|
In situ hybridization per specimen each additional single probe stain
|
$292.13 |
$292.13 |
$292.13 |
$243.00
|
|
In situ hybridization per specimen initial single probe stain
|
$471.20 |
$471.20 |
$471.20 |
$340.00
|
|
Insj biomechanical device
|
$805.60 |
$805.60 |
$805.60 |
$1,573.00
|
|
Insj biomechanical device 22853
|
$622.40 |
$622.40 |
$622.40 |
$622.40
|
|
Insj phrnc nrv stim sys
|
$1,439.20 |
$1,439.20 |
$1,439.20 |
$53,251.79
|
|
Insj phrnc nrv stim transvns
|
$751.20 |
$751.20 |
$751.20 |
$13,142.86
|
|
Insj stablj dev w/dcmprn
|
$2,352.80 |
$2,352.80 |
$2,352.80 |
$21,352.50
|
|
Insj stablj dev w/dcmprn
|
$585.60 |
$585.60 |
$585.60 |
$11,325.60
|
|
Insj stablj dev without dcmprn
|
$1,121.60 |
$1,121.60 |
$1,121.60 |
$15,226.08
|
|
Insj stablj dev without dcmprn
|
$314.40 |
$314.40 |
$314.40 |
$10,418.40
|
|
Ins left heart vent thor inscn ecmo
|
$1,901.60 |
$1,901.60 |
$1,901.60 |
$1,901.60
|
|
Ins lv lead exist pm/icd
|
$1,266.40 |
$1,266.40 |
$1,266.40 |
$12,384.25
|
|
Ins mark abd/pel for right perq
|
$1,204.80 |
$1,204.80 |
$1,204.80 |
$2,477.24
|
|
Ins mark thor for right perq
|
$1,304.00 |
$1,304.00 |
$1,304.00 |
$2,492.80
|
|
Insole orthotic freedom sz6 6816
|
$177.60 |
$177.60 |
$177.60 |
$84.00
|
|
Ins picad w subq port 5yr>
|
$6,318.40 |
$6,318.40 |
$6,318.40 |
$4,195.00
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$1,061.60 |
$1,061.60 |
$1,061.60 |
$1,690.00
|
|
Ins pm gen exist dual lead
|
$939.20 |
$939.20 |
$939.20 |
$24,159.72
|
|
Ins pm gen w/exist mlt leads
|
$887.20 |
$887.20 |
$887.20 |
$14,804.40
|
|
Ins pq tunnld ip cath w/img
|
$5,012.10 |
$5,012.10 |
$5,012.10 |
$5,486.00
|
|
Ins/rplc spi npg/rcvr pocket
|
$883.20 |
$883.20 |
$883.20 |
$24,061.80
|
|
Ins/rpl ldless pm right vent w img & eval
|
$1,194.40 |
$1,194.40 |
$1,194.40 |
$24,135.54
|
|
Ins/rpl pm gen exist dual lead
|
$823.20 |
$823.20 |
$823.20 |
$11,198.55
|
|
Ins/rpl pm gen exist sgl lead
|
$788.00 |
$788.00 |
$788.00 |
$9,558.78
|
|
Ins/rpl pm w/tv ld atrl
|
$1,114.40 |
$1,114.40 |
$1,114.40 |
$11,583.66
|
|
Ins/rpl prph sac/gstr npg/r
|
$782.40 |
$782.40 |
$782.40 |
$18,129.80
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$810.40 |
$810.40 |
$810.40 |
$27,318.11
|
|
Insrt/redo neurostim 1 array
|
$2,459.20 |
$2,459.20 |
$2,459.20 |
$21,817.60
|
|
Ins sk-mnt crnl nstm pg/rcvr
|
$6,646.40 |
$6,646.40 |
$6,646.40 |
$2,723.86
|
|
Ins subq extnsn pertneal cath
|
$293.60 |
$293.60 |
$293.60 |
$2,479.93
|
|
Install spinal shunt 63741
|
$1,612.00 |
$1,612.00 |
$1,612.00 |
$7,181.20
|
|
Inst fibrinolysis agent ini day
