|
Ins cath ren art 1st bi
|
$3,794.40 |
$3,794.40 |
$3,794.40 |
$5,753.10
|
|
Ins cath ren art 2nd+ bi
|
$2,502.90 |
$2,502.90 |
$2,502.90 |
$5,500.86
|
|
Ins cerv dilator (sep proc)
|
$300.30 |
$300.30 |
$300.30 |
$480.28
|
|
Insert and remove bone pin
|
$1,240.80 |
$1,240.80 |
$1,240.80 |
$4,410.60
|
|
Insert cath pleura with image
|
$2,816.10 |
$2,816.10 |
$2,816.10 |
$2,194.40
|
|
Insert cath pleura without image
|
$726.00 |
$726.00 |
$726.00 |
$2,073.18
|
|
Insert hepatic shunt (tips)
|
$6,177.60 |
$6,177.60 |
$6,177.60 |
$7,571.20
|
|
Insert intrauterine device iud
|
$13,801.07 |
$13,801.07 |
$13,801.07 |
$347.10
|
|
Insertion catheter bladder non indwelling
|
$97.80 |
$97.80 |
$97.80 |
$205.40
|
|
Insertion catheter bladder temporary simple
|
$66.90 |
$66.90 |
$66.90 |
$232.25
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$3,225.30 |
$3,225.30 |
$3,225.30 |
$4,782.00
|
|
Insertion intra aortic balloon assist device percutaneous
|
$9,410.70 |
$9,410.70 |
$9,410.70 |
$2,529.45
|
|
Insertion intra-aortic circulation dev 33970
|
$4,546.50 |
$4,546.50 |
$4,546.50 |
$1,752.40
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$5,604.90 |
$5,604.90 |
$5,604.90 |
$7,210.78
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$4,333.20 |
$4,333.20 |
$4,333.20 |
$2,505.60
|
|
Insertion of catheter vein
|
$1,809.90 |
$1,809.90 |
$1,809.90 |
$1,477.00
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$12,900.60 |
$12,900.60 |
$12,900.60 |
$12,384.25
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$11,861.10 |
$11,861.10 |
$11,861.10 |
$12,384.25
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$7,819.20 |
$7,819.20 |
$7,819.20 |
$10,100.35
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$3,186.90 |
$3,186.90 |
$3,186.90 |
$2,079.50
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$1,967.40 |
$1,967.40 |
$1,967.40 |
$2,419.65
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$46,570.20 |
$46,570.20 |
$46,570.20 |
$29,042.52
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$5,777.10 |
$5,777.10 |
$5,777.10 |
$7,200.05
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$3,937.20 |
$3,937.20 |
$3,937.20 |
$7,312.80
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$11,651.40 |
$11,651.40 |
$11,651.40 |
$9,332.50
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$25,555.38 |
$25,555.38 |
$25,555.38 |
$5,223.20
|
|
Insert multi-comp penis pros
|
$56,031.36 |
$56,031.36 |
$56,031.36 |
$21,998.10
|
|
Insert pm/icd lead dual
|
$4,790.40 |
$4,790.40 |
$4,790.40 |
$7,115.20
|
|
Insert/repl sq defib w/eltrd
|
$32,664.00 |
$32,664.00 |
$32,664.00 |
$32,800.04
|
|
Insert swan-ganz cath
|
$1,487.10 |
$1,487.10 |
$1,487.10 |
$2,210.50
|
|
Insert tunneled cv cath
|
$3,103.80 |
$3,103.80 |
$3,103.80 |
$4,520.00
|
|
Insert vad art access left hrt arterial access
