|
Insitu hybridization (fish)
|
$312.64 |
$312.64 |
$312.64 |
$481.60
|
|
Insitu hybridization manual
|
$345.37 |
$345.37 |
$345.37 |
$401.28
|
|
In situ hybridization per specimen each additional single probe stain
|
$162.01 |
$162.01 |
$162.01 |
$241.15
|
|
In situ hybridization per specimen initial single probe stain
|
$165.83 |
$165.83 |
$165.83 |
$331.69
|
|
Insj perq vad r hrt venous
|
$2,572.56 |
$2,572.56 |
$2,572.56 |
$3,796.00
|
|
Insj stablj dev without dcmprn
|
$3,247.13 |
$3,247.13 |
$3,247.13 |
$15,226.08
|
|
Insj stablj dev without dcmprn
|
$1,227.90 |
$1,227.90 |
$1,227.90 |
$10,418.40
|
|
Ins lv lead exist pm/icd
|
$2,077.44 |
$2,077.44 |
$2,077.44 |
$12,384.25
|
|
Ins mark abd/pel for right perq
|
$1,272.49 |
$1,272.49 |
$1,272.49 |
$2,414.36
|
|
Ins picad w subq port 5yr>
|
$1,631.03 |
$1,631.03 |
$1,631.03 |
$3,985.20
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$1,772.86 |
$1,772.86 |
$1,772.86 |
$1,690.00
|
|
Ins pm gen exist dual lead
|
$5,924.42 |
$5,924.42 |
$5,924.42 |
$23,665.85
|
|
Ins pm gen w/exist mlt leads
|
$3,926.06 |
$3,926.06 |
$3,926.06 |
$14,804.40
|
|
Ins pq tunnld ip cath w/img
|
$2,617.35 |
$2,617.35 |
$2,617.35 |
$5,377.00
|
|
Ins/rplc spi npg/rcvr pocket
|
$3,794.72 |
$3,794.72 |
$3,794.72 |
$24,061.80
|
|
Ins/rpl ldless pm right vent w img & eval
|
$7,896.61 |
$7,896.61 |
$7,896.61 |
$24,135.54
|
|
Ins/rpl pm gen exist dual lead
|
$3,926.06 |
$3,926.06 |
$3,926.06 |
$11,005.50
|
|
Ins/rpl pm gen exist sgl lead
|
$3,564.74 |
$3,564.74 |
$3,564.74 |
$9,428.64
|
|
Ins/rpl pm w/tv ld atrl
|
$6,078.35 |
$6,078.35 |
$6,078.35 |
$11,583.66
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$10,774.78 |
$10,774.78 |
$10,774.78 |
$25,694.00
|
|
Inst fibrinolysis agent ini day
|
$475.96 |
$475.96 |
$475.96 |
$1,036.05
|
|
Inst fibrinolysis agent sbsq d
|
$475.96 |
$475.96 |
$475.96 |
$898.12
|
|
Instillation anticarcinogenic agent bladder
|
$524.18 |
$524.18 |
$524.18 |
$621.40
|
|
Instll rx agnt into rnal tub
|
$207.01 |
$207.01 |
$207.01 |
$619.20
|
|
Ins tun cvad 2 cath w/subq port(s)
|
$2,064.99 |
$2,064.99 |
$2,064.99 |
$7,826.00
|
|
Ins tun cv cath wo subq prt/pm
|
$2,681.89 |
$2,681.89 |
$2,681.89 |
$5,324.80
|
|
Ins tun cv cath wo subq prt/pm
|
$1,875.45 |
$1,875.45 |
$1,875.45 |
$4,202.70
|
|
Ins tun intraperit dia cath
|
$1,926.99 |
$1,926.99 |
$1,926.99 |
$4,570.00
|
|
Inst via cath agent pleurds
|
$394.37 |
$394.37 |
$394.37 |
$1,065.00
|
|
Insulin for insulin pump use
|
$36.27 |
$36.27 |
$36.27 |
$396.18
|
|
Insulin total
|
$37.31 |
$37.31 |
$37.31 |
$66.64
|
|
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm
|
$5,824.47 |
$5,824.47 |
$5,824.47 |
$8,629.72
|
|
Integra meshed bil wound mat
|
$18,046.45 |
$18,046.45 |
$18,046.45 |
$9,924.16
|
|
