|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$1,087.95 |
$1,087.95 |
$1,087.95 |
$5,223.20
|
|
Insert pessary/other device
|
$37.20 |
$37.20 |
$37.20 |
$278.50
|
|
Insert pm/icd lead dual
|
$1,898.55 |
$1,898.55 |
$1,898.55 |
$7,115.20
|
|
Insert/repl sq defib w/eltrd
|
$14,695.35 |
$14,695.35 |
$14,695.35 |
$32,800.04
|
|
Insert sq defib electrode
|
$3,993.30 |
$3,993.30 |
$3,993.30 |
$8,167.68
|
|
Insert swan-ganz cath
|
$1,818.15 |
$1,818.15 |
$1,818.15 |
$2,210.50
|
|
Insert tunneled cv 2cath 2sits without port/pmp 36565
|
$997.65 |
$997.65 |
$997.65 |
$4,803.00
|
|
Insert uteri tandem/ovoids
|
$834.90 |
$834.90 |
$834.90 |
$3,905.20
|
|
Insert vad art access left hrt arterial access
|
$5,365.20 |
$5,365.20 |
$5,365.20 |
$4,270.75
|
|
Insert vad art access left hrt art & vein access
|
$2,745.90 |
$2,745.90 |
$2,745.90 |
$3,677.40
|
|
Ins icd gen exist mlt leads
|
$13,264.80 |
$13,264.80 |
$13,264.80 |
$31,286.77
|
|
Ins icd gen exist sgl lead
|
$14,763.15 |
$14,763.15 |
$14,763.15 |
$23,230.50
|
|
Insitu hybridization auto
|
$222.45 |
$222.45 |
$222.45 |
$377.37
|
|
Insitu hybridization (fish)
|
$114.75 |
$114.75 |
$114.75 |
$481.60
|
|
Insitu hybridization manual
|
$192.90 |
$192.90 |
$192.90 |
$401.28
|
|
In situ hybridization per specimen each additional single probe stain
|
$93.30 |
$93.30 |
$93.30 |
$241.15
|
|
In situ hybridization per specimen initial single probe stain
|
$134.85 |
$134.85 |
$134.85 |
$331.69
|
|
Insj perq vad r hrt venous
|
$414.00 |
$414.00 |
$414.00 |
$3,796.00
|
|
Insj phrnc nrv stim sys
|
$13,975.20 |
$13,975.20 |
$13,975.20 |
$52,995.29
|
|
Insj phrnc nrv stim transvns
|
$5,332.95 |
$5,332.95 |
$5,332.95 |
$13,142.86
|
|
Ins left heart vent thor inscn ecmo
|
$463.05 |
$463.05 |
$463.05 |
$1,901.60
|
|
Ins lv lead exist pm/icd
|
$2,714.40 |
$2,714.40 |
$2,714.40 |
$12,384.25
|
|
Ins mark abd/pel for right perq
|
$567.75 |
$567.75 |
$567.75 |
$2,414.36
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$1,079.10 |
$1,079.10 |
$1,079.10 |
$1,690.00
|
|
Ins pm gen exist dual lead
|
$13,264.80 |
$13,264.80 |
$13,264.80 |
$23,665.85
|
|
Ins pm gen w/exist mlt leads
|
$4,020.60 |
$4,020.60 |
$4,020.60 |
$14,804.40
|
|
Ins pq tunnld ip cath w/img
|
$1,120.80 |
$1,120.80 |
$1,120.80 |
$5,377.00
|
|
Ins/rpl ldless pm right vent w img & eval
|
$6,987.45 |
$6,987.45 |
$6,987.45 |
$24,135.54
|
|
Ins/rpl pm gen exist dual lead
|
$4,157.25 |
$4,157.25 |
$4,157.25 |
$11,005.50
|
|
Ins/rpl pm gen exist sgl lead
|
$3,980.85 |
$3,980.85 |
$3,980.85 |
$9,428.64
|
|
Ins/rpl pm w/tv ld atrl
|
$3,981.15 |
$3,981.15 |
$3,981.15 |
