|
Ins cath ren art 1st bi
|
$2,210.46 |
$2,210.46 |
$2,210.46 |
$5,820.00
|
|
Ins cath ren art 1st uni
|
$2,132.55 |
$2,132.55 |
$2,132.55 |
$4,667.63
|
|
Ins cath ren art 2nd+ bi
|
$2,267.16 |
$2,267.16 |
$2,267.16 |
$5,475.60
|
|
Ins cath ren art 2nd+ uni
|
$2,267.16 |
$2,267.16 |
$2,267.16 |
$5,395.20
|
|
Ins cerv dilator (sep proc)
|
$179.13 |
$179.13 |
$179.13 |
$464.75
|
|
Insert abdomen-venous drain
|
$1,880.55 |
$1,880.55 |
$1,880.55 |
$3,199.20
|
|
Insert cath pleura with image
|
$673.68 |
$673.68 |
$673.68 |
$2,164.52
|
|
Insert cath pleura without image
|
$582.54 |
$582.54 |
$582.54 |
$2,019.81
|
|
Insert drug delivery implant
|
$47.04 |
$47.04 |
$47.04 |
$280.00
|
|
Insert electrodes for eeg
|
$88.83 |
$88.83 |
$88.83 |
$564.20
|
|
Insert hepatic shunt (tips)
|
$6,178.41 |
$6,178.41 |
$6,178.41 |
$8,018.40
|
|
Insertion catheter bladder non indwelling
|
$48.09 |
$48.09 |
$48.09 |
$208.01
|
|
Insertion catheter bladder temporary simple
|
$48.09 |
$48.09 |
$48.09 |
$235.20
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$1,917.09 |
$1,917.09 |
$1,917.09 |
$4,747.60
|
|
Insertion intra aortic balloon assist device percutaneous
|
$3,184.86 |
$3,184.86 |
$3,184.86 |
$2,574.60
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$2,151.03 |
$2,151.03 |
$2,151.03 |
$7,082.35
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$455.70 |
$455.70 |
$455.70 |
$2,553.60
|
|
Insertion of catheter vein
|
$599.34 |
$599.34 |
$599.34 |
$1,657.32
|
|
Insertion of catheter vein
|
$140.70 |
$140.70 |
$140.70 |
$858.05
|
|
Insertion of heart electrode 33211
|
$3,811.29 |
$3,811.29 |
$3,811.29 |
$7,048.60
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$10,302.60 |
$10,302.60 |
$10,302.60 |
$12,843.00
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$10,302.60 |
$10,302.60 |
$10,302.60 |
$12,384.25
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$11,393.13 |
$11,393.13 |
$11,393.13 |
$10,309.20
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$850.29 |
$850.29 |
$850.29 |
$2,079.43
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$978.60 |
$978.60 |
$978.60 |
$2,414.10
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$17,911.32 |
$17,911.32 |
$17,911.32 |
$29,042.52
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$4,140.78 |
$4,140.78 |
$4,140.78 |
$7,388.80
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$3,811.29 |
$3,811.29 |
$3,811.29 |
$7,447.01
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$5,446.56 |
$5,446.56 |
$5,446.56 |
$9,390.55
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$1,887.06 |
$1,887.06 |
$1,887.06 |
$5,236.80
|
|
Insert pm/icd lead dual
|
$3,811.29 |
$3,811.29 |
$3,811.29 |
$7,378.28
