|
Insert self-contd prosthesis
|
$1,655.20 |
$1,655.20 |
$45,962.19 |
|
|
Insert semi-rigid prosthesis
|
$1,340.80 |
$1,340.80 |
$1,340.80 |
|
|
Insert spine fixation device
|
$1,965.60 |
$1,965.60 |
$2,692.00 |
|
|
Insert spine fixation device
|
$1,993.60 |
$1,993.60 |
$1,993.60 |
|
|
Insert spine infusion device 62360
|
$558.00 |
$767.20 |
$767.20 |
|
|
Insert sq defib electrode
|
$1,006.80 |
$1,112.00 |
$16,877.71 |
|
|
Insert swan-ganz cath
|
$232.00 |
$1,973.40 |
$3,243.93 |
|
|
Insert tandem cuff
|
$2,004.00 |
$2,004.00 |
$2,004.00 |
|
|
Insert tissue expander(s)
|
$2,405.60 |
$2,405.60 |
$2,405.60 |
|
|
Insert tray without bag/cath
|
$3.00 |
$3.00 |
$3.00 |
|
|
Insert tunneled cv 2cath 2sits without port/pmp 36565
|
$1,139.04 |
$4,254.40 |
$4,455.23 |
|
|
Insert tunneled cv cath
|
$1,726.08 |
$6,355.20 |
$6,355.20 |
|
|
Insert tunneled cv cath
|
$1,559.04 |
$2,882.40 |
$2,882.40 |
|
|
Insert ureteral support
|
$4,907.20 |
$4,907.20 |
$4,907.20 |
|
|
Insert uro/ves nck sphincter
|
$1,902.40 |
$1,902.40 |
$1,902.40 |
|
|
Insert uteri tandem/ovoids
|
$955.20 |
$955.20 |
$2,348.16 |
|
|
Insert vad art access left hrt arterial access
|
$687.54 |
$5,848.20 |
$17,638.92 |
|
|
Insert vad art access left hrt art & vein access
|
$687.54 |
$687.54 |
$687.54 |
|
|
Ins icd gen exist mlt leads
|
$985.60 |
$985.60 |
$46,978.64 |
|
|
Ins icd gen exist sgl lead
|
$895.20 |
$895.20 |
$25,127.34 |
|
|
Insitu hybridization auto
|
$328.79 |
$328.79 |
$1,079.00 |
|
|
Insitu hybridization (fish)
|
$481.60 |
$481.60 |
$481.60 |
|
|
Insitu hybridization manual
|
$174.85 |
$328.79 |
$391.44 |
|
|
In situ hybridization per specimen each additional single probe stain
|
$123.50 |
$292.13 |
$502.40 |
|
|
In situ hybridization per specimen initial single probe stain
|
$204.10 |
$471.20 |
$21,073.25 |
|
|
Insj biomechanical device
|
$805.60 |
$805.60 |
$139,655.26 |
|
|
Insj biomechanical device 22853
|
$508.80 |
$622.40 |
$81,726.33 |
|
|
Insj perq vad r hrt venous
|
$653.10 |
$7,797.00 |
$13,529.26 |
|
|
Insj phrnc nrv stim sys
|
$1,439.20 |
$1,439.20 |
$48,912.50 |
|
|
Insj phrnc nrv stim transvns
|
$751.20 |
$751.20 |
$751.20 |
|
|
Insj stablj dev w/dcmprn
|
$2,352.80 |
$2,352.80 |
$2,352.80 |
|
|
Insj stablj dev w/dcmprn
|
$585.60 |
$585.60 |
$585.60 |
|
|
Insj stablj dev without dcmprn
|
$1,121.60 |
$1,121.60 |
$1,121.60 |
|
|
Insj stablj dev without dcmprn
|
$314.40 |
$314.40 |
$314.40 |
|
|
Ins left heart vent thor inscn ecmo
|
$1,629.00 |
$1,901.60 |
$1,901.60 |
|
|
Ins lv lead exist pm/icd
|
$981.00 |
$13,833.95 |
$28,311.41 |
|
|
Ins mark abd/pel for right perq
|
$901.74 |
$1,204.80 |
$3,578.90 |
|
|
Ins mark thor for right perq
|
$1,304.00 |
$1,304.00 |
$4,273.90 |
|
|
Insole orthotic freedom sz6 6816
|
$35.44 |
$68.15 |
$177.60 |
|
|
Ins picad w subq port 5yr>
|
$2,359.80 |
$6,318.40 |
$6,318.40 |
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$568.68 |
$1,061.60 |
$2,385.21 |
|
|
Ins pm gen exist dual lead
|
$939.20 |
$26,230.10 |
$43,399.07 |
|
|
Ins pm gen w/exist mlt leads
|
$887.20 |
$8,103.90 |
$17,245.20 |
|
|
Ins pq tunnld ip cath w/img
|
$1,585.20 |
$5,012.10 |
$8,334.19 |
|
|
Ins/rplc spi npg/rcvr pocket
|
$739.80 |
$883.20 |
$72,943.01 |
|
|
Ins/rpl ldless pm right vent w img & eval
|
$1,194.40 |
$18,978.60 |
$34,271.54 |
|
|
Ins/rpl pm gen exist dual lead
|
$823.20 |
$11,412.00 |
$20,512.05 |
|
|
Ins/rpl pm gen exist sgl lead
|
$788.00 |
$11,449.10 |
$15,566.57 |
|
|
Ins/rpl pm w/tv ld atrl
|
$1,114.40 |
$13,181.40 |
