|
Ins mark thor for right perq
|
$107.58 |
$1,619.14 |
$4,233.80 |
|
|
Ins picad w subq port 5yr>
|
$70.06 |
$3,724.63 |
$7,365.54 |
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$731.62 |
$731.62 |
$2,098.16 |
|
|
Ins pm gen exist dual lead
|
$226.82 |
$26,561.92 |
$26,561.92 |
|
|
Ins pm gen w/exist mlt leads
|
$216.48 |
$22,568.05 |
$22,568.05 |
|
|
Ins pq tunnld ip cath w/img
|
$122.32 |
$4,176.15 |
$9,036.87 |
|
|
Ins/rplcmt prq eltrd ra pn 1
|
$14,756.87 |
$14,756.87 |
$14,756.87 |
|
|
Ins/rplc spi npg/rcvr pocket
|
$210.10 |
$36,061.23 |
$36,061.23 |
|
|
Ins/rpl ldless pm right vent w img & eval
|
$289.30 |
$22,568.05 |
$26,041.14 |
|
|
Ins/rpl pm gen exist dual lead
|
$204.82 |
$12,384.25 |
$12,755.65 |
|
|
Ins/rpl pm gen exist sgl lead
|
$196.90 |
$9,793.46 |
$9,793.46 |
|
|
Ins/rpl pm w/tv ld atrl
|
$275.88 |
$12,384.25 |
$12,755.65 |
|
|
Ins/rpl prph sac/gstr npg/r
|
$182.16 |
$25,376.43 |
$25,376.43 |
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$202.40 |
$33,640.95 |
$33,640.95 |
|
|
Insrt/redo neurostim 1 array
|
$330.66 |
$25,376.43 |
$31,526.06 |
|
|
Ins sk-mnt crnl nstm pg/rcvr
|
$780.12 |
$780.12 |
$780.12 |
|
|
Ins subq extnsn pertneal cath
|
$73.04 |
$73.04 |
$73.04 |
|
|
Install spinal shunt
|
$618.86 |
$618.86 |
$618.86 |
|
|
Install spinal shunt 63741
|
$420.86 |
$7,578.32 |
$8,965.93 |
|
|
Inst fibrinolysis agent ini day
|
$41.14 |
$731.62 |
$731.62 |
|
|
Inst fibrinolysis agent sbsq d
|
$36.74 |
$731.62 |
$731.62 |
|
|
Insti hexaminolevulinate hcl
|
$3,080.00 |
$3,080.00 |
$3,080.00 |
|
|
Instillation anticarcinogenic agent bladder
|
$27.06 |
$789.86 |
$1,496.98 |
|
|
Instill, bupivac and meloxic
|
$0.77 |
$0.77 |
$69.14 |
|
|
Instill pharm renal pelvis
|
$2,663.15 |
$2,663.15 |
$2,663.15 |
|
|
Instll rx agnt into rnal tub
|
$59.84 |
$287.81 |
$789.00 |
|
|
Ins trurl ablt trnsdc thr Ultrasound
|
$133.32 |
$133.32 |
$133.32 |
|
|
Inst tauro 1.35mg/hep 100u
|
$8.58 |
$8.58 |
$21.23 |
|
|
Ins tun cvad 2 cath w/subq port(s)
|
$4,723.80 |
$6,396.89 |
$12,649.26 |
|
|
Ins tun cv cath wo subq prt/pm
|
$6,396.89 |
$6,396.89 |
$12,649.26 |
|
|
Ins tun cv cath wo subq prt/pm
|
$1,719.60 |
$3,724.63 |
$7,890.00 |
|
|
Ins tun intraperit dia cath
|
$139.26 |
$4,176.15 |
$13,132.00 |
|
|
Inst via cath agent pleurds
|
$46.42 |
$731.62 |
$14,045.17 |
|
|
Insulin for insulin pump use
|
$0.36 |
$0.36 |
$0.36 |
|
|
Insulin suppression panel
|
$109.12 |
$165.61 |
$165.61 |
|
|
Insulin tolerance panel
|
$188.32 |
$285.03 |
$285.03 |
|
|
Insulin tolerance panel
|
$68.20 |
$103.00 |
$103.00 |
|
|
Insulin total
|
$11.43 |
$27.60 |
$223.00 |
|
|
Ins vag brachytx device
|
$94.38 |
$359.97 |
$1,930.00 |
|
|
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm
|
$2.83 |
$2.83 |
$2.83 |
|
|
Intens behave ther cardio dx
|
$18.70 |
$38.28 |
$109.25 |
|
|
Intens cardiac rehab no exer
|
$79.86 |
$149.00 |
$149.00 |
|
|
Intens cardiac rehab w/exerc
|
$79.86 |
$149.00 |
$149.00 |
|
|
Intercalary algrft compl
|
$462.88 |
$462.88 |
$462.88 |
|
|
Interdental fixation
|
$427.24 |
$1,752.89 |
$4,113.00 |
|
|
Interdental wirg oth/thn fx
|
$356.62 |
$1,752.89 |
$3,762.02 |
|
|
Interdiscal perq aspir dx
|
$408.60 |
$832.60 |
$2,141.10 |
|
|
Interferon alfa-2b inj
|
$44.40 |
$1,048.67 |
$1,048.67 |
|
|
Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper)
|
$56.23 |
$56.23 |
$28,207.17 |
|
|
Interferon beta-1a inj
