|
Insertion catheter pleural indwelling tunneled with cuff
|
$10,325.70 |
$10,325.70 |
$10,325.70 |
$4,923.19
|
|
Insertion intra aortic balloon assist device percutaneous
|
$2,571.03 |
$2,571.03 |
$2,571.03 |
$2,549.95
|
|
Insertion intra-aortic circulation dev 33970
|
$223.33 |
$223.33 |
$223.33 |
$1,752.40
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$15,817.34 |
$15,817.34 |
$15,817.34 |
$7,210.78
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$9,209.97 |
$9,209.97 |
$9,209.97 |
$2,595.45
|
|
Insertion of cannula
|
$123.51 |
$123.51 |
$123.51 |
$4,322.40
|
|
Insertion of cannula(s)
|
$906.43 |
$906.43 |
$906.43 |
$1,989.39
|
|
Insertion of catheter vein
|
$206.08 |
$206.08 |
$206.08 |
$1,626.83
|
|
Insertion of catheter vein
|
$116.15 |
$116.15 |
$116.15 |
$888.46
|
|
Insertion of heart electrode 33211
|
$24,215.73 |
$24,215.73 |
$24,215.73 |
$6,839.00
|
|
Insertion of infusion pump
|
$425.04 |
$425.04 |
$425.04 |
$5,855.00
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$327.98 |
$327.98 |
$327.98 |
$12,508.08
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$303.83 |
$303.83 |
$303.83 |
$12,384.25
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$291.87 |
$291.87 |
$291.87 |
$10,100.35
|
|
Insertion palate prosthesis
|
$103.96 |
$103.96 |
$103.96 |
$6,547.81
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$4,545.31 |
$4,545.31 |
$4,545.31 |
$2,109.00
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$4,545.31 |
$4,545.31 |
$4,545.31 |
$2,474.22
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$577.07 |
$577.07 |
$577.07 |
$29,387.00
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$24,215.73 |
$24,215.73 |
$24,215.73 |
$7,216.00
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$235.52 |
$235.52 |
$235.52 |
$7,312.80
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$55.43 |
$55.43 |
$55.43 |
$9,390.55
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$9,209.97 |
$9,209.97 |
$9,209.97 |
$5,236.80
|
|
Insertion ureth cath
|
$318.09 |
$318.09 |
$318.09 |
$2,365.38
|
|
Insert lens prosthesis
|
$485.76 |
$485.76 |
$485.76 |
$3,173.34
|
|
Insert major vessel graft
|
$904.82 |
$904.82 |
$904.82 |
$2,051.87
|
|
Insert major vessel graft with bypass 33335
|
$1,184.50 |
$1,184.50 |
$1,184.50 |
$3,494.40
|
|
Insert multi-comp penis pros
|
$522.56 |
$522.56 |
$522.56 |
$9,495.20
|
|
Insert nasal septal button
|
$82.80 |
$82.80 |
$82.80 |
$1,783.50
|
|
Insert ocular implant
|
$532.68 |
$532.68 |
$532.68 |
$4,462.45
|
|
Insert ocular implant
|
$539.12 |
$539.12 |
$539.12 |
$4,462.45
|
|
Insert pelv fixation device
|
$231.38 |
$231.38 |
$231.38 |
$490.25
|
|
