|
Insertion intra aortic balloon assist device percutaneous
|
$2,150.40 |
$2,150.40 |
$2,150.40 |
$2,346.00
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$7,579.60 |
$7,579.60 |
$7,579.60 |
$7,210.78
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$1,541.12 |
$1,541.12 |
$1,541.12 |
$2,457.24
|
|
Insertion of catheter vein
|
$2,308.88 |
$2,308.88 |
$2,308.88 |
$2,214.00
|
|
Insertion of heart electrode 33211
|
$6,669.04 |
$6,669.04 |
$6,669.04 |
$9,537.90
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$16,839.20 |
$16,839.20 |
$16,839.20 |
$14,777.24
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$13,806.24 |
$13,806.24 |
$13,806.24 |
$13,806.24
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$11,826.64 |
$11,826.64 |
$11,826.64 |
$9,855.00
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$1,577.52 |
$1,577.52 |
$1,577.52 |
$2,367.00
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$23,654.40 |
$23,654.40 |
$23,654.40 |
$32,608.80
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$5,639.76 |
$5,639.76 |
$5,639.76 |
$7,513.67
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$6,823.60 |
$6,823.60 |
$6,823.60 |
$8,460.40
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$13,446.16 |
$13,446.16 |
$13,446.16 |
$9,824.59
|
|
Insert pm/icd lead dual
|
$6,823.60 |
$6,823.60 |
$6,823.60 |
$7,885.34
|
|
Insert swan-ganz cath
|
$1,630.16 |
$1,630.16 |
$1,630.16 |
$2,269.00
|
|
Insert vad art access left hrt arterial access
|
$2,150.40 |
$2,150.40 |
$2,150.40 |
$5,135.65
|
|
Ins icd gen exist mlt leads
|
$11,653.60 |
$11,653.60 |
$11,653.60 |
$31,488.80
|
|
Ins icd gen exist sgl lead
|
$10,057.60 |
$10,057.60 |
$10,057.60 |
$26,433.98
|
|
Insitu hybridization auto
|
$140.00 |
$140.00 |
$140.00 |
$328.79
|
|
Insitu hybridization (fish)
|
$98.00 |
$98.00 |
$98.00 |
$481.60
|
|
Insitu hybridization manual
|
$158.54 |
$158.54 |
$158.54 |
$407.11
|
|
In situ hybridization per specimen each additional single probe stain
|
$98.00 |
$98.00 |
$98.00 |
$291.00
|
|
In situ hybridization per specimen initial single probe stain
|
$98.00 |
$98.00 |
$98.00 |
$364.00
|
|
Ins lv lead exist pm/icd
|
$9,165.52 |
$9,165.52 |
$9,165.52 |
$12,270.00
|
|
Ins pm gen exist dual lead
|
$9,041.20 |
$9,041.20 |
$9,041.20 |
$25,546.94
|
|
Ins pm gen w/exist mlt leads
|
$11,653.60 |
$11,653.60 |
$11,653.60 |
$17,191.21
|
|
Ins pq tunnld ip cath w/img
|
$4,976.72 |
$4,976.72 |
$4,976.72 |
$5,597.45
|
|
Ins/rpl ldless pm right vent w img & eval
|
$27,885.76 |
$27,885.76 |
$27,885.76 |
$24,705.20
|
|
Ins/rpl pm gen exist dual lead
|
$11,653.60 |
$11,653.60 |
$11,653.60 |
$11,583.66
|
|
Ins/rpl pm gen exist sgl lead
|
$10,057.60 |
$10,057.60 |
$10,057.60 |
$9,824.59
|
|
Ins/rpl pm w/tv ld atrl
|
$12,550.72 |
$12,550.72 |
$12,550.72 |
$12,442.95
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$28,185.92 |
$28,185.92 |
$28,185.92 |
$28,931.50
|
|
Insulin total
|
$22.40 |
$22.40 |
$22.40 |
$72.15
|
|
Interrogate subq defib
|
$112.00 |
$112.00 |
$112.00 |
$148.00
|
|
Interrog dev eval icpms ip
|
$154.56 |
$154.56 |
$154.56 |
$108.80
|
|
Interrog dev eval scrms ip
|
$154.56 |
$154.56 |
$154.56 |
$152.50
|
|
Interrog device eval heart
|
$206.64 |
$206.64 |
$206.64 |
$162.40
|
|
Interrog evl pm/ldls pm ip
|
$380.24 |
$380.24 |
$380.24 |
$130.00
|
|
Intra-atrial pacing
|
$4,487.28 |
$4,487.28 |
$4,487.28 |
$4,614.35
|
|
Intra-atrial recording
|
$4,487.28 |
$4,487.28 |
$4,487.28 |
$5,252.30
|
|
Intracard echo interv w/s&i
|
$3,657.92 |
$3,657.92 |
$3,657.92 |
$4,328.45
|
|
Intracranial complete study
|
$627.76 |
$627.76 |
$627.76 |
$903.50
|
|
Intracranial limited study
|
$250.32 |
$250.32 |
$250.32 |
$398.34
|
|
Intrapul surf admin endo tube
|
$296.24 |
$296.24 |
$296.24 |
$220.80
|
|
Intraventricular pacing
|
$4,487.28 |
$4,487.28 |
$4,487.28 |
$5,625.00
|
|
Intrinsic factor antibody
|
$28.56 |
$28.56 |
$28.56 |
$76.77
|
|
Intro cath dialysis circuit
|
$1,109.92 |
$1,109.92 |
$1,109.92 |
$2,161.90
|
|
Intro cath dialysis circuit w/pta
