|
Inj hrt cath w/s&i sel hrt ang
|
$1,054.20 |
$1,054.20 |
$1,054.20 |
$1,827.74
|
|
Inj hrt cath w/s&i sel left vent
|
$2,555.40 |
$2,555.40 |
$2,555.40 |
$1,239.00
|
|
Inj hrt cath w/s&i sel right vent
|
$2,555.40 |
$2,555.40 |
$2,555.40 |
$965.33
|
|
Inj intralesional <= 7 lsn(s)
|
$378.60 |
$378.60 |
$378.60 |
$235.13
|
|
Inj intralesional > 7 lsns
|
$404.40 |
$404.40 |
$404.40 |
$234.00
|
|
Inj multihance
|
$8.40 |
$8.40 |
$8.40 |
$73.49
|
|
Inj multihance multipack
|
$7.20 |
$7.20 |
$7.20 |
$2.80
|
|
Inj nephrosto/ureterogram w/img exstng access
|
$4,105.20 |
$4,105.20 |
$4,105.20 |
$1,413.35
|
|
Inj non-compmd foam sclrsnt mlt trncl veins same leg
|
$2,485.20 |
$2,485.20 |
$2,485.20 |
$2,837.09
|
|
Inj non-compmd foam sclrsnt sgl trncl vein
|
$2,485.20 |
$2,485.20 |
$2,485.20 |
$2,609.38
|
|
Inj peritoneal venous shunt
|
$2,256.60 |
$2,256.60 |
$2,256.60 |
$413.70
|
|
Inj proc ankle arthr
|
$1,372.20 |
$1,372.20 |
$1,372.20 |
$405.31
|
|
Inj proc elbow arthro
|
$1,372.20 |
$1,372.20 |
$1,372.20 |
$419.60
|
|
Inj proc for lymphang
|
$234.00 |
$234.00 |
$234.00 |
$682.00
|
|
Inj proc lumbr disk ea lvl
|
$1,372.20 |
$1,372.20 |
$1,372.20 |
$1,106.93
|
|
Inj proc myelogram lumbar
|
$1,372.20 |
$1,372.20 |
$1,372.20 |
$830.50
|
|
Inj proc sialogram
|
$1,372.20 |
$1,372.20 |
$1,372.20 |
$373.00
|
|
Inj prohance multipack
|
$8.40 |
$8.40 |
$8.40 |
$9.59
|
|
Inj retro urethrocysto
|
$788.40 |
$788.40 |
$788.40 |
$443.50
|
|
Inj, rimabotulinumtoxinb
|
$27.00 |
$27.00 |
$27.00 |
$746.79
|
|
Inj scleros sol mult veins
|
$1,397.40 |
$1,397.40 |
$1,397.40 |
$675.00
|
|
Inj scleros sol sgl vein
|
$1,397.40 |
$1,397.40 |
$1,397.40 |
$558.97
|
|
Inj(s) sclerosant spider veins limb/trunk
|
$2,485.20 |
$2,485.20 |
$2,485.20 |
$436.80
|
|
Inj w/fluor eval cv device
|
$467.40 |
$467.40 |
$676.20 |
$503.92
|
|
Ins cath ren art 1st bi
|
$5,931.60 |
$5,931.60 |
$8,634.60 |
$5,753.10
|
|
Ins cath ren art 1st uni
|
$5,907.60 |
$5,907.60 |
$8,634.60 |
$4,660.00
|
|
Ins cath ren art 2nd+ bi
|
$8,634.60 |
$8,634.60 |
$8,634.60 |
$5,500.86
|
|
Ins cath ren art 2nd+ uni
|
$8,634.60 |
$8,634.60 |
$8,634.60 |
$5,395.20
|
|
Insert abdomen-venous drain
|
$12,001.80 |
$12,001.80 |
$12,001.80 |
$3,147.06
|
|
Insert and remove bone pin
|
$4,329.00 |
$4,329.00 |
$4,329.00 |
$4,410.60
|
|
Insert cath pleura with image
|
$8,347.20 |
$8,347.20 |
$8,347.20 |
$2,194.40
|
|
Insert cath pleura without image
|
$2,355.60 |
$2,355.60 |
$2,355.60 |
$2,073.18
|
|
Insert cv cath inf & sup app
|
$16,152.00 |
$16,152.00 |
$16,152.00 |
$9,763.31
|
|
Insert drug delivery implant
|
$292.20 |
$292.20 |
$292.20 |
$280.00
|
|
Insert electrodes for eeg
|
$573.00 |
$573.00 |
$573.00 |
$564.20
|
|
Insert hepatic shunt (tips)
|
$18,035.40 |
$18,035.40 |
$18,035.40 |
$7,571.20
|
|
Insert heyman uteri capsule
