|
Injection radioactive tracer sentinel node (both sides)
|
$1,404.00 |
$1,404.00 |
$1,404.00 |
$685.44
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$974.00 |
$974.00 |
$974.00 |
$1,391.40
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$1,298.00 |
$1,298.00 |
$1,298.00 |
$1,043.72
|
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
|
$3,169.78 |
$3,169.78 |
$3,169.78 |
$2,040.36
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
|
$2,756.00 |
$2,756.00 |
$2,756.00 |
$1,030.05
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
|
$5,882.00 |
$5,882.00 |
$5,882.00 |
$1,855.36
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
|
$1,874.00 |
$1,874.00 |
$1,874.00 |
$1,043.20
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
|
$2,342.00 |
$2,342.00 |
$2,342.00 |
$2,006.79
|
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
|
$1,050.00 |
$1,050.00 |
$1,050.00 |
$1,817.24
|
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
|
$1,288.00 |
$1,288.00 |
$1,288.00 |
$1,685.00
|
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
|
$474.00 |
$474.00 |
$474.00 |
$475.80
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$422.00 |
$422.00 |
$422.00 |
$548.80
|
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
|
$744.00 |
$744.00 |
$744.00 |
$637.92
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$252.00 |
$252.00 |
$252.00 |
$145.60
|
|
Injection treatment of nerve
|
$1,472.00 |
$1,472.00 |
$1,472.00 |
$2,054.00
|
|
Inject sacroiliac joint
|
$9,660.00 |
$9,660.00 |
$9,660.00 |
$1,029.04
|
|
Inj epidural sgl lumb-sacral without img
|
$1,012.00 |
$1,012.00 |
$1,012.00 |
$1,450.84
|
|
Inj for ext venography
|
$589.00 |
$589.00 |
$589.00 |
$628.80
|
|
Inj hrt cath w/s&i nonsel p-art angrp
|
$688.00 |
$688.00 |
$688.00 |
$1,492.00
|
|
Inj hrt cath w/s&i sel hrt ang
|
$654.00 |
$654.00 |
$654.00 |
$1,818.15
|
|
Inj hrt cath w/s&i sel left vent
|
$494.00 |
$494.00 |
$494.00 |
$1,250.34
|
|
Inj hrt cath w/s&i sel right vent
|
$656.00 |
$656.00 |
$656.00 |
$999.96
|
|
Inj/inf neurolyt sbst spinal canal lesion 62282
|
$1,938.00 |
$1,938.00 |
$1,938.00 |
$1,938.00
|
|
Inj intralesional <= 7 lsn(s)
|
$209.00 |
$209.00 |
$209.00 |
$235.13
|
|
Inj nephrosto/ureterogram w/img exstng access
|
$7,466.00 |
$7,466.00 |
$7,466.00 |
$1,413.35
|
|
Inj proc ankle arthr
|
$966.00 |
$966.00 |
$966.00 |
$405.31
|
|
Inj proc elbow arthro
|
$1,552.00 |
$1,552.00 |
$1,552.00 |
$432.00
|
|
Inj proc for lymphang
|
$3,095.00 |
$3,095.00 |
$3,095.00 |
$742.40
|
|
Inj proc lumbr disk ea lvl
|
$1,749.00 |
$1,749.00 |
$1,749.00 |
$1,106.93
|
|
Inj proc myelogram lumbar
|
$3,576.00 |
$3,576.00 |
$3,576.00 |
$838.30
|
|
Inj proc sialogram
|
$651.00 |
$651.00 |
$651.00 |
$373.00
|
|
Inj retro urethrocysto
|
$800.00 |
$800.00 |
$800.00 |
$447.74
|
|
Inj w/fluor eval cv device
|
$1,002.00 |
$1,002.00 |
$1,002.00 |
