|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$13,190.58 |
$13,190.58 |
$13,190.58 |
$10,100.35
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$1,911.06 |
$1,911.06 |
$1,911.06 |
$2,079.50
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$1,667.16 |
$1,667.16 |
$1,667.16 |
$2,419.65
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$26,947.80 |
$26,947.80 |
$26,947.80 |
$29,042.52
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$4,895.82 |
$4,895.82 |
$4,895.82 |
$7,200.05
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$4,585.86 |
$4,585.86 |
$4,585.86 |
$7,312.80
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$6,780.78 |
$6,780.78 |
$6,780.78 |
$9,332.50
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$3,781.08 |
$3,781.08 |
$3,781.08 |
$5,223.20
|
|
Insert pelv fixation device
|
$226.26 |
$226.26 |
$226.26 |
$874.40
|
|
Insert pm/icd lead dual
|
$4,298.94 |
$4,298.94 |
$4,298.94 |
$7,115.20
|
|
Insert prost urethral stent
|
$705.60 |
$705.60 |
$705.60 |
$2,467.08
|
|
Insert/repl sq defib w/eltrd
|
$25,984.62 |
$25,984.62 |
$25,984.62 |
$32,800.04
|
|
Insert spine fixation device
|
$511.92 |
$511.92 |
$511.92 |
$1,965.60
|
|
Insert spine fixation device
|
$79.02 |
$79.02 |
$79.02 |
$105.83
|
|
Insert spine fixation device
|
$620.46 |
$620.46 |
$620.46 |
$1,333.80
|
|
Insert spine fixation device
|
$509.40 |
$509.40 |
$509.40 |
$1,756.92
|
|
Insert swan-ganz cath
|
$1,377.00 |
$1,377.00 |
$1,377.00 |
$2,210.50
|
|
Insert tunneled cv 2cath 2sits without port/pmp 36565
|
$1,913.40 |
$1,913.40 |
$1,913.40 |
$4,803.00
|
|
Insert uteri tandem/ovoids
|
$1,728.36 |
$1,728.36 |
$1,728.36 |
$3,905.20
|
|
Insert vad art access left hrt arterial access
|
$3,915.72 |
$3,915.72 |
$3,915.72 |
$4,270.75
|
|
Insert vad art access left hrt art & vein access
|
$3,915.72 |
$3,915.72 |
$3,915.72 |
$3,677.40
|
|
Ins icd gen exist mlt leads
|
$31,552.02 |
$31,552.02 |
$31,552.02 |
$31,286.77
|
|
Ins icd gen exist sgl lead
|
$16,227.72 |
$16,227.72 |
$16,227.72 |
$23,230.50
|
|
Insitu hybridization (fish)
|
$89.10 |
$89.10 |
$89.10 |
$481.60
|
|
Insitu hybridization manual
|
$61.20 |
$61.20 |
$61.20 |
$401.28
|
|
Insj biomechanical device 22853
|
$161.46 |
$161.46 |
$161.46 |
$622.40
|
|
Insj perq vad r hrt venous
|
$641.70 |
$641.70 |
$641.70 |
$3,796.00
|
|
Ins lv lead exist pm/icd
|
$13,190.58 |
$13,190.58 |
$13,190.58 |
$12,384.25
|
|
Ins pm gen exist dual lead
|
$20,284.74 |
$20,284.74 |
$20,284.74 |
$23,665.85
|
|
Ins pm gen w/exist mlt leads
|
$14,186.34 |
$14,186.34 |
$14,186.34 |
$14,804.40
|
|
Ins pq tunnld ip cath w/img
|
$3,355.02 |
$3,355.02 |
$3,355.02 |
$5,377.00
|
|
Ins/rplc spi npg/rcvr pocket
|
$223.20 |
$223.20 |
$223.20 |
$24,061.80
|
|
Ins/rpl ldless pm right vent w img & eval
|
$14,589.72 |
$14,589.72 |
$14,589.72 |
$24,135.54
|
|
Ins/rpl pm gen exist dual lead
|
$7,947.18 |
$7,947.18 |
$7,947.18 |
$11,005.50
|
|
Ins/rpl pm gen exist sgl lead
|
$8,650.44 |
$8,650.44 |
$8,650.44 |
$9,428.64
|
|
Ins/rpl pm w/tv ld atrl
|
$10,891.80 |
$10,891.80 |
$10,891.80 |
$11,583.66
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$10,099.08 |
$10,099.08 |
$10,099.08 |
$25,694.00
|
|
Ins subq extnsn pertneal cath
|
$2,285.82 |
$2,285.82 |
$2,285.82 |
$2,479.93
|
|
Ins tun cv cath wo subq prt/pm
|
$2,803.32 |
$2,803.32 |
$2,803.32 |
$4,202.70
|
|
Ins tun intraperit dia cath
|
$2,815.02 |
$2,815.02 |
$2,815.02 |
$4,570.00
|
|
Insulin total
|
$36.36 |
$36.36 |
$36.36 |
$66.64
|
|
Ins vag brachytx device
|
$224.64 |
$224.64 |
$224.64 |
$935.50
|
|
Integra meshed bil wound mat
|
$3,651.12 |
$3,651.12 |
$3,651.12 |
$9,924.16
|
|
Interferon alfa-2b inj
|
$129.02 |
$129.02 |
$129.02 |
$1,409.92
|
|
Interferon beta-1b / .25 mg
|
$91.44 |
$91.44 |
$91.44 |
$1,662.71
|
|
Interrog dev eval icpms ip
|
$25.02 |
$25.02 |
$25.02 |
$103.50
|
|
Interrog dev eval scrms ip
|
$8.10 |
$8.10 |
$8.10 |
$124.80
|
|
Interrog device eval heart
|
$138.06 |
$138.06 |
$138.06 |
$162.40
|
|
Interrog evl pm/ldls pm ip
|
$73.08 |
$73.08 |
