|
Inj thrc fascial pln blk bi w/wo image
|
$1,059.00 |
$1,059.00 |
$1,059.00 |
$1,152.97
|
|
Inj thrc fascial pln blk uni w/wo image
|
$845.50 |
$845.50 |
$845.50 |
$837.50
|
|
Inj triamcinolone ace X-ray 1mg
|
$48.50 |
$48.50 |
$48.50 |
$1,090.75
|
|
Inj, trivisc 1 mg
|
$37.50 |
$37.50 |
$37.50 |
$6.67
|
|
Inj, tyenne, 1 mg
|
$2,943.85 |
$2,943.85 |
$2,943.85 |
$3,525.12
|
|
Inj, uzedy, 1 mg
|
$50.50 |
$50.50 |
$50.50 |
$11,475.96
|
|
Inj, vancomycin hcl (xellia)
|
$82.35 |
$82.35 |
$82.35 |
$85.20
|
|
Inj vancomycin (xellia) 10mg
|
$91.35 |
$91.35 |
$91.35 |
$76.59
|
|
Inj w/fluor eval cv device
|
$827.50 |
$827.50 |
$827.50 |
$503.92
|
|
Inj xipere 1 mg
|
$93.00 |
$93.00 |
$93.00 |
$93.00
|
|
Inj., yutiq, 0.01 mg
|
$1,158.50 |
$1,158.50 |
$1,158.50 |
$14,458.60
|
|
Ins cath ren art 1st uni
|
$5,196.00 |
$5,196.00 |
$5,196.00 |
$4,660.00
|
|
Ins cath ren art 2nd+ bi
|
$3,113.50 |
$3,113.50 |
$3,113.50 |
$5,500.86
|
|
Ins cath ren art 2nd+ uni
|
$7,330.50 |
$7,330.50 |
$7,330.50 |
$5,395.20
|
|
Ins cerv dilator (sep proc)
|
$538.50 |
$538.50 |
$538.50 |
$480.28
|
|
Insert cath pleura with image
|
$2,121.50 |
$2,121.50 |
$2,121.50 |
$2,194.40
|
|
Insert cath pleura without image
|
$2,206.00 |
$2,206.00 |
$2,206.00 |
$2,073.18
|
|
Insert drug delivery implant
|
$160.00 |
$160.00 |
$160.00 |
$280.00
|
|
Insert epicardial lead open 33202
|
$9,790.00 |
$9,790.00 |
$9,790.00 |
$3,775.20
|
|
Insert intervert bimech device 22854
|
$2,266.00 |
$2,266.00 |
$2,266.00 |
$1,573.00
|
|
Insert intrauterine device iud
|
$4,512.50 |
$4,512.50 |
$4,512.50 |
$347.10
|
|
Insertion catheter bladder non indwelling
|
$222.00 |
$222.00 |
$222.00 |
$205.40
|
|
Insertion catheter bladder temporary simple
|
$257.00 |
$257.00 |
$257.00 |
$232.25
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$3,809.00 |
$3,809.00 |
$3,809.00 |
$4,782.00
|
|
Insertion intra aortic balloon assist device percutaneous
|
$1,548.00 |
$1,548.00 |
$1,548.00 |
$2,529.45
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$5,069.50 |
$5,069.50 |
$5,069.50 |
$7,210.78
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$2,865.50 |
$2,865.50 |
$2,865.50 |
$2,505.60
|
|
Insertion of heart electrode 33211
|
$3,003.00 |
$3,003.00 |
$3,003.00 |
$6,903.60
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$6,902.50 |
$6,902.50 |
$6,902.50 |
$12,384.25
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$6,744.83 |
$6,744.83 |
$6,744.83 |
$10,100.35
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$1,816.50 |
$1,816.50 |
$1,816.50 |
$2,079.50
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$1,816.50 |
$1,816.50 |
$1,816.50 |
$2,419.65
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$10,728.00 |
$10,728.00 |
$10,728.00 |
$29,042.52
