|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$9,621.15 |
$9,621.15 |
$9,621.15 |
$7,088.54
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$1,743.00 |
$1,743.00 |
$1,743.00 |
$2,618.40
|
|
Insertion of catheter vein
|
$96.25 |
$96.25 |
$96.25 |
$1,749.80
|
|
Insertion of heart electrode 33211
|
$6,722.80 |
$6,722.80 |
$6,722.80 |
$9,090.00
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$4,740.40 |
$4,740.40 |
$4,740.40 |
$14,158.20
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$3,556.00 |
$3,556.00 |
$3,556.00 |
$12,813.28
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$1,911.00 |
$1,911.00 |
$1,911.00 |
$9,855.00
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$1,547.70 |
$1,547.70 |
$1,547.70 |
$2,079.43
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$1,462.30 |
$1,462.30 |
$1,462.30 |
$2,527.91
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$7,569.80 |
$7,569.80 |
$7,569.80 |
$29,997.52
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$7,822.50 |
$7,822.50 |
$7,822.50 |
$7,572.47
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$4,292.75 |
$4,292.75 |
$4,292.75 |
$7,673.12
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$1,774.85 |
$1,774.85 |
$1,774.85 |
$9,793.46
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$6,570.90 |
$6,570.90 |
$6,570.90 |
$5,470.54
|
|
Insertion ureth cath
|
$2,485.35 |
$2,485.35 |
$2,485.35 |
$2,424.12
|
|
Insert pessary/other device
|
$156.80 |
$156.80 |
$156.80 |
$278.90
|
|
Insert pm/icd lead dual
|
$4,378.50 |
$4,378.50 |
$4,378.50 |
$7,562.63
|
|
Insert prost urethral stent
|
$1,534.40 |
$1,534.40 |
$1,534.40 |
$2,424.12
|
|
Insert/repl sq defib w/eltrd
|
$8,611.40 |
$8,611.40 |
$8,611.40 |
$33,948.20
|
|
Insert sq defib electrode
|
$2,462.25 |
$2,462.25 |
$2,462.25 |
$8,167.68
|
|
Insert swan-ganz cath
|
$1,176.00 |
$1,176.00 |
$1,176.00 |
$2,164.52
|
|
Insert vad art access left hrt arterial access
|
$864.15 |
$864.15 |
$864.15 |
$5,062.80
|
|
Ins icd gen exist mlt leads
|
$8,378.30 |
$8,378.30 |
$8,378.30 |
$31,286.77
|
|
Ins icd gen exist sgl lead
|
$3,221.40 |
$3,221.40 |
$3,221.40 |
$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
|
$837.90 |
$837.90 |
$837.90 |
$4,981.60
|
|
Ins lv lead exist pm/icd
|
$11,187.40 |
$11,187.40 |
$11,187.40 |
$12,384.25
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$1,275.40 |
$1,275.40 |
$1,275.40 |
$1,483.95
|
|
Ins pm gen exist dual lead
|
$5,004.30 |
$5,004.30 |
$5,004.30 |
$24,696.00
|
|
Ins pm gen w/exist mlt leads
|
$5,310.20 |
$5,310.20 |
$5,310.20 |
$15,600.75
|
|
Ins pq tunnld ip cath w/img
|
$7,133.70 |
$7,133.70 |
$7,133.70 |
$5,593.60
|
|
Ins/rpl ldless pm right vent w img & eval
|
$14,809.90 |
$14,809.90 |
$14,809.90 |
$24,135.54
|
|
Ins/rpl pm gen exist dual lead
|
$4,134.20 |
$4,134.20 |
$4,134.20 |
$11,593.70
|
|
Ins/rpl pm gen exist sgl lead
|
$3,101.35 |
$3,101.35 |
$3,101.35 |
$9,746.29
|
|
Ins/rpl pm w/tv ld atrl
|
$3,101.35 |
$3,101.35 |
$3,101.35 |
$12,384.25
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$9,641.10 |
$9,641.10 |
$9,641.10 |
$25,106.90
|
|
Inst fibrinolysis agent ini day
|
$407.75 |
$407.75 |
$407.75 |
$1,095.00
|
|
Inst fibrinolysis agent sbsq d
|
$313.60 |
$313.60 |
$313.60 |
$898.12
|
|
Instillation anticarcinogenic agent bladder
|
$1,038.80 |
$1,038.80 |
$1,038.80 |
$721.50
|
|
Ins tun cv cath wo subq prt/pm
|
$5,489.40 |
$5,489.40 |
$5,489.40 |
$5,888.85
|
|
Ins tun cv cath wo subq prt/pm
|
$2,747.85 |
$2,747.85 |
$2,747.85 |
$4,748.00
|
|
Ins tun intraperit dia cath
|
$2,527.70 |
$2,527.70 |
$2,527.70 |
$4,657.46
|
|
Inst via cath agent pleurds
|
$374.85 |
$374.85 |
$374.85 |
$1,074.68
|
|
Insulin total
|
$64.75 |
$64.75 |
$64.75 |
$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
|
$1,159.20 |
$1,159.20 |
$1,159.20 |
$2,133.48
|
|
Interdiscal perq aspir dx
|
$1,150.45 |
$1,150.45 |
$1,150.45 |
$1,222.26
|
|
