|
Inj, releuko 1 mcg
|
$587.49 |
$587.49 |
$587.49 |
$519.53
|
|
Inj retro urethrocysto
|
$291.90 |
$291.90 |
$291.90 |
$551.29
|
|
Inj, rimabotulinumtoxinb
|
$1,238.53 |
$1,238.53 |
$1,238.53 |
$1,486.10
|
|
Inj scleros sol sgl vein
|
$602.00 |
$602.00 |
$602.00 |
$534.40
|
|
Inj testosterone cypionate
|
$55.38 |
$55.38 |
$55.38 |
$82.58
|
|
Inj, vegzelma, 10 mg
|
$6,753.22 |
$6,753.22 |
$6,753.22 |
$1,444.45
|
|
Inj w/fluor eval cv device
|
$506.80 |
$506.80 |
$506.80 |
$588.90
|
|
Ins cath ren art 1st bi
|
$3,949.75 |
$3,949.75 |
$3,949.75 |
$6,033.75
|
|
Ins cath ren art 1st uni
|
$1,940.05 |
$1,940.05 |
$1,940.05 |
$4,667.63
|
|
Ins cath ren art 2nd+ bi
|
$3,949.75 |
$3,949.75 |
$3,949.75 |
$5,408.65
|
|
Ins cath ren art 2nd+ uni
|
$3,467.10 |
$3,467.10 |
$3,467.10 |
$5,528.94
|
|
Ins cerv dilator (sep proc)
|
$523.25 |
$523.25 |
$523.25 |
$544.00
|
|
Insert and remove bone pin
|
$3,137.40 |
$3,137.40 |
$3,137.40 |
$4,335.60
|
|
Insert cath pleura with image
|
$4,513.60 |
$4,513.60 |
$4,513.60 |
$2,239.02
|
|
Insert cath pleura without image
|
$3,385.20 |
$3,385.20 |
$3,385.20 |
$2,212.00
|
|
Insert hepatic shunt (tips)
|
$5,014.45 |
$5,014.45 |
$5,014.45 |
$9,754.48
|
|
Insert intrauterine device iud
|
$226.80 |
$226.80 |
$226.80 |
$378.83
|
|
Insertion catheter bladder non indwelling
|
$522.55 |
$522.55 |
$522.55 |
$237.13
|
|
Insertion catheter bladder temporary simple
|
$602.00 |
$602.00 |
$602.00 |
$273.60
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$7,081.55 |
$7,081.55 |
$7,081.55 |
$4,943.21
|
|
Insertion intra aortic balloon assist device percutaneous
|
$4,273.85 |
$4,273.85 |
$4,273.85 |
$2,549.95
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$3,669.40 |
$3,669.40 |
$3,669.40 |
$7,088.54
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$3,741.50 |
$3,741.50 |
$3,741.50 |
$2,618.40
|
|
Insertion of catheter vein
|
$77.00 |
$77.00 |
$77.00 |
$1,749.80
|
|
Insertion of catheter vein
|
$628.60 |
$628.60 |
$628.60 |
$858.05
|
|
Insertion of heart electrode 33211
|
$5,378.10 |
$5,378.10 |
$5,378.10 |
$9,090.00
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$5,049.10 |
$5,049.10 |
$5,049.10 |
$14,158.20
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$4,797.45 |
$4,797.45 |
$4,797.45 |
$12,813.28
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$3,782.10 |
$3,782.10 |
$3,782.10 |
$9,855.00
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$1,520.05 |
$1,520.05 |
$1,520.05 |
$2,079.43
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$2,674.70 |
$2,674.70 |
$2,674.70 |
$2,527.91
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$12,111.05 |
$12,111.05 |
$12,111.05 |
$29,997.52
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$6,606.25 |
