|
Ins icd gen exist mlt leads
|
$20,539.50 |
$20,539.50 |
$20,539.50 |
$31,286.77
|
|
Ins icd gen exist sgl lead
|
$15,515.50 |
$15,515.50 |
$15,515.50 |
$23,285.34
|
|
Insitu hybridization auto
|
$371.00 |
$371.00 |
$371.00 |
$393.13
|
|
Insitu hybridization (fish)
|
$233.50 |
$233.50 |
$233.50 |
$481.60
|
|
Insitu hybridization manual
|
$181.50 |
$181.50 |
$181.50 |
$401.10
|
|
In situ hybridization per specimen each additional single probe stain
|
$233.50 |
$233.50 |
$233.50 |
$241.80
|
|
In situ hybridization per specimen initial single probe stain
|
$233.50 |
$233.50 |
$233.50 |
$337.20
|
|
Ins left heart vent thor inscn ecmo
|
$771.00 |
$771.00 |
$771.00 |
$1,901.60
|
|
Ins lv lead exist pm/icd
|
$8,029.50 |
$8,029.50 |
$8,029.50 |
$12,384.25
|
|
Ins mark abd/pel for right perq
|
$944.00 |
$944.00 |
$944.00 |
$2,434.90
|
|
Ins mark thor for right perq
|
$2,545.00 |
$2,545.00 |
$2,545.00 |
$2,477.45
|
|
Insole orthotic freedom sz6 6816
|
$44.50 |
$44.50 |
$287.08 |
$84.00
|
|
Ins picad w subq port 5yr>
|
$3,121.00 |
$3,121.00 |
$3,121.00 |
$3,985.20
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$2,979.00 |
$2,979.00 |
$2,979.00 |
$1,627.60
|
|
Ins pm gen exist dual lead
|
$15,515.50 |
$15,515.50 |
$15,515.50 |
$23,285.34
|
|
Ins pm gen w/exist mlt leads
|
$11,421.00 |
$11,421.00 |
$11,421.00 |
$14,804.40
|
|
Ins pq tunnld ip cath w/img
|
$4,978.50 |
$4,978.50 |
$4,978.50 |
$5,419.00
|
|
Ins/rpl ldless pm right vent w img & eval
|
$24,531.00 |
$24,531.00 |
$24,531.00 |
$24,135.54
|
|
Ins/rpl pm gen exist dual lead
|
$9,291.50 |
$9,291.50 |
$9,291.50 |
$11,412.00
|
|
Ins/rpl pm gen exist sgl lead
|
$8,617.50 |
$8,617.50 |
$8,617.50 |
$9,705.00
|
|
Ins/rpl pm w/tv ld atrl
|
$9,452.50 |
$9,452.50 |
$9,452.50 |
$11,747.25
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$43,419.50 |
$43,419.50 |
$43,419.50 |
$25,106.90
|
|
Insrt/redo neurostim 1 array
|
$16,171.50 |
$16,171.50 |
$16,171.50 |
$21,817.60
|
|
Inst fibrinolysis agent ini day
|
$1,029.00 |
$1,029.00 |
$1,029.00 |
$1,047.78
|
|
Inst fibrinolysis agent sbsq d
|
$1,029.00 |
$1,029.00 |
$1,029.00 |
$898.12
|
|
Instillation anticarcinogenic agent bladder
|
$1,068.00 |
$1,068.00 |
$1,068.00 |
$664.20
|
|
Ins tun cvad 2 cath w/subq port(s)
|
$8,522.00 |
$8,522.00 |
$8,522.00 |
$7,826.00
|
|
Ins tun cv cath wo subq prt/pm
|
$3,525.00 |
$3,525.00 |
$3,525.00 |
$5,324.80
|
|
Ins tun cv cath wo subq prt/pm
|
$2,955.50 |
$2,955.50 |
$2,955.50 |
$4,218.00
|
|
Ins tun intraperit dia cath
|
$3,190.50 |
$3,190.50 |
$3,190.50 |
$4,657.46
|
|
Inst via cath agent pleurds
|
$2,822.00 |
$2,822.00 |
$2,822.00 |
$1,074.68
|
|
Insulin total
|
$87.00 |
$87.00 |
$151.00 |
$66.64
|
|
Ins vag brachytx device
