|
Inj proc for lymphang
|
$364.70 |
$364.70 |
$364.70 |
$1,372.00
|
|
Inj proc lumbr disk ea lvl
|
$424.20 |
$424.20 |
$424.20 |
$1,224.30
|
|
Inj proc myelogram lumbar
|
$865.20 |
$865.20 |
$865.20 |
$922.80
|
|
Inj proc sialogram
|
$364.70 |
$364.70 |
$364.70 |
$380.80
|
|
Inj progesterone per 50 mg
|
$33.63 |
$33.63 |
$33.63 |
$19.53
|
|
Inj, releuko 1 mcg
|
$587.49 |
$587.49 |
$587.49 |
$519.53
|
|
Inj retro urethrocysto
|
$364.70 |
$364.70 |
$364.70 |
$551.29
|
|
Inj scleros sol sgl vein
|
$384.65 |
$384.65 |
$384.65 |
$534.40
|
|
Inj secretin synthetic human
|
$2,058.00 |
$2,058.00 |
$2,058.00 |
$1,459.08
|
|
Inj teclistamab cqyv 0.5 mg
|
$15,797.25 |
$15,797.25 |
$15,797.25 |
$17,517.56
|
|
Inj testosterone cypionate
|
$55.38 |
$55.38 |
$55.38 |
$82.58
|
|
Inj thiotepa nos 1 mg
|
$3,649.87 |
$3,649.87 |
$3,649.87 |
$4,601.24
|
|
Inj, tyenne, 1 mg
|
$1,379.21 |
$1,379.21 |
$1,379.21 |
$3,525.12
|
|
Inj, vegzelma, 10 mg
|
$1,715.25 |
$1,715.25 |
$1,715.25 |
$1,444.45
|
|
Inj w/fluor eval cv device
|
$463.40 |
$463.40 |
$463.40 |
$588.90
|
|
Ins cath ren art 1st bi
|
$3,753.05 |
$3,753.05 |
$3,753.05 |
$6,033.75
|
|
Ins cath ren art 1st uni
|
$3,551.80 |
$3,551.80 |
$3,551.80 |
$4,667.63
|
|
Ins cath ren art 2nd+ bi
|
$3,753.05 |
$3,753.05 |
$3,753.05 |
$5,408.65
|
|
Ins cath ren art 2nd+ uni
|
$3,551.80 |
$3,551.80 |
$3,551.80 |
$5,528.94
|
|
Ins cerv dilator (sep proc)
|
$272.65 |
$272.65 |
$272.65 |
$544.00
|
|
Insert and remove bone pin
|
$2,738.05 |
$2,738.05 |
$2,738.05 |
$4,335.60
|
|
Insert cath pleura with image
|
$3,223.50 |
$3,223.50 |
$3,223.50 |
$2,239.02
|
|
Insert cath pleura without image
|
$2,214.10 |
$2,214.10 |
$2,214.10 |
$2,212.00
|
|
Insert hepatic shunt (tips)
|
$1,751.05 |
$1,751.05 |
$1,751.05 |
$9,754.48
|
|
Insert intrauterine device iud
|
$197.75 |
$197.75 |
$197.75 |
$378.83
|
|
Insertion catheter bladder non indwelling
|
$209.30 |
$209.30 |
$209.30 |
$237.13
|
|
Insertion catheter bladder temporary simple
|
$189.00 |
$189.00 |
$189.00 |
$273.60
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$3,537.80 |
$3,537.80 |
$3,537.80 |
$4,943.21
|
|
Insertion intra aortic balloon assist device percutaneous
|
$5,436.20 |
$5,436.20 |
$5,436.20 |
$2,549.95
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$3,150.35 |
$3,150.35 |
$3,150.35 |
$7,088.54
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$3,244.50 |
$3,244.50 |
$3,244.50 |
$2,618.40
|
|
Insertion of catheter vein
|
$315.35 |
$315.35 |
$315.35 |
$1,749.80
|
|
Insertion of catheter vein
|
$933.10 |
$933.10 |
$933.10 |
$858.05
|
|
Insertion of heart electrode 33211
|
$7,394.45 |
$7,394.45 |
$7,394.45 |
$9,090.00
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$5,530.00 |
$5,530.00 |
$5,530.00 |
$14,158.20
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$4,018.70 |
$4,018.70 |
$4,018.70 |
$12,813.28
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$2,272.55 |
$2,272.55 |
$2,272.55 |
$9,855.00
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$1,593.90 |
$1,593.90 |
$1,593.90 |
$2,079.43
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$1,563.45 |
$1,563.45 |
$1,563.45 |
$2,527.91
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$11,060.70 |
$11,060.70 |
$11,060.70 |
$29,997.52
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$7,394.45 |
$7,394.45 |
$7,394.45 |
$7,572.47
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$3,590.65 |
$3,590.65 |
$3,590.65 |
$7,673.12
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$2,513.00 |
$2,513.00 |
$2,513.00 |
$9,793.46
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$3,182.90 |
$3,182.90 |
$3,182.90 |
$5,470.54
|
|
Insertion ureth cath
|
$1,653.05 |
$1,653.05 |
$1,653.05 |
$2,424.12
|
|
Insert pessary/other device
|
$189.00 |
$189.00 |
