|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$1,157.00 |
$1,157.00 |
$1,157.00 |
$1,045.65
|
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
|
$1,824.50 |
$1,824.50 |
$1,824.50 |
$2,040.36
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
|
$1,526.00 |
$1,526.00 |
$1,526.00 |
$1,023.75
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
|
$1,967.50 |
$1,967.50 |
$1,967.50 |
$1,791.00
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
|
$1,964.00 |
$1,964.00 |
$1,964.00 |
$1,002.76
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
|
$1,867.00 |
$1,867.00 |
$1,867.00 |
$1,973.00
|
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
|
$1,938.00 |
$1,938.00 |
$1,938.00 |
$1,808.64
|
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
|
$1,685.00 |
$1,685.00 |
$1,685.00 |
$1,685.00
|
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
|
$367.50 |
$367.50 |
$367.50 |
$485.28
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$622.00 |
$622.00 |
$622.00 |
$548.80
|
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
|
$454.00 |
$454.00 |
$454.00 |
$637.35
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$220.50 |
$220.50 |
$220.50 |
$163.83
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$220.50 |
$220.50 |
$220.50 |
$145.60
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$271.00 |
$271.00 |
$271.00 |
$261.25
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$93.50 |
$93.50 |
$93.50 |
$136.00
|
|
Injection treatment of eye
|
$1,381.00 |
$1,381.00 |
$1,381.00 |
$2,685.92
|
|
Inject/treat eye socket
|
$548.50 |
$548.50 |
$548.50 |
$670.02
|
|
Inj epidural sgl cerv-thor without img
|
$1,683.00 |
$1,683.00 |
$1,683.00 |
$1,311.74
|
|
Inj epidural sgl lumb-sacral without img
|
$1,938.00 |
$1,938.00 |
$1,938.00 |
$1,415.50
|
|
Inj for ext venography
|
$1,271.50 |
$1,271.50 |
$1,271.50 |
$654.00
|
|
Inj for mammo ductogram
|
$1,562.50 |
$1,562.50 |
$1,562.50 |
$397.80
|
|
Inj hrt cath w/s&i nonsel p-art angrp
|
$2,409.00 |
$2,409.00 |
$2,409.00 |
$1,439.90
|
|
Inj hrt cath w/s&i sel hrt ang
|
$1,969.00 |
$1,969.00 |
$1,969.00 |
$1,827.74
|
|
Inj hrt cath w/s&i sel hrt art
|
$1,969.00 |
$1,969.00 |
$1,969.00 |
$1,045.80
|
|
Inj hrt cath w/s&i sel left vent
|
$1,856.00 |
$1,856.00 |
$1,856.00 |
$1,239.00
|
|
Inj hrt cath w/s&i sel right vent
|
$1,856.00 |
$1,856.00 |
$1,856.00 |
$947.65
|
|
Inj intralesional <= 7 lsn(s)
|
$223.00 |
$223.00 |
$223.00 |
$235.13
|
|
Inj intralesional > 7 lsns
|
$349.50 |
$349.50 |
$349.50 |
$235.13
|
|
Inj nephrosto/ureterogram w/img exstng access
|
$1,644.00 |
$1,644.00 |
$1,644.00 |
$1,413.35
|
|
Inj non-compmd foam sclrsnt mlt trncl veins same leg
|
$4,175.00 |
$4,175.00 |
$4,175.00 |
$2,485.20
|
|
Inj non-compmd foam sclrsnt sgl trncl vein
|
$4,175.00 |
$4,175.00 |
$4,175.00 |
$2,431.74
|
|
Inj peritoneal venous shunt
|
$601.50 |
$601.50 |