|
$608.40 |
$608.40 |
$608.40 |
$927.55
|
|
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm
|
$1,330.00 |
$1,330.00 |
$19,943.98 |
$8,683.20
|
|
Integra meshed bil wound mat
|
$65,416.63 |
$65,416.63 |
$65,416.63 |
$9,924.16
|
|
Integra os putty 2.5cc - cost per 0.5cc
|
$15,044.75 |
$15,044.75 |
$15,044.75 |
$3,803.11
|
|
Intens cardiac rehab no exer
|
$140.50 |
$140.50 |
$140.50 |
$238.40
|
|
Intens cardiac rehab w/exerc
|
$140.50 |
$140.50 |
$140.50 |
$238.40
|
|
Interdental fixation
|
$1,929.00 |
$1,929.00 |
$1,929.00 |
$2,156.00
|
|
Interdental wirg oth/thn fx
|
$1,397.00 |
$1,397.00 |
$1,397.00 |
$1,944.80
|
|
Interdiscal perq aspir dx
|
$1,178.00 |
$1,178.00 |
$1,178.00 |
$1,222.26
|
|
Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper)
|
$33,946.55 |
$33,946.55 |
$33,946.55 |
$10,427.90
|
|
Interfyl, 1 mg
|
$8,634.00 |
$8,634.00 |
$8,634.00 |
$4,656.80
|
|
Intermediate visual field xm
|
$167.50 |
$167.50 |
$167.50 |
$112.80
|
|
Interrogate subq defib
|
$63.50 |
$63.50 |
$63.50 |
$119.60
|
|
Interrog dev eval icpms ip
|
$94.50 |
$94.50 |
$94.50 |
$104.00
|
|
Interrog dev eval scrms ip
|
$316.00 |
$316.00 |
$316.00 |
$124.80
|
|
Interrog device eval heart
|
$238.50 |
$238.50 |
$238.50 |
$162.40
|
|
Interrog evl pm/ldls pm ip
|
$122.00 |
$122.00 |
$122.00 |
$124.80
|
|
Int hrhc lig 1 hroid without img
|
$9,838.03 |
$9,838.03 |
$9,838.03 |
$3,455.00
|
|
Intra-atrial pacing
|
$3,590.00 |
$3,590.00 |
$3,590.00 |
$5,155.51
|
|
Intra-atrial recording
|
$3,590.00 |
$3,590.00 |
$3,590.00 |
$5,495.56
|
|
Intracard echo interv w/s&i
|
$3,353.00 |
$3,353.00 |
$3,353.00 |
$3,461.04
|
|
Intracran angioplsty w/stent
|
$8,145.50 |
$8,145.50 |
$8,145.50 |
$8,257.80
|
|
Intracranial angioplasty
|
$8,761.50 |
$8,761.50 |
$8,761.50 |
$5,089.80
|
|
Intracranial complete study
|
$900.50 |
$900.50 |
$900.50 |
$883.30
|
|
Intracranial limited study
|
$478.00 |
$478.00 |
$478.00 |
$467.50
|
|
Intranasal biopsy 30100
|
$2,442.00 |
$2,442.00 |
$2,442.00 |
$2,199.10
|
|
Intraoral i+d tongue/floor lingual 41000
|
$2,007.00 |
$2,007.00 |
$2,007.00 |
$1,361.25
|
|
Intrapul surf admin endo tube
|
$259.00 |
$259.00 |
$259.00 |
$221.27
|
|
Intrauterine transfusion ftl
|
$1,063.50 |
$1,063.50 |
$1,063.50 |
$1,063.50
|
|
Intrinsic factor antibody
|
$118.80 |
$118.80 |
$135.00 |
$63.15
|
|
Intrm oph exam est patient
|
$152.50 |
$152.50 |
$152.50 |
$152.50
|
|
Intro cath dialysis circuit
|
$1,735.50 |
$1,735.50 |
$1,735.50 |
$2,053.14
|
|
Intro cath dialysis circuit w/pta
|
$8,690.50 |
$8,690.50 |
$8,690.50 |
$8,761.00
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$17,562.50 |
$17,562.50 |
$17,562.50 |
$15,640.00
|
|
Intro catheter aorta
|
$2,650.00 |
$2,650.00 |
