|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$14,704.95 |
$14,704.95 |
$14,704.95 |
$5,236.80
|
|
Insert major vessel graft with bypass 33335
|
$8,816.60 |
$8,816.60 |
$8,816.60 |
$3,669.00
|
|
Insert multi-comp penis pros
|
$27,300.00 |
$27,300.00 |
$27,300.00 |
$9,495.20
|
|
Insert pessary/other device
|
$751.40 |
$751.40 |
$751.40 |
$278.90
|
|
Insert picvad cath
|
$14,704.95 |
$14,704.95 |
$14,704.95 |
$4,195.00
|
|
Insert pm/icd lead dual
|
$21,767.85 |
$21,767.85 |
$21,767.85 |
$7,115.90
|
|
Insert/repl sq defib w/eltrd
|
$42,435.25 |
$42,435.25 |
$42,435.25 |
$33,593.55
|
|
Insert semi-rigid prosthesis
|
$2,384.20 |
$2,384.20 |
$2,384.20 |
$14,199.16
|
|
Insert spine fixation device
|
$3,844.10 |
$3,844.10 |
$3,844.10 |
$1,965.60
|
|
Insert spine infusion device 62360
|
$1,125.80 |
$1,125.80 |
$1,125.80 |
$17,262.84
|
|
Insert swan-ganz cath
|
$7,257.25 |
$7,257.25 |
$7,257.25 |
$2,164.52
|
|
Insert tunneled cv 2cath 2sits without port/pmp 36565
|
$14,704.95 |
$14,704.95 |
$14,704.95 |
$4,997.60
|
|
Insert tunneled cv cath
|
$1,713.40 |
$1,713.40 |
$1,713.40 |
$6,028.07
|
|
Insert uro/ves nck sphincter
|
$3,380.00 |
$3,380.00 |
$3,380.00 |
$22,298.82
|
|
Insert uteri tandem/ovoids
|
$18,450.25 |
$18,450.25 |
$18,450.25 |
$3,940.41
|
|
Insert vad art access left hrt arterial access
|
$6,419.40 |
$6,419.40 |
$6,419.40 |
$4,276.00
|
|
Insert vad art access left hrt art & vein access
|
$2,528.50 |
$2,528.50 |
$2,528.50 |
$3,915.72
|
|
Ins icd gen exist mlt leads
|
$53,249.95 |
$53,249.95 |
$53,249.95 |
$31,286.77
|
|
Ins icd gen exist sgl lead
|
$40,625.00 |
$40,625.00 |
$40,625.00 |
$23,230.50
|
|
Insitu hybridization auto
|
$233.35 |
$233.35 |
$233.35 |
$377.37
|
|
Insitu hybridization (fish)
|
$768.30 |
$768.30 |
$768.30 |
$481.00
|
|
In situ hybridization per specimen each additional single probe stain
|
$601.90 |
$601.90 |
$601.90 |
$243.50
|
|
In situ hybridization per specimen initial single probe stain
|
$573.30 |
$573.30 |
$573.30 |
$338.40
|
|
Insj biomechanical device 22853
|
$1,215.50 |
$1,215.50 |
$1,215.50 |
$622.40
|
|
Insj perq vad r hrt venous
|
$6,227.00 |
$6,227.00 |
$6,227.00 |
$3,796.00
|
|
Ins lv lead exist pm/icd
|
$23,977.20 |
$23,977.20 |
$23,977.20 |
$12,384.25
|
|
Ins mark abd/pel for right perq
|
$928.20 |
$928.20 |
$928.20 |
$2,477.24
|
|
Ins mark thor for right perq
|
$5,114.20 |
$5,114.20 |
$5,114.20 |
$2,503.80
|
|
Ins picad w subq port 5yr>
|
$14,704.95 |
$14,704.95 |
$14,704.95 |
$4,078.00
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$2,888.60 |
$2,888.60 |
$2,888.60 |
$1,690.00
|
|
Ins pm gen exist dual lead
|
$34,689.85 |
$34,689.85 |
$34,689.85 |
$24,159.72
|
|
Ins pq tunnld ip cath w/img
|
$13,190.45 |
