|
Injection during cath supravalvular aortography
|
$559.35 |
$559.35 |
$559.35 |
$1,148.80
|
|
Injection epidural blood patch or clot
|
$1,833.70 |
$1,833.70 |
$1,833.70 |
$1,473.12
|
|
Injection for arthrography wrist (both sides)
|
$288.20 |
$288.20 |
$288.20 |
$441.12
|
|
Injection for bladder x-ray
|
$691.90 |
$691.90 |
$691.90 |
$585.00
|
|
Injection for hip x-ray
|
$379.50 |
$379.50 |
$379.50 |
$567.45
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$374.55 |
$374.55 |
$374.55 |
$504.00
|
|
Injection for spleen x-ray
|
$2,957.90 |
$2,957.90 |
$2,957.90 |
$686.40
|
|
Injection for tear sac x-ray
|
$178.75 |
$178.75 |
$178.75 |
$386.00
|
|
Injection for ureter x-ray
|
$238.15 |
$238.15 |
$238.15 |
$515.21
|
|
Injection into brain canal
|
$1,089.55 |
$1,089.55 |
$1,089.55 |
$933.60
|
|
Injection of sinus tract
|
$1,310.65 |
$1,310.65 |
$1,310.65 |
$1,651.20
|
|
Injection radioactive tracer sentinel node (both sides)
|
$569.25 |
$569.25 |
$569.25 |
$717.20
|
|
Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides)
|
$4,290.00 |
$4,290.00 |
$4,290.00 |
$1,160.25
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$1,531.75 |
$1,531.75 |
$1,531.75 |
$1,471.50
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$2,431.55 |
$2,431.55 |
$2,431.55 |
$1,017.28
|
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
|
$3,279.10 |
$3,279.10 |
$3,279.10 |
$2,251.00
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
|
$1,817.75 |
$1,817.75 |
$1,817.75 |
$1,131.41
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
|
$1,678.60 |
$1,678.60 |
$1,678.60 |
$1,961.05
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
|
$2,222.00 |
$2,222.00 |
$2,222.00 |
$1,119.88
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
|
$3,107.50 |
$3,107.50 |
$3,107.50 |
$2,154.68
|
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
|
$2,141.15 |
$2,141.15 |
$2,141.15 |
$1,829.28
|
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
|
$1,976.70 |
$1,976.70 |
$1,976.70 |
$1,758.12
|
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
|
$845.35 |
$845.35 |
$845.35 |
$472.76
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$1,072.50 |
$1,072.50 |
$1,072.50 |
$552.60
|
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
|
$982.85 |
$982.85 |
$982.85 |
$670.00
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$200.20 |
$200.20 |
$200.20 |
$168.05
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$190.85 |
$190.85 |
$190.85 |
$154.05
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$261.25 |
$261.25 |
$261.25 |
$271.65
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$138.05 |
$138.05 |
$138.05 |
$141.60
|
|
Injection treatment of nerve
|
$2,649.90 |
$2,649.90 |
$2,649.90 |
$3,986.00
|
|
Inj epidural sgl cerv-thor without img
|
$1,927.75 |
$1,927.75 |
$1,927.75 |
$1,366.20
|
|
Inj epidural sgl lumb-sacral without img