|
$2,203.14 |
$2,203.14 |
$2,203.14 |
|
|
Intermediate visual field xm
|
$12.54 |
$70.29 |
$586.00 |
|
|
Internal nerve revision 64727
|
$109.56 |
$109.56 |
$109.56 |
|
|
Interrogate subq defib
|
$21.78 |
$44.13 |
$467.00 |
|
|
Interrogation vad in person
|
$24.64 |
$108.62 |
$718.00 |
|
|
Interrog dev eval icpms ip
|
$12.54 |
$44.13 |
$135.56 |
|
|
Interrog dev eval scrms ip
|
$10.78 |
$29.55 |
$92.00 |
|
|
Interrog device eval heart
|
$22.00 |
$44.13 |
$718.00 |
|
|
Interrog evl pm/ldls pm ip
|
$12.54 |
$44.13 |
$582.00 |
|
|
Interrog&prgrmg ipnss
|
$108.62 |
$108.62 |
$108.62 |
|
|
Interrog&prgrmg ipnss polysm
|
$354.90 |
$354.90 |
$354.90 |
|
|
Interrog without prgrmg ipnss
|
$108.62 |
$108.62 |
$108.62 |
|
|
Interstitial brachy inter
|
$129.58 |
$129.58 |
$129.58 |
|
|
Interthoracoscplr amputation
|
$858.44 |
$13,116.76 |
$13,116.76 |
|
|
Intestinal stricturoplasty
|
$661.54 |
$661.54 |
$661.54 |
|
|
Int hrhc lig 1 hroid without img
|
$210.54 |
$3,245.23 |
$3,245.23 |
|
|
Int hrhc lig 2+hroid without img
|
$234.74 |
$3,245.23 |
$3,245.23 |
|
|
Intra-atrial pacing
|
$97.02 |
$8,979.45 |
$12,416.68 |
|
|
Intra-atrial recording
|
$68.86 |
$8,979.45 |
$12,416.68 |
|
|
Intracard echo interv w/s&i
|
$66.44 |
$4,140.71 |
$5,096.26 |
|
|
Intracran angioplsty w/stent
|
$922.02 |
$1,351.73 |
$1,351.73 |
|
|
Intracranial angioplasty
|
$842.38 |
$1,373.02 |
$1,373.02 |
|
|
Intracranial complete study
|
$27.72 |
$286.04 |
$2,426.00 |
|
|
Intracranial limited study
|
$22.00 |
$125.84 |
$882.00 |
|
|
Intracranial vessel surgery
|
$1,406.02 |
$1,406.02 |
$1,406.02 |
|
|
Intracranial vessel surgery
|
$2,569.60 |
$2,569.60 |
$2,569.60 |
|
|
Intracranial vessel surgery
|
$1,768.80 |
$1,768.80 |
$1,768.80 |
|
|
Intracranial vessel surgery
|
$2,786.08 |
$2,786.08 |
$2,786.08 |
|
|
Intracranial vessel surgery
|
$1,361.14 |
$1,361.14 |
$1,361.14 |
|
|
Intracranial vessel surgery
|
$2,265.56 |
$2,265.56 |
$2,265.56 |
|
|
Intranasal biopsy 30100
|
$1,752.89 |
$1,752.89 |
$3,466.32 |
|
|
Intranasal reconstruction
|
$405.68 |
$7,000.36 |
$7,000.36 |
|
|
Intraop colon lavage add-on
|
$104.28 |
$104.28 |
$104.28 |
|
|
Intraop epicard/endocard/pace/map/ 93631
|
$236.72 |
$236.72 |
$236.72 |
|
|
Intraop hipec px 1st 60 min
|
$315.26 |
$315.26 |
$315.26 |
|
|
Intraoral i+d tongue/floor lingual 41000
|
$66.00 |
$602.63 |
$2,865.00 |
|
|
Intraoral periapical first
|
$19.50 |
$104.19 |
$104.19 |
|
|
Intrapul surf admin endo tube
|
$34.10 |
$240.68 |
$387.00 |
|
|
Intrauterine transfusion ftl
|
$210.98 |
$517.34 |
$4,669.00 |
|
|
Intraventricular pacing
|
$95.92 |
$8,979.45 |
$12,416.68 |
|
|
Intrinsic factor antibody
|
$15.08 |
$25.00 |
$79.56 |
|
|
Intrm oph exam est patient
|
$30.58 |
$152.50 |
$676.00 |
|
|
Intro cath dialysis circuit
|
$925.20 |
$1,838.28 |
$3,635.58 |
|
|
Intro cath dialysis circuit w/pta
|
$6,529.20 |
$6,746.95 |
$13,578.76 |
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$13,197.00 |
$13,419.98 |
$26,537.16 |
|
|
Intro catheter aorta
|
$420.82 |
$1,236.94 |
$4,967.04 |
|
|
Intro cath svc/ivc
|
$463.08 |
$1,108.27 |
$7,345.26 |
|
|
Intro long gi tube
|
$1,109.47 |
$1,109.47 |
$2,357.31 |
|
|
Intro long gi tube w/mult fluo
|
$215.00 |
$338.10 |
$952.00 |
|
|
Intro windpipe wire/tube
|
$91.74 |
$2,040.67 |
$2,040.67 |
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$53.90 |
$378.20 |
$465.48 |
|