$13,190.45 |
$13,190.45 |
$5,486.00
|
|
Ins/rplcm prq eltrd ra pn ea
|
$1,856.40 |
$1,856.40 |
$1,856.40 |
$2,681.11
|
|
Ins/rplcmt prq eltrd ra pn 1
|
$1,856.40 |
$1,856.40 |
$1,856.40 |
$14,685.79
|
|
Ins/rpl ldless pm right vent w img & eval
|
$30,881.50 |
$30,881.50 |
$30,881.50 |
$24,135.54
|
|
Ins/rpl prph sac/gstr npg/r
|
$22,662.25 |
$22,662.25 |
$22,662.25 |
$18,129.80
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$31,383.95 |
$31,383.95 |
$31,383.95 |
$27,318.11
|
|
Insrt/redo neurostim 1 array
|
$1,730.30 |
$1,730.30 |
$1,730.30 |
$21,817.60
|
|
Ins sk-mnt crnl nstm pg/rcvr
|
$7,364.50 |
$7,364.50 |
$7,364.50 |
$2,723.86
|
|
Ins subq extnsn pertneal cath
|
$585.00 |
$585.00 |
$585.00 |
$2,479.93
|
|
Install spinal shunt
|
$3,283.80 |
$3,283.80 |
$3,283.80 |
$3,283.80
|
|
Inst fibrinolysis agent ini day
|
$361.40 |
$361.40 |
$361.40 |
$1,043.35
|
|
Inst fibrinolysis agent sbsq d
|
$322.40 |
$322.40 |
$322.40 |
$997.05
|
|
Insti hexaminolevulinate hcl
|
$63.18 |
$63.18 |
$63.18 |
$2,356.80
|
|
Instillation anticarcinogenic agent bladder
|
$2,494.70 |
$2,494.70 |
$2,494.70 |
$638.40
|
|
Instll rx agnt into rnal tub
|
$509.60 |
$509.60 |
$509.60 |
$619.20
|
|
Ins trurl ablt trnsdc thr Ultrasound
|
$1,158.30 |
$1,158.30 |
$1,158.30 |
$397.60
|
|
Ins tun cvad 2 cath w/subq port(s)
|
$1,799.20 |
$1,799.20 |
$1,799.20 |
$7,826.00
|
|
Ins tun cv cath wo subq prt/pm
|
$25,255.10 |
$25,255.10 |
$25,255.10 |
$5,324.80
|
|
Ins tun cv cath wo subq prt/pm
|
$14,704.95 |
$14,704.95 |
$14,704.95 |
$4,218.00
|
|
Ins tun intraperit dia cath
|
$1,094.60 |
$1,094.60 |
$1,094.60 |
$4,570.00
|
|
Inst via cath agent pleurds
|
$400.40 |
$400.40 |
$400.40 |
$1,074.68
|
|
Insulin tolerance panel
|
$491.40 |
$491.40 |
$491.40 |
$258.40
|
|
Insulin total
|
$16.25 |
$16.25 |
$16.25 |
$66.64
|
|
Ins vag brachytx device
|
$1,136.85 |
$1,136.85 |
$1,136.85 |
$950.00
|
|
Intens behave ther cardio dx
|
$171.60 |
$171.60 |
$171.60 |
$47.60
|
|
Intens cardiac rehab no exer
|
$517.40 |
$517.40 |
$517.40 |
$238.40
|
|
Intens cardiac rehab w/exerc
|
$517.40 |
$517.40 |
$517.40 |
$238.40
|
|
Interdental fixation
|
$1,557.40 |
$1,557.40 |
$1,557.40 |
$2,133.48
|
|
Interdiscal perq aspir dx
|
$3,944.85 |
$3,944.85 |
$3,944.85 |
$1,222.26
|
|
Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper)
|
$5,053.11 |
$5,053.11 |
$5,053.11 |
$10,427.90
|
|
Interferon beta-1b / .25 mg
|
$1,662.71 |
$1,662.71 |
$1,662.71 |
$1,662.71
|
|
Interferon gamma 1-b inj
|
$26,394.13 |
$26,394.13 |
$26,394.13 |
$9,879.00
|
|
Interrogate subq defib
|
$211.90 |
$211.90 |
$211.90 |
$119.60
|
|
Interrogation vad in person
|
$429.00 |
$429.00 |
$429.00 |
$296.80
|
|
Interrog dev eval icpms ip
|
$174.20 |
