$733.20 |
$733.20 |
$733.20 |
$1,095.00
|
|
Inst fibrinolysis agent sbsq d
|
$733.20 |
$733.20 |
$733.20 |
$898.12
|
|
Insti hexaminolevulinate hcl
|
$2,607.24 |
$2,607.24 |
$2,607.24 |
$2,359.80
|
|
Instillation anticarcinogenic agent bladder
|
$339.81 |
$339.81 |
$339.81 |
$721.50
|
|
Ins tun cv cath wo subq prt/pm
|
$1,034.82 |
$1,034.82 |
$1,034.82 |
$4,748.00
|
|
Inst via cath agent pleurds
|
$1,260.96 |
$1,260.96 |
$1,260.96 |
$1,074.68
|
|
Insulin total
|
$21.02 |
$21.02 |
$21.02 |
$67.60
|
|
Ins vag brachytx device
|
$222.89 |
$222.89 |
$222.89 |
$909.35
|
|
Interdiscal perq aspir dx
|
$707.74 |
$707.74 |
$707.74 |
$1,222.26
|
|
Interrog dev eval icpms ip
|
$10.96 |
$10.96 |
$10.96 |
$106.80
|
|
Interrog device eval heart
|
$23.09 |
$23.09 |
$23.09 |
$150.00
|
|
Interrog evl pm/ldls pm ip
|
$45.00 |
$45.00 |
$45.00 |
$127.20
|
|
Int hrhc lig 2+hroid without img
|
$2,772.93 |
$2,772.93 |
$2,772.93 |
$2,997.10
|
|
Intra-atrial recording
|
$8,224.36 |
$8,224.36 |
$8,224.36 |
$5,707.00
|
|
Intracard echo interv w/s&i
|
$2,302.88 |
$2,302.88 |
$2,302.88 |
$3,982.59
|
|
Intracran angioplsty w/stent
|
$3,427.98 |
$3,427.98 |
$3,427.98 |
$11,364.78
|
|
Intracranial angioplasty
|
$3,012.10 |
$3,012.10 |
$3,012.10 |
$7,149.60
|
|
Intracranial complete study
|
$262.56 |
$262.56 |
$262.56 |
$883.30
|
|
Intracranial limited study
|
$125.80 |
$125.80 |
$125.80 |
$423.52
|
|
Intraventricular pacing
|
$1,597.52 |
$1,597.52 |
$1,597.52 |
$5,775.22
|
|
Intrinsic factor antibody
|
$111.00 |
$111.00 |
$111.00 |
$59.95
|
|
Intro cath dialysis circuit
|
$612.13 |
$612.13 |
$612.13 |
$2,317.80
|
|
Intro cath dialysis circuit w/pta
|
$4,370.44 |
$4,370.44 |
$4,370.44 |
$8,761.00
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$8,828.20 |
$8,828.20 |
$8,828.20 |
$15,625.00
|
|
Intro catheter aorta
|
$434.53 |
$434.53 |
$434.53 |
$1,861.61
|
|
Intro cath svc/ivc
|
$552.64 |
$552.64 |
$552.64 |
$1,350.75
|
|
Intro long gi tube
|
$333.60 |
$333.60 |
$333.60 |
$1,036.00
|
|
Intro long gi tube w/mult fluo
|
$127.88 |
$127.88 |
$127.88 |
$477.85
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$2,388.43 |
$2,388.43 |
$2,388.43 |
$3,510.75
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$1,194.36 |
$1,194.36 |
$1,194.36 |
$1,825.16
|
|
Intubation endotracheal emergency procedure
|
$174.05 |
$174.05 |
$174.05 |
$617.60
|
|
Iodine i-123 sod iodide mil
|
$2,725.87 |
$2,725.87 |
$2,725.87 |
$677.98
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$14.80 |
$14.80 |
$14.80 |
$182.21
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$74,300.07 |
$74,300.07 |
$74,300.07 |
$62,692.46
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$158.97 |
$158.97 |
$158.97 |
$203.92
|
|
Iron
|
$15.40 |
$15.40 |
$15.40 |
$70.72
|
|
Iron binding capacity
|
$95.91 |
$95.91 |
$95.91 |
$63.00
|
|
Iron dextran 50 mg/ml injection solution
|
$56.64 |
$56.64 |
$56.64 |
$73.22
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$93.53 |
$93.53 |
$93.53 |
$169.30
|
|
Irradiation of blood product each unit reference
|
$85.55 |
$85.55 |
$85.55 |
$124.24
|