|
Insertion of catheter vein
|
$2,045.00 |
$2,045.00 |
$2,045.00 |
$836.25
|
|
Insertion of heart electrode 33211
|
$4,245.00 |
$4,245.00 |
$4,245.00 |
$7,048.60
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$12,824.00 |
$12,824.00 |
$12,824.00 |
$12,508.08
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$12,824.00 |
$12,824.00 |
$12,824.00 |
$12,384.25
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$3,679.50 |
$3,679.50 |
$3,679.50 |
$10,285.70
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$2,313.00 |
$2,313.00 |
$2,313.00 |
$2,079.43
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$2,856.00 |
$2,856.00 |
$2,856.00 |
$2,414.10
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$34,463.00 |
$34,463.00 |
$34,463.00 |
$29,042.52
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$4,245.00 |
$4,245.00 |
$4,245.00 |
$7,216.00
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$4,153.50 |
$4,153.50 |
$4,153.50 |
$7,388.80
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$6,565.50 |
$6,565.50 |
$6,565.50 |
$9,390.55
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$3,317.50 |
$3,317.50 |
$3,317.50 |
$5,236.80
|
|
Insert pessary/other device
|
$223.00 |
$223.00 |
$223.00 |
$278.90
|
|
Insert picvad cath
|
$2,602.00 |
$2,602.00 |
$2,602.00 |
$4,201.80
|
|
Insert pm/icd lead dual
|
$4,153.50 |
$4,153.50 |
$4,153.50 |
$7,221.50
|
|
Insert/repl sq defib w/eltrd
|
$55,228.00 |
$55,228.00 |
$55,228.00 |
$32,052.60
|
|
Insert spine infusion device 62360
|
$9,248.00 |
$9,248.00 |
$9,248.00 |
$15,920.80
|
|
Insert sq defib electrode
|
$12,305.00 |
$12,305.00 |
$12,305.00 |
$7,792.26
|
|
Insert swan-ganz cath
|
$1,257.00 |
$1,257.00 |
$1,257.00 |
$2,346.51
|
|
Insert tunneled cv 2cath 2sits without port/pmp 36565
|
$4,803.00 |
$4,803.00 |
$4,803.00 |
$5,018.25
|
|
Insert tunneled cv cath
|
$2,762.50 |
$2,762.50 |
$2,762.50 |
$4,627.00
|
|
Insert tunneled cv cath
|
$7,965.00 |
$7,965.00 |
$7,965.00 |
$6,028.07
|
|
Insert uteri tandem/ovoids
|
$2,707.50 |
$2,707.50 |
$2,707.50 |
$3,940.00
|
|
Insert vad art access left hrt arterial access
|
$10,000.00 |
$10,000.00 |
$10,000.00 |
$4,504.50
|
|
Insert vad art access left hrt art & vein access
|
$10,000.00 |
$10,000.00 |
$10,000.00 |
$3,677.40
|
|
Ins icd gen exist mlt leads
|
$47,631.00 |
$47,631.00 |
$47,631.00 |
$31,286.77
|
|
Ins icd gen exist sgl lead
|
$13,866.50 |
$13,866.50 |
$13,866.50 |
$23,381.40
|
|
Insitu hybridization auto
|
$502.50 |
$502.50 |
$502.50 |
$393.13
|
|
Insitu hybridization (fish)
|
$243.00 |
$243.00 |
$243.00 |
$481.60
|
|
Insitu hybridization manual
|
$410.50 |
$410.50 |
$410.50 |
$398.51
|
|
In situ hybridization per specimen each additional single probe stain
|
$243.00 |
$243.00 |
$243.00 |
$241.80
|
|
