|
Ins tun cvad 2 cath w/subq port(s)
|
$1,899.10 |
$1,899.10 |
$6,396.57 |
$7,826.00
|
|
Ins tun cv cath wo subq prt/pm
|
$851.20 |
$851.20 |
$6,136.52 |
$5,324.80
|
|
Ins tun cv cath wo subq prt/pm
|
$570.85 |
$570.85 |
$5,078.21 |
$4,218.00
|
|
Ins tun intraperit dia cath
|
$2,093.53 |
$2,093.53 |
$3,115.67 |
$4,570.00
|
|
Inst via cath agent pleurds
|
$1,205.80 |
$1,205.80 |
$1,205.80 |
$1,074.68
|
|
Insulin total
|
$37.98 |
$37.98 |
$127.41 |
$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 meshed bil wound mat
|
$24,354.93 |
$24,354.93 |
$24,354.93 |
$9,924.16
|
|
Integra os putty 2.5cc - cost per 0.5cc
|
$817.20 |
$817.20 |
$9,244.90 |
$3,803.11
|
|
Intens behave ther cardio dx
|
$5.95 |
$5.95 |
$38.70 |
$47.60
|
|
Interdental fixation
|
$2,052.18 |
$2,052.18 |
$2,052.18 |
$2,133.48
|
|
Interdental wirg oth/thn fx
|
$1,809.68 |
$1,809.68 |
$1,809.68 |
$1,944.80
|
|
Interdiscal perq aspir dx
|
$1,597.80 |
$1,597.80 |
$1,597.80 |
$1,222.26
|
|
Interferon alfa-2b inj
|
$2,795.70 |
$2,795.70 |
$2,795.70 |
$1,409.92
|
|
Interfyl, 1 mg
|
$9.08 |
$9.08 |
$9.08 |
$4,656.80
|
|
Intermediate visual field xm
|
$192.45 |
$192.45 |
$192.45 |
$112.80
|
|
Internal nerve revision 64727
|
$1,631.89 |
$1,631.89 |
$1,631.89 |
$806.00
|
|
Interphalangeal joint spacer
|
$2,541.00 |
$2,541.00 |
$2,541.00 |
$3,190.20
|
|
Interrogate subq defib
|
$13.48 |
$13.48 |
$187.04 |
$119.60
|
|
Interrogation vad in person
|
$358.49 |
$358.49 |
$358.49 |
$296.40
|
|
Interrog dev eval icpms ip
|
$7.18 |
$7.18 |
$77.49 |
$104.00
|
|
Interrog dev eval scrms ip
|
$279.11 |
$279.11 |
$279.11 |
$124.80
|
|
Interrog device eval heart
|
$14.88 |
$14.88 |
$285.12 |
$162.40
|
|
Interrog evl pm/ldls pm ip
|
$234.32 |
$234.32 |
$234.32 |
$127.20
|
|
Interstitial brachy inter
|
$564.90 |
$564.90 |
$1,540.47 |
$1,194.42
|
|
Int hrhc lig 1 hroid without img
|
$2,954.70 |
$2,954.70 |
$2,954.70 |
$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
|
$1,156.93 |
$1,156.93 |
$3,566.83 |
$4,865.25
|
|
Intra-atrial recording
|
$1,156.93 |
$1,156.93 |
$3,501.94 |
$5,252.30
|
|
Intracard echo interv w/s&i
|
$1,997.80 |
$1,997.80 |
$7,593.44 |
$3,436.00
|
|
Intracran angioplsty w/stent
|
$1,763.13 |
$1,763.13 |
$8,035.96 |
$8,257.80
|
|
Intracranial angioplasty
|
$1,680.35 |
$1,680.35 |
$2,629.99 |
$5,181.00
|
|
Intracranial complete study
|
$1,308.50 |
$1,308.50 |
$1,308.50 |
$881.50
|
|
Intracranial limited study
|
$423.52 |
$423.52 |
$423.52 |
$467.50
|
|
Intranasal biopsy 30100
|
$30.80 |
$30.80 |
$1,552.11 |
$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
|
$345.10 |
$345.10 |
$1,981.79 |
$1,331.45
|
|
Intrapul surf admin endo tube
|
$296.29 |
$296.29 |
$296.29 |
$220.80
|
|
Intrauterine transfusion ftl
|
$740.24 |
$740.24 |
$740.24 |
$1,021.15
|
|
Intraventricular pacing
|
$1,156.93 |
$1,156.93 |
$5,456.17 |
$5,456.17
|
|
Intrinsic factor antibody
|
$25.20 |
$25.20 |
$115.97 |
$66.60
|
|
Intrm oph exam est patient
|
$196.23 |
$196.23 |
$196.23 |
$152.50
|
|
Intro cath dialysis circuit
|
$2,397.50 |
$2,397.50 |
$3,809.00 |
$2,043.30
|
|
Intro cath dialysis circuit w/pta
|
$8,559.08 |
$8,559.08 |
$9,712.25 |
$8,761.00
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$16,470.83 |
$16,470.83 |
$22,824.58 |
$16,275.00
|
|
Intro catheter aorta
|
$988.48 |
$988.48 |
$1,028.48 |
$1,678.05
|
|
Intro cath svc/ivc
|
$417.38 |
$417.38 |
$1,885.85 |
$1,329.90
|
|
Intro long gi tube
|
$278.08 |
$278.08 |
$865.47 |
$995.78
|
|
Intro long gi tube w/mult fluo
|
$190.75 |
$190.75 |
$644.50 |
$469.00
|
|
Intro windpipe wire/tube
|
$970.84 |
$970.84 |
$970.84 |
$2,447.43
