|
Inj proc lumbr disk ea lvl
|
$2,176.80 |
$2,176.80 |
$2,176.80 |
$1,106.93
|
|
Inj proc myelogram lumbar
|
$1,418.40 |
$1,418.40 |
$1,418.40 |
$838.30
|
|
Inj, releuko 1 mcg
|
$288.32 |
$288.32 |
$288.32 |
$475.36
|
|
Inj retro urethrocysto
|
$265.60 |
$265.60 |
$265.60 |
$447.74
|
|
Inj scleros sol mult veins
|
$524.80 |
$524.80 |
$524.80 |
$692.90
|
|
Inj scleros sol sgl vein
|
$694.40 |
$694.40 |
$694.40 |
$561.88
|
|
Inj(s) sclerosant spider veins limb/trunk
|
$620.00 |
$620.00 |
$620.00 |
$436.80
|
|
Inj teplizumab mzwv 5 mcg
|
$13,890.00 |
$13,890.00 |
$13,890.00 |
$22,340.08
|
|
Inj testosterone cypionate
|
$52.81 |
$52.81 |
$52.81 |
$64.96
|
|
Inj thrc fascial pln blk uni w/wo image
|
$1,440.00 |
$1,440.00 |
$1,440.00 |
$818.00
|
|
Inj, uzedy, 1 mg
|
$698.58 |
$698.58 |
$698.58 |
$11,475.96
|
|
Inj w/fluor eval cv device
|
$630.40 |
$630.40 |
$630.40 |
$504.40
|
|
Ins cath ren art 1st bi
|
$6,105.60 |
$6,105.60 |
$6,105.60 |
$5,974.80
|
|
Ins cath ren art 1st uni
|
$6,302.40 |
$6,302.40 |
$6,302.40 |
$4,667.63
|
|
Ins cath ren art 2nd+ bi
|
$5,608.00 |
$5,608.00 |
$5,608.00 |
$5,663.98
|
|
Ins cath ren art 2nd+ uni
|
$6,118.40 |
$6,118.40 |
$6,118.40 |
$5,395.20
|
|
Ins device for right guide open
|
$184.80 |
$184.80 |
$184.80 |
$487.20
|
|
Insert and remove bone pin
|
$5,858.40 |
$5,858.40 |
$5,858.40 |
$4,433.36
|
|
Insert cath pleura with image
|
$2,742.40 |
$2,742.40 |
$2,742.40 |
$2,194.40
|
|
Insert cath pleura without image
|
$2,030.40 |
$2,030.40 |
$2,030.40 |
$2,099.70
|
|
Insert drug delivery implant
|
$283.20 |
$283.20 |
$283.20 |
$280.00
|
|
Insertion catheter bladder non indwelling
|
$220.80 |
$220.80 |
$220.80 |
$208.01
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$6,130.40 |
$6,130.40 |
$6,130.40 |
$4,897.20
|
|
Insertion intra aortic balloon assist device percutaneous
|
$4,145.60 |
$4,145.60 |
$4,145.60 |
$2,447.63
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$10,322.40 |
$10,322.40 |
$10,322.40 |
$7,210.78
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$2,311.20 |
$2,311.20 |
$2,311.20 |
$2,585.25
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$20,590.40 |
$20,590.40 |
$20,590.40 |
$12,384.25
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$18,991.20 |
$18,991.20 |
$18,991.20 |
$12,324.60
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$16,081.60 |
$16,081.60 |
$16,081.60 |
$9,884.16
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$2,578.40 |
$2,578.40 |
$2,578.40 |
$2,103.75
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$3,145.60 |
$3,145.60 |
$3,145.60 |
$2,453.83
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$32,608.80 |
$32,608.80 |
$32,608.80 |
$29,180.00
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$8,665.60 |
$8,665.60 |
$8,665.60 |
