|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$6,700.60 |
$6,700.60 |
$6,700.60 |
$12,384.25
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$4,623.59 |
$4,623.59 |
$4,623.59 |
$12,324.60
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$4,968.11 |
$4,968.11 |
$4,968.11 |
$9,884.16
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$873.74 |
$873.74 |
$873.74 |
$2,103.75
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$910.74 |
$910.74 |
$910.74 |
$2,453.83
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$7,015.13 |
$7,015.13 |
$7,015.13 |
$29,180.00
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$2,285.32 |
$2,285.32 |
$2,285.32 |
$7,183.68
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$2,544.98 |
$2,544.98 |
$2,544.98 |
$7,267.20
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$3,558.45 |
$3,558.45 |
$3,558.45 |
$9,332.50
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$4,144.06 |
$4,144.06 |
$4,144.06 |
$5,236.80
|
|
Insert pm/icd lead dual
|
$2,934.16 |
$2,934.16 |
$2,934.16 |
$7,115.90
|
|
Insert swan-ganz cath
|
$766.59 |
$766.59 |
$766.59 |
$2,164.52
|
|
Insert vad art access left hrt arterial access
|
$932.44 |
$932.44 |
$932.44 |
$4,276.00
|
|
Ins icd gen exist mlt leads
|
$5,415.66 |
$5,415.66 |
$5,415.66 |
$31,286.77
|
|
Ins icd gen exist sgl lead
|
$4,976.40 |
$4,976.40 |
$4,976.40 |
$23,230.50
|
|
Insitu hybridization auto
|
$171.45 |
$171.45 |
$171.45 |
$377.37
|
|
Insitu hybridization (fish)
|
$116.33 |
$116.33 |
$116.33 |
$481.00
|
|
Insitu hybridization manual
|
$171.45 |
$171.45 |
$171.45 |
$401.28
|
|
In situ hybridization per specimen each additional single probe stain
|
$104.62 |
$104.62 |
$104.62 |
$243.50
|
|
In situ hybridization per specimen initial single probe stain
|
$137.48 |
$137.48 |
$137.48 |
$338.40
|
|
Insj perq vad r hrt venous
|
$932.44 |
$932.44 |
$932.44 |
$3,796.00
|
|
Ins lv lead exist pm/icd
|
$4,958.86 |
$4,958.86 |
$4,958.86 |
$12,384.25
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$882.99 |
$882.99 |
$882.99 |
$1,690.00
|
|
Ins pm gen exist dual lead
|
$5,054.24 |
$5,054.24 |
$5,054.24 |
$24,159.72
|
|
Ins pq tunnld ip cath w/img
|
$2,474.80 |
$2,474.80 |
$2,474.80 |
$5,486.00
|
|
Ins/rpl ldless pm right vent w img & eval
|
$7,142.41 |
$7,142.41 |
$7,142.41 |
$24,135.54
|
|
Ins/rpl pm gen exist dual lead
|
$3,596.72 |
$3,596.72 |
$3,596.72 |
$11,005.50
|
|
Ins/rpl pm gen exist sgl lead
|
$3,434.99 |
$3,434.99 |
$3,434.99 |
$9,428.64
|
|
Ins/rpl pm w/tv ld atrl
|
$4,372.21 |
$4,372.21 |
$4,372.21 |
$11,583.66
|
|
Inst fibrinolysis agent ini day
|
$681.07 |
$681.07 |
$681.07 |
$1,043.35
|
|
Inst fibrinolysis agent sbsq d
|
$608.97 |
$608.97 |
$608.97 |
$997.05
|
|
Ins tun cv cath wo subq prt/pm
|
$1,508.55 |
$1,508.55 |
$1,508.55 |
$4,218.00
|
|
Inst via cath agent pleurds
|
$307.20 |
$307.20 |
$307.20 |
$1,074.68
|
|
Insulin total
|
$8.78 |
$8.78 |
$8.78 |
$66.64
|
|
Interdiscal perq aspir dx
|
$654.27 |
$654.27 |
$654.27 |
$1,222.26
|
|
Interferon alfa-2b inj
|
$10.18 |
$10.18 |
$10.18 |
$1,409.92
|
|
Intrapul surf admin endo tube
|
$13.26 |
$13.26 |
$13.26 |
$220.80
|
|
Intrinsic factor antibody
|
$7.73 |
$7.73 |
$7.73 |
$65.00
|
|
Intro cath dialysis circuit
|
$1,324.49 |
$1,324.49 |
$1,324.49 |
$2,036.94
|
|
Intro cath dialysis circuit w/pta
|
$4,111.59 |
$4,111.59 |
$4,111.59 |
$8,690.50
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$8,027.00 |
$8,027.00 |
$8,027.00 |
$16,262.40
|
|
Intro catheter aorta
|
$444.05 |
$444.05 |
$444.05 |
$1,678.05
|
|
Intro cath svc/ivc
|
$396.84 |
$396.84 |
$396.84 |
$1,323.27
|
|
Intro long gi tube
|
$159.50 |
$159.50 |
$159.50 |
$974.17
|
|
Intro long gi tube w/mult fluo
|
$123.26 |
$123.26 |
$123.26 |
$469.00
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$1,729.94 |
$1,729.94 |
$1,729.94 |
$3,472.95
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$1,384.14 |
$1,384.14 |
$1,384.14 |
$1,801.10
|
|
Intubation endotracheal emergency procedure
|
$181.80 |
$181.80 |
$181.80 |
$601.28
|
|
Iron
