|
Ins pm gen w/exist mlt leads
|
$781.44 |
$781.44 |
$781.44 |
$14,804.40
|
|
Ins pq tunnld ip cath w/img
|
$7,407.18 |
$7,407.18 |
$7,407.18 |
$5,377.00
|
|
Ins/rplc spi npg/rcvr pocket
|
$766.92 |
$766.92 |
$766.92 |
$24,061.80
|
|
Ins/rpl ldless pm right vent w img & eval
|
$1,036.86 |
$1,036.86 |
$1,036.86 |
$24,135.54
|
|
Ins/rpl pm gen exist dual lead
|
$739.20 |
$739.20 |
$739.20 |
$11,005.50
|
|
Ins/rpl pm gen exist sgl lead
|
$710.16 |
$710.16 |
$710.16 |
$9,428.64
|
|
Ins/rpl pm w/tv ld atrl
|
$993.96 |
$993.96 |
$993.96 |
$11,583.66
|
|
Ins/rpl prph sac/gstr npg/r
|
$665.94 |
$665.94 |
$665.94 |
$21,857.50
|
|
Instillation anticarcinogenic agent bladder
|
$484.44 |
$484.44 |
$484.44 |
$621.40
|
|
Ins tun cvad 2 cath w/subq port(s)
|
$783.42 |
$783.42 |
$783.42 |
$7,826.00
|
|
Ins tun cv cath wo subq prt/pm
|
$711.48 |
$711.48 |
$711.48 |
$5,324.80
|
|
Ins tun cv cath wo subq prt/pm
|
$7,815.06 |
$7,815.06 |
$7,815.06 |
$4,202.70
|
|
Ins tun intraperit dia cath
|
$487.74 |
$487.74 |
$487.74 |
$4,570.00
|
|
Inst via cath agent pleurds
|
$165.00 |
$165.00 |
$165.00 |
$1,065.00
|
|
Insulin total
|
$6.71 |
$6.71 |
$6.71 |
$66.64
|
|
Ins vag brachytx device
|
$350.46 |
$350.46 |
$350.46 |
$935.50
|
|
Intens behave ther cardio dx
|
$53.46 |
$53.46 |
$53.46 |
$47.60
|
|
Interdiscal perq aspir dx
|
$344.52 |
$344.52 |
$344.52 |
$1,222.26
|
|
Intermediate visual field xm
|
$79.20 |
$79.20 |
$79.20 |
$112.80
|
|
Internal nerve revision 64727
|
$405.24 |
$405.24 |
$405.24 |
$806.00
|
|
Interrogate subq defib
|
$57.42 |
$57.42 |
$57.42 |
$119.60
|
|
Interrogation vad in person
|
$63.36 |
$63.36 |
$63.36 |
$296.40
|
|
Interrog dev eval icpms ip
|
$88.44 |
$88.44 |
$88.44 |
$103.50
|
|
Interrog dev eval scrms ip
|
$81.84 |
$81.84 |
$81.84 |
$124.80
|
|
Interrog device eval heart
|
$119.46 |
$119.46 |
$119.46 |
$162.40
|
|
Interrog evl pm/ldls pm ip
|
$124.08 |
$124.08 |
$124.08 |
$124.80
|
|
Intestinal stricturoplasty
|
$2,359.50 |
$2,359.50 |
$2,359.50 |
$2,351.50
|
|
Int hrhc lig 1 hroid without img
|
$802.56 |
$802.56 |
$802.56 |
$3,484.00
|
|
Int hrhc lig 2+hroid without img
|
$890.34 |
$890.34 |
$890.34 |
$3,245.23
|
|
Intra-atrial pacing
|
$245.52 |
$245.52 |
$245.52 |
$4,780.80
|
|
Intranasal biopsy 30100
|
$329.34 |
$329.34 |
$329.34 |
$2,133.48
|
|
Intraop colon lavage add-on
|
$363.66 |
$363.66 |
$363.66 |
$416.80
|
|
Intraoral i+d tongue/floor lingual 41000
|
$250.80 |
$250.80 |
$250.80 |
$1,331.45
|
|
Intraoral periapical first
|
$36.30 |
$36.30 |
$36.30 |
$54.88
|
|
Intrm oph exam est patient
|
$149.16 |
$149.16 |
$149.16 |
$161.25
|
|
Intro cath dialysis circuit
|
$363.00 |
$363.00 |
$363.00 |
$2,036.94
|
|
Intro cath dialysis circuit w/pta
|
$515.46 |
$515.46 |
$515.46 |
$8,690.50
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$674.52 |
$674.52 |
$674.52 |
$16,262.40
|
|
Intro catheter aorta
|
$293.70 |
$293.70 |
$293.70 |
$1,654.05
|
|
Intro cath svc/ivc
|
$456.72 |
$456.72 |
$456.72 |
$1,323.27
|
|
Intro long gi tube
|
$42.90 |
$42.90 |
$42.90 |
$957.18
|
|
Intro long gi tube w/mult fluo
|
$66.00 |
$66.00 |
$66.00 |
$466.00
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$188.10 |
$188.10 |
$188.10 |
$3,409.29
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$150.48 |
$150.48 |
$150.48 |
$1,747.80
|
|
Intubation endotracheal emergency procedure
|
$683.76 |
$683.76 |
$683.76 |
$598.80
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$6.30 |
$6.30 |
$6.30 |
$170.06
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$11.22 |
$11.22 |
$11.22 |
$288.11
|
|
Ip/obs cnsltj new/est low 45
|
$193.38 |
$193.38 |
$193.38 |
$174.20
|
|
Ip/obs cnsltj new/est mod 60
|
$288.42 |
$288.42 |
$288.42 |
$284.45
|
|
Ip/obs consltj new/est hi 80
|
$379.50 |
$379.50 |
$379.50 |
$332.80
|
|
Ip/obs consltj new/est sf 35
|
$125.40 |
$125.40 |
$125.40 |
$134.46
|
|
Ipratropium bromide non-comp
|
$3.96 |
