|
Insertion catheter pleural indwelling tunneled with cuff
|
$223.00 |
$223.00 |
$223.00 |
$4,782.00
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$236.50 |
$236.50 |
$236.50 |
$7,210.78
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$2,388.00 |
$2,388.00 |
$2,388.00 |
$2,515.80
|
|
Insertion of cannula
|
$218.00 |
$218.00 |
$218.00 |
$4,341.66
|
|
Insertion of cannula(s)
|
$1,607.50 |
$1,607.50 |
$1,607.50 |
$1,989.39
|
|
Insertion of heart electrode 33211
|
$2,620.00 |
$2,620.00 |
$2,620.00 |
$7,048.60
|
|
Insertion of infusion pump
|
$768.00 |
$768.00 |
$768.00 |
$5,907.78
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$558.00 |
$558.00 |
$558.00 |
$12,755.65
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$516.50 |
$516.50 |
$516.50 |
$12,384.25
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$487.50 |
$487.50 |
$487.50 |
$10,285.70
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$1,908.00 |
$1,908.00 |
$1,908.00 |
$2,079.43
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$89.00 |
$89.00 |
$89.00 |
$2,414.16
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$174.00 |
$174.00 |
$174.00 |
$7,216.00
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$2,620.00 |
$2,620.00 |
$2,620.00 |
$7,429.39
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$2,619.50 |
$2,619.50 |
$2,619.50 |
$9,390.55
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$366.00 |
$366.00 |
$366.00 |
$5,236.80
|
|
Insertion ureth cath
|
$553.50 |
$553.50 |
$553.50 |
$2,412.45
|
|
Insert lens prosthesis
|
$790.00 |
$790.00 |
$790.00 |
$3,173.34
|
|
Insert multi-comp penis pros
|
$890.50 |
$890.50 |
$890.50 |
$9,495.20
|
|
Insert pessary/other device
|
$50.00 |
$50.00 |
$50.00 |
$278.90
|
|
Insert pm/icd lead dual
|
$2,620.00 |
$2,620.00 |
$2,620.00 |
$7,264.40
|
|
Insert/repl sq defib w/eltrd
|
$9,019.50 |
$9,019.50 |
$9,019.50 |
$32,052.60
|
|
Insert sq defib electrode
|
$2,620.00 |
$2,620.00 |
$2,620.00 |
$7,792.26
|
|
Insitu hybridization auto
|
$38.00 |
$38.00 |
$38.00 |
$393.13
|
|
Insitu hybridization manual
|
$49.00 |
$49.00 |
$49.00 |
$401.10
|
|
In situ hybridization per specimen each additional single probe stain
|
$38.50 |
$38.50 |
$38.50 |
$241.80
|
|
Insj biomechanical device 22853
|
$281.50 |
$281.50 |
$281.50 |
$622.40
|
|
Ins lv lead exist pm/icd
|
$4,363.00 |
$4,363.00 |
$4,363.00 |
$12,384.25
|
|
Ins picad w subq port 5yr>
|
$357.50 |
$357.50 |
$357.50 |
$3,985.20
|
|
Ins pm gen w/exist mlt leads
|
$388.50 |
$388.50 |
$388.50 |
$14,804.40
|
|
Ins pq tunnld ip cath w/img
|
$215.00 |
$215.00 |
$215.00 |
$5,419.00
|
|
Ins/rplc spi npg/rcvr pocket
|
$386.00 |
$386.00 |
$386.00 |
$24,061.80
|
|
Ins/rpl pm gen exist dual lead
|
$4,363.00 |
$4,363.00 |
$4,363.00 |
$11,412.00
|
|
Ins/rpl pm gen exist sgl lead
|
$356.50 |
$356.50 |
$356.50 |
$9,705.00
|
|
Ins/rpl pm w/tv ld atrl
|
$490.50 |
$490.50 |
$490.50 |
$11,747.25
|
|
Ins/rpl prph sac/gstr npg/r
|
$8,369.50 |
$8,369.50 |
$8,369.50 |
$18,129.80
|
|
Instillation anticarcinogenic agent bladder
|
$47.00 |
$47.00 |
$47.00 |
$664.20
|
|
Ins tun cv cath wo subq prt/pm
|
$2,387.50 |
$2,387.50 |
$2,387.50 |
$4,218.00
|
|
Inst via cath agent pleurds
|
$84.50 |
$84.50 |
$84.50 |
$1,074.68
|
|
Insulin total
|
$70.00 |
$70.00 |
$70.00 |
$66.64
|
|
Intens behave ther cardio dx
|
$36.00 |
$36.00 |
$36.00 |
$48.00
|
|
Intermediate visual field xm
|
$24.50 |
$24.50 |
$24.50 |
$112.80
|
|
Internal nerve revision 64727
|
$177.50 |
$177.50 |
$177.50 |
$806.00
|
|
Interrogate subq defib
|
$43.00 |
$43.00 |
$43.00 |
$119.60
|
|
Interrog dev eval scrms ip
|
$21.00 |
$21.00 |
$21.00 |
$124.80
|
|
Interrog evl pm/ldls pm ip
|
$107.50 |
$107.50 |
$107.50 |
$124.80
|
|
Int hrhc lig 1 hroid without img
|
$415.50 |
$415.50 |
$415.50 |
$3,455.00
|
|
Int hrhc lig 2+hroid without img
|
$456.50 |
$456.50 |
$456.50 |
$3,245.23
|
|
Intraop colon lavage add-on
|
$188.00 |
$188.00 |
$188.00 |
$416.80
|
|
Intrinsic factor antibody
|
