|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
|
$26.98 |
$26.98 |
$26.98 |
$632.00
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$76.00 |
$76.00 |
$76.00 |
$166.38
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$71.63 |
$71.63 |
$71.63 |
$145.60
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$103.74 |
$103.74 |
$103.74 |
$249.32
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$57.19 |
$57.19 |
$57.19 |
$135.60
|
|
Injection treatment of eye
|
$74.67 |
$74.67 |
$74.67 |
$2,665.60
|
|
Injection treatment of nerve
|
$145.54 |
$145.54 |
$145.54 |
$2,025.45
|
|
Injection treatment of nose
|
$40.28 |
$40.28 |
$40.28 |
$859.59
|
|
Inject sacroiliac joint
|
$532.19 |
$532.19 |
$532.19 |
$1,028.95
|
|
Inject/treat eye socket
|
$30.78 |
$30.78 |
$30.78 |
$670.02
|
|
Inj epidural sgl cerv-thor without img
|
$63.65 |
$63.65 |
$63.65 |
$1,318.80
|
|
Inj epidural sgl lumb-sacral without img
|
$50.54 |
$50.54 |
$50.54 |
$1,415.50
|
|
Inj for ext venography
|
$153.71 |
$153.71 |
$153.71 |
$649.95
|
|
Inj for mammo ductogram
|
$107.54 |
$107.54 |
$107.54 |
$399.60
|
|
Inj, gadopiclenol, 1 ml
|
$2.05 |
$2.05 |
$2.05 |
$37.63
|
|
Inj hrt cath w/s&i nonsel p-art angrp
|
$515.47 |
$515.47 |
$515.47 |
$1,439.90
|
|
Inj hrt cath w/s&i sel hrt ang
|
$724.09 |
$724.09 |
$724.09 |
$1,827.74
|
|
Inj hrt cath w/s&i sel hrt art
|
$24.13 |
$24.13 |
$24.13 |
$1,045.80
|
|
Inj hrt cath w/s&i sel left vent
|
$724.09 |
$724.09 |
$724.09 |
$1,239.00
|
|
Inj hrt cath w/s&i sel right vent
|
$421.61 |
$421.61 |
$421.61 |
$965.33
|
|
Inj, immphentiv, 20 mcg
|
$19.57 |
$19.57 |
$19.57 |
$18.44
|
|
Inj/inf neurolyt sbst spinal canal lesion 62282
|
$964.25 |
$964.25 |
$964.25 |
$1,928.00
|
|
Inj intralesional <= 7 lsn(s)
|
$19.19 |
$19.19 |
$19.19 |
$235.13
|
|
Inj intralesional > 7 lsns
|
$29.64 |
$29.64 |
$29.64 |
$234.00
|
|
Inj, lidocaine w epinephrine
|
$25.60 |
$25.60 |
$25.60 |
$47.52
|
|
Inj multihance
|
$1.72 |
$1.72 |
$1.72 |
$73.49
|
|
Inj nephrosto/ureterogram w/img exstng access
|
$998.64 |
$998.64 |
$998.64 |
$1,413.35
|
|
Inj proc ankle arthr
|
$49.21 |
$49.21 |
$49.21 |
$405.31
|
|
Inj proc elbow arthro
|
$251.94 |
$251.94 |
$251.94 |
$419.60
|
|
Inj proc for lymphang
|
$53.58 |
$53.58 |
$53.58 |
$682.00
|
|
Inj proc lumbr disk ea lvl
|
$251.37 |
$251.37 |
$251.37 |
$1,106.93
|
|
Inj proc myelogram lumbar
|
$384.56 |
$384.56 |
$384.56 |
$830.50
|
|
Inj proc sialogram
|
$100.89 |
$100.89 |
$100.89 |
$373.00
|
|
Inj retro urethrocysto
|
$351.50 |
$351.50 |
$351.50 |
$443.50
|
|
Inj scleros sol mult veins
|
$46.55 |
$46.55 |
$46.55 |
$675.00
|
|
Inj scleros sol sgl vein
|
$23.75 |
$23.75 |
$23.75 |
$558.97
|
|
Inj(s) sclerosant spider veins limb/trunk
|
$41.61 |
$41.61 |
$41.61 |
$436.80
|
|
Inj w/fluor eval cv device
|
$248.90 |
$248.90 |
$248.90 |
$503.92
|
|
Inpt/ed teleconsult30
|
$42.37 |
$42.37 |
$42.37 |
$164.40
|
|
Inpt/ed teleconsult50
|
$60.42 |
$60.42 |
$60.42 |
$223.80
|
|
Inpt/ed teleconsult70
|
$85.88 |
$85.88 |
$85.88 |
$330.60
|
|
Inpt/tele follow up 15
|
$19.00 |
$19.00 |
$19.00 |
$64.80
|
|
Inpt/tele follow up 25
|
$33.44 |
$33.44 |
$33.44 |
$118.80
|
|
Inpt/tele follow up 35
|
$48.64 |
$48.64 |
$48.64 |
$171.60
|
|
Ins cath ren art 1st bi
|
$2,196.02 |
$2,196.02 |
$2,196.02 |
$5,753.10
|
|
Ins cath ren art 1st uni
|
$1,997.66 |
$1,997.66 |
$1,997.66 |
$4,660.00
|
|
Ins cath ren art 2nd+ bi
|
$254.22 |
$254.22 |
$254.22 |
$5,500.86
|
|
Ins cath ren art 2nd+ uni
|
$3,280.54 |
$3,280.54 |
$3,280.54 |
$5,395.20
|
|
Ins cerv dilator (sep proc)
|
$175.56 |
$175.56 |
$175.56 |
$480.28
|
|
Insert and remove bone pin
|
$112.67 |
$112.67 |
$112.67 |
$4,410.60
|
|
Insert cannula vein-to-vein hemodialysis
|
$76.38 |
$76.38 |
$76.38 |
$7,279.50
|
|
Insert cath pleura with image
|
$933.66 |
$933.66 |
$933.66 |
$2,194.40
|
|
Insert cath pleura without image
|
$1,928.69 |
$1,928.69 |
$1,928.69 |
$2,073.18
|
|