Int hrhc lig 1 hroid without img
|
$1,132.25 |
$1,132.25 |
$1,132.25 |
$3,245.23
|
|
Intra-atrial pacing
|
$3,002.65 |
$3,002.65 |
$3,002.65 |
$5,155.51
|
|
Intra-atrial recording
|
$5,083.40 |
$5,083.40 |
$5,083.40 |
$5,707.00
|
|
Intracard echo interv w/s&i
|
$4,184.25 |
$4,184.25 |
$4,184.25 |
$3,982.59
|
|
Intranasal biopsy 30100
|
$1,159.20 |
$1,159.20 |
$1,159.20 |
$1,850.94
|
|
Intraoral i+d tongue/floor lingual 41000
|
$387.80 |
$387.80 |
$387.80 |
$1,182.15
|
|
Intrapul surf admin endo tube
|
$263.90 |
$263.90 |
$263.90 |
$239.52
|
|
Intraventricular pacing
|
$5,827.85 |
$5,827.85 |
$5,827.85 |
$5,775.22
|
|
Intro cath dialysis circuit
|
$1,176.00 |
$1,176.00 |
$1,176.00 |
$2,317.80
|
|
Intro cath dialysis circuit w/pta
|
$4,298.00 |
$4,298.00 |
$4,298.00 |
$8,761.00
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$4,879.70 |
$4,879.70 |
$4,879.70 |
$15,625.00
|
|
Intro catheter aorta
|
$984.90 |
$984.90 |
$984.90 |
$1,861.61
|
|
Intro cath svc/ivc
|
$277.20 |
$277.20 |
$277.20 |
$1,350.75
|
|
Intro long gi tube
|
$777.00 |
$777.00 |
$777.00 |
$1,036.00
|
|
Intro long gi tube w/mult fluo
|
$136.85 |
$136.85 |
$136.85 |
$477.85
|
|
Intro windpipe wire/tube
|
$2,114.35 |
$2,114.35 |
$2,114.35 |
$2,316.30
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$1,101.45 |
$1,101.45 |
$1,101.45 |
$3,510.75
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$751.10 |
$751.10 |
$751.10 |
$1,825.16
|
|
Intubation endotracheal emergency procedure
|
$727.65 |
$727.65 |
$727.65 |
$617.60
|
|
Ionm in operatng room 15 min
|
$25.20 |
$25.20 |
$25.20 |
$200.78
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$48.36 |
$48.36 |
$48.36 |
$165.67
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$168.84 |
$168.84 |
$168.84 |
$182.21
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$15,766.57 |
$15,766.57 |
$15,766.57 |
$62,692.46
|
|
Ipratropium bromide non-comp
|
$0.61 |
$0.61 |
$0.61 |
$4.77
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$111.95 |
$111.95 |
$111.95 |
$203.92
|
|
Iron
|
$103.25 |
$103.25 |
$103.25 |
$70.72
|
|
Iron binding capacity
|
$199.50 |
$199.50 |
$199.50 |
$63.00
|
|
Iron dextran 50 mg/ml injection solution
|
$48.41 |
$48.41 |
$48.41 |
$73.22
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$41.34 |
$41.34 |
$41.34 |
$169.30
|
|
Irradiation of blood product each unit reference
|
$24.85 |
$24.85 |
$24.85 |
$124.24
|
|
Irrigation implantable venous access device for drug delivery systems
|
$154.70 |
$154.70 |
$154.70 |
$154.50
|
|
Ivc venogram s&i
|
$3,587.50 |
$3,587.50 |
$3,587.50 |
$3,332.55
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$77.00 |
$77.00 |
$77.00 |
$191.75
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$63.70 |
$63.70 |
$63.70 |
$174.40
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$55.65 |
$55.65 |
$55.65 |
$155.00
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$413.70 |
$413.70 |
$413.70 |
$460.85
|
|
Ivp w/nephrotomography
|
$694.40 |
$694.40 |
$694.40 |
$790.08
|
|
Ivp w/wo kub w/wo tomography
|
$736.05 |
$736.05 |
$736.05 |
$713.05
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$142.10 |
$142.10 |
$142.10 |
$56.61
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$33.60 |
$33.60 |
$33.60 |
$29.52
|
|
Kidney imaging morphology
|
$636.65 |
$636.65 |
$636.65 |
$785.00
|
|
Kidney img w/bldflw sgl without rx
|
$1,143.80 |
$1,143.80 |
$1,143.80 |
$1,468.04
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$866.25 |
$866.25 |
$866.25 |
$668.25
|
|
Kit cath f 8f w/glv + wipe ster
|
$3.99 |
$3.99 |
$3.99 |
$8.68
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$6,941.90 |
$6,941.90 |
$6,941.90 |
$9,482.25
|
|
Kit hfx iq ipg bundle
|
$21,787.50 |
$21,787.50 |
$21,787.50 |
$31,352.76
|
|
Kit ipg optimizer smart
|
$37,492.00 |
$37,492.00 |
$37,492.00 |
$46,737.60
|
|
Kit lead specify 5-6-5
|
$27,234.38 |
$27,234.38 |
$27,234.38 |
$15,875.64
|
