|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$1,649.40 |
$1,649.40 |
$1,649.40 |
$2,505.60
|
|
Insertion of heart electrode 33211
|
$162.30 |
$162.30 |
$162.30 |
$6,903.60
|
|
Insertion of infusion pump
|
$666.60 |
$666.60 |
$666.60 |
$5,907.78
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$510.60 |
$510.60 |
$510.60 |
$12,384.25
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$473.10 |
$473.10 |
$473.10 |
$12,384.25
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$446.70 |
$446.70 |
$446.70 |
$10,100.35
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$2,304.30 |
$2,304.30 |
$2,304.30 |
$2,079.50
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$1,534.50 |
$1,534.50 |
$1,534.50 |
$2,419.65
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$898.50 |
$898.50 |
$898.50 |
$29,042.52
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$156.30 |
$156.30 |
$156.30 |
$7,200.05
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$371.10 |
$371.10 |
$371.10 |
$7,312.80
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$85.20 |
$85.20 |
$85.20 |
$9,332.50
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$1,000.50 |
$1,000.50 |
$1,000.50 |
$5,223.20
|
|
Insertion ureth cath
|
$509.40 |
$509.40 |
$509.40 |
$2,412.45
|
|
Insert lens prosthesis
|
$806.10 |
$806.10 |
$806.10 |
$3,173.34
|
|
Insert multi-comp penis pros
|
$831.00 |
$831.00 |
$831.00 |
$21,998.10
|
|
Insert nasal septal button
|
$322.50 |
$322.50 |
$322.50 |
$1,783.50
|
|
Insert pelv fixation device
|
$353.40 |
$353.40 |
$353.40 |
$874.40
|
|
Insert pessary/other device
|
$77.70 |
$77.70 |
$77.70 |
$278.50
|
|
Insert picvad cath
|
$334.80 |
$334.80 |
$334.80 |
$4,195.00
|
|
Insert pm/icd lead dual
|
$369.00 |
$369.00 |
$369.00 |
$7,115.20
|
|
Insert prost urethral stent
|
$82.20 |
$82.20 |
$82.20 |
$2,467.08
|
|
Insert/repl sq defib w/eltrd
|
$553.20 |
$553.20 |
$553.20 |
$32,800.04
|
|
Insert spine fixation device
|
$798.00 |
$798.00 |
$798.00 |
$1,965.60
|
|
Insert spine fixation device
|
$167.10 |
$167.10 |
$167.10 |
$105.83
|
|
Insert spine fixation device
|
$968.70 |
$968.70 |
$968.70 |
$1,333.80
|
|
Insert spine fixation device
|
$798.60 |
$798.60 |
$798.60 |
$1,756.92
|
|
Insert swan-ganz cath
|
$65.40 |
$65.40 |
$65.40 |
$2,210.50
|
|
Insert tunneled cv 2cath 2sits without port/pmp 36565
|
$334.20 |
$334.20 |
$334.20 |
$4,803.00
|
|
Insert tunneled cv cath
|
$384.60 |
$384.60 |
$384.60 |
$4,520.00
|
|
Insert tunneled cv cath
|
$361.80 |
$361.80 |
$361.80 |
$5,983.35
|
|
Insert ureteral support
|
$1,012.50 |
$1,012.50 |
$1,012.50 |
$2,836.34
|
|
Insert uro/ves nck sphincter
|
$783.60 |
$783.60 |
$783.60 |
$22,298.82
|
|
Insert vad art access left hrt arterial access
|
$346.20 |
$346.20 |
$346.20 |
$4,270.75
|
|
Ins icd gen exist mlt leads
|
$397.50 |
$397.50 |
$397.50 |
$31,286.77
|
|
Ins icd gen exist sgl lead
|
$355.80 |
$355.80 |
$355.80 |
$23,230.50
|
|
Insitu hybridization auto
|
$39.00 |
$39.00 |
$39.00 |
$377.37
|
|
Insitu hybridization (fish)
|
$134.10 |
$134.10 |
$134.10 |
$481.60
|
|
In situ hybridization per specimen each additional single probe stain
|
$55.50 |
$55.50 |
$55.50 |
$241.15
|
|
In situ hybridization per specimen initial single probe stain
|
$144.90 |
$144.90 |
$144.90 |
$331.69
|
|
Insj biomechanical device
|
$326.40 |
$326.40 |
$326.40 |
$1,573.00
|
|
Insj biomechanical device 22853
|
$251.70 |
$251.70 |
$251.70 |
$622.40
|
|
Ins lv lead exist pm/icd
|
$497.40 |
$497.40 |
$497.40 |
$12,384.25
|
|
Ins mark thor for right perq
|
$176.70 |
$176.70 |
$176.70 |
$2,477.45
|
|
Ins picad w subq port 5yr>
|
$313.50 |
$313.50 |
$313.50 |
$3,985.20
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$80.10 |
$80.10 |
$80.10 |
$1,690.00
|
|
Ins pm gen exist dual lead
|
$369.60 |
$369.60 |
$369.60 |
$23,665.85
|
|
Ins pm gen w/exist mlt leads
|
$355.20 |
$355.20 |