$11,583.66
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$16,704.15 |
$16,704.15 |
$16,704.15 |
$25,694.00
|
|
Instillation anticarcinogenic agent bladder
|
$201.90 |
$201.90 |
$201.90 |
$621.40
|
|
Instll rx agnt into rnal tub
|
$129.00 |
$129.00 |
$129.00 |
$619.20
|
|
Ins tun cv cath wo subq prt/pm
|
$775.65 |
$775.65 |
$775.65 |
$4,202.70
|
|
Insulin total
|
$19.95 |
$19.95 |
$19.95 |
$66.64
|
|
Ins vag brachytx device
|
$335.10 |
$335.10 |
$335.10 |
$935.50
|
|
Integra meshed bil wound mat
|
$74.73 |
$74.73 |
$74.73 |
$9,924.16
|
|
Intens cardiac rehab no exer
|
$56.85 |
$56.85 |
$56.85 |
$238.40
|
|
Intens cardiac rehab w/exerc
|
$56.85 |
$56.85 |
$56.85 |
$238.40
|
|
Interdiscal perq aspir dx
|
$267.00 |
$267.00 |
$267.00 |
$1,222.26
|
|
Interrog dev eval scrms ip
|
$513.90 |
$513.90 |
$513.90 |
$124.80
|
|
Interrog device eval heart
|
$513.90 |
$513.90 |
$513.90 |
$162.40
|
|
Interrog evl pm/ldls pm ip
|
$513.90 |
$513.90 |
$513.90 |
$124.80
|
|
Interrog&prgrmg ipnss
|
$47.55 |
$47.55 |
$47.55 |
$200.00
|
|
Interrog&prgrmg ipnss polysm
|
$147.00 |
$147.00 |
$147.00 |
$422.32
|
|
Interrog without prgrmg ipnss
|
$147.00 |
$147.00 |
$147.00 |
$147.00
|
|
Intra-atrial pacing
|
$1,142.25 |
$1,142.25 |
$1,142.25 |
$4,780.80
|
|
Intra-atrial recording
|
$1,142.25 |
$1,142.25 |
$1,142.25 |
$5,252.30
|
|
Intracard echo interv w/s&i
|
$513.90 |
$513.90 |
$513.90 |
$3,461.04
|
|
Intracranial angioplasty
|
$1,912.80 |
$1,912.80 |
$1,912.80 |
$4,962.40
|
|
Intracranial complete study
|
$317.55 |
$317.55 |
$317.55 |
$874.99
|
|
Intracranial limited study
|
$229.50 |
$229.50 |
$229.50 |
$465.01
|
|
Intrapul surf admin endo tube
|
$58.65 |
$58.65 |
$58.65 |
$220.80
|
|
Intraventricular pacing
|
$1,142.25 |
$1,142.25 |
$1,142.25 |
$5,456.17
|
|
Intrinsic factor antibody
|
$26.40 |
$26.40 |
$26.40 |
$63.15
|
|
Intrm oph exam est patient
|
$58.35 |
$58.35 |
$58.35 |
$161.25
|
|
Intro cath dialysis circuit
|
$736.65 |
$736.65 |
$736.65 |
$2,036.94
|
|
Intro cath dialysis circuit w/pta
|
$2,648.25 |
$2,648.25 |
$2,648.25 |
$8,690.50
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$5,352.30 |
$5,352.30 |
$5,352.30 |
$16,262.40
|
|
Intro catheter aorta
|
$67.35 |
$67.35 |
$67.35 |
$1,654.05
|
|
Intro cath svc/ivc
|
$1,818.15 |
$1,818.15 |
$1,818.15 |
$1,323.27
|
|
Intro long gi tube
|
$329.25 |
$329.25 |
$329.25 |
$957.18
|
|
Intro long gi tube w/mult fluo
|
$71.70 |
$71.70 |
$71.70 |
$466.00
|
|
Intubation endotracheal emergency procedure
|
$235.05 |
$235.05 |
$235.05 |
$598.80
|
|
Iodine i-123 sod iodide mil
|
$49.95 |
$49.95 |
$49.95 |
