|
Insitu hybridization manual
|
$318.00 |
$318.00 |
$401.28 |
$401.28
|
|
In situ hybridization per specimen each additional single probe stain
|
$361.60 |
$416.40 |
$416.40 |
$243.50
|
|
In situ hybridization per specimen initial single probe stain
|
$373.43 |
$609.30 |
$609.30 |
$338.40
|
|
Insj perq vad r hrt venous
|
$11,556.32 |
$11,556.32 |
$11,556.32 |
$3,796.00
|
|
Insj phrnc nrv stim sys
|
$56,158.12 |
$56,158.12 |
$56,158.12 |
$53,251.79
|
|
Insj phrnc nrv stim transvns
|
$13,142.86 |
$13,142.86 |
$13,142.86 |
$13,142.86
|
|
Insj rx elut implt lac canal
|
$2,572.70 |
$2,572.70 |
$2,572.70 |
$2,572.70
|
|
Ins lv lead exist pm/icd
|
$20,536.56 |
$20,536.56 |
$33,423.45 |
$12,384.25
|
|
Ins mark abd/pel for right perq
|
$2,000.78 |
$2,000.78 |
$2,000.78 |
$2,477.24
|
|
Ins mark thor for right perq
|
$2,477.45 |
$2,477.45 |
$2,477.45 |
$2,503.80
|
|
Ins picad w subq port 5yr>
|
$3,167.85 |
$3,167.85 |
$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 |
$42,952.50 |
$24,159.72
|
|
Ins pm gen w/exist mlt leads
|
$15,107.85 |
$15,107.85 |
$19,886.41 |
$14,804.40
|
|
Ins pq tunnld ip cath w/img
|
$5,675.21 |
$5,675.21 |
$5,882.10 |
$5,486.00
|
|
Ins/rplcm prq eltrd ra pn ea
|
$14,173.20 |
$14,173.20 |
$14,173.20 |
$2,681.11
|
|
Ins/rplcmt prq eltrd ra pn 1
|
$28,346.25 |
$28,346.25 |
$28,346.25 |
$14,685.79
|
|
Ins/rplc spi npg/rcvr pocket
|
$24,061.80 |
$24,061.80 |
$24,061.80 |
$24,061.80
|
|
Ins/rpl ldless pm right vent w img & eval
|
$29,327.76 |
$29,327.76 |
$40,546.80 |
$24,135.54
|
|
Ins/rpl pm gen exist dual lead
|
$11,936.76 |
$11,936.76 |
$14,063.40 |
$11,005.50
|
|
Ins/rpl pm gen exist sgl lead
|
$10,687.75 |
$10,687.75 |
$13,247.55 |
$9,428.64
|
|
Ins/rpl pm w/tv ld atrl
|
$15,654.45 |
$15,654.45 |
$17,237.01 |
$11,583.66
|
|
Ins/rpl prph sac/gstr npg/r
|
$45,520.80 |
$45,520.80 |
$45,520.80 |
$18,129.80
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$22,994.98 |
$22,994.98 |
$40,452.30 |
$27,318.11
|
|
Inst fibrinolysis agent ini day
|
$1,036.05 |
$1,036.05 |
$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
|
|
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 |
$3,045.90 |
$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
|
$22.14 |
$22.14 |
$103.60 |
$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
|
$5,124.80 |
$5,124.80 |
$8,629.72 |
$8,617.32
|
|
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
|
|
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
|
$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 |
$4,091.60 |
$10,427.90
|
|
Interferon beta-1b / .25 mg
|
$289.67 |
$289.67 |
$289.67 |
$1,662.71
|
|
Interfyl, 1 mg
|
$9.08 |
$5,659.20 |
$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 |
$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
|
$88.50 |
$88.50 |
$217.94 |
$124.80
|
|
Interrog device eval heart
|
$247.93 |
$247.93 |
$247.93 |
$162.40
|
|
Interrog evl pm/ldls pm ip
|
$70.95 |
$70.95 |
$232.60 |
$127.20
|
|
Interstitial brachy inter
|
$1,244.40 |
$1,244.40 |
$1,244.40 |
$1,194.42
|
|
Intra-atrial pacing
|
$2,602.26 |
$2,602.26 |
$2,602.26 |
$4,850.82
|
|
Intra-atrial recording
|
$5,252.30 |
$5,252.30 |
$5,252.30 |
$5,252.30
|
|
Intracard echo interv w/s&i
|
$5,320.98 |
$5,320.98 |
$7,396.05 |
$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 |
$5,181.00
|
|
Intracranial complete study
|
$1,288.35 |
$1,288.35 |
$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 |
$5,904.00 |
$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
|
$155.55 |
$155.55 |
$220.80 |
$220.80
|
|
Intrauterine transfusion ftl
|
$589.35 |
$589.35 |
$589.35 |
$1,063.50
|
|
Intraventricular pacing
|
$4,440.30 |
$4,440.30 |
$5,976.77 |
$5,456.17
|
|
Intrinsic factor antibody
|
$109.27 |
$157.80 |
$157.80 |
$65.00
|
|
Intro cath dialysis circuit
|
$1,545.15 |
$1,545.15 |
$3,194.63 |
$2,036.94
|
|
Intro cath dialysis circuit w/pta
|
$9,720.45 |
$9,720.45 |
$12,316.55 |
$8,690.50
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$11,787.75 |
$11,787.75 |
$28,837.03 |
$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 |
$1,323.27
|
|
Intro long gi tube
|
$669.90 |
$669.90 |
$1,036.00 |
$974.17
|
|
Intro long gi tube w/mult fluo
|
$383.10 |
$383.10 |
$644.50 |
$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
|
|
Io ga n-stim subsq w/reprog
|
$202.72 |
$202.72 |
$202.72 |
$187.43
|
|
Ionm in operatng room 15 min
|
$264.65 |
$709.35 |
$709.35 |
$200.78
|
|
Ionm remote/>1 pt or per hr
|
$705.64 |
$2,835.15 |
$2,835.15 |
$622.70
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$165.67 |
$405.00 |
$405.00 |
$165.67
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$315.00 |
$315.00 |
$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)
|
$62,692.46 |
$67,577.14 |
$67,577.14 |
$62,692.46
|
|
Ipratropium bromide non-comp
|
$0.97 |
$0.97 |
$0.97 |
$4.06
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$77.27 |
$77.27 |
$152.40 |
$173.98
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$5,476.68 |
$5,476.68 |
$5,476.68 |
$5,517.12
|
|
Iron
|
$89.00 |
$217.80 |
$217.80 |
$75.00
|
|
Iron binding capacity
|
$98.05 |
$255.15 |
$255.15 |
$63.91
|
|
Iron dextran 50 mg/ml injection solution
|
$44.75 |
$44.75 |
$144.63 |
$80.67
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$143.26 |
$143.26 |
$187.06 |
$187.06
|
|
Irradiation of blood product each unit reference
|
$124.24 |
$223.50 |
$223.50 |
$115.20
|
|
Irrigation implantable venous access device for drug delivery systems
|
$72.15 |
$72.15 |
$206.68 |
$146.11
|
|
Irrigation vagina and/or appl medicament tx disease
|
$230.40 |
$230.40 |
$230.40 |
$132.00
|
|
Ivc venogram s&i
|
$2,899.95 |
$2,899.95 |
$2,950.06 |
$3,332.55
|
|
IV Fluids (each additional hour)
|
$59.70 |
$59.70 |
$190.67 |
$133.90
|