Insert pessary/other device
|
$29.67 |
$29.67 |
$29.67 |
$278.90
|
|
Insert picvad cath
|
$214.13 |
$214.13 |
$214.13 |
$4,092.09
|
|
Insert pm/icd lead dual
|
$234.37 |
$234.37 |
$234.37 |
$7,115.90
|
|
Insert prost urethral stent
|
$52.44 |
$52.44 |
$52.44 |
$2,467.08
|
|
Insert/repl sq defib w/eltrd
|
$354.89 |
$354.89 |
$354.89 |
$33,775.20
|
|
Insert self-contd prosthesis
|
$431.25 |
$431.25 |
$431.25 |
$22,279.50
|
|
Insert semi-rigid prosthesis
|
$344.77 |
$344.77 |
$344.77 |
$14,199.16
|
|
Insert spine fixation device
|
$526.24 |
$526.24 |
$526.24 |
$1,965.60
|
|
Insert spine fixation device
|
$386.63 |
$386.63 |
$386.63 |
$150.39
|
|
Insert spine fixation device
|
$634.57 |
$634.57 |
$634.57 |
$968.70
|
|
Insert spine fixation device
|
$512.44 |
$512.44 |
$512.44 |
$1,124.40
|
|
Insert spine infusion device 62360
|
$203.55 |
$203.55 |
$203.55 |
$17,262.84
|
|
Insert sq defib electrode
|
$289.11 |
$289.11 |
$289.11 |
$8,177.40
|
|
Insert swan-ganz cath
|
$4,545.31 |
$4,545.31 |
$4,545.31 |
$2,210.50
|
|
Insert tandem cuff
|
$512.90 |
$512.90 |
$512.90 |
$22,279.50
|
|
Insert tissue expander(s)
|
$655.73 |
$655.73 |
$655.73 |
$4,311.38
|
|
Insert tunneled cv 2cath 2sits without port/pmp 36565
|
$9,209.97 |
$9,209.97 |
$9,209.97 |
$5,018.25
|
|
Insert tunneled cv cath
|
$247.02 |
$247.02 |
$247.02 |
$4,627.00
|
|
Insert tunneled cv cath
|
$231.84 |
$231.84 |
$231.84 |
$6,075.30
|
|
Insert ureteral support
|
$650.21 |
$650.21 |
$650.21 |
$2,836.34
|
|
Insert uro/ves nck sphincter
|
$489.67 |
$489.67 |
$489.67 |
$22,279.50
|
|
Insert uteri tandem/ovoids
|
$186.07 |
$186.07 |
$186.07 |
$3,940.41
|
|
Insert vad art access left hrt arterial access
|
$227.70 |
$227.70 |
$227.70 |
$4,386.00
|
|
Insert vad art access left hrt art & vein access
|
$286.81 |
$286.81 |
$286.81 |
$3,915.72
|
|
Ins icd gen exist mlt leads
|
$253.92 |
$253.92 |
$253.92 |
$31,286.77
|
|
Ins icd gen exist sgl lead
|
$228.39 |
$228.39 |
$228.39 |
$23,230.50
|
|
Insitu hybridization auto
|
$20.93 |
$20.93 |
$20.93 |
$372.81
|
|
Insitu hybridization (fish)
|
$38.64 |
$38.64 |
$38.64 |
$478.80
|
|
Insitu hybridization manual
|
$1,052.59 |
$1,052.59 |
$1,052.59 |
$401.28
|
|
In situ hybridization per specimen each additional single probe stain
|
$216.37 |
$216.37 |
$216.37 |
$243.00
|
|
In situ hybridization per specimen initial single probe stain
|
$501.27 |
$501.27 |
$501.27 |
$337.20
|
|
Insj biomechanical device
|
$215.74 |
$215.74 |
$215.74 |
$1,573.00
|
|
Insj biomechanical device 22853
|
$165.83 |
$165.83 |
$165.83 |
$622.40
|
|
Insj perq vad r hrt venous
|
$223.79 |
$223.79 |
$223.79 |
$3,796.00
|
|
Insj phrnc nrv stim sys
|
$367.77 |
$367.77 |
$367.77 |