$6,606.25 |
$6,606.25 |
$7,572.47
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$3,593.45 |
$3,593.45 |
$3,593.45 |
$7,673.12
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$1,914.50 |
$1,914.50 |
$1,914.50 |
$9,793.46
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$2,541.70 |
$2,541.70 |
$2,541.70 |
$5,470.54
|
|
Insertion ureth cath
|
$1,600.55 |
$1,600.55 |
$1,600.55 |
$2,424.12
|
|
Insert pessary/other device
|
$602.00 |
$602.00 |
$602.00 |
$278.90
|
|
Insert picvad cath
|
$2,541.70 |
$2,541.70 |
$2,541.70 |
$4,490.00
|
|
Insert pm/icd lead dual
|
$3,593.45 |
$3,593.45 |
$3,593.45 |
$7,562.63
|
|
Insert prost urethral stent
|
$1,983.80 |
$1,983.80 |
$1,983.80 |
$2,424.12
|
|
Insert/repl sq defib w/eltrd
|
$13,350.05 |
$13,350.05 |
$13,350.05 |
$33,948.20
|
|
Insert sq defib electrode
|
$3,593.45 |
$3,593.45 |
$3,593.45 |
$8,167.68
|
|
Insert swan-ganz cath
|
$1,159.90 |
$1,159.90 |
$1,159.90 |
$2,164.52
|
|
Insert tunneled cv 2cath 2sits without port/pmp 36565
|
$2,541.70 |
$2,541.70 |
$2,541.70 |
$4,705.13
|
|
Insert tunneled cv cath
|
$2,541.70 |
$2,541.70 |
$2,541.70 |
$4,520.00
|
|
Insert tunneled cv cath
|
$6,075.30 |
$6,075.30 |
$6,075.30 |
$6,028.07
|
|
Insert uteri tandem/ovoids
|
$3,901.45 |
$3,901.45 |
$3,901.45 |
$3,986.00
|
|
Insert vad art access left hrt arterial access
|
$709.45 |
$709.45 |
$709.45 |
$5,062.80
|
|
Ins icd gen exist mlt leads
|
$11,507.30 |
$11,507.30 |
$11,507.30 |
$31,286.77
|
|
Ins icd gen exist sgl lead
|
$9,596.30 |
$9,596.30 |
$9,596.30 |
$24,159.72
|
|
Insitu hybridization auto
|
$50.75 |
$50.75 |
$50.75 |
$398.16
|
|
Insitu hybridization manual
|
$50.75 |
$50.75 |
$50.75 |
$407.11
|
|
In situ hybridization per specimen each additional single probe stain
|
$38.50 |
$38.50 |
$38.50 |
$251.55
|
|
In situ hybridization per specimen initial single probe stain
|
$38.50 |
$38.50 |
$38.50 |
$338.40
|
|
Insj perq vad r hrt venous
|
$787.85 |
$787.85 |
$787.85 |
$4,981.60
|
|
Ins lv lead exist pm/icd
|
$10,367.70 |
$10,367.70 |
$10,367.70 |
$12,384.25
|
|
Ins mark abd/pel for right perq
|
$1,493.45 |
$1,493.45 |
$1,493.45 |
$2,070.00
|
|
Ins picad w subq port 5yr>
|
$2,541.70 |
$2,541.70 |
$2,541.70 |
$4,341.66
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$2,541.70 |
$2,541.70 |
$2,541.70 |
$1,483.95
|
|
Ins pm gen exist dual lead
|
$9,596.30 |
$9,596.30 |
$9,596.30 |
$24,696.00
|
|
Ins pm gen w/exist mlt leads
|
$9,050.65 |
$9,050.65 |
$9,050.65 |
$15,600.75
|
|
Ins pq tunnld ip cath w/img
|
$2,541.70 |
$2,541.70 |
$2,541.70 |
$5,593.60
|
|
Ins/rpl ldless pm right vent w img & eval
|
$15,982.05 |
$15,982.05 |
$15,982.05 |
$24,135.54
|
|
Ins/rpl pm gen exist dual lead
|
$5,323.85 |
$5,323.85 |
$5,323.85 |
$11,593.70
|
|
Ins/rpl pm gen exist sgl lead
