|
Insert tunneled cv 2cath 2sits without port/pmp 36565
|
$2,995.00 |
$5,840.34 |
$5,840.34 |
$4,803.00
|
|
Insert tunneled cv cath
|
$4,350.06 |
$4,350.06 |
$4,350.06 |
$4,520.00
|
|
Insert tunneled cv cath
|
$3,954.06 |
$3,954.06 |
$3,954.06 |
$5,983.35
|
|
Insert uteri tandem/ovoids
|
$2,300.00 |
$2,300.00 |
$9,383.22 |
$3,905.20
|
|
Insert vad art access left hrt arterial access
|
$8,277.06 |
$8,277.06 |
$8,277.06 |
$4,270.75
|
|
Ins icd gen exist mlt leads
|
$11,388.96 |
$11,388.96 |
$11,388.96 |
$31,286.77
|
|
Ins icd gen exist sgl lead
|
$25,925.46 |
$25,925.46 |
$25,925.46 |
$23,230.50
|
|
Insitu hybridization auto
|
$295.00 |
$295.00 |
$295.00 |
$377.37
|
|
Insitu hybridization (fish)
|
$322.50 |
$493.68 |
$493.68 |
$481.60
|
|
Insitu hybridization manual
|
$357.50 |
$894.30 |
$894.30 |
$401.28
|
|
In situ hybridization per specimen each additional single probe stain
|
$257.50 |
$493.68 |
$493.68 |
$241.15
|
|
In situ hybridization per specimen initial single probe stain
|
$322.50 |
$493.68 |
$493.68 |
$331.69
|
|
Ins lv lead exist pm/icd
|
$12,087.24 |
$12,087.24 |
$12,087.24 |
$12,384.25
|
|
Ins mark abd/pel for right perq
|
$3,070.32 |
$3,070.32 |
$3,390.00 |
$2,414.36
|
|
Ins mark thor for right perq
|
$2,355.00 |
$2,355.00 |
$2,355.00 |
$2,477.45
|
|
Ins picad w subq port 5yr>
|
$2,160.00 |
$6,688.44 |
$6,688.44 |
$3,985.20
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$1,855.00 |
$2,620.86 |
$2,620.86 |
$1,690.00
|
|
Ins pm gen exist dual lead
|
$10,565.94 |
$10,565.94 |
$10,565.94 |
$23,665.85
|
|
Ins pq tunnld ip cath w/img
|
$3,490.00 |
$6,031.08 |
$6,031.08 |
$5,377.00
|
|
Ins/rpl ldless pm right vent w img & eval
|
$6,978.18 |
$6,978.18 |
$6,978.18 |
$24,135.54
|
|
Ins/rpl pm gen exist dual lead
|
$12,087.24 |
$12,087.24 |
$12,087.24 |
$11,005.50
|
|
Ins/rpl pm gen exist sgl lead
|
$9,558.78 |
$9,558.78 |
$9,558.78 |
$9,428.64
|
|
Ins/rpl pm w/tv ld atrl
|
$5,539.38 |
$5,539.38 |
$5,539.38 |
$11,583.66
|
|
Inst fibrinolysis agent ini day
|
$714.12 |
$714.12 |
$714.12 |
$1,036.05
|
|
Inst fibrinolysis agent sbsq d
|
$714.12 |
$714.12 |
$714.12 |
$898.12
|
|
Instillation anticarcinogenic agent bladder
|
$505.00 |
$505.00 |
$505.00 |
$621.40
|
|
Ins tun cvad 2 cath w/subq port(s)
|
$8,823.54 |
$8,823.54 |
$8,823.54 |
$7,826.00
|
|
Ins tun cv cath wo subq prt/pm
|
$3,540.00 |
$4,125.00 |
$4,125.00 |
$5,324.80
|
|
Ins tun cv cath wo subq prt/pm
|
$3,540.00 |
$4,888.62 |
$4,888.62 |
$4,202.70
|
|
Ins tun intraperit dia cath
|
$3,130.00 |
$4,306.50 |
$4,306.50 |
$4,570.00
|
|
Inst via cath agent pleurds
|
$695.00 |
$695.00 |
$695.00 |
$1,065.00
|
|
Insulin total
|
$62.70 |
$62.70 |
$65.00 |
$66.64
|
|
Ins vag brachytx device
|
$1,125.00 |
$1,125.00 |