$2,650.00 |
$1,654.05
|
|
Intro cath svc/ivc
|
$1,910.00 |
$1,910.00 |
$1,910.00 |
$1,323.27
|
|
Intro long gi tube
|
$657.00 |
$657.00 |
$1,489.00 |
$954.00
|
|
Intro long gi tube w/mult fluo
|
$435.50 |
$435.50 |
$449.40 |
$465.50
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$820.50 |
$820.50 |
$820.50 |
$3,436.50
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$820.50 |
$820.50 |
$820.50 |
$1,764.10
|
|
Intubation endotracheal emergency procedure
|
$546.60 |
$546.60 |
$1,132.00 |
$600.00
|
|
Ionm in operatng room 15 min
|
$110.00 |
$110.00 |
$110.00 |
$191.40
|
|
Ionm remote/>1 pt or per hr
|
$420.00 |
$420.00 |
$420.00 |
$597.35
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$1,142.99 |
$1,142.99 |
$1,142.99 |
$170.06
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$803.92 |
$803.92 |
$803.92 |
$279.10
|
|
Io rad tx delivery by x-ray
|
$3,906.50 |
$3,906.50 |
$3,906.50 |
$9,046.18
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$108,656.64 |
$108,656.64 |
$108,656.64 |
$62,692.46
|
|
Ipratropium bromide non-comp
|
$9.00 |
$9.00 |
$9.00 |
$3.75
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$90.00 |
$90.00 |
$90.00 |
$174.47
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$11,707.47 |
$11,707.47 |
$11,707.47 |
$5,476.68
|
|
Iron
|
$78.60 |
$78.60 |
$262.00 |
$73.98
|
|
Iron binding capacity
|
$55.20 |
$55.20 |
$85.00 |
$63.84
|
|
Iron dextran 50 mg/ml injection solution
|
$90.00 |
$90.00 |
$90.00 |
$78.46
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$121.78 |
$121.78 |
$121.78 |
$187.06
|
|
Irradiation of blood product each unit reference
|
$52.50 |
$52.50 |
$52.50 |
$116.35
|
|
Irrigation implantable venous access device for drug delivery systems
|
$85.00 |
$85.00 |
$115.20 |
$144.62
|
|
Ivc venogram s&i
|
$3,919.00 |
$3,919.00 |
$3,919.00 |
$3,341.00
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$87.60 |
$87.60 |
$185.50 |
$191.75
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$68.40 |
$68.40 |
$229.50 |
$162.00
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$202.00 |
$202.00 |
$208.80 |
$154.00
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$365.00 |
$365.00 |
$458.40 |
$443.20
|
|
IV inj ra drug dx study
|
$197.50 |
$197.50 |
$197.50 |
$549.70
|
|
IV njx tst vasc flo flap/grf
|
$904.50 |
$904.50 |
$904.50 |
$476.00
|
|
Ivp w/nephrotomography
|
$1,350.00 |
$1,350.00 |
$1,350.00 |
$764.40
|
|
Ivp w/wo kub w/wo tomography
|
$1,198.50 |
$1,198.50 |
$1,198.50 |
$692.18
|
|
Jak2 targeted sequence analysis
|
$533.00 |
$533.00 |
$612.60 |
$417.50
|
|
Jejunstmy tube plcmt
|
$2,329.50 |
$2,329.50 |
$2,329.50 |
$2,174.40
|
|
John cunningham antibody
|
$172.50 |
$172.50 |
$172.50 |
$65.00
|
