|
Insertion of catheter vein
|
$1,348.75 |
$1,348.75 |
$1,348.75 |
$858.05
|
|
Insertion of heart electrode 33211
|
$38,664.60 |
$38,664.60 |
$38,664.60 |
$6,839.00
|
|
Insertion of infusion pump
|
$2,576.60 |
$2,576.60 |
$2,576.60 |
$5,855.00
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$20,838.35 |
$20,838.35 |
$20,838.35 |
$12,384.25
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$22,554.35 |
$22,554.35 |
$22,554.35 |
$12,324.60
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$13,499.20 |
$13,499.20 |
$13,499.20 |
$9,884.16
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$7,257.25 |
$7,257.25 |
$7,257.25 |
$2,109.00
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$7,257.25 |
$7,257.25 |
$7,257.25 |
$2,463.50
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$45,535.75 |
$45,535.75 |
$45,535.75 |
$29,180.00
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$38,664.60 |
$38,664.60 |
$38,664.60 |
$7,200.05
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$24,957.40 |
$24,957.40 |
$24,957.40 |
$7,267.20
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$11,839.10 |
$11,839.10 |
$11,839.10 |
$9,390.55
|
|
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
|
|
Insertion ureth cath
|
$2,030.60 |
$2,030.60 |
$2,030.60 |
$2,365.38
|
|
Insert lens prosthesis
|
$2,854.15 |
$2,854.15 |
$2,854.15 |
$3,173.34
|
|
Insert multi-comp penis pros
|
$27,300.00 |
$27,300.00 |
$27,300.00 |
$9,495.20
|
|
Insert nasal septal button
|
$413.40 |
$413.40 |
$413.40 |
$1,783.50
|
|
Insert pelv fixation device
|
$1,713.40 |
$1,713.40 |
$1,713.40 |
$490.25
|
|
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 prost urethral stent
|
$426.40 |
$426.40 |
$426.40 |
$2,467.08
|
|
Insert/repl sq defib w/eltrd
|
$42,435.25 |
$42,435.25 |
$42,435.25 |
$33,593.55
|
|
Insert self-contd prosthesis
|
$2,714.40 |
$2,714.40 |
$2,714.40 |
$22,279.50
|
|
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 fixation device
|
$1,577.55 |
$1,577.55 |
$1,577.55 |
$150.39
|
|
Insert spine fixation device
|
$4,696.25 |
$4,696.25 |
$4,696.25 |
$968.70
|
|
Insert spine fixation device
|
$3,940.95 |
$3,940.95 |
$3,940.95 |
$1,124.40
|
|
Insert spine infusion device 62360
|
$1,125.80 |
$1,125.80 |
$1,125.80 |
$17,262.84
|
|
Insert sq defib electrode
|
$16,022.50 |
$16,022.50 |
$16,022.50 |
$8,167.68
|
|
Insert swan-ganz cath
|
$7,257.25 |
$7,257.25 |
$7,257.25 |
$2,164.52
|
|
Insert tandem cuff
|
$3,689.40 |
$3,689.40 |
$3,689.40 |
$22,279.50
|
|
Insert tissue expander(s)
|
$2,987.40 |
$2,987.40 |
$2,987.40 |
$4,311.38
|
|
Insert tray without bag/cath
|
$7.15 |
$7.15 |
$7.15 |
$15.19
|
|
Insert tunneled cv 2cath 2sits without port/pmp 36565
|
$14,704.95 |
$14,704.95 |
$14,704.95 |
$5,018.25
|
|
Insert tunneled cv cath
|
$25,255.10 |
$25,255.10 |
$25,255.10 |
$6,075.30
|
|
Insert ureteral support
|
$4,365.40 |
$4,365.40 |
$4,365.40 |
$2,836.34
|
|
Insert uro/ves nck sphincter
|
$3,380.00 |
$3,380.00 |
$3,380.00 |
$22,279.50
|
|
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
|
$7,722.00 |
$7,722.00 |
$7,722.00 |
$3,777.27
|
|
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
