|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$18,985.80 |
$18,985.80 |
$18,985.80 |
$12,508.08
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$16,493.55 |
$16,493.55 |
$16,493.55 |
$12,384.25
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$33,423.45 |
$33,423.45 |
$33,423.45 |
$10,100.35
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$2,510.55 |
$2,510.55 |
$2,510.55 |
$2,079.43
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$2,414.10 |
$2,414.10 |
$2,414.10 |
$2,414.10
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$51,832.80 |
$51,832.80 |
$51,832.80 |
$29,146.96
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$9,426.60 |
$9,426.60 |
$9,426.60 |
$7,513.67
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$9,426.60 |
$9,426.60 |
$9,426.60 |
$7,342.20
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$9,277.20 |
$9,277.20 |
$9,277.20 |
$9,397.50
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$3,648.15 |
$3,648.15 |
$3,648.15 |
$5,236.80
|
|
Insert pm/icd lead dual
|
$9,134.25 |
$9,134.25 |
$9,134.25 |
$7,388.80
|
|
Insert/repl sq defib w/eltrd
|
$32,052.60 |
$32,052.60 |
$32,052.60 |
$33,297.72
|
|
Insert sq defib electrode
|
$8,937.30 |
$8,937.30 |
$8,937.30 |
$8,167.68
|
|
Insert swan-ganz cath
|
$3,286.50 |
$3,286.50 |
$3,286.50 |
$2,210.50
|
|
Insert vad art access left hrt arterial access
|
$1,712.10 |
$1,712.10 |
$1,712.10 |
$4,221.97
|
|
Insitu hybridization manual
|
$318.00 |
$318.00 |
$318.00 |
$388.20
|
|
In situ hybridization per specimen each additional single probe stain
|
$416.40 |
$416.40 |
$416.40 |
$243.60
|
|
In situ hybridization per specimen initial single probe stain
|
$353.40 |
$353.40 |
$353.40 |
$326.04
|
|
Ins lv lead exist pm/icd
|
$33,423.45 |
$33,423.45 |
$33,423.45 |
$12,087.24
|
|
Ins picad w subq port 5yr>
|
$3,167.85 |
$3,167.85 |
$3,167.85 |
$3,912.93
|
|
Ins pm gen exist dual lead
|
$42,952.50 |
$42,952.50 |
$42,952.50 |
$24,696.00
|
|
Ins pm gen w/exist mlt leads
|
$15,107.85 |
$15,107.85 |
$15,107.85 |
$14,804.40
|
|
Ins pq tunnld ip cath w/img
|
$5,882.10 |
$5,882.10 |
$5,882.10 |
$5,377.00
|
|
Ins/rplc spi npg/rcvr pocket
|
$24,061.80 |
$24,061.80 |
$24,061.80 |
$23,746.69
|
|
Ins/rpl ldless pm right vent w img & eval
|
$40,546.80 |
$40,546.80 |
$40,546.80 |
$23,369.00
|
|
Ins/rpl pm gen exist dual lead
|
$14,063.40 |
$14,063.40 |
$14,063.40 |
$11,408.40
|
|
Ins/rpl pm gen exist sgl lead
|
$13,247.55 |
$13,247.55 |
$13,247.55 |
$9,558.78
|
|
Ins/rpl pm w/tv ld atrl
|
$15,654.45 |
$15,654.45 |
$15,654.45 |
$12,371.40
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$40,452.30 |
$40,452.30 |
$40,452.30 |
$25,807.00
|
|
Instillation anticarcinogenic agent bladder
|
$545.55 |
$545.55 |
$545.55 |
$621.40
|
|
Instill, bupivac and meloxic
|
$637.01 |
$637.01 |
$637.01 |
$687.60
|
|
Ins tun cv cath wo subq prt/pm
|
$3,045.90 |
$3,045.90 |
$3,045.90 |
$4,202.70
|
|
Ins tun intraperit dia cath
|
$3,880.20 |
$3,880.20 |
$3,880.20 |
$4,657.46
|
|
Insulin total
|
$22.14 |
$22.14 |
$75.90 |
$66.64
|
|
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm
|
$5,124.80 |
$5,124.80 |
$5,124.80 |
$8,629.72
|
|
Integra meshed bil wound mat
|
$486.69 |
$486.69 |
$486.69 |
$9,924.00
|
|
Integra os putty 2.5cc - cost per 0.5cc
|
$4,440.00 |
$4,440.00 |
$4,440.00 |
$3,825.00
|
|
Interdiscal perq aspir dx
|
$830.10 |
$830.10 |
$830.10 |
$1,180.84
|
|
Interferon alfa-2b inj
|
$1,409.92 |
$1,409.92 |
$1,409.92 |
$1,409.92
|
|
Interferon alfa-n3 inj
|
$59.64 |
$59.64 |
$59.64 |
$59.64
|
|
Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper)
|
$4,091.60 |
$4,091.60 |
$4,091.60 |
$10,427.90
|
|
Interferon beta-1b / .25 mg
|
$289.67 |
$289.67 |
$289.67 |
$1,662.71
|
|
Interfyl, 1 mg
|
$5,659.20 |
$5,659.20 |
$5,659.20 |
$5,118.52
|
|
Interrog dev eval scrms ip
|
$88.50 |
$88.50 |
$88.50 |
$124.80
|
|
Intra-atrial pacing
|
$10,164.90 |
$10,164.90 |
$10,164.90 |
$4,683.25
|
|
Intracard echo interv w/s&i
|
$7,396.05 |
$7,396.05 |
$7,396.05 |
$3,429.40
|
|
Intracran angioplsty w/stent
|
$18,920.25 |
$18,920.25 |
$18,920.25 |
$8,440.20
|
|
Intracranial complete study
|
$1,288.35 |
$1,288.35 |
$1,288.35 |
$900.50
|
|
Intracranial limited study
|
$559.80 |
$559.80 |
$559.80 |
$444.66