$355.20 |
$14,804.40
|
|
Ins pq tunnld ip cath w/img
|
$3,366.90 |
$3,366.90 |
$3,366.90 |
$5,377.00
|
|
Ins/rplc spi npg/rcvr pocket
|
$348.60 |
$348.60 |
$348.60 |
$24,061.80
|
|
Ins/rpl ldless pm right vent w img & eval
|
$471.30 |
$471.30 |
$471.30 |
$24,135.54
|
|
Ins/rpl pm gen exist dual lead
|
$336.00 |
$336.00 |
$336.00 |
$11,005.50
|
|
Ins/rpl pm gen exist sgl lead
|
$322.80 |
$322.80 |
$322.80 |
$9,428.64
|
|
Ins/rpl pm w/tv ld atrl
|
$451.80 |
$451.80 |
$451.80 |
$11,583.66
|
|
Ins/rpl prph sac/gstr npg/r
|
$302.70 |
$302.70 |
$302.70 |
$21,857.50
|
|
Instillation anticarcinogenic agent bladder
|
$94.50 |
$94.50 |
$94.50 |
$621.40
|
|
Ins tun cvad 2 cath w/subq port(s)
|
$356.10 |
$356.10 |
$356.10 |
$7,826.00
|
|
Ins tun cv cath wo subq prt/pm
|
$323.40 |
$323.40 |
$323.40 |
$5,324.80
|
|
Ins tun cv cath wo subq prt/pm
|
$2,963.70 |
$2,963.70 |
$2,963.70 |
$4,202.70
|
|
Ins tun intraperit dia cath
|
$221.70 |
$221.70 |
$221.70 |
$4,570.00
|
|
Inst via cath agent pleurds
|
$75.00 |
$75.00 |
$75.00 |
$1,065.00
|
|
Insulin total
|
$3.05 |
$3.05 |
$3.05 |
$66.64
|
|
Ins vag brachytx device
|
$159.30 |
$159.30 |
$159.30 |
$935.50
|
|
Intens behave ther cardio dx
|
$24.30 |
$24.30 |
$24.30 |
$47.60
|
|
Interdiscal perq aspir dx
|
$156.60 |
$156.60 |
$156.60 |
$1,222.26
|
|
Intermediate visual field xm
|
$36.00 |
$36.00 |
$36.00 |
$112.80
|
|
Internal nerve revision 64727
|
$184.20 |
$184.20 |
$184.20 |
$806.00
|
|
Interrogate subq defib
|
$26.10 |
$26.10 |
$26.10 |
$119.60
|
|
Interrogation vad in person
|
$28.80 |
$28.80 |
$28.80 |
$296.40
|
|
Interrog dev eval icpms ip
|
$40.20 |
$40.20 |
$40.20 |
$103.50
|
|
Interrog dev eval scrms ip
|
$37.20 |
$37.20 |
$37.20 |
$124.80
|
|
Interrog device eval heart
|
$54.30 |
$54.30 |
$54.30 |
$162.40
|
|
Interrog evl pm/ldls pm ip
|
$55.50 |
$55.50 |
$55.50 |
$124.80
|
|
Intestinal stricturoplasty
|
$1,072.50 |
$1,072.50 |
$1,072.50 |
$2,351.50
|
|
Int hrhc lig 1 hroid without img
|
$364.80 |
$364.80 |
$364.80 |
$3,484.00
|
|
Int hrhc lig 2+hroid without img
|
$404.70 |
$404.70 |
$404.70 |
$3,245.23
|
|
Intra-atrial pacing
|
$111.60 |
$111.60 |
$111.60 |
$4,780.80
|
|
Intranasal biopsy 30100
|
$149.70 |
$149.70 |
$149.70 |
$2,133.48
|
|
Intraop colon lavage add-on
|
$165.30 |
$165.30 |
$165.30 |
$416.80
|
|
Intraoral i+d tongue/floor lingual 41000
|
$114.00 |
$114.00 |
$114.00 |
$1,331.45
|
|
Intraoral periapical first
|
$16.50 |
$16.50 |
$16.50 |
$54.88
|
|
Intrinsic factor antibody
|
$4.02 |
$4.02 |
$4.02 |
$63.15
|
|
Intrm oph exam est patient
|
$67.80 |
$67.80 |
$67.80 |
$161.25
|
|
Intro cath dialysis circuit
|
$165.00 |
$165.00 |
$165.00 |
$2,036.94
|
|
Intro cath dialysis circuit w/pta
|
$234.30 |
$234.30 |
$234.30 |
$8,690.50
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$306.60 |
$306.60 |
$306.60 |
$16,262.40
|
|
Intro catheter aorta
|
$133.50 |
$133.50 |
$133.50 |
$1,654.05
|
|
Intro cath svc/ivc
|
$104.40 |
$104.40 |
$104.40 |
$1,323.27
|
|
Intro long gi tube
|
$421.80 |
$421.80 |
$421.80 |
$957.18
|
|
Intro long gi tube w/mult fluo
|
$436.20 |
$436.20 |
$436.20 |
$466.00
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$85.50 |
$85.50 |
$85.50 |
$3,409.29
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$68.40 |
$68.40 |
$68.40 |
$1,747.80
|
|
Intubation endotracheal emergency procedure
|
$392.70 |
$392.70 |
$392.70 |
$598.80
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$0.95 |
$0.95 |
$0.95 |
$288.11
|
|
Ip/obs cnsltj new/est low 45
|
$87.90 |
$87.90 |
$87.90 |
$174.20
|
|
Ip/obs cnsltj new/est mod 60
|
$131.10 |
$131.10 |
$131.10 |
$284.45
|
|
Ip/obs consltj new/est hi 80
|
$172.50 |
$172.50 |
$172.50 |
$332.80
|
|
Ip/obs consltj new/est sf 35
|
$57.00 |
$57.00 |
$57.00 |
$134.46
|
|
Ipratropium bromide non-comp
|
$1.80 |
$1.80 |
$1.80 |
$3.75
|
|
Iron
|
$67.50 |
$67.50 |
$67.50 |
$72.29
|
