|
Insertion of catheter vein
|
$152.40 |
$152.40 |
$167.64 |
$1,477.00
|
|
Insertion of catheter vein
|
$40.20 |
$40.20 |
$44.22 |
$836.25
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$3,533.70 |
$3,533.70 |
$3,887.07 |
$12,384.25
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$3,533.70 |
$3,533.70 |
$3,887.07 |
$12,384.25
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$1,081.80 |
$1,081.80 |
$1,189.98 |
$10,100.35
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$350.10 |
$350.10 |
$385.11 |
$2,079.50
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$490.20 |
$490.20 |
$539.22 |
$2,419.65
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$8,643.90 |
$8,643.90 |
$9,508.29 |
$29,042.52
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$2,618.70 |
$2,618.70 |
$2,880.57 |
$7,200.05
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$2,618.70 |
$2,618.70 |
$2,880.57 |
$7,312.80
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$2,752.20 |
$2,752.20 |
$3,027.42 |
$9,332.50
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$886.20 |
$886.20 |
$974.82 |
$5,223.20
|
|
Insert pm/icd lead dual
|
$2,618.70 |
$2,618.70 |
$2,880.57 |
$7,115.20
|
|
Insert/repl sq defib w/eltrd
|
$8,643.90 |
$8,643.90 |
$9,508.29 |
$32,800.04
|
|
Insert sq defib electrode
|
$3,532.80 |
$3,532.80 |
$3,532.80 |
$8,167.68
|
|
Insert swan-ganz cath
|
$256.80 |
$256.80 |
$282.48 |
$2,210.50
|
|
Insert vad art access left hrt arterial access
|
$1,551.00 |
$1,551.00 |
$1,706.10 |
$4,270.75
|
|
Ins icd gen exist mlt leads
|
$11,501.70 |
$11,501.70 |
$12,651.87 |
$31,286.77
|
|
Ins icd gen exist sgl lead
|
$6,228.00 |
$6,228.00 |
$6,850.80 |
$23,230.50
|
|
Insitu hybridization auto
|
$80.85 |
$80.85 |
$154.35 |
$377.37
|
|
Insitu hybridization (fish)
|
$215.49 |
$215.49 |
$411.39 |
$481.60
|
|
Insitu hybridization manual
|
$108.90 |
$108.90 |
$207.90 |
$401.28
|
|
In situ hybridization per specimen each additional single probe stain
|
$107.91 |
$107.91 |
$206.01 |
$241.15
|
|
In situ hybridization per specimen initial single probe stain
|
$137.94 |
$137.94 |
$263.34 |
$331.69
|
|
Insj perq vad r hrt venous
|
$722.70 |
$722.70 |
$794.97 |
$3,796.00
|
|
Ins lv lead exist pm/icd
|
$4,802.40 |
$4,802.40 |
$5,282.64 |
$12,384.25
|
|
Ins mark abd/pel for right perq
|
$699.93 |
$699.93 |
$699.93 |
$2,414.36
|
|
Ins picad w subq port 5yr>
|
$1,262.70 |
$1,262.70 |
$1,262.70 |
$3,985.20
|
|
Ins pm gen w/exist mlt leads
|
$6,293.70 |
$6,293.70 |
$6,923.07 |
$14,804.40
|
|
Ins pq tunnld ip cath w/img
|
$927.60 |
$927.60 |
$1,020.36 |
$5,377.00
|
|
Ins/rpl ldless pm right vent w img & eval
|
$6,441.00 |
$6,441.00 |
$7,085.10 |
$24,135.54
|
|
Ins/rpl pm gen exist dual lead
|
$3,533.70 |
$3,533.70 |
$3,887.07 |
$11,005.50
|
|
Ins/rpl pm gen exist sgl lead
|
$2,333.40 |
$2,333.40 |
$2,566.74 |
$9,428.64
|
|
Ins/rpl pm w/tv ld atrl
|
$3,533.70 |
$3,533.70 |
$3,887.07 |
$11,583.66
|
|
Inst fibrinolysis agent ini day
|
$607.20 |
$607.20 |
$667.92 |
$1,036.05
|
|
Inst fibrinolysis agent sbsq d
|
$530.10 |
$530.10 |
$530.10 |
$898.12
|
|
Instillation anticarcinogenic agent bladder
|
$293.10 |
$293.10 |
$322.41 |
$621.40
|
|
Ins tun cv cath wo subq prt/pm
|
$886.20 |
$886.20 |
$974.82 |
$4,202.70
|
|
Insulin total
|
$37.29 |
$37.29 |
$71.19 |
$66.64
|
|
Ins vag brachytx device
|
$165.00 |
$165.00 |
$181.50 |
$935.50
|
|
Intens cardiac rehab no exer
|
$79.50 |
$79.50 |
$87.45 |
$238.40
|
|
Intens cardiac rehab w/exerc
|
$79.50 |
$79.50 |
$87.45 |
$238.40
|
|
Interdiscal perq aspir dx
|
$601.80 |
$601.80 |
$661.98 |
$1,222.26
|
|
Intra-atrial pacing
|
$1,879.20 |
$1,879.20 |
$2,067.12 |
$4,780.80
|
|
Intra-atrial recording
|
$1,879.20 |
$1,879.20 |
$2,067.12 |
$5,252.30
|
|
Intracard echo interv w/s&i
|
$944.70 |
$944.70 |
$1,039.17 |
$3,461.04
|
|
Intracran angioplsty w/stent
|
$685.20 |
$685.20 |
$753.72 |
$8,145.50
|
|
Intracranial angioplasty
|
$685.20 |
$685.20 |
$753.72 |
$4,962.40
|
|
Intracranial complete study
|
$205.92 |
$205.92 |
$205.92 |
$874.99
|
|
Intracranial limited study
|
$166.98 |
$166.98 |
$166.98 |
$465.01
|
|