$1,358.28 |
$935.50
|
|
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm
|
$4,457.29 |
$4,457.29 |
$4,457.29 |
$8,629.72
|
|
Integra meshed bil wound mat
|
$6,651.32 |
$6,651.32 |
$6,651.32 |
$9,924.16
|
|
Interdiscal perq aspir dx
|
$710.00 |
$1,384.02 |
$1,384.02 |
$1,222.26
|
|
Interrogate subq defib
|
$78.54 |
$78.54 |
$255.00 |
$119.60
|
|
Interrog device eval heart
|
$310.00 |
$310.00 |
$310.00 |
$162.40
|
|
Interrog evl pm/ldls pm ip
|
$113.52 |
$113.52 |
$310.00 |
$124.80
|
|
Interstitial brachy inter
|
$1,358.28 |
$1,358.28 |
$1,358.28 |
$1,244.40
|
|
Intra-atrial recording
|
$8,764.14 |
$8,764.14 |
$8,764.14 |
$5,252.30
|
|
Intracard echo interv w/s&i
|
$3,218.82 |
$3,218.82 |
$3,218.82 |
$3,461.04
|
|
Intracran angioplsty w/stent
|
$3,280.00 |
$3,280.00 |
$14,803.80 |
$8,145.50
|
|
Intracranial angioplasty
|
$2,735.00 |
$2,735.00 |
$5,181.00 |
$4,962.40
|
|
Intracranial complete study
|
$900.24 |
$900.24 |
$1,030.00 |
$874.99
|
|
Intracranial limited study
|
$439.56 |
$439.56 |
$685.00 |
$465.01
|
|
Intrapul surf admin endo tube
|
$205.00 |
$205.00 |
$398.64 |
$220.80
|
|
Intrauterine transfusion ftl
|
$1,075.00 |
$1,075.00 |
$1,075.00 |
$1,063.50
|
|
Intraventricular pacing
|
$8,764.14 |
$8,764.14 |
$8,764.14 |
$5,456.17
|
|
Intrinsic factor antibody
|
$95.00 |
$99.00 |
$99.00 |
$63.15
|
|
Intro cath dialysis circuit
|
$1,145.00 |
$3,098.04 |
$3,098.04 |
$2,036.94
|
|
Intro cath dialysis circuit w/pta
|
$8,085.00 |
$10,883.40 |
$10,883.40 |
$8,690.50
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$11,875.00 |
$20,413.80 |
$20,413.80 |
$16,262.40
|
|
Intro catheter aorta
|
$1,060.00 |
$1,450.68 |
$1,450.68 |
$1,654.05
|
|
Intro cath svc/ivc
|
$880.00 |
$1,139.16 |
$1,139.16 |
$1,323.27
|
|
Intro long gi tube
|
$457.50 |
$518.76 |
$518.76 |
$957.18
|
|
Intro long gi tube w/mult fluo
|
$317.50 |
$537.24 |
$537.24 |
$466.00
|
|
Intro windpipe wire/tube
|
$1,505.00 |
$1,505.00 |
$1,505.00 |
$2,447.43
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$2,400.00 |
$2,400.00 |
$2,400.00 |
$3,409.29
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$1,915.00 |
$1,915.00 |
$1,915.00 |
$1,747.80
|
|
Intubation endotracheal emergency procedure
|
$302.50 |
$1,094.94 |
$1,094.94 |
$598.80
|
|
Iodine i-123 sod iodide mil
|
$307.50 |
$307.50 |
$307.50 |
$371.18
|
|
Ionm in operatng room 15 min
|
$209.22 |
$209.22 |
$209.22 |
$200.16
|
|
Ionm remote/>1 pt or per hr
|
$591.36 |
$591.36 |
$591.36 |
$622.70
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$0.55 |
$9.75 |
$9.75 |
$288.11
|
|
Io rad tx delivery by x-ray
|
$2,300.00 |
$2,300.00 |
$2,300.00 |
$9,046.18
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$341.15 |
$341.15 |
$392.81 |