$53,251.79
|
|
Insj rx elut implt lac canal
|
$20.70 |
$20.70 |
$20.70 |
$2,572.70
|
|
Insj stablj dev w/dcmprn
|
$688.85 |
$688.85 |
$688.85 |
$21,352.50
|
|
Insj stablj dev w/dcmprn
|
$155.71 |
$155.71 |
$155.71 |
$11,325.60
|
|
Insj stablj dev without dcmprn
|
$278.76 |
$278.76 |
$278.76 |
$15,226.08
|
|
Insj stablj dev without dcmprn
|
$75.44 |
$75.44 |
$75.44 |
$10,418.40
|
|
Ins left heart vent thor inscn ecmo
|
$489.21 |
$489.21 |
$489.21 |
$1,901.60
|
|
Ins lv lead exist pm/icd
|
$323.38 |
$323.38 |
$323.38 |
$12,384.25
|
|
Ins mark abd/pel for right perq
|
$119.37 |
$119.37 |
$119.37 |
$2,477.24
|
|
Ins mark thor for right perq
|
$112.47 |
$112.47 |
$112.47 |
$2,503.80
|
|
Ins picad w subq port 5yr>
|
$9,209.97 |
$9,209.97 |
$9,209.97 |
$4,195.00
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$52.21 |
$52.21 |
$52.21 |
$1,690.00
|
|
Ins pm gen exist dual lead
|
$237.13 |
$237.13 |
$237.13 |
$24,696.00
|
|
Ins pm gen w/exist mlt leads
|
$226.32 |
$226.32 |
$226.32 |
$14,804.40
|
|
Ins pq tunnld ip cath w/img
|
$10,325.70 |
$10,325.70 |
$10,325.70 |
$5,486.00
|
|
Ins/rplcmt prq eltrd ra pn 1
|
$36,487.99 |
$36,487.99 |
$36,487.99 |
$14,685.79
|
|
Ins/rplc spi npg/rcvr pocket
|
$219.65 |
$219.65 |
$219.65 |
$24,061.80
|
|
Ins/rpl ldless pm right vent w img & eval
|
$302.45 |
$302.45 |
$302.45 |
$24,135.54
|
|
Ins/rpl pm gen exist dual lead
|
$214.13 |
$214.13 |
$214.13 |
$11,198.55
|
|
Ins/rpl pm gen exist sgl lead
|
$205.85 |
$205.85 |
$205.85 |
$9,558.78
|
|
Ins/rpl pm w/tv ld atrl
|
$288.42 |
$288.42 |
$288.42 |
$11,583.66
|
|
Ins/rpl prph sac/gstr npg/r
|
$190.44 |
$190.44 |
$190.44 |
$18,129.80
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$211.60 |
$211.60 |
$211.60 |
$29,033.00
|
|
Insrt/redo neurostim 1 array
|
$345.69 |
$345.69 |
$345.69 |
$21,817.60
|
|
Ins sk-mnt crnl nstm pg/rcvr
|
$815.58 |
$815.58 |
$815.58 |
$2,723.86
|
|
Ins subq extnsn pertneal cath
|
$76.36 |
$76.36 |
$76.36 |
$2,479.93
|
|
Install spinal shunt
|
$646.99 |
$646.99 |
$646.99 |
$3,283.80
|
|
Install spinal shunt 63741
|
$439.99 |
$439.99 |
$439.99 |
$7,181.20
|
|
Inst fibrinolysis agent ini day
|
$43.01 |
$43.01 |
$43.01 |
$1,089.00
|
|
Inst fibrinolysis agent sbsq d
|
$38.41 |
$38.41 |
$38.41 |
$997.05
|
|
Instillation anticarcinogenic agent bladder
|
$1,953.49 |
$1,953.49 |
$1,953.49 |
$653.25
|
|
Instll rx agnt into rnal tub
|
$62.56 |
$62.56 |
$62.56 |
$619.20
|
|
Ins trurl ablt trnsdc thr Ultrasound
|
$139.38 |
$139.38 |
$139.38 |
$397.60
|
|
Ins tun cvad 2 cath w/subq port(s)
|
$15,817.34 |
$15,817.34 |
$15,817.34 |
$7,826.00
|
|
Ins tun cv cath wo subq prt/pm
|
$206.77 |
$206.77 |
$206.77 |
$5,324.80
|
