|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
|
$667.44 |
$667.44 |
$667.44 |
$625.00
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$147.60 |
$147.60 |
$147.60 |
$166.38
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$171.36 |
$171.36 |
$171.36 |
$145.60
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$214.56 |
$214.56 |
$214.56 |
$261.00
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$209.52 |
$209.52 |
$209.52 |
$135.20
|
|
Inj epidural sgl cerv-thor without img
|
$1,328.40 |
$1,328.40 |
$1,328.40 |
$1,329.00
|
|
Inj epidural sgl lumb-sacral without img
|
$2,509.20 |
$2,509.20 |
$2,509.20 |
$1,415.50
|
|
Inj for ext venography
|
$1,089.36 |
$1,089.36 |
$1,089.36 |
$654.00
|
|
Inj ivig privigen 500 mg
|
$331.53 |
$331.53 |
$331.53 |
$6,967.29
|
|
Inj labetalol hcl hikma, 5mg
|
$6.48 |
$6.48 |
$6.48 |
$40.00
|
|
Inj, lidocaine w epinephrine
|
$2.59 |
$2.59 |
$2.59 |
$44.96
|
|
Inj mepivacaine hcl/10 ml
|
$65.45 |
$65.45 |
$65.45 |
$33.86
|
|
Inj meropenem (wg crit care)
|
$17.41 |
$17.41 |
$17.41 |
$77.97
|
|
Inj multihance
|
$15.93 |
$15.93 |
$15.93 |
$79.42
|
|
Inj nephrosto/ureterogram w/img exstng access
|
$4,716.72 |
$4,716.72 |
$4,716.72 |
$1,414.40
|
|
Inj pantoprazole(hikma) 40mg
|
$68.80 |
$68.80 |
$68.80 |
$34.61
|
|
Inj proc ankle arthr
|
$194.40 |
$194.40 |
$194.40 |
$405.31
|
|
Inj proc elbow arthro
|
$342.00 |
$342.00 |
$342.00 |
$432.00
|
|
Inj retro urethrocysto
|
$249.12 |
$249.12 |
$249.12 |
$450.00
|
|
Inj scleros sol mult veins
|
$923.76 |
$923.76 |
$923.76 |
$602.50
|
|
Inj scleros sol sgl vein
|
$899.28 |
$899.28 |
$899.28 |
$534.40
|
|
Inj secukinumab intrav 1mg
|
$60.85 |
$60.85 |
$60.85 |
$4,485.92
|
|
Inj, tyenne, 1 mg
|
$16.92 |
$16.92 |
$16.92 |
$3,525.12
|
|
Inj vancomycin (xellia) 10mg
|
$1.57 |
$1.57 |
$1.57 |
$79.21
|
|
Inj w/fluor eval cv device
|
$446.40 |
$446.40 |
$446.40 |
$463.40
|
|
Ins cath ren art 1st bi
|
$4,744.80 |
$4,744.80 |
$4,744.80 |
$5,741.00
|
|
Ins cath ren art 1st uni
|
$3,682.80 |
$3,682.80 |
$3,682.80 |
$4,692.00
|
|
Ins cath ren art 2nd+ bi
|
$3,682.80 |
$3,682.80 |
$3,682.80 |
$5,408.65
|
|
Ins cath ren art 2nd+ uni
|
$8,490.96 |
$8,490.96 |
$8,490.96 |
$5,419.00
|
|
Insert cath pleura with image
|
$2,426.40 |
$2,426.40 |
$2,426.40 |
$2,194.40
|
|
Insert cath pleura without image
|
$2,219.76 |
$2,219.76 |
$2,219.76 |
$2,019.00
|
|
Insertion catheter bladder non indwelling
|
$336.96 |
$336.96 |
$336.96 |
$205.20
|
|
Insertion catheter bladder temporary simple
|
$387.36 |
$387.36 |
$387.36 |
$229.32
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$4,849.92 |
$4,849.92 |
$4,849.92 |
$4,731.80
|
|
Insertion intra aortic balloon assist device percutaneous
|
$5,374.08 |
$5,374.08 |
$5,374.08 |
$2,529.45
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$7,412.40 |
$7,412.40 |
$7,412.40 |
$7,034.50
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$3,682.80 |
$3,682.80 |
$3,682.80 |
$2,511.00
|
|
Insertion of heart electrode 33211
|
$9,682.56 |
$9,682.56 |
$9,682.56 |
$7,392.84
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$17,498.16 |
$17,498.16 |
$17,498.16 |
$12,508.08
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$9,884.16 |
$9,884.16 |
$9,884.16 |
$10,100.35
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$1,606.32 |
$1,606.32 |
$1,606.32 |
$2,079.43
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$1,817.28 |
$1,817.28 |
$1,817.28 |
$2,414.10
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$37,512.00 |
$37,512.00 |
$37,512.00 |
$29,146.96
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$9,682.56 |
$9,682.56 |
$9,682.56 |
$7,513.67
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$17,447.04 |
$17,447.04 |
$17,447.04 |
$7,342.20
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$19,073.52 |
$19,073.52 |
$19,073.52 |
$9,397.50
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$5,113.44 |
$5,113.44 |
$5,113.44 |
$5,236.80
|
|
Insert pm/icd lead dual
|
$17,447.04 |
$17,447.04 |
$17,447.04 |
$7,388.80
|
|
Insert swan-ganz cath
|
$3,915.36 |
$3,915.36 |
$3,915.36 |
$2,210.50
|
|
In situ hybridization per specimen each additional single probe stain
