|
Inst fibrinolysis agent ini day
|
$1,036.05 |
$1,036.05 |
$1,140.62 |
$1,036.05
|
|
Inst fibrinolysis agent sbsq d
|
$898.12 |
$898.12 |
$898.12 |
$972.00
|
|
Insti hexaminolevulinate hcl
|
$2,359.80 |
$2,359.80 |
$2,359.80 |
$2,356.80
|
|
Instillation anticarcinogenic agent bladder
|
$358.00 |
$358.00 |
$579.03 |
$645.01
|
|
Instill, bupivac and meloxic
|
$637.01 |
$637.01 |
$637.01 |
$687.60
|
|
Instll rx agnt into rnal tub
|
$755.39 |
$755.39 |
$755.39 |
$619.20
|
|
Ins tun cvad 2 cath w/subq port(s)
|
$6,396.57 |
$6,396.57 |
$10,115.70 |
$7,826.00
|
|
Ins tun cv cath wo subq prt/pm
|
$2,861.97 |
$2,861.97 |
$2,861.97 |
$5,324.80
|
|
Ins tun cv cath wo subq prt/pm
|
$3,045.90 |
$4,812.07 |
$10,213.16 |
$4,218.00
|
|
Ins tun intraperit dia cath
|
$4,657.46 |
$4,657.46 |
$4,657.46 |
$4,570.00
|
|
Inst via cath agent pleurds
|
$1,137.05 |
$1,137.05 |
$1,137.05 |
$1,074.68
|
|
Insulin total
|
$8.00 |
$22.14 |
$1,368.27 |
$66.64
|
|
Ins vag brachytx device
|
$967.24 |
$967.24 |
$967.24 |
$950.00
|
|
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm
|
$1,698.00 |
$1,698.00 |
$8,629.72 |
$8,629.72
|
|
Integra meshed bil wound mat
|
$486.69 |
$486.69 |
$486.69 |
$9,924.16
|
|
Integra os putty 2.5cc - cost per 0.5cc
|
$4,440.00 |
$4,440.00 |
$4,440.00 |
$3,803.11
|
|
Intens cardiac rehab no exer
|
$647.49 |
$647.49 |
$647.49 |
$238.40
|
|
Intens cardiac rehab w/exerc
|
$647.49 |
$647.49 |
$647.49 |
$238.40
|
|
Interdental fixation
|
$3,309.03 |
$3,309.03 |
$3,309.03 |
$2,133.48
|
|
Interdental wirg oth/thn fx
|
$3,241.68 |
$3,241.68 |
$3,241.68 |
$1,965.54
|
|
Interdiscal perq aspir dx
|
$830.10 |
$830.10 |
$1,732.40 |
$1,222.26
|
|
Interferon alfa-2b inj
|
$1,409.92 |
$1,409.92 |
$2,795.70 |
$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 |
$11,838.45 |
$10,427.90
|
|
Interferon beta-1b / .25 mg
|
$289.67 |
$289.67 |
$3,837.02 |
$1,662.71
|
|
Interferon gamma 1-b inj
|
$49,676.36 |
$49,676.36 |
$49,676.36 |
$9,879.00
|
|
Interfyl, 1 mg
|
$9.08 |
$9.08 |
$5,659.20 |
$4,656.80
|
|
Interphalangeal joint spacer
|
$2,541.00 |
$2,541.00 |
$2,541.00 |
$3,190.20
|
|
Interrogate subq defib
|
$155.53 |
$155.53 |
$249.84 |
$119.60
|
|
Interrogation vad in person
|
$385.29 |
$385.29 |
$385.29 |
$296.40
|
|
Interrog dev eval icpms ip
|
$83.50 |
$83.50 |
$284.68 |
$104.00
|
|
Interrog dev eval scrms ip
|
$217.94 |
$217.94 |
$252.87 |
$124.80
|
|
Interrog device eval heart
|
$247.93 |
$247.93 |
$249.84 |
$162.40
|
|
Interrog evl pm/ldls pm ip
|
$70.95 |
$252.87 |
$383.00 |
$127.20
|
|
Interstitial brachy inter
|
$1,244.40 |
$1,244.40 |
$1,244.40 |
