|
Injection treatment of eye
|
$1,201.00 |
$1,201.00 |
$1,201.00 |
$2,665.60
|
|
Inj epidural sgl cerv-thor without img
|
$2,199.00 |
$2,199.00 |
$2,199.00 |
$1,318.80
|
|
Inj epidural sgl lumb-sacral without img
|
$2,532.50 |
$2,532.50 |
$2,532.50 |
$1,415.50
|
|
Inj for ext venography
|
$891.00 |
$891.00 |
$891.00 |
$649.95
|
|
Inj for mammo ductogram
|
$2,042.00 |
$2,042.00 |
$2,042.00 |
$399.60
|
|
Inj hrt cath w/s&i nonsel p-art angrp
|
$176.50 |
$176.50 |
$176.50 |
$1,439.90
|
|
Inj hrt cath w/s&i sel hrt ang
|
$2,332.00 |
$2,332.00 |
$2,332.00 |
$1,827.74
|
|
Inj hrt cath w/s&i sel left vent
|
$2,201.50 |
$2,201.50 |
$2,201.50 |
$1,239.00
|
|
Inj hrt cath w/s&i sel right vent
|
$2,201.50 |
$2,201.50 |
$2,201.50 |
$965.33
|
|
Inj intralesional <= 7 lsn(s)
|
$291.00 |
$291.00 |
$291.00 |
$235.13
|
|
Inj intralesional > 7 lsns
|
$349.50 |
$349.50 |
$349.50 |
$234.00
|
|
Inj nephrosto/ureterogram w/img exstng access
|
$1,972.50 |
$1,972.50 |
$1,972.50 |
$1,413.35
|
|
Inj non-compmd foam sclrsnt mlt trncl veins same leg
|
$5,455.00 |
$5,455.00 |
$5,455.00 |
$2,837.09
|
|
Inj non-compmd foam sclrsnt sgl trncl vein
|
$5,455.00 |
$5,455.00 |
$5,455.00 |
$2,609.38
|
|
Inj peritoneal venous shunt
|
$731.00 |
$731.00 |
$731.00 |
$413.70
|
|
Inj proc ankle arthr
|
$479.00 |
$479.00 |
$479.00 |
$405.31
|
|
Inj proc elbow arthro
|
$479.00 |
$479.00 |
$479.00 |
$419.60
|
|
Inj proc for lymphang
|
$639.50 |
$639.50 |
$639.50 |
$682.00
|
|
Inj proc lumbr disk ea lvl
|
$3,215.00 |
$3,215.00 |
$3,215.00 |
$1,106.93
|
|
Inj proc myelogram lumbar
|
$1,588.00 |
$1,588.00 |
$1,588.00 |
$830.50
|
|
Inj proc sialogram
|
$479.00 |
$479.00 |
$479.00 |
$373.00
|
|
Inj retro urethrocysto
|
$1,507.50 |
$1,507.50 |
$1,507.50 |
$443.50
|
|
Inj scleros sol mult veins
|
$602.50 |
$602.50 |
$602.50 |
$675.00
|
|
Inj scleros sol sgl vein
|
$614.00 |
$614.00 |
$614.00 |
$558.97
|
|
Inj(s) sclerosant spider veins limb/trunk
|
$808.50 |
$808.50 |
$808.50 |
$436.80
|
|
Inj w/fluor eval cv device
|
$637.00 |
$637.00 |
$637.00 |
$503.92
|
|
Ins cath ren art 1st bi
|
$5,533.50 |
$5,533.50 |
$5,533.50 |
$5,753.10
|
|
Ins cath ren art 1st uni
|
$8,417.50 |
$8,417.50 |
$8,417.50 |
$4,660.00
|
|
Ins cath ren art 2nd+ bi
|
$7,330.00 |
$7,330.00 |
$7,330.00 |
$5,500.86
|
|
Ins cath ren art 2nd+ uni
|
$7,330.00 |
$7,330.00 |
$7,330.00 |
$5,395.20
|
|
Ins cerv dilator (sep proc)
|
$873.50 |
$873.50 |
$873.50 |
$480.28
|
|
Insert abdomen-venous drain
|
$2,396.50 |
$2,396.50 |
$2,396.50 |
$3,147.06
|
|
Insert and remove bone pin
|
$3,354.50 |
$3,354.50 |
$3,354.50 |
$4,410.60
|
|
Insert cath pleura with image
|
$3,088.50 |
$3,088.50 |
$3,088.50 |
$2,194.40
|
|
Insert cath pleura without image
|
$1,696.00 |
$1,696.00 |
$1,696.00 |
$2,073.18
|
|
Insert drug delivery implant
|
$1,381.00 |
$1,381.00 |