$601.50 |
$413.70
|
|
Inj proc ankle arthr
|
$399.00 |
$399.00 |
$399.00 |
$405.31
|
|
Inj proc elbow arthro
|
$399.00 |
$399.00 |
$399.00 |
$434.00
|
|
Inj proc for lymphang
|
$532.50 |
$532.50 |
$532.50 |
$742.40
|
|
Inj proc lumbr disk ea lvl
|
$2,678.50 |
$2,678.50 |
$2,678.50 |
$1,106.93
|
|
Inj proc myelogram lumbar
|
$1,323.50 |
$1,323.50 |
$1,323.50 |
$854.00
|
|
Inj proc sialogram
|
$399.00 |
$399.00 |
$399.00 |
$380.80
|
|
Inj retro urethrocysto
|
$1,256.00 |
$1,256.00 |
$1,256.00 |
$450.00
|
|
Inj scleros sol mult veins
|
$767.50 |
$767.50 |
$767.50 |
$687.96
|
|
Inj scleros sol sgl vein
|
$614.00 |
$614.00 |
$614.00 |
$561.88
|
|
Inj(s) sclerosant spider veins limb/trunk
|
$620.00 |
$620.00 |
$620.00 |
$436.80
|
|
Inj w/fluor eval cv device
|
$531.50 |
$531.50 |
$531.50 |
$504.40
|
|
Ins cath ren art 1st bi
|
$7,993.00 |
$7,993.00 |
$7,993.00 |
$5,855.00
|
|
Ins cath ren art 1st uni
|
$7,015.00 |
$7,015.00 |
$7,015.00 |
$4,692.00
|
|
Ins cath ren art 2nd+ bi
|
$6,108.50 |
$6,108.50 |
$6,108.50 |
$5,565.95
|
|
Ins cath ren art 2nd+ uni
|
$6,108.50 |
$6,108.50 |
$6,108.50 |
$5,395.20
|
|
Ins cerv dilator (sep proc)
|
$668.50 |
$668.50 |
$668.50 |
$484.90
|
|
Insert abdomen-venous drain
|
$1,970.00 |
$1,970.00 |
$1,970.00 |
$3,699.70
|
|
Insert and remove bone pin
|
$2,568.50 |
$2,568.50 |
$2,568.50 |
$4,421.00
|
|
Insert cath pleura with image
|
$2,363.00 |
$2,363.00 |
$2,363.00 |
$2,194.40
|
|
Insert cath pleura without image
|
$1,298.00 |
$1,298.00 |
$1,298.00 |
$2,073.18
|
|
Insert drug delivery implant
|
$1,057.00 |
$1,057.00 |
$1,057.00 |
$284.91
|
|
Insert hepatic shunt (tips)
|
$3,335.50 |
$3,335.50 |
$3,335.50 |
$7,571.20
|
|
Insert intrauterine device iud
|
$221.00 |
$221.00 |
$221.00 |
$366.65
|
|
Insertion catheter bladder non indwelling
|
$172.50 |
$172.50 |
$172.50 |
$205.40
|
|
Insertion catheter bladder temporary simple
|
$158.50 |
$158.50 |
$158.50 |
$235.20
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$3,552.50 |
$3,552.50 |
$3,552.50 |
$4,782.00
|
|
Insertion intra aortic balloon assist device percutaneous
|
$5,989.50 |
$5,989.50 |
$5,989.50 |
$2,549.95
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$12,378.00 |
$12,378.00 |
$12,378.00 |
$7,210.78
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$2,161.00 |
$2,161.00 |
$2,161.00 |
$2,515.80
|
|
Insertion of catheter vein
|
$419.00 |
$419.00 |
$419.00 |
$1,669.60
|
|
Insertion of catheter vein
|
$1,975.50 |
$1,975.50 |
$1,975.50 |
$836.25
|
|
Insertion of heart electrode 33211
|
$5,098.50 |
$5,098.50 |
$5,098.50 |
$7,048.60
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$11,684.50 |
$11,684.50 |
$11,684.50 |
$12,824.00
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$9,452.50 |
$9,452.50 |
$9,452.50 |
$12,384.25
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$8,029.50 |
$8,029.50 |
$8,029.50 |