|
|
Insert/repl sq defib w/eltrd
|
$16,581.18 |
$16,581.18 |
$16,581.18 |
$32,664.00
|
|
Insert sq defib electrode
|
$3,521.28 |
$3,521.28 |
$3,521.28 |
$7,872.15
|
|
Insert swan-ganz cath
|
$1,038.45 |
$1,038.45 |
$1,038.45 |
$2,271.60
|
|
Insert vad art access left hrt arterial access
|
$3,184.86 |
$3,184.86 |
$3,184.86 |
$4,504.50
|
|
Ins icd gen exist mlt leads
|
$16,612.47 |
$16,612.47 |
$16,612.47 |
$31,286.77
|
|
Ins icd gen exist sgl lead
|
$15,246.00 |
$15,246.00 |
$15,246.00 |
$23,742.75
|
|
Insitu hybridization auto
|
$575.40 |
$575.40 |
$575.40 |
$377.37
|
|
Insitu hybridization (fish)
|
$133.56 |
$133.56 |
$133.56 |
$481.60
|
|
Insitu hybridization manual
|
$115.29 |
$115.29 |
$115.29 |
$393.13
|
|
In situ hybridization per specimen each additional single probe stain
|
$72.87 |
$72.87 |
$72.87 |
$243.50
|
|
In situ hybridization per specimen initial single probe stain
|
$107.31 |
$107.31 |
$107.31 |
$335.00
|
|
Insj phrnc nrv stim sys
|
$17,712.66 |
$17,712.66 |
$17,712.66 |
$52,995.29
|
|
Insj phrnc nrv stim transvns
|
$4,428.27 |
$4,428.27 |
$4,428.27 |
$13,142.86
|
|
Ins lv lead exist pm/icd
|
$11,393.13 |
$11,393.13 |
$11,393.13 |
$12,384.25
|
|
Ins mark abd/pel for right perq
|
$710.01 |
$710.01 |
$710.01 |
$2,434.90
|
|
Ins mark thor for right perq
|
$646.80 |
$646.80 |
$646.80 |
$2,503.80
|
|
Insole orthotic freedom sz6 6816
|
$43.68 |
$43.68 |
$43.68 |
$100.10
|
|
Ins picad w subq port 5yr>
|
$1,090.11 |
$1,090.11 |
$1,090.11 |
$4,060.80
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$548.31 |
$548.31 |
$548.31 |
$1,608.54
|
|
Ins pm gen exist dual lead
|
$15,820.98 |
$15,820.98 |
$15,820.98 |
$24,696.00
|
|
Ins pm gen w/exist mlt leads
|
$9,811.83 |
$9,811.83 |
$9,811.83 |
$14,804.40
|
|
Ins pq tunnld ip cath w/img
|
$1,981.98 |
$1,981.98 |
$1,981.98 |
$5,377.00
|
|
Ins/rpl ldless pm right vent w img & eval
|
$7,882.56 |
$7,882.56 |
$7,882.56 |
$24,135.54
|
|
Ins/rpl pm gen exist dual lead
|
$8,099.49 |
$8,099.49 |
$8,099.49 |
$11,412.00
|
|
Ins/rpl pm gen exist sgl lead
|
$8,099.49 |
$8,099.49 |
$8,099.49 |
$9,705.00
|
|
Ins/rpl pm w/tv ld atrl
|
$10,302.60 |
$10,302.60 |
$10,302.60 |
$11,969.00
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$21,582.96 |
$21,582.96 |
$21,582.96 |
$25,694.00
|
|
Inst fibrinolysis agent ini day
|
$454.23 |
$454.23 |
$454.23 |
$1,036.05
|
|
Inst fibrinolysis agent sbsq d
|
$446.88 |
$446.88 |
$446.88 |
$997.05
|
|
Instillation anticarcinogenic agent bladder
|
$221.76 |
$221.76 |
$221.76 |
$645.01
|
|
Ins tun cv cath wo subq prt/pm
|
$1,909.32 |
$1,909.32 |
$1,909.32 |
$5,324.80
|
|
Ins tun cv cath wo subq prt/pm
|
$1,476.09 |
$1,476.09 |
$1,476.09 |
$4,218.00
|
|
Inst via cath agent pleurds
