|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
|
$202.86 |
$202.86 |
$202.86 |
$2,251.00
|
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
|
$859.32 |
$859.32 |
$859.32 |
$1,829.28
|
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
|
$859.32 |
$859.32 |
$859.32 |
$1,758.12
|
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
|
$315.42 |
$315.42 |
$315.42 |
$472.76
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$362.88 |
$362.88 |
$362.88 |
$552.60
|
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
|
$362.88 |
$362.88 |
$362.88 |
$670.00
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$104.16 |
$104.16 |
$104.16 |
$168.05
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$104.16 |
$104.16 |
$104.16 |
$154.05
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$116.34 |
$116.34 |
$116.34 |
$271.65
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$128.94 |
$128.94 |
$128.94 |
$141.60
|
|
Injection treatment of eye
|
$3,138.66 |
$3,138.66 |
$3,138.66 |
$2,698.92
|
|
Inject sacroiliac joint
|
$244.02 |
$244.02 |
$244.02 |
$1,090.00
|
|
Inj epidural sgl cerv-thor without img
|
$859.32 |
$859.32 |
$859.32 |
$1,366.20
|
|
Inj epidural sgl lumb-sacral without img
|
$1,136.10 |
$1,136.10 |
$1,136.10 |
$1,450.84
|
|
Inj for ext venography
|
$124.32 |
$124.32 |
$124.32 |
$737.55
|
|
Inj intralesional <= 7 lsn(s)
|
$240.66 |
$240.66 |
$240.66 |
$241.74
|
|
Inj intralesional > 7 lsns
|
$36.96 |
$36.96 |
$36.96 |
$234.00
|
|
Inj, kovaltry, 1 i.u
|
$27,866.44 |
$27,866.44 |
$27,866.44 |
$1.48
|
|
Inj, levothyroxine, freskabi
|
$616.56 |
$616.56 |
$616.56 |
$302.07
|
|
Inj meropenem (wg crit care)
|
$239.04 |
$239.04 |
$239.04 |
$104.29
|
|
Inj pantoprazole(hikma) 40mg
|
$56.70 |
$56.70 |
$56.70 |
$36.04
|
|
Inj proc elbow arthro
|
$126.00 |
$126.00 |
$126.00 |
$453.60
|
|
Inj progesterone per 50 mg
|
$1.26 |
$1.26 |
$1.26 |
$48.51
|
|
Inj testostero enanthate 1mg
|
$28.35 |
$28.35 |
$28.35 |
$50.85
|
|
Inj testosterone cypionate
|
$96.18 |
$96.18 |
$96.18 |
$77.15
|
|
Ins cath ren art 1st uni
|
$6,259.68 |
$6,259.68 |
$6,259.68 |
$4,667.63
|
|
Ins cerv dilator (sep proc)
|
$389.34 |
$389.34 |
$389.34 |
$544.00
|
|
Insert and remove bone pin
|
$3,969.00 |
$3,969.00 |
$3,969.00 |
$4,335.60
|
|
Insert cath pleura with image
|
$2,244.07 |
$2,244.07 |
$2,244.07 |
$2,239.02
|
|
Insert cath pleura without image
|
$1,837.66 |
$1,837.66 |
$1,837.66 |
$2,212.00
|
|
Insert drug delivery implant
|
$63.00 |
$63.00 |
$63.00 |
$285.80
|
|
Insert intrauterine device iud
|
$105.00 |
$105.00 |
$105.00 |
$378.83
|
|
Insertion catheter bladder non indwelling
|
$133.98 |
$133.98 |
$133.98 |
$237.13
|
|
Insertion catheter bladder temporary simple
|
$252.00 |
$252.00 |
$252.00 |
$273.60
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$10,493.28 |
$10,493.28 |
$10,493.28 |
$4,943.21
|
|
Insertion intra aortic balloon assist device percutaneous
|
$2,641.38 |
$2,641.38 |
$2,641.38 |
$2,549.95
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$1,212.12 |
$1,212.12 |
$1,212.12 |
$2,618.40
|
|
Insertion of catheter vein
|
$124.32 |
$124.32 |
$124.32 |
$1,749.80
|
|
Insertion of heart electrode 33211
|
$11,182.50 |
$11,182.50 |
$11,182.50 |
$9,090.00
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$15,709.68 |
$15,709.68 |
$15,709.68 |
$14,158.20
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$1,803.48 |
$1,803.48 |
$1,803.48 |
$2,079.43
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$2,440.20 |
$2,440.20 |
$2,440.20 |
$2,527.91
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$6,562.08 |
$6,562.08 |
$6,562.08 |
$29,997.52
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$11,182.50 |
$11,182.50 |
$11,182.50 |
$7,572.47
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$5,133.66 |
$5,133.66 |
$5,133.66 |
$7,673.12
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$740.88 |
$740.88 |
$740.88 |
$9,793.46
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$6,220.62 |
$6,220.62 |
$6,220.62 |
$5,470.54
|
|
Insertion ureth cath
|
$2,695.56 |
$2,695.56 |
$2,695.56 |
$2,424.12
|
|
Insert pessary/other device
|
$237.72 |
$237.72 |
$237.72 |
$278.90
|
|
Insert prost urethral stent
|
$2,472.96 |