|
$6,448.20 |
$6,448.20 |
$6,448.20 |
$5,841.60
|
|
Insert intracorporeal device
|
$12,378.00 |
$12,378.00 |
$12,378.00 |
$6,261.00
|
|
Insert intrauterine device iud
|
$135.60 |
$135.60 |
$135.60 |
$347.10
|
|
Insertion catheter bladder non indwelling
|
$485.40 |
$485.40 |
$485.40 |
$205.40
|
|
Insertion catheter bladder temporary simple
|
$289.80 |
$289.80 |
$289.80 |
$232.25
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$13,849.80 |
$13,849.80 |
$13,849.80 |
$4,782.00
|
|
Insertion intra aortic balloon assist device percutaneous
|
$4,681.80 |
$4,681.80 |
$4,681.80 |
$2,529.45
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$7,217.40 |
$7,217.40 |
$18,789.60 |
$7,210.78
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$4,756.80 |
$4,756.80 |
$4,756.80 |
$2,505.60
|
|
Insertion of catheter vein
|
$947.40 |
$947.40 |
$947.40 |
$1,477.00
|
|
Insertion of catheter vein
|
$1,443.00 |
$1,443.00 |
$1,443.00 |
$836.25
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$34,569.60 |
$34,569.60 |
$34,569.60 |
$12,384.25
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$28,450.20 |
$28,450.20 |
$28,450.20 |
$12,384.25
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$25,915.80 |
$25,915.80 |
$25,915.80 |
$10,100.35
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$1,924.80 |
$1,924.80 |
$1,953.60 |
$2,079.50
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$1,476.00 |
$1,476.00 |
$4,480.80 |
$2,419.65
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$60,426.00 |
$60,426.00 |
$60,426.00 |
$29,042.52
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$11,773.80 |
$11,773.80 |
$11,773.80 |
$7,200.05
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$11,773.80 |
$11,773.80 |
$11,773.80 |
$7,312.80
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$18,802.80 |
$18,802.80 |
$18,802.80 |
$9,332.50
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$12,964.80 |
$12,964.80 |
$12,964.80 |
$5,223.20
|
|
Insert pessary/other device
|
$273.60 |
$273.60 |
$273.60 |
$278.50
|
|
Insert picvad cath
|
$1,791.60 |
$1,791.60 |
$1,791.60 |
$4,195.00
|
|
Insert pm/icd lead dual
|
$11,014.20 |
$11,014.20 |
$11,014.20 |
$7,115.20
|
|
Insert/repl sq defib w/eltrd
|
$35,998.20 |
$35,998.20 |
$35,998.20 |
$32,800.04
|
|
Insert sq defib electrode
|
$16,027.20 |
$16,027.20 |
$16,027.20 |
$8,167.68
|
|
Insert swan-ganz cath
|
$3,811.20 |
$3,811.20 |
$3,811.20 |
$2,210.50
|
|
Insert tunneled cv 2cath 2sits without port/pmp 36565
|
$9,617.40 |
$9,617.40 |
$9,617.40 |
$4,803.00
|
|
Insert tunneled cv cath
|
$11,383.20 |
$11,383.20 |
$11,383.20 |
$4,520.00
|
|
Insert tunneled cv cath
|
$9,617.40 |
$9,617.40 |
$9,617.40 |
$5,983.35
|
|
Insert uteri tandem/ovoids
|
$1,969.20 |
$1,969.20 |
$1,969.20 |
$3,905.20
|
|
