|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$66.00 |
$66.00 |
$66.00 |
$249.32
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$25.50 |
$25.50 |
$25.50 |
$135.60
|
|
Injection treatment of eye
|
$1,217.50 |
$1,217.50 |
$1,217.50 |
$2,698.92
|
|
Injection treatment of eye
|
$1,235.50 |
$1,235.50 |
$1,235.50 |
$2,665.60
|
|
Injection treatment of nerve
|
$1,041.50 |
$1,041.50 |
$1,041.50 |
$2,025.45
|
|
Inject sacroiliac joint
|
$219.00 |
$219.00 |
$219.00 |
$1,028.95
|
|
Inject/treat eye socket
|
$227.00 |
$227.00 |
$227.00 |
$381.13
|
|
Inject/treat eye socket
|
$721.00 |
$721.00 |
$721.00 |
$670.02
|
|
Inj epidural sgl lumb-sacral without img
|
$1,293.00 |
$1,293.00 |
$1,293.00 |
$1,415.50
|
|
Inj for ext venography
|
$219.00 |
$219.00 |
$219.00 |
$649.95
|
|
Inj for mammo ductogram
|
$474.50 |
$474.50 |
$474.50 |
$399.60
|
|
Inj hrt cath w/s&i nonsel p-art angrp
|
$2,555.50 |
$2,555.50 |
$2,555.50 |
$1,439.90
|
|
Inj hrt cath w/s&i sel hrt ang
|
$1,359.50 |
$1,359.50 |
$1,359.50 |
$1,827.74
|
|
Inj hrt cath w/s&i sel hrt art
|
$1,550.00 |
$1,550.00 |
$1,550.00 |
$1,045.80
|
|
Inj hrt cath w/s&i sel left vent
|
$875.50 |
$875.50 |
$875.50 |
$1,239.00
|
|
Inj hrt cath w/s&i sel right vent
|
$1,426.00 |
$1,426.00 |
$1,426.00 |
$965.33
|
|
Inj/inf neurolyt sbst spinal canal lesion 62282
|
$1,468.50 |
$1,468.50 |
$1,468.50 |
$1,928.00
|
|
Inj intralesional <= 7 lsn(s)
|
$169.00 |
$169.00 |
$169.00 |
$235.13
|
|
Inj intralesional > 7 lsns
|
$218.00 |
$218.00 |
$218.00 |
$234.00
|
|
Inj lwr xtr fscl pln blk uni w/wo image
|
$274.00 |
$274.00 |
$274.00 |
$784.00
|
|
Inj nephrosto/ureterogram w/img exstng access
|
$901.00 |
$901.00 |
$901.00 |
$1,413.35
|
|
Inj non-compmd foam sclrsnt mlt trncl veins same leg
|
$3,144.00 |
$3,144.00 |
$3,144.00 |
$2,837.09
|
|
Inj non-compmd foam sclrsnt sgl trncl vein
|
$3,144.00 |
$3,144.00 |
$3,144.00 |
$2,609.38
|
|
Inj peritoneal venous shunt
|
$146.50 |
$146.50 |
$146.50 |
$413.70
|
|
Inj proc ankle arthr
|
$224.50 |
$224.50 |
$224.50 |
$405.31
|
|
Inj proc elbow arthro
|
$313.00 |
$313.00 |
$313.00 |
$419.60
|
|
Inj proc for lymphang
|
$224.00 |
$224.00 |
$224.00 |
$682.00
|
|
Inj proc lumbr disk ea lvl
|
$671.00 |
$671.00 |
$671.00 |
$1,106.93
|
|
Inj proc myelogram lumbar
|
$754.00 |
$754.00 |
$754.00 |
$830.50
|
|
Inj proc sialogram
|
$80.00 |
$80.00 |
$80.00 |
$373.00
|
|
Inj retro urethrocysto
|
$117.50 |
$117.50 |
$117.50 |
$443.50
|
|
Inj scleros sol mult veins
|
$310.00 |
$310.00 |
$310.00 |
$675.00
|
|
Inj scleros sol sgl vein
|
$298.50 |
$298.50 |
$298.50 |
$558.97
|
|
Inj(s) sclerosant spider veins limb/trunk
|
$374.00 |
$374.00 |
$374.00 |
$436.80
|
|
Inj, susvimo 0.1 mg
|
$12,080.00 |
$12,080.00 |
$12,080.00 |
$2,598.44
|
|
Inj thrc fascial pln blk uni w/wo image