$1,194.42
|
|
Intra-atrial pacing
|
$122.00 |
$122.00 |
$10,164.90 |
$4,850.82
|
|
Intra-atrial recording
|
$2,345.00 |
$2,345.00 |
$5,252.30 |
$5,252.30
|
|
Intracard echo interv w/s&i
|
$5,320.98 |
$5,801.50 |
$7,584.78 |
$3,436.00
|
|
Intracran angioplsty w/stent
|
$12,038.64 |
$12,038.64 |
$18,920.25 |
$8,145.50
|
|
Intracranial angioplasty
|
$4,865.26 |
$4,865.26 |
$12,849.75 |
$5,099.25
|
|
Intracranial complete study
|
$1,122.00 |
$1,122.00 |
$1,308.50 |
$881.50
|
|
Intracranial limited study
|
$418.44 |
$819.00 |
$1,144.35 |
$467.50
|
|
Intraop epicard/endocard/pace/map/ 93631
|
$5,904.00 |
$5,904.00 |
$17,368.21 |
$3,690.00
|
|
Intraoral i+d tongue/floor lingual 41000
|
$1,536.00 |
$1,536.00 |
$1,568.50 |
$1,331.45
|
|
Intrapul surf admin endo tube
|
$95.50 |
$155.55 |
$418.75 |
$220.80
|
|
Intrauterine transfusion ftl
|
$589.35 |
$589.35 |
$589.35 |
$1,063.50
|
|
Intraventricular pacing
|
$4,127.00 |
$4,127.00 |
$5,976.77 |
$5,456.17
|
|
Intrinsic factor antibody
|
$12.50 |
$109.27 |
$1,042.33 |
$65.00
|
|
Intro cath dialysis circuit
|
$1,545.15 |
$3,194.63 |
$5,816.62 |
$2,037.75
|
|
Intro cath dialysis circuit w/pta
|
$9,720.45 |
$12,316.55 |
$41,012.94 |
$8,717.80
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$11,787.75 |
$28,837.03 |
$82,890.17 |
$16,262.40
|
|
Intro catheter aorta
|
$1,654.05 |
$1,654.05 |
$2,597.66 |
$1,678.05
|
|
Intro cath svc/ivc
|
$1,572.75 |
$1,572.75 |
$2,077.20 |
$1,329.90
|
|
Intro long gi tube
|
$669.90 |
$669.90 |
$1,036.00 |
$990.00
|
|
Intro long gi tube w/mult fluo
|
$383.10 |
$608.50 |
$1,224.32 |
$469.00
|
|
Intro windpipe wire/tube
|
$1,584.00 |
$1,584.00 |
$1,584.00 |
$2,447.43
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$5,505.46 |
$5,505.46 |
$7,840.80 |
$3,472.95
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$4,360.00 |
$4,360.00 |
$7,840.80 |
$1,801.10
|
|
Intubation endotracheal emergency procedure
|
$539.85 |
$539.85 |
$707.89 |
$601.28
|
|
Io anal gast n-stim subsq
|
$129.56 |
$129.56 |
$129.56 |
$158.09
|
|
Iodine i-123 sod iodide mil
|
$1,871.00 |
$1,871.00 |
$1,871.00 |
$386.37
|
|
Iodine i-131 iobenguane 1mci
|
$1,635.99 |
$1,635.99 |
$1,635.99 |
$159,864.60
|
|
Io ga n-stim subsq w/reprog
|
$202.72 |
$202.72 |
$202.72 |
$187.43
|
|
Ionm in operatng room 15 min
|
$231.00 |
$231.00 |
$709.35 |
$200.78
|
|
Ionm remote/>1 pt or per hr
|
$705.64 |
$923.00 |
$2,835.15 |
$622.70
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$120.25 |
$164.75 |
$405.00 |
$165.67
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$159.75 |
$223.75 |
$402.57 |
