|
Ins cath ren art 1st bi
|
$4,347.20 |
$4,347.20 |
$4,347.20 |
|
|
Ins cath ren art 1st uni
|
$6,074.40 |
$6,074.40 |
$6,074.40 |
|
|
Ins cath ren art 2nd+ uni
|
$3,207.20 |
$3,207.20 |
$3,207.20 |
|
|
Ins cerv dilator (sep proc)
|
$159.20 |
$159.20 |
$403.20 |
|
|
Insert and remove bone pin
|
$4,108.00 |
$4,108.00 |
$4,108.00 |
|
|
Insert cannula vein-to-vein hemodialysis
|
$10,472.00 |
$10,472.00 |
$10,472.00 |
|
|
Insert cath pleura with image
|
$3,509.60 |
$3,509.60 |
$4,493.60 |
|
|
Insert cath pleura without image
|
$1,946.40 |
$1,946.40 |
$4,170.40 |
|
|
Insert drug delivery implant
|
$149.60 |
$149.60 |
$149.60 |
|
|
Insert hepatic shunt (tips)
|
$13,287.20 |
$13,287.20 |
$13,287.20 |
|
|
Insert intrauterine device iud
|
$92.80 |
$92.80 |
$166.40 |
|
|
Insertion catheter bladder non indwelling
|
$85.60 |
$85.60 |
$120.00 |
|
|
Insertion catheter bladder temporary simple
|
$92.00 |
$92.00 |
$167.20 |
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$2,994.40 |
$2,994.40 |
$2,994.40 |
|
|
Insertion intra aortic balloon assist device percutaneous
|
$4,428.80 |
$4,428.80 |
$4,428.80 |
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$10,047.20 |
$10,047.20 |
$10,047.20 |
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$1,719.20 |
$1,719.20 |
$3,596.00 |
|
|
Insertion of catheter vein
|
$2,212.00 |
$2,212.00 |
$2,212.00 |
|
|
Insertion of heart electrode 33211
|
$12,706.40 |
$12,706.40 |
$12,706.40 |
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$17,318.40 |
$17,318.40 |
$17,318.40 |
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$23,271.20 |
$23,271.20 |
$23,271.20 |
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$22,520.80 |
$22,520.80 |
$22,520.80 |
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$825.60 |
$825.60 |
$834.40 |
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$1,816.80 |
$1,816.80 |
$2,243.20 |
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$66,288.80 |
$66,288.80 |
$66,288.80 |
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$235.20 |
$235.20 |
$7,678.40 |
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$7,763.20 |
$7,763.20 |
$7,763.20 |
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$5,833.60 |
$5,833.60 |
$18,217.60 |
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$1,520.80 |
$1,520.80 |
$2,755.20 |
|
|
Insertion ureth cath
|
$2,673.60 |
$2,673.60 |
$2,673.60 |
|
|
Insert pessary/other device
|
$110.40 |
$110.40 |
$245.60 |
|
|
Insert pm/icd lead dual
|
$20,056.80 |
$20,056.80 |
$20,056.80 |
|
|
Insert prost urethral stent
|
$2,559.20 |
$2,559.20 |
$2,559.20 |
|
|
Insert/repl sq defib w/eltrd
|
$63,571.20 |
$63,571.20 |
$63,571.20 |
|
|
Insert swan-ganz cath
|
$2,808.00 |
$2,808.00 |
$2,808.00 |
|
|
Insert uteri tandem/ovoids
|
$9,271.20 |
$9,271.20 |
$9,271.20 |
|
|
Insert vad art access left hrt arterial access
|
$3,611.20 |
$3,611.20 |
$3,611.20 |
|
|
Insitu hybridization auto
|
$170.40 |
$170.40 |
$196.00 |
|
|
Insitu hybridization manual
|
$168.00 |
$168.00 |
$275.20 |
|
|
In situ hybridization per specimen each additional single probe stain
|
$239.20 |
$239.20 |
$275.20 |
|
|
In situ hybridization per specimen initial single probe stain
|
$275.20 |
$275.20 |
$288.80 |
|
|
Insj perq vad r hrt venous
|
$3,611.20 |
$3,611.20 |
$3,611.20 |
|
|
Ins lv lead exist pm/icd
|
$14,006.40 |
$14,006.40 |
$14,006.40 |
|
|
Ins mark abd/pel for right perq
|
$3,448.80 |
$3,448.80 |
$3,448.80 |
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$1,213.60 |
$1,213.60 |
$1,213.60 |
|
|
Ins pm gen w/exist mlt leads
|
$28,080.00 |
$28,080.00 |
$28,080.00 |
|
|
Ins pq tunnld ip cath w/img
|
$4,724.80 |
$4,724.80 |
$4,724.80 |
|
|
Ins/rpl ldless pm right vent w img & eval