|
$319.68 |
$319.68 |
$319.68 |
$243.60
|
|
In situ hybridization per specimen initial single probe stain
|
$565.92 |
$565.92 |
$565.92 |
$326.04
|
|
Ins lv lead exist pm/icd
|
$24,157.44 |
$24,157.44 |
$24,157.44 |
$12,087.24
|
|
Ins picad w subq port 5yr>
|
$3,682.80 |
$3,682.80 |
$3,682.80 |
$3,912.93
|
|
Ins pm gen w/exist mlt leads
|
$44,061.84 |
$44,061.84 |
$44,061.84 |
$14,804.40
|
|
Ins pq tunnld ip cath w/img
|
$5,258.16 |
$5,258.16 |
$5,258.16 |
$5,377.00
|
|
Ins/rplc spi npg/rcvr pocket
|
$69,081.84 |
$69,081.84 |
$69,081.84 |
$23,746.69
|
|
Ins/rpl pm gen exist dual lead
|
$24,157.44 |
$24,157.44 |
$24,157.44 |
$11,408.40
|
|
Ins/rpl pm gen exist sgl lead
|
$17,447.04 |
$17,447.04 |
$17,447.04 |
$9,558.78
|
|
Ins/rpl pm w/tv ld atrl
|
$16,063.92 |
$16,063.92 |
$16,063.92 |
$12,371.40
|
|
Instillation anticarcinogenic agent bladder
|
$781.20 |
$781.20 |
$781.20 |
$621.40
|
|
Ins tun cv cath wo subq prt/pm
|
$4,211.28 |
$4,211.28 |
$4,211.28 |
$4,202.70
|
|
Ins tun intraperit dia cath
|
$5,343.84 |
$5,343.84 |
$5,343.84 |
$4,657.46
|
|
Insulin total
|
$100.80 |
$100.80 |
$100.80 |
$66.64
|
|
Intens cardiac rehab no exer
|
$277.20 |
$277.20 |
$277.20 |
$238.40
|
|
Intens cardiac rehab w/exerc
|
$280.08 |
$280.08 |
$280.08 |
$238.40
|
|
Intrinsic factor antibody
|
$87.12 |
$87.12 |
$87.12 |
$66.60
|
|
Intro cath dialysis circuit
|
$2,212.56 |
$2,212.56 |
$2,212.56 |
$2,035.00
|
|
Intro cath dialysis circuit w/pta
|
$13,590.72 |
$13,590.72 |
$13,590.72 |
$8,761.00
|
|
Intro catheter aorta
|
$2,504.16 |
$2,504.16 |
$2,504.16 |
$1,654.05
|
|
Intro cath svc/ivc
|
$1,962.72 |
$1,962.72 |
$1,962.72 |
$1,329.90
|
|
Intro long gi tube w/mult fluo
|
$759.60 |
$759.60 |
$759.60 |
$449.40
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$9,349.92 |
$9,349.92 |
$9,349.92 |
$3,303.76
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$8,324.64 |
$8,324.64 |
$8,324.64 |
$1,633.03
|
|
Intubation endotracheal emergency procedure
|
$501.12 |
$501.12 |
$501.12 |
$589.60
|
|
Ionm in operatng room 15 min
|
$104.40 |
$104.40 |
$104.40 |
$191.40
|
|
Ionm remote/>1 pt or per hr
|
$450.00 |
$450.00 |
$450.00 |
$591.36
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$11.89 |
$11.89 |
$11.89 |
$172.98
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$15.39 |
$15.39 |
$15.39 |
$279.10
|
|
Iron
|
$84.24 |
$84.24 |
$84.24 |
$74.40
|
|
Iron binding capacity
|
$103.68 |
$103.68 |
$103.68 |
$63.79
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$6.88 |
$6.88 |
$6.88 |
$187.06
|
|
Irrigation implantable venous access device for drug delivery systems
|
$247.68 |
$247.68 |
$247.68 |
$142.20
|
|
Ivc venogram s&i
|
$3,682.80 |
$3,682.80 |
$3,682.80 |
$3,316.95
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$72.72 |
$72.72 |
$72.72 |
$191.75
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$119.52 |
$119.52 |
$119.52 |
$157.50
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$185.76 |
$185.76 |
$185.76 |
$151.80
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$493.92 |
$493.92 |
$493.92 |
$439.56
|
|
Jak2 targeted sequence analysis
|
$563.76 |
$563.76 |
$563.76 |
$379.87
|
|
John cunningham antibody
|
$2,156.40 |
$2,156.40 |
$2,156.40 |
$72.60
|
|
Ketamine and metabolite screen - quest
|
$25.20 |
$25.20 |
$25.20 |
$72.14
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$92.88 |
$92.88 |
$92.88 |
$60.20
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$34.56 |
$34.56 |
$34.56 |
$23.50
|
|
Kidney imaging morphology
|
$973.44 |
$973.44 |
$973.44 |
$785.00
|
|
Kidney imag w/bld flow multi
|
$1,380.24 |
$1,380.24 |
$1,380.24 |
$1,570.65
|
|
Kidney img w/bldflw sgl without rx
|
$1,103.04 |
$1,103.04 |
$1,103.04 |
$1,427.40
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$922.32 |
$922.32 |
$922.32 |
$666.00
|
|
Kit lead specify 5-6-5
|
$7,128.00 |
$7,128.00 |
$7,128.00 |
$15,639.00
|
|
Knee MRI (with and without contrast)
|
$5,343.12 |
$5,343.12 |
$5,343.12 |
$3,034.80
|
|
Knee MRI (with contrast)
|
$4,198.32 |
$4,198.32 |
$4,198.32 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$3,465.36 |
$3,465.36 |
$3,465.36 |
$2,169.60
|