|
$274.00 |
$274.00 |
$274.00 |
$837.50
|
|
Inj vocal cord bulking agent
|
$1,504.00 |
$1,504.00 |
$1,504.00 |
$1,480.00
|
|
Inj w/fluor eval cv device
|
$191.50 |
$191.50 |
$191.50 |
$503.92
|
|
Ins cath ren art 1st bi
|
$3,405.00 |
$3,405.00 |
$3,405.00 |
$5,753.10
|
|
Ins cath ren art 1st uni
|
$3,149.00 |
$3,149.00 |
$3,149.00 |
$4,660.00
|
|
Ins cath ren art 2nd+ bi
|
$3,583.00 |
$3,583.00 |
$3,583.00 |
$5,500.86
|
|
Ins cath ren art 2nd+ uni
|
$3,455.50 |
$3,455.50 |
$3,455.50 |
$5,395.20
|
|
Ins cerv dilator (sep proc)
|
$330.00 |
$330.00 |
$330.00 |
$480.28
|
|
Insert abdomen-venous drain
|
$735.00 |
$735.00 |
$735.00 |
$3,147.06
|
|
Insert ant drainage device
|
$5,020.00 |
$5,020.00 |
$5,020.00 |
$4,881.00
|
|
Insert cannula vein-to-vein hemodialysis
|
$4,806.00 |
$4,806.00 |
$4,806.00 |
$7,279.50
|
|
Insert cath pleura with image
|
$1,568.50 |
$1,568.50 |
$1,568.50 |
$2,194.40
|
|
Insert cath pleura without image
|
$1,257.00 |
$1,257.00 |
$1,257.00 |
$2,073.18
|
|
Insert drug delivery implant
|
$139.50 |
$139.50 |
$139.50 |
$280.00
|
|
Insert epicardial lead open 33202
|
$4,139.50 |
$4,139.50 |
$4,139.50 |
$3,775.20
|
|
Insert hepatic shunt (tips)
|
$22,272.00 |
$22,272.00 |
$22,272.00 |
$7,571.20
|
|
Insert intrauterine device iud
|
$294.50 |
$294.50 |
$294.50 |
$347.10
|
|
Insertion catheter bladder non indwelling
|
$139.50 |
$139.50 |
$139.50 |
$205.40
|
|
Insertion catheter bladder temporary simple
|
$142.00 |
$142.00 |
$142.00 |
$232.25
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$5,921.50 |
$5,921.50 |
$5,921.50 |
$4,782.00
|
|
Insertion intra aortic balloon assist device percutaneous
|
$2,329.00 |
$2,329.00 |
$2,329.00 |
$2,529.45
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$6,993.00 |
$6,993.00 |
$6,993.00 |
$7,210.78
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$1,466.50 |
$1,466.50 |
$1,466.50 |
$2,505.60
|
|
Insertion of catheter vein
|
$657.50 |
$657.50 |
$657.50 |
$1,477.00
|
|
Insertion of catheter vein
|
$3,671.50 |
$3,671.50 |
$3,671.50 |
$836.25
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$4,435.00 |
$4,435.00 |
$4,435.00 |
$12,384.25
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$3,060.00 |
$3,060.00 |
$3,060.00 |
$12,384.25
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$2,279.00 |
$2,279.00 |
$2,279.00 |
$10,100.35
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$1,510.50 |
$1,510.50 |
$1,510.50 |
$2,079.50
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$1,304.00 |
$1,304.00 |
$1,304.00 |
$2,419.65
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$5,554.50 |
$5,554.50 |
$5,554.50 |
$29,042.52
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$2,637.50 |
$2,637.50 |
$2,637.50 |
$7,200.05
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$2,327.50 |