$1,381.00 |
$280.00
|
|
Insert hepatic shunt (tips)
|
$4,358.00 |
$4,358.00 |
$4,358.00 |
$7,571.20
|
|
Insert intrauterine device iud
|
$230.50 |
$230.50 |
$230.50 |
$347.10
|
|
Insertion catheter bladder non indwelling
|
$138.00 |
$138.00 |
$138.00 |
$205.40
|
|
Insertion catheter bladder temporary simple
|
$207.50 |
$207.50 |
$207.50 |
$232.25
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$4,641.00 |
$4,641.00 |
$4,641.00 |
$4,782.00
|
|
Insertion intra aortic balloon assist device percutaneous
|
$3,056.00 |
$3,056.00 |
$3,056.00 |
$2,529.45
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$15,057.00 |
$15,057.00 |
$15,057.00 |
$7,210.78
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$2,823.00 |
$2,823.00 |
$2,823.00 |
$2,505.60
|
|
Insertion of catheter vein
|
$1,890.00 |
$1,890.00 |
$1,890.00 |
$1,477.00
|
|
Insertion of catheter vein
|
$2,402.00 |
$2,402.00 |
$2,402.00 |
$836.25
|
|
Insertion of heart electrode 33211
|
$6,703.50 |
$6,703.50 |
$6,703.50 |
$6,903.60
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$24,290.50 |
$24,290.50 |
$24,290.50 |
$12,384.25
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$20,776.00 |
$20,776.00 |
$20,776.00 |
$12,384.25
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$9,512.00 |
$9,512.00 |
$9,512.00 |
$10,100.35
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$2,823.00 |
$2,823.00 |
$2,823.00 |
$2,079.50
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$3,992.00 |
$3,992.00 |
$3,992.00 |
$2,419.65
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$30,386.50 |
$30,386.50 |
$30,386.50 |
$29,042.52
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$6,958.50 |
$6,958.50 |
$6,958.50 |
$7,200.05
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$7,539.00 |
$7,539.00 |
$7,539.00 |
$7,312.80
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$10,314.50 |
$10,314.50 |
$10,314.50 |
$9,332.50
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$4,638.00 |
$4,638.00 |
$4,638.00 |
$5,223.20
|
|
Insert pessary/other device
|
$286.50 |
$286.50 |
$286.50 |
$278.50
|
|
Insert picvad cath
|
$4,078.00 |
$4,078.00 |
$4,078.00 |
$4,195.00
|
|
Insert pm/icd lead dual
|
$8,669.50 |
$8,669.50 |
$8,669.50 |
$7,115.20
|
|
Insert/repl sq defib w/eltrd
|
$73,319.00 |
$73,319.00 |
$73,319.00 |
$32,800.04
|
|
Insert sq defib electrode
|
$5,793.50 |
$5,793.50 |
$5,793.50 |
$8,167.68
|
|
Insert swan-ganz cath
|
$1,918.00 |
$1,918.00 |
$1,918.00 |
$2,210.50
|
|
Insert tunneled cv 2cath 2sits without port/pmp 36565
|
$6,713.50 |
$6,713.50 |
$6,713.50 |
$4,803.00
|
|
Insert tunneled cv cath
|
$3,861.50 |
$3,861.50 |
$3,861.50 |
$4,520.00
|
|
Insert tunneled cv cath
|
$11,135.50 |
$11,135.50 |
$11,135.50 |
$5,983.35
|
|
Insert vad art access left hrt arterial access
|
$7,095.50 |
