|
Inj, clindamycin (baxter)
|
$0.06 |
$0.06 |
$0.06 |
$48.30
|
|
Inj disk cerv-thor ea lev
|
$307.71 |
$307.71 |
$307.71 |
$875.28
|
|
Inj dx for sinogram
|
$163.90 |
$163.90 |
$163.90 |
$436.00
|
|
Injection arthrography hip without anesthesia (both sides)
|
$219.46 |
$219.46 |
$219.46 |
$503.50
|
|
Injection carpal tunnel therapeutic (both sides)
|
$277.77 |
$277.77 |
$277.77 |
$458.15
|
|
Injection during cath supravalvular aortography
|
$507.52 |
$507.52 |
$507.52 |
$1,027.26
|
|
Injection epidural blood patch or clot
|
$564.96 |
$564.96 |
$564.96 |
$1,182.33
|
|
Injection for arthrography wrist (both sides)
|
$236.01 |
$236.01 |
$236.01 |
$436.00
|
|
Injection for bladder x-ray
|
$150.90 |
$150.90 |
$150.90 |
$459.20
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$194.64 |
$194.64 |
$194.64 |
$497.76
|
|
Injection for ureter x-ray
|
$308.11 |
$308.11 |
$308.11 |
$415.80
|
|
Injection for ureter x-ray
|
$706.05 |
$706.05 |
$706.05 |
$515.21
|
|
Injection jaw joint x-ray
|
$100.86 |
$100.86 |
$100.86 |
$307.80
|
|
Injection of sinus tract
|
$866.80 |
$866.80 |
$866.80 |
$1,640.99
|
|
Injection radioactive tracer sentinel node (both sides)
|
$358.93 |
$358.93 |
$358.93 |
$685.44
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$854.19 |
$854.19 |
$854.19 |
$1,391.40
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$617.00 |
$617.00 |
$617.00 |
$1,043.72
|
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
|
$889.65 |
$889.65 |
$889.65 |
$2,040.36
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
|
$618.19 |
$618.19 |
$618.19 |
$1,030.05
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
|
$1,152.06 |
$1,152.06 |
$1,152.06 |
$1,855.36
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
|
$591.00 |
$591.00 |
$591.00 |
$1,043.20
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
|
$1,296.26 |
$1,296.26 |
$1,296.26 |
$2,006.79
|
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
|
$990.12 |
$990.12 |
$990.12 |
$1,817.24
|
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
|
$1,033.46 |
$1,033.46 |
$1,033.46 |
$1,685.00
|
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
|
$272.65 |
$272.65 |
$272.65 |
$475.80
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$209.21 |
$209.21 |
$209.21 |
$548.80
|
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
|
$238.37 |
$238.37 |
$238.37 |
$637.92
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$38.11 |
$38.11 |
$38.11 |
$145.60
|
|
Injection treatment of nerve
|
$1,537.39 |
$1,537.39 |
$1,537.39 |
$2,054.00
|
|
Inject sacroiliac joint
|
$1,071.68 |
$1,071.68 |
$1,071.68 |
$1,029.04
|
|
Inj epidural sgl lumb-sacral without img
|
$814.00 |
$814.00 |
$814.00 |
$1,450.84
|
|
Inj for ext venography
|
$299.05 |
$299.05 |
$299.05 |
$628.80
|
|
Inj for mammo ductogram
|
$184.39 |
$184.39 |
$184.39 |
$397.80
|
|
Inj hrt cath w/s&i nonsel p-art angrp
|
$878.72 |
$878.72 |
$878.72 |
$1,492.00
|
|
Inj hrt cath w/s&i sel right vent
|
$686.72 |
$686.72 |
$686.72 |
$999.96
|
|
Inj/inf neurolyt sbst spinal canal lesion 62282
|
$633.55 |
$633.55 |
$633.55 |
$1,938.00
|
|
Inj nephrosto/ureterogram w/img exstng access
|
$925.11 |
$925.11 |
$925.11 |
$1,413.35
|
|
Inj proc ankle arthr
|
$217.09 |
$217.09 |
$217.09 |
$405.31
|
|
Inj proc elbow arthro
|
$213.94 |
$213.94 |
$213.94 |
$432.00
|
|
Inj proc lumbr disk ea lvl
|
$337.66 |
$337.66 |
$337.66 |
$1,106.93
|
|
Inj proc myelogram lumbar
|
$179.27 |
$179.27 |
$179.27 |
$838.30
|
|
Inj proc sialogram
|
$150.11 |
$150.11 |
$150.11 |
$373.00
|
|
Inj retacrit esrd on dialysi
|
$2.58 |
$2.58 |
$2.58 |
$349.45
|
|
Inj retro urethrocysto
|
$139.87 |
$139.87 |
$139.87 |
$447.74
|
|
Inj scleros sol mult veins
|
$1,218.25 |
$1,218.25 |
$1,218.25 |
$692.90
|
|
Inj scleros sol sgl vein
|
$362.87 |
$362.87 |
$362.87 |
$561.88
|
|
Inj w/fluor eval cv device
|
$143.02 |
$143.02 |
$143.02 |
$504.40
|
|
Ins cath ren art 1st bi
|
$2,410.10 |
$2,410.10 |
$2,410.10 |
$5,974.80
|
|
Ins cath ren art 1st uni
|
$1,556.30 |
$1,556.30 |
$1,556.30 |
$4,667.63
|
|
Ins cerv dilator (sep proc)
|
$206.55 |
$206.55 |
$206.55 |
$490.73
|
|
Insert cath pleura with image
|
$1,142.60 |
$1,142.60 |
$1,142.60 |
$2,194.40
|
|
