|
Ins cath ren art 1st bi
|
$4,554.15 |
$4,554.15 |
$4,554.15 |
$6,012.50
|
|
Ins cath ren art 1st uni
|
$3,592.89 |
$3,592.89 |
$3,592.89 |
$4,628.00
|
|
Ins cath ren art 2nd+ bi
|
$4,554.15 |
$4,554.15 |
$4,554.15 |
$5,251.20
|
|
Ins cath ren art 2nd+ uni
|
$3,485.22 |
$3,485.22 |
$3,485.22 |
$5,528.94
|
|
Ins cerv dilator (sep proc)
|
$154.85 |
$154.85 |
$154.85 |
$557.60
|
|
Insert abdomen-venous drain
|
$1,050.80 |
$1,050.80 |
$1,050.80 |
$2,875.81
|
|
Insert cannula vein-to-vein hemodialysis
|
$2,016.78 |
$2,016.78 |
$2,016.78 |
$7,279.50
|
|
Insert cath pleura with image
|
$1,600.99 |
$1,600.99 |
$1,600.99 |
$2,239.02
|
|
Insert cath pleura without image
|
$4,113.48 |
$4,113.48 |
$4,113.48 |
$2,157.58
|
|
Insert hepatic shunt (tips)
|
$2,985.07 |
$2,985.07 |
$2,985.07 |
$9,754.48
|
|
Insertion catheter artery nfs ther chemotx 36640
|
$1,638.82 |
$1,638.82 |
$1,638.82 |
$3,483.84
|
|
Insertion catheter bladder non indwelling
|
$103.14 |
$103.14 |
$103.14 |
$230.40
|
|
Insertion catheter bladder temporary simple
|
$113.78 |
$113.78 |
$113.78 |
$245.00
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$1,662.23 |
$1,662.23 |
$1,662.23 |
$4,923.19
|
|
Insertion intra aortic balloon assist device percutaneous
|
$999.56 |
$999.56 |
$999.56 |
$2,346.00
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$5,374.16 |
$5,374.16 |
$5,374.16 |
$7,210.78
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$1,018.15 |
$1,018.15 |
$1,018.15 |
$2,457.24
|
|
Insertion of catheter vein
|
$86.49 |
$86.49 |
$86.49 |
$1,079.00
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$5,083.62 |
$5,083.62 |
$5,083.62 |
$14,777.24
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$4,238.91 |
$4,238.91 |
$4,238.91 |
$13,806.24
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$2,577.24 |
$2,577.24 |
$2,577.24 |
$9,855.00
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$1,159.86 |
$1,159.86 |
$1,159.86 |
$2,079.43
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$9,232.06 |
$9,232.06 |
$9,232.06 |
$32,608.80
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$2,494.54 |
$2,494.54 |
$2,494.54 |
$7,513.67
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$2,464.29 |
$2,464.29 |
$2,464.29 |
$8,460.40
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$1,720.69 |
$1,720.69 |
$1,720.69 |
$5,423.04
|
|
Insert pessary/other device
|
$177.42 |
$177.42 |
$177.42 |
$277.99
|
|
Insert pm/icd lead dual
|
$2,149.24 |
$2,149.24 |
$2,149.24 |
$7,885.34
|
|
Insert/repl sq defib w/eltrd
|
$23,732.36 |
$23,732.36 |
$23,732.36 |
$33,948.20
|
|
Insert sq defib electrode
|
$3,445.72 |
$3,445.72 |
$3,445.72 |
$8,366.80
|
|
Insert swan-ganz cath
|
$1,373.35 |
$1,373.35 |
$1,373.35 |
$2,269.00
|
|
Insert uteri tandem/ovoids
|
$3,437.49 |
$3,437.49 |
$3,437.49 |
$3,940.41
|
|
Insert vad art access left hrt arterial access
|
$748.51 |
$748.51 |
$748.51 |
$5,135.65
|
|
Ins icd gen exist mlt leads
|
$7,174.58 |
$7,174.58 |
$7,174.58 |
$31,488.80
|
|
Ins icd gen exist sgl lead
|
$6,491.28 |
$6,491.28 |
$6,491.28 |
$26,433.98
|
|
Insitu hybridization (fish)
|
$254.01 |
$254.01 |
$254.01 |
$481.60
|
|
In situ hybridization per specimen each additional single probe stain
|
$181.69 |
$181.69 |
$181.69 |
$291.00
|
|
In situ hybridization per specimen initial single probe stain
|
$240.83 |
$240.83 |
$240.83 |
$364.00
|
|
Ins lv lead exist pm/icd
|
$12,417.57 |
$12,417.57 |
$12,417.57 |
$12,270.00
|
|
Ins mark abd/pel for right perq
|
$1,549.19 |
$1,549.19 |
$1,549.19 |
$2,000.78
|
|
Ins mark thor for right perq
|
$833.70 |
$833.70 |
$833.70 |
$2,477.45
|
|
Ins picad w subq port 5yr>
|
$1,161.15 |
$1,161.15 |
$1,161.15 |
$4,312.97
|
|
Ins pm gen exist dual lead
|
$7,174.58 |
$7,174.58 |
$7,174.58 |
$25,546.94
|
|
Ins pm gen w/exist mlt leads
|
$5,716.41 |
$5,716.41 |
$5,716.41 |
$17,191.21
|
|
Ins pq tunnld ip cath w/img
|
$3,749.30 |
$3,749.30 |
$3,749.30 |
$5,597.45
|
|
Ins/rpl pm gen exist dual lead
|
$4,097.01 |
$4,097.01 |
$4,097.01 |
$11,583.66
|
|
Ins/rpl pm gen exist sgl lead
|
$3,865.85 |
$3,865.85 |
$3,865.85 |
$9,824.59
|
|
Ins/rpl pm w/tv ld atrl
|