Interdiscal perq aspir dx
|
$397.68 |
$397.68 |
$397.68 |
$1,222.26
|
|
Interferon alfa-2b inj
|
$3,697.19 |
$3,697.19 |
$3,697.19 |
$1,409.92
|
|
Interferon alfacon-1 inj
|
$371.84 |
$371.84 |
$371.84 |
$382.15
|
|
Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper)
|
$839.64 |
$839.64 |
$839.64 |
$10,427.90
|
|
Interferon gamma 1-b inj
|
$1,012.04 |
$1,012.04 |
$1,012.04 |
$9,879.00
|
|
Interrog dev eval icpms ip
|
$39.44 |
$39.44 |
$39.44 |
$103.50
|
|
Interstitial brachy inter
|
$2,205.65 |
$2,205.65 |
$2,205.65 |
$1,244.40
|
|
Intra-atrial pacing
|
$1,690.05 |
$1,690.05 |
$1,690.05 |
$4,780.80
|
|
Intra-atrial recording
|
$2,655.87 |
$2,655.87 |
$2,655.87 |
$5,252.30
|
|
Intracard echo interv w/s&i
|
$2,140.06 |
$2,140.06 |
$2,140.06 |
$3,461.04
|
|
Intracran angioplsty w/stent
|
$3,607.16 |
$3,607.16 |
$3,607.16 |
$8,145.50
|
|
Intracranial angioplasty
|
$2,916.65 |
$2,916.65 |
$2,916.65 |
$4,962.40
|
|
Intracranial complete study
|
$478.37 |
$478.37 |
$478.37 |
$874.99
|
|
Intracranial limited study
|
$401.83 |
$401.83 |
$401.83 |
$465.01
|
|
Intraoral i+d tongue/floor lingual 41000
|
$432.69 |
$432.69 |
$432.69 |
$1,331.45
|
|
Intrapul surf admin endo tube
|
$93.48 |
$93.48 |
$93.48 |
$220.80
|
|
Intraventricular pacing
|
$2,799.29 |
$2,799.29 |
$2,799.29 |
$5,456.17
|
|
Intrinsic factor antibody
|
$101.64 |
$101.64 |
$101.64 |
$63.15
|
|
Intro cath dialysis circuit
|
$902.22 |
$902.22 |
$902.22 |
$2,036.94
|
|
Intro cath dialysis circuit w/pta
|
$6,940.10 |
$6,940.10 |
$6,940.10 |
$8,690.50
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$20,334.48 |
$20,334.48 |
$20,334.48 |
$16,262.40
|
|
Intro long gi tube
|
$336.34 |
$336.34 |
$336.34 |
$957.18
|
|
Intro long gi tube w/mult fluo
|
$440.78 |
$440.78 |
$440.78 |
$466.00
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$2,078.37 |
$2,078.37 |
$2,078.37 |
$3,409.29
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$1,434.08 |
$1,434.08 |
$1,434.08 |
$1,747.80
|
|
Intubation endotracheal emergency procedure
|
$409.18 |
$409.18 |
$409.18 |
$598.80
|
|
Iodine i-123 sod iodide mil
|
$124.71 |
$124.71 |
$124.71 |
$371.18
|
|
Ionm in operatng room 15 min
|
$187.84 |
$187.84 |
$187.84 |
$200.16
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$3,159.15 |
$3,159.15 |
$3,159.15 |
$170.06
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$1,579.26 |
$1,579.26 |
$1,579.26 |
$288.11
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$44,878.93 |
$44,878.93 |
$44,878.93 |
$62,692.46
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$174.67 |
$174.67 |
$174.67 |
$174.47
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$8,320.03 |
$8,320.03 |
$8,320.03 |
$5,517.12
|
|
Iron
|
$31.40 |
$31.40 |
$31.40 |
$72.29
|
|
Iron binding capacity