|
$5,311.80 |
$5,311.80 |
$5,311.80 |
$4,270.75
|
|
Insitu hybridization manual
|
$562.80 |
$562.80 |
$562.80 |
$401.28
|
|
In situ hybridization per specimen each additional single probe stain
|
$126.90 |
$126.90 |
$126.90 |
$241.15
|
|
In situ hybridization per specimen initial single probe stain
|
$285.60 |
$285.60 |
$285.60 |
$331.69
|
|
Ins lv lead exist pm/icd
|
$22,433.10 |
$22,433.10 |
$22,433.10 |
$12,384.25
|
|
Insole orthotic freedom sz6 6816
|
$177.06 |
$177.06 |
$177.06 |
$84.00
|
|
Ins picad w subq port 5yr>
|
$1,398.00 |
$1,398.00 |
$1,398.00 |
$3,985.20
|
|
Ins pq tunnld ip cath w/img
|
$3,535.80 |
$3,535.80 |
$3,535.80 |
$5,377.00
|
|
Ins/rpl ldless pm right vent w img & eval
|
$18,973.80 |
$18,973.80 |
$18,973.80 |
$24,135.54
|
|
Ins/rpl pm gen exist dual lead
|
$9,680.10 |
$9,680.10 |
$9,680.10 |
$11,005.50
|
|
Ins/rpl pm gen exist sgl lead
|
$6,366.60 |
$6,366.60 |
$6,366.60 |
$9,428.64
|
|
Ins/rpl prph sac/gstr npg/r
|
$52,705.98 |
$52,705.98 |
$52,705.98 |
$21,857.50
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$36,182.40 |
$36,182.40 |
$36,182.40 |
$25,694.00
|
|
Instillation anticarcinogenic agent bladder
|
$14,322.35 |
$14,322.35 |
$14,322.35 |
$621.40
|
|
Ins tun cv cath wo subq prt/pm
|
$1,852.50 |
$1,852.50 |
$1,852.50 |
$5,324.80
|
|
Ins tun cv cath wo subq prt/pm
|
$3,454.20 |
$3,454.20 |
$3,454.20 |
$4,202.70
|
|
Insulin total
|
$89.70 |
$89.70 |
$89.70 |
$66.64
|
|
Ins vag brachytx device
|
$304.20 |
$304.20 |
$304.20 |
$935.50
|
|
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm
|
$12,300.40 |
$12,300.40 |
$12,300.40 |
$8,629.72
|
|
Integra meshed bil wound mat
|
$40,345.55 |
$40,345.55 |
$40,345.55 |
$9,924.16
|
|
Integra os putty 2.5cc - cost per 0.5cc
|
$9,278.81 |
$9,278.81 |
$9,278.81 |
$3,803.11
|
|
Interdental fixation
|
$578.40 |
$578.40 |
$578.40 |
$2,133.48
|
|
Interdiscal perq aspir dx
|
$665.40 |
$665.40 |
$665.40 |
$1,222.26
|
|
Interfyl, 1 mg
|
$5,325.00 |
$5,325.00 |
$5,325.00 |
$4,656.80
|
|
Intra-atrial pacing
|
$7,014.30 |
$7,014.30 |
$7,014.30 |
$4,780.80
|
|
Intra-atrial recording
|
$7,170.60 |
$7,170.60 |
$7,170.60 |
$5,252.30
|
|
Intracard echo interv w/s&i
|
$1,751.10 |
$1,751.10 |
$1,751.10 |
$3,461.04
|
|
Intracranial complete study
|
$1,046.10 |
$1,046.10 |
$1,046.10 |
$874.99
|
|
Intrapul surf admin endo tube
|
$87.90 |
$87.90 |
$87.90 |
$220.80
|
|
Intraventricular pacing
|
$7,014.30 |
$7,014.30 |
$7,014.30 |
$5,456.17
|
|
Intrinsic factor antibody
|
$271.50 |
$271.50 |
$271.50 |
$63.15
|
|
Intro cath dialysis circuit
|
$1,140.60 |
$1,140.60 |
$1,140.60 |
$2,036.94
|
|
Intro cath dialysis circuit w/pta
|
$6,752.70 |
$6,752.70 |
$6,752.70 |
$8,690.50
|
|
Intro catheter aorta
|
$2,968.20 |
$2,968.20 |
$2,968.20 |
$1,654.05
|
|
Intro cath svc/ivc
|
$766.80 |
$766.80 |
$766.80 |
$1,323.27
