|
Insert picvad cath
|
$2,602.00 |
$2,602.00 |
$2,602.00 |
$4,195.00
|
|
Insert pm/icd lead dual
|
$4,153.50 |
$4,153.50 |
$4,153.50 |
$7,115.20
|
|
Insert/repl sq defib w/eltrd
|
$55,228.00 |
$55,228.00 |
$55,228.00 |
$32,800.04
|
|
Insert spine infusion device 62360
|
$9,248.00 |
$9,248.00 |
$9,248.00 |
$17,262.84
|
|
Insert sq defib electrode
|
$12,305.00 |
$12,305.00 |
$12,305.00 |
$8,167.68
|
|
Insert swan-ganz cath
|
$1,257.00 |
$1,257.00 |
$1,257.00 |
$2,210.50
|
|
Insert tunneled cv 2cath 2sits without port/pmp 36565
|
$4,803.00 |
$4,803.00 |
$4,803.00 |
$4,803.00
|
|
Insert tunneled cv cath
|
$2,762.50 |
$2,762.50 |
$2,762.50 |
$4,520.00
|
|
Insert tunneled cv cath
|
$7,965.00 |
$7,965.00 |
$7,965.00 |
$5,983.35
|
|
Insert uteri tandem/ovoids
|
$2,707.50 |
$2,707.50 |
$2,707.50 |
$3,905.20
|
|
Insert vad art access left hrt arterial access
|
$10,000.00 |
$10,000.00 |
$10,000.00 |
$4,270.75
|
|
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 |
$23,230.50
|
|
Insitu hybridization auto
|
$502.50 |
$502.50 |
$502.50 |
$371.00
|
|
Insitu hybridization (fish)
|
$243.00 |
$243.00 |
$243.00 |
$481.60
|
|
Insitu hybridization manual
|
$410.50 |
$410.50 |
$410.50 |
$399.67
|
|
In situ hybridization per specimen each additional single probe stain
|
$243.00 |
$243.00 |
$243.00 |
$240.35
|
|
In situ hybridization per specimen initial single probe stain
|
$213.50 |
$213.50 |
$213.50 |
$326.04
|
|
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 |
$2,477.45
|
|
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 |
$1,690.00
|
|
Ins pm gen exist dual lead
|
$13,866.50 |
$13,866.50 |
$13,866.50 |
$23,665.85
|
|
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 |
$11,005.50
|
|
Ins/rpl pm gen exist sgl lead
|
$7,689.50 |
$7,689.50 |
$7,689.50 |
$9,428.64
|
|
Ins/rpl pm w/tv ld atrl
|
$12,824.00 |
$12,824.00 |
$12,824.00 |
$11,583.66
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$38,744.00 |
$38,744.00 |
$38,744.00 |
$25,694.00
|
|
Inst fibrinolysis agent ini day
|
$883.50 |
$883.50 |
$883.50 |
$1,036.05
|
|
Inst fibrinolysis agent sbsq d
|
$883.50 |
$883.50 |
$883.50 |
$898.12
|
|
Instillation anticarcinogenic agent bladder
|
$807.50 |
$807.50 |
$807.50 |
$626.99
|
|
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 |
$4,202.70
|
|
Ins tun intraperit dia cath
|
$3,302.50 |
$3,302.50 |
$3,302.50 |
$4,570.00
|
|
Inst via cath agent pleurds
|
$2,637.50 |
$2,637.50 |
$2,637.50 |
$1,065.00
|
|
Insulin total
|
$63.50 |
$63.50 |
$63.50 |
$66.64
|
|
Ins vag brachytx device
|
$622.50 |
$622.50 |
$622.50 |
$935.50
|
|
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm
|
$898.38 |
$898.38 |
$898.38 |
$8,629.72
|
|
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 |
$103.50
|
|
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 |
$4,780.80
|
|
Intra-atrial recording
|
$3,520.50 |
$3,520.50 |
$3,520.50 |
$5,252.30
|
|
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 |
$8,145.50
|
|
Intracranial angioplasty
|
$9,068.50 |
$9,068.50 |
$9,068.50 |
$4,962.40
|
|
Intracranial complete study
|
$697.00 |
$697.00 |
$697.00 |
$874.99
|
|
Intracranial limited study
|
$369.50 |
$369.50 |
$369.50 |
$463.50
|
|
Intranasal biopsy 30100
|
$2,282.50 |
$2,282.50 |
$2,282.50 |
$2,133.48
|
|
Intraoral i+d tongue/floor lingual 41000
|
$1,875.50 |
$1,875.50 |
$1,875.50 |
$1,331.45
|
|
Intrauterine transfusion ftl
|
$949.00 |
$949.00 |
$949.00 |
$1,063.50
|
|
Intrinsic factor antibody
|
$65.00 |
$65.00 |
$65.00 |
$63.15
|
|
Intro cath dialysis circuit
|
$1,548.50 |
$1,548.50 |
$1,548.50 |
$2,036.94
|
|
Intro cath dialysis circuit w/pta
|
$7,755.00 |
$7,755.00 |
$7,755.00 |
$8,690.50
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$15,671.00 |
$15,671.00 |
$15,671.00 |
$16,262.40
|
|
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 |
$957.18
|
|
Intro long gi tube w/mult fluo
|
$465.50 |
$465.50 |
$465.50 |
$466.00
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$832.00 |
$832.00 |
$832.00 |
$3,409.29
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$832.00 |
$832.00 |
$832.00 |
$1,747.80
|
|
Intubation endotracheal emergency procedure
|
$881.00 |
$881.00 |
$881.00 |
$598.80
|
|
Ionm in operatng room 15 min
|
$83.00 |
$83.00 |
$83.00 |
$193.05
|
|
Ionm remote/>1 pt or per hr
|
$317.50 |
$317.50 |
$317.50 |
$622.70
|
|
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 |
$113.49
|
|
Irrigation implantable venous access device for drug delivery systems
|
$97.00 |
$97.00 |
$97.00 |
$144.30
|
|
Ivc venogram s&i
|
$3,421.50 |
$3,421.50 |
$3,421.50 |
$3,316.95
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$187.50 |
$187.50 |
$187.50 |
$190.56
|
|
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
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$348.50 |
$348.50 |
$348.50 |
$437.45
|
|
IV inj ra drug dx study
|
$197.50 |
$197.50 |
$197.50 |
$549.70
|
|
IV njx tst vasc flo flap/grf
|
$845.50 |
$845.50 |
$845.50 |
$476.00
|
|
Ivp w/nephrotomography
|
$662.00 |
$662.00 |
$662.00 |
$748.15
|
|
Ivp w/wo kub w/wo tomography
|
$531.50 |
$531.50 |
$531.50 |
$692.18
|
|
Jak2 targeted sequence analysis
|
$824.50 |
$824.50 |
$824.50 |
$393.43
|
|
Jejunstmy tube plcmt
|
$1,999.50 |
$1,999.50 |
$1,999.50 |
$2,174.40
|
|
John cunningham antibody
|
$172.50 |
$172.50 |
$172.50 |
$66.31
|
|
J-tube placement
|
$2,172.00 |
$2,172.00 |
$2,172.00 |
$593.08
|
|
Kafo dbl solid stirrup band/
|
$944.96 |
$944.96 |
$944.96 |
$2,185.15
|
|
Kafo femoral fx cast rigid
|
$980.66 |
$980.66 |
$980.66 |
$2,162.01
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$36.00 |
$36.00 |
$36.00 |
$58.50
|
|
Kidney imaging morphology
|
$489.50 |
$489.50 |
$489.50 |
$785.00
|