$504.40
|
|
Ins cath ren art 1st bi
|
$5,440.00 |
$5,440.00 |
$5,440.00 |
$5,974.80
|
|
Ins cath ren art 1st uni
|
$5,322.00 |
$5,322.00 |
$5,322.00 |
$4,667.63
|
|
Ins cath ren art 2nd+ uni
|
$7,175.00 |
$7,175.00 |
$7,175.00 |
$5,395.20
|
|
Ins cerv dilator (sep proc)
|
$588.00 |
$588.00 |
$588.00 |
$490.73
|
|
Insert and remove bone pin
|
$3,966.00 |
$3,966.00 |
$3,966.00 |
$4,433.36
|
|
Insert cannula vein-to-vein hemodialysis
|
$11,729.00 |
$11,729.00 |
$11,729.00 |
$7,279.50
|
|
Insert cath pleura with image
|
$4,582.00 |
$4,582.00 |
$4,582.00 |
$2,194.40
|
|
Insert cath pleura without image
|
$1,857.00 |
$1,857.00 |
$1,857.00 |
$2,099.70
|
|
Insert drug delivery implant
|
$115.00 |
$115.00 |
$115.00 |
$280.00
|
|
Insert hepatic shunt (tips)
|
$12,090.00 |
$12,090.00 |
$12,090.00 |
$7,571.20
|
|
Insert intrauterine device iud
|
$74.00 |
$74.00 |
$74.00 |
$347.10
|
|
Insertion catheter bladder non indwelling
|
$398.00 |
$398.00 |
$398.00 |
$208.01
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$3,273.00 |
$3,273.00 |
$3,273.00 |
$4,897.20
|
|
Insertion intra aortic balloon assist device percutaneous
|
$1,829.00 |
$1,829.00 |
$1,829.00 |
$2,447.63
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$8,128.00 |
$8,128.00 |
$8,128.00 |
$7,210.78
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$3,354.00 |
$3,354.00 |
$3,354.00 |
$2,585.25
|
|
Insertion of catheter vein
|
$1,993.00 |
$1,993.00 |
$1,993.00 |
$1,525.80
|
|
Insertion of catheter vein
|
$2,085.00 |
$2,085.00 |
$2,085.00 |
$870.59
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$17,927.00 |
$17,927.00 |
$17,927.00 |
$12,384.25
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$14,961.00 |
$14,961.00 |
$14,961.00 |
$12,324.60
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$4,229.00 |
$4,229.00 |
$4,229.00 |
$9,884.16
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$2,227.00 |
$2,227.00 |
$2,227.00 |
$2,103.75
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$2,130.00 |
$2,130.00 |
$2,130.00 |
$2,453.83
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$26,448.00 |
$26,448.00 |
$26,448.00 |
$29,180.00
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$13,571.00 |
$13,571.00 |
$13,571.00 |
$7,183.68
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$8,517.00 |
$8,517.00 |
$8,517.00 |
$7,267.20
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$13,627.00 |
$13,627.00 |
$13,627.00 |
$9,332.50
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$8,051.00 |
$8,051.00 |
$8,051.00 |
$5,236.80
|
|
Insert pessary/other device
|
$228.00 |
$228.00 |
$228.00 |
$278.90
|
|
Insert pm/icd lead dual
|
$8,942.00 |
$8,942.00 |
$8,942.00 |
$7,115.90
|
|
Insert/repl sq defib w/eltrd
|
$26,448.00 |
$26,448.00 |
$26,448.00 |
$33,593.55
|
|
Insert sq defib electrode
|
$22,076.00 |
$22,076.00 |
$22,076.00 |
$8,167.68