|
$42.52 |
$42.52 |
$42.52 |
$63.60
|
|
Iron dextran 50 mg/ml injection solution
|
$172.71 |
$172.71 |
$172.71 |
$81.70
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$3,457.00 |
$3,457.00 |
$3,457.00 |
$187.06
|
|
Irradiation of blood product each unit reference
|
$43.19 |
$43.19 |
$43.19 |
$114.40
|
|
Irrigation implantable venous access device for drug delivery systems
|
$124.69 |
$124.69 |
$124.69 |
$144.62
|
|
Ivc venogram s&i
|
$2,602.86 |
$2,602.86 |
$2,602.86 |
$3,316.95
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$129.19 |
$129.19 |
$129.19 |
$190.56
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$129.58 |
$129.58 |
$129.58 |
$159.00
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$129.19 |
$129.19 |
$129.19 |
$153.60
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$298.47 |
$298.47 |
$298.47 |
$437.45
|
|
IV inj ra drug dx study
|
$305.49 |
$305.49 |
$305.49 |
$552.60
|
|
Ivp w/nephrotomography
|
$670.01 |
$670.01 |
$670.01 |
$748.15
|
|
Ivp w/wo kub w/wo tomography
|
$617.57 |
$617.57 |
$617.57 |
$692.18
|
|
Ixabepilone 15 mg intravenous solution
|
$5,969.40 |
$5,969.40 |
$5,969.40 |
$10,695.32
|
|
Jak2 targeted sequence analysis
|
$63.23 |
$63.23 |
$63.23 |
$393.43
|
|
John cunningham antibody
|
$492.39 |
$492.39 |
$492.39 |
$66.31
|
|
J-tube placement
|
$595.44 |
$595.44 |
$595.44 |
$593.08
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$40.50 |
$40.50 |
$40.50 |
$58.50
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$101.84 |
$101.84 |
$101.84 |
$23.77
|
|
Kidney imaging morphology
|
$701.25 |
$701.25 |
$701.25 |
$785.00
|
|
Kidney imag w/bld flow multi
|
$1,077.53 |
$1,077.53 |
$1,077.53 |
$1,557.41
|
|
Kidney img w/bldflw sgl without rx
|
$1,009.11 |
$1,009.11 |
$1,009.11 |
$1,425.00
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$534.89 |
$534.89 |
$534.89 |
$673.36
|
|
Kit case 4.2mm spinejack
|
$8,125.13 |
$8,125.13 |
$8,125.13 |
$7,751.14
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$10,187.57 |
$10,187.57 |
$10,187.57 |
$9,482.25
|
|
Kit gene analys d816 variant
|
$246.96 |
$246.96 |
$246.96 |
$366.03
|
|
Kit hfx iq ipg bundle
|
$56,356.73 |
$56,356.73 |
$56,356.73 |
$34,160.00
|
|
Kit ipg optimizer smart
|
$49,854.03 |
$49,854.03 |
$49,854.03 |
$49,011.18
|
|
Kit lead specify 5-6-5
|
$19,291.34 |
$19,291.34 |
$19,291.34 |
$16,965.41
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$1,593.17 |
$1,593.17 |
$1,593.17 |
$1,667.50
|
|
Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm
|
$11,358.40 |
$11,358.40 |
$11,358.40 |
$923.90
|
|
Kit tissue closure sealant adhesive air leak progel 4 ml pleura
|
$7,712.97 |
$7,712.97 |
$7,712.97 |
$2,254.50
|
|
Knee orth pos locking joint
|
$190.75 |
$190.75 |
$190.75 |
$585.60
|