|
$233.60 |
$233.60 |
$233.60 |
$1,043.35
|
|
Inst fibrinolysis agent sbsq d
|
$209.60 |
$209.60 |
$209.60 |
$997.05
|
|
Instillation anticarcinogenic agent bladder
|
$647.48 |
$647.48 |
$647.48 |
$645.01
|
|
Instll rx agnt into rnal tub
|
$619.20 |
$619.20 |
$619.20 |
$619.20
|
|
Ins trurl ablt trnsdc thr Ultrasound
|
$968.00 |
$968.00 |
$968.00 |
$397.60
|
|
Ins tun cvad 2 cath w/subq port(s)
|
$22,545.60 |
$22,545.60 |
$22,545.60 |
$7,826.00
|
|
Ins tun cv cath wo subq prt/pm
|
$5,324.80 |
$5,324.80 |
$5,324.80 |
$5,324.80
|
|
Ins tun cv cath wo subq prt/pm
|
$3,977.60 |
$3,977.60 |
$3,977.60 |
$4,218.00
|
|
Ins tun intraperit dia cath
|
$560.80 |
$560.80 |
$560.80 |
$4,570.00
|
|
Inst via cath agent pleurds
|
$632.00 |
$632.00 |
$632.00 |
$1,074.68
|
|
Insulin suppression panel
|
$386.40 |
$386.40 |
$386.40 |
$375.70
|
|
Insulin tolerance panel
|
$570.40 |
$570.40 |
$570.40 |
$313.53
|
|
Insulin tolerance panel
|
$258.40 |
$258.40 |
$258.40 |
$258.40
|
|
Insulin total
|
$55.00 |
$55.00 |
$55.00 |
$66.64
|
|
Ins vag brachytx device
|
$537.60 |
$537.60 |
$537.60 |
$950.00
|
|
Intens behave ther cardio dx
|
$60.80 |
$60.80 |
$60.80 |
$47.60
|
|
Intens cardiac rehab no exer
|
$238.40 |
$238.40 |
$238.40 |
$238.40
|
|
Intens cardiac rehab w/exerc
|
$238.40 |
$238.40 |
$238.40 |
$238.40
|
|
Intercalary algrft compl
|
$1,780.00 |
$1,780.00 |
$1,780.00 |
$1,864.80
|
|
Interdental fixation
|
$2,040.00 |
$2,040.00 |
$2,040.00 |
$2,133.48
|
|
Interdental wirg oth/thn fx
|
$1,693.60 |
$1,693.60 |
$1,693.60 |
$1,944.80
|
|
Interdiscal perq aspir dx
|
$662.40 |
$662.40 |
$662.40 |
$1,222.26
|
|
Interferon alfa-2b inj
|
$36.80 |
$36.80 |
$36.80 |
$1,409.92
|
|
Interferon beta-1a inj
|
$1,851.20 |
$1,851.20 |
$1,851.20 |
$1,851.20
|
|
Intermediate visual field xm
|
$112.80 |
$112.80 |
$112.80 |
$112.80
|
|
Internal nerve revision 64727
|
$448.80 |
$448.80 |
$448.80 |
$806.00
|
|
Interrogate subq defib
|
$148.00 |
$148.00 |
$148.00 |
$119.60
|
|
Interrogation vad in person
|
$126.40 |
$126.40 |
$126.40 |
$296.40
|
|
Interrog dev eval icpms ip
|
$108.80 |
$108.80 |
$108.80 |
$104.00
|
|
Interrog dev eval scrms ip
|
$104.00 |
$104.00 |
$104.00 |
$124.80
|
|
Interrog device eval heart
|
$162.40 |
$162.40 |
$162.40 |
$162.40
|
|
Interrog evl pm/ldls pm ip
|
$115.20 |
$115.20 |
$115.20 |
$127.20
|
|
Interrog&prgrmg ipnss
|
$200.00 |
$200.00 |
$200.00 |
$200.00
|
|
Interrog&prgrmg ipnss polysm
|
$364.00 |
$364.00 |
$364.00 |
$422.32
|
|
Interrog without prgrmg ipnss
|
$118.40 |
$118.40 |
$118.40 |
$147.00
|
|
Intestinal stricturoplasty
|
