|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$327.98 |
$18,232.80 |
$37,080.80 |
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$303.83 |
$18,169.20 |
$47,248.80 |
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$291.87 |
$5,751.00 |
$72,056.00 |
|
|
Insertion palate prosthesis
|
$103.96 |
$103.96 |
$117.52 |
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$549.60 |
$2,449.20 |
$4,545.31 |
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$1,239.00 |
$2,103.60 |
$4,545.31 |
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$577.07 |
$48,933.60 |
$107,872.80 |
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$1,355.40 |
$8,744.80 |
$24,215.73 |
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$235.52 |
$9,305.40 |
$12,016.00 |
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$55.43 |
$8,850.60 |
$25,711.20 |
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$2,205.60 |
$4,508.00 |
$9,209.97 |
|
|
Insertion ureth cath
|
$318.09 |
$359.58 |
$5,982.00 |
|
|
Insert lens prosthesis
|
$485.76 |
$485.76 |
$549.12 |
|
|
Insert major vessel graft
|
$904.82 |
$904.82 |
$1,022.84 |
|
|
Insert major vessel graft with bypass 33335
|
$1,184.50 |
$1,184.50 |
$1,339.00 |
|
|
Insert multi-comp penis pros
|
$522.56 |
$590.72 |
$4,882.00 |
|
|
Insert nasal septal button
|
$82.80 |
$93.60 |
$1,783.50 |
|
|
Insert ocular implant
|
$532.68 |
$532.68 |
$602.16 |
|
|
Insert ocular implant
|
$539.12 |
$539.12 |
$609.44 |
|
|
Insert pelv fixation device
|
$231.38 |
$261.56 |
$489.00 |
|
|
Insert pessary/other device
|
$29.67 |
$566.10 |
$907.20 |
|
|
Insert picvad cath
|
$214.13 |
$4,201.80 |
$8,851.14 |
|
|
Insert pm/icd lead dual
|
$234.37 |
$9,288.60 |
$12,016.00 |
|
|
Insert prost urethral stent
|
$52.44 |
$52.44 |
$59.28 |
|
|
Insert/repl sq defib w/eltrd
|
$354.89 |
$40,435.80 |
$107,872.80 |
|
|
Insert self-contd prosthesis
|
$431.25 |
$487.50 |
$4,652.00 |
|
|
Insert semi-rigid prosthesis
|
$344.77 |
$389.74 |
$2,110.33 |
|
|
Insert spine fixation device
|
$526.24 |
$594.88 |
$1,090.80 |
|
|
Insert spine fixation device
|
$100.80 |
$386.63 |
$437.06 |
|
|
Insert spine fixation device
|
$634.57 |
$717.34 |
$1,333.80 |
|
|
Insert spine fixation device
|
$512.44 |
$579.28 |
$1,124.40 |
|
|
Insert spine infusion device 62360
|
$203.55 |
$203.55 |
$230.10 |
|
|
Insert sq defib electrode
|
$289.11 |
$12,994.80 |
$20,059.80 |
|
|
Insert swan-ganz cath
|
$324.00 |
$2,472.00 |
$12,335.20 |
|
|
Insert tandem cuff
|
$512.90 |
$512.90 |
$579.80 |
|
|
Insert tissue expander(s)
|
$655.73 |
$741.26 |
$1,586.40 |
|
|
Insert tunneled cv 2cath 2sits without port/pmp 36565
|
$4,110.00 |
$8,004.00 |
$9,209.97 |
|
|
Insert tunneled cv cath
|
$247.02 |
$8,004.00 |
$8,851.14 |
|
|
Insert tunneled cv cath
|
$231.84 |
$8,004.00 |
$15,201.08 |
|
|
Insert ureteral support
|
$650.21 |
$735.02 |
$4,926.60 |
|
|
Insert uro/ves nck sphincter
|
$489.67 |
$489.67 |
$553.54 |
|
|
Insert uteri tandem/ovoids
|
$186.07 |
$210.34 |
$6,475.20 |
|
|
Insert vad art access left hrt arterial access
|
$227.70 |
$2,497.20 |
$48,647.40 |
|
|
Insert vad art access left hrt art & vein access
|
$286.81 |
$286.81 |
$324.22 |
|
|
Ins icd gen exist mlt leads
|
$253.92 |
$287.04 |
$31,884.00 |
|
|
Ins icd gen exist sgl lead
|
$228.39 |
$34,386.00 |
$55,021.80 |
|
|
Insitu hybridization auto
|
$20.93 |
$711.00 |
$1,867.80 |
|
|
Insitu hybridization (fish)
|
$38.64 |
$255.60 |
$664.80 |
|
|
Insitu hybridization manual
|
$234.50 |
$646.80 |
$1,473.00 |
|
|
