|
Insertion picc without port or pump with imaging guidance=>5y
|
$1,809.50 |
$1,809.50 |
$1,809.50 |
$2,419.65
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$50,545.50 |
$50,545.50 |
$50,545.50 |
$29,042.52
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$3,144.00 |
$3,144.00 |
$3,144.00 |
$7,200.05
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$3,144.00 |
$3,144.00 |
$3,144.00 |
$7,312.80
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$12,749.50 |
$12,749.50 |
$12,749.50 |
$9,332.50
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$4,629.00 |
$4,629.00 |
$4,629.00 |
$5,223.20
|
|
Insert nasal septal button
|
$1,783.50 |
$1,783.50 |
$1,783.50 |
$1,783.50
|
|
Insert pessary/other device
|
$232.50 |
$232.50 |
$232.50 |
$278.50
|
|
Insert pm/icd lead dual
|
$3,144.00 |
$3,144.00 |
$3,144.00 |
$7,115.20
|
|
Insert/repl sq defib w/eltrd
|
$11,268.50 |
$11,268.50 |
$11,268.50 |
$32,800.04
|
|
Insert sq defib electrode
|
$3,228.50 |
$3,228.50 |
$3,228.50 |
$8,167.68
|
|
Insert swan-ganz cath
|
$2,377.00 |
$2,377.00 |
$2,377.00 |
$2,210.50
|
|
Insert uteri tandem/ovoids
|
$4,578.00 |
$4,578.00 |
$4,578.00 |
$3,905.20
|
|
Insitu hybridization auto
|
$518.50 |
$518.50 |
$518.50 |
$377.37
|
|
Insitu hybridization (fish)
|
$154.50 |
$154.50 |
$154.50 |
$481.60
|
|
Insitu hybridization manual
|
$516.50 |
$516.50 |
$516.50 |
$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
|
$2,923.32 |
$2,923.32 |
$2,923.32 |
$1,573.00
|
|
Insj biomechanical device 22853
|
$4,799.00 |
$4,799.00 |
$4,799.00 |
$622.40
|
|
Insj perq vad r hrt venous
|
$5,001.50 |
$5,001.50 |
$5,001.50 |
$3,796.00
|
|
Insj rx elut implt lac canal
|
$2,733.00 |
$2,733.00 |
$2,733.00 |
$2,572.70
|
|
Insj stablj dev without dcmprn
|
$7,598.50 |
$7,598.50 |
$7,598.50 |
$15,226.08
|
|
Insj stablj dev without dcmprn
|
$7,598.50 |
$7,598.50 |
$7,598.50 |
$10,418.40
|
|
Ins lv lead exist pm/icd
|
$5,235.50 |
$5,235.50 |
$5,235.50 |
$12,384.25
|
|
Ins mark abd/pel for right perq
|
$1,929.50 |
$1,929.50 |
$1,929.50 |
$2,414.36
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$726.50 |
$726.50 |
$726.50 |
$1,690.00
|
|
Ins pq tunnld ip cath w/img
|
$3,332.50 |
$3,332.50 |
$3,332.50 |
$5,377.00
|
|
Ins/rplcmt prq eltrd ra pn 1
|
$9,382.50 |
$9,382.50 |
$9,382.50 |
$14,685.79
|
|
Ins/rplc spi npg/rcvr pocket
|
$5,874.00 |
$5,874.00 |
$5,874.00 |
$24,061.80
|
|
Ins/rpl ldless pm right vent w img & eval
|
$8,276.00 |
$8,276.00 |
$8,276.00 |
$24,135.54
|
|
Ins/rpl pm gen exist dual lead
|
$5,363.00 |
$5,363.00 |
$5,363.00 |
$11,005.50
|
|
Ins/rpl pm gen exist sgl lead
|
$3,144.00 |
$3,144.00 |
$3,144.00 |
$9,428.64
|
|
Ins/rpl pm w/tv ld atrl
|
$5,235.50 |
$5,235.50 |
$5,235.50 |
$11,583.66
|
|
Ins/rpl prph sac/gstr npg/r
|
$5,769.00 |
$5,769.00 |
$5,769.00 |
$21,857.50
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$7,672.50 |
$7,672.50 |
$7,672.50 |
$25,694.00
|
|
Inst fibrinolysis agent ini day
|
$721.50 |
$721.50 |
$721.50 |
$1,036.05
|
|
Instillation anticarcinogenic agent bladder
|
$1,175.50 |
$1,175.50 |
$1,175.50 |
$621.40
|
|
Ins tun cvad 2 cath w/subq port(s)
|
$5,039.50 |
$5,039.50 |
$5,039.50 |
$7,826.00
|
|
Ins tun cv cath wo subq prt/pm
|
$6,757.00 |
$6,757.00 |
$6,757.00 |
$4,202.70
|
|
Ins tun intraperit dia cath
|
$3,332.50 |
$3,332.50 |
$3,332.50 |
$4,570.00
|
|
Inst via cath agent pleurds
|
$721.50 |
$721.50 |
$721.50 |
$1,065.00
|
|
Insulin total
|
$82.50 |
$82.50 |
$82.50 |
$66.64
|
|
Ins vag brachytx device
|
$353.00 |
$353.00 |
$353.00 |
$935.50
|
|
Integra meshed bil wound mat
|
$1,022.50 |
$1,022.50 |
$1,022.50 |
$9,924.16
|
|
Intens behave ther cardio dx
|
$43.50 |
$43.50 |
$43.50 |
$47.60
|
|
Interdental fixation
|
$1,791.50 |
$1,791.50 |
$1,791.50 |
$2,133.48
|
|
Interdental wirg oth/thn fx
|
$2,264.00 |
$2,264.00 |
$2,264.00 |
$1,944.80
|
|
Interdiscal perq aspir dx
|
$1,724.00 |
$1,724.00 |
$1,724.00 |
$1,222.26
|
|
Intermediate visual field xm
|
$126.50 |
$126.50 |
$126.50 |