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$3,468.50 |
$3,468.50 |
$3,468.50 |
$7,200.05
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$3,258.50 |
$3,258.50 |
$3,258.50 |
$7,312.80
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$5,828.50 |
$5,828.50 |
$5,828.50 |
$9,332.50
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$7,098.00 |
$7,098.00 |
$7,098.00 |
$5,223.20
|
|
Insert nasal septal button
|
$2,336.00 |
$2,336.00 |
$2,336.00 |
$1,783.50
|
|
Insert pessary/other device
|
$245.50 |
$245.50 |
$245.50 |
$278.50
|
|
Insert pm/icd lead dual
|
$3,003.00 |
$3,003.00 |
$3,003.00 |
$7,115.20
|
|
Insert/repl sq defib w/eltrd
|
$10,482.00 |
$10,482.00 |
$10,482.00 |
$32,800.04
|
|
Insert sq defib electrode
|
$3,003.00 |
$3,003.00 |
$3,003.00 |
$8,167.68
|
|
Insert uteri tandem/ovoids
|
$4,967.50 |
$4,967.50 |
$4,967.50 |
$3,905.20
|
|
Insitu hybridization (fish)
|
$164.00 |
$164.00 |
$164.00 |
$481.60
|
|
Insitu hybridization manual
|
$187.50 |
$187.50 |
$187.50 |
$401.28
|
|
In situ hybridization per specimen each additional single probe stain
|
$194.50 |
$194.50 |
$194.50 |
$241.15
|
|
In situ hybridization per specimen initial single probe stain
|
$263.00 |
$263.00 |
$263.00 |
$331.69
|
|
Insj biomechanical device
|
$4,269.70 |
$4,269.70 |
$4,269.70 |
$1,573.00
|
|
Insj biomechanical device 22853
|
$4,700.00 |
$4,700.00 |
$4,700.00 |
$622.40
|
|
Insj rx elut implt lac canal
|
$2,733.00 |
$2,733.00 |
$2,733.00 |
$2,572.70
|
|
Ins lv lead exist pm/icd
|
$4,988.50 |
$4,988.50 |
$4,988.50 |
$12,384.25
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$721.50 |
$721.50 |
$721.50 |
$1,690.00
|
|
Ins pq tunnld ip cath w/img
|
$3,826.50 |
$3,826.50 |
$3,826.50 |
$5,377.00
|
|
Ins/rplcmt prq eltrd ra pn 1
|
$9,382.50 |
$9,382.50 |
$9,382.50 |
$14,685.79
|
|
Ins/rpl ldless pm right vent w img & eval
|
$5,668.50 |
$5,668.50 |
$5,668.50 |
$24,135.54
|
|
Ins/rpl pm gen exist dual lead
|
$4,988.50 |
$4,988.50 |
$4,988.50 |
$11,005.50
|
|
Ins/rpl prph sac/gstr npg/r
|
$5,131.00 |
$5,131.00 |
$5,131.00 |
$21,857.50
|
|
Inst fibrinolysis agent ini day
|
$721.50 |
$721.50 |
$721.50 |
$1,036.05
|
|
Instillation anticarcinogenic agent bladder
|
$4,255.83 |
$4,255.83 |
$4,255.83 |
$621.40
|
|
Ins tun cvad 2 cath w/subq port(s)
|
$5,467.50 |
$5,467.50 |
$5,467.50 |
$7,826.00
|
|
Ins tun cv cath wo subq prt/pm
|
$5,012.67 |
$5,012.67 |
$5,012.67 |
$4,202.70
|
|
Insulin total
|
$69.50 |
$69.50 |
$69.50 |
$66.64
|
|
Ins vag brachytx device
|
$414.50 |
$414.50 |
$414.50 |
$935.50
|
|
Intens behave ther cardio dx
|
$43.50 |
$43.50 |
$43.50 |
$47.60
|
|
Interdiscal perq aspir dx
|
$1,068.00 |
$1,068.00 |
$1,068.00 |
$1,222.26
|
|
Interrog device eval heart
|
$109.50 |
$109.50 |
$109.50 |
$162.40
|
|
Interrog evl pm/ldls pm ip
|
$94.50 |