$7,183.68
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$10,312.00 |
$10,312.00 |
$10,312.00 |
$7,267.20
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$13,974.40 |
$13,974.40 |
$13,974.40 |
$9,332.50
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$6,115.20 |
$6,115.20 |
$6,115.20 |
$5,236.80
|
|
Insert pm/icd lead dual
|
$10,304.00 |
$10,304.00 |
$10,304.00 |
$7,115.90
|
|
Insert swan-ganz cath
|
$3,674.40 |
$3,674.40 |
$3,674.40 |
$2,164.52
|
|
Insert vad art access left hrt arterial access
|
$8,328.00 |
$8,328.00 |
$8,328.00 |
$4,276.00
|
|
Insitu hybridization manual
|
$558.40 |
$558.40 |
$558.40 |
$401.28
|
|
In situ hybridization per specimen each additional single probe stain
|
$267.20 |
$267.20 |
$267.20 |
$243.50
|
|
In situ hybridization per specimen initial single probe stain
|
$340.00 |
$340.00 |
$340.00 |
$338.40
|
|
Ins lv lead exist pm/icd
|
$16,273.60 |
$16,273.60 |
$16,273.60 |
$12,384.25
|
|
Ins mark abd/pel for right perq
|
$3,019.20 |
$3,019.20 |
$3,019.20 |
$2,477.24
|
|
Insole orthotic freedom sz6 6816
|
$19.08 |
$19.08 |
$19.08 |
$84.00
|
|
Ins picad w subq port 5yr>
|
$4,676.00 |
$4,676.00 |
$4,676.00 |
$4,078.00
|
|
Ins pm gen exist dual lead
|
$28,476.00 |
$28,476.00 |
$28,476.00 |
$24,159.72
|
|
Ins pq tunnld ip cath w/img
|
$7,259.20 |
$7,259.20 |
$7,259.20 |
$5,486.00
|
|
Ins/rplc spi npg/rcvr pocket
|
$17,568.80 |
$17,568.80 |
$17,568.80 |
$24,061.80
|
|
Ins/rpl pm gen exist dual lead
|
$12,134.40 |
$12,134.40 |
$12,134.40 |
$11,005.50
|
|
Ins/rpl pm gen exist sgl lead
|
$6,548.00 |
$6,548.00 |
$6,548.00 |
$9,428.64
|
|
Ins/rpl pm w/tv ld atrl
|
$20,408.80 |
$20,408.80 |
$20,408.80 |
$11,583.66
|
|
Inst fibrinolysis agent ini day
|
$1,586.40 |
$1,586.40 |
$1,586.40 |
$1,043.35
|
|
Inst fibrinolysis agent sbsq d
|
$890.40 |
$890.40 |
$890.40 |
$997.05
|
|
Ins tun cv cath wo subq prt/pm
|
$5,936.00 |
$5,936.00 |
$5,936.00 |
$4,218.00
|
|
Ins tun intraperit dia cath
|
$4,864.80 |
$4,864.80 |
$4,864.80 |
$4,570.00
|
|
Inst via cath agent pleurds
|
$2,180.80 |
$2,180.80 |
$2,180.80 |
$1,074.68
|
|
Interdiscal perq aspir dx
|
$1,496.00 |
$1,496.00 |
$1,496.00 |
$1,222.26
|
|
Interrogate subq defib
|
$108.00 |
$108.00 |
$108.00 |
$119.60
|
|
Interrog dev eval icpms ip
|
$128.80 |
$128.80 |
$128.80 |
$104.00
|
|
Interrog dev eval scrms ip
|
$172.00 |
$172.00 |
$172.00 |
$124.80
|
|
Interrog device eval heart
|
$150.40 |
$150.40 |
$150.40 |
$162.40
|
|
Interrog evl pm/ldls pm ip
|
$152.80 |
$152.80 |
$152.80 |
$127.20
|
|
Int hrhc lig 1 hroid without img
|
$2,828.00 |
$2,828.00 |
$2,828.00 |
$3,491.25
|
|
Int hrhc lig 2+hroid without img
|
$3,003.20 |
$3,003.20 |
$3,003.20 |
$3,245.23
|
|
Intra-atrial pacing
|
$7,796.80 |
$7,796.80 |
$7,796.80 |
$4,850.82
|
|
Intracard echo interv w/s&i
