|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$306.25 |
$306.25 |
$306.25 |
$271.65
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$306.25 |
$306.25 |
$306.25 |
$141.60
|
|
Inject sacroiliac joint
|
$1,619.73 |
$1,619.73 |
$1,619.73 |
$1,090.00
|
|
Inj epidural sgl lumb-sacral without img
|
$1,234.17 |
$1,234.17 |
$1,234.17 |
$1,450.84
|
|
Inj fluphenazine hcl 1.25 mg
|
$331.16 |
$331.16 |
$331.16 |
$37.93
|
|
Inj for ext venography
|
$374.54 |
$374.54 |
$374.54 |
$737.55
|
|
Inj for mammo ductogram
|
$87.89 |
$87.89 |
$87.89 |
$433.50
|
|
Inj hrt cath w/s&i nonsel p-art angrp
|
$761.36 |
$761.36 |
$761.36 |
$1,482.00
|
|
Inj hydroxocobalamin IV 25mg
|
$2,990.01 |
$2,990.01 |
$2,990.01 |
$3,180.35
|
|
Inj ivig privigen 500 mg
|
$17,396.19 |
$17,396.19 |
$17,396.19 |
$7,298.71
|
|
Inj levocarnitine per 1 gm
|
$138.88 |
$138.88 |
$138.88 |
$138.96
|
|
Inj nephrosto/ureterogram w/img exstng access
|
$637.70 |
$637.70 |
$637.70 |
$1,522.56
|
|
Inj, nithiodote, 3mg / 125mg
|
$644.66 |
$644.66 |
$644.66 |
$389.50
|
|
Inj proc ankle arthr
|
$88.52 |
$88.52 |
$88.52 |
$405.31
|
|
Inj proc elbow arthro
|
$154.00 |
$154.00 |
$154.00 |
$453.60
|
|
Inj proc myelogram lumbar
|
$924.53 |
$924.53 |
$924.53 |
$922.80
|
|
Inj retro urethrocysto
|
$104.58 |
$104.58 |
$104.58 |
$551.29
|
|
Inj, rimabotulinumtoxinb
|
$569.63 |
$569.63 |
$569.63 |
$16.56
|
|
Inj testosterone cypionate
|
$204.12 |
$204.12 |
$204.12 |
$77.15
|
|
Inj w/fluor eval cv device
|
$141.75 |
$141.75 |
$141.75 |
$588.90
|
|
Ins cath ren art 1st bi
|
$4,331.25 |
$4,331.25 |
$21,722.77 |
$6,033.75
|
|
Ins cath ren art 1st uni
|
$3,810.87 |
$3,810.87 |
$3,810.87 |
$4,667.63
|
|
Ins cath ren art 2nd+ bi
|
$4,305.00 |
$4,305.00 |
$21,922.24 |
$5,408.65
|
|
Ins cath ren art 2nd+ uni
|
$3,793.65 |
$3,793.65 |
$3,793.65 |
$5,528.94
|
|
Insert cath pleura with image
|
$1,604.05 |
$1,604.05 |
$1,604.05 |
$2,239.02
|
|
Insert cath pleura without image
|
$1,716.40 |
$1,716.40 |
$1,716.40 |
$2,212.00
|
|
Insertion catheter bladder non indwelling
|
$65.21 |
$65.21 |
$65.21 |
$237.13
|
|
Insertion catheter bladder temporary simple
|
$126.35 |
$126.35 |
$126.35 |
$273.60
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$1,062.81 |
$1,062.81 |
$57,851.86 |
$4,943.21
|
|
Insertion intra aortic balloon assist device percutaneous
|
$1,317.40 |
$1,317.40 |
$1,317.40 |
$2,549.95
|
|
Insertion intra-aortic circulation dev 33970
|
$826.88 |
$826.88 |
$826.88 |
$866.40
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$4,283.41 |
$4,283.41 |
$15,424.39 |
$7,088.54
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$829.15 |
$829.15 |
$22,760.01 |
$2,618.40
|
|
Insertion of catheter vein
|
$537.39 |
$537.39 |
$537.39 |
$1,749.80
|
|
Insertion of heart electrode 33211
|
$2,877.53 |
$2,877.53 |
$2,877.53 |
