|
Inj for mammo ductogram
|
$167.64 |
$167.64 |
$167.64 |
$399.60
|
|
Inj hrt cath w/s&i nonsel p-art angrp
|
$71.28 |
$71.28 |
$71.28 |
$1,439.90
|
|
Inj hrt cath w/s&i sel hrt ang
|
$79.20 |
$79.20 |
$79.20 |
$1,827.74
|
|
Inj hrt cath w/s&i sel hrt art
|
$83.82 |
$83.82 |
$83.82 |
$1,045.80
|
|
Inj hrt cath w/s&i sel left vent
|
$47.52 |
$47.52 |
$47.52 |
$1,239.00
|
|
Inj hrt cath w/s&i sel right vent
|
$47.52 |
$47.52 |
$47.52 |
$965.33
|
|
Inj/inf neurolyt sbst spinal canal lesion 62282
|
$326.04 |
$326.04 |
$326.04 |
$1,928.00
|
|
Inj intralesional <= 7 lsn(s)
|
$135.30 |
$135.30 |
$135.30 |
$235.13
|
|
Inj intralesional > 7 lsns
|
$163.68 |
$163.68 |
$163.68 |
$234.00
|
|
Inj ivig privigen 500 mg
|
$6,710.30 |
$6,710.30 |
$6,710.30 |
$6,967.29
|
|
Inj, lidocaine w epinephrine
|
$10.56 |
$10.56 |
$10.56 |
$47.52
|
|
Inj naloxone hydrochloride
|
$15.84 |
$15.84 |
$15.84 |
$83.16
|
|
Inj nephrosto/ureterogram w/img exstng access
|
$1,226.28 |
$1,226.28 |
$1,226.28 |
$1,413.35
|
|
Inj nivolumab 2 mg hyaluron
|
$12,267.29 |
$12,267.29 |
$12,267.29 |
$15,599.68
|
|
Inj ogivri 10 mg
|
$115.39 |
$115.39 |
$115.39 |
$4,492.28
|
|
Inj proc ankle arthr
|
$170.94 |
$170.94 |
$170.94 |
$405.31
|
|
Inj proc elbow arthro
|
$324.72 |
$324.72 |
$324.72 |
$419.60
|
|
Inj proc for lymphang
|
$186.12 |
$186.12 |
$186.12 |
$682.00
|
|
Inj proc lumbr disk ea lvl
|
$353.10 |
$353.10 |
$353.10 |
$1,106.93
|
|
Inj proc myelogram lumbar
|
$425.04 |
$425.04 |
$425.04 |
$830.50
|
|
Inj proc sialogram
|
$137.28 |
$137.28 |
$137.28 |
$373.00
|
|
Inj progesterone per 50 mg
|
$15.84 |
$15.84 |
$15.84 |
$15.00
|
|
Inj retro urethrocysto
|
$147.84 |
$147.84 |
$147.84 |
$443.50
|
|
Inj scleros sol mult veins
|
$463.98 |
$463.98 |
$463.98 |
$675.00
|
|
Inj scleros sol sgl vein
|
$82.50 |
$82.50 |
$82.50 |
$558.97
|
|
Inj(s) sclerosant spider veins limb/trunk
|
$144.54 |
$144.54 |
$144.54 |
$436.80
|
|
Inj testosterone cypionate
|
$59.75 |
$59.75 |
$59.75 |
$64.80
|
|
Inj triamcinolone ace X-ray 1mg
|
$28.38 |
$28.38 |
$28.38 |
$1,090.75
|
|
Inj w/fluor eval cv device
|
$355.08 |
$355.08 |
$355.08 |
$503.92
|
|
Inpt/ed teleconsult30
|
$147.18 |
$147.18 |
$147.18 |
$164.40
|
|
Inpt/ed teleconsult50
|
$209.88 |
$209.88 |
$209.88 |
$223.80
|
|
Inpt/ed teleconsult70
|
$298.32 |
$298.32 |
$298.32 |
$330.60
|
|
Inpt/tele follow up 15
|
$66.00 |
$66.00 |
$66.00 |
$64.80
|
|
Inpt/tele follow up 25
|
$116.16 |
$116.16 |
$116.16 |
$118.80
|
|
Inpt/tele follow up 35
|
$168.96 |
$168.96 |
$168.96 |
$171.60
|
|
Ins cath ren art 1st bi
|
$755.04 |
$755.04 |
$755.04 |
$5,753.10
|
|
Ins cath ren art 1st uni
|
$543.18 |