|
$5,344.00 |
$5,344.00 |
$5,344.00 |
$3,436.00
|
|
Intraoral i+d tongue/floor lingual 41000
|
$1,461.60 |
$1,461.60 |
$1,461.60 |
$1,331.45
|
|
Intrapul surf admin endo tube
|
$265.60 |
$265.60 |
$265.60 |
$220.80
|
|
Intro cath dialysis circuit
|
$2,568.00 |
$2,568.00 |
$2,568.00 |
$2,036.94
|
|
Intro cath dialysis circuit w/pta
|
$13,980.00 |
$13,980.00 |
$13,980.00 |
$8,690.50
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$22,407.20 |
$22,407.20 |
$22,407.20 |
$16,262.40
|
|
Intro catheter aorta
|
$2,808.00 |
$2,808.00 |
$2,808.00 |
$1,678.05
|
|
Intro cath svc/ivc
|
$695.20 |
$695.20 |
$695.20 |
$1,323.27
|
|
Intro long gi tube
|
$1,213.60 |
$1,213.60 |
$1,213.60 |
$974.17
|
|
Intro long gi tube w/mult fluo
|
$700.00 |
$700.00 |
$700.00 |
$469.00
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$4,650.40 |
$4,650.40 |
$4,650.40 |
$3,472.95
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$3,870.40 |
$3,870.40 |
$3,870.40 |
$1,801.10
|
|
Intubation endotracheal emergency procedure
|
$798.40 |
$798.40 |
$798.40 |
$601.28
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$8.00 |
$8.00 |
$8.00 |
$165.67
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$400.00 |
$400.00 |
$400.00 |
$279.10
|
|
Ipratropium bromide non-comp
|
$11.44 |
$11.44 |
$11.44 |
$4.06
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$51.88 |
$51.88 |
$51.88 |
$187.06
|
|
Irrigation implantable venous access device for drug delivery systems
|
$170.40 |
$170.40 |
$170.40 |
$146.11
|
|
Ivc venogram s&i
|
$2,675.20 |
$2,675.20 |
$2,675.20 |
$3,332.55
|
|
IV Fluids (each additional hour)
|
$160.00 |
$160.00 |
$160.00 |
$133.90
|
|
IV Fluids (first hour)
|
$541.60 |
$541.60 |
$541.60 |
$390.00
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$182.40 |
$182.40 |
$182.40 |
$162.68
|
|
IV inj ra drug dx study
|
$801.60 |
$801.60 |
$801.60 |
$567.00
|
|
IV Medicine Infusion (additional drug)
|
$248.00 |
$248.00 |
$248.00 |
$191.75
|
|
IV Medicine Infusion (each additional hour)
|
$175.20 |
$175.20 |
$175.20 |
$154.00
|
|
IV Medicine Infusion (first hour)
|
$620.00 |
$620.00 |
$620.00 |
$439.56
|
|
IV Push Injection (each additional drug)
|
$216.80 |
$216.80 |
$216.80 |
$167.50
|
|
IV Push Injection (first drug)
|
$340.00 |
$340.00 |
$340.00 |
$252.76
|
|
Ivp w/wo kub w/wo tomography
|
$1,000.00 |
$1,000.00 |
$1,000.00 |
$713.40
|
|
Jaw Joint (TMJ) X-ray (both sides, open and closed)
|
$415.20 |
$415.20 |
$415.20 |
$330.05
|
|
Jaw (Mandible) X-ray (complete)
|
$496.80 |
$496.80 |
$496.80 |
$362.05
|
|
Kerecis marigen shld sq cm
|
$1,357.92 |
$1,357.92 |
$1,357.92 |
$1.00
|
|
Ketorolac (Toradol) Pain Shot, 15 mg
|
$50.40 |
$50.40 |
$50.40 |
$23.52
|
|
Kidney img w/bldflw sgl without rx
|
$1,862.40 |
$1,862.40 |
$1,862.40 |
$1,433.22
|
