|
Inj, rimabotulinumtoxinb
|
$15.20 |
$15.20 |
$15.20 |
$714.24
|
|
Inj scleros sol mult veins
|
$955.20 |
$955.20 |
$955.20 |
$707.85
|
|
Inj scleros sol sgl vein
|
$534.40 |
$534.40 |
$534.40 |
$561.88
|
|
Inj(s) sclerosant spider veins limb/trunk
|
$113.60 |
$113.60 |
$113.60 |
$436.80
|
|
Inj sulf hexa lipid microsph
|
$266.38 |
$266.38 |
$266.38 |
$256.14
|
|
Inj testostero enanthate 1mg
|
$0.20 |
$0.20 |
$0.20 |
$123.09
|
|
Inj testosterone cypionate
|
$0.20 |
$0.20 |
$0.20 |
$64.96
|
|
Inj thrc fascial pln blk bi w/wo image
|
$2,144.64 |
$2,144.64 |
$2,144.64 |
$1,059.00
|
|
Inj thrc fascial pln blk uni w/wo image
|
$446.40 |
$446.40 |
$446.40 |
$837.50
|
|
Inj., tildrakizumab, 1 mg
|
$160.00 |
$160.00 |
$160.00 |
$26,635.60
|
|
Inj triamcinolone ace X-ray 1mg
|
$21.60 |
$21.60 |
$21.60 |
$1,090.75
|
|
Inj, vancomycin hcl (mylan)
|
$36.20 |
$36.20 |
$36.20 |
$70.84
|
|
Inj w/fluor eval cv device
|
$593.60 |
$593.60 |
$593.60 |
$504.40
|
|
Inpt/ed teleconsult30
|
$221.60 |
$221.60 |
$221.60 |
$156.60
|
|
Inpt/ed teleconsult50
|
$301.60 |
$301.60 |
$301.60 |
$223.80
|
|
Inpt/ed teleconsult70
|
$446.40 |
$446.40 |
$446.40 |
$315.00
|
|
Inpt/tele follow up 15
|
$87.20 |
$87.20 |
$87.20 |
$64.80
|
|
Inpt/tele follow up 25
|
$160.00 |
$160.00 |
$160.00 |
$116.80
|
|
Inpt/tele follow up 35
|
$230.40 |
$230.40 |
$230.40 |
$168.96
|
|
Ins cath ren art 1st bi
|
$3,644.00 |
$3,644.00 |
$3,644.00 |
$5,974.80
|
|
Ins cath ren art 1st uni
|
$3,395.20 |
$3,395.20 |
$3,395.20 |
$4,692.00
|
|
Ins cath ren art 2nd+ bi
|
$5,251.20 |
$5,251.20 |
$5,251.20 |
$5,663.98
|
|
Ins cath ren art 2nd+ uni
|
$5,395.20 |
$5,395.20 |
$5,395.20 |
$5,395.20
|
|
Ins cerv dilator (sep proc)
|
$335.01 |
$335.01 |
$335.01 |
$488.35
|
|
Insemination of oocytes
|
$314.40 |
$314.40 |
$314.40 |
$314.40
|
|
Insert abdomen-venous drain
|
$1,777.60 |
$1,777.60 |
$1,777.60 |
$3,758.23
|
|
Insert and remove bone pin
|
$524.00 |
$524.00 |
$524.00 |
$4,433.36
|
|
Insert ant drainage device
|
$5,108.80 |
$5,108.80 |
$5,108.80 |
$5,108.80
|
|
Insert brain-fluid device 61215
|
$1,197.60 |
$1,197.60 |
$1,197.60 |
$7,181.20
|
|
Insert cannula hemo oth 36815
|
$329.60 |
$329.60 |
$329.60 |
$5,983.35
|
|
Insert cannula vein-to-vein hemodialysis
|
$310.40 |
$310.40 |
$310.40 |
$7,279.50
|
|
Insert cath pleura with image
|
$3,022.40 |
$3,022.40 |
$3,022.40 |
$2,194.40
|
|
Insert cath pleura without image
|
$3,267.20 |
$3,267.20 |
$3,267.20 |
$2,101.52
|
|
Insert drug del implant, >=4
|
$640.80 |
$640.80 |
$640.80 |
$472.21
|
|
Insert drug delivery implant
|
$252.80 |
$252.80 |
$252.80 |
$280.00
|
|
Insert electrodes for eeg
|
$1,180.00 |
$1,180.00 |
$1,180.00 |
