|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$1,092.63 |
$1,092.63 |
$1,586.27 |
$2,585.25
|
|
Insertion of catheter vein
|
$665.74 |
$665.74 |
$966.52 |
$1,525.80
|
|
Insertion of catheter vein
|
$430.52 |
$430.52 |
$625.02 |
$870.59
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$13,132.31 |
$13,132.31 |
$14,715.44 |
$12,384.25
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$8,321.77 |
$8,321.77 |
$12,081.48 |
$12,324.60
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$16,913.26 |
$16,913.26 |
$24,554.51 |
$9,884.16
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$903.14 |
$903.14 |
$1,311.18 |
$2,103.75
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$935.09 |
$935.09 |
$1,357.55 |
$2,453.83
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$14,458.29 |
$14,458.29 |
$20,990.41 |
$29,180.00
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$3,898.26 |
$3,898.26 |
$5,659.45 |
$7,183.68
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$3,753.42 |
$3,753.42 |
$5,449.18 |
$7,267.20
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$8,520.01 |
$8,520.01 |
$11,928.30 |
$9,332.50
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$2,850.02 |
$2,850.02 |
$4,305.17 |
$5,236.80
|
|
Insert pm/icd lead dual
|
$3,923.67 |
$3,923.67 |
$5,696.34 |
$7,115.90
|
|
Insert/repl sq defib w/eltrd
|
$15,429.68 |
$15,429.68 |
$22,400.66 |
$33,593.55
|
|
Insert sq defib electrode
|
$5,004.68 |
$5,004.68 |
$7,265.75 |
$8,167.68
|
|
Insert swan-ganz cath
|
$468.94 |
$468.94 |
$1,054.10 |
$2,164.52
|
|
Insert tunneled cv 2cath 2sits without port/pmp 36565
|
$2,591.09 |
$2,591.09 |
$3,761.73 |
$4,997.60
|
|
Insert tunneled cv cath
|
$2,957.72 |
$2,957.72 |
$4,294.00 |
$4,520.00
|
|
Insert uteri tandem/ovoids
|
$896.97 |
$896.97 |
$896.97 |
$3,940.41
|
|
Insert vad art access left hrt arterial access
|
$2,105.40 |
$2,105.40 |
$3,056.60 |
$4,276.00
|
|
Insert vad art access left hrt art & vein access
|
$3,073.88 |
$3,073.88 |
$4,462.64 |
$3,915.72
|
|
Ins icd gen exist mlt leads
|
$16,335.00 |
$16,335.00 |
$23,715.00 |
$31,286.77
|
|
Ins icd gen exist sgl lead
|
$14,765.39 |
$14,765.39 |
$21,436.25 |
$23,230.50
|
|
Insitu hybridization auto
|
$201.93 |
$201.93 |
$214.12 |
$377.37
|
|
Insitu hybridization (fish)
|
$196.90 |
$196.90 |
$208.78 |
$481.00
|
|
Insitu hybridization manual
|
$201.93 |
$201.93 |
$214.12 |
$401.28
|
|
In situ hybridization per specimen each additional single probe stain
|
$91.69 |
$91.69 |
$97.23 |
$243.50
|
|
In situ hybridization per specimen initial single probe stain
|
$130.38 |
$130.38 |
$138.25 |
$338.40
|
|
Insj perq vad r hrt venous
|
$2,105.40 |
$2,105.40 |
$3,056.60 |
$3,796.00
|
|
Insj phrnc nrv stim sys