$2,472.96 |
$2,472.96 |
$2,424.12
|
|
Insert/repl sq defib w/eltrd
|
$33,814.62 |
$33,814.62 |
$33,814.62 |
$33,948.20
|
|
Insert sq defib electrode
|
$5,189.94 |
$5,189.94 |
$5,189.94 |
$8,167.68
|
|
In situ hybridization per specimen initial single probe stain
|
$527.10 |
$527.10 |
$527.10 |
$338.40
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$670.74 |
$670.74 |
$670.74 |
$1,483.95
|
|
Ins/rpl pm w/tv ld atrl
|
$10,898.58 |
$10,898.58 |
$10,898.58 |
$12,384.25
|
|
Inst fibrinolysis agent ini day
|
$536.34 |
$536.34 |
$536.34 |
$1,095.00
|
|
Ins tun cv cath wo subq prt/pm
|
$8,516.76 |
$8,516.76 |
$8,516.76 |
$5,888.85
|
|
Ins tun cv cath wo subq prt/pm
|
$4,965.24 |
$4,965.24 |
$4,965.24 |
$4,748.00
|
|
Ins tun intraperit dia cath
|
$5,147.52 |
$5,147.52 |
$5,147.52 |
$4,657.46
|
|
Insulin total
|
$67.62 |
$67.62 |
$67.62 |
$67.60
|
|
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm
|
$11,300.99 |
$11,300.99 |
$11,300.99 |
$10,179.63
|
|
Integra meshed bil wound mat
|
$32,600.91 |
$32,600.91 |
$32,600.91 |
$24,354.93
|
|
Integra os putty 2.5cc - cost per 0.5cc
|
$3,516.24 |
$3,516.24 |
$3,516.24 |
$3,160.50
|
|
Interdental fixation
|
$1,850.94 |
$1,850.94 |
$1,850.94 |
$2,133.48
|
|
Intermediate visual field xm
|
$49.98 |
$49.98 |
$49.98 |
$73.50
|
|
Int hrhc lig 1 hroid without img
|
$3,425.94 |
$3,425.94 |
$3,425.94 |
$3,245.23
|
|
Intranasal biopsy 30100
|
$1,850.94 |
$1,850.94 |
$1,850.94 |
$1,850.94
|
|
Intraoral i+d tongue/floor lingual 41000
|
$609.42 |
$609.42 |
$609.42 |
$1,182.15
|
|
Intrm oph exam est patient
|
$61.32 |
$61.32 |
$61.32 |
$161.46
|
|
Intro cath dialysis circuit w/pta
|
$8,138.76 |
$8,138.76 |
$8,138.76 |
$8,761.00
|
|
Intro catheter aorta
|
$2,411.22 |
$2,411.22 |
$2,411.22 |
$1,861.61
|
|
Intro long gi tube
|
$957.18 |
$957.18 |
$957.18 |
$1,036.00
|
|
Intro long gi tube w/mult fluo
|
$345.24 |
$345.24 |
$345.24 |
$477.85
|
|
Intro windpipe wire/tube
|
$2,323.44 |
$2,323.44 |
$2,323.44 |
$2,316.30
|
|
Intubation endotracheal emergency procedure
|
$552.72 |
$552.72 |
$552.72 |
$617.60
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$37.80 |
$37.80 |
$37.80 |
$153.98
|
|
Ipratropium bromide non-comp
|
$4.62 |
$4.62 |
$4.62 |
$7.57
|
|
Iron
|
$38.22 |
$38.22 |
$38.22 |
$70.72
|
|
Iron binding capacity
|
$51.66 |
$51.66 |
$51.66 |
$63.00
|
|
Iron dextran 50 mg/ml injection solution
|
$75.16 |
$75.16 |
$75.16 |
$62.70
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$130.53 |
$130.53 |
$130.53 |
$198.01
|
|
Irrigation implantable venous access device for drug delivery systems
|
$66.78 |
$66.78 |
$66.78 |
$154.50
|
|
Ivc venogram s&i
|
$6,708.66 |
$6,708.66 |
$6,708.66 |
$3,332.55
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$225.12 |
$225.12 |
$225.12 |
$191.75
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$225.12 |
$225.12 |
$225.12 |
$174.40
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$225.12 |
$225.12 |
$225.12 |
$155.00
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$386.82 |
$386.82 |
$386.82 |
$460.85
|
|
Ivp w/wo kub w/wo tomography
|
$380.94 |
$380.94 |
$380.94 |
$713.05
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$56.70 |
$56.70 |
$56.70 |
$30.08
|
|
Kidney img w/bldflw sgl without rx
|
$1,092.00 |
$1,092.00 |
$1,092.00 |
$1,468.04
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$375.06 |
$375.06 |
$375.06 |
$668.25
|
|
Kit cath f 8f w/glv + wipe ster
|
$12.34 |
$12.34 |
$12.34 |
$8.68
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$9,159.36 |
$9,159.36 |
$9,159.36 |
$9,384.04
|
|
Kit hfx iq ipg bundle
|
$27,909.00 |
$27,909.00 |
$27,909.00 |
$28,974.93
|
|
Kit ipg optimizer smart
|
$46,737.60 |
$46,737.60 |
$46,737.60 |
$46,737.60
|
|
Kit lead specify 5-6-5
|
$34,886.25 |
$34,886.25 |
$34,886.25 |
$17,205.92
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$2,021.99 |
$2,021.99 |
$2,021.99 |
$1,357.69
|
|
Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm
|
$5,628.61 |
$5,628.61 |
$5,628.61 |
$5,329.23
|
|
Kit sound processor cochlear osia 2
|
$10,895.93 |
$10,895.93 |
$10,895.93 |
$10,444.90
|
|
Kit tissue closure sealant adhesive air leak progel 4 ml pleura
|
$2,725.63 |
$2,725.63 |
$2,725.63 |
$2,087.65
|