|
$262.92 |
$262.92 |
$262.92 |
$1,093.50
|
|
Insulin total
|
$55.02 |
$55.02 |
$55.02 |
$66.64
|
|
Ins vag brachytx device
|
$114.87 |
$114.87 |
$114.87 |
$909.35
|
|
Intens cardiac rehab no exer
|
$85.26 |
$85.26 |
$85.26 |
$238.40
|
|
Intens cardiac rehab w/exerc
|
$85.26 |
$85.26 |
$85.26 |
$238.40
|
|
Interdiscal perq aspir dx
|
$274.26 |
$274.26 |
$274.26 |
$1,212.50
|
|
Interrogate subq defib
|
$29.61 |
$29.61 |
$29.61 |
$119.60
|
|
Interrogation vad in person
|
$69.09 |
$69.09 |
$69.09 |
$296.40
|
|
Interrog dev eval icpms ip
|
$42.00 |
$42.00 |
$42.00 |
$104.00
|
|
Interrog dev eval scrms ip
|
$42.00 |
$42.00 |
$42.00 |
$124.80
|
|
Interrog device eval heart
|
$42.00 |
$42.00 |
$42.00 |
$168.30
|
|
Interrog evl pm/ldls pm ip
|
$29.61 |
$29.61 |
$29.61 |
$124.80
|
|
Interrog&prgrmg ipnss
|
$54.60 |
$54.60 |
$54.60 |
$200.00
|
|
Interrog&prgrmg ipnss polysm
|
$168.21 |
$168.21 |
$168.21 |
$422.32
|
|
Interrog without prgrmg ipnss
|
$54.60 |
$54.60 |
$54.60 |
$147.00
|
|
Intra-atrial pacing
|
$2,573.55 |
$2,573.55 |
$2,573.55 |
$4,780.80
|
|
Intra-atrial recording
|
$2,573.55 |
$2,573.55 |
$2,573.55 |
$5,483.09
|
|
Intracard echo interv w/s&i
|
$2,068.50 |
$2,068.50 |
$2,068.50 |
$3,502.20
|
|
Intracran angioplsty w/stent
|
$5,300.61 |
$5,300.61 |
$5,300.61 |
$8,322.00
|
|
Intracranial angioplasty
|
$3,376.17 |
$3,376.17 |
$3,376.17 |
$5,350.00
|
|
Intracranial complete study
|
$265.86 |
$265.86 |
$265.86 |
$900.24
|
|
Intracranial limited study
|
$253.47 |
$253.47 |
$253.47 |
$478.00
|
|
Intrapul surf admin endo tube
|
$55.02 |
$55.02 |
$55.02 |
$222.50
|
|
Intraventricular pacing
|
$2,573.55 |
$2,573.55 |
$2,573.55 |
$5,609.50
|
|
Intrinsic factor antibody
|
$126.00 |
$126.00 |
$126.00 |
$64.41
|
|
Intro cath dialysis circuit
|
$304.92 |
$304.92 |
$304.92 |
$2,073.03
|
|
Intro cath dialysis circuit w/pta
|
$2,148.30 |
$2,148.30 |
$2,148.30 |
$8,717.80
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$4,342.80 |
$4,342.80 |
$4,342.80 |
$15,671.00
|
|
Intro catheter aorta
|
$387.87 |
$387.87 |
$387.87 |
$1,678.05
|
|
Intro cath svc/ivc
|
$476.28 |
$476.28 |
$476.28 |
$1,346.13
|
|
Intro long gi tube
|
$346.08 |
$346.08 |
$346.08 |
$959.62
|
|
Intro long gi tube w/mult fluo
|
$95.34 |
$95.34 |
$95.34 |
$457.60
|
|
Intro windpipe wire/tube
|
$592.83 |
$592.83 |
$592.83 |
$2,369.76
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$2,110.50 |
$2,110.50 |
$2,110.50 |
$3,472.95
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$2,110.50 |
$2,110.50 |
$2,110.50 |
$1,759.83
|
|
Intubation endotracheal emergency procedure
|
$311.64 |
$311.64 |
$311.64 |
$600.60
|
|
Iodine i-123 sod iodide mil
|
$294.62 |
$294.62 |
$294.62 |
$370.50
|