|
Ins mark thor for right perq
|
$2,477.45 |
$2,477.45 |
$2,477.45 |
$2,503.80
|
|
Ins picad w subq port 5yr>
|
$3,912.93 |
$3,912.93 |
$3,912.93 |
$4,078.00
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$3,785.62 |
$3,785.62 |
$3,785.62 |
$1,690.00
|
|
Ins pm gen exist dual lead
|
$28,383.36 |
$28,383.36 |
$28,383.36 |
$24,159.72
|
|
Ins pm gen w/exist mlt leads
|
$19,886.41 |
$19,886.41 |
$19,886.41 |
$14,804.40
|
|
Ins pq tunnld ip cath w/img
|
$5,675.21 |
$5,675.21 |
$5,675.21 |
$5,486.00
|
|
Ins/rpl ldless pm right vent w img & eval
|
$29,327.76 |
$29,327.76 |
$29,327.76 |
$24,135.54
|
|
Ins/rpl pm gen exist dual lead
|
$11,936.76 |
$11,936.76 |
$11,936.76 |
$11,005.50
|
|
Ins/rpl pm gen exist sgl lead
|
$10,687.75 |
$10,687.75 |
$10,687.75 |
$9,428.64
|
|
Ins/rpl pm w/tv ld atrl
|
$17,237.01 |
$17,237.01 |
$17,237.01 |
$11,583.66
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$22,994.98 |
$22,994.98 |
$22,994.98 |
$27,318.11
|
|
Inst fibrinolysis agent ini day
|
$1,140.62 |
$1,140.62 |
$1,140.62 |
$1,043.35
|
|
Inst fibrinolysis agent sbsq d
|
$898.12 |
$898.12 |
$898.12 |
$997.05
|
|
Insti hexaminolevulinate hcl
|
$2,359.80 |
$2,359.80 |
$2,359.80 |
$2,356.80
|
|
Instillation anticarcinogenic agent bladder
|
$579.03 |
$579.03 |
$579.03 |
$638.40
|
|
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 |
$6,396.57 |
$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
|
$4,812.07 |
$4,812.07 |
$4,812.07 |
$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
|
$103.60 |
$103.60 |
$1,755.22 |
$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
|
$8,629.72 |
$8,629.72 |
$8,629.72 |
$8,617.32
|
|
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 |
$2,061.50
|
|
Interdiscal perq aspir dx
|
$1,732.40 |
$1,732.40 |
$1,732.40 |
$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
|
|
Interphalangeal joint spacer
|
$2,541.00 |
$2,541.00 |
$2,541.00 |
$3,190.20
|
|
Interrogate subq defib
|
$155.53 |
$155.53 |
$155.53 |
$119.60
|
|
Interrogation vad in person
|
$385.29 |
$385.29 |
$385.29 |
$296.80
|
|
Interrog dev eval icpms ip
|
$162.05 |
$162.05 |
$162.05 |
$104.00
|
|
Interrog dev eval scrms ip
|
$217.94 |
$217.94 |
$217.94 |
$124.80
|
|
Interrog device eval heart
|
$247.93 |
$247.93 |
$247.93 |
$162.40
|
|
Interrog evl pm/ldls pm ip
|
$232.60 |
$232.60 |
$232.60 |
$127.20
|
|
Interstitial brachy inter
|
$1,244.40 |
$1,244.40 |
$1,244.40 |
$1,194.42
|
|
Intra-atrial pacing
|
$2,267.32 |
$2,602.26 |
$2,602.26 |
$4,850.82
|
|
Intra-atrial recording
|
$1,677.12 |
$5,252.30 |
$5,252.30 |
$5,252.30
|
|
Intracard echo interv w/s&i
|
$4,095.50 |
$5,320.98 |
$5,320.98 |
$3,436.00
|
|
Intracran angioplsty w/stent
|
$12,038.64 |
$12,038.64 |
$12,038.64 |
$8,145.50
|
|
Intracranial angioplasty
|
$4,865.26 |
$4,865.26 |
$4,865.26 |
$5,181.00
|
|
Intracranial complete study
|
$1,308.50 |
$1,308.50 |
$1,308.50 |
$881.50
|
|
Intracranial limited study
|
$418.44 |
$418.44 |
$418.44 |
$467.50
|
|
Intraop epicard/endocard/pace/map/ 93631
|
$5,904.00 |
$5,904.00 |
$23,007.95 |
$3,690.00
|
|
Intraoral i+d tongue/floor lingual 41000
|
$1,568.50 |
$1,568.50 |
$1,568.50 |
$1,331.45
|
|
Intrapul surf admin endo tube
|
$220.80 |
$220.80 |
$384.36 |
$220.80
|
|
Intraventricular pacing
|
$1,677.12 |
$5,976.77 |
$5,976.77 |
$5,456.17
|
|
Intrinsic factor antibody
|
$109.27 |
$109.27 |
$703.10 |
$65.00
|
|
Intro cath dialysis circuit
|
$3,194.63 |
$3,194.63 |
$3,194.63 |
$2,036.94
|
|
Intro cath dialysis circuit w/pta
|
$12,316.55 |
$12,316.55 |
$12,316.55 |
$8,690.50
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$28,837.03 |
$28,837.03 |
$28,837.03 |
$16,262.40
|
|
Intro catheter aorta
|
$2,597.66 |
$2,597.66 |
$2,597.66 |
$1,678.05
|
|
Intro cath svc/ivc
|
$2,077.20 |