$189.00 |
$278.90
|
|
Insert picvad cath
|
$3,182.90 |
$3,182.90 |
$3,182.90 |
$4,490.00
|
|
Insert pm/icd lead dual
|
$4,652.20 |
$4,652.20 |
$4,652.20 |
$7,562.63
|
|
Insert prost urethral stent
|
$1,731.10 |
$1,731.10 |
$1,731.10 |
$2,424.12
|
|
Insert swan-ganz cath
|
$1,274.70 |
$1,274.70 |
$1,274.70 |
$2,164.52
|
|
Insert tunneled cv 2cath 2sits without port/pmp 36565
|
$3,182.90 |
$3,182.90 |
$3,182.90 |
$4,705.13
|
|
Insert tunneled cv cath
|
$3,182.90 |
$3,182.90 |
$3,182.90 |
$4,520.00
|
|
Insert tunneled cv cath
|
$5,301.80 |
$5,301.80 |
$5,301.80 |
$6,028.07
|
|
Insert vad art access left hrt arterial access
|
$816.55 |
$816.55 |
$816.55 |
$5,062.80
|
|
Ins icd gen exist mlt leads
|
$11,060.70 |
$11,060.70 |
$11,060.70 |
$31,286.77
|
|
Ins icd gen exist sgl lead
|
$11,060.70 |
$11,060.70 |
$11,060.70 |
$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
|
$907.55 |
$907.55 |
$907.55 |
$4,981.60
|
|
Ins lv lead exist pm/icd
|
$9,546.95 |
$9,546.95 |
$9,546.95 |
$12,384.25
|
|
Ins picad w subq port 5yr>
|
$3,182.90 |
$3,182.90 |
$3,182.90 |
$4,341.66
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$1,109.85 |
$1,109.85 |
$1,109.85 |
$1,483.95
|
|
Ins pm gen exist dual lead
|
$11,060.70 |
$11,060.70 |
$11,060.70 |
$24,696.00
|
|
Ins pq tunnld ip cath w/img
|
$3,708.60 |
$3,708.60 |
$3,708.60 |
$5,593.60
|
|
Ins/rpl ldless pm right vent w img & eval
|
$17,888.15 |
$17,888.15 |
$17,888.15 |
$24,135.54
|
|
Ins/rpl pm gen exist dual lead
|
$5,530.00 |
$5,530.00 |
$5,530.00 |
$11,593.70
|
|
Ins/rpl pm gen exist sgl lead
|
$4,018.70 |
$4,018.70 |
$4,018.70 |
$9,746.29
|
|
Ins/rpl pm w/tv ld atrl
|
$4,018.70 |
$4,018.70 |
$4,018.70 |
$12,384.25
|
|
Inst fibrinolysis agent ini day
|
$416.15 |
$416.15 |
$416.15 |
$1,095.00
|
|
Inst fibrinolysis agent sbsq d
|
$416.15 |
$416.15 |
$416.15 |
$898.12
|
|
Ins tun cv cath wo subq prt/pm
|
$5,301.80 |
$5,301.80 |
$5,301.80 |
$5,888.85
|
|
Ins tun cv cath wo subq prt/pm
|
$3,182.90 |
$3,182.90 |
$3,182.90 |
$4,748.00
|
|
Ins tun intraperit dia cath
|
$1,866.90 |
$1,866.90 |
$1,866.90 |
$4,657.46
|
|
Inst via cath agent pleurds
|
$600.95 |
$600.95 |
$600.95 |
$1,074.68
|
|
Insulin total
|
$85.75 |
$85.75 |
$85.75 |
$67.60
|
|
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
|
$1,307.95 |
$1,307.95 |
$1,307.95 |
$2,133.48
|
|
Interdiscal perq aspir dx
|
$691.95 |
$691.95 |
$691.95 |
$1,222.26
|
|
Interferon alfa-2b inj
|
$715.83 |
$715.83 |
$715.83 |
$559.83
|
|
Int hrhc lig 1 hroid without img
|
$1,418.55 |
$1,418.55 |
$1,418.55 |
$3,245.23
|
|
Intra-atrial pacing
|
$3,254.30 |
$3,254.30 |
$3,254.30 |
$5,155.51
|
|
Intracard echo interv w/s&i
|
$1,927.10 |
$1,927.10 |
$1,927.10 |
$3,982.59
|
|
Intracran angioplsty w/stent
|
$13,982.15 |
$13,982.15 |
$13,982.15 |
$11,364.78
|
|
Intracranial angioplasty
|
$11,491.90 |
$11,491.90 |
$11,491.90 |
$7,149.60
|
|
Intracranial complete study
|
$663.60 |
$663.60 |
$663.60 |
$883.30
|
|
Intracranial limited study
|
$431.20 |
$431.20 |
$431.20 |
$423.52
|
|
Intranasal biopsy 30100
|
$1,307.95 |
$1,307.95 |
$1,307.95 |
$1,850.94
|
|
Intraoral i+d tongue/floor lingual 41000
|
$503.30 |
$503.30 |
$503.30 |
$1,182.15
|
|
Intrapul surf admin endo tube
|
$663.25 |
$663.25 |
$663.25 |
$239.52
|
|
Intro cath dialysis circuit
|
$1,274.70 |
$1,274.70 |
$1,274.70 |
$2,317.80
|
|
Intro cath dialysis circuit w/pta
|
$4,491.90 |
$4,491.90 |
$4,491.90 |
$8,761.00
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$5,288.50 |
$5,288.50 |
$5,288.50 |
$15,625.00
|
|
Intro catheter aorta
|
$980.00 |
$980.00 |
$980.00 |
$1,861.61
|
|
Intro cath svc/ivc
|
$829.15 |
$829.15 |
$829.15 |
$1,350.75
|
|
Intro long gi tube
|
$899.85 |
$899.85 |
$899.85 |
$1,036.00
|
|
Intro long gi tube w/mult fluo
|
$221.90 |
$221.90 |
$221.90 |
$477.85
|