|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$10,336.51 |
$10,336.51 |
$11,445.80 |
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$9,509.54 |
$9,509.54 |
$10,530.08 |
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$16,591.47 |
$16,591.47 |
$18,372.02 |
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$748.84 |
$1,383.14 |
$1,929.65 |
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$678.61 |
$1,430.29 |
$1,583.78 |
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$19,486.89 |
$19,486.89 |
$21,578.17 |
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$5,810.52 |
$5,810.52 |
$6,434.09 |
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$5,555.71 |
$5,555.71 |
$6,151.93 |
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$6,140.57 |
$6,140.57 |
$6,799.56 |
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$2,760.33 |
$2,760.33 |
$3,056.56 |
|
|
Insert picvad cath
|
$4,270.56 |
$4,270.56 |
$4,728.87 |
|
|
Insert pm/icd lead dual
|
$5,444.39 |
$5,444.39 |
$6,028.67 |
|
|
Insert/repl sq defib w/eltrd
|
$15,558.07 |
$15,558.07 |
$17,227.72 |
|
|
Insert sq defib electrode
|
$2,486.65 |
$2,486.65 |
$2,486.65 |
|
|
Insert swan-ganz cath
|
$935.21 |
$935.21 |
$1,391.51 |
|
|
Insert vad art access left hrt arterial access
|
$12,084.14 |
$12,084.14 |
$13,380.97 |
|
|
Ins icd gen exist mlt leads
|
$17,730.66 |
$17,730.66 |
$17,730.66 |
|
|
Ins icd gen exist sgl lead
|
$18,214.46 |
$18,214.46 |
$18,214.46 |
|
|
Insitu hybridization manual
|
$97.17 |
$107.60 |
$135.57 |
|
|
In situ hybridization per specimen each additional single probe stain
|
$96.35 |
$106.69 |
$134.42 |
|
|
In situ hybridization per specimen initial single probe stain
|
$96.35 |
$106.69 |
$134.42 |
|
|
Ins lv lead exist pm/icd
|
$8,260.89 |
$8,260.89 |
$9,147.42 |
|
|
Ins picad w subq port 5yr>
|
$4,415.70 |
$4,415.70 |
$4,415.70 |
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$661.93 |
$1,443.41 |
$1,598.31 |
|
|
Ins pm gen exist dual lead
|
$17,730.66 |
$17,730.66 |
$17,730.66 |
|
|
Ins pm gen w/exist mlt leads
|
$7,189.56 |
$7,189.56 |
$7,961.12 |
|
|
Ins pq tunnld ip cath w/img
|
$2,369.60 |
$2,369.60 |
$2,623.90 |
|
|
Ins/rpl ldless pm right vent w img & eval
|
$9,713.11 |
$9,713.11 |
$10,755.49 |
|
|
Ins/rpl pm gen exist dual lead
|
$7,242.45 |
$7,242.45 |
$7,637.87 |
|
|
Ins/rpl pm gen exist sgl lead
|
$6,279.36 |
$6,279.36 |
$6,279.36 |
|
|
Ins/rpl pm w/tv ld atrl
|
$8,992.74 |
$8,992.74 |
$9,957.81 |
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$22,628.31 |
$22,628.31 |
$25,056.72 |
|
|
Inst fibrinolysis agent ini day
|
$305.25 |
$305.25 |
$305.25 |
|
|
Inst fibrinolysis agent sbsq d
|
$305.25 |
$305.25 |
$305.25 |
|
|
Ins tun cv cath wo subq prt/pm
|
$2,174.03 |
$2,174.03 |
$2,407.34 |
|
|
Ins tun intraperit dia cath
|
$2,398.50 |
$2,398.50 |
$2,655.90 |
|
|
Insulin total
|
$21.32 |
$23.61 |
$29.75 |
|
|
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm
|
$3,877.17 |
$3,877.17 |
$4,293.26 |
|
|
Integra meshed bil wound mat
|
$3,877.17 |
$3,877.17 |
$4,293.26 |
|
|
Integra os putty 2.5cc - cost per 0.5cc
|
$1,356.08 |
$1,356.08 |
$1,501.61 |
|
|
Interdiscal perq aspir dx
|
$635.50 |
$635.50 |
$703.70 |
|
|
Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper)
|
$920.45 |
$920.45 |
$1,019.23 |
|
|
Interferon beta-1b / .25 mg
|
$322.26 |
$322.26 |
$356.85 |
|
|
Interrog dev eval icpms ip
|
$54.53 |
$54.53 |
$60.39 |
|
|
Interrog device eval heart
|
$79.34 |
$79.34 |
$87.85 |
|
|
Interrog evl pm/ldls pm ip
|
$54.53 |
$54.53 |
$54.53 |
|
|
Intra-atrial pacing
|
$5,157.39 |
$5,157.39 |
$5,157.39 |
|
|
Intra-atrial recording
|
$5,157.39 |
$5,157.39 |
$5,157.39 |
|
|