|
$241.15 |
$241.15 |
$241.15 |
$372.81
|
|
Insitu hybridization (fish)
|
$768.30 |
$768.30 |
$768.30 |
$481.00
|
|
Insitu hybridization manual
|
$323.70 |
$323.70 |
$323.70 |
$401.28
|
|
In situ hybridization per specimen each additional single probe stain
|
$601.90 |
$601.90 |
$601.90 |
$243.00
|
|
In situ hybridization per specimen initial single probe stain
|
$512.85 |
$512.85 |
$512.85 |
$340.00
|
|
Insj biomechanical device
|
$1,573.00 |
$1,573.00 |
$1,573.00 |
$1,573.00
|
|
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
|
|
Insj stablj dev w/dcmprn
|
$3,900.00 |
$3,900.00 |
$3,900.00 |
$21,352.50
|
|
Insj stablj dev w/dcmprn
|
$1,040.00 |
$1,040.00 |
$1,040.00 |
$11,325.60
|
|
Insj stablj dev without dcmprn
|
$1,827.80 |
$1,827.80 |
$1,827.80 |
$15,226.08
|
|
Insj stablj dev without dcmprn
|
$608.40 |
$608.40 |
$608.40 |
$10,418.40
|
|
Ins left heart vent thor inscn ecmo
|
$3,900.00 |
$3,900.00 |
$3,900.00 |
$1,901.60
|
|
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
|
$5,114.20 |
$5,114.20 |
$5,114.20 |
$2,477.24
|
|
Ins mark thor for right perq
|
$5,114.20 |
$5,114.20 |
$5,114.20 |
$2,492.80
|
|
Ins picad w subq port 5yr>
|
$14,704.95 |
$14,704.95 |
$14,704.95 |
$4,195.00
|
|
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 pm gen w/exist mlt leads
|
$36,592.40 |
$36,592.40 |
$36,592.40 |
$14,804.40
|
|
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/rplc spi npg/rcvr pocket
|
$32,887.40 |
$32,887.40 |
$32,887.40 |
$24,061.80
|
|
Ins/rpl ldless pm right vent w img & eval
|
$30,881.50 |
$30,881.50 |
$30,881.50 |
$24,135.54
|
|
Ins/rpl pm gen exist dual lead
|
$21,248.50 |
$21,248.50 |
$21,248.50 |
$11,198.55
|
|
Ins/rpl pm gen exist sgl lead
|
$18,473.65 |
$18,473.65 |
$18,473.65 |
$9,558.78
|
|
Ins/rpl pm w/tv ld atrl
|
$21,850.40 |
$21,850.40 |
$21,850.40 |
$11,583.66
|
|
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
|
|
Install spinal shunt 63741
|
$2,371.20 |
$2,371.20 |
$2,371.20 |
$7,181.20
|
|
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 |
$645.01
|
|
Instill pharm renal pelvis
|
$8,411.00 |
$8,411.00 |
$8,411.00 |
$3,018.72
|
|
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)
|
$25,255.10 |
$25,255.10 |
$25,255.10 |
$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
|
$13,190.45 |
$13,190.45 |
$13,190.45 |
$4,570.00
|
|
Inst via cath agent pleurds
|
$2,310.75 |
$2,310.75 |
$2,310.75 |
$1,074.68
|
|
Insulin suppression panel
|
$375.70 |
$375.70 |
$375.70 |
$375.70
|
|
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
|
$167.70 |
$167.70 |
$167.70 |
$47.60
|
|
Intercalary algrft compl
|
$3,380.00 |
$3,380.00 |
$3,380.00 |
$1,864.80
|
|
Interdental fixation
|
$5,536.70 |
$5,536.70 |
$5,536.70 |
$2,133.48
|
|
Interdental wirg oth/thn fx
|
$5,536.70 |
$5,536.70 |
$5,536.70 |
$1,944.80
|
|
Interdiscal perq aspir dx
|
$3,944.85 |
$3,944.85 |
$3,944.85 |
$1,222.26
|
|
Interferon alfa-2a inj
|
$87.75 |
$87.75 |
$87.75 |
$31.80
|
|
Interferon alfa-2b inj
|
$30.55 |
$30.55 |
$30.55 |
$1,409.92
|
|
Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper)
|
$5,053.11 |
$5,053.11 |
$5,053.11 |
$10,427.90
|