$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)
|
$46,599.62 |
$61,235.77 |
$67,577.14 |
$62,692.46
|
|
Ipratropium bromide non-comp
|
$0.97 |
$0.97 |
$25.68 |
$4.06
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$77.27 |
$115.50 |
$17,162.87 |
$173.98
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$5,476.68 |
$5,476.68 |
$17,170.52 |
$5,517.12
|
|
Iron
|
$70.53 |
$176.00 |
$217.80 |
$74.75
|
|
Iron binding capacity
|
$78.43 |
$176.00 |
$964.88 |
$63.84
|
|
Iron dextran 50 mg/ml injection solution
|
$44.75 |
$82.25 |
$211.39 |
$80.95
|
|
Iron stain peripheral blood
|
$1,753.89 |
$1,753.89 |
$1,753.89 |
$30.55
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$142.37 |
$146.62 |
$360.95 |
$187.06
|
|
Irradiation of blood product each unit reference
|
$47.50 |
$124.24 |
$251.37 |
$115.20
|
|
Irrigation implantable venous access device for drug delivery systems
|
$72.15 |
$206.68 |
$263.00 |
$146.11
|
|
Irrigation vagina and/or appl medicament tx disease
|
$230.40 |
$230.40 |
$230.40 |
$132.00
|
|
Ivc venogram s&i
|
$2,899.95 |
$3,066.00 |
$5,641.09 |
$3,341.00
|
|
IV Fluids (each additional hour)
|
$59.70 |
$171.50 |
$190.67 |
$133.90
|
|
IV Fluids (first hour)
|
$434.50 |
$434.50 |
$488.60 |
$390.00
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$61.50 |
$171.50 |
$235.84 |
$162.00
|
|
IV inj ra drug dx study
|
$454.74 |
$2,071.50 |
$2,071.50 |
$567.00
|
|
IV Medicine Infusion (additional drug)
|
$171.50 |
$171.50 |
$394.35 |
$191.75
|
|
IV Medicine Infusion (each additional hour)
|
$59.70 |
$171.50 |
$198.34 |
$154.00
|
|
IV Medicine Infusion (first hour)
|
$434.50 |
$434.50 |
$541.27 |
$441.70
|
|
IV Push Injection (each additional drug)
|
$192.15 |
$230.50 |
$235.24 |
$166.80
|
|
IV Push Injection (first drug)
|
$192.15 |
$230.50 |
$314.60 |
$254.52
|
|
Ivp w/nephrotomography
|
$622.35 |
$673.80 |
$2,426.28 |
$734.42
|
|
Ivp w/wo kub w/wo tomography
|
$622.35 |
$756.50 |
$2,282.61 |
$713.40
|
|
Ixabepilone 15 mg intravenous solution
|
$7,666.12 |
$10,695.32 |
$11,501.78 |
$10,695.32
|
|
Jak2 targeted sequence analysis
|
$131.50 |
$131.50 |
$465.74 |
$405.00
|
|
Jaw Joint (TMJ) X-ray (both sides, open and closed)
|
$406.80 |
$442.00 |
$1,181.22 |
$330.05
|
|
Jaw (Mandible) X-ray (complete)
|
$181.22 |
$364.00 |
$1,037.56 |
$362.05
|
|
Jejunstmy tube plcmt
|
$1,138.20 |
$1,138.20 |
$2,174.40 |
$2,174.40
|
|
John cunningham antibody
|
$184.00 |
$184.00 |
$1,417.80 |
$78.00
|
|
Kafo dbl solid stirrup band/
|
$1,660.81 |
$1,660.81 |
$2,185.15 |
$2,185.15
|
|
Kafo fem fx cast molded to p
|
$2,264.75 |
$2,264.75 |
$3,130.66 |
$3,130.66
|