Intracard echo interv w/s&i
|
$1,427.01 |
$1,580.15 |
$1,990.85 |
|
|
Intracran angioplsty w/stent
|
$2,847.45 |
$2,847.45 |
$3,153.03 |
|
|
Intracranial angioplasty
|
$1,074.62 |
$1,074.62 |
$4,350.10 |
|
|
Intracranial complete study
|
$220.58 |
$244.26 |
$307.74 |
|
|
Intracranial limited study
|
$114.80 |
$114.80 |
$160.16 |
|
|
Intraop epicard/endocard/pace/map/ 93631
|
$1,322.46 |
$1,322.46 |
$1,322.46 |
|
|
Intrapul surf admin endo tube
|
$171.59 |
$171.59 |
$190.00 |
|
|
Intraventricular pacing
|
$5,157.39 |
$5,157.39 |
$5,710.87 |
|
|
Intrinsic factor antibody
|
$14.56 |
$16.12 |
$33.98 |
|
|
Intro cath dialysis circuit
|
$448.34 |
$448.34 |
$496.45 |
|
|
Intro cath dialysis circuit w/pta
|
$3,138.76 |
$3,138.76 |
$3,475.60 |
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$6,405.43 |
$6,405.43 |
$7,092.85 |
|
|
Intro catheter aorta
|
$945.67 |
$945.67 |
$1,047.16 |
|
|
Intro cath svc/ivc
|
$367.77 |
$367.77 |
$407.24 |
|
|
Intro long gi tube
|
$459.41 |
$508.71 |
$640.93 |
|
|
Intro long gi tube w/mult fluo
|
$161.87 |
$206.23 |
$287.72 |
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$1,161.33 |
$1,161.33 |
$1,285.96 |
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$995.28 |
$995.28 |
$1,102.09 |
|
|
Intubation endotracheal emergency procedure
|
$389.71 |
$431.53 |
$570.86 |
|
|
Ionm in operatng room 15 min
|
$165.22 |
$165.22 |
$165.22 |
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$137.56 |
$152.32 |
$191.91 |
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$293.97 |
$325.52 |
$410.13 |
|
|
Ioxaglate 39.3%-19.6% inj 200 ml
|
$727.34 |
$805.40 |
$1,014.73 |
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$11,070.00 |
$11,070.00 |
$12,258.00 |
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$33.21 |
$33.21 |
$36.78 |
|
|
Iron
|
$91.02 |
$100.26 |
$126.99 |
|
|
Iron binding capacity
|
$33.42 |
$37.01 |
$46.62 |
|
|
Iron dextran 50 mg/ml injection solution
|
$41.21 |
$41.21 |
$45.63 |
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$77.22 |
$88.56 |
$98.07 |
|
|
Irrigation implantable venous access device for drug delivery systems
|
$64.17 |
$64.17 |
$109.04 |
|
|
Ivc venogram s&i
|
$1,797.03 |
$1,797.03 |
$1,989.89 |
|
|
IV Fluids (each additional hour)
|
$37.30 |
$80.98 |
$112.97 |
|
|
IV Fluids (first hour)
|
$193.21 |
$292.54 |
$408.13 |
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$71.48 |
$94.10 |
$131.28 |
|
|
IV inj ra drug dx study
|
$260.56 |
$260.56 |
$288.52 |
|
|
IV Medicine Infusion (additional drug)
|
$81.84 |
$151.50 |
$211.36 |
|
|
IV Medicine Infusion (each additional hour)
|
$43.51 |
$98.61 |
$137.57 |
|
|
IV Medicine Infusion (first hour)
|
$233.10 |
$352.40 |
$491.64 |
|
|
IV Push Injection (each additional drug)
|
$49.61 |
$149.24 |
$208.21 |
|
|
IV Push Injection (first drug)
|
$149.24 |
$165.26 |
$212.00 |
|
|
Ivp w/nephrotomography
|
$1,286.38 |
$1,286.38 |
$1,794.65 |
|
|
Ivp w/wo kub w/wo tomography
|
$504.38 |
$1,054.32 |
$1,470.90 |
|
|
Jak2 targeted sequence analysis
|
$202.34 |
$224.05 |
$282.29 |
|
|
Jaw Joint (TMJ) X-ray (both sides, open and closed)
|
$304.84 |
$307.13 |
$425.29 |
|
|
Jaw (Mandible) X-ray (complete)
|
$202.61 |
$399.55 |
$557.42 |
|
|
John cunningham antibody
|
$834.05 |
$834.05 |
$834.05 |
|
|
Kafo femoral fx cast soft
|
$890.52 |
$986.09 |
$1,242.39 |
|
|
Ketamine and metabolite screen - quest
|
$69.89 |
$69.89 |
$69.89 |
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$29.40 |
$41.82 |
$58.35 |
|
|
Ketorolac (Toradol) Pain Shot, 15 mg
|
$5.33 |
$5.91 |
$7.44 |
|
|
Kidney imaging morphology
|
$324.54 |
$324.54 |
$324.54 |
|
|
Kidney imag w/bld flow multi
|
$801.90 |
$801.90 |
$801.90 |
|