|
$14,645.23 |
$14,645.23 |
$14,645.23 |
$53,251.79
|
|
Insj phrnc nrv stim transvns
|
$363.00 |
$363.00 |
$363.00 |
$13,142.86
|
|
Ins lv lead exist pm/icd
|
$10,634.45 |
$10,634.45 |
$15,438.99 |
$12,384.25
|
|
Ins mark abd/pel for right perq
|
$901.69 |
$901.69 |
$1,309.07 |
$2,477.24
|
|
Ins mark thor for right perq
|
$802.96 |
$802.96 |
$802.96 |
$2,503.80
|
|
Ins picad w subq port 5yr>
|
$2,970.79 |
$2,970.79 |
$4,312.97 |
$4,078.00
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$912.22 |
$912.22 |
$1,324.35 |
$1,690.00
|
|
Ins pm gen exist dual lead
|
$15,540.39 |
$15,540.39 |
$22,561.40 |
$24,159.72
|
|
Ins pm gen w/exist mlt leads
|
$9,120.74 |
$9,120.74 |
$13,241.40 |
$14,804.40
|
|
Ins pq tunnld ip cath w/img
|
$1,669.80 |
$1,669.80 |
$2,424.20 |
$5,486.00
|
|
Ins/rpl ldless pm right vent w img & eval
|
$9,120.74 |
$9,120.74 |
$13,241.40 |
$24,135.54
|
|
Ins/rpl pm gen exist dual lead
|
$9,150.87 |
$9,150.87 |
$13,285.14 |
$11,005.50
|
|
Ins/rpl pm gen exist sgl lead
|
$8,739.23 |
$8,739.23 |
$12,687.53 |
$9,428.64
|
|
Ins/rpl pm w/tv ld atrl
|
$7,869.84 |
$7,869.84 |
$11,425.36 |
$11,583.66
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$2,656.07 |
$2,656.07 |
$2,656.07 |
$27,318.11
|
|
Inst fibrinolysis agent ini day
|
$528.53 |
$528.53 |
$767.31 |
$1,043.35
|
|
Inst fibrinolysis agent sbsq d
|
$416.36 |
$416.36 |
$604.47 |
$997.05
|
|
Instillation anticarcinogenic agent bladder
|
$154.01 |
$154.01 |
$154.01 |
$638.40
|
|
Instll rx agnt into rnal tub
|
$432.22 |
$432.22 |
$432.22 |
$619.20
|
|
Ins tun cv cath wo subq prt/pm
|
$2,484.74 |
$2,484.74 |
$3,607.32 |
$5,324.80
|
|
Ins tun cv cath wo subq prt/pm
|
$1,519.52 |
$1,519.52 |
$2,206.02 |
$4,218.00
|
|
Insulin total
|
$8.89 |
$8.89 |
$9.23 |
$66.64
|
|
Ins vag brachytx device
|
$388.77 |
$388.77 |
$388.77 |
$950.00
|
|
Interdiscal perq aspir dx
|
$433.78 |
$433.78 |
$433.78 |
$1,222.26
|
|
Interphalangeal joint spacer
|
$3,918.39 |
$3,918.39 |
$4,085.13 |
$3,190.20
|
|
Interrogate subq defib
|
$65.52 |
$65.52 |
$147.28 |
$119.60
|
|
Interrogation vad in person
|
$103.10 |
$103.10 |
$103.10 |
$296.80
|
|
Interrog dev eval icpms ip
|
$61.19 |
$61.19 |
$137.55 |
$104.00
|
|
Interrog device eval heart
|
$61.19 |
$61.19 |
$137.55 |
$162.40
|
|
Interrog evl pm/ldls pm ip
|
$61.19 |
$61.19 |
$137.55 |
$127.20
|
|
Intra-atrial recording
|
$2,079.80 |
$2,079.80 |
$2,079.80 |
$5,252.30
|
|
Intracard echo interv w/s&i
|
$567.57 |
$567.57 |
$1,275.81 |
$3,436.00
|
|
Intracran angioplsty w/stent
|
$4,001.71 |
$4,001.71 |
$5,809.65 |
$8,145.50
|
|
Intracranial angioplasty
|
$3,512.39 |
$3,512.39 |
$5,099.25 |
$5,181.00
|
|
Intracranial complete study
|
$256.63 |
$256.63 |
$256.63 |
$881.50