Insert vad art access left hrt arterial access
|
$40,876.20 |
$40,876.20 |
$40,876.20 |
$4,270.75
|
|
Insert vad art access left hrt art & vein access
|
$4,271.40 |
$4,271.40 |
$4,271.40 |
$3,677.40
|
|
Ins icd gen exist mlt leads
|
$54,502.20 |
$54,502.20 |
$54,502.20 |
$31,286.77
|
|
Ins icd gen exist sgl lead
|
$16,168.80 |
$16,168.80 |
$16,168.80 |
$23,230.50
|
|
Insitu hybridization auto
|
$879.00 |
$879.00 |
$879.00 |
$377.37
|
|
Insitu hybridization (fish)
|
$931.20 |
$931.20 |
$931.20 |
$481.60
|
|
Insitu hybridization manual
|
$454.20 |
$454.20 |
$788.40 |
$401.28
|
|
In situ hybridization per specimen each additional single probe stain
|
$705.00 |
$705.00 |
$705.00 |
$241.15
|
|
In situ hybridization per specimen initial single probe stain
|
$303.60 |
$303.60 |
$693.60 |
$331.69
|
|
Ins lv lead exist pm/icd
|
$25,915.80 |
$25,915.80 |
$25,915.80 |
$12,384.25
|
|
Ins mark abd/pel for right perq
|
$6,343.20 |
$6,343.20 |
$6,343.20 |
$2,414.36
|
|
Ins mark thor for right perq
|
$2,578.20 |
$2,578.20 |
$2,578.20 |
$2,477.45
|
|
Ins picad w subq port 5yr>
|
$1,791.60 |
$1,791.60 |
$1,791.60 |
$3,985.20
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$3,333.00 |
$3,333.00 |
$3,333.00 |
$1,690.00
|
|
Ins pm gen exist dual lead
|
$54,502.20 |
$54,502.20 |
$54,502.20 |
$23,665.85
|
|
Ins pm gen w/exist mlt leads
|
$54,502.20 |
$54,502.20 |
$54,502.20 |
$14,804.40
|
|
Ins pq tunnld ip cath w/img
|
$12,492.00 |
$12,492.00 |
$12,492.00 |
$5,377.00
|
|
Ins/rpl ldless pm right vent w img & eval
|
$31,508.40 |
$31,508.40 |
$31,508.40 |
$24,135.54
|
|
Ins/rpl pm gen exist dual lead
|
$35,902.80 |
$35,902.80 |
$35,902.80 |
$11,005.50
|
|
Ins/rpl pm gen exist sgl lead
|
$29,547.60 |
$29,547.60 |
$29,547.60 |
$9,428.64
|
|
Ins/rpl pm w/tv ld atrl
|
$29,547.60 |
$29,547.60 |
$29,547.60 |
$11,583.66
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$41,832.60 |
$41,832.60 |
$41,832.60 |
$25,694.00
|
|
Inst fibrinolysis agent ini day
|
$1,818.60 |
$1,818.60 |
$1,818.60 |
$1,036.05
|
|
Inst fibrinolysis agent sbsq d
|
$1,818.60 |
$1,818.60 |
$1,818.60 |
$898.12
|
|
Instillation anticarcinogenic agent bladder
|
$435.00 |
$435.00 |
$435.00 |
$621.40
|
|
Ins tun cvad 2 cath w/subq port(s)
|
$11,383.20 |
$11,383.20 |
$11,383.20 |
$7,826.00
|
|
Ins tun cv cath wo subq prt/pm
|
$11,383.20 |
$11,383.20 |
$11,383.20 |
$5,324.80
|
|
Ins tun cv cath wo subq prt/pm
|
$12,857.40 |
$12,857.40 |
$12,857.40 |
$4,202.70
|
|
Ins tun intraperit dia cath
|
$2,937.60 |
$2,937.60 |
$2,937.60 |
$4,570.00
|
|
Inst via cath agent pleurds
|
$3,139.80 |
$3,139.80 |
$3,139.80 |
$1,065.00
|
|
Insulin total
|
$293.40 |
$293.40 |
$293.40 |
$66.64
|
|
Ins vag brachytx device
|
$1,167.00 |
$1,167.00 |
$1,167.00 |
$935.50
|
|
Interdental fixation
|
$2,350.20 |
$2,350.20 |
$2,350.20 |
$2,133.48
|