|
$3,486.35 |
$3,486.35 |
$3,486.35 |
$9,746.29
|
|
Ins/rpl pm w/tv ld atrl
|
$3,486.35 |
$3,486.35 |
$3,486.35 |
$12,384.25
|
|
Inst fibrinolysis agent ini day
|
$361.90 |
$361.90 |
$361.90 |
$1,095.00
|
|
Inst fibrinolysis agent sbsq d
|
$361.90 |
$361.90 |
$361.90 |
$898.12
|
|
Insti hexaminolevulinate hcl
|
$4,339.44 |
$4,339.44 |
$4,339.44 |
$2,359.80
|
|
Instillation anticarcinogenic agent bladder
|
$645.05 |
$645.05 |
$645.05 |
$721.50
|
|
Ins tun cv cath wo subq prt/pm
|
$6,075.30 |
$6,075.30 |
$6,075.30 |
$5,888.85
|
|
Ins tun cv cath wo subq prt/pm
|
$2,541.70 |
$2,541.70 |
$2,541.70 |
$4,748.00
|
|
Ins tun intraperit dia cath
|
$3,270.75 |
$3,270.75 |
$3,270.75 |
$4,657.46
|
|
Inst via cath agent pleurds
|
$497.35 |
$497.35 |
$497.35 |
$1,074.68
|
|
Insulin total
|
$52.85 |
$52.85 |
$52.85 |
$67.60
|
|
Ins vag brachytx device
|
$281.75 |
$281.75 |
$281.75 |
$909.35
|
|
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm
|
$8,617.32 |
$8,617.32 |
$8,617.32 |
$9,970.16
|
|
Integra meshed bil wound mat
|
$25,450.30 |
$25,450.30 |
$25,450.30 |
$25,450.30
|
|
Integra os putty 2.5cc - cost per 0.5cc
|
$2,254.00 |
$2,254.00 |
$2,254.00 |
$2,908.50
|
|
Interdental fixation
|
$1,499.05 |
$1,499.05 |
$1,499.05 |
$2,133.48
|
|
Interdiscal perq aspir dx
|
$1,123.50 |
$1,123.50 |
$1,123.50 |
$1,222.26
|
|
Int hrhc lig 1 hroid without img
|
$1,625.40 |
$1,625.40 |
$1,625.40 |
$3,245.23
|
|
Intra-atrial pacing
|
$1,660.05 |
$1,660.05 |
$1,660.05 |
$5,155.51
|
|
Intracard echo interv w/s&i
|
$3,480.40 |
$3,480.40 |
$3,480.40 |
$3,982.59
|
|
Intracran angioplsty w/stent
|
$20,311.55 |
$20,311.55 |
$20,311.55 |
$11,364.78
|
|
Intracranial angioplasty
|
$10,371.20 |
$10,371.20 |
$10,371.20 |
$7,149.60
|
|
Intracranial complete study
|
$508.55 |
$508.55 |
$508.55 |
$883.30
|
|
Intracranial limited study
|
$382.55 |
$382.55 |
$382.55 |
$423.52
|
|
Intranasal biopsy 30100
|
$1,499.05 |
$1,499.05 |
$1,499.05 |
$1,850.94
|
|
Intraoral i+d tongue/floor lingual 41000
|
$651.00 |
$651.00 |
$651.00 |
$1,182.15
|
|
Intrapul surf admin endo tube
|
$877.45 |
$877.45 |
$877.45 |
$239.52
|
|
Intraventricular pacing
|
$4,676.35 |
$4,676.35 |
$4,676.35 |
$5,775.22
|
|
Intro cath dialysis circuit
|
$1,081.85 |
$1,081.85 |
$1,081.85 |
$2,317.80
|
|
Intro cath dialysis circuit w/pta
|
$2,457.70 |
$2,457.70 |
$2,457.70 |
$8,761.00
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$4,588.50 |
$4,588.50 |
$4,588.50 |
$15,625.00
|
|
Intro catheter aorta
|
$477.40 |
$477.40 |
$477.40 |
$1,861.61
|
|
Intro cath svc/ivc
|
$450.10 |
$450.10 |
$450.10 |
$1,350.75
|
|
Intro long gi tube
|
$1,031.10 |
$1,031.10 |
$1,031.10 |
$1,036.00
|
|
Intro long gi tube w/mult fluo
|
$785.75 |
$785.75 |
$785.75 |
$477.85
|