|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
|
$425.50 |
$425.50 |
$425.50 |
$634.40
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$220.50 |
$220.50 |
$220.50 |
$163.83
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$208.00 |
$208.00 |
$208.00 |
$145.60
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$271.00 |
$271.00 |
$271.00 |
$261.00
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$93.50 |
$93.50 |
$93.50 |
$136.00
|
|
Injection treatment of eye
|
$1,215.50 |
$1,215.50 |
$1,215.50 |
$2,665.60
|
|
Inj epidural sgl cerv-thor without img
|
$1,272.50 |
$1,272.50 |
$1,272.50 |
$1,311.74
|
|
Inj epidural sgl lumb-sacral without img
|
$1,831.50 |
$1,831.50 |
$1,831.50 |
$1,415.50
|
|
Inj for ext venography
|
$123.00 |
$123.00 |
$123.00 |
$654.00
|
|
Inj for mammo ductogram
|
$1,181.50 |
$1,181.50 |
$1,181.50 |
$397.80
|
|
Inj hrt cath w/s&i nonsel p-art angrp
|
$2,611.50 |
$2,611.50 |
$2,611.50 |
$1,439.90
|
|
Inj hrt cath w/s&i sel hrt ang
|
$2,132.00 |
$2,132.00 |
$2,132.00 |
$1,818.15
|
|
Inj hrt cath w/s&i sel left vent
|
$2,012.00 |
$2,012.00 |
$2,012.00 |
$1,146.36
|
|
Inj hrt cath w/s&i sel right vent
|
$2,012.00 |
$2,012.00 |
$2,012.00 |
$947.65
|
|
Inj intralesional <= 7 lsn(s)
|
$194.00 |
$194.00 |
$194.00 |
$235.13
|
|
Inj intralesional > 7 lsns
|
$304.00 |
$304.00 |
$304.00 |
$235.13
|
|
Inj nephrosto/ureterogram w/img exstng access
|
$1,536.50 |
$1,536.50 |
$1,536.50 |
$1,413.35
|
|
Inj non-compmd foam sclrsnt mlt trncl veins same leg
|
$3,157.00 |
$3,157.00 |
$3,157.00 |
$2,484.00
|
|
Inj non-compmd foam sclrsnt sgl trncl vein
|
$3,157.00 |
$3,157.00 |
$3,157.00 |
$2,373.55
|
|
Inj peritoneal venous shunt
|
$570.00 |
$570.00 |
$570.00 |
$413.70
|
|
Inj proc ankle arthr
|
$373.00 |
$373.00 |
$373.00 |
$405.60
|
|
Inj proc elbow arthro
|
$373.00 |
$373.00 |
$373.00 |
$434.00
|
|
Inj proc for lymphang
|
$497.50 |
$497.50 |
$497.50 |
$742.40
|
|
Inj proc lumbr disk ea lvl
|
$2,503.50 |
$2,503.50 |
$2,503.50 |
$1,106.93
|
|
Inj proc myelogram lumbar
|
$243.50 |
$243.50 |
$243.50 |
$843.84
|
|
Inj proc sialogram
|
$373.00 |
$373.00 |
$373.00 |
$380.00
|
|
Inj retro urethrocysto
|
$115.50 |
$115.50 |
$115.50 |
$450.00
|
|
Inj scleros sol mult veins
|
$464.50 |
$464.50 |
$464.50 |
$687.96
|
|
Inj scleros sol sgl vein
|
$534.00 |
$534.00 |
$534.00 |
$561.88
|
|
Inj(s) sclerosant spider veins limb/trunk
|
$468.50 |
$468.50 |
$468.50 |
$436.80
|
|
Inj w/fluor eval cv device
|
$437.50 |
$437.50 |
$437.50 |
$504.40
|
|
Ins cath ren art 1st bi
|
$3,416.50 |
$3,416.50 |
$3,416.50 |
$5,855.00
|
|
Ins cath ren art 1st uni
|
$4,145.00 |
$4,145.00 |
$4,145.00 |
$4,667.63
|
|
Ins cath ren art 2nd+ bi
|
$3,870.50 |
$3,870.50 |
$3,870.50 |
$5,475.60
|
|
Ins cath ren art 2nd+ uni
|
$3,870.50 |
$3,870.50 |
$3,870.50 |
$5,395.20
|
|
Ins cerv dilator (sep proc)
