|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$12,064.20 |
$12,669.00 |
$58,346.70 |
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$12,295.50 |
$14,976.60 |
$58,853.37 |
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$1,534.50 |
$2,139.00 |
$4,831.80 |
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$1,880.25 |
$2,815.20 |
$5,260.20 |
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$18,933.50 |
$26,412.00 |
$89,496.45 |
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$1,944.00 |
$3,201.60 |
$26,693.55 |
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$4,077.00 |
$5,598.60 |
$23,874.41 |
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$10,601.00 |
$12,783.00 |
$42,130.22 |
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$6,493.00 |
$6,640.80 |
$7,111.80 |
|
|
Insert pm/icd lead dual
|
$5,224.80 |
$5,598.60 |
$26,916.19 |
|
|
Insert/repl sq defib w/eltrd
|
$30,373.50 |
$33,775.20 |
$89,252.00 |
|
|
Insert sq defib electrode
|
$3,921.00 |
$3,921.00 |
$40,596.87 |
|
|
Insert swan-ganz cath
|
$2,550.60 |
$2,650.80 |
$8,120.11 |
|
|
Insert tunneled cv 2cath 2sits without port/pmp 36565
|
$7,546.80 |
$7,546.80 |
$7,546.80 |
|
|
Insert tunneled cv cath
|
$6,944.40 |
$6,944.40 |
$6,944.40 |
|
|
Insert uteri tandem/ovoids
|
$2,585.00 |
$2,585.00 |
$9,680.69 |
|
|
Insert vad art access left hrt arterial access
|
$1,690.50 |
$15,978.00 |
$15,978.00 |
|
|
Insert vad art access left hrt art & vein access
|
$16,611.60 |
$16,611.60 |
$16,611.60 |
|
|
Ins icd gen exist mlt leads
|
$8,303.50 |
$11,408.40 |
$89,496.45 |
|
|
Ins icd gen exist sgl lead
|
$7,958.00 |
$12,250.80 |
$88,121.39 |
|
|
Insitu hybridization auto
|
$319.28 |
$445.00 |
$1,036.80 |
|
|
Insitu hybridization (fish)
|
$422.39 |
$422.39 |
$422.39 |
|
|
Insitu hybridization manual
|
$270.50 |
$667.20 |
$1,799.30 |
|
|
In situ hybridization per specimen each additional single probe stain
|
$141.50 |
$183.60 |
$970.70 |
|
|
In situ hybridization per specimen initial single probe stain
|
$188.50 |
$902.40 |
$1,336.80 |
|
|
Insj perq vad r hrt venous
|
$16,611.60 |
$16,611.60 |
$16,611.60 |
|
|
Insj phrnc nrv stim sys
|
$32,972.50 |
$32,972.50 |
$32,972.50 |
|
|
Ins lv lead exist pm/icd
|
$12,295.50 |
$15,138.60 |
$63,155.08 |
|
|
Ins mark abd/pel for right perq
|
$2,795.50 |
$2,851.80 |
$4,994.41 |
|
|
Ins mark thor for right perq
|
$2,795.50 |
$2,839.50 |
$2,936.50 |
|
|
Ins picad w subq port 5yr>
|
$5,603.40 |
$5,736.00 |
$6,087.60 |
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$1,833.00 |
$1,925.50 |
$5,410.20 |
|
|
Ins pm gen exist dual lead
|
$3,479.40 |
$11,408.40 |
$88,681.19 |
|
|
Ins pm gen w/exist mlt leads
|
$11,408.40 |
$11,408.40 |
$52,245.19 |
|
|
Ins pq tunnld ip cath w/img
|
$9,640.50 |
$10,083.60 |
$13,982.89 |
|
|
Ins/rpl ldless pm right vent w img & eval
|
$12,106.20 |
$12,106.20 |
$89,252.00 |
|
|
Ins/rpl pm gen exist dual lead
|
$11,329.80 |
$11,408.40 |
$55,151.83 |
|
|
Ins/rpl pm gen exist sgl lead
|
$11,408.40 |
$11,408.40 |
$47,264.30 |
|
|
Ins/rpl pm w/tv ld atrl
|
$12,581.40 |
$12,669.00 |
$58,346.70 |
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$30,566.00 |
$58,176.60 |
$65,048.75 |
|
|
Inst fibrinolysis agent ini day
|
$1,104.60 |
$1,881.60 |
$1,881.60 |
|
|
Inst fibrinolysis agent sbsq d
|
$1,881.60 |
$1,881.60 |
$1,881.60 |
|
|
Insti hexaminolevulinate hcl
|
$2,356.80 |
$2,356.80 |
$2,356.80 |
|
|
Instillation anticarcinogenic agent bladder
|
$804.60 |
$828.00 |
$1,764.60 |
|
|
Ins tun cvad 2 cath w/subq port(s)
|
$7,848.60 |
$7,848.60 |
$7,848.60 |
|
|
Ins tun cv cath wo subq prt/pm
|
$5,600.40 |
$5,600.40 |
$5,677.20 |
|
|
Ins tun cv cath wo subq prt/pm
|
$5,127.00 |
$5,600.40 |
$10,876.08 |
|
|
