|
Insert semi-rigid prosthesis
|
$3,786.00 |
$6,311.00 |
$15,300.65 |
|
|
Insert spine infusion device 62360
|
$3,786.00 |
$6,311.00 |
$20,814.10 |
|
|
Insert sq defib electrode
|
$3,786.00 |
$6,311.00 |
$9,746.29 |
|
|
Insert swan-ganz cath
|
$371.52 |
$1,019.36 |
$1,829.42 |
|
|
Insert tandem cuff
|
$3,786.00 |
$6,311.00 |
$23,704.60 |
|
|
Insert tissue expander(s)
|
$3,786.00 |
$4,311.38 |
$6,839.00 |
|
|
Insert tunneled cv 2cath 2sits without port/pmp 36565
|
$3,439.84 |
$3,986.00 |
$6,839.00 |
|
|
Insert tunneled cv cath
|
$3,439.84 |
$3,986.00 |
$6,839.00 |
|
|
Insert tunneled cv cath
|
$3,786.00 |
$5,907.78 |
$6,839.00 |
|
|
Insert uro/ves nck sphincter
|
$3,786.00 |
$6,311.00 |
$23,704.60 |
|
|
Insert uteri tandem/ovoids
|
$3,786.00 |
$5,463.96 |
$6,839.00 |
|
|
Ins icd gen exist mlt leads
|
$3,786.00 |
$6,311.00 |
$37,757.64 |
|
|
Ins icd gen exist sgl lead
|
$3,786.00 |
$6,311.00 |
$26,433.98 |
|
|
Insitu hybridization auto
|
$171.72 |
$398.16 |
$423.63 |
|
|
Insitu hybridization (fish)
|
$187.28 |
$189.67 |
$201.80 |
|
|
Insitu hybridization manual
|
$79.46 |
$211.07 |
$423.63 |
|
|
In situ hybridization per specimen each additional single probe stain
|
$34.70 |
$57.00 |
$100.78 |
|
|
In situ hybridization per specimen initial single probe stain
|
$47.60 |
$140.68 |
$201.80 |
|
|
Insj phrnc nrv stim sys
|
$3,786.00 |
$6,311.00 |
$52,995.29 |
|
|
Insj rx elut implt lac canal
|
$2,549.65 |
$3,986.00 |
$6,839.00 |
|
|
Insj stablj dev w/dcmprn
|
$3,786.00 |
$6,311.00 |
$21,657.23 |
|
|
Insj stablj dev without dcmprn
|
$3,786.00 |
$6,311.00 |
$15,152.74 |
|
|
Ins lv lead exist pm/icd
|
$3,786.00 |
$6,311.00 |
$12,324.60 |
|
|
Ins mark abd/pel for right perq
|
$1,495.34 |
$3,986.00 |
$6,839.00 |
|
|
Ins mark thor for right perq
|
$1,495.34 |
$3,986.00 |
$6,839.00 |
|
|
Ins picad w subq port 5yr>
|
$3,439.84 |
$3,986.00 |
$6,839.00 |
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$675.68 |
$3,986.00 |
$6,839.00 |
|
|
Ins pm gen exist dual lead
|
$3,786.00 |
$6,311.00 |
$26,433.98 |
|
|
Ins pm gen w/exist mlt leads
|
$3,786.00 |
$6,311.00 |
$22,459.34 |
|
|
Ins pq tunnld ip cath w/img
|
$3,786.00 |
$4,156.03 |
$6,839.00 |
|
|
Ins/rplcmt prq eltrd ra pn 1
|
$3,786.00 |
$6,311.00 |
$14,685.79 |
|
|
Ins/rplc spi npg/rcvr pocket
|
$3,786.00 |
$6,311.00 |
$35,887.53 |
|
|
Ins/rpl ldless pm right vent w img & eval
|
$3,786.00 |
$6,311.00 |
$22,459.34 |
|
|
Ins/rpl pm gen exist dual lead
|
$3,786.00 |
$6,311.00 |
$12,324.60 |
|
|
Ins/rpl pm gen exist sgl lead
|
$3,786.00 |
$6,311.00 |
$9,746.29 |
|
|
Ins/rpl pm w/tv ld atrl
|
$3,786.00 |
$6,311.00 |
$12,324.60 |
|
|
Ins/rpl prph sac/gstr npg/r
|
$3,786.00 |
$6,311.00 |
$25,254.20 |
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$3,786.00 |
$6,311.00 |
$33,478.91 |
|
|
Insrt/redo neurostim 1 array
|
$3,786.00 |
$6,311.00 |
$25,254.20 |
|
|
Install spinal shunt 63741
|
$3,786.00 |
$6,311.00 |
$7,541.82 |
|
|
Inst fibrinolysis agent ini day
|
$675.68 |
$3,986.00 |
$6,839.00 |
|
|
Inst fibrinolysis agent sbsq d
|
$675.68 |
$3,986.00 |
$6,839.00 |
|
|
Instillation anticarcinogenic agent bladder
|
$729.46 |
$3,986.00 |
$6,839.00 |
|
|
Instill, bupivac and meloxic
|
$0.77 |
$0.90 |
$0.95 |
|
|
Instill pharm renal pelvis
|
$2,459.53 |
$2,490.99 |
$2,650.32 |
|
|
Instll rx agnt into rnal tub
|
$265.80 |
$3,986.00 |
$6,839.00 |
|
|
Inst tauro 1.35mg/hep 100u
|
$7.68 |
$7.68 |
$8.58 |
|
|
Ins tun cvad 2 cath w/subq port(s)
|
$3,786.00 |
$5,907.78 |