$62,692.46
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$50.79 |
$50.79 |
$50.79 |
$174.47
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$149.71 |
$149.71 |
$149.71 |
$5,517.12
|
|
Iron
|
$39.60 |
$39.60 |
$82.50 |
$72.29
|
|
Iron binding capacity
|
$62.04 |
$62.04 |
$72.50 |
$63.60
|
|
Iron dextran 50 mg/ml injection solution
|
$88.53 |
$88.53 |
$88.53 |
$81.70
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$0.79 |
$3.07 |
$3.16 |
$187.06
|
|
Irradiation of blood product each unit reference
|
$65.00 |
$88.44 |
$88.44 |
$114.40
|
|
Irrigation implantable venous access device for drug delivery systems
|
$112.50 |
$127.38 |
$127.38 |
$144.62
|
|
Ivc venogram s&i
|
$2,095.00 |
$3,635.28 |
$3,635.28 |
$3,316.95
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$122.50 |
$145.86 |
$145.86 |
$190.56
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$122.50 |
$207.24 |
$207.24 |
$159.00
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$122.50 |
$143.88 |
$143.88 |
$153.60
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$292.50 |
$439.56 |
$439.56 |
$437.45
|
|
IV njx tst vasc flo flap/grf
|
$460.68 |
$460.68 |
$460.68 |
$476.00
|
|
Ivp w/wo kub w/wo tomography
|
$670.00 |
$747.78 |
$747.78 |
$692.18
|
|
Jak2 targeted sequence analysis
|
$421.74 |
$421.74 |
$475.00 |
$393.43
|
|
John cunningham antibody
|
$65.00 |
$1,585.32 |
$1,585.32 |
$66.31
|
|
Ketamine and metabolite screen - quest
|
$44.88 |
$44.88 |
$225.00 |
$72.14
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$44.22 |
$44.22 |
$47.50 |
$58.50
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$19.58 |
$32.34 |
$32.34 |
$23.77
|
|
Kidney endoscopy
|
$1,665.00 |
$5,871.36 |
$5,871.36 |
$5,728.00
|
|
Kidney function study
|
$1,595.00 |
$1,595.00 |
$1,595.00 |
$968.50
|
|
Kidney imaging morphology
|
$1,170.18 |
$1,170.18 |
$1,170.18 |
$785.00
|
|
Kidney imag w/bld flow multi
|
$1,682.34 |
$1,682.34 |
$2,525.00 |
$1,557.41
|
|
Kidney img w/bldflw sgl without rx
|
$1,595.00 |
$1,682.34 |
$1,682.34 |
$1,425.00
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$467.50 |
$566.28 |
$566.28 |
$673.36
|
|
Kit cast tcc 3in w/2reg boots total contact cast
|
$60.72 |
$60.72 |
$60.72 |
$174.00
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$7,144.00 |
$7,144.00 |
$10,357.38 |
$9,482.25
|
|
Kit gene analys d816 variant
|
$382.50 |
$683.10 |
$683.10 |
$366.03
|
|
Kit hfx iq ipg bundle
|
$33,749.63 |
$33,749.63 |
$33,749.63 |
$34,160.00
|
|
Kit lead specify 5-6-5
|
$12,610.23 |
$12,610.23 |
$12,610.23 |
$16,965.41
|
|
Knee MRI (with and without contrast)
|
$2,669.70 |
$2,669.70 |
$3,265.00 |
$3,008.26
|
|
Knee MRI (with contrast)
|
$2,210.00 |
$2,542.32 |
$2,542.32 |
$2,394.58
|
