|
Inj proc myelogram lumbar
|
$651.90 |
$651.90 |
$651.90 |
$859.98
|
|
Inj progesterone per 50 mg
|
$6.00 |
$6.00 |
$6.00 |
$14.93
|
|
Inj retro urethrocysto
|
$384.60 |
$384.60 |
$384.60 |
$450.00
|
|
Inj, rimabotulinumtoxinb
|
$672.44 |
$672.44 |
$672.44 |
$746.79
|
|
Inj, sezaby, 1 mg
|
$288.11 |
$288.11 |
$288.11 |
$235.85
|
|
Inj tedizolid phosphate
|
$664.72 |
$664.72 |
$664.72 |
$664.72
|
|
Inj testostero enanthate 1mg
|
$8.29 |
$8.29 |
$8.29 |
$157.81
|
|
Inj testosterone cypionate
|
$54.70 |
$54.70 |
$54.70 |
$64.80
|
|
Inj, vancomycin hcl (xellia)
|
$70.56 |
$70.56 |
$70.56 |
$85.20
|
|
Inj w/fluor eval cv device
|
$198.60 |
$198.60 |
$198.60 |
$504.40
|
|
Inotuzumab ozogamicin 0.9 mg(0.25 mg/ml initial concentration) IV soln
|
$44,026.28 |
$44,026.28 |
$44,026.28 |
$44,026.28
|
|
Ins cath ren art 1st bi
|
$5,395.20 |
$5,395.20 |
$5,395.20 |
$5,820.00
|
|
Ins cath ren art 1st uni
|
$5,395.20 |
$5,395.20 |
$5,395.20 |
$4,667.63
|
|
Ins cath ren art 2nd+ bi
|
$5,395.20 |
$5,395.20 |
$5,395.20 |
$5,475.60
|
|
Ins cath ren art 2nd+ uni
|
$5,395.20 |
$5,395.20 |
$5,395.20 |
$5,395.20
|
|
Ins cerv dilator (sep proc)
|
$261.15 |
$261.15 |
$261.15 |
$473.90
|
|
Insert and remove bone pin
|
$5,177.85 |
$5,177.85 |
$5,177.85 |
$4,421.00
|
|
Insert cath pleura with image
|
$2,414.10 |
$2,414.10 |
$2,414.10 |
$2,164.52
|
|
Insert cath pleura without image
|
$2,825.70 |
$2,825.70 |
$2,825.70 |
$2,026.58
|
|
Insert hepatic shunt (tips)
|
$4,419.15 |
$4,419.15 |
$4,419.15 |
$7,606.50
|
|
Insertion catheter bladder non indwelling
|
$205.20 |
$205.20 |
$205.20 |
$207.00
|
|
Insertion catheter bladder temporary simple
|
$188.70 |
$188.70 |
$188.70 |
$234.40
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$4,035.45 |
$4,035.45 |
$4,035.45 |
$4,747.60
|
|
Insertion intra aortic balloon assist device percutaneous
|
$1,803.15 |
$1,803.15 |
$1,803.15 |
$2,565.36
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$8,028.15 |
$8,028.15 |
$8,028.15 |
$7,088.54
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$2,899.95 |
$2,899.95 |
$2,899.95 |
$2,523.30
|
|
Insertion of catheter vein
|
$1,953.90 |
$1,953.90 |
$1,953.90 |
$1,657.32
|
|
Insertion of catheter vein
|
$1,241.85 |
$1,241.85 |
$1,241.85 |
$856.80
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$18,985.80 |
$18,985.80 |
$18,985.80 |
$12,843.00
|
|
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 |
$10,309.20
|
|
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/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$51,832.80 |
$51,832.80 |
$51,832.80 |
$29,042.52
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$9,426.60 |
$9,426.60 |
$9,426.60 |
$7,388.80
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$9,426.60 |
$9,426.60 |
$9,426.60 |
$7,447.01
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$9,277.20 |
$9,277.20 |
$9,277.20 |
$9,390.55
|
|
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 pessary/other device
|
$234.30 |
$234.30 |
$234.30 |
$275.80
|
|
Insert pm/icd lead dual
|
$9,134.25 |
$9,134.25 |
$9,134.25 |
$7,312.80
|
|
Insert/repl sq defib w/eltrd
|
$32,052.60 |
$32,052.60 |
$32,052.60 |
$32,280.00
|
|
Insert sq defib electrode
|
$8,937.30 |
$8,937.30 |
$8,937.30 |
$7,792.26
|
|
Insert swan-ganz cath
|
$3,286.50 |
$3,286.50 |
$3,286.50 |
$2,327.53
|
|
Insert vad art access left hrt arterial access
|
$1,712.10 |
$1,712.10 |
$1,712.10 |
$4,504.50
|
|