$24.00 |
$24.00 |
$24.00 |
$63.15
|
|
Intrm oph exam est patient
|
$50.50 |
$50.50 |
$50.50 |
$152.50
|
|
Intro cath dialysis circuit w/pta
|
$259.50 |
$259.50 |
$259.50 |
$8,761.00
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$343.50 |
$343.50 |
$343.50 |
$15,640.00
|
|
Intro cath svc/ivc
|
$118.00 |
$118.00 |
$118.00 |
$1,323.27
|
|
Intro long gi tube
|
$20.00 |
$20.00 |
$20.00 |
$954.00
|
|
Intro long gi tube w/mult fluo
|
$30.50 |
$30.50 |
$30.50 |
$465.50
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$98.00 |
$98.00 |
$98.00 |
$3,436.50
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$77.50 |
$77.50 |
$77.50 |
$1,801.10
|
|
Intubation endotracheal emergency procedure
|
$361.50 |
$361.50 |
$361.50 |
$600.00
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$12.30 |
$12.30 |
$12.30 |
$279.10
|
|
Ip/obs cnsltj new/est low 45
|
$102.50 |
$102.50 |
$102.50 |
$174.20
|
|
Ip/obs cnsltj new/est mod 60
|
$141.50 |
$141.50 |
$141.50 |
$284.45
|
|
Ip/obs consltj new/est hi 80
|
$191.00 |
$191.00 |
$191.00 |
$332.80
|
|
Ip/obs consltj new/est sf 35
|
$72.50 |
$72.50 |
$72.50 |
$134.46
|
|
Ipratropium bromide non-comp
|
$1.50 |
$1.50 |
$1.50 |
$3.75
|
|
Iron
|
$42.00 |
$42.00 |
$42.00 |
$72.80
|
|
Iron binding capacity
|
$106.00 |
$106.00 |
$106.00 |
$63.79
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$88.17 |
$88.17 |
$88.17 |
$187.06
|
|
Irrigation implantable venous access device for drug delivery systems
|
$112.50 |
$112.50 |
$112.50 |
$144.00
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$183.00 |
$183.00 |
$183.00 |
$191.75
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$102.00 |
$102.00 |
$102.00 |
$160.05
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$308.00 |
$308.00 |
$308.00 |
$153.60
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$207.50 |
$207.50 |
$207.50 |
$444.49
|
|
Ivp w/wo kub w/wo tomography
|
$668.00 |
$668.00 |
$668.00 |
$692.18
|
|
Keratoprosthesis
|
$1,425.50 |
$1,425.50 |
$1,425.50 |
$10,936.01
|
|
Ketamine and metabolite screen - quest
|
$5.00 |
$5.00 |
$5.00 |
$72.14
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$93.00 |
$93.00 |
$93.00 |
$59.00
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$7.11 |
$7.11 |
$7.11 |
$23.77
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$697.00 |
$697.00 |
$697.00 |
$666.00
|
|
Kit gene analys d816 variant
|
$1,068.00 |
$1,068.00 |
$1,068.00 |
$374.40
|
|
Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm
|
$119.50 |
$119.50 |
$119.50 |
$923.90
|
|
Knee Arthroscopy (Cartilage Repair)
|
$705.50 |
$705.50 |
$705.50 |
$4,350.00
|
|
Knee arthroscopy/drainage
|
$590.00 |
$590.00 |
$590.00 |
$3,839.54
|
|
Knee arthroscopy dx
|
$479.00 |
$479.00 |
$479.00 |
$3,839.54
|
|
Knee Arthroscopy (Meniscus Repair)
|
$619.50 |
$619.50 |
$619.50 |
$5,148.00
|
|
Knee arthroscopy/surgery
|
$621.50 |
$621.50 |
$621.50 |
$4,198.40
|
|
Knee arthroscopy/surgery
|
$608.50 |
$608.50 |
$608.50 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$569.50 |
$569.50 |
$569.50 |
$4,627.00
|
|
Knee arthroscopy/surgery
|
$740.00 |
$740.00 |
$740.00 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$750.50 |
$750.50 |
$750.50 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$640.50 |
$640.50 |
$640.50 |
$4,499.12
|
|
Knee arthroscopy/surgery
|
$774.00 |
$774.00 |
$774.00 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$948.50 |
$948.50 |
$948.50 |
$3,986.00
|
|
Knee arthroscopy/surgery
|
$705.00 |
$705.00 |
$705.00 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$855.00 |
$855.00 |
$855.00 |
$5,741.00
|
|
Knee arthroscopy/surgery
|
$1,076.50 |
$1,076.50 |
$1,076.50 |
$8,453.60
|
|
Knee arthroscopy/surgery
|
$1,368.50 |
$1,368.50 |
$1,368.50 |
$6,411.60
|
|
Knee MRI (with and without contrast)
|
$1,751.00 |
$1,751.00 |
$1,751.00 |
$3,008.26
|
|
Knee MRI (without contrast)
|
$1,512.00 |
$1,512.00 |
$1,512.00 |
$2,120.00
|
|
Knee X-ray
|
$422.00 |
$422.00 |
$422.00 |
$425.55
|