$2,077.20 |
$2,077.20 |
$1,323.27
|
|
Intro long gi tube
|
$1,036.00 |
$1,036.00 |
$1,036.00 |
$974.17
|
|
Intro long gi tube w/mult fluo
|
$644.50 |
$644.50 |
$644.50 |
$469.00
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$5,505.46 |
$5,505.46 |
$5,505.46 |
$3,472.95
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$4,360.00 |
$4,360.00 |
$4,360.00 |
$1,801.10
|
|
Intubation endotracheal emergency procedure
|
$707.89 |
$707.89 |
$707.89 |
$601.28
|
|
Io anal gast n-stim subsq
|
$129.56 |
$129.56 |
$129.56 |
$158.09
|
|
Io ga n-stim subsq w/reprog
|
$202.72 |
$202.72 |
$202.72 |
$187.43
|
|
Ionm in operatng room 15 min
|
$264.65 |
$264.65 |
$264.65 |
$200.78
|
|
Ionm remote/>1 pt or per hr
|
$705.64 |
$705.64 |
$705.64 |
$622.70
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$165.67 |
$165.67 |
$384.69 |
$165.67
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$402.57 |
$402.57 |
$402.57 |
$279.10
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$62,692.46 |
$62,692.46 |
$62,692.46 |
$62,692.46
|
|
Ipratropium bromide non-comp
|
$0.97 |
$0.97 |
$11.78 |
$4.06
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$152.40 |
$152.40 |
$152.40 |
$173.98
|
|
Iron
|
$89.00 |
$89.00 |
$89.00 |
$75.00
|
|
Iron binding capacity
|
$98.05 |
$98.05 |
$771.21 |
$63.91
|
|
Iron dextran 50 mg/ml injection solution
|
$144.63 |
$144.63 |
$793.83 |
$80.67
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$187.06 |
$187.06 |
$367.76 |
$187.06
|
|
Irradiation of blood product each unit reference
|
$124.24 |
$124.24 |
$480.31 |
$115.20
|
|
Irrigation implantable venous access device for drug delivery systems
|
$206.68 |
$206.68 |
$206.68 |
$146.11
|
|
Irrigation vagina and/or appl medicament tx disease
|
$230.40 |
$230.40 |
$230.40 |
$132.00
|
|
Ivc venogram s&i
|
$2,950.06 |
$2,950.06 |
$6,194.27 |
$3,332.55
|
|
IV Fluids (each additional hour)
|
$190.67 |
$190.67 |
$190.67 |
$133.90
|
|
IV Fluids (first hour)
|
$488.60 |
$488.60 |
$488.60 |
$390.00
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$235.84 |
$235.84 |
$235.84 |
$162.68
|
|
IV inj ra drug dx study
|
$454.74 |
$454.74 |
$454.74 |
$567.00
|
|
IV Medicine Infusion (additional drug)
|
$280.91 |
$280.91 |
$280.91 |
$191.75
|
|
IV Medicine Infusion (each additional hour)
|
$198.34 |
$198.34 |
$198.34 |
$154.00
|
|
IV Medicine Infusion (first hour)
|
$541.27 |
$541.27 |
$541.27 |
$439.56
|
|
IV Push Injection (each additional drug)
|
$235.24 |
$235.24 |
$235.24 |
$167.50
|
|
IV Push Injection (first drug)
|
$314.60 |
$314.60 |
$314.60 |
$252.76
|
|
Ivp w/nephrotomography
|
$673.80 |
$673.80 |
$673.80 |
$748.15
|
|
Ivp w/wo kub w/wo tomography
|
$687.80 |
$687.80 |
$687.80 |
$713.40
|
|
Ixabepilone 15 mg intravenous solution
|
$10,695.32 |
$10,695.32 |
$61,347.26 |
$10,695.32
|
|
Jak2 targeted sequence analysis
|
$465.74 |
$465.74 |
$465.74 |
$405.00
|
|
Jaw Joint (TMJ) X-ray (both sides, open and closed)
|
$477.80 |
$477.80 |
$477.80 |
$330.05
|
|
Jaw (Mandible) X-ray (complete)
|
$181.22 |
$181.22 |
$181.22 |
$362.05
|
|
Jejunstmy tube plcmt
|
$2,174.40 |
$2,174.40 |
$2,174.40 |
$2,174.40
|
|
John cunningham antibody
|
$1,029.60 |
$1,029.60 |
$2,911.16 |
$78.00
|
|
Kafo dbl solid stirrup band/
|
$1,660.81 |
$1,660.81 |
$1,660.81 |
$2,185.15
|
|
Kafo fem fx cast molded to p
|
$2,264.75 |
$2,264.75 |
$7,739.00 |
$3,130.66
|
|
Kafo fem fx cast thermoplas
|
$8,238.00 |
$8,238.00 |
$8,238.00 |
$2,710.45
|
|
Kafo femoral fx cast rigid
|
$1,701.94 |
$1,701.94 |
$4,943.00 |
$2,148.69
|
|
Ketogenic steroids fract
|
$92.66 |
$92.66 |
$570.32 |
$82.80
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$90.56 |
$90.56 |
$90.56 |
$58.56
|
|
Ketorolac (Toradol) Pain Shot, 15 mg
|
$29.52 |
$29.52 |
$29.52 |
$23.52
|