$22,708.73 |
|
|
Ins/rpl prph sac/gstr npg/r
|
$771.00 |
$782.40 |
$42,016.18 |
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$810.40 |
$30,168.00 |
$65,489.08 |
|
|
Insrt/redo neurostim 1 array
|
$2,459.20 |
$2,459.20 |
$104,749.90 |
|
|
Ins sk-mnt crnl nstm pg/rcvr
|
$6,646.40 |
$6,646.40 |
$6,646.40 |
|
|
Ins subq extnsn pertneal cath
|
$218.40 |
$293.60 |
$32,983.09 |
|
|
Install spinal shunt 63741
|
$1,135.80 |
$1,612.00 |
$1,612.00 |
|
|
Inst fibrinolysis agent ini day
|
$166.80 |
$706.89 |
$2,096.25 |
|
|
Inst fibrinolysis agent sbsq d
|
$150.00 |
$599.76 |
$1,320.25 |
|
|
Insti hexaminolevulinate hcl
|
$2,664.90 |
$3,045.60 |
$3,109.05 |
|
|
Instillation anticarcinogenic agent bladder
|
$208.80 |
$469.87 |
$49,254.64 |
|
|
Instill, bupivac and meloxic
|
$588.92 |
$673.05 |
$687.07 |
|
|
Instll rx agnt into rnal tub
|
$619.20 |
$619.20 |
$619.20 |
|
|
Ins trurl ablt trnsdc thr Ultrasound
|
$968.00 |
$968.00 |
$968.00 |
|
|
Ins tun cvad 2 cath w/subq port(s)
|
$566.40 |
$22,545.60 |
$22,545.60 |
|
|
Ins tun cv cath wo subq prt/pm
|
$1,801.20 |
$5,324.80 |
$5,476.90 |
|
|
Ins tun cv cath wo subq prt/pm
|
$1,102.00 |
$4,115.61 |
$11,543.18 |
|
|
Ins tun intraperit dia cath
|
$560.80 |
$682.20 |
$5,923.00 |
|
|
Inst via cath agent pleurds
|
$402.12 |
$632.00 |
$1,320.25 |
|
|
Insulin suppression panel
|
$386.40 |
$386.40 |
$386.40 |
|
|
Insulin tolerance panel
|
$570.40 |
$570.40 |
$570.40 |
|
|
Insulin tolerance panel
|
$258.40 |
$258.40 |
$258.40 |
|
|
Insulin total
|
$55.00 |
$85.80 |
$195.00 |
|
|
Ins vag brachytx device
|
$226.38 |
$537.60 |
$622.00 |
|
|
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm
|
$2,217.37 |
$2,333.79 |
$5,006.02 |
|
|
Integra meshed bil wound mat
|
$0.04 |
$213.38 |
$13,495.80 |
|
|
Integra os putty 2.5cc - cost per 0.5cc
|
$104.14 |
$146.76 |
$10,981.80 |
|
|
Intens behave ther cardio dx
|
$33.00 |
$60.80 |
$60.80 |
|
|
Intens cardiac rehab no exer
|
$166.80 |
$238.40 |
$250.38 |
|
|
Intens cardiac rehab w/exerc
|
$166.80 |
$238.40 |
$250.38 |
|
|
Intercalary algrft compl
|
$1,780.00 |
$1,780.00 |
$1,780.00 |
|
|
Interdental fixation
|
$552.30 |
$2,040.00 |
$2,806.59 |
|
|
Interdental wirg oth/thn fx
|
$1,693.60 |
$1,693.60 |
$2,606.44 |
|
|
Interdiscal perq aspir dx
|
$343.20 |
$662.40 |
$2,070.75 |
|
|
Interferon alfa-2b inj
|
$36.80 |
$36.80 |
$559.83 |
|
|
Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper)
|
$10,427.90 |
$10,427.90 |
$10,427.90 |
|
|
Interferon beta-1a inj
|
$1,851.20 |
$1,851.20 |
$15,311.69 |
|
|
Interferon beta-1b / .25 mg
|
$141.38 |
$141.38 |
$141.38 |
|
|
Intermediate visual field xm
|
$112.80 |
$112.80 |
$112.80 |
|
|
Internal nerve revision 64727
|
$448.80 |
$448.80 |
$477.00 |
|
|
Interrogate subq defib
|
$31.85 |
$148.00 |
$250.38 |
|
|
Interrogation vad in person
|
$126.40 |
$126.40 |
$141.00 |
|
|
Interrog dev eval icpms ip
|
$95.55 |
$108.80 |
$160.00 |
|
|
Interrog dev eval scrms ip
|
$31.08 |
$104.00 |
$150.61 |
|
|
Interrog device eval heart
|
$36.40 |
$162.40 |
$298.12 |
|
|
Interrog evl pm/ldls pm ip
|
$36.40 |
$115.20 |
$298.12 |
|
|
Interrog&prgrmg ipnss
|
$200.00 |
$200.00 |
$200.00 |
|
|
Interrog&prgrmg ipnss polysm
|
$364.00 |
$364.00 |
$627.90 |
|
|
Interrog without prgrmg ipnss
|
$118.40 |
$118.40 |
$118.40 |
|
|
Interstitial brachy inter
|
$1,645.20 |
$1,797.00 |
$2,291.25 |
|
|
Intestinal stricturoplasty
|
$2,645.60 |
$2,645.60 |
$2,645.60 |
|
|
Int hrhc lig 1 hroid without img
|
$544.20 |
$824.80 |
$824.80 |
|
