|
Ins pm gen w/exist mlt leads
|
$16,463.38 |
$16,463.38 |
$16,463.38 |
$14,804.40
|
|
Ins pq tunnld ip cath w/img
|
$5,597.45 |
$5,597.45 |
$5,597.45 |
$5,486.00
|
|
Ins/rplc spi npg/rcvr pocket
|
$29,286.38 |
$29,286.38 |
$29,286.38 |
$24,061.80
|
|
Ins/rpl ldless pm right vent w img & eval
|
$26,661.60 |
$26,661.60 |
$26,661.60 |
$24,135.54
|
|
Ins/rpl pm gen exist dual lead
|
$10,930.91 |
$10,930.91 |
$10,930.91 |
$11,198.55
|
|
Ins/rpl pm gen exist sgl lead
|
$11,030.18 |
$11,030.18 |
$11,030.18 |
$9,558.78
|
|
Ins/rpl pm w/tv ld atrl
|
$14,874.40 |
$14,874.40 |
$14,874.40 |
$11,583.66
|
|
Ins/rpl prph sac/gstr npg/r
|
$14,695.12 |
$14,695.12 |
$14,695.12 |
$18,129.80
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$40,831.56 |
$40,831.56 |
$40,831.56 |
$27,318.11
|
|
Insrt/redo neurostim 1 array
|
$14,695.12 |
$14,695.12 |
$14,695.12 |
$21,817.60
|
|
Ins subq extnsn pertneal cath
|
$2,479.93 |
$2,479.93 |
$2,479.93 |
$2,479.93
|
|
Install spinal shunt 63741
|
$8,480.07 |
$8,480.07 |
$8,480.07 |
$7,181.20
|
|
Inst fibrinolysis agent ini day
|
$1,110.55 |
$1,110.55 |
$1,110.55 |
$1,043.35
|
|
Inst fibrinolysis agent sbsq d
|
$840.48 |
$840.48 |
$840.48 |
$997.05
|
|
Insti hexaminolevulinate hcl
|
$2,359.80 |
$2,359.80 |
$2,359.80 |
$2,356.80
|
|
Instillation anticarcinogenic agent bladder
|
$783.25 |
$783.25 |
$783.25 |
$645.01
|
|
Instll rx agnt into rnal tub
|
$289.21 |
$289.21 |
$289.21 |
$619.20
|
|
Ins tun cvad 2 cath w/subq port(s)
|
$6,218.89 |
$6,218.89 |
$6,218.89 |
$7,826.00
|
|
Ins tun cv cath wo subq prt/pm
|
$3,976.97 |
$3,976.97 |
$3,976.97 |
$5,324.80
|
|
Ins tun cv cath wo subq prt/pm
|
$4,396.60 |
$4,396.60 |
$5,390.27 |
$4,218.00
|
|
Ins tun intraperit dia cath
|
$3,304.35 |
$3,304.35 |
$3,304.35 |
$4,570.00
|
|
Inst via cath agent pleurds
|
$1,074.68 |
$1,074.68 |
$1,074.68 |
$1,074.68
|
|
Insulin total
|
$102.96 |
$102.96 |
$217.64 |
$66.64
|
|
Ins vag brachytx device
|
$1,162.67 |
$1,162.67 |
$1,162.67 |
$950.00
|
|
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm
|
$6,589.80 |
$6,589.80 |
$6,589.80 |
$8,629.72
|
|
Integra os putty 2.5cc - cost per 0.5cc
|
$817.20 |
$817.20 |
$817.20 |
$3,803.11
|
|
Intens behave ther cardio dx
|
$36.22 |
$36.22 |
$36.22 |
$47.60
|
|
Interdental fixation
|
$1,809.68 |
$1,809.68 |
$1,809.68 |
$2,133.48
|
|
Interdental wirg oth/thn fx
|
$1,809.68 |
$1,809.68 |
$1,809.68 |
$1,944.80
|
|
Interdiscal perq aspir dx
|
$1,518.79 |
$1,518.79 |
$1,518.79 |
$1,222.26
|
|
Interferon alfa-2b inj
|
$30.78 |
$30.78 |
$2,795.70 |
$1,409.92
|
|
Interfyl, 1 mg
|
$9.08 |
$9.08 |
$9.08 |
$4,656.80
|
|
Intermediate visual field xm
|