Insertion catheter bladder non indwelling
|
$100.42 |
$100.42 |
$100.42 |
$208.01
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$1,853.38 |
$1,853.38 |
$1,853.38 |
$4,897.20
|
|
Insertion intra aortic balloon assist device percutaneous
|
$1,736.75 |
$1,736.75 |
$1,736.75 |
$2,447.63
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$2,945.54 |
$2,945.54 |
$2,945.54 |
$7,210.78
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$1,246.62 |
$1,246.62 |
$1,246.62 |
$2,585.25
|
|
Insertion of catheter vein
|
$349.08 |
$349.08 |
$349.08 |
$870.59
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$8,237.36 |
$8,237.36 |
$8,237.36 |
$12,384.25
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$7,376.47 |
$7,376.47 |
$7,376.47 |
$12,324.60
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$4,392.31 |
$4,392.31 |
$4,392.31 |
$9,884.16
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$763.57 |
$763.57 |
$763.57 |
$2,103.75
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$916.05 |
$916.05 |
$916.05 |
$2,453.83
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$11,620.24 |
$11,620.24 |
$11,620.24 |
$29,180.00
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$2,432.56 |
$2,432.56 |
$2,432.56 |
$7,183.68
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$3,879.72 |
$3,879.72 |
$3,879.72 |
$7,267.20
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$3,037.74 |
$3,037.74 |
$3,037.74 |
$9,332.50
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$2,640.59 |
$2,640.59 |
$2,640.59 |
$5,236.80
|
|
Insert pm/icd lead dual
|
$4,224.86 |
$4,224.86 |
$4,224.86 |
$7,115.90
|
|
Insert/repl sq defib w/eltrd
|
$22,957.59 |
$22,957.59 |
$22,957.59 |
$33,593.55
|
|
Insert swan-ganz cath
|
$2,231.68 |
$2,231.68 |
$2,231.68 |
$2,164.52
|
|
Insert vad art access left hrt arterial access
|
$2,215.46 |
$2,215.46 |
$2,215.46 |
$4,276.00
|
|
Ins icd gen exist sgl lead
|
$11,786.51 |
$11,786.51 |
$11,786.51 |
$23,230.50
|
|
Insitu hybridization auto
|
$349.43 |
$349.43 |
$349.43 |
$377.37
|
|
Insitu hybridization (fish)
|
$596.81 |
$596.81 |
$596.81 |
$481.00
|
|
Insitu hybridization manual
|
$349.43 |
$349.43 |
$349.43 |
$401.28
|
|
In situ hybridization per specimen initial single probe stain
|
$382.00 |
$382.00 |
$382.00 |
$338.40
|
|
Insj perq vad r hrt venous
|
$2,177.64 |
$2,177.64 |
$2,177.64 |
$3,796.00
|
|
Ins lv lead exist pm/icd
|
$5,516.00 |
$5,516.00 |
$5,516.00 |
$12,384.25
|
|
Ins mark abd/pel for right perq
|
$1,045.68 |
$1,045.68 |
$1,045.68 |
$2,477.24
|
|
Ins mark thor for right perq
|
$986.18 |
$986.18 |
$986.18 |
$2,503.80
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$893.59 |
$893.59 |
$893.59 |
$1,690.00
|
|
Ins pq tunnld ip cath w/img
|
$2,555.48 |
$2,555.48 |
$2,555.48 |
$5,486.00
|
|
Ins/rplcm prq eltrd ra pn ea
|
$2,363.21 |
$2,363.21 |
$2,363.21 |
$2,681.11
|
|
Ins/rplcmt prq eltrd ra pn 1
|
$6,718.49 |
$6,718.49 |
$6,718.49 |
$14,685.79
|
|
Ins/rplc spi npg/rcvr pocket
|
$3,392.73 |
$3,392.73 |
$3,392.73 |
$24,061.80
|
|
Ins/rpl ldless pm right vent w img & eval
|
$10,256.21 |
$10,256.21 |
$10,256.21 |
$24,135.54
|
|
Ins/rpl pm gen exist dual lead
|
$6,706.67 |
$6,706.67 |
$6,706.67 |
$11,005.50
|
|
Ins/rpl pm gen exist sgl lead
|
$6,387.53 |
$6,387.53 |
$6,387.53 |
$9,428.64
|
|
Ins/rpl pm w/tv ld atrl
|
$7,012.02 |
$7,012.02 |
$7,012.02 |
$11,583.66
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$48,275.20 |
$48,275.20 |
$48,275.20 |
$27,318.11
|
|
Ins tun cv cath wo subq prt/pm
|
$1,556.30 |
$1,556.30 |
$1,556.30 |
$4,218.00
|
|
Insulin total
|
$12.94 |
$12.94 |
$12.94 |
$66.64
|
|
Interdiscal perq aspir dx
|
$455.07 |
$455.07 |
$455.07 |
$1,222.26
|
|
Interrog evl pm/ldls pm ip
|
$59.10 |
$59.10 |
$59.10 |
$127.20
|
|
Intracard echo interv w/s&i
|
$2,129.19 |
$2,129.19 |
$2,129.19 |
$3,436.00
|
|
Intrinsic factor antibody
|
$10.91 |
$10.91 |
$10.91 |
$65.00
|
|
Intro cath dialysis circuit
|
$1,317.93 |
$1,317.93 |
$1,317.93 |
$2,036.94
|
|
Intro cath dialysis circuit w/pta
|
$6,187.77 |
$6,187.77 |
$6,187.77 |
$8,690.50
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$12,271.92 |
$12,271.92 |
$12,271.92 |
$16,262.40
|
|
Intro catheter aorta
|
$635.92 |
$635.92 |
$635.92 |
$1,678.05
|