|
Insertion of catheter vein
|
$1,565.00 |
$1,565.00 |
$1,565.00 |
$1,477.00
|
|
Insertion of catheter vein
|
$1,915.50 |
$1,915.50 |
$1,915.50 |
$836.25
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$29,386.50 |
$29,386.50 |
$29,386.50 |
$12,384.25
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$18,922.50 |
$18,922.50 |
$18,922.50 |
$12,384.25
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$29,386.00 |
$29,386.00 |
$29,386.00 |
$10,100.35
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$3,844.50 |
$3,844.50 |
$3,844.50 |
$2,079.50
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$3,844.50 |
$3,844.50 |
$3,844.50 |
$2,419.65
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$41,199.50 |
$41,199.50 |
$41,199.50 |
$29,042.52
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$7,286.00 |
$7,286.00 |
$7,286.00 |
$7,200.05
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$10,071.00 |
$10,071.00 |
$10,071.00 |
$7,312.80
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$11,592.00 |
$11,592.00 |
$11,592.00 |
$9,332.50
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$8,316.00 |
$8,316.00 |
$8,316.00 |
$5,223.20
|
|
Insert picvad cath
|
$11,037.50 |
$11,037.50 |
$11,037.50 |
$4,195.00
|
|
Insert pm/icd lead dual
|
$10,071.00 |
$10,071.00 |
$10,071.00 |
$7,115.20
|
|
Insert/repl sq defib w/eltrd
|
$30,878.50 |
$30,878.50 |
$30,878.50 |
$32,800.04
|
|
Insert sq defib electrode
|
$5,680.00 |
$5,680.00 |
$5,680.00 |
$8,167.68
|
|
Insert swan-ganz cath
|
$2,101.50 |
$2,101.50 |
$2,101.50 |
$2,210.50
|
|
Insert tunneled cv cath
|
$8,316.00 |
$8,316.00 |
$8,316.00 |
$4,520.00
|
|
Insert tunneled cv cath
|
$8,313.00 |
$8,313.00 |
$8,313.00 |
$5,983.35
|
|
Insert vad art access left hrt arterial access
|
$15,224.50 |
$15,224.50 |
$15,224.50 |
$4,270.75
|
|
Ins icd gen exist mlt leads
|
$41,199.50 |
$41,199.50 |
$41,199.50 |
$31,286.77
|
|
Ins icd gen exist sgl lead
|
$41,199.50 |
$41,199.50 |
$41,199.50 |
$23,230.50
|
|
In situ hybridization per specimen each additional single probe stain
|
$180.50 |
$180.50 |
$180.50 |
$241.15
|
|
In situ hybridization per specimen initial single probe stain
|
$241.00 |
$241.00 |
$241.00 |
$331.69
|
|
Insj perq vad r hrt venous
|
$2,371.00 |
$2,371.00 |
$2,371.00 |
$3,796.00
|
|
Ins lv lead exist pm/icd
|
$29,386.50 |
$29,386.50 |
$29,386.50 |
$12,384.25
|
|
Ins picad w subq port 5yr>
|
$11,034.00 |
$11,034.00 |
$11,034.00 |
$3,985.20
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$3,844.50 |
$3,844.50 |
$3,844.50 |
$1,690.00
|
|
Ins pm gen exist dual lead
|
$41,199.50 |
$41,199.50 |
$41,199.50 |
$23,665.85
|
|
Ins pm gen w/exist mlt leads
|
$10,071.00 |
$10,071.00 |
$10,071.00 |
$14,804.40
|
|
Ins pq tunnld ip cath w/img
|
$13,449.00 |
$13,449.00 |