|
$39,607.20 |
$39,607.20 |
$39,607.20 |
|
|
Ins/rpl pm gen exist dual lead
|
$15,024.80 |
$15,024.80 |
$15,024.80 |
|
|
Ins/rpl pm w/tv ld atrl
|
$17,186.40 |
$17,186.40 |
$17,186.40 |
|
|
Ins/rpl prph sac/gstr npg/r
|
$616.80 |
$616.80 |
$616.80 |
|
|
Inst fibrinolysis agent ini day
|
$1,108.80 |
$1,108.80 |
$1,108.80 |
|
|
Inst fibrinolysis agent sbsq d
|
$1,108.80 |
$1,108.80 |
$1,108.80 |
|
|
Instillation anticarcinogenic agent bladder
|
$132.80 |
$132.80 |
$132.80 |
|
|
Ins tun cv cath wo subq prt/pm
|
$7,092.80 |
$7,092.80 |
$7,092.80 |
|
|
Ins tun cv cath wo subq prt/pm
|
$1,280.80 |
$1,280.80 |
$2,515.20 |
|
|
Ins tun intraperit dia cath
|
$5,104.80 |
$5,104.80 |
$5,104.80 |
|
|
Insulin total
|
$131.20 |
$131.20 |
$131.20 |
|
|
Ins vag brachytx device
|
$584.00 |
$584.00 |
$584.00 |
|
|
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm
|
$7,972.48 |
$7,972.48 |
$7,972.48 |
|
|
Integra meshed bil wound mat
|
$21,726.93 |
$21,726.93 |
$21,726.93 |
|
|
Integra os putty 2.5cc - cost per 0.5cc
|
$2,262.40 |
$2,262.40 |
$2,262.40 |
|
|
Intens cardiac rehab no exer
|
$307.20 |
$307.20 |
$307.20 |
|
|
Interdental fixation
|
$2,501.60 |
$2,501.60 |
$2,501.60 |
|
|
Interdiscal perq aspir dx
|
$528.00 |
$528.00 |
$528.00 |
|
|
Interferon alfa-2b inj
|
$1,245.02 |
$1,245.02 |
$1,245.02 |
|
|
Interrogate subq defib
|
$106.40 |
$106.40 |
$106.40 |
|
|
Interrog dev eval icpms ip
|
$77.60 |
$77.60 |
$77.60 |
|
|
Interrog dev eval scrms ip
|
$72.00 |
$72.00 |
$72.00 |
|
|
Interrog device eval heart
|
$105.60 |
$105.60 |
$105.60 |
|
|
Interrog evl pm/ldls pm ip
|
$86.40 |
$86.40 |
$86.40 |
|
|
Int hrhc lig 1 hroid without img
|
$504.00 |
$504.00 |
$2,866.40 |
|
|
Intracard echo interv w/s&i
|
$2,644.80 |
$2,644.80 |
$2,644.80 |
|
|
Intracranial complete study
|
$636.80 |
$636.80 |
$636.80 |
|
|
Intracranial limited study
|
$323.20 |
$323.20 |
$323.20 |
|
|
Intranasal biopsy 30100
|
$1,915.20 |
$1,915.20 |
$1,915.20 |
|
|
Intraoral i+d tongue/floor lingual 41000
|
$630.40 |
$630.40 |
$630.40 |
|
|
Intrapul surf admin endo tube
|
$367.20 |
$367.20 |
$367.20 |
|
|
Intrinsic factor antibody
|
$54.40 |
$54.40 |
$54.40 |
|
|
Intro cath dialysis circuit
|
$1,681.60 |
$1,681.60 |
$1,681.60 |
|
|
Intro cath dialysis circuit w/pta
|
$11,866.40 |
$11,866.40 |
$11,866.40 |
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$23,983.20 |
$23,983.20 |
$23,983.20 |
|
|
Intro catheter aorta
|
$1,112.00 |
$1,112.00 |
$1,112.00 |
|
|
Intro cath svc/ivc
|
$751.20 |
$751.20 |
$751.20 |
|
|
Intro long gi tube
|
$548.00 |
$548.00 |
$687.20 |
|
|
Intro long gi tube w/mult fluo
|
$512.00 |
$512.00 |
$552.00 |
|
|
Intro windpipe wire/tube
|
$2,304.80 |
$2,304.80 |
$2,304.80 |
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$2,209.60 |
$2,209.60 |
$2,209.60 |
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$2,043.20 |
$2,043.20 |
$2,043.20 |
|
|
Intubation endotracheal emergency procedure
|
$468.80 |
$468.80 |
$576.80 |
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$120.00 |
$120.00 |
$120.00 |
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$11,892.50 |
$11,892.50 |
$47,569.90 |
|
|
Ipratropium bromide non-comp
|
$4.77 |
$4.77 |
$4.77 |
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$82.99 |
$82.99 |
$396.60 |
|
|
Iron
|
$28.00 |
$28.00 |
$304.00 |
|
|
Iron binding capacity
|
$40.00 |
$40.00 |
$131.20 |
|
|
Iron dextran 50 mg/ml injection solution
|
$112.38 |
$112.38 |
$129.82 |
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$105.35 |
$105.35 |
$121.39 |
|
|
Irradiation of blood product each unit reference
|
$234.40 |
$234.40 |
$295.20 |
|
|
Irrigation implantable venous access device for drug delivery systems
|
$108.80 |
$108.80 |
$158.40 |
|