|
$505.50 |
$505.50 |
$505.50 |
$484.90
|
|
Insert abdomen-venous drain
|
$1,868.00 |
$1,868.00 |
$1,868.00 |
$3,699.70
|
|
Insert and remove bone pin
|
$1,849.00 |
$1,849.00 |
$1,849.00 |
$4,421.00
|
|
Insert cath pleura with image
|
$1,787.00 |
$1,787.00 |
$1,787.00 |
$2,194.40
|
|
Insert cath pleura without image
|
$934.50 |
$934.50 |
$934.50 |
$2,056.00
|
|
Insert drug delivery implant
|
$799.00 |
$799.00 |
$799.00 |
$283.20
|
|
Insert hepatic shunt (tips)
|
$2,522.00 |
$2,522.00 |
$2,522.00 |
$7,571.20
|
|
Insert intrauterine device iud
|
$167.00 |
$167.00 |
$167.00 |
$366.65
|
|
Insertion catheter bladder non indwelling
|
$120.00 |
$120.00 |
$120.00 |
$205.80
|
|
Insertion catheter bladder temporary simple
|
$138.00 |
$138.00 |
$138.00 |
$235.20
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$3,089.00 |
$3,089.00 |
$3,089.00 |
$4,782.00
|
|
Insertion intra aortic balloon assist device percutaneous
|
$749.00 |
$749.00 |
$749.00 |
$2,565.36
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$4,417.00 |
$4,417.00 |
$4,417.00 |
$7,210.78
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$1,395.00 |
$1,395.00 |
$1,395.00 |
$2,511.00
|
|
Insertion of catheter vein
|
$1,727.50 |
$1,727.50 |
$1,727.50 |
$1,657.32
|
|
Insertion of catheter vein
|
$405.50 |
$405.50 |
$405.50 |
$836.25
|
|
Insertion of heart electrode 33211
|
$4,857.50 |
$4,857.50 |
$4,857.50 |
$7,048.60
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$19,561.50 |
$19,561.50 |
$19,561.50 |
$12,508.08
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$15,042.50 |
$15,042.50 |
$15,042.50 |
$12,384.25
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$15,832.00 |
$15,832.00 |
$15,832.00 |
$10,285.70
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$1,550.00 |
$1,550.00 |
$1,550.00 |
$2,079.43
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$2,310.50 |
$2,310.50 |
$2,310.50 |
$2,414.10
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$58,730.50 |
$58,730.50 |
$58,730.50 |
$29,042.52
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$5,990.50 |
$5,990.50 |
$5,990.50 |
$7,216.00
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$3,922.50 |
$3,922.50 |
$3,922.50 |
$7,388.80
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$6,926.00 |
$6,926.00 |
$6,926.00 |
$9,390.55
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$2,556.00 |
$2,556.00 |
$2,556.00 |
$5,236.80
|
|
Insert pessary/other device
|
$207.50 |
$207.50 |
$207.50 |
$278.90
|
|
Insert picvad cath
|
$2,360.00 |
$2,360.00 |
$2,360.00 |
$4,201.80
|
|
Insert pm/icd lead dual
|
$10,716.50 |
$10,716.50 |
$10,716.50 |
$7,221.50
|
|
Insert/repl sq defib w/eltrd
|
$67,011.50 |
$67,011.50 |
$67,011.50 |
$32,052.60
|
|
Insert spine infusion device 62360
|
$8,604.00 |
$8,604.00 |
$8,604.00 |
$15,920.80
|