|
|
Intraoral i+d tongue/floor lingual 41000
|
$1,536.00 |
$1,536.00 |
$1,536.00 |
$1,445.00
|
|
Intrapul surf admin endo tube
|
$155.55 |
$155.55 |
$155.55 |
$220.80
|
|
Intraventricular pacing
|
$4,440.30 |
$4,440.30 |
$4,440.30 |
$5,609.50
|
|
Intrinsic factor antibody
|
$157.80 |
$157.80 |
$157.80 |
$66.60
|
|
Intro cath dialysis circuit
|
$1,545.15 |
$1,545.15 |
$1,545.15 |
$2,035.00
|
|
Intro cath dialysis circuit w/pta
|
$9,720.45 |
$9,720.45 |
$9,720.45 |
$8,761.00
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$11,787.75 |
$11,787.75 |
$11,787.75 |
$15,805.00
|
|
Intro catheter aorta
|
$1,654.05 |
$1,654.05 |
$1,654.05 |
$1,654.05
|
|
Intro cath svc/ivc
|
$1,572.75 |
$1,572.75 |
$1,572.75 |
$1,329.90
|
|
Intro long gi tube
|
$669.90 |
$669.90 |
$669.90 |
$990.00
|
|
Intro long gi tube w/mult fluo
|
$383.10 |
$383.10 |
$383.10 |
$449.40
|
|
Intro windpipe wire/tube
|
$1,584.00 |
$1,584.00 |
$1,584.00 |
$2,369.76
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$7,840.80 |
$7,840.80 |
$7,840.80 |
$3,303.76
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$7,840.80 |
$7,840.80 |
$7,840.80 |
$1,633.03
|
|
Intubation endotracheal emergency procedure
|
$539.85 |
$539.85 |
$539.85 |
$589.60
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$405.00 |
$405.00 |
$405.00 |
$172.98
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$315.00 |
$315.00 |
$315.00 |
$279.10
|
|
Ioxaglate 39.3%-19.6% inj 200 ml
|
$763.50 |
$763.50 |
$763.50 |
$763.50
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$67,577.14 |
$67,577.14 |
$67,577.14 |
$62,692.46
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$77.27 |
$77.27 |
$77.27 |
$163.87
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$5,476.68 |
$5,476.68 |
$5,476.68 |
$5,476.68
|
|
Iron
|
$217.80 |
$217.80 |
$217.80 |
$74.40
|
|
Iron binding capacity
|
$255.15 |
$255.15 |
$255.15 |
$63.79
|
|
Iron dextran 50 mg/ml injection solution
|
$44.75 |
$44.75 |
$44.75 |
$80.95
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$143.26 |
$143.26 |
$143.26 |
$187.06
|
|
Irradiation of blood product each unit reference
|
$223.50 |
$223.50 |
$223.50 |
$119.83
|
|
Irrigation implantable venous access device for drug delivery systems
|
$72.15 |
$72.15 |
$72.15 |
$142.20
|
|
Ivc venogram s&i
|
$2,899.95 |
$2,899.95 |
$2,899.95 |
$3,316.95
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$394.35 |
$394.35 |
$394.35 |
$191.75
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$61.50 |
$61.50 |
$61.50 |
$157.50
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$59.70 |
$59.70 |
$59.70 |
$151.80
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$449.55 |
$449.55 |
$449.55 |
$439.56
|
|
Ivp w/nephrotomography
|
$622.35 |
$622.35 |
$622.35 |
$790.08
|
|
Ivp w/wo kub w/wo tomography
|
$622.35 |
$622.35 |
$622.35 |
$692.18
|
|
Ixabepilone 15 mg intravenous solution
|
$11,501.78 |
$11,501.78 |
$11,501.78 |
$10,695.32
|
|
Jak2 targeted sequence analysis
|
$492.00 |
$492.00 |
$492.00 |
$379.87
|
|
Jejunstmy tube plcmt
|
$1,138.20 |
$1,138.20 |
$1,138.20 |
$2,174.40
|
|
John cunningham antibody
|
$49.20 |
$49.20 |
$49.20 |
$72.60
|
|
Kafo dbl solid stirrup band/
|
$2,185.15 |
$2,185.15 |
$2,185.15 |
$2,185.15
|
|
Kafo fem fx cast molded to p
|
$3,130.66 |
$3,130.66 |
$3,130.66 |
$3,130.66
|
|
Kafo fem fx cast semi-rigid
|
$2,130.02 |
$2,130.02 |
$2,130.02 |
$2,130.02
|
|
Kafo femoral fx cast rigid
|
$2,445.29 |
$2,445.29 |
$2,445.29 |
$2,138.81
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$71.10 |
$71.10 |
$71.10 |
$60.20
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$19.68 |
$19.68 |
$19.68 |
$23.50
|
|
Kidney imag w/bld flow multi
|
$1,570.65 |
$1,570.65 |
$1,570.65 |
$1,570.65
|
|
Kidney img w/bldflw sgl without rx
|
$1,320.15 |
$1,320.15 |
$1,320.15 |
$1,427.40
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$742.20 |
$742.20 |
$742.20 |
$666.00
|
|
Kit case 4.2mm spinejack
|
$9,996.00 |
$9,996.00 |
$9,996.00 |
$7,751.14
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$11,280.00 |
$11,280.00 |
$11,280.00 |
$9,482.25
|
|
Kit gene analys d816 variant
|
$162.00 |
$162.00 |
$162.00 |
$374.61
|
|
Kit hfx iq ipg bundle
|
$30,006.00 |
$30,006.00 |
$30,006.00 |
$30,006.00
|