$4,346.58 |
$4,346.58 |
$4,346.58 |
$12,442.95
|
|
Inst fibrinolysis agent ini day
|
$574.70 |
$574.70 |
$574.70 |
$1,110.55
|
|
Inst fibrinolysis agent sbsq d
|
$891.15 |
$891.15 |
$891.15 |
$898.12
|
|
Instillation anticarcinogenic agent bladder
|
$481.56 |
$481.56 |
$481.56 |
$721.50
|
|
Ins tun cv cath wo subq prt/pm
|
$1,773.69 |
$1,773.69 |
$1,773.69 |
$4,314.75
|
|
Inst via cath agent pleurds
|
$524.57 |
$524.57 |
$524.57 |
$970.40
|
|
Insulin total
|
$48.66 |
$48.66 |
$48.66 |
$72.15
|
|
Integra meshed bil wound mat
|
$9,955.85 |
$9,955.85 |
$9,955.85 |
$11,119.26
|
|
Interdental wirg oth/thn fx
|
$810.12 |
$810.12 |
$810.12 |
$1,809.68
|
|
Interdiscal perq aspir dx
|
$633.07 |
$633.07 |
$633.07 |
$1,222.26
|
|
Interferon alfa-2b inj
|
$473.03 |
$473.03 |
$473.03 |
$51.21
|
|
Interrog dev eval scrms ip
|
$16.28 |
$16.28 |
$16.28 |
$152.50
|
|
Interrog device eval heart
|
$41.44 |
$41.44 |
$41.44 |
$162.40
|
|
Interrog evl pm/ldls pm ip
|
$39.59 |
$39.59 |
$39.59 |
$130.00
|
|
Intra-atrial pacing
|
$1,575.65 |
$1,575.65 |
$1,575.65 |
$4,614.35
|
|
Intra-atrial recording
|
$1,575.65 |
$1,575.65 |
$1,575.65 |
$5,252.30
|
|
Intracard echo interv w/s&i
|
$857.66 |
$857.66 |
$857.66 |
$4,328.45
|
|
Intracran angioplsty w/stent
|
$2,921.89 |
$2,921.89 |
$2,921.89 |
$9,045.05
|
|
Intracranial angioplasty
|
$2,131.20 |
$2,131.20 |
$2,131.20 |
$7,578.00
|
|
Intracranial complete study
|
$336.61 |
$336.61 |
$336.61 |
$903.50
|
|
Intracranial limited study
|
$238.37 |
$238.37 |
$238.37 |
$398.34
|
|
Intrapul surf admin endo tube
|
$100.64 |
$100.64 |
$100.64 |
$220.80
|
|
Intraventricular pacing
|
$6,938.89 |
$6,938.89 |
$6,938.89 |
$5,625.00
|
|
Intrinsic factor antibody
|
$59.66 |
$59.66 |
$59.66 |
$76.77
|
|
Intro cath dialysis circuit
|
$1,034.15 |
$1,034.15 |
$1,034.15 |
$2,161.90
|
|
Intro cath dialysis circuit w/pta
|
$7,292.70 |
$7,292.70 |
$7,292.70 |
$8,761.00
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$12,700.44 |
$12,700.44 |
$12,700.44 |
$18,260.50
|
|
Intro catheter aorta
|
$230.05 |
$230.05 |
$230.05 |
$1,963.80
|
|
Intro cath svc/ivc
|
$234.30 |
$234.30 |
$234.30 |
$1,942.50
|
|
Intro long gi tube
|
$481.00 |
$481.00 |
$481.00 |
$880.75
|
|
Intro windpipe wire/tube
|
$1,898.47 |
$1,898.47 |
$1,898.47 |
$1,910.40
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$915.47 |
$915.47 |
$915.47 |
$3,510.75
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$610.41 |
$610.41 |
$610.41 |
$1,633.03
|
|
Intubation endotracheal emergency procedure
|
$263.53 |
$263.53 |
$263.53 |
$565.00
|
|
Ionm in operatng room 15 min
|
$82.79 |
$82.79 |
$82.79 |
$238.00
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$11.99 |
$11.99 |
$11.99 |
$4.59
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$153.98 |
$153.98 |
$153.98 |
$145.52
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$230.57 |
$230.57 |
$230.57 |
$261.10
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$25.55 |
$25.55 |
$25.55 |
$254.59
|
|
Iron
|
$70.67 |
$70.67 |
$70.67 |
$67.50
|
|
Iron binding capacity
|
$24.14 |
$24.14 |
$24.14 |
$55.00
|
|
Iron dextran 50 mg/ml injection solution
|
$62.12 |
$62.12 |
$62.12 |
$38.16
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$53.50 |
$53.50 |
$53.50 |
$211.09
|
|
Irradiation of blood product each unit reference
|
$71.04 |
$71.04 |
$71.04 |
$127.49
|
|
Irrigation implantable venous access device for drug delivery systems
|
$100.36 |
$100.36 |
$100.36 |
$149.00
|
|
Irrigation vagina and/or appl medicament tx disease
|
$255.21 |
$255.21 |
$255.21 |
$132.00
|
|
Ivc venogram s&i
|
$1,395.64 |
$1,395.64 |
$1,395.64 |
$2,975.00
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$75.94 |
$75.94 |
$75.94 |
$186.55
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$71.87 |
$71.87 |
$71.87 |
$170.94
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$67.62 |
$67.62 |
$67.62 |
$153.40
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$229.40 |
$229.40 |
$229.40 |
$476.50
|
|
IV inj ra drug dx study
|
$145.60 |
$145.60 |
$145.60 |
$473.22
|
|
Ivp w/nephrotomography
|
$322.92 |
$322.92 |
$322.92 |
$673.90
|