$9,090.00
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$5,896.10 |
$5,896.10 |
$53,985.39 |
$14,158.20
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$5,424.65 |
$5,424.65 |
$53,985.39 |
$12,813.28
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$4,360.86 |
$4,360.86 |
$4,360.86 |
$9,855.00
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$2,310.00 |
$2,310.00 |
$2,310.00 |
$2,079.43
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$2,310.00 |
$2,310.00 |
$2,310.00 |
$2,527.91
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$14,192.33 |
$14,192.33 |
$154,344.48 |
$29,997.52
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$2,697.03 |
$2,697.03 |
$40,241.31 |
$7,572.47
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$3,086.37 |
$3,086.37 |
$24,031.81 |
$7,673.12
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$2,322.81 |
$2,322.81 |
$40,241.31 |
$9,793.46
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$3,120.39 |
$3,120.39 |
$3,120.39 |
$5,470.54
|
|
Insert pessary/other device
|
$93.24 |
$93.24 |
$93.24 |
$278.90
|
|
Insert pm/icd lead dual
|
$2,826.18 |
$2,826.18 |
$40,241.31 |
$7,562.63
|
|
Insert/repl sq defib w/eltrd
|
$11,058.08 |
$11,058.08 |
$141,664.76 |
$33,948.20
|
|
Insert sq defib electrode
|
$2,863.35 |
$2,863.35 |
$2,863.35 |
$8,167.68
|
|
Insert swan-ganz cath
|
$369.50 |
$369.50 |
$7,596.34 |
$2,164.52
|
|
Insert tunneled cv 2cath 2sits without port/pmp 36565
|
$779.00 |
$779.00 |
$779.00 |
$4,705.13
|
|
Insert vad art access left hrt arterial access
|
$2,514.65 |
$2,514.65 |
$285,222.04 |
$5,062.80
|
|
Insert vad art access left hrt art & vein access
|
$285,222.04 |
$285,222.04 |
$285,222.04 |
$6,740.80
|
|
Ins icd gen exist mlt leads
|
$11,089.26 |
$11,089.26 |
$141,664.76 |
$31,286.77
|
|
Ins icd gen exist sgl lead
|
$7,903.98 |
$7,903.98 |
$7,903.98 |
$24,159.72
|
|
In situ hybridization per specimen each additional single probe stain
|
$593.43 |
$593.43 |
$593.43 |
$251.55
|
|
In situ hybridization per specimen initial single probe stain
|
$138.29 |
$138.29 |
$1,083.67 |
$338.40
|
|
Ins lv lead exist pm/icd
|
$4,578.84 |
$4,578.84 |
$53,985.39 |
$12,384.25
|
|
Ins picad w subq port 5yr>
|
$4,596.90 |
$4,596.90 |
$4,596.90 |
$4,341.66
|
|
Ins pm gen exist dual lead
|
$7,751.21 |
$7,751.21 |
$77,174.64 |
$24,696.00
|
|
Ins pm gen w/exist mlt leads
|
$6,063.12 |
$6,063.12 |
$27,480.20 |
$15,600.75
|
|
Ins pq tunnld ip cath w/img
|
$1,709.19 |
$1,709.19 |
$1,709.19 |
$5,593.60
|
|
Ins/rpl ldless pm right vent w img & eval
|
$7,149.24 |
$7,149.24 |
$50,991.05 |
$24,135.54
|
|
Ins/rpl pm gen exist dual lead
|
$4,155.80 |
$4,155.80 |
$49,383.28 |
$11,593.70
|
|
Ins/rpl pm gen exist sgl lead
|
$4,138.47 |
$4,138.47 |
$40,241.31 |
$9,746.29
|
|
Ins/rpl pm w/tv ld atrl
|
$5,188.75 |
$5,188.75 |