$2,645.60 |
$2,645.60 |
$2,645.60 |
$2,351.50
|
|
Int hrhc lig 1 hroid without img
|
$824.80 |
$824.80 |
$824.80 |
$3,491.25
|
|
Int hrhc lig 2+hroid without img
|
$932.00 |
$932.00 |
$932.00 |
$3,245.23
|
|
Intra-atrial pacing
|
$636.80 |
$636.80 |
$636.80 |
$4,865.25
|
|
Intra-atrial recording
|
$453.60 |
$453.60 |
$453.60 |
$5,252.30
|
|
Intracard echo interv w/s&i
|
$838.40 |
$838.40 |
$838.40 |
$3,436.00
|
|
Intracranial complete study
|
$588.00 |
$588.00 |
$588.00 |
$881.50
|
|
Intracranial limited study
|
$353.60 |
$353.60 |
$353.60 |
$467.50
|
|
Intranasal biopsy 30100
|
$346.40 |
$346.40 |
$346.40 |
$2,282.50
|
|
Intranasal reconstruction
|
$1,571.20 |
$1,571.20 |
$1,571.20 |
$5,741.00
|
|
Intraop colon lavage add-on
|
$416.80 |
$416.80 |
$416.80 |
$416.80
|
|
Intraop epicard/endocard/pace/map/ 93631
|
$4,144.80 |
$4,144.80 |
$4,144.80 |
$3,514.20
|
|
Intraoral i+d tongue/floor lingual 41000
|
$392.80 |
$392.80 |
$392.80 |
$1,331.45
|
|
Intrapul surf admin endo tube
|
$124.80 |
$124.80 |
$124.80 |
$220.80
|
|
Intrauterine transfusion ftl
|
$872.00 |
$872.00 |
$872.00 |
$1,021.15
|
|
Intraventricular pacing
|
$632.00 |
$632.00 |
$632.00 |
$5,456.17
|
|
Intrinsic factor antibody
|
$48.57 |
$48.57 |
$48.57 |
$66.60
|
|
Intrm oph exam est patient
|
$183.20 |
$183.20 |
$183.20 |
$152.50
|
|
Intro cath dialysis circuit
|
$1,689.60 |
$1,689.60 |
$1,689.60 |
$2,043.30
|
|
Intro cath dialysis circuit w/pta
|
$3,165.60 |
$3,165.60 |
$3,165.60 |
$8,761.00
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$12,488.00 |
$12,488.00 |
$12,488.00 |
$16,275.00
|
|
Intro catheter aorta
|
$2,867.20 |
$2,867.20 |
$2,867.20 |
$1,678.05
|
|
Intro cath svc/ivc
|
$2,568.00 |
$2,568.00 |
$2,568.00 |
$1,329.90
|
|
Intro long gi tube
|
$50.40 |
$50.40 |
$50.40 |
$995.78
|
|
Intro long gi tube w/mult fluo
|
$276.00 |
$276.00 |
$276.00 |
$469.00
|
|
Intro windpipe wire/tube
|
$2,885.60 |
$2,885.60 |
$2,885.60 |
$2,447.43
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$2,836.80 |
$2,836.80 |
$2,836.80 |
$3,472.95
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$457.60 |
$457.60 |
$457.60 |
$1,801.10
|
|
Intubation endotracheal emergency procedure
|
$564.88 |
$564.88 |
$564.88 |
$601.28
|
|
Io anal gast n-stim init
|
$98.40 |
$98.40 |
$98.40 |
$341.60
|
|
Io anal gast n-stim subsq
|
$76.80 |
$76.80 |
$76.80 |
$146.38
|
|
Iodine i-123 sod iodide mil
|
$1,796.00 |
$1,796.00 |
$1,796.00 |
$386.37
|
|
Io ga n-stim subsq w/reprog
|
$121.60 |
$121.60 |
$121.60 |
$187.43
|
|
Ionm in operatng room 15 min
|
$73.60 |
$73.60 |
$73.60 |
$203.73
|