|
|
Insert swan-ganz cath
|
$2,337.00 |
$2,337.00 |
$2,337.00 |
$2,164.52
|
|
Insert tunneled cv 2cath 2sits without port/pmp 36565
|
$8,311.00 |
$8,311.00 |
$8,311.00 |
$4,997.60
|
|
Insert tunneled cv cath
|
$9,647.00 |
$9,647.00 |
$9,647.00 |
$4,520.00
|
|
Insert vad art access left hrt arterial access
|
$19,022.00 |
$19,022.00 |
$19,022.00 |
$4,276.00
|
|
Ins icd gen exist mlt leads
|
$35,610.00 |
$35,610.00 |
$35,610.00 |
$31,286.77
|
|
Insitu hybridization manual
|
$541.00 |
$541.00 |
$541.00 |
$401.28
|
|
In situ hybridization per specimen each additional single probe stain
|
$291.00 |
$291.00 |
$291.00 |
$243.50
|
|
In situ hybridization per specimen initial single probe stain
|
$364.00 |
$364.00 |
$364.00 |
$338.40
|
|
Insj perq vad r hrt venous
|
$26,420.00 |
$26,420.00 |
$26,420.00 |
$3,796.00
|
|
Ins lv lead exist pm/icd
|
$8,372.00 |
$8,372.00 |
$8,372.00 |
$12,384.25
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$3,808.00 |
$3,808.00 |
$3,808.00 |
$1,690.00
|
|
Ins pm gen w/exist mlt leads
|
$18,745.00 |
$18,745.00 |
$18,745.00 |
$14,804.40
|
|
Ins pq tunnld ip cath w/img
|
$6,096.00 |
$6,096.00 |
$6,096.00 |
$5,486.00
|
|
Ins/rplc spi npg/rcvr pocket
|
$97,637.00 |
$97,637.00 |
$97,637.00 |
$24,061.80
|
|
Ins/rpl ldless pm right vent w img & eval
|
$23,369.00 |
$23,369.00 |
$23,369.00 |
$24,135.54
|
|
Ins/rpl pm gen exist sgl lead
|
$9,822.00 |
$9,822.00 |
$9,822.00 |
$9,428.64
|
|
Ins/rpl pm w/tv ld atrl
|
$11,969.00 |
$11,969.00 |
$11,969.00 |
$11,583.66
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$23,226.00 |
$23,226.00 |
$23,226.00 |
$27,318.11
|
|
Ins tun cv cath wo subq prt/pm
|
$9,076.00 |
$9,076.00 |
$9,076.00 |
$4,218.00
|
|
Inst via cath agent pleurds
|
$967.00 |
$967.00 |
$967.00 |
$1,074.68
|
|
Insulin total
|
$46.00 |
$46.00 |
$46.00 |
$66.64
|
|
Ins vag brachytx device
|
$1,655.00 |
$1,655.00 |
$1,655.00 |
$950.00
|
|
Intens cardiac rehab no exer
|
$356.00 |
$356.00 |
$356.00 |
$238.40
|
|
Intens cardiac rehab w/exerc
|
$356.00 |
$356.00 |
$356.00 |
$238.40
|
|
Interdental fixation
|
$6,637.00 |
$6,637.00 |
$6,637.00 |
$2,133.48
|
|
Interdental wirg oth/thn fx
|
$4,873.00 |
$4,873.00 |
$4,873.00 |
$2,061.50
|
|
Interdiscal perq aspir dx
|
$2,834.00 |
$2,834.00 |
$2,834.00 |
$1,222.26
|
|
Interrogate subq defib
|
$160.00 |
$160.00 |
$160.00 |
$119.60
|
|
Interrogation vad in person
|
$443.00 |
$443.00 |
$443.00 |
$296.80
|
|
Interrog dev eval icpms ip
|
$153.00 |
$153.00 |
$153.00 |
$104.00
|
|
Interrog device eval heart
|
$150.00 |
$150.00 |
$150.00 |
$162.40
|
|
Interrog evl pm/ldls pm ip
|
$130.00 |
$130.00 |
$130.00 |
$127.20
|
|
Intra-atrial pacing
|
$14,965.00 |
$14,965.00 |
$14,965.00 |
$4,850.82
|
|
Intra-atrial recording
|
$14,965.00 |
$14,965.00 |
$14,965.00 |
$5,252.30
|
|
Intracard echo interv w/s&i
|
$4,899.00 |
$4,899.00 |
$4,899.00 |
$3,436.00
|