$371.18
|
|
Iodine i-125 sodium iodide
|
$30.75 |
$30.75 |
$30.75 |
$245.64
|
|
Ionm in operatng room 15 min
|
$77.55 |
$77.55 |
$77.55 |
$200.16
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$45.83 |
$45.83 |
$45.83 |
$170.06
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$60.90 |
$60.90 |
$60.90 |
$288.11
|
|
Ip/obs cnsltj new/est low 45
|
$72.15 |
$72.15 |
$72.15 |
$174.20
|
|
Ip/obs cnsltj new/est mod 60
|
$91.95 |
$91.95 |
$91.95 |
$284.45
|
|
Ip/obs consltj new/est hi 80
|
$106.50 |
$106.50 |
$106.50 |
$332.80
|
|
Ip/obs consltj new/est sf 35
|
$56.85 |
$56.85 |
$56.85 |
$134.46
|
|
Ipratropium bromide non-comp
|
$1.09 |
$1.09 |
$1.09 |
$3.75
|
|
Iron
|
$11.40 |
$11.40 |
$11.40 |
$72.29
|
|
Iron binding capacity
|
$15.45 |
$15.45 |
$15.45 |
$63.60
|
|
Iron dextran 50 mg/ml injection solution
|
$32.43 |
$32.43 |
$32.43 |
$81.70
|
|
Iron stain peripheral blood
|
$11.40 |
$11.40 |
$11.40 |
$30.55
|
|
Irradiation of blood product each unit reference
|
$122.10 |
$122.10 |
$122.10 |
$114.40
|
|
Irrigation implantable venous access device for drug delivery systems
|
$29.40 |
$29.40 |
$29.40 |
$144.62
|
|
Ivc venogram s&i
|
$1,357.80 |
$1,357.80 |
$1,357.80 |
$3,316.95
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$43.95 |
$43.95 |
$43.95 |
$190.56
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$25.65 |
$25.65 |
$25.65 |
$159.00
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$36.00 |
$36.00 |
$36.00 |
$153.60
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$92.55 |
$92.55 |
$92.55 |
$437.45
|
|
IV inj ra drug dx study
|
$452.25 |
$452.25 |
$452.25 |
$552.60
|
|
Ivp w/nephrotomography
|
$105.90 |
$105.90 |
$105.90 |
$748.15
|
|
Ivp w/wo kub w/wo tomography
|
$119.55 |
$119.55 |
$119.55 |
$692.18
|
|
Jak2 targeted sequence analysis
|
$121.05 |
$121.05 |
$121.05 |
$393.43
|
|
John cunningham antibody
|
$25.20 |
$25.20 |
$25.20 |
$66.31
|
|
J-tube placement
|
$73.50 |
$73.50 |
$73.50 |
$593.08
|
|
Ketamine and metabolite screen - quest
|
$20.25 |
$20.25 |
$20.25 |
$72.14
|
|
Ketogenic steroids fract
|
$24.15 |
$24.15 |
$24.15 |
$82.80
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$14.40 |
$14.40 |
$14.40 |
$58.50
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$15.50 |
$15.50 |
$15.50 |
$23.77
|
|
Kidney imaging morphology
|
$452.25 |
$452.25 |
$452.25 |
$785.00
|
|
Kidney imag w/bld flow multi
|
$452.25 |
$452.25 |
$452.25 |
$1,557.41
|
|
Kidney img w/bldflw sgl without rx
|
$452.25 |
$452.25 |
$452.25 |
$1,425.00
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$101.55 |
$101.55 |
$101.55 |
$673.36
|