|
|
Intracranial limited study
|
$153.91 |
$153.91 |
$153.91 |
$467.50
|
|
Intrapul surf admin endo tube
|
$45.12 |
$45.12 |
$62.51 |
$220.80
|
|
Intrinsic factor antibody
|
$8.02 |
$8.02 |
$12.69 |
$65.00
|
|
Intro cath dialysis circuit
|
$2,740.65 |
$2,740.65 |
$3,978.85 |
$2,036.94
|
|
Intro cath dialysis circuit w/pta
|
$8,322.86 |
$8,322.86 |
$12,083.06 |
$8,690.50
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$16,646.09 |
$16,646.09 |
$24,166.64 |
$16,262.40
|
|
Intro catheter aorta
|
$498.76 |
$498.76 |
$724.10 |
$1,678.05
|
|
Intro cath svc/ivc
|
$365.54 |
$365.54 |
$530.69 |
$1,323.27
|
|
Intro long gi tube
|
$353.56 |
$353.56 |
$513.30 |
$974.17
|
|
Intro long gi tube w/mult fluo
|
$114.90 |
$114.90 |
$117.96 |
$469.00
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$2,275.65 |
$2,275.65 |
$3,303.76 |
$3,472.95
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$1,825.16 |
$1,825.16 |
$2,649.76 |
$1,801.10
|
|
Iodine i-123 sod iodide mil
|
$1,601.00 |
$1,601.00 |
$1,601.00 |
$386.37
|
|
Ionm in operatng room 15 min
|
$69.17 |
$69.17 |
$143.44 |
$200.78
|
|
Ionm remote/>1 pt or per hr
|
$764.41 |
$764.41 |
$764.41 |
$622.70
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$0.10 |
$0.10 |
$0.10 |
$279.10
|
|
Iron
|
$32.45 |
$32.45 |
$33.70 |
$75.00
|
|
Iron binding capacity
|
$4.21 |
$4.21 |
$4.37 |
$63.91
|
|
Irradiation of blood product each unit reference
|
$19.47 |
$19.47 |
$19.47 |
$115.20
|
|
Irrigation implantable venous access device for drug delivery systems
|
$54.13 |
$54.13 |
$72.94 |
$146.11
|
|
Ivc venogram s&i
|
$1,349.40 |
$1,349.40 |
$1,385.38 |
$3,332.55
|
|
IV Fluids (each additional hour)
|
$52.62 |
$52.62 |
$55.20 |
$133.90
|
|
IV Fluids (first hour)
|
$201.92 |
$201.92 |
$211.80 |
$390.00
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$74.36 |
$74.36 |
$78.00 |
$162.68
|
|
IV Medicine Infusion (additional drug)
|
$106.96 |
$106.96 |
$112.20 |
$191.75
|
|
IV Medicine Infusion (each additional hour)
|
$76.08 |
$76.08 |
$79.80 |
$154.00
|
|
IV Medicine Infusion (first hour)
|
$274.85 |
$274.85 |
$332.51 |
$439.56
|
|
IV Push Injection (each additional drug)
|
$70.87 |
$70.87 |
$95.50 |
$167.50
|
|
IV Push Injection (first drug)
|
$88.72 |
$88.72 |
$119.57 |
$252.76
|
|
Ivp w/nephrotomography
|
$575.10 |
$575.10 |
$590.44 |
$748.15
|
|
Ivp w/wo kub w/wo tomography
|
$353.70 |
$353.70 |
$363.13 |
$713.40
|
|
Jak2 targeted sequence analysis
|
$95.08 |
$95.08 |
$135.11 |
$405.00
|
|
Jaw Joint (TMJ) X-ray (both sides, open and closed)
|
$119.40 |
$119.40 |
$122.58 |
$330.05
|
|
Jaw (Mandible) X-ray (complete)
|
$159.00 |
$159.00 |
$163.24 |
$362.05
|
|
John cunningham antibody
|
$6.94 |
$6.94 |
$10.96 |
$78.00
|
