|
Insertion palate prosthesis
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$6,311.00
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$2,079.43
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$2,527.91
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$29,997.52
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$7,572.47
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$7,673.12
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$9,793.46
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$5,470.54
|
|
Insertion ureth cath
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$2,424.12
|
|
Insert lens prosthesis
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,333.13
|
|
Insert multi-comp penis pros
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$16,482.71
|
|
Insert nasal septal button
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$1,752.89
|
|
Insert ocular implant
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$4,173.97
|
|
Insert ocular implant
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$4,177.59
|
|
Insert pessary/other device
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$278.90
|
|
Insert picvad cath
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$4,490.00
|
|
Insert pm/icd lead dual
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$7,562.63
|
|
Insert prost urethral stent
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$2,424.12
|
|
Insert/repl sq defib w/eltrd
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$33,948.20
|
|
Insert self-contd prosthesis
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$9,754.56
|
|
Insert semi-rigid prosthesis
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$10,037.15
|
|
Insert spine infusion device 62360
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$6,531.84
|
|
Insert sq defib electrode
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$8,167.68
|
|
Insert tandem cuff
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$9,445.19
|
|
Insert tissue expander(s)
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$4,052.18
|
|
Insert tunneled cv 2cath 2sits without port/pmp 36565
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$4,705.13
|
|
Insert tunneled cv cath
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$4,520.00
|
|
Insert tunneled cv cath
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$6,028.07
|
|
Insert uro/ves nck sphincter
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$9,417.14
|
|
Insert uteri tandem/ovoids
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,986.00
|
|
Ins icd gen exist mlt leads
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$31,286.77
|
|
Ins icd gen exist sgl lead
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$24,159.72
|
|
Insitu hybridization manual
|
$194.29 |
$194.29 |
$194.29 |
$407.11
|
|
In situ hybridization per specimen each additional single probe stain
|
$92.77 |
$92.77 |
$92.77 |
$251.55
|
|
In situ hybridization per specimen initial single probe stain
|
$140.68 |
$140.68 |
$140.68 |
$338.40
|
|
Insj phrnc nrv stim sys
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$53,251.79
|
|
Insj rx elut implt lac canal
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$2,582.26
|
|
Insj stablj dev w/dcmprn
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$16,139.55
|
|
Insj stablj dev without dcmprn
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$15,226.08
|
|
Ins lv lead exist pm/icd
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$12,384.25
|
|
Ins mark abd/pel for right perq
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$2,070.00
|
|
Ins mark thor for right perq
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$2,396.35
|
|
Ins picad w subq port 5yr>
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$4,341.66
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$1,483.95
|
|
Ins pm gen exist dual lead
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$24,696.00
|
|
Ins pm gen w/exist mlt leads
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$15,600.75
|
|
Ins pq tunnld ip cath w/img
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$5,593.60
|
|
Ins/rplcmt prq eltrd ra pn 1
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$10,237.75
|
|
Ins/rplc spi npg/rcvr pocket
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$21,097.15
|
|
Ins/rpl ldless pm right vent w img & eval
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$24,135.54
|
|
Ins/rpl pm gen exist dual lead
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$11,593.70
|
|
Ins/rpl pm gen exist sgl lead
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$9,746.29
|
|
Ins/rpl pm w/tv ld atrl
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$12,384.25
|
|
Ins/rpl prph sac/gstr npg/r
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$22,662.25
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$25,106.90
|
|
Insrt/redo neurostim 1 array
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$23,436.14
|
|
Install spinal shunt 63741
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$6,839.00
|
|
Inst fibrinolysis agent ini day
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$1,095.00
|
|
Inst fibrinolysis agent sbsq d
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$898.12
|
|
Instillation anticarcinogenic agent bladder
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$721.50
|
|
Instll rx agnt into rnal tub
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$619.20
|
|
Ins tun cvad 2 cath w/subq port(s)
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$6,396.57
|
|
Ins tun cv cath wo subq prt/pm
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$5,888.85
|
|
Ins tun cv cath wo subq prt/pm
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$4,748.00
|
|
Ins tun intraperit dia cath
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$4,657.46
|
|
Inst via cath agent pleurds
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$1,074.68
|
|
Insulin total
|
$12.57 |
$12.57 |
$12.57 |
$67.60
|
|
Ins vag brachytx device
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$909.35
|
|
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm
|
$786.97 |
$786.97 |
$786.97 |
$10,179.63
|
|
Integra meshed bil wound mat
|
$206.80 |
$206.80 |
$206.80 |
$24,354.93
|
|
Integra os putty 2.5cc - cost per 0.5cc
|
$1,189.34 |
$1,189.34 |
$1,189.34 |
$3,160.50
|
|
Interdental fixation
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$2,133.48
|
|
Interdental wirg oth/thn fx
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$1,809.68
|
|
Interdiscal perq aspir dx
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$1,222.26
|
|
Interrog dev eval icpms ip
|
$44.63 |
$44.63 |
$44.63 |
$106.80
|
|
Int hrhc lig 1 hroid without img
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,245.23
|
|
Int hrhc lig 2+hroid without img
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$2,997.10
|
|
Intracran angioplsty w/stent
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$11,364.78
|
|
Intracranial angioplasty
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$7,149.60
|
|
Intranasal biopsy 30100
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$1,850.94
|
|
Intranasal reconstruction
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$5,421.47
|
|
Intraoral i+d tongue/floor lingual 41000
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$1,182.15
|
|
Intrapul surf admin endo tube
|
$70.89 |
$70.89 |
$70.89 |
$239.52
|
|
Intrauterine transfusion ftl
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$1,004.25
|
|
Intrinsic factor antibody
|
$16.59 |
$16.59 |
$16.59 |
$59.95
|
|
Intro cath dialysis circuit
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$2,317.80
|
|
Intro cath dialysis circuit w/pta
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$8,761.00
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$15,625.00
|
|
Intro catheter aorta
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$1,861.61
|
|
Intro cath svc/ivc
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$1,350.75
|
|
Intro long gi tube
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$1,036.00
|
|
Intro windpipe wire/tube
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$2,316.30
|
|
Intubation endotracheal emergency procedure
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$617.60
|
|
Iron
|
$7.12 |
$7.12 |
$7.12 |
$70.72
|
|
Iron binding capacity
|
$9.61 |
$9.61 |
$9.61 |
$63.00
|
|
Iron stain peripheral blood
|
$7.57 |
$7.57 |
$7.57 |
$17.60
|
|
Irrigation implantable venous access device for drug delivery systems
|
$149.87 |
$149.87 |
$149.87 |
$154.50
|
|
Irrigation sphenoid sinus
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$1,752.89
|
|
Irrigation vagina and/or appl medicament tx disease
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$131.88
|
|
Island pedicle flap graft
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$2,468.80
|