In situ hybridization per specimen initial single probe stain
|
$213.50 |
$213.50 |
$213.50 |
$337.20
|
|
Ins left heart vent thor inscn ecmo
|
$688.50 |
$688.50 |
$688.50 |
$1,901.60
|
|
Ins lv lead exist pm/icd
|
$5,255.50 |
$5,255.50 |
$5,255.50 |
$12,384.25
|
|
Ins mark abd/pel for right perq
|
$714.00 |
$714.00 |
$714.00 |
$2,414.36
|
|
Ins mark thor for right perq
|
$1,924.50 |
$1,924.50 |
$1,924.50 |
$2,479.50
|
|
Insole orthotic freedom sz6 6816
|
$44.50 |
$44.50 |
$44.50 |
$84.00
|
|
Ins picad w subq port 5yr>
|
$2,602.00 |
$2,602.00 |
$2,602.00 |
$3,985.20
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$2,784.50 |
$2,784.50 |
$2,784.50 |
$1,627.45
|
|
Ins pm gen exist dual lead
|
$13,866.50 |
$13,866.50 |
$13,866.50 |
$24,003.84
|
|
Ins pm gen w/exist mlt leads
|
$14,411.50 |
$14,411.50 |
$14,411.50 |
$14,804.40
|
|
Ins pq tunnld ip cath w/img
|
$4,653.00 |
$4,653.00 |
$4,653.00 |
$5,377.00
|
|
Ins/rpl ldless pm right vent w img & eval
|
$21,890.00 |
$21,890.00 |
$21,890.00 |
$24,135.54
|
|
Ins/rpl pm gen exist dual lead
|
$7,380.00 |
$7,380.00 |
$7,380.00 |
$11,412.00
|
|
Ins/rpl pm gen exist sgl lead
|
$7,689.50 |
$7,689.50 |
$7,689.50 |
$9,705.00
|
|
Ins/rpl pm w/tv ld atrl
|
$12,824.00 |
$12,824.00 |
$12,824.00 |
$11,747.25
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$38,744.00 |
$38,744.00 |
$38,744.00 |
$25,106.90
|
|
Inst fibrinolysis agent ini day
|
$883.50 |
$883.50 |
$883.50 |
$1,043.35
|
|
Inst fibrinolysis agent sbsq d
|
$883.50 |
$883.50 |
$883.50 |
$972.00
|
|
Instillation anticarcinogenic agent bladder
|
$807.50 |
$807.50 |
$807.50 |
$654.02
|
|
Ins tun cvad 2 cath w/subq port(s)
|
$7,965.00 |
$7,965.00 |
$7,965.00 |
$7,826.00
|
|
Ins tun cv cath wo subq prt/pm
|
$2,655.00 |
$2,655.00 |
$2,655.00 |
$5,324.80
|
|
Ins tun cv cath wo subq prt/pm
|
$2,303.50 |
$2,303.50 |
$2,303.50 |
$4,218.00
|
|
Ins tun intraperit dia cath
|
$3,302.50 |
$3,302.50 |
$3,302.50 |
$4,657.46
|
|
Inst via cath agent pleurds
|
$2,637.50 |
$2,637.50 |
$2,637.50 |
$1,074.68
|
|
Insulin total
|
$63.50 |
$63.50 |
$63.50 |
$66.64
|
|
Ins vag brachytx device
|
$622.50 |
$622.50 |
$622.50 |
$927.55
|
|
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm
|
$898.38 |
$898.38 |
$898.38 |
$8,683.20
|
|
Intens cardiac rehab no exer
|
$134.50 |
$134.50 |
$134.50 |
$238.40
|
|
Intens cardiac rehab w/exerc
|
$134.50 |
$134.50 |
$134.50 |
$238.40
|
|
Interdental wirg oth/thn fx
|
$1,306.00 |
$1,306.00 |
$1,306.00 |
$1,944.80
|
|
Interdiscal perq aspir dx
|
$1,101.00 |
$1,101.00 |
$1,101.00 |
$1,222.26
|
|
Interrogate subq defib
|
$56.50 |
$56.50 |
$56.50 |
$119.60
|
|
Interrog dev eval icpms ip
|
$54.50 |
$54.50 |
$54.50 |
$104.00
|
|
Interrog dev eval scrms ip
|
$62.00 |
$62.00 |
$62.00 |
$124.80
|
|
