|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$3,037.13 |
$3,037.13 |
$3,037.13 |
$7,088.54
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$1,553.65 |
$1,553.65 |
$1,553.65 |
$2,618.40
|
|
Insertion of catheter vein
|
$273.35 |
$273.35 |
$273.35 |
$1,749.80
|
|
Insertion of catheter vein
|
$247.63 |
$247.63 |
$247.63 |
$858.05
|
|
Insertion of heart electrode 33211
|
$1,879.33 |
$1,879.33 |
$1,879.33 |
$9,090.00
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$5,322.10 |
$5,322.10 |
$5,322.10 |
$14,158.20
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$2,501.45 |
$2,501.45 |
$2,501.45 |
$12,813.28
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$3,728.55 |
$3,728.55 |
$3,728.55 |
$9,855.00
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$741.30 |
$741.30 |
$741.30 |
$2,079.43
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$741.30 |
$741.30 |
$741.30 |
$2,527.91
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$12,598.08 |
$12,598.08 |
$12,598.08 |
$29,997.52
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$2,592.28 |
$2,592.28 |
$2,592.28 |
$7,572.47
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$2,127.30 |
$2,127.30 |
$2,127.30 |
$7,673.12
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$2,457.35 |
$2,457.35 |
$2,457.35 |
$9,793.46
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$1,503.25 |
$1,503.25 |
$1,503.25 |
$5,470.54
|
|
Insert palate implants
|
$1,147.30 |
$1,147.30 |
$1,147.30 |
$1,752.89
|
|
Insert pessary/other device
|
$63.18 |
$63.18 |
$63.18 |
$278.90
|
|
Insert picvad cath
|
$1,505.00 |
$1,505.00 |
$1,505.00 |
$4,490.00
|
|
Insert pm/icd lead dual
|
$1,612.10 |
$1,612.10 |
$1,612.10 |
$7,562.63
|
|
Insert swan-ganz cath
|
$565.43 |
$565.43 |
$565.43 |
$2,164.52
|
|
Insert tunneled cv 2cath 2sits without port/pmp 36565
|
$519.40 |
$519.40 |
$519.40 |
$4,705.13
|
|
Insert tunneled cv cath
|
$570.15 |
$570.15 |
$570.15 |
$4,520.00
|
|
Insert vad art access left hrt arterial access
|
$1,526.35 |
$1,526.35 |
$1,526.35 |
$5,062.80
|
|
Insert vad art access left hrt art & vein access
|
$1,362.90 |
$1,362.90 |
$1,362.90 |
$6,740.80
|
|
Ins icd gen exist mlt leads
|
$5,991.13 |
$5,991.13 |
$5,991.13 |
$31,286.77
|
|
Ins icd gen exist sgl lead
|
$4,094.65 |
$4,094.65 |
$4,094.65 |
$24,159.72
|
|
In situ hybridization per specimen each additional single probe stain
|
$185.68 |
$185.68 |
$185.68 |
$251.55
|
|
In situ hybridization per specimen initial single probe stain
|
$103.60 |
$103.60 |
$103.60 |
$338.40
|
|
Insj perq vad r hrt venous
|
$909.30 |
$909.30 |
$909.30 |
$4,981.60
|
|
Ins lv lead exist pm/icd
|
$2,832.55 |
$2,832.55 |
$2,832.55 |
$12,384.25
|
|
Ins picad w subq port 5yr>
|
$1,505.00 |
$1,505.00 |
$1,505.00 |
$4,341.66
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$296.63 |
$296.63 |
$296.63 |
$1,483.95
|
|
Ins pm gen exist dual lead
|
$5,557.13 |
$5,557.13 |
$5,557.13 |
$24,696.00
|
|
Ins pm gen w/exist mlt leads
|
$3,189.73 |
$3,189.73 |
$3,189.73 |
$15,600.75
|
|
Ins pq tunnld ip cath w/img
|
$1,030.05 |
$1,030.05 |
$1,030.05 |
$5,593.60
|
|
Ins/rplc spi npg/rcvr pocket
|
$8,175.30 |
$8,175.30 |
$8,175.30 |
$21,097.15
|
|
Ins/rpl ldless pm right vent w img & eval
|
$7,750.05 |
$7,750.05 |
$7,750.05 |
$24,135.54
|
|
Ins/rpl pm gen exist dual lead
|
$2,336.60 |
$2,336.60 |
$2,336.60 |
$11,593.70
|
|
Ins/rpl pm gen exist sgl lead
|
$2,347.80 |
$2,347.80 |
$2,347.80 |
$9,746.29
|
|
Ins/rpl pm w/tv ld atrl
|
$1,969.28 |
$1,969.28 |
$1,969.28 |
$12,384.25
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$11,599.88 |
$11,599.88 |
$11,599.88 |
$25,106.90
|
|
Instillation anticarcinogenic agent bladder
|
$33.60 |
$33.60 |
$33.60 |
$721.50
|
|
Ins tun cvad 2 cath w/subq port(s)
|
$1,899.10 |
$1,899.10 |
$1,899.10 |
$6,396.57
|
|
Ins tun cv cath wo subq prt/pm
|
$851.20 |
$851.20 |
$851.20 |
$5,888.85
|
|
Ins tun cv cath wo subq prt/pm
|
$570.85 |
$570.85 |
$570.85 |
$4,748.00
|
|
Ins tun intraperit dia cath
|
$2,093.53 |
$2,093.53 |
$2,093.53 |
$4,657.46
|
|
Insulin total
|
$37.98 |
$37.98 |
$37.98 |
$67.60
|
|
Integra meshed bil wound mat
|
$24,354.93 |
$24,354.93 |