|
$1,772.10 |
$1,772.10 |
$1,772.10 |
$1,450.84
|
|
Inj for ext venography
|
$380.05 |
$380.05 |
$380.05 |
$737.55
|
|
Inj for mammo ductogram
|
$325.60 |
$325.60 |
$325.60 |
$433.50
|
|
Inj hrt cath w/s&i nonsel p-art angrp
|
$1,237.50 |
$1,237.50 |
$1,237.50 |
$1,482.00
|
|
Inj hrt cath w/s&i sel hrt ang
|
$869.55 |
$869.55 |
$869.55 |
$1,837.17
|
|
Inj hrt cath w/s&i sel hrt art
|
$915.20 |
$915.20 |
$915.20 |
$1,192.50
|
|
Inj hrt cath w/s&i sel left vent
|
$351.45 |
$351.45 |
$351.45 |
$1,214.40
|
|
Inj hrt cath w/s&i sel right vent
|
$947.65 |
$947.65 |
$947.65 |
$947.65
|
|
Inj/inf neurolyt sbst spinal canal lesion 62282
|
$2,378.75 |
$2,378.75 |
$2,378.75 |
$1,901.25
|
|
Inj intralesional <= 7 lsn(s)
|
$214.50 |
$214.50 |
$214.50 |
$241.74
|
|
Inj intralesional > 7 lsns
|
$30.80 |
$30.80 |
$30.80 |
$234.00
|
|
Inj nephrosto/ureterogram w/img exstng access
|
$1,080.20 |
$1,080.20 |
$1,080.20 |
$1,522.56
|
|
Inj non-compmd foam sclrsnt mlt trncl veins same leg
|
$3,935.25 |
$3,935.25 |
$3,935.25 |
$2,371.50
|
|
Inj non-compmd foam sclrsnt sgl trncl vein
|
$3,935.25 |
$3,935.25 |
$3,935.25 |
$2,164.64
|
|
Inj peritoneal venous shunt
|
$334.95 |
$334.95 |
$334.95 |
$386.88
|
|
Inj proc ankle arthr
|
$224.40 |
$224.40 |
$224.40 |
$405.31
|
|
Inj proc elbow arthro
|
$173.25 |
$173.25 |
$173.25 |
$453.60
|
|
Inj proc for lymphang
|
$421.85 |
$421.85 |
$421.85 |
$1,372.00
|
|
Inj proc lumbr disk ea lvl
|
$1,224.30 |
$1,224.30 |
$1,224.30 |
$1,224.30
|
|
Inj proc myelogram lumbar
|
$960.30 |
$960.30 |
$960.30 |
$922.80
|
|
Inj proc sialogram
|
$281.60 |
$281.60 |
$281.60 |
$380.80
|
|
Inj retro urethrocysto
|
$554.95 |
$554.95 |
$554.95 |
$551.29
|
|
Inj scleros sol mult veins
|
$929.50 |
$929.50 |
$929.50 |
$687.96
|
|
Inj scleros sol sgl vein
|
$447.70 |
$447.70 |
$447.70 |
$534.40
|
|
Inj(s) sclerosant spider veins limb/trunk
|
$315.15 |
$315.15 |
$315.15 |
$436.64
|
|
Inj w/fluor eval cv device
|
$403.70 |
$403.70 |
$403.70 |
$588.90
|
|
Ins cath ren art 1st bi
|
$5,434.00 |
$5,434.00 |
$5,434.00 |
$6,033.75
|
|
Ins cath ren art 1st uni
|
$2,717.00 |
$2,717.00 |
$2,717.00 |
$4,667.63
|
|
Ins cath ren art 2nd+ bi
|
$6,113.25 |
$6,113.25 |
$6,113.25 |
$5,408.65
|
|
Ins cath ren art 2nd+ uni
|
$3,056.90 |
$3,056.90 |
$3,056.90 |
$5,528.94
|
|
Ins cerv dilator (sep proc)
|
$823.90 |
$823.90 |
$823.90 |
$544.00
|
|
Insert cannula hemo oth 36815
|
$5,044.05 |
$5,044.05 |
$5,044.05 |
$5,983.35
|
|
Insert cannula vein-to-vein hemodialysis
|
$6,642.90 |
$6,642.90 |
$6,642.90 |
$6,642.90
|
|
Insert cath pleura with image
|
$2,019.60 |
$2,019.60 |
$2,019.60 |
$2,239.02
|
|
Insert cath pleura without image
|
$1,616.45 |
$1,616.45 |
$1,616.45 |
$2,212.00
|
|
Insert drug delivery implant
|
$1,366.20 |
$1,366.20 |
$1,366.20 |
$285.80
|
|
Insert hepatic shunt (tips)
|
$5,050.65 |
$5,050.65 |
$5,050.65 |
$9,754.48
|
|