Insitu hybridization manual
|
$318.00 |
$318.00 |
$318.00 |
$398.16
|
|
In situ hybridization per specimen each additional single probe stain
|
$587.70 |
$587.70 |
$587.70 |
$243.00
|
|
In situ hybridization per specimen initial single probe stain
|
$353.40 |
$353.40 |
$353.40 |
$337.20
|
|
Ins lv lead exist pm/icd
|
$33,423.45 |
$33,423.45 |
$33,423.45 |
$12,384.25
|
|
Ins pm gen exist dual lead
|
$42,952.50 |
$42,952.50 |
$42,952.50 |
$24,530.99
|
|
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/rpl pm gen exist dual lead
|
$14,063.40 |
$14,063.40 |
$14,063.40 |
$11,412.00
|
|
Ins/rpl pm gen exist sgl lead
|
$13,247.55 |
$13,247.55 |
$13,247.55 |
$9,705.00
|
|
Ins/rpl pm w/tv ld atrl
|
$15,654.45 |
$15,654.45 |
$15,654.45 |
$11,969.00
|
|
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 |
$4,218.00
|
|
Ins tun intraperit dia cath
|
$3,880.20 |
$3,880.20 |
$3,880.20 |
$4,657.46
|
|
Insulin total
|
$22.14 |
$22.14 |
$22.14 |
$66.64
|
|
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm
|
$5,124.80 |
$5,124.80 |
$5,124.80 |
$8,658.35
|
|
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 |
$3,803.11
|
|
Interdiscal perq aspir dx
|
$830.10 |
$830.10 |
$830.10 |
$1,212.50
|
|
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 |
$5,115.57
|
|
Interrog dev eval scrms ip
|
$88.50 |
$88.50 |
$88.50 |
$124.80
|
|
Intracard echo interv w/s&i
|
$7,396.05 |
$7,396.05 |
$7,396.05 |
$3,461.04
|
|
Intracranial complete study
|
$1,288.35 |
$1,288.35 |
$1,288.35 |
$884.74
|
|
Intraoral i+d tongue/floor lingual 41000
|
$1,536.00 |
$1,536.00 |
$1,536.00 |
$1,361.25
|
|
Intrapul surf admin endo tube
|
$155.55 |
$155.55 |
$155.55 |
$222.28
|
|
Intrinsic factor antibody
|
$157.80 |
$157.80 |
$157.80 |
$64.20
|
|
Intro cath dialysis circuit
|
$1,545.15 |
$1,545.15 |
$1,545.15 |
$2,043.30
|
|
Intro cath dialysis circuit w/pta
|
$9,720.45 |
$9,720.45 |
$9,720.45 |
$8,690.50
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$11,787.75 |
$11,787.75 |
$11,787.75 |
$15,640.00
|
|
Intro catheter aorta
|
$1,654.05 |
$1,654.05 |
$1,654.05 |
$1,678.05
|
|
Intro cath svc/ivc
|
$1,572.75 |
$1,572.75 |
$1,572.75 |
$1,346.13
|
|
Intro long gi tube
|
$669.90 |
$669.90 |
$669.90 |
$957.18
|
|
Intro long gi tube w/mult fluo
|
$383.10 |
$383.10 |
$383.10 |
$457.60
|
|
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 |
$3,472.95
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$7,840.80 |
$7,840.80 |
$7,840.80 |
$1,764.10
|
|
Intubation endotracheal emergency procedure
|
$539.85 |
$539.85 |
$539.85 |
$600.00
|
|
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 |
$288.11
|
|
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 |
$171.37
|
|
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 |
$75.26
|
|
Iron binding capacity
|
$255.15 |
$255.15 |
$255.15 |
$63.84
|
|
Iron dextran 50 mg/ml injection solution
|
$44.75 |
$44.75 |
$44.75 |
$79.47
|
|
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 |
$117.60
|
|
Irrigation implantable venous access device for drug delivery systems
|
$72.15 |
$72.15 |
$72.15 |
$143.00
|
|
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 |
$192.40
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$61.50 |
$61.50 |
$61.50 |
$160.05
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$59.70 |
$59.70 |
$59.70 |
$154.00
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$449.55 |
$449.55 |
$449.55 |
$444.49
|