$543.18 |
$543.18 |
$4,660.00
|
|
Ins cath ren art 2nd+ bi
|
$883.08 |
$883.08 |
$883.08 |
$5,500.86
|
|
Ins cath ren art 2nd+ uni
|
$768.24 |
$768.24 |
$768.24 |
$5,395.20
|
|
Ins cerv dilator (sep proc)
|
$143.88 |
$143.88 |
$143.88 |
$480.28
|
|
Insert and remove bone pin
|
$391.38 |
$391.38 |
$391.38 |
$4,410.60
|
|
Insert cannula vein-to-vein hemodialysis
|
$265.32 |
$265.32 |
$265.32 |
$7,279.50
|
|
Insert cath pleura with image
|
$1,563.54 |
$1,563.54 |
$1,563.54 |
$2,194.40
|
|
Insert cath pleura without image
|
$1,567.50 |
$1,567.50 |
$1,567.50 |
$2,073.18
|
|
Insert drug delivery implant
|
$232.32 |
$232.32 |
$232.32 |
$280.00
|
|
Insert hepatic shunt (tips)
|
$1,775.40 |
$1,775.40 |
$1,775.40 |
$7,571.20
|
|
Insert intervert bimech device 22854
|
$718.74 |
$718.74 |
$718.74 |
$1,573.00
|
|
Insert intrauterine device iud
|
$173.58 |
$173.58 |
$173.58 |
$347.10
|
|
Insertion catheter bladder non indwelling
|
$342.54 |
$342.54 |
$342.54 |
$205.40
|
|
Insertion catheter bladder temporary simple
|
$312.84 |
$312.84 |
$312.84 |
$232.25
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$7,931.88 |
$7,931.88 |
$7,931.88 |
$4,782.00
|
|
Insertion intra aortic balloon assist device percutaneous
|
$547.80 |
$547.80 |
$547.80 |
$2,529.45
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$4,689.96 |
$4,689.96 |
$4,689.96 |
$7,210.78
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$4,189.02 |
$4,189.02 |
$4,189.02 |
$2,505.60
|
|
Insertion of heart electrode 33211
|
$357.06 |
$357.06 |
$357.06 |
$6,903.60
|
|
Insertion of infusion pump
|
$1,466.52 |
$1,466.52 |
$1,466.52 |
$5,907.78
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$1,123.32 |
$1,123.32 |
$1,123.32 |
$12,384.25
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$1,040.82 |
$1,040.82 |
$1,040.82 |
$12,384.25
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$982.74 |
$982.74 |
$982.74 |
$10,100.35
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$3,497.34 |
$3,497.34 |
$3,497.34 |
$2,079.50
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$3,532.98 |
$3,532.98 |
$3,532.98 |
$2,419.65
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$1,976.70 |
$1,976.70 |
$1,976.70 |
$29,042.52
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$343.86 |
$343.86 |
$343.86 |
$7,200.05
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$816.42 |
$816.42 |
$816.42 |
$7,312.80
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$187.44 |
$187.44 |
$187.44 |
$9,332.50
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$8,752.92 |
$8,752.92 |
$8,752.92 |
$5,223.20
|
|
Insertion ureth cath
|
$1,120.68 |