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$898.10 |
$898.10 |
$4,393.34 |
$3,472.95
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$565.51 |
$565.51 |
$985.43 |
$1,801.10
|
|
Intubation endotracheal emergency procedure
|
$190.58 |
$190.58 |
$558.11 |
$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
|
$158.09 |
$158.09 |
$158.09 |
$146.38
|
|
Iodine i-123 sod iodide mil
|
$3.15 |
$3.15 |
$3.15 |
$386.37
|
|
Io ga n-stim subsq w/reprog
|
$237.08 |
$237.08 |
$237.08 |
$187.43
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$4.20 |
$4.20 |
$165.67 |
$165.67
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$17.65 |
$17.65 |
$402.57 |
$277.17
|
|
Io radiation tx management
|
$428.12 |
$428.12 |
$428.12 |
$593.60
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$1,255.41 |
$1,255.41 |
$62,692.46 |
$62,692.46
|
|
Ipratropium bromide comp
|
$1.05 |
$1.05 |
$7.34 |
$2.40
|
|
Ipratropium bromide non-comp
|
$0.53 |
$0.53 |
$0.97 |
$4.06
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$1.69 |
$1.69 |
$152.40 |
$173.98
|
|
Iron
|
$31.50 |
$31.50 |
$70.72 |
$74.75
|
|
Iron binding capacity
|
$30.28 |
$30.28 |
$100.85 |
$63.84
|
|
Iron dextran 50 mg/ml injection solution
|
$4.76 |
$4.76 |
$144.63 |
$81.70
|
|
Iron stain peripheral blood
|
$81.06 |
$81.06 |
$81.06 |
$30.55
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$5.22 |
$5.22 |
$187.06 |
$187.06
|
|
Irradiation of blood product each unit reference
|
$64.05 |
$64.05 |
$127.49 |
$115.48
|
|
Irrigation implantable venous access device for drug delivery systems
|
$51.45 |
$51.45 |
$192.35 |
$146.11
|
|
Irrigation syringe
|
$3.60 |
$3.60 |
$3.60 |
$3.60
|
|
Irrigation vagina and/or appl medicament tx disease
|
$171.26 |
$171.26 |
$171.26 |
$132.00
|
|
Island pedicle flap graft
|
$2,363.04 |
$2,363.04 |
$2,363.04 |
$2,468.80
|
|
Ivc venogram s&i
|
$945.53 |
$945.53 |
$3,469.82 |
$3,341.00
|
|
IV Fluids (each additional hour)
|
$61.43 |
$61.43 |
$200.22 |
$133.90
|
|
IV Fluids (first hour)
|
$146.48 |
$146.48 |
$558.06 |
$390.00
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$102.73 |
$102.73 |
$240.85 |
$162.00
|
|
IV inj ra drug dx study
|
$748.44 |
$748.44 |
$748.44 |
$567.00
|
|
IV Medicine Infusion (additional drug)
|
$84.35 |
$84.35 |
$243.30 |
$191.75
|
|
IV Medicine Infusion (each additional hour)
|
$62.65 |
$62.65 |
$208.30 |
$154.00
|
|
IV Medicine Infusion (first hour)
|
$146.48 |
$146.48 |
$506.74 |
$441.75
|
|
IV njx tst vasc flo flap/grf
|
$196.94 |
$196.94 |
$196.94 |
$476.00
|
|
IV Push Injection (each additional drug)
|
$103.25 |
$103.25 |
$240.88 |
$166.80
|
|
IV Push Injection (first drug)
|
$247.45 |
$247.45 |
$304.45 |
$254.52
|
|
Ivp w/nephrotomography
|
$673.90 |
$673.90 |
$673.90 |
$729.00
|
|
Ivp w/wo kub w/wo tomography
|
$191.98 |
$191.98 |
$823.10 |
$713.40
|
|
Ixabepilone 15 mg intravenous solution
|
$10,695.32 |
$10,695.32 |
$10,695.32 |
$10,695.32
|
|
Jak2 targeted sequence analysis
|
$378.30 |
$378.30 |
$378.30 |
$405.00
|
|
Jaw arthroscopy/surgery
|
$4,913.60 |
$4,913.60 |
$4,913.60 |
$4,350.00
|
|
Jaw arthroscopy/surgery
|
$5,669.53 |
$5,669.53 |
$5,669.53 |
$4,499.12
|
|
Jaw Joint (TMJ) X-ray (both sides, open and closed)
|
$72.80 |
$72.80 |
$268.76 |
$330.05
|
|
Jaw (Mandible) X-ray (complete)
|
$148.05 |
$148.05 |
$361.61 |
$362.05
|
|
Jejunstmy tube plcmt
|
$1,938.30 |
$1,938.30 |
$1,938.30 |
$2,174.40
|
|
John cunningham antibody
|
$184.84 |
$184.84 |
$184.84 |
$78.60
|
|
J-tube placement
|
$99.75 |
$99.75 |
$99.75 |
$593.08
|
|
Keratoprosthesis
|
$9,103.00 |
$9,103.00 |
$9,103.00 |
$10,476.00
|