Interrog device eval heart
|
$112.50 |
$112.50 |
$112.50 |
$162.40
|
|
Interrog evl pm/ldls pm ip
|
$92.00 |
$92.00 |
$92.00 |
$124.80
|
|
Intra-atrial pacing
|
$3,520.50 |
$3,520.50 |
$3,520.50 |
$4,967.24
|
|
Intra-atrial recording
|
$3,520.50 |
$3,520.50 |
$3,520.50 |
$5,495.56
|
|
Intracard echo interv w/s&i
|
$526.50 |
$526.50 |
$526.50 |
$3,461.04
|
|
Intracran angioplsty w/stent
|
$8,431.50 |
$8,431.50 |
$8,431.50 |
$8,257.80
|
|
Intracranial angioplasty
|
$9,068.50 |
$9,068.50 |
$9,068.50 |
$5,181.00
|
|
Intracranial complete study
|
$697.00 |
$697.00 |
$697.00 |
$881.50
|
|
Intracranial limited study
|
$369.50 |
$369.50 |
$369.50 |
$459.25
|
|
Intranasal biopsy 30100
|
$2,282.50 |
$2,282.50 |
$2,282.50 |
$2,199.10
|
|
Intraoral i+d tongue/floor lingual 41000
|
$1,875.50 |
$1,875.50 |
$1,875.50 |
$1,361.25
|
|
Intrauterine transfusion ftl
|
$949.00 |
$949.00 |
$949.00 |
$1,063.50
|
|
Intrinsic factor antibody
|
$65.00 |
$65.00 |
$65.00 |
$62.70
|
|
Intro cath dialysis circuit
|
$1,548.50 |
$1,548.50 |
$1,548.50 |
$2,043.30
|
|
Intro cath dialysis circuit w/pta
|
$7,755.00 |
$7,755.00 |
$7,755.00 |
$8,717.80
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$15,671.00 |
$15,671.00 |
$15,671.00 |
$15,640.00
|
|
Intro catheter aorta
|
$2,476.50 |
$2,476.50 |
$2,476.50 |
$1,654.05
|
|
Intro cath svc/ivc
|
$153.00 |
$153.00 |
$153.00 |
$1,323.27
|
|
Intro long gi tube
|
$1,392.00 |
$1,392.00 |
$1,392.00 |
$954.00
|
|
Intro long gi tube w/mult fluo
|
$465.50 |
$465.50 |
$465.50 |
$464.80
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$832.00 |
$832.00 |
$832.00 |
$3,436.50
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$832.00 |
$832.00 |
$832.00 |
$1,801.10
|
|
Intubation endotracheal emergency procedure
|
$881.00 |
$881.00 |
$881.00 |
$598.80
|
|
Ionm in operatng room 15 min
|
$83.00 |
$83.00 |
$83.00 |
$191.40
|
|
Ionm remote/>1 pt or per hr
|
$317.50 |
$317.50 |
$317.50 |
$591.36
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$4.00 |
$4.00 |
$4.00 |
$170.06
|
|
Io rad tx delivery by x-ray
|
$4,492.50 |
$4,492.50 |
$4,492.50 |
$9,046.18
|
|
Iron
|
$31.50 |
$31.50 |
$31.50 |
$72.29
|
|
Iron binding capacity
|
$39.00 |
$39.00 |
$39.00 |
$63.60
|
|
Irradiation of blood product each unit reference
|
$389.50 |
$389.50 |
$389.50 |
$116.35
|
|
Irrigation implantable venous access device for drug delivery systems
|
$97.00 |
$97.00 |
$97.00 |
$143.81
|
|
Ivc venogram s&i
|
$3,421.50 |
$3,421.50 |
$3,421.50 |
$3,332.55
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$187.50 |
$187.50 |
$187.50 |
$191.75
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$111.00 |
$111.00 |
$111.00 |
$159.00
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$102.00 |
$102.00 |
$102.00 |
$153.60
|