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$5,175.60 |
$5,175.60 |
$5,175.60 |
$3,409.29
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$2,697.00 |
$2,697.00 |
$2,697.00 |
$1,747.80
|
|
Intubation endotracheal emergency procedure
|
$967.20 |
$967.20 |
$967.20 |
$598.80
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$422.62 |
$422.62 |
$422.62 |
$170.06
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$561.62 |
$561.62 |
$561.62 |
$288.11
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$108,656.64 |
$108,656.64 |
$108,656.64 |
$62,692.46
|
|
Ipratropium bromide non-comp
|
$6.00 |
$6.00 |
$6.00 |
$3.75
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$90.00 |
$90.00 |
$90.00 |
$174.47
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$16,444.08 |
$16,444.08 |
$16,444.08 |
$5,517.12
|
|
Iron
|
$188.10 |
$188.10 |
$188.10 |
$72.29
|
|
Iron binding capacity
|
$54.60 |
$54.60 |
$54.60 |
$63.60
|
|
Iron dextran 50 mg/ml injection solution
|
$90.00 |
$90.00 |
$90.00 |
$81.70
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$90.00 |
$90.00 |
$90.00 |
$187.06
|
|
Irrigation implantable venous access device for drug delivery systems
|
$145.50 |
$145.50 |
$145.50 |
$144.62
|
|
Ivc venogram s&i
|
$1,942.50 |
$1,942.50 |
$1,942.50 |
$3,316.95
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$151.20 |
$151.20 |
$151.20 |
$190.56
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$104.10 |
$104.10 |
$104.10 |
$159.00
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$104.10 |
$104.10 |
$104.10 |
$153.60
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$553.80 |
$553.80 |
$553.80 |
$437.45
|
|
IV inj ra drug dx study
|
$390.00 |
$390.00 |
$390.00 |
$552.60
|
|
Jak2 targeted sequence analysis
|
$234.30 |
$234.30 |
$234.30 |
$393.43
|
|
Kafo dbl solid stirrup band/
|
$2,645.49 |
$2,645.49 |
$2,645.49 |
$2,185.15
|
|
Kafo dbl solid stirrup without j
|
$2,600.30 |
$2,600.30 |
$2,600.30 |
$2,276.79
|
|
Kafo fem fx cast molded to p
|
$3,894.15 |
$3,894.15 |
$3,894.15 |
$3,130.66
|
|
Kafo fem fx cast semi-rigid
|
$2,766.44 |
$2,766.44 |
$2,766.44 |
$2,130.02
|
|
Kafo fem fx cast thermoplas
|
$2,749.99 |
$2,749.99 |
$2,749.99 |
$2,710.45
|
|
Kafo femoral fx cast rigid
|
$3,027.48 |
$3,027.48 |
$3,027.48 |
$2,162.01
|
|
Kafo pla sin up w/wo k/a cus
|
$4,876.77 |
$4,876.77 |
$4,876.77 |
$4,270.06
|
|
Kafo plas sing free knee mol
|
$3,981.02 |
$3,981.02 |
$3,981.02 |
$2,987.76
|
|
Kafo plastic pediatric size
|
$415.88 |
$415.88 |
$415.88 |
$321.07
|
|
Kafo sing fre stirr thi/calf
|
$2,685.50 |
$2,685.50 |
$2,685.50 |
$2,351.38
|
|
Kafo sng/dbl mechanical act
|
$9,837.03 |
$9,837.03 |
$9,837.03 |
$8,121.01
|
|
Kafo sng solid stirrup without j
|
$2,094.67 |
$2,094.67 |
$2,094.67 |
$1,834.11
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$55.50 |
$55.50 |
$55.50 |
$58.50
|