$6,839.00 |
|
|
Ins tun cv cath wo subq prt/pm
|
$3,786.00 |
$5,907.78 |
$6,839.00 |
|
|
Ins tun cv cath wo subq prt/pm
|
$3,439.84 |
$3,986.00 |
$6,839.00 |
|
|
Ins tun intraperit dia cath
|
$3,786.00 |
$4,156.03 |
$6,839.00 |
|
|
Inst via cath agent pleurds
|
$675.68 |
$3,986.00 |
$6,839.00 |
|
|
Insulin suppression panel
|
$165.61 |
$182.17 |
$182.17 |
|
|
Insulin tolerance panel
|
$285.03 |
$313.53 |
$313.53 |
|
|
Insulin tolerance panel
|
$103.00 |
$113.30 |
$113.30 |
|
|
Insulin total
|
$11.43 |
$12.57 |
$95.00 |
|
|
Ins vag brachytx device
|
$332.44 |
$3,986.00 |
$6,839.00 |
|
|
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm
|
$649.57 |
$762.15 |
$1,074.07 |
|
|
Integra meshed bil wound mat
|
$170.69 |
$200.27 |
$282.24 |
|
|
Integra os putty 2.5cc - cost per 0.5cc
|
$981.70 |
$1,151.83 |
$1,623.23 |
|
|
Intens behave ther cardio dx
|
$32.56 |
$32.97 |
$35.08 |
|
|
Intens cardiac rehab no exer
|
$137.60 |
$139.36 |
$148.28 |
|
|
Intens cardiac rehab w/exerc
|
$137.60 |
$139.36 |
$148.28 |
|
|
Interdental fixation
|
$1,618.86 |
$3,986.00 |
$6,839.00 |
|
|
Interdental wirg oth/thn fx
|
$1,618.86 |
$3,986.00 |
$6,839.00 |
|
|
Interdiscal perq aspir dx
|
$768.94 |
$3,986.00 |
$6,839.00 |
|
|
Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper)
|
$56.23 |
$57.47 |
$57.47 |
|
|
Interferon beta-1a inj
|
$2,203.14 |
$2,203.14 |
$2,203.14 |
|
|
Intermediate visual field xm
|
$54.23 |
$65.75 |
$69.95 |
|
|
Interphalangeal joint spacer
|
$96.62 |
$113.36 |
$159.76 |
|
|
Interrogate subq defib
|
$11.35 |
$41.27 |
$44.88 |
|
|
Interrogation vad in person
|
$97.26 |
$101.60 |
$108.10 |
|
|
Interrog dev eval icpms ip
|
$29.17 |
$41.27 |
$44.63 |
|
|
Interrog dev eval scrms ip
|
$26.76 |
$27.13 |
$40.65 |
|
|
Interrog device eval heart
|
$39.57 |
$41.27 |
$47.07 |
|
|
Interrog evl pm/ldls pm ip
|
$40.75 |
$41.31 |
$55.69 |
|
|
Interrog&prgrmg ipnss
|
$100.32 |
$101.60 |
$108.10 |
|
|
Interrog&prgrmg ipnss polysm
|
$327.77 |
$331.96 |
$353.19 |
|
|
Interrog without prgrmg ipnss
|
$100.32 |
$101.60 |
$108.10 |
|
|
Interstitial brachy inter
|
$119.67 |
$121.20 |
$128.95 |
|
|
Int hrhc lig 1 hroid without img
|
$2,997.10 |
$3,986.00 |
$6,839.00 |
|
|
Int hrhc lig 2+hroid without img
|
$2,997.10 |
$3,986.00 |
$6,839.00 |
|
|
Intra-atrial pacing
|
$1,955.38 |
$8,292.88 |
$8,936.20 |
|
|
Intra-atrial recording
|
$1,955.38 |
$8,292.88 |
$8,936.20 |
|
|
Intracard echo interv w/s&i
|
$169.06 |
$1,087.32 |
$1,113.42 |
|
|
Intracran angioplsty w/stent
|
$5,419.00 |
$5,741.00 |
$6,311.00 |
|
|
Intracranial angioplasty
|
$5,419.00 |
$5,741.00 |
$6,311.00 |
|
|
Intracranial complete study
|
$157.76 |
$267.78 |
$361.57 |
|
|
Intracranial limited study
|
$116.22 |
$125.23 |
$158.12 |
|
|
Intranasal biopsy 30100
|
$1,618.86 |
$3,986.00 |
$6,839.00 |
|
|
Intranasal reconstruction
|
$3,786.00 |
$6,311.00 |
$6,966.64 |
|
|
Intraoral i+d tongue/floor lingual 41000
|
$556.55 |
$3,986.00 |
$6,839.00 |
|
|
Intraoral periapical first
|
$96.23 |
$97.46 |
$103.69 |
|
|
Intrapul surf admin endo tube
|
$67.19 |
$89.90 |
$239.52 |
|
|
Intrauterine transfusion ftl
|
$477.79 |
$3,986.00 |
$6,839.00 |
|
|
Intraventricular pacing
|
$1,955.38 |
$8,292.88 |
$8,936.20 |
|
|
Intrinsic factor antibody
|
$15.08 |
$16.59 |
$16.59 |
|
|
Intrm oph exam est patient
|
$47.37 |
$142.64 |
$151.77 |
|
|
Intro cath dialysis circuit
|
$1,697.72 |
$3,986.00 |
$6,839.00 |
|
|
Intro cath dialysis circuit w/pta
|
$3,786.00 |
$6,231.08 |
$6,839.00 |
|