|
$15,915.76 |
$15,915.76 |
$15,915.76 |
$8,761.00
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$20,046.32 |
$20,046.32 |
$20,046.32 |
$18,260.50
|
|
Intro catheter aorta
|
$1,830.64 |
$1,830.64 |
$1,830.64 |
$1,963.80
|
|
Intro cath svc/ivc
|
$1,481.20 |
$1,481.20 |
$1,481.20 |
$1,942.50
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$1,569.12 |
$1,569.12 |
$1,569.12 |
$3,510.75
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$1,076.88 |
$1,076.88 |
$1,076.88 |
$1,633.03
|
|
Intubation endotracheal emergency procedure
|
$292.88 |
$292.88 |
$292.88 |
$565.00
|
|
Ionm in operatng room 15 min
|
$73.36 |
$73.36 |
$73.36 |
$238.00
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$2.24 |
$2.24 |
$2.24 |
$145.52
|
|
Iron
|
$13.44 |
$13.44 |
$13.44 |
$67.50
|
|
Iron binding capacity
|
$24.08 |
$24.08 |
$24.08 |
$55.00
|
|
Irradiation of blood product each unit reference
|
$33.60 |
$33.60 |
$33.60 |
$127.49
|
|
Ivc venogram s&i
|
$1,345.12 |
$1,345.12 |
$1,345.12 |
$2,975.00
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$127.68 |
$127.68 |
$127.68 |
$186.55
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$127.68 |
$127.68 |
$127.68 |
$170.94
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$108.64 |
$108.64 |
$108.64 |
$153.40
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$272.72 |
$272.72 |
$272.72 |
$476.50
|
|
IV inj ra drug dx study
|
$431.76 |
$431.76 |
$431.76 |
$473.22
|
|
Jak2 targeted sequence analysis
|
$207.20 |
$207.20 |
$207.20 |
$465.74
|
|
Ketogenic steroids fract
|
$6.72 |
$6.72 |
$6.72 |
$81.12
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$7.84 |
$7.84 |
$7.84 |
$52.50
|
|
Kidney img w/bldflw sgl without rx
|
$571.76 |
$571.76 |
$571.76 |
$1,425.00
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$258.16 |
$258.16 |
$258.16 |
$618.54
|
|
Kit gene analys d816 variant
|
$223.44 |
$223.44 |
$223.44 |
$276.38
|
|
Kit sound processor cochlear osia 2
|
$10,164.00 |
$10,164.00 |
$10,164.00 |
$22,008.58
|
|
Kit trach suct cls 30.5cm
|
$26.32 |
$26.32 |
$26.32 |
$28.20
|
|
Knee MRI (with and without contrast)
|
$3,206.00 |
$3,206.00 |
$3,206.00 |
$2,703.85
|
|
Knee MRI (with contrast)
|
$2,869.44 |
$2,869.44 |
$2,869.44 |
$2,315.95
|
|
Knee MRI (without contrast)
|
$2,474.08 |
$2,474.08 |
$2,474.08 |
$2,120.00
|
|
Knee X-ray
|
$288.40 |
$288.40 |
$288.40 |
$387.20
|
|
Kras gene addl variants
|
$112.00 |
$112.00 |
$112.00 |
$366.56
|
|
Kras gene variants exon 2
|
$196.00 |
$196.00 |
$196.00 |
$495.00
|
|
Lactate dehydrogenase (ldh)
|
$8.96 |
$8.96 |
$8.96 |
$50.55
|
|
Lactic acid
|
$33.04 |
$33.04 |
$33.04 |
$85.20
|
|
Laparoscopy lymphadenectomy
|
$11,424.56 |
$11,424.56 |
$11,424.56 |
$9,372.17
|
|
Lead acuity x4 spiral l 86cm
|
$2,560.32 |
$2,560.32 |
$2,560.32 |
$4,863.24
|
|
Lead capillary
|
$21.28 |
$21.28 |
$21.28 |
$66.32
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$906.08 |
$906.08 |
$906.08 |
$1,053.00
|
|
Lens iol ant bicnvx 24.0 multi
|
$1,170.40 |
$1,170.40 |
$1,170.40 |
$1,136.25
|
|
Levetiracetam therapeutic drug level
|
$24.08 |
$24.08 |
$24.08 |
$99.45
|
|
Lidocaine therapeutic drug level
|
$8.40 |
$8.40 |
$8.40 |
$82.50
|
|
Lipase
|
$21.28 |
$21.28 |
$21.28 |
$67.68
|
|
Lipoprotein blood high res frac & quant
|
$70.00 |
$70.00 |
$70.00 |
$90.60
|
|
Lipoprotein direct measurement hdl
|
$24.64 |
$24.64 |
$24.64 |
$54.60
|
|
Lipoprotein direct measurement ldl
|
$17.92 |
$17.92 |
$17.92 |
$61.60
|
|
Lithium therapeutic drug level
|
$15.68 |
$15.68 |
$15.68 |
$62.40
|
|
Liver Function Test
|
$26.32 |
$26.32 |
$26.32 |
$92.85
|
|
Liver imaging
|
$383.04 |
$383.04 |
$383.04 |
$827.28
|
|
Liver imag w/vasclr flow
|
$322.00 |
$322.00 |
$322.00 |
$913.25
|
|
Liver/spleen imag w/vasclr flow
|
$642.88 |
$642.88 |
$642.88 |
$727.35
|
|
Low cost skin substitute app
|
$869.12 |
$869.12 |
$869.12 |
$879.60
|
|
Low cost skin substitute app
|
$4,339.44 |
$4,339.44 |
$4,339.44 |
$2,147.57
|
|
Low cost skin substitute app
|
$869.12 |
$869.12 |
$869.12 |
$879.60
|