$13,449.00 |
$5,377.00
|
|
Ins/rpl ldless pm right vent w img & eval
|
$17,553.50 |
$17,553.50 |
$17,553.50 |
$24,135.54
|
|
Ins/rpl pm gen exist dual lead
|
$22,061.00 |
$22,061.00 |
$22,061.00 |
$11,005.50
|
|
Ins/rpl pm gen exist sgl lead
|
$15,255.50 |
$15,255.50 |
$15,255.50 |
$9,428.64
|
|
Ins/rpl pm w/tv ld atrl
|
$18,922.50 |
$18,922.50 |
$18,922.50 |
$11,583.66
|
|
Instll rx agnt into rnal tub
|
$225.50 |
$225.50 |
$225.50 |
$619.20
|
|
Ins tun cv cath wo subq prt/pm
|
$13,449.00 |
$13,449.00 |
$13,449.00 |
$5,324.80
|
|
Ins tun cv cath wo subq prt/pm
|
$11,037.50 |
$11,037.50 |
$11,037.50 |
$4,202.70
|
|
Insulin total
|
$284.50 |
$284.50 |
$284.50 |
$66.64
|
|
Integra meshed bil wound mat
|
$187.00 |
$187.00 |
$187.00 |
$9,924.16
|
|
Integra os putty 2.5cc - cost per 0.5cc
|
$1,924.00 |
$1,924.00 |
$1,924.00 |
$3,803.11
|
|
Interdiscal perq aspir dx
|
$1,556.50 |
$1,556.50 |
$1,556.50 |
$1,222.26
|
|
Interfyl, 1 mg
|
$14.00 |
$14.00 |
$14.00 |
$4,656.80
|
|
Interrogate subq defib
|
$44.50 |
$44.50 |
$44.50 |
$119.60
|
|
Interrog evl pm/ldls pm ip
|
$47.50 |
$47.50 |
$47.50 |
$124.80
|
|
Intra-atrial pacing
|
$2,121.00 |
$2,121.00 |
$2,121.00 |
$4,780.80
|
|
Intra-atrial recording
|
$2,216.50 |
$2,216.50 |
$2,216.50 |
$5,252.30
|
|
Intracard echo interv w/s&i
|
$696.00 |
$696.00 |
$696.00 |
$3,461.04
|
|
Intracranial complete study
|
$1,261.00 |
$1,261.00 |
$1,261.00 |
$874.99
|
|
Intracranial limited study
|
$882.00 |
$882.00 |
$882.00 |
$465.01
|
|
Intraop epicard/endocard/pace/map/ 93631
|
$1,272.50 |
$1,272.50 |
$1,272.50 |
$3,690.00
|
|
Intrapul surf admin endo tube
|
$192.00 |
$192.00 |
$192.00 |
$220.80
|
|
Intraventricular pacing
|
$2,216.50 |
$2,216.50 |
$2,216.50 |
$5,456.17
|
|
Intrinsic factor antibody
|
$264.00 |
$264.00 |
$264.00 |
$63.15
|
|
Intro cath dialysis circuit
|
$4,896.50 |
$4,896.50 |
$4,896.50 |
$2,036.94
|
|
Intro cath dialysis circuit w/pta
|
$20,518.50 |
$20,518.50 |
$20,518.50 |
$8,690.50
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$40,160.00 |
$40,160.00 |
$40,160.00 |
$16,262.40
|
|
Intro catheter aorta
|
$1,259.00 |
$1,259.00 |
$1,259.00 |
$1,654.05
|
|
Intro cath svc/ivc
|
$2,295.50 |
$2,295.50 |
$2,295.50 |
$1,323.27
|
|
Intro long gi tube
|
$1,035.00 |
$1,035.00 |
$1,035.00 |
$957.18
|
|
Intro long gi tube w/mult fluo
|
$647.00 |
$647.00 |
$647.00 |
$466.00
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$518.00 |
$518.00 |
$518.00 |
$3,409.29
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$4,652.00 |
$4,652.00 |
$4,652.00 |
$1,747.80
|
|
Intubation endotracheal emergency procedure
|
$427.50 |
$427.50 |
$427.50 |
$598.80
|
|
Ionm in operatng room 15 min
|
$152.00 |
$152.00 |
$152.00 |
$200.16
|
|
Ionm remote/>1 pt or per hr
|
$607.00 |
$607.00 |
$607.00 |
$622.70