$3.96 |
$3.96 |
$3.75
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$70.23 |
$70.23 |
$70.23 |
$174.47
|
|
Iron
|
$50.82 |
$50.82 |
$50.82 |
$72.29
|
|
Iron binding capacity
|
$61.38 |
$61.38 |
$61.38 |
$63.60
|
|
Iron dextran 50 mg/ml injection solution
|
$29.70 |
$29.70 |
$29.70 |
$81.70
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$136.32 |
$136.32 |
$136.32 |
$187.06
|
|
Irradiation of blood product each unit reference
|
$45.54 |
$45.54 |
$45.54 |
$114.40
|
|
Irrigation implantable venous access device for drug delivery systems
|
$41.58 |
$41.58 |
$41.58 |
$144.62
|
|
Irrigation vagina and/or appl medicament tx disease
|
$56.10 |
$56.10 |
$56.10 |
$132.00
|
|
Island pedicle flap graft
|
$1,940.40 |
$1,940.40 |
$1,940.40 |
$2,468.80
|
|
Ivc venogram s&i
|
$2,284.92 |
$2,284.92 |
$2,284.92 |
$3,316.95
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$159.72 |
$159.72 |
$159.72 |
$190.56
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$82.50 |
$82.50 |
$82.50 |
$159.00
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$279.84 |
$279.84 |
$279.84 |
$153.60
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$715.44 |
$715.44 |
$715.44 |
$437.45
|
|
Ivp w/nephrotomography
|
$611.16 |
$611.16 |
$611.16 |
$748.15
|
|
Ivp w/wo kub w/wo tomography
|
$536.58 |
$536.58 |
$536.58 |
$692.18
|
|
Jak2 targeted sequence analysis
|
$194.70 |
$194.70 |
$194.70 |
$393.43
|
|
Jejunstmy tube plcmt
|
$531.30 |
$531.30 |
$531.30 |
$2,174.40
|
|
John cunningham antibody
|
$19.80 |
$19.80 |
$19.80 |
$66.31
|
|
J-tube placement
|
$302.28 |
$302.28 |
$302.28 |
$593.08
|
|
Ketamine and metabolite screen - quest
|
$5.28 |
$5.28 |
$5.28 |
$72.14
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$74.58 |
$74.58 |
$74.58 |
$58.50
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$19.91 |
$19.91 |
$19.91 |
$23.77
|
|
Kidney endoscopy & treatment
|
$873.18 |
$873.18 |
$873.18 |
$5,626.86
|
|
Kidney imaging morphology
|
$54.12 |
$54.12 |
$54.12 |
$785.00
|
|
Kidney imag w/bld flow multi
|
$838.86 |
$838.86 |
$838.86 |
$1,557.41
|
|
Kidney img w/bldflw sgl without rx
|
$1,211.10 |
$1,211.10 |
$1,211.10 |
$1,425.00
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$792.66 |
$792.66 |
$792.66 |
$673.36
|
|
Kit cast tcc 3in w/2reg boots total contact cast
|
$85.14 |
$85.14 |
$85.14 |
$174.00
|
|
Kit gene analys d816 variant
|
$184.80 |
$184.80 |
$184.80 |
$366.03
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$5,895.78 |
$5,895.78 |
$5,895.78 |
$1,667.50
|
|
Knee Arthroscopy (Cartilage Repair)
|
$1,442.10 |
$1,442.10 |
$1,442.10 |
$4,499.12
|
|
Knee arthroscopy/drainage
|
$1,202.52 |
$1,202.52 |
$1,202.52 |
$3,839.54
|
|
Knee arthroscopy dx
|
$971.52 |
$971.52 |
$971.52 |
$3,980.03
|
|
Knee Arthroscopy (Meniscus Repair)
|
$1,261.92 |
$1,261.92 |
$1,261.92 |
$5,148.00
|
|
Knee arthroscopy/surgery
|
$1,453.32 |
$1,453.32 |
$1,453.32 |
$2,834.77
|
|
Knee arthroscopy/surgery
|
$2,133.12 |
$2,133.12 |
$2,133.12 |
$2,974.01
|
|
Knee arthroscopy/surgery
|
$1,266.54 |
$1,266.54 |
$1,266.54 |
$4,198.40
|
|
Knee arthroscopy/surgery
|
$1,245.42 |
$1,245.42 |
$1,245.42 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$1,158.30 |
$1,158.30 |
$1,158.30 |
$4,659.20
|
|
Knee arthroscopy/surgery
|
$1,512.72 |
$1,512.72 |
$1,512.72 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$1,533.18 |
$1,533.18 |
$1,533.18 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$1,307.46 |
$1,307.46 |
$1,307.46 |
$4,623.79
|
|
Knee arthroscopy/surgery
|
$1,590.60 |
$1,590.60 |
$1,590.60 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$1,931.16 |
$1,931.16 |
$1,931.16 |
$4,137.60
|
|
Knee arthroscopy/surgery
|
$1,439.46 |
$1,439.46 |
$1,439.46 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$1,481.04 |
$1,481.04 |
$1,481.04 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$1,745.70 |
$1,745.70 |
$1,745.70 |
$5,855.00
|