$564.20
|
|
Insert epicard eltrd endo 33203
|
$1,967.20 |
$1,967.20 |
$1,967.20 |
$3,053.00
|
|
Insert epicardial lead open 33202
|
$1,879.20 |
$1,879.20 |
$1,879.20 |
$3,775.20
|
|
Insert eye socket implant
|
$5,067.20 |
$5,067.20 |
$5,067.20 |
$5,067.20
|
|
Insert hepatic shunt (tips)
|
$2,106.40 |
$2,106.40 |
$2,106.40 |
$7,571.20
|
|
Insert heyman uteri capsule
|
$1,205.60 |
$1,205.60 |
$1,205.60 |
$5,813.46
|
|
Insert intervert bimech device 22854
|
$805.60 |
$805.60 |
$805.60 |
$1,103.00
|
|
Insert intrauterine device iud
|
$302.68 |
$302.68 |
$302.68 |
$330.72
|
|
Insertion catheter artery nfs ther chemotx 36640
|
$294.40 |
$294.40 |
$294.40 |
$3,594.47
|
|
Insertion catheter bladder non indwelling
|
$213.60 |
$213.60 |
$213.60 |
$209.30
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$4,751.26 |
$4,751.26 |
$4,751.26 |
$4,923.19
|
|
Insertion intra aortic balloon assist device percutaneous
|
$635.20 |
$635.20 |
$635.20 |
$2,447.63
|
|
Insertion intra-aortic circulation dev 33970
|
$866.40 |
$866.40 |
$866.40 |
$1,752.40
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$5,812.80 |
$5,812.80 |
$5,812.80 |
$7,210.78
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$2,457.24 |
$2,457.24 |
$2,457.24 |
$2,595.45
|
|
Insertion of cannula
|
$532.80 |
$532.80 |
$532.80 |
$4,322.40
|
|
Insertion of catheter vein
|
$4,687.20 |
$4,687.20 |
$4,687.20 |
$1,525.80
|
|
Insertion of catheter vein
|
$454.40 |
$454.40 |
$454.40 |
$858.05
|
|
Insertion of heart electrode 33211
|
$416.80 |
$416.80 |
$416.80 |
$6,839.00
|
|
Insertion of infusion pump
|
$1,592.00 |
$1,592.00 |
$1,592.00 |
$5,855.00
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$1,279.20 |
$1,279.20 |
$1,279.20 |
$12,384.25
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$1,176.80 |
$1,176.80 |
$1,176.80 |
$12,324.60
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$1,152.80 |
$1,152.80 |
$1,152.80 |
$9,884.16
|
|
Insertion palate prosthesis
|
$564.80 |
$564.80 |
$564.80 |
$6,547.81
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$2,457.24 |
$2,457.24 |
$2,457.24 |
$2,109.00
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$2,218.34 |
$2,218.34 |
$2,218.34 |
$2,463.50
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$2,250.40 |
$2,250.40 |
$2,250.40 |
$29,180.00
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$403.20 |
$403.20 |
$403.20 |
$7,200.05
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$912.80 |
$912.80 |
$912.80 |
$7,267.20
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$10,733.60 |
$10,733.60 |
$10,733.60 |
$9,390.55
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$5,236.80 |
$5,236.80 |