|
Insert sq defib electrode
|
$5,295.00 |
$5,295.00 |
$5,295.00 |
$7,792.26
|
|
Insert swan-ganz cath
|
$2,210.50 |
$2,210.50 |
$2,210.50 |
$2,346.51
|
|
Insert tunneled cv 2cath 2sits without port/pmp 36565
|
$3,885.50 |
$3,885.50 |
$3,885.50 |
$5,018.25
|
|
Insert tunneled cv cath
|
$2,235.00 |
$2,235.00 |
$2,235.00 |
$4,627.00
|
|
Insert tunneled cv cath
|
$6,444.00 |
$6,444.00 |
$6,444.00 |
$6,028.07
|
|
Insert uteri tandem/ovoids
|
$2,354.50 |
$2,354.50 |
$2,354.50 |
$3,940.00
|
|
Insert vad art access left hrt arterial access
|
$6,485.00 |
$6,485.00 |
$6,485.00 |
$4,504.50
|
|
Insert vad art access left hrt art & vein access
|
$6,485.00 |
$6,485.00 |
$6,485.00 |
$3,677.40
|
|
Ins icd gen exist mlt leads
|
$58,730.50 |
$58,730.50 |
$58,730.50 |
$31,286.77
|
|
Ins icd gen exist sgl lead
|
$41,146.50 |
$41,146.50 |
$41,146.50 |
$23,381.40
|
|
Insitu hybridization auto
|
$408.00 |
$408.00 |
$408.00 |
$393.13
|
|
Insitu hybridization (fish)
|
$260.00 |
$260.00 |
$260.00 |
$481.60
|
|
Insitu hybridization manual
|
$199.50 |
$199.50 |
$199.50 |
$398.51
|
|
In situ hybridization per specimen each additional single probe stain
|
$260.00 |
$260.00 |
$260.00 |
$241.80
|
|
In situ hybridization per specimen initial single probe stain
|
$139.00 |
$139.00 |
$139.00 |
$337.20
|
|
Ins lv lead exist pm/icd
|
$15,832.00 |
$15,832.00 |
$15,832.00 |
$12,384.25
|
|
Ins mark abd/pel for right perq
|
$903.00 |
$903.00 |
$903.00 |
$2,414.36
|
|
Ins mark thor for right perq
|
$2,434.50 |
$2,434.50 |
$2,434.50 |
$2,479.50
|
|
Insole orthotic freedom sz6 6816
|
$44.50 |
$44.50 |
$44.50 |
$84.00
|
|
Ins picad w subq port 5yr>
|
$2,360.00 |
$2,360.00 |
$2,360.00 |
$3,985.20
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$1,958.50 |
$1,958.50 |
$1,958.50 |
$1,627.45
|
|
Ins pm gen exist dual lead
|
$42,990.00 |
$42,990.00 |
$42,990.00 |
$24,003.84
|
|
Ins pm gen w/exist mlt leads
|
$16,501.50 |
$16,501.50 |
$16,501.50 |
$14,804.40
|
|
Ins pq tunnld ip cath w/img
|
$3,764.50 |
$3,764.50 |
$3,764.50 |
$5,377.00
|
|
Ins/rpl ldless pm right vent w img & eval
|
$26,560.50 |
$26,560.50 |
$26,560.50 |
$24,135.54
|
|
Ins/rpl pm gen exist dual lead
|
$14,349.00 |
$14,349.00 |
$14,349.00 |
$11,412.00
|
|
Ins/rpl pm gen exist sgl lead
|
$12,477.50 |
$12,477.50 |
$12,477.50 |
$9,705.00
|
|
Ins/rpl pm w/tv ld atrl
|
$15,834.50 |
$15,834.50 |
$15,834.50 |
$11,747.25
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$47,011.00 |
$47,011.00 |
$47,011.00 |
$25,106.90
|
|
Inst fibrinolysis agent ini day
|
$925.00 |
$925.00 |
$925.00 |
$1,043.35
|
|
Inst fibrinolysis agent sbsq d
|
$972.00 |
$972.00 |
$972.00 |
$972.00
|
|
Instillation anticarcinogenic agent bladder
|
$1,021.50 |
$1,021.50 |
$1,021.50 |
$654.02
|
|
Ins tun cvad 2 cath w/subq port(s)
|
$6,444.00 |
$6,444.00 |
$6,444.00 |
$7,826.00
|