$94.50 |
$94.50 |
$124.80
|
|
Interrog without prgrmg ipnss
|
$109.50 |
$109.50 |
$109.50 |
$147.00
|
|
Interstitial brachy inter
|
$143.00 |
$143.00 |
$143.00 |
$1,244.40
|
|
Int hrhc lig 2+hroid without img
|
$3,360.00 |
$3,360.00 |
$3,360.00 |
$3,245.23
|
|
Intranasal biopsy 30100
|
$1,783.50 |
$1,783.50 |
$1,783.50 |
$2,133.48
|
|
Intrapul surf admin endo tube
|
$132.00 |
$132.00 |
$132.00 |
$220.80
|
|
Intrinsic factor antibody
|
$24.00 |
$24.00 |
$24.00 |
$63.15
|
|
Intro cath dialysis circuit
|
$1,809.50 |
$1,809.50 |
$1,809.50 |
$2,036.94
|
|
Intro cath dialysis circuit w/pta
|
$7,483.00 |
$7,483.00 |
$7,483.00 |
$8,690.50
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$7,965.50 |
$7,965.50 |
$7,965.50 |
$16,262.40
|
|
Intro catheter aorta
|
$4,632.00 |
$4,632.00 |
$4,632.00 |
$1,654.05
|
|
Intro cath svc/ivc
|
$1,456.00 |
$1,456.00 |
$1,456.00 |
$1,323.27
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$1,715.00 |
$1,715.00 |
$1,715.00 |
$3,409.29
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$691.00 |
$691.00 |
$691.00 |
$1,747.80
|
|
Intubation endotracheal emergency procedure
|
$310.00 |
$310.00 |
$310.00 |
$598.80
|
|
Iodine i-123 sod iodide mil
|
$4,876.50 |
$4,876.50 |
$4,876.50 |
$371.18
|
|
Ionm in operatng room 15 min
|
$910.00 |
$910.00 |
$910.00 |
$200.16
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$133.88 |
$133.88 |
$133.88 |
$170.06
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$248.63 |
$248.63 |
$248.63 |
$288.11
|
|
Io rad tx delivery by x-ray
|
$9,274.50 |
$9,274.50 |
$9,274.50 |
$9,046.18
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$36,218.96 |
$36,218.96 |
$36,218.96 |
$62,692.46
|
|
Ipratropium bromide non-comp
|
$2.00 |
$2.00 |
$2.00 |
$3.75
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$64.80 |
$64.80 |
$64.80 |
$174.47
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$14,646.24 |
$14,646.24 |
$14,646.24 |
$5,517.12
|
|
Iron
|
$340.00 |
$340.00 |
$340.00 |
$72.29
|
|
Iron binding capacity
|
$24.00 |
$24.00 |
$24.00 |
$63.60
|
|
Iron dextran 50 mg/ml injection solution
|
$733.64 |
$733.64 |
$733.64 |
$81.70
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$210.33 |
$210.33 |
$210.33 |
$187.06
|
|
Irrigation implantable venous access device for drug delivery systems
|
$171.50 |
$171.50 |
$171.50 |
$144.62
|
|
Irrigation vagina and/or appl medicament tx disease
|
$93.00 |
$93.00 |
$93.00 |
$132.00
|
|
Ivc venogram s&i
|
$2,909.00 |
$2,909.00 |
$2,909.00 |
$3,316.95
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$186.50 |
$186.50 |
$186.50 |
$190.56
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$173.00 |
$173.00 |
$173.00 |
$159.00
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$639.00 |
$639.00 |
$639.00 |
$153.60
|