$174.20 |
$174.20 |
$104.00
|
|
Interrog dev eval scrms ip
|
$114.40 |
$114.40 |
$114.40 |
$124.80
|
|
Interrog device eval heart
|
$214.50 |
$214.50 |
$214.50 |
$162.40
|
|
Interrog evl pm/ldls pm ip
|
$174.20 |
$174.20 |
$174.20 |
$127.20
|
|
Interrog&prgrmg ipnss
|
$514.15 |
$514.15 |
$514.15 |
$200.00
|
|
Interrog&prgrmg ipnss polysm
|
$1,680.90 |
$1,680.90 |
$1,680.90 |
$422.32
|
|
Interrog without prgrmg ipnss
|
$514.15 |
$514.15 |
$514.15 |
$147.00
|
|
Int hrhc lig 1 hroid without img
|
$10,249.85 |
$10,249.85 |
$10,249.85 |
$3,491.25
|
|
Int hrhc lig 2+hroid without img
|
$10,249.85 |
$10,249.85 |
$10,249.85 |
$3,245.23
|
|
Intra-atrial pacing
|
$35,451.00 |
$35,451.00 |
$35,451.00 |
$4,850.82
|
|
Intra-atrial recording
|
$35,451.00 |
$35,451.00 |
$35,451.00 |
$5,252.30
|
|
Intracard echo interv w/s&i
|
$5,584.15 |
$5,584.15 |
$5,584.15 |
$3,436.00
|
|
Intracran angioplsty w/stent
|
$30,787.25 |
$30,787.25 |
$30,787.25 |
$8,145.50
|
|
Intracranial angioplasty
|
$21,388.25 |
$21,388.25 |
$21,388.25 |
$5,181.00
|
|
Intracranial complete study
|
$1,129.70 |
$1,129.70 |
$1,129.70 |
$881.50
|
|
Intracranial limited study
|
$496.60 |
$496.60 |
$496.60 |
$467.50
|
|
Intracranial vessel surgery
|
$16,486.60 |
$16,486.60 |
$16,486.60 |
$16,486.60
|
|
Intranasal biopsy 30100
|
$5,536.70 |
$5,536.70 |
$5,536.70 |
$2,265.00
|
|
Intraop colon lavage add-on
|
$806.00 |
$806.00 |
$806.00 |
$416.80
|
|
Intraop epicard/endocard/pace/map/ 93631
|
$2,171.00 |
$2,171.00 |
$2,171.00 |
$3,690.00
|
|
Intrapul surf admin endo tube
|
$331.50 |
$331.50 |
$331.50 |
$220.80
|
|
Intraventricular pacing
|
$35,451.00 |
$35,451.00 |
$35,451.00 |
$5,456.17
|
|
Intrinsic factor antibody
|
$29.25 |
$29.25 |
$29.25 |
$65.00
|
|
Intrm oph exam est patient
|
$481.65 |
$481.65 |
$481.65 |
$161.25
|
|
Intro cath dialysis circuit
|
$7,257.25 |
$7,257.25 |
$7,257.25 |
$2,036.94
|
|
Intro cath dialysis circuit w/pta
|
$26,637.00 |
$26,637.00 |
$26,637.00 |
$8,690.50
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$26,194.35 |
$26,194.35 |
$26,194.35 |
$16,262.40
|
|
Intro catheter aorta
|
$2,498.60 |
$2,498.60 |
$2,498.60 |
$1,678.05
|
|
Intro cath svc/ivc
|
$2,470.65 |
$2,470.65 |
$2,470.65 |
$1,323.27
|
|
Intro long gi tube
|
$3,504.15 |
$3,504.15 |
$3,504.15 |
$974.17
|
|
Intro long gi tube w/mult fluo
|
$513.50 |
$513.50 |
$513.50 |
$469.00
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$5,554.90 |
$5,554.90 |
$5,554.90 |
$3,472.95
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$3,795.35 |
$3,795.35 |
$3,795.35 |
$1,801.10
|
|
Intubation endotracheal emergency procedure
|
$867.75 |
$867.75 |
$867.75 |
$601.28
|
|
Io anal gast n-stim init
|
$208.00 |
$208.00 |
$208.00 |
$341.60
|