$5,236.80 |
$5,236.80
|
|
Insertion ureth cath
|
$1,240.00 |
$1,240.00 |
$1,240.00 |
$2,365.38
|
|
Insert lens prosthesis
|
$3,812.80 |
$3,812.80 |
$3,812.80 |
$3,173.34
|
|
Insert multi-comp penis pros
|
$2,044.00 |
$2,044.00 |
$2,044.00 |
$9,495.20
|
|
Insert nasal septal button
|
$745.60 |
$745.60 |
$745.60 |
$1,783.50
|
|
Insert ocular implant
|
$3,905.60 |
$3,905.60 |
$3,905.60 |
$4,462.45
|
|
Insert ocular implant
|
$3,958.40 |
$3,958.40 |
$3,958.40 |
$4,462.45
|
|
Insert palate implants
|
$1,163.20 |
$1,163.20 |
$1,163.20 |
$1,752.89
|
|
Insert pelv fixation device
|
$874.40 |
$874.40 |
$874.40 |
$490.25
|
|
Insert pessary/other device
|
$169.60 |
$169.60 |
$169.60 |
$278.90
|
|
Insert picvad cath
|
$7,192.00 |
$7,192.00 |
$7,192.00 |
$4,195.00
|
|
Insert pm/icd lead dual
|
$899.20 |
$899.20 |
$899.20 |
$7,115.90
|
|
Insert prost urethral stent
|
$1,804.00 |
$1,804.00 |
$1,804.00 |
$2,467.08
|
|
Insert/repl sq defib w/eltrd
|
$1,390.40 |
$1,390.40 |
$1,390.40 |
$33,593.55
|
|
Insert self-contd prosthesis
|
$1,655.20 |
$1,655.20 |
$1,655.20 |
$22,279.50
|
|
Insert semi-rigid prosthesis
|
$1,340.80 |
$1,340.80 |
$1,340.80 |
$14,199.16
|
|
Insert spine fixation device
|
$1,965.60 |
$1,965.60 |
$1,965.60 |
$1,965.60
|
|
Insert spine fixation device
|
$1,993.60 |
$1,993.60 |
$1,993.60 |
$1,124.40
|
|
Insert spine infusion device 62360
|
$767.20 |
$767.20 |
$767.20 |
$17,262.84
|
|
Insert sq defib electrode
|
$1,112.00 |
$1,112.00 |
$1,112.00 |
$8,167.68
|
|
Insert swan-ganz cath
|
$232.00 |
$232.00 |
$232.00 |
$2,164.52
|
|
Insert tandem cuff
|
$2,004.00 |
$2,004.00 |
$2,004.00 |
$22,279.50
|
|
Insert tissue expander(s)
|
$2,405.60 |
$2,405.60 |
$2,405.60 |
$4,311.38
|
|
Insert tunneled cv 2cath 2sits without port/pmp 36565
|
$4,254.40 |
$4,254.40 |
$4,254.40 |
$5,018.25
|
|
Insert tunneled cv cath
|
$6,355.20 |
$6,355.20 |
$6,355.20 |
$4,580.61
|
|
Insert tunneled cv cath
|
$2,882.40 |
$2,882.40 |
$2,882.40 |
$6,075.30
|
|
Insert ureteral support
|
$4,907.20 |
$4,907.20 |
$4,907.20 |
$2,836.34
|
|
Insert uro/ves nck sphincter
|
$1,902.40 |
$1,902.40 |
$1,902.40 |
$22,279.50
|
|
Insert uteri tandem/ovoids
|
$955.20 |
$955.20 |
$955.20 |
$3,940.41
|
|
Insert vad art access left hrt arterial access
|
$1,040.80 |
$1,040.80 |
$1,040.80 |
$4,276.00
|
|
Ins icd gen exist mlt leads
|
$985.60 |
$985.60 |
$985.60 |
$31,286.77
|
|
Ins icd gen exist sgl lead
|
$895.20 |
$895.20 |
$895.20 |
$23,230.50
|
|
Insitu hybridization auto
|
$328.79 |
$328.79 |
$328.79 |
$372.81
|
|
Insitu hybridization (fish)
|
$481.60 |
$481.60 |
$481.60 |
$481.00
|
|
Insitu hybridization manual
|
$328.79 |
$328.79 |
$328.79 |
$401.28
|