$182.24 |
$182.24 |
$182.24 |
$112.80
|
|
Internal nerve revision 64727
|
$2,272.07 |
$2,272.07 |
$2,272.07 |
$806.00
|
|
Interphalangeal joint spacer
|
$2,541.00 |
$2,541.00 |
$2,541.00 |
$3,190.20
|
|
Interrogate subq defib
|
$154.90 |
$154.90 |
$154.90 |
$119.60
|
|
Interrogation vad in person
|
$301.98 |
$301.98 |
$301.98 |
$296.40
|
|
Interrog dev eval icpms ip
|
$137.72 |
$137.72 |
$137.72 |
$104.00
|
|
Interrog dev eval scrms ip
|
$259.93 |
$259.93 |
$259.93 |
$124.80
|
|
Interrog device eval heart
|
$230.90 |
$230.90 |
$230.90 |
$162.40
|
|
Interrog evl pm/ldls pm ip
|
$189.76 |
$189.76 |
$189.76 |
$127.20
|
|
Interstitial brachy inter
|
$1,540.47 |
$1,540.47 |
$1,540.47 |
$1,194.42
|
|
Int hrhc lig 1 hroid without img
|
$2,814.00 |
$2,814.00 |
$2,814.00 |
$3,491.25
|
|
Int hrhc lig 2+hroid without img
|
$1,727.16 |
$1,727.16 |
$1,727.16 |
$3,245.23
|
|
Intra-atrial pacing
|
$998.18 |
$998.18 |
$4,251.46 |
$4,865.25
|
|
Intra-atrial recording
|
$4,251.46 |
$4,251.46 |
$4,251.46 |
$5,252.30
|
|
Intracard echo interv w/s&i
|
$6,664.16 |
$6,664.16 |
$6,664.16 |
$3,436.00
|
|
Intracran angioplsty w/stent
|
$7,440.70 |
$7,440.70 |
$7,440.70 |
$8,257.80
|
|
Intracranial angioplasty
|
$2,629.99 |
$2,629.99 |
$2,629.99 |
$5,181.00
|
|
Intracranial complete study
|
$687.43 |
$687.43 |
$687.43 |
$881.50
|
|
Intracranial limited study
|
$398.34 |
$398.34 |
$398.34 |
$467.50
|
|
Intranasal biopsy 30100
|
$1,583.14 |
$1,583.14 |
$1,583.14 |
$2,282.50
|
|
Intranasal reconstruction
|
$5,421.47 |
$5,421.47 |
$5,421.47 |
$5,741.00
|
|
Intraop colon lavage add-on
|
$563.84 |
$563.84 |
$563.84 |
$416.80
|
|
Intraop epicard/endocard/pace/map/ 93631
|
$5,340.39 |
$5,340.39 |
$5,340.39 |
$3,514.20
|
|
Intraoral i+d tongue/floor lingual 41000
|
$1,682.20 |
$1,682.20 |
$1,682.20 |
$1,331.45
|
|
Intrapul surf admin endo tube
|
$274.29 |
$274.29 |
$415.83 |
$220.80
|
|
Intrauterine transfusion ftl
|
$740.24 |
$740.24 |
$740.24 |
$1,021.15
|
|
Intraventricular pacing
|
$998.18 |
$998.18 |
$4,251.46 |
$5,456.17
|
|
Intrinsic factor antibody
|
$61.73 |
$61.73 |
$109.27 |
$66.60
|
|
Intrm oph exam est patient
|
$196.23 |
$196.23 |
$196.23 |
$152.50
|
|
Intro cath dialysis circuit
|
$3,395.54 |
$3,395.54 |
$3,395.54 |
$2,043.30
|
|
Intro cath dialysis circuit w/pta
|
$14,186.89 |
$14,186.89 |
$14,186.89 |
$8,761.00
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$20,749.61 |
$20,749.61 |
$20,749.61 |
$16,275.00
|
|
Intro catheter aorta
|
$442.53 |
$442.53 |
$1,634.05 |
$1,678.05
|
|
Intro cath svc/ivc
|
$462.82 |
$462.82 |
$2,165.96 |
$1,329.90
|
|
Intro long gi tube
|
$930.31 |
$930.31 |
$930.31 |