Inst via cath agent pleurds
|
$1,290.60 |
$1,290.60 |
$1,881.60 |
|
|
Insulin for insulin pump use
|
$1,555.02 |
$2,572.70 |
$2,572.70 |
|
|
Insulin total
|
$60.50 |
$85.80 |
$277.80 |
|
|
Ins vag brachytx device
|
$935.50 |
$935.50 |
$1,424.75 |
|
|
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm
|
$6,031.20 |
$6,354.00 |
$6,354.00 |
|
|
Integra meshed bil wound mat
|
$9,924.00 |
$9,924.16 |
$9,924.16 |
|
|
Integra os putty 2.5cc - cost per 0.5cc
|
$420.00 |
$1,793.40 |
$3,825.00 |
|
|
Intens cardiac rehab no exer
|
$160.20 |
$160.20 |
$160.20 |
|
|
Intens cardiac rehab w/exerc
|
$160.20 |
$160.20 |
$160.20 |
|
|
Interdiscal perq aspir dx
|
$2,077.20 |
$2,135.40 |
$3,113.62 |
|
|
Interferon alfa-2b inj
|
$51.21 |
$51.21 |
$15,948.87 |
|
|
Interferon alfa-n3 inj
|
$661.02 |
$661.02 |
$661.02 |
|
|
Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper)
|
$588.25 |
$19,967.35 |
$19,967.35 |
|
|
Interferon beta-1a inj
|
$9,637.96 |
$12,503.22 |
$12,503.22 |
|
|
Interferon beta-1b / .25 mg
|
$841.69 |
$841.69 |
$7,546.46 |
|
|
Interferon gamma 1-b inj
|
$613.46 |
$613.46 |
$613.46 |
|
|
Interfyl, 1 mg
|
$5,485.20 |
$5,485.20 |
$5,485.20 |
|
|
Interrogate subq defib
|
$2,997.60 |
$3,572.96 |
$5,992.80 |
|
|
Interrogation vad in person
|
$386.40 |
$386.40 |
$609.38 |
|
|
Interrog dev eval icpms ip
|
$121.80 |
$121.80 |
$121.80 |
|
|
Interrog device eval heart
|
$197.44 |
$197.44 |
$197.44 |
|
|
Interrog evl pm/ldls pm ip
|
$98.40 |
$98.40 |
$161.67 |
|
|
Interstitial brachy inter
|
$1,348.20 |
$1,348.20 |
$2,228.03 |
|
|
Intra-atrial pacing
|
$3,400.20 |
$3,400.20 |
$27,869.51 |
|
|
Intra-atrial recording
|
$3,994.20 |
$3,994.20 |
$27,869.51 |
|
|
Intracard echo interv w/s&i
|
$4,675.80 |
$4,879.80 |
$7,568.50 |
|
|
Intracran angioplsty w/stent
|
$13,572.60 |
$14,095.20 |
$35,912.00 |
|
|
Intracranial angioplasty
|
$9,654.60 |
$9,654.60 |
$16,274.00 |
|
|
Intracranial complete study
|
$837.60 |
$1,132.00 |
$1,813.46 |
|
|
Intracranial limited study
|
$358.20 |
$899.00 |
$1,031.40 |
|
|
Intraop epicard/endocard/pace/map/ 93631
|
$5,538.60 |
$5,538.60 |
$8,323.95 |
|
|
Intrapul surf admin endo tube
|
$108.60 |
$113.50 |
$463.76 |
|
|
Intrauterine transfusion ftl
|
$1,345.80 |
$1,345.80 |
$1,345.80 |
|
|
Intraventricular pacing
|
$4,806.60 |
$4,806.60 |
$21,655.74 |
|
|
Intrinsic factor antibody
|
$49.50 |
$145.80 |
$210.00 |
|
|
Intro cath dialysis circuit
|
$2,796.00 |
$11,572.80 |
$12,693.60 |
|
|
Intro cath dialysis circuit w/pta
|
$12,157.20 |
$23,532.00 |
$26,451.60 |
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$19,677.00 |
$40,361.40 |
$41,074.20 |
|
|
Intro catheter aorta
|
$714.00 |
$1,770.00 |
$2,442.00 |
|
|
Intro cath svc/ivc
|
$714.00 |
$4,279.80 |
$4,588.20 |
|
|
Intro long gi tube
|
$678.60 |
$697.80 |
$1,304.40 |
|
|
Intro long gi tube w/mult fluo
|
$258.00 |
$258.00 |
$696.38 |
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$2,205.00 |
$3,719.40 |
$8,398.02 |
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$1,104.00 |
$3,719.40 |
$7,654.63 |
|
|
Intubation endotracheal emergency procedure
|
$257.50 |
$1,004.25 |
$1,160.40 |
|
|
Iodine i-123 sod iodide mil
|
$553.80 |
$553.80 |
$553.80 |
|
|
Ionm in operatng room 15 min
|
$262.20 |
$451.20 |
$1,184.29 |
|
|
Ionm remote/>1 pt or per hr
|
$289.80 |
$300.60 |
$1,904.22 |
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$0.63 |
$66.50 |
$445.72 |
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$0.18 |
$145.52 |
$1,183.32 |
|
|
Io rad tx deliver by elctrns
|
$11,796.00 |
$11,796.00 |
$11,796.00 |
|
|
Ioxaglate 39.3%-19.6% inj 200 ml
|
$16.79 |
$16.79 |
$16.79 |
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$261.10 |
$1,899.08 |
$87,057.20 |
|