|
$32.03 |
$32.03 |
$32.03 |
$75.00
|
|
Iron binding capacity
|
$4.16 |
$4.16 |
$4.16 |
$63.91
|
|
Irrigation implantable venous access device for drug delivery systems
|
$81.53 |
$81.53 |
$81.53 |
$146.11
|
|
Ivc venogram s&i
|
$1,147.06 |
$1,147.06 |
$1,147.06 |
$3,332.55
|
|
IV Fluids (each additional hour)
|
$45.93 |
$45.93 |
$45.93 |
$133.90
|
|
IV Fluids (first hour)
|
$146.77 |
$146.77 |
$146.77 |
$390.00
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$65.12 |
$65.12 |
$65.12 |
$162.68
|
|
IV inj ra drug dx study
|
$140.77 |
$140.77 |
$140.77 |
$567.00
|
|
IV Medicine Infusion (additional drug)
|
$84.56 |
$84.56 |
$84.56 |
$191.75
|
|
IV Medicine Infusion (each additional hour)
|
$56.38 |
$56.38 |
$56.38 |
$154.00
|
|
IV Medicine Infusion (first hour)
|
$158.68 |
$158.68 |
$158.68 |
$439.56
|
|
IV Push Injection (each additional drug)
|
$67.80 |
$67.80 |
$67.80 |
$167.50
|
|
IV Push Injection (first drug)
|
$122.72 |
$122.72 |
$122.72 |
$252.76
|
|
Ivp w/nephrotomography
|
$636.09 |
$636.09 |
$636.09 |
$748.15
|
|
Jak2 targeted sequence analysis
|
$158.95 |
$158.95 |
$158.95 |
$405.00
|
|
Jaw Joint (TMJ) X-ray (both sides, open and closed)
|
$91.57 |
$91.57 |
$91.57 |
$330.05
|
|
Jaw (Mandible) X-ray (complete)
|
$90.64 |
$90.64 |
$90.64 |
$362.05
|
|
John cunningham antibody
|
$6.68 |
$6.68 |
$6.68 |
$78.00
|
|
Ketamine and metabolite screen - quest
|
$22.33 |
$22.33 |
$22.33 |
$72.14
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$9.39 |
$9.39 |
$9.39 |
$58.56
|
|
Kidney imag w/bld flow multi
|
$577.06 |
$577.06 |
$577.06 |
$1,566.50
|
|
Kidney img w/bldflw sgl without rx
|
$488.24 |
$488.24 |
$488.24 |
$1,433.22
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$234.26 |
$234.26 |
$234.26 |
$673.36
|
|
Kidney (Retroperitoneal) Ultrasound (limited)
|
$151.11 |
$151.11 |
$151.11 |
$490.75
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$3,395.12 |
$3,395.12 |
$3,395.12 |
$9,423.50
|
|
Kit gene analys d816 variant
|
$107.16 |
$107.16 |
$107.16 |
$374.61
|
|
Kit lead specify 5-6-5
|
$7,972.64 |
$7,972.64 |
$7,972.64 |
$16,672.10
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$700.70 |
$700.70 |
$700.70 |
$1,635.87
|
|
Kit tissue closure sealant adhesive air leak progel 4 ml pleura
|
$1,587.30 |
$1,587.30 |
$1,587.30 |
$2,254.50
|
|
Knee MRI (with and without contrast)
|
$528.21 |
$528.21 |
$528.21 |
$3,022.20
|
|
Knee MRI (with contrast)
|
$440.15 |
$440.15 |
$440.15 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$352.09 |
$352.09 |
$352.09 |
$2,130.88
|
|
Knee X-ray
|
$104.38 |
$104.38 |
$104.38 |
$432.18
|
|
Knee X-ray (1 to 2 views, both knees)
|
$79.22 |
$79.22 |
$79.22 |
$290.40
|
|
Knee X-ray (3 views, both knees)
|
$93.20 |
$93.20 |
$93.20 |
$363.60
|
|
Knee X-ray (standing, both knees)
|
$92.27 |
$92.27 |
$92.27 |
$251.20
|
|
Kras gene addl variants
|
$103.24 |
$103.24 |
$103.24 |
$387.20
|
|
Kras gene variants exon 2
|
$165.90 |
$165.90 |
$165.90 |
$536.20
|
|
Lactate dehydrogenase (ldh)
|
$25.72 |
$25.72 |
$25.72 |
$55.50
|
|
Lactic acid
|
$23.56 |
$23.56 |
$23.56 |
$107.10
|
|
Lactoferrin fecal qualitative
|
$15.09 |
$15.09 |
$15.09 |
$82.16
|
|
Large Joint Injection or Fluid Draw (both sides)
|
$297.63 |
$297.63 |
$297.63 |
$740.40
|
|
Laryngoscopy telescopic
|
$333.36 |
$333.36 |
$333.36 |
$852.80
|
|
Lead acuity x4 spiral l 86cm
|
$7,972.64 |
$7,972.64 |
$7,972.64 |
$5,460.00
|
|
Lead capillary
|
$12.17 |
$12.17 |
$12.17 |
$57.50
|
|
Lead ingevity 45cm pfret MRI
|
$7,972.64 |
$7,972.64 |
$7,972.64 |
$2,928.00
|
|
Lead tachy durata sj4 58cm
|
$5,125.64 |
$5,125.64 |
$5,125.64 |
$8,202.66
|
|
Leg Artery Ultrasound (complete, both legs)
|
$445.70 |
$445.70 |
$445.70 |
$990.00
|
|
Leg CT Scan (with contrast, both legs)
|
$357.00 |
$357.00 |
$357.00 |
$1,585.20
|
|
Leg CT Scan (without contrast, both legs)
|
$285.60 |
$285.60 |
$285.60 |
$1,372.50
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$447.20 |
$447.20 |
$447.20 |
$1,092.58
|
|
Leishmania antibody
|
$4.85 |
$4.85 |
$4.85 |
$58.50
|