Insert drug delivery implant
|
$40.09 |
$40.09 |
$40.09 |
$280.00
|
|
Insert hepatic shunt (tips)
|
$3,420.76 |
$3,420.76 |
$3,420.76 |
$7,571.20
|
|
Insert intervert bimech device 22854
|
$206.91 |
$206.91 |
$206.91 |
$1,573.00
|
|
Insert intrauterine device iud
|
$42.37 |
$42.37 |
$42.37 |
$347.10
|
|
Insertion catheter bladder non indwelling
|
$105.26 |
$105.26 |
$105.26 |
$205.40
|
|
Insertion catheter bladder temporary simple
|
$159.41 |
$159.41 |
$159.41 |
$232.25
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$2,162.77 |
$2,162.77 |
$2,162.77 |
$4,782.00
|
|
Insertion intra aortic balloon assist device percutaneous
|
$1,047.28 |
$1,047.28 |
$1,047.28 |
$2,529.45
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$3,819.76 |
$3,819.76 |
$3,819.76 |
$7,210.78
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$1,274.52 |
$1,274.52 |
$1,274.52 |
$2,505.60
|
|
Insertion of heart electrode 33211
|
$102.79 |
$102.79 |
$102.79 |
$6,903.60
|
|
Insertion of infusion pump
|
$422.18 |
$422.18 |
$422.18 |
$5,907.78
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$9,271.62 |
$9,271.62 |
$9,271.62 |
$12,384.25
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$7,492.46 |
$7,492.46 |
$7,492.46 |
$12,384.25
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$9,271.62 |
$9,271.62 |
$9,271.62 |
$10,100.35
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$1,088.32 |
$1,088.32 |
$1,088.32 |
$2,079.50
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$1,131.26 |
$1,131.26 |
$1,131.26 |
$2,419.65
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$15,480.63 |
$15,480.63 |
$15,480.63 |
$29,042.52
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$4,710.86 |
$4,710.86 |
$4,710.86 |
$7,200.05
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$4,715.04 |
$4,715.04 |
$4,715.04 |
$7,312.80
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$6,483.18 |
$6,483.18 |
$6,483.18 |
$9,332.50
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$2,033.38 |
$2,033.38 |
$2,033.38 |
$5,223.20
|
|
Insertion ureth cath
|
$322.62 |
$322.62 |
$322.62 |
$2,412.45
|
|
Insert lens prosthesis
|
$510.53 |
$510.53 |
$510.53 |
$3,173.34
|
|
Insert multi-comp penis pros
|
$526.30 |
$526.30 |
$526.30 |
$21,998.10
|
|
Insert nasal septal button
|
$86.45 |
$86.45 |
$86.45 |
$1,783.50
|
|
Insert pelv fixation device
|
$223.82 |
$223.82 |
$223.82 |
$874.40
|
|
Insert pessary/other device
|
$29.26 |
$29.26 |
$29.26 |
$278.50
|
|
Insert picvad cath
|
$212.04 |
$212.04 |
$212.04 |
$4,195.00
|
|
Insert pm/icd lead dual
|
$4,156.82 |
$4,156.82 |
$4,156.82 |
$7,115.20
|
|
Insert prost urethral stent
|
$52.06 |
$52.06 |
$52.06 |
$2,467.08
|
|
Insert/repl sq defib w/eltrd
|
$14,235.94 |
$14,235.94 |
$14,235.94 |
$32,800.04
|
|
Insert spine fixation device
|
$505.40 |
$505.40 |
$505.40 |
$1,965.60
|
|
Insert spine fixation device
|
$105.83 |
$105.83 |
$105.83 |
$105.83
|
|
Insert spine fixation device
|
$613.51 |
$613.51 |
$613.51 |
$1,333.80
|
|
Insert spine fixation device
|
$505.78 |
$505.78 |
$505.78 |
$1,756.92
|
|
Insert swan-ganz cath
|
$1,283.26 |
$1,283.26 |
$1,283.26 |
$2,210.50
|
|
Insert tunneled cv 2cath 2sits without port/pmp 36565
|
$211.66 |
$211.66 |
$211.66 |
$4,803.00
|
|
Insert tunneled cv cath
|
$243.58 |
$243.58 |
$243.58 |
$4,520.00
|
|
Insert tunneled cv cath
|
$229.14 |
$229.14 |
$229.14 |
$5,983.35
|
|
Insert ureteral support
|
$641.25 |
$641.25 |
$641.25 |
$2,836.34
|
|
Insert uro/ves nck sphincter
|
$496.28 |
$496.28 |
$496.28 |
$22,298.82
|
|
Insert vad art access left hrt arterial access
|
$219.26 |
$219.26 |
$219.26 |
$4,270.75
|
|
Ins icd gen exist mlt leads
|
$251.75 |
$251.75 |
$251.75 |
$31,286.77
|
|
Ins icd gen exist sgl lead
|
$13,688.36 |
$13,688.36 |
$13,688.36 |
$23,230.50
|
|
Insitu hybridization auto
|
$33.73 |
$33.73 |
$33.73 |
$377.37
|
|
Insitu hybridization (fish)
|
$94.05 |
$94.05 |
$94.05 |
$481.60
|