$53,985.39 |
$12,384.25
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$41,481.32 |
$41,481.32 |
$41,481.32 |
$25,106.90
|
|
Ins tun cv cath wo subq prt/pm
|
$5,942.65 |
$5,942.65 |
$11,055.58 |
$4,748.00
|
|
Insulin total
|
$51.10 |
$51.10 |
$762.97 |
$67.60
|
|
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm
|
$9,384.12 |
$9,384.12 |
$9,384.12 |
$10,179.63
|
|
Integra meshed bil wound mat
|
$36.75 |
$36.75 |
$36.75 |
$24,354.93
|
|
Integra os putty 2.5cc - cost per 0.5cc
|
$2,442.41 |
$2,442.41 |
$2,442.41 |
$3,160.50
|
|
Interdiscal perq aspir dx
|
$376.60 |
$376.60 |
$376.60 |
$1,222.26
|
|
Interferon alfa-2b inj
|
$2,784.14 |
$2,784.14 |
$2,784.14 |
$494.64
|
|
Interrog evl pm/ldls pm ip
|
$140.49 |
$140.49 |
$140.49 |
$127.20
|
|
Interstitial brachy inter
|
$5,592.54 |
$5,592.54 |
$5,592.54 |
$1,244.40
|
|
Intracard echo interv w/s&i
|
$2,951.87 |
$2,951.87 |
$14,862.32 |
$3,982.59
|
|
Intraop epicard/endocard/pace/map/ 93631
|
$28,578.83 |
$28,578.83 |
$28,578.83 |
$3,690.00
|
|
Intraoral i+d tongue/floor lingual 41000
|
$378.00 |
$378.00 |
$378.00 |
$1,182.15
|
|
Intrinsic factor antibody
|
$27.09 |
$27.09 |
$1,584.38 |
$59.95
|
|
Intro cath dialysis circuit
|
$3,323.88 |
$3,323.88 |
$8,589.85 |
$2,317.80
|
|
Intro cath dialysis circuit w/pta
|
$5,882.94 |
$5,882.94 |
$29,130.18 |
$8,761.00
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$8,038.80 |
$8,038.80 |
$29,130.18 |
$15,625.00
|
|
Intro catheter aorta
|
$1,063.13 |
$1,063.13 |
$1,063.13 |
$1,861.61
|
|
Intro cath svc/ivc
|
$715.75 |
$715.75 |
$715.75 |
$1,350.75
|
|
Intro long gi tube w/mult fluo
|
$2,292.97 |
$2,292.97 |
$2,292.97 |
$477.85
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$1,523.03 |
$1,523.03 |
$1,523.03 |
$3,510.75
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$1,627.61 |
$1,627.61 |
$1,627.61 |
$1,825.16
|
|
Intubation endotracheal emergency procedure
|
$238.00 |
$238.00 |
$238.00 |
$617.60
|
|
Ionm in operatng room 15 min
|
$53.24 |
$53.24 |
$53.24 |
$200.78
|
|
Ionm remote/>1 pt or per hr
|
$285.71 |
$285.71 |
$285.71 |
$622.70
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$189.27 |
$189.27 |
$189.27 |
$153.98
|
|
Io rad tx deliver by elctrns
|
$2,375.04 |
$2,375.04 |
$2,375.04 |
$9,046.18
|
|
Io rad tx delivery by x-ray
|
$2,375.04 |
$2,375.04 |
$2,375.04 |
$10,127.56
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$111.57 |
$111.57 |
$111.57 |
$227.39
|
|
Iron
|
$91.51 |
$91.51 |
$91.51 |
$70.72
|
|
Iron binding capacity
|
$55.76 |
$55.76 |
$1,022.93 |
$63.00
|
|
Iron dextran 50 mg/ml injection solution
|
$58.45 |
$58.45 |
$58.45 |
$62.70
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$1,438.34 |
$1,438.34 |
$1,438.34 |
$198.01
|
|
Irradiation of blood product each unit reference
|
$42.21 |
$42.21 |
$741.42 |
$124.24
|