$7,095.50 |
$7,095.50 |
$4,270.75
|
|
Insert vad art access left hrt art & vein access
|
$7,095.50 |
$7,095.50 |
$7,095.50 |
$3,677.40
|
|
Ins icd gen exist mlt leads
|
$24,332.50 |
$24,332.50 |
$24,332.50 |
$31,286.77
|
|
Ins icd gen exist sgl lead
|
$18,409.00 |
$18,409.00 |
$18,409.00 |
$23,230.50
|
|
Insitu hybridization auto
|
$316.50 |
$316.50 |
$316.50 |
$377.37
|
|
Insitu hybridization (fish)
|
$209.00 |
$209.00 |
$209.00 |
$481.60
|
|
Insitu hybridization manual
|
$166.00 |
$166.00 |
$166.00 |
$401.28
|
|
In situ hybridization per specimen each additional single probe stain
|
$209.00 |
$209.00 |
$209.00 |
$241.15
|
|
In situ hybridization per specimen initial single probe stain
|
$209.00 |
$209.00 |
$209.00 |
$331.69
|
|
Ins lv lead exist pm/icd
|
$9,512.00 |
$9,512.00 |
$9,512.00 |
$12,384.25
|
|
Ins mark abd/pel for right perq
|
$920.00 |
$920.00 |
$920.00 |
$2,414.36
|
|
Ins mark thor for right perq
|
$2,479.50 |
$2,479.50 |
$2,479.50 |
$2,477.45
|
|
Insole orthotic freedom sz6 6816
|
$44.50 |
$44.50 |
$44.50 |
$84.00
|
|
Ins picad w subq port 5yr>
|
$4,078.00 |
$4,078.00 |
$4,078.00 |
$3,985.20
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$3,891.50 |
$3,891.50 |
$3,891.50 |
$1,690.00
|
|
Ins pm gen exist dual lead
|
$18,409.00 |
$18,409.00 |
$18,409.00 |
$23,665.85
|
|
Ins pm gen w/exist mlt leads
|
$13,500.00 |
$13,500.00 |
$13,500.00 |
$14,804.40
|
|
Ins pq tunnld ip cath w/img
|
$6,504.50 |
$6,504.50 |
$6,504.50 |
$5,377.00
|
|
Ins/rpl ldless pm right vent w img & eval
|
$29,060.00 |
$29,060.00 |
$29,060.00 |
$24,135.54
|
|
Ins/rpl pm gen exist dual lead
|
$11,739.00 |
$11,739.00 |
$11,739.00 |
$11,005.50
|
|
Ins/rpl pm gen exist sgl lead
|
$10,208.50 |
$10,208.50 |
$10,208.50 |
$9,428.64
|
|
Ins/rpl pm w/tv ld atrl
|
$11,197.50 |
$11,197.50 |
$11,197.50 |
$11,583.66
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$51,435.50 |
$51,435.50 |
$51,435.50 |
$25,694.00
|
|
Inst fibrinolysis agent ini day
|
$1,016.00 |
$1,016.00 |
$1,016.00 |
$1,036.05
|
|
Inst fibrinolysis agent sbsq d
|
$1,016.00 |
$1,016.00 |
$1,016.00 |
$898.12
|
|
Instillation anticarcinogenic agent bladder
|
$1,040.00 |
$1,040.00 |
$1,040.00 |
$621.40
|
|
Ins tun cvad 2 cath w/subq port(s)
|
$11,135.50 |
$11,135.50 |
$11,135.50 |
$7,826.00
|
|
Ins tun cv cath wo subq prt/pm
|
$4,605.00 |
$4,605.00 |
$4,605.00 |
$5,324.80
|
|
Ins tun cv cath wo subq prt/pm
|
$4,420.50 |
$4,420.50 |
$4,420.50 |
$4,202.70
|
|
Ins tun intraperit dia cath
|
$3,881.00 |
$3,881.00 |
$3,881.00 |
$4,570.00
|
|
Inst via cath agent pleurds
|
$3,687.50 |
$3,687.50 |
$3,687.50 |
$1,065.00
|
|
Insulin total
|
$35.00 |
$35.00 |
$35.00 |
$66.64
|
|
Intens cardiac rehab no exer
|
$160.00 |
$160.00 |
$160.00 |
$238.40
|
|
Intens cardiac rehab w/exerc
|
$160.00 |
$160.00 |
$160.00 |
$238.40
|