$995.78
|
|
Intro long gi tube w/mult fluo
|
$174.95 |
$174.95 |
$613.81 |
$469.00
|
|
Intro windpipe wire/tube
|
$1,389.89 |
$1,389.89 |
$1,389.89 |
$2,447.43
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$4,393.34 |
$4,393.34 |
$4,393.34 |
$3,472.95
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$526.65 |
$526.65 |
$526.65 |
$1,801.10
|
|
Intubation endotracheal emergency procedure
|
$898.45 |
$898.45 |
$898.45 |
$601.28
|
|
Io anal gast n-stim init
|
$2,335.79 |
$2,335.79 |
$2,335.79 |
$341.60
|
|
Io anal gast n-stim subsq
|
$146.38 |
$146.38 |
$146.38 |
$146.38
|
|
Io ga n-stim subsq w/reprog
|
$210.82 |
$210.82 |
$210.82 |
$187.43
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$25.19 |
$25.19 |
$165.67 |
$165.67
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$2.56 |
$2.56 |
$402.57 |
$277.17
|
|
Io radiation tx management
|
$428.12 |
$428.12 |
$428.12 |
$593.60
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$62,692.46 |
$62,692.46 |
$62,692.46 |
$62,692.46
|
|
Ipratropium bromide comp
|
$7.34 |
$7.34 |
$7.34 |
$2.40
|
|
Ipratropium bromide non-comp
|
$0.97 |
$0.97 |
$0.97 |
$4.06
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$152.40 |
$152.40 |
$254.59 |
$173.98
|
|
Iron
|
$91.76 |
$91.76 |
$123.39 |
$74.75
|
|
Iron binding capacity
|
$89.65 |
$89.65 |
$166.58 |
$63.84
|
|
Iron dextran 50 mg/ml injection solution
|
$20.11 |
$20.11 |
$144.63 |
$81.70
|
|
Iron stain peripheral blood
|
$78.70 |
$78.70 |
$78.70 |
$30.55
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$2.33 |
$2.33 |
$187.06 |
$187.06
|
|
Irradiation of blood product each unit reference
|
$127.49 |
$127.49 |
$127.49 |
$115.48
|
|
Irrigation implantable venous access device for drug delivery systems
|
$144.62 |
$144.62 |
$186.58 |
$146.11
|
|
Irrigation syringe
|
$3.60 |
$3.60 |
$3.60 |
$3.60
|
|
Irrigation vagina and/or appl medicament tx disease
|
$167.90 |
$167.90 |
$167.90 |
$132.00
|
|
Island pedicle flap graft
|
$2,363.04 |
$2,363.04 |
$2,363.04 |
$2,468.80
|
|
Ivc venogram s&i
|
$3,115.24 |
$3,115.24 |
$7,189.45 |
$3,341.00
|
|
IV Fluids (each additional hour)
|
$197.44 |
$197.44 |
$241.37 |
$133.90
|
|
IV Fluids (first hour)
|
$389.37 |
$389.37 |
$527.15 |
$390.00
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$300.32 |
$300.32 |
$362.03 |
$162.00
|
|
IV inj ra drug dx study
|
$748.44 |
$748.44 |
$748.44 |
$567.00
|
|
IV Medicine Infusion (additional drug)
|
$197.44 |
$197.44 |
$230.40 |
$191.75
|
|
IV Medicine Infusion (each additional hour)
|
$197.44 |
$197.44 |
$228.07 |
$154.00
|
|
IV Medicine Infusion (first hour)
|
$389.37 |
$389.37 |
$590.25 |
$441.75
|