Insert intrauterine device iud
|
$2,170.85 |
$2,170.85 |
$2,170.85 |
$378.83
|
|
Insertion catheter bladder non indwelling
|
$452.10 |
$452.10 |
$452.10 |
$237.13
|
|
Insertion catheter bladder temporary simple
|
$633.60 |
$633.60 |
$633.60 |
$273.60
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$4,710.20 |
$4,710.20 |
$4,710.20 |
$4,943.21
|
|
Insertion intra aortic balloon assist device percutaneous
|
$2,002.55 |
$2,002.55 |
$2,002.55 |
$2,549.95
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$4,651.90 |
$4,651.90 |
$4,651.90 |
$7,088.54
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$2,928.20 |
$2,928.20 |
$2,928.20 |
$2,618.40
|
|
Insertion of cannula
|
$2,279.75 |
$2,279.75 |
$2,279.75 |
$3,724.63
|
|
Insertion of catheter vein
|
$2,786.85 |
$2,786.85 |
$2,786.85 |
$1,749.80
|
|
Insertion of catheter vein
|
$653.95 |
$653.95 |
$653.95 |
$858.05
|
|
Insertion of heart electrode 33211
|
$6,903.60 |
$6,903.60 |
$6,903.60 |
$9,090.00
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$9,526.00 |
$9,526.00 |
$9,526.00 |
$14,158.20
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$11,983.95 |
$11,983.95 |
$11,983.95 |
$12,813.28
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$14,050.30 |
$14,050.30 |
$14,050.30 |
$9,855.00
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$4,058.45 |
$4,058.45 |
$4,058.45 |
$2,079.43
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$2,715.35 |
$2,715.35 |
$2,715.35 |
$2,527.91
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$17,333.80 |
$17,333.80 |
$17,333.80 |
$29,997.52
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$7,216.00 |
$7,216.00 |
$7,216.00 |
$7,572.47
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$6,421.25 |
$6,421.25 |
$6,421.25 |
$7,673.12
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$7,397.50 |
$7,397.50 |
$7,397.50 |
$9,793.46
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$6,254.60 |
$6,254.60 |
$6,254.60 |
$5,470.54
|
|
Insert pessary/other device
|
$355.30 |
$355.30 |
$355.30 |
$278.90
|
|
Insert pm/icd lead dual
|
$6,421.25 |
$6,421.25 |
$6,421.25 |
$7,562.63
|
|
Insert/repl sq defib w/eltrd
|
$34,519.10 |
$34,519.10 |
$34,519.10 |
$33,948.20
|
|
Insert sq defib electrode
|
$8,177.40 |
$8,177.40 |
$8,177.40 |
$8,167.68
|
|
Insert swan-ganz cath
|
$3,517.25 |
$3,517.25 |
$3,517.25 |
$2,164.52
|
|
Insert tunneled cv cath
|
$5,196.40 |
$5,196.40 |
$5,196.40 |
$6,028.07
|
|
Insert vad art access left hrt arterial access
|
$5,334.45 |
$5,334.45 |
$5,334.45 |
$5,062.80
|
|
Insert vad art access left hrt art & vein access
|
$6,740.80 |
$6,740.80 |
$6,740.80 |
$6,740.80
|
|
Ins icd gen exist mlt leads
|
$32,607.85 |
$32,607.85 |
$32,607.85 |
$31,286.77
|
|
Ins icd gen exist sgl lead
|
$34,718.20 |
$34,718.20 |
$34,718.20 |
$24,159.72
|
|
Insitu hybridization auto
|
$171.60 |
$171.60 |
$171.60 |
$398.16
|