$73.08 |
$124.80
|
|
Intra-atrial pacing
|
$2,961.72 |
$2,961.72 |
$2,961.72 |
$4,780.80
|
|
Intra-atrial recording
|
$2,961.72 |
$2,961.72 |
$2,961.72 |
$5,252.30
|
|
Intracard echo interv w/s&i
|
$1,889.64 |
$1,889.64 |
$1,889.64 |
$3,461.04
|
|
Intracran angioplsty w/stent
|
$8,992.80 |
$8,992.80 |
$8,992.80 |
$8,145.50
|
|
Intracranial complete study
|
$782.64 |
$782.64 |
$782.64 |
$874.99
|
|
Intracranial limited study
|
$307.62 |
$307.62 |
$307.62 |
$465.01
|
|
Intrapul surf admin endo tube
|
$607.68 |
$607.68 |
$607.68 |
$220.80
|
|
Intrauterine transfusion ftl
|
$275.40 |
$275.40 |
$275.40 |
$1,063.50
|
|
Intraventricular pacing
|
$2,961.72 |
$2,961.72 |
$2,961.72 |
$5,456.17
|
|
Intrinsic factor antibody
|
$2.41 |
$2.41 |
$2.41 |
$63.15
|
|
Intro cath dialysis circuit
|
$1,631.16 |
$1,631.16 |
$1,631.16 |
$2,036.94
|
|
Intro cath dialysis circuit w/pta
|
$4,764.42 |
$4,764.42 |
$4,764.42 |
$8,690.50
|
|
Intro catheter aorta
|
$2,422.44 |
$2,422.44 |
$2,422.44 |
$1,654.05
|
|
Intro cath svc/ivc
|
$1,115.82 |
$1,115.82 |
$1,115.82 |
$1,323.27
|
|
Intro long gi tube
|
$233.10 |
$233.10 |
$233.10 |
$957.18
|
|
Intro long gi tube w/mult fluo
|
$400.14 |
$400.14 |
$400.14 |
$466.00
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$1,529.10 |
$1,529.10 |
$1,529.10 |
$3,409.29
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$1,098.54 |
$1,098.54 |
$1,098.54 |
$1,747.80
|
|
Intubation endotracheal emergency procedure
|
$381.78 |
$381.78 |
$381.78 |
$598.80
|
|
Ionm in operatng room 15 min
|
$15.12 |
$15.12 |
$15.12 |
$200.16
|
|
Ionm remote/>1 pt or per hr
|
$198.72 |
$198.72 |
$198.72 |
$622.70
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$1.53 |
$1.53 |
$1.53 |
$170.06
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$1.72 |
$1.72 |
$1.72 |
$288.11
|
|
Ip/obs cnsltj new/est low 45
|
$40.32 |
$40.32 |
$40.32 |
$174.20
|
|
Ip/obs cnsltj new/est mod 60
|
$59.40 |
$59.40 |
$59.40 |
$284.45
|
|
Ip/obs consltj new/est hi 80
|
$80.82 |
$80.82 |
$80.82 |
$332.80
|
|
Ip/obs consltj new/est sf 35
|
$26.28 |
$26.28 |
$26.28 |
$134.46
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$36.95 |
$36.95 |
$36.95 |
$174.47
|
|
Iron
|
$63.36 |
$63.36 |
$63.36 |
$72.29
|
|
Iron binding capacity
|
$64.98 |
$64.98 |
$64.98 |
$63.60
|
|
Iron dextran 50 mg/ml injection solution
|
$34.12 |
$34.12 |
$34.12 |
$81.70
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$214.61 |
$214.61 |
$214.61 |
$187.06
|
|
Irradiation of blood product each unit reference
|
$16.20 |
$16.20 |
$16.20 |
$114.40
|
|
Irrigation implantable venous access device for drug delivery systems
|
$162.18 |
$162.18 |
$162.18 |
$144.62
|
|
Ivc venogram s&i
|
$2,517.48 |
$2,517.48 |
$2,517.48 |
$3,316.95
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$264.78 |
$264.78 |
$264.78 |
$190.56
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$330.66 |
$330.66 |
$330.66 |
$159.00
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$264.60 |
$264.60 |
$264.60 |
$153.60
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$330.66 |
$330.66 |
$330.66 |
$437.45
|
|
Ivp w/wo kub w/wo tomography
|
$369.72 |
$369.72 |
$369.72 |
$692.18
|
|
Ixabepilone 15 mg intravenous solution
|
$862.61 |
$862.61 |
$862.61 |
$10,695.32
|
|
Jak2 targeted sequence analysis
|
$11.71 |
$11.71 |
$11.71 |
$393.43
|
|
John cunningham antibody
|
$5.40 |
$5.40 |
$5.40 |
$66.31
|
|
J-tube placement
|
$240.12 |
$240.12 |
$240.12 |
$593.08
|
|
Ketamine and metabolite screen - quest
|
$19.08 |
$19.08 |
$19.08 |
$72.14
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$54.18 |
$54.18 |
$54.18 |
$58.50
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$10.44 |
$10.44 |
$10.44 |
$23.77
|
|
Kidney function study
|
$977.22 |
$977.22 |
$977.22 |
$968.50
|
|
Kidney imag w/bld flow multi
|
$931.14 |
$931.14 |
$931.14 |
$1,557.41
|
|
Kidney img w/bldflw sgl without rx
|
$1,244.34 |
$1,244.34 |
$1,244.34 |
$1,425.00
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$423.72 |
$423.72 |
$423.72 |
$673.36
|