$1,120.68 |
$1,120.68 |
$2,412.45
|
|
Insert lens prosthesis
|
$1,773.42 |
$1,773.42 |
$1,773.42 |
$3,173.34
|
|
Insert multi-comp penis pros
|
$1,828.20 |
$1,828.20 |
$1,828.20 |
$21,998.10
|
|
Insert nasal septal button
|
$709.50 |
$709.50 |
$709.50 |
$1,783.50
|
|
Insert pelv fixation device
|
$777.48 |
$777.48 |
$777.48 |
$874.40
|
|
Insert pessary/other device
|
$170.94 |
$170.94 |
$170.94 |
$278.50
|
|
Insert picvad cath
|
$736.56 |
$736.56 |
$736.56 |
$4,195.00
|
|
Insert pm/icd lead dual
|
$811.80 |
$811.80 |
$811.80 |
$7,115.20
|
|
Insert prost urethral stent
|
$180.84 |
$180.84 |
$180.84 |
$2,467.08
|
|
Insert/repl sq defib w/eltrd
|
$1,217.04 |
$1,217.04 |
$1,217.04 |
$32,800.04
|
|
Insert spine fixation device
|
$1,755.60 |
$1,755.60 |
$1,755.60 |
$1,965.60
|
|
Insert spine fixation device
|
$367.62 |
$367.62 |
$367.62 |
$105.83
|
|
Insert spine fixation device
|
$2,131.14 |
$2,131.14 |
$2,131.14 |
$1,333.80
|
|
Insert spine fixation device
|
$1,756.92 |
$1,756.92 |
$1,756.92 |
$1,756.92
|
|
Insert swan-ganz cath
|
$143.88 |
$143.88 |
$143.88 |
$2,210.50
|
|
Insert tunneled cv 2cath 2sits without port/pmp 36565
|
$735.24 |
$735.24 |
$735.24 |
$4,803.00
|
|
Insert tunneled cv cath
|
$846.12 |
$846.12 |
$846.12 |
$4,520.00
|
|
Insert tunneled cv cath
|
$795.96 |
$795.96 |
$795.96 |
$5,983.35
|
|
Insert ureteral support
|
$2,227.50 |
$2,227.50 |
$2,227.50 |
$2,836.34
|
|
Insert uro/ves nck sphincter
|
$1,723.92 |
$1,723.92 |
$1,723.92 |
$22,298.82
|
|
Insert vad art access left hrt arterial access
|
$761.64 |
$761.64 |
$761.64 |
$4,270.75
|
|
Ins icd gen exist mlt leads
|
$874.50 |
$874.50 |
$874.50 |
$31,286.77
|
|
Ins icd gen exist sgl lead
|
$782.76 |
$782.76 |
$782.76 |
$23,230.50
|
|
Insitu hybridization auto
|
$85.80 |
$85.80 |
$85.80 |
$377.37
|
|
Insitu hybridization (fish)
|
$295.02 |
$295.02 |
$295.02 |
$481.60
|
|
In situ hybridization per specimen each additional single probe stain
|
$122.10 |
$122.10 |
$122.10 |
$241.15
|
|
In situ hybridization per specimen initial single probe stain
|
$317.46 |
$317.46 |
$317.46 |
$331.69
|
|
Insj biomechanical device
|
$718.08 |
$718.08 |
$718.08 |
$1,573.00
|
|
Insj biomechanical device 22853
|
$553.74 |
$553.74 |
$553.74 |
$622.40
|
|
Ins lv lead exist pm/icd
|
$1,094.28 |
$1,094.28 |
$1,094.28 |
$12,384.25
|
|
Ins mark thor for right perq
|
$388.74 |
$388.74 |
$388.74 |
$2,477.45
|
|
Ins picad w subq port 5yr>
|
$689.70 |
$689.70 |
$689.70 |
$3,985.20
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$176.22 |
$176.22 |
$176.22 |
$1,690.00
|
|
Ins pm gen exist dual lead
|
$813.12 |
$813.12 |
$813.12 |
$23,665.85
|