In situ hybridization per specimen each additional single probe stain
|
$207.94 |
$304.80 |
$491.20 |
|
|
In situ hybridization per specimen initial single probe stain
|
$76.20 |
$337.20 |
$981.00 |
|
|
Insj biomechanical device
|
$215.74 |
$215.74 |
$243.88 |
|
|
Insj biomechanical device 22853
|
$165.83 |
$187.46 |
$3,555.49 |
|
|
Insj perq vad r hrt venous
|
$223.79 |
$223.79 |
$252.98 |
|
|
Insj phrnc nrv stim sys
|
$367.77 |
$367.77 |
$415.74 |
|
|
Insj rx elut implt lac canal
|
$20.70 |
$23.40 |
$2,732.50 |
|
|
Insj stablj dev w/dcmprn
|
$688.85 |
$688.85 |
$778.70 |
|
|
Insj stablj dev w/dcmprn
|
$155.71 |
$155.71 |
$176.02 |
|
|
Insj stablj dev without dcmprn
|
$278.76 |
$278.76 |
$315.12 |
|
|
Insj stablj dev without dcmprn
|
$75.44 |
$75.44 |
$85.28 |
|
|
Ins left heart vent thor inscn ecmo
|
$489.21 |
$2,046.60 |
$2,046.60 |
|
|
Ins lv lead exist pm/icd
|
$323.38 |
$15,540.60 |
$34,056.00 |
|
|
Ins mark abd/pel for right perq
|
$119.37 |
$4,079.40 |
$4,976.80 |
|
|
Ins mark thor for right perq
|
$112.47 |
$4,211.40 |
$4,211.40 |
|
|
Ins picad w subq port 5yr>
|
$1,380.00 |
$4,201.80 |
$9,209.97 |
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$52.21 |
$1,992.00 |
$2,070.60 |
|
|
Ins pm gen exist dual lead
|
$237.13 |
$3,124.80 |
$36,471.60 |
|
|
Ins pm gen w/exist mlt leads
|
$226.32 |
$40,853.40 |
$41,511.60 |
|
|
Ins pq tunnld ip cath w/img
|
$358.80 |
$9,923.40 |
$15,708.00 |
|
|
Ins/rplcmt prq eltrd ra pn 1
|
$9,382.50 |
$35,066.38 |
$36,487.99 |
|
|
Ins/rplc spi npg/rcvr pocket
|
$219.65 |
$897.60 |
$4,397.34 |
|
|
Ins/rpl ldless pm right vent w img & eval
|
$302.45 |
$17,670.00 |
$49,884.00 |
|
|
Ins/rpl pm gen exist dual lead
|
$214.13 |
$9,586.80 |
$18,634.20 |
|
|
Ins/rpl pm gen exist sgl lead
|
$205.85 |
$14,386.80 |
$18,185.40 |
|
|
Ins/rpl pm w/tv ld atrl
|
$288.42 |
$15,256.20 |
$37,716.80 |
|
|
Ins/rpl prph sac/gstr npg/r
|
$190.44 |
$215.28 |
$4,192.00 |
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$211.60 |
$43,233.60 |
$79,939.98 |
|
|
Insrt/redo neurostim 1 array
|
$345.69 |
$390.78 |
$6,097.20 |
|
|
Ins sk-mnt crnl nstm pg/rcvr
|
$815.58 |
$815.58 |
$921.96 |
|
|
Ins subq extnsn pertneal cath
|
$76.36 |
$76.36 |
$86.32 |
|
|
Install spinal shunt
|
$646.99 |
$646.99 |
$731.38 |
|
|
Install spinal shunt 63741
|
$439.99 |
$439.99 |
$497.38 |
|
|
Inst fibrinolysis agent ini day
|
$43.01 |
$760.80 |
$1,327.20 |
|
|
Inst fibrinolysis agent sbsq d
|
$38.41 |
$139.20 |
$1,245.00 |
|
|
Insti hexaminolevulinate hcl
|
$3,240.00 |
$3,240.00 |
$3,240.00 |
|
|
Instillation anticarcinogenic agent bladder
|
$31.98 |
$638.40 |
$2,753.40 |
|
|
Instill, bupivac and meloxic
|
$1.80 |
$1.80 |
$275.07 |
|
|
Instll rx agnt into rnal tub
|
$62.56 |
$70.72 |
$2,577.60 |
|
|
Ins trurl ablt trnsdc thr Ultrasound
|
$139.38 |
$139.38 |
$157.56 |
|
|
Ins tun cvad 2 cath w/subq port(s)
|
$1,188.00 |
$5,547.00 |
$15,817.34 |
|
|
Ins tun cv cath wo subq prt/pm
|
$206.77 |
$6,966.60 |
$15,201.08 |
|
|
Ins tun cv cath wo subq prt/pm
|
$1,461.60 |
$3,278.40 |
$11,785.40 |
|
|
Ins tun intraperit dia cath
|
$145.59 |
$4,187.40 |
$4,714.20 |
|
|
Inst via cath agent pleurds
|
$48.53 |
$2,146.80 |
$3,580.80 |
|
|
Insulin for insulin pump use
|
$1,864.20 |
$1,864.20 |
$1,864.20 |
|
|
Insulin suppression panel
|
$114.08 |
$114.08 |
$128.96 |
|
|
Insulin tolerance panel
|
$196.88 |
$196.88 |
$222.56 |
|
|
Insulin tolerance panel
|
$71.30 |
$71.30 |
$80.60 |
|
|
Insulin total
|
$42.00 |
$72.52 |
$638.40 |
|
|
Ins vag brachytx device
|
$98.67 |
$1,102.80 |
$3,562.20 |
|