$24,354.93 |
$24,354.93
|
|
Integra os putty 2.5cc - cost per 0.5cc
|
$9,244.90 |
$9,244.90 |
$9,244.90 |
$3,160.50
|
|
Interrogate subq defib
|
$13.48 |
$13.48 |
$13.48 |
$139.10
|
|
Interrog dev eval icpms ip
|
$7.18 |
$7.18 |
$7.18 |
$106.80
|
|
Interrog device eval heart
|
$14.88 |
$14.88 |
$14.88 |
$150.00
|
|
Interstitial brachy inter
|
$564.90 |
$564.90 |
$564.90 |
$1,244.40
|
|
Intra-atrial pacing
|
$1,156.93 |
$1,156.93 |
$1,156.93 |
$5,155.51
|
|
Intra-atrial recording
|
$1,156.93 |
$1,156.93 |
$1,156.93 |
$5,707.00
|
|
Intracard echo interv w/s&i
|
$1,997.80 |
$1,997.80 |
$1,997.80 |
$3,982.59
|
|
Intracran angioplsty w/stent
|
$1,763.13 |
$1,763.13 |
$1,763.13 |
$11,364.78
|
|
Intracranial angioplasty
|
$1,680.35 |
$1,680.35 |
$1,680.35 |
$7,149.60
|
|
Intranasal biopsy 30100
|
$30.80 |
$30.80 |
$30.80 |
$1,850.94
|
|
Intraoral i+d tongue/floor lingual 41000
|
$345.10 |
$345.10 |
$345.10 |
$1,182.15
|
|
Intraventricular pacing
|
$1,156.93 |
$1,156.93 |
$1,156.93 |
$5,775.22
|
|
Intrinsic factor antibody
|
$25.20 |
$25.20 |
$25.20 |
$59.95
|
|
Intro cath dialysis circuit
|
$2,397.50 |
$2,397.50 |
$2,397.50 |
$2,317.80
|
|
Intro cath dialysis circuit w/pta
|
$8,559.08 |
$8,559.08 |
$8,559.08 |
$8,761.00
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$16,470.83 |
$16,470.83 |
$16,470.83 |
$15,625.00
|
|
Intro catheter aorta
|
$1,028.48 |
$1,028.48 |
$1,028.48 |
$1,861.61
|
|
Intro cath svc/ivc
|
$417.38 |
$417.38 |
$417.38 |
$1,350.75
|
|
Intro long gi tube
|
$278.08 |
$278.08 |
$278.08 |
$1,036.00
|
|
Intro long gi tube w/mult fluo
|
$190.75 |
$190.75 |
$190.75 |
$477.85
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$898.10 |
$898.10 |
$898.10 |
$3,510.75
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$985.43 |
$985.43 |
$985.43 |
$1,825.16
|
|
Intubation endotracheal emergency procedure
|
$190.58 |
$190.58 |
$190.58 |
$617.60
|
|
Iodine i-123 sod iodide mil
|
$3.15 |
$3.15 |
$3.15 |
$677.98
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$4.20 |
$4.20 |
$4.20 |
$149.13
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$17.65 |
$17.65 |
$17.65 |
$153.98
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$1,255.41 |
$1,255.41 |
$1,255.41 |
$52,615.16
|
|
Ipratropium bromide non-comp
|
$0.53 |
$0.53 |
$0.53 |
$7.57
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$1.69 |
$1.69 |
$1.69 |
$227.39
|
|
Iron
|
$31.50 |
$31.50 |
$31.50 |
$70.72
|
|
Iron binding capacity
|
$30.28 |
$30.28 |
$30.28 |
$63.00
|
|
Iron dextran 50 mg/ml injection solution
|
$4.76 |
$4.76 |
$4.76 |
$62.70
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$5.22 |
$5.22 |
$5.22 |
$198.01
|
|
Irradiation of blood product each unit reference
|
$64.05 |
$64.05 |
$64.05 |
$124.24
|
|
Irrigation implantable venous access device for drug delivery systems
|
$51.45 |
$51.45 |
$51.45 |
$154.50
|
|
Ivc venogram s&i
|
$945.53 |
$945.53 |
$945.53 |
$3,332.55
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$84.35 |
$84.35 |
$84.35 |
$191.75
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$102.73 |
$102.73 |
$102.73 |
$174.40
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$62.65 |
$62.65 |
$62.65 |
$155.00
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$146.48 |
$146.48 |
$146.48 |
$460.85
|
|
Ivp w/wo kub w/wo tomography
|
$191.98 |
$191.98 |
$191.98 |
$713.05
|
|
J-tube placement
|
$99.75 |
$99.75 |
$99.75 |
$502.00
|
|
Ketamine and metabolite screen - quest
|
$3.68 |
$3.68 |
$3.68 |
$68.15
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$27.13 |
$27.13 |
$27.13 |
$56.61
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$2.45 |
$2.45 |
$2.45 |
$30.08
|
|
Kidney imag w/bld flow multi
|
$1,203.30 |
$1,203.30 |
$1,203.30 |
$1,566.50
|
|
Kidney img w/bldflw sgl without rx
|
$763.00 |
$763.00 |
$763.00 |
$1,468.04
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$274.58 |
$274.58 |
$274.58 |
$668.25
|
|
Kit case 4.2mm spinejack
|
$5,836.60 |
$5,836.60 |
$5,836.60 |
$7,751.14
|
|
Kit cast tcc 3in w/2reg boots total contact cast
|
$7.88 |
$7.88 |
$7.88 |
$100.00
|
|
Kit cath f 8f w/glv + wipe ster
|
$14.53 |
$14.53 |
$14.53 |
$8.68
|