$112.80
|
|
Interrogate subq defib
|
$70.50 |
$70.50 |
$70.50 |
$119.60
|
|
Interrogation vad in person
|
$102.00 |
$102.00 |
$102.00 |
$296.40
|
|
Interrog dev eval scrms ip
|
$126.50 |
$126.50 |
$126.50 |
$124.80
|
|
Interrog device eval heart
|
$186.50 |
$186.50 |
$186.50 |
$162.40
|
|
Interrog evl pm/ldls pm ip
|
$109.00 |
$109.00 |
$109.00 |
$124.80
|
|
Interrog without prgrmg ipnss
|
$109.50 |
$109.50 |
$109.50 |
$147.00
|
|
Int hrhc lig 2+hroid without img
|
$3,211.00 |
$3,211.00 |
$3,211.00 |
$3,245.23
|
|
Intra-atrial pacing
|
$4,777.50 |
$4,777.50 |
$4,777.50 |
$4,780.80
|
|
Intracard echo interv w/s&i
|
$2,039.00 |
$2,039.00 |
$2,039.00 |
$3,461.04
|
|
Intracranial complete study
|
$501.50 |
$501.50 |
$501.50 |
$874.99
|
|
Intranasal biopsy 30100
|
$1,783.50 |
$1,783.50 |
$1,783.50 |
$2,133.48
|
|
Intrapul surf admin endo tube
|
$393.00 |
$393.00 |
$393.00 |
$220.80
|
|
Intrinsic factor antibody
|
$24.00 |
$24.00 |
$24.00 |
$63.15
|
|
Intrm oph exam est patient
|
$78.00 |
$78.00 |
$78.00 |
$161.25
|
|
Intro cath dialysis circuit
|
$4,910.00 |
$4,910.00 |
$4,910.00 |
$2,036.94
|
|
Intro cath dialysis circuit w/pta
|
$5,617.00 |
$5,617.00 |
$5,617.00 |
$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
|
$5,900.50 |
$5,900.50 |
$5,900.50 |
$1,654.05
|
|
Intro cath svc/ivc
|
$970.00 |
$970.00 |
$970.00 |
$1,323.27
|
|
Intro long gi tube
|
$1,350.50 |
$1,350.50 |
$1,350.50 |
$957.18
|
|
Intro long gi tube w/mult fluo
|
$768.00 |
$768.00 |
$768.00 |
$466.00
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$1,791.00 |
$1,791.00 |
$1,791.00 |
$3,409.29
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$2,139.50 |
$2,139.50 |
$2,139.50 |
$1,747.80
|
|
Intubation endotracheal emergency procedure
|
$339.50 |
$339.50 |
$339.50 |
$598.80
|
|
Iodine i-123 sod iodide mil
|
$370.50 |
$370.50 |
$370.50 |
$371.18
|
|
Ionm in operatng room 15 min
|
$76.00 |
$76.00 |
$76.00 |
$200.16
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$24.78 |
$24.78 |
$24.78 |
$170.06
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$414.34 |
$414.34 |
$414.34 |
$288.11
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$60,921.84 |
$60,921.84 |
$60,921.84 |
$62,692.46
|
|
Ipratropium bromide non-comp
|
$2.00 |
$2.00 |
$2.00 |
$3.75
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$82.15 |
$82.15 |
$82.15 |
$174.47
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$11,624.00 |
$11,624.00 |
$11,624.00 |
$5,517.12
|
|
Iron
|
$340.00 |
$340.00 |
$340.00 |
$72.29
|
|
Iron binding capacity
|
$51.50 |
$51.50 |
$51.50 |
$63.60
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$210.30 |
$210.30 |
$210.30 |
$187.06
|
|
Irradiation of blood product each unit reference
|
$335.50 |
$335.50 |
$335.50 |
$114.40
|
|
Irrigation implantable venous access device for drug delivery systems
|
$118.50 |
$118.50 |
$118.50 |
$144.62
|
|
Irrigation vagina and/or appl medicament tx disease
|
$68.00 |
$68.00 |
$68.00 |
$132.00
|
|
Isatuximab-irfc 20 mg/ml intravenous solution
|
$8,904.32 |
$8,904.32 |
$8,904.32 |
$8,273.35
|
|
Ivc venogram s&i
|
$3,762.50 |
$3,762.50 |
$3,762.50 |
$3,316.95
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$217.00 |
$217.00 |
$217.00 |
$190.56
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$302.00 |
$302.00 |
$302.00 |
$159.00
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$442.00 |
$442.00 |
$442.00 |
$153.60
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$613.00 |
$613.00 |
$613.00 |
$437.45
|
|
Ivp w/nephrotomography
|
$715.00 |
$715.00 |
$715.00 |
$748.15
|
|
Ivp w/wo kub w/wo tomography
|
$877.50 |
$877.50 |
$877.50 |
$692.18
|
|
Jak2 targeted sequence analysis
|
$142.50 |
$142.50 |
$142.50 |
$393.43
|
|
Jejunstmy tube plcmt
|
$4,475.50 |
$4,475.50 |
$4,475.50 |
$2,174.40
|
|
Ketamine and metabolite screen - quest
|
$150.00 |
$150.00 |
$150.00 |
$72.14
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$50.50 |
$50.50 |
$50.50 |
$58.50
|