|
|
Iron
|
$146.00 |
$146.00 |
$146.00 |
$72.29
|
|
Iron binding capacity
|
$146.00 |
$146.00 |
$146.00 |
$63.60
|
|
Irradiation of blood product each unit reference
|
$126.50 |
$126.50 |
$126.50 |
$114.40
|
|
Irrigation implantable venous access device for drug delivery systems
|
$138.00 |
$138.00 |
$138.00 |
$144.62
|
|
Ivc venogram s&i
|
$5,644.00 |
$5,644.00 |
$5,644.00 |
$3,316.95
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$259.50 |
$259.50 |
$259.50 |
$190.56
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$368.50 |
$368.50 |
$368.50 |
$159.00
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$178.00 |
$178.00 |
$178.00 |
$153.60
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$495.00 |
$495.00 |
$495.00 |
$437.45
|
|
Ivp w/nephrotomography
|
$941.00 |
$941.00 |
$941.00 |
$748.15
|
|
Ivp w/wo kub w/wo tomography
|
$493.50 |
$493.50 |
$493.50 |
$692.18
|
|
John cunningham antibody
|
$25.00 |
$25.00 |
$25.00 |
$66.31
|
|
Kafo femoral fx cast rigid
|
$4,512.50 |
$4,512.50 |
$4,512.50 |
$2,162.01
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$82.00 |
$82.00 |
$82.00 |
$58.50
|
|
Kidney imag w/bld flow multi
|
$1,940.50 |
$1,940.50 |
$1,940.50 |
$1,557.41
|
|
Kidney img w/bldflw sgl without rx
|
$1,299.50 |
$1,299.50 |
$1,299.50 |
$1,425.00
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$973.00 |
$973.00 |
$973.00 |
$673.36
|
|
Kit case 4.2mm spinejack
|
$2,804.50 |
$2,804.50 |
$2,804.50 |
$7,751.14
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$7,802.00 |
$7,802.00 |
$7,802.00 |
$9,482.25
|
|
Kit hfx iq ipg bundle
|
$44,761.00 |
$44,761.00 |
$44,761.00 |
$34,160.00
|
|
Kit lead specify 5-6-5
|
$32,709.50 |
$32,709.50 |
$32,709.50 |
$16,965.41
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$3,426.00 |
$3,426.00 |
$3,426.00 |
$1,667.50
|
|
Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm
|
$243.50 |
$243.50 |
$243.50 |
$923.90
|
|
Kit sound processor cochlear osia 2
|
$8,425.00 |
$8,425.00 |
$8,425.00 |
$8,425.00
|
|
Kit tissue closure sealant adhesive air leak progel 4 ml pleura
|
$2,254.50 |
$2,254.50 |
$2,254.50 |
$2,254.50
|
|
Knee MRI (with and without contrast)
|
$3,927.00 |
$3,927.00 |
$3,927.00 |
$3,008.26
|
|
Knee MRI (with contrast)
|
$4,247.00 |
$4,247.00 |
$4,247.00 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$2,708.50 |
$2,708.50 |
$2,708.50 |
$2,110.76
|
|
Knee X-ray
|
$693.50 |
$693.50 |
$693.50 |
$425.55
|
|
Ko derot ant cruciate custom
|
$54.50 |
$54.50 |
$54.50 |
$1,694.30
|
|
Kras gene variants exon 2
|
$378.00 |
$378.00 |
$378.00 |
$509.00
|
|
Lacer molded to patient mode
|
$882.50 |
$882.50 |
$882.50 |
$775.69
|
|
Lactate dehydrogenase (ldh)
|
$103.00 |
$103.00 |
$103.00 |
$55.50
|
|
Lactic acid
|
$320.50 |
$320.50 |
$320.50 |
$107.00
|