Intrauterine transfusion ftl
|
$138.27 |
$138.27 |
$138.27 |
$1,063.50
|
|
Intraventricular pacing
|
$1,879.20 |
$1,879.20 |
$2,067.12 |
$5,456.17
|
|
Intrinsic factor antibody
|
$22.11 |
$22.11 |
$42.21 |
$63.15
|
|
Intro cath dialysis circuit
|
$274.80 |
$274.80 |
$302.28 |
$2,036.94
|
|
Intro cath dialysis circuit w/pta
|
$1,938.90 |
$1,938.90 |
$2,132.79 |
$8,690.50
|
|
Intro catheter aorta
|
$140.40 |
$140.40 |
$154.44 |
$1,654.05
|
|
Intro cath svc/ivc
|
$140.40 |
$140.40 |
$154.44 |
$1,323.27
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$944.70 |
$944.70 |
$1,039.17 |
$3,409.29
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$944.70 |
$944.70 |
$1,039.17 |
$1,747.80
|
|
Intubation endotracheal emergency procedure
|
$108.90 |
$108.90 |
$119.79 |
$598.80
|
|
Ionm in operatng room 15 min
|
$41.70 |
$41.70 |
$45.87 |
$200.16
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$296.31 |
$296.31 |
$325.94 |
$170.06
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$974.46 |
$974.46 |
$1,071.91 |
$288.11
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$37,030.19 |
$37,030.19 |
$40,733.21 |
$62,692.46
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$338.72 |
$338.72 |
$372.59 |
$174.47
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$3,121.39 |
$3,121.39 |
$3,433.52 |
$5,517.12
|
|
Iron
|
$55.77 |
$55.77 |
$88.20 |
$72.29
|
|
Iron dextran 50 mg/ml injection solution
|
$64.96 |
$64.96 |
$71.46 |
$81.70
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$226.30 |
$226.30 |
$248.93 |
$187.06
|
|
Irradiation of blood product each unit reference
|
$8.25 |
$8.25 |
$15.75 |
$114.40
|
|
Irrigation implantable venous access device for drug delivery systems
|
$27.00 |
$27.00 |
$29.70 |
$144.62
|
|
Isatuximab-irfc 20 mg/ml intravenous solution
|
$4,447.02 |
$4,447.02 |
$4,891.72 |
$8,273.35
|
|
Ivc venogram s&i
|
$1,451.70 |
$1,451.70 |
$1,596.87 |
$3,316.95
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$33.00 |
$33.00 |
$36.30 |
$190.56
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$11.10 |
$11.10 |
$12.21 |
$159.00
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$21.60 |
$21.60 |
$23.76 |
$153.60
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$97.80 |
$97.80 |
$107.58 |
$437.45
|
|
Ivp w/nephrotomography
|
$209.55 |
$209.55 |
$209.55 |
$748.15
|
|
Ivp w/wo kub w/wo tomography
|
$190.50 |
$190.50 |
$209.55 |
$692.18
|
|
Ixabepilone 15 mg intravenous solution
|
$6,179.06 |
$6,179.06 |
$6,796.96 |
$10,695.32
|
|
Jak2 targeted sequence analysis
|
$390.60 |
$390.60 |
$390.60 |
$393.43
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$27.06 |
$27.06 |
$51.66 |
$58.50
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$5.03 |
$5.03 |
$5.53 |
$23.77
|
|
Kidney imag w/bld flow multi
|
$249.60 |
$249.60 |
$274.56 |
$1,557.41
|
|
Kidney img w/bldflw sgl without rx
|
$299.10 |
$299.10 |
$329.01 |
$1,425.00
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$87.00 |
$87.00 |
$95.70 |
$673.36
|
|
Kit case 4.2mm spinejack
|
$5,791.44 |
$5,791.44 |
$6,370.58 |
$7,751.14
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$7,050.00 |
$7,050.00 |
$7,755.00 |
$9,482.25
|
|
Kit hfx iq ipg bundle
|
$30,750.00 |
$30,750.00 |
$30,750.00 |
$34,160.00
|
|
Kit lead specify 5-6-5
|
$10,254.00 |
$10,254.00 |
$11,279.40 |
$16,965.41
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$1,102.50 |
$1,102.50 |
$1,102.50 |
$1,667.50
|
|
Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm
|
$8,824.20 |
$8,824.20 |
$8,824.20 |
$923.90
|
|
Knee MRI (with and without contrast)
|
$814.50 |
$814.50 |
$895.95 |
$3,008.26
|
|
Knee MRI (with contrast)
|
$533.10 |
$533.10 |
$586.41 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$465.30 |
$465.30 |
$511.83 |
$2,110.76
|
|
Knee X-ray
|
$126.30 |
$126.30 |
$138.93 |
$425.55
|
|
Ko w/0 joint rigid molded to
|
$338.40 |
$338.40 |
$372.24 |
$1,230.99
|
|
Lactate dehydrogenase (ldh)
|
$20.13 |
$20.13 |
$38.43 |
$55.50
|
|
Lactic acid
|
$35.64 |
$35.64 |
$68.04 |
$107.00
|
|
Lactoferrin fecal qualitative
|
$65.01 |
$65.01 |
$124.11 |
$81.00
|