$2,327.50 |
$2,327.50 |
$7,312.80
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$10,347.00 |
$10,347.00 |
$10,347.00 |
$9,332.50
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$3,156.50 |
$3,156.50 |
$3,156.50 |
$5,223.20
|
|
Insert lens prosthesis
|
$2,565.00 |
$2,565.00 |
$2,565.00 |
$3,173.34
|
|
Insert nasal septal button
|
$1,712.00 |
$1,712.00 |
$1,712.00 |
$1,783.50
|
|
Insert pessary/other device
|
$278.50 |
$278.50 |
$278.50 |
$278.50
|
|
Insert picvad cath
|
$2,389.00 |
$2,389.00 |
$2,389.00 |
$4,195.00
|
|
Insert pm/icd lead dual
|
$2,440.00 |
$2,440.00 |
$2,440.00 |
$7,115.20
|
|
Insert/repl sq defib w/eltrd
|
$52,089.50 |
$52,089.50 |
$52,089.50 |
$32,800.04
|
|
Insert spine infusion device 62360
|
$22,573.50 |
$22,573.50 |
$22,573.50 |
$17,262.84
|
|
Insert sq defib electrode
|
$11,064.50 |
$11,064.50 |
$11,064.50 |
$8,167.68
|
|
Insert swan-ganz cath
|
$1,690.00 |
$1,690.00 |
$1,690.00 |
$2,210.50
|
|
Insert tunneled cv cath
|
$2,661.00 |
$2,661.00 |
$2,661.00 |
$4,520.00
|
|
Insert tunneled cv cath
|
$3,698.00 |
$3,698.00 |
$3,698.00 |
$5,983.35
|
|
Insert vad art access left hrt arterial access
|
$3,481.50 |
$3,481.50 |
$3,481.50 |
$4,270.75
|
|
Insert vad art access left hrt art & vein access
|
$4,242.50 |
$4,242.50 |
$4,242.50 |
$3,677.40
|
|
Ins icd gen exist mlt leads
|
$37,851.00 |
$37,851.00 |
$37,851.00 |
$31,286.77
|
|
Ins icd gen exist sgl lead
|
$4,078.50 |
$4,078.50 |
$4,078.50 |
$23,230.50
|
|
In situ hybridization per specimen each additional single probe stain
|
$235.50 |
$235.50 |
$235.50 |
$241.15
|
|
In situ hybridization per specimen initial single probe stain
|
$314.00 |
$314.00 |
$314.00 |
$331.69
|
|
Insj perq vad r hrt venous
|
$3,165.50 |
$3,165.50 |
$3,165.50 |
$3,796.00
|
|
Ins lv lead exist pm/icd
|
$1,595.00 |
$1,595.00 |
$1,595.00 |
$12,384.25
|
|
Ins mark abd/pel for right perq
|
$862.00 |
$862.00 |
$862.00 |
$2,414.36
|
|
Ins mark thor for right perq
|
$679.00 |
$679.00 |
$679.00 |
$2,477.45
|
|
Ins picad w subq port 5yr>
|
$2,389.00 |
$2,389.00 |
$2,389.00 |
$3,985.20
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$831.00 |
$831.00 |
$831.00 |
$1,690.00
|
|
Ins pm gen exist dual lead
|
$37,851.00 |
$37,851.00 |
$37,851.00 |
$23,665.85
|
|
Ins pm gen w/exist mlt leads
|
$11,452.50 |
$11,452.50 |
$11,452.50 |
$14,804.40
|
|
Ins pq tunnld ip cath w/img
|
$5,027.00 |
$5,027.00 |
$5,027.00 |
$5,377.00
|
|
Ins/rplc spi npg/rcvr pocket
|
$36,490.50 |
$36,490.50 |
$36,490.50 |
$24,061.80
|
|
Ins/rpl ldless pm right vent w img & eval
|
$21,457.50 |
$21,457.50 |
$21,457.50 |
$24,135.54
|
|
Ins/rpl pm gen exist dual lead
|
$5,143.50 |
$5,143.50 |
$5,143.50 |
$11,005.50
|
|
Ins/rpl pm gen exist sgl lead
|
$3,496.50 |
$3,496.50 |
$3,496.50 |
$9,428.64
|