$10,285.70
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$2,161.00 |
$2,161.00 |
$2,161.00 |
$2,079.43
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$3,055.50 |
$3,055.50 |
$3,055.50 |
$2,419.65
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$21,348.00 |
$21,348.00 |
$21,348.00 |
$29,042.52
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$5,098.50 |
$5,098.50 |
$5,098.50 |
$7,216.00
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$8,012.00 |
$8,012.00 |
$8,012.00 |
$7,388.80
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$6,397.00 |
$6,397.00 |
$6,397.00 |
$9,390.55
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$3,549.50 |
$3,549.50 |
$3,549.50 |
$5,236.80
|
|
Insert pessary/other device
|
$238.50 |
$238.50 |
$238.50 |
$278.90
|
|
Insert picvad cath
|
$3,121.00 |
$3,121.00 |
$3,121.00 |
$4,201.80
|
|
Insert pm/icd lead dual
|
$8,265.00 |
$8,265.00 |
$8,265.00 |
$7,264.40
|
|
Insert/repl sq defib w/eltrd
|
$61,891.00 |
$61,891.00 |
$61,891.00 |
$32,052.60
|
|
Insert spine infusion device 62360
|
$9,894.50 |
$9,894.50 |
$9,894.50 |
$15,920.80
|
|
Insert sq defib electrode
|
$4,891.00 |
$4,891.00 |
$4,891.00 |
$7,792.26
|
|
Insert swan-ganz cath
|
$1,619.00 |
$1,619.00 |
$1,619.00 |
$2,337.00
|
|
Insert tunneled cv 2cath 2sits without port/pmp 36565
|
$5,139.00 |
$5,139.00 |
$5,139.00 |
$5,018.25
|
|
Insert tunneled cv cath
|
$2,955.50 |
$2,955.50 |
$2,955.50 |
$4,783.80
|
|
Insert tunneled cv cath
|
$8,522.00 |
$8,522.00 |
$8,522.00 |
$6,028.07
|
|
Insert uteri tandem/ovoids
|
$2,354.50 |
$2,354.50 |
$2,354.50 |
$3,940.41
|
|
Insert vad art access left hrt arterial access
|
$5,989.50 |
$5,989.50 |
$5,989.50 |
$4,504.50
|
|
Insert vad art access left hrt art & vein access
|
$5,989.50 |
$5,989.50 |
$5,989.50 |
$3,677.40
|
|
Ins icd gen exist mlt leads
|
$20,539.50 |
$20,539.50 |
$20,539.50 |
$31,286.77
|
|
Ins icd gen exist sgl lead
|
$15,515.50 |
$15,515.50 |
$15,515.50 |
$23,285.34
|
|
Insitu hybridization auto
|
$371.00 |
$371.00 |
$371.00 |
$393.13
|
|
Insitu hybridization (fish)
|
$233.50 |
$233.50 |
$233.50 |
$481.60
|
|
Insitu hybridization manual
|
$181.50 |
$181.50 |
$181.50 |
$401.10
|
|
In situ hybridization per specimen each additional single probe stain
|
$233.50 |
$233.50 |
$233.50 |
$241.80
|
|
In situ hybridization per specimen initial single probe stain
|
$233.50 |
$233.50 |
$233.50 |
$337.20
|
|
Ins left heart vent thor inscn ecmo
|
$771.00 |
$771.00 |
$771.00 |
$1,901.60
|
|
Ins lv lead exist pm/icd
|
$8,029.50 |
$8,029.50 |
$8,029.50 |
$12,384.25
|
|
Ins mark abd/pel for right perq
|
$944.00 |
$944.00 |
$944.00 |
$2,434.90
|
|
Ins mark thor for right perq
|
$2,545.00 |
$2,545.00 |
$2,545.00 |
$2,477.45
|
|
Insole orthotic freedom sz6 6816
|
$44.50 |
$44.50 |
$44.50 |
$84.00
|
|
Ins picad w subq port 5yr>
|
$3,121.00 |
$3,121.00 |
$3,121.00 |
$3,985.20
|
