|
Inj epidural sgl cerv-thor without img
|
$1,879.20 |
$1,879.20 |
$1,879.20 |
$1,318.80
|
|
Inj epidural sgl lumb-sacral without img
|
$1,879.20 |
$1,879.20 |
$1,879.20 |
$1,415.50
|
|
Inj for ext venography
|
$280.40 |
$280.40 |
$280.40 |
$649.95
|
|
Inj for mammo ductogram
|
$576.00 |
$576.00 |
$576.00 |
$399.60
|
|
Inj glycopyrrolate, glyrx-pf
|
$15.42 |
$15.42 |
$15.42 |
$11.23
|
|
Inj heparin, pfizer, 1000u
|
$5.92 |
$5.92 |
$5.92 |
$26.26
|
|
Inj hrt cath w/s&i nonsel p-art angrp
|
$2,232.40 |
$2,232.40 |
$2,232.40 |
$1,439.90
|
|
Inj hrt cath w/s&i sel hrt ang
|
$3,643.60 |
$3,643.60 |
$3,643.60 |
$1,827.74
|
|
Inj hrt cath w/s&i sel hrt art
|
$2,247.20 |
$2,247.20 |
$2,247.20 |
$1,045.80
|
|
Inj hrt cath w/s&i sel left vent
|
$1,752.80 |
$1,752.80 |
$1,752.80 |
$1,239.00
|
|
Inj hrt cath w/s&i sel right vent
|
$1,752.80 |
$1,752.80 |
$1,752.80 |
$965.33
|
|
Inj hydroxocobalamin IV 25mg
|
$7.86 |
$7.86 |
$7.86 |
$2,452.32
|
|
Inj/inf neurolyt sbst spinal canal lesion 62282
|
$2,526.00 |
$2,526.00 |
$2,526.00 |
$1,928.00
|
|
Inj intralesional <= 7 lsn(s)
|
$526.40 |
$526.40 |
$526.40 |
$235.13
|
|
Inj, levothyroxine, freskabi
|
$20.54 |
$20.54 |
$20.54 |
$303.45
|
|
Inj, lidocaine w epinephrine
|
$3.06 |
$3.06 |
$3.06 |
$47.52
|
|
Inj mepivacaine hcl/10 ml
|
$34.00 |
$34.00 |
$34.00 |
$33.86
|
|
Inj, micafungin (par pharm)
|
$0.81 |
$0.81 |
$0.81 |
$89.40
|
|
Inj multihance
|
$8.00 |
$8.00 |
$8.00 |
$73.49
|
|
Inj multihance multipack
|
$8.00 |
$8.00 |
$8.00 |
$2.80
|
|
Inj nephrosto/ureterogram w/img exstng access
|
$374.40 |
$374.40 |
$374.40 |
$1,413.35
|
|
Inj pantoprazole(hikma) 40mg
|
$34.76 |
$34.76 |
$34.76 |
$34.67
|
|
Inj proc ankle arthr
|
$224.40 |
$224.40 |
$224.40 |
$405.31
|
|
Inj proc elbow arthro
|
$442.80 |
$442.80 |
$442.80 |
$419.60
|
|
Inj proc for lymphang
|
$254.80 |
$254.80 |
$254.80 |
$682.00
|
|
Inj proc lumbr disk ea lvl
|
$832.40 |
$832.40 |
$832.40 |
$1,106.93
|
|
Inj proc myelogram lumbar
|
$548.40 |
$548.40 |
$548.40 |
$830.50
|
|
Inj proc sialogram
|
$258.00 |
$258.00 |
$258.00 |
$373.00
|
|
Inj, releuko 1 mcg
|
$0.94 |
$0.94 |
$0.94 |
$473.25
|
|
Inj retacrit esrd on dialysi
|
$8.93 |
$8.93 |
$8.93 |
$349.45
|
|
Inj retro urethrocysto
|
$500.40 |
$500.40 |
$500.40 |
$443.50
|
|
Inj scleros sol mult veins
|
$1,014.40 |
$1,014.40 |
$1,014.40 |
$675.00
|
|
Inj scleros sol sgl vein
|
$1,064.00 |
$1,064.00 |
$1,064.00 |
$558.97
|
|
Inj sulf hexa lipid microsph
|
$54.79 |
$54.79 |
$54.79 |
$256.14
|
|
Inj testosterone cypionate
|
$0.63 |
$0.63 |
$0.63 |
$64.80
|
|
Inj, tyenne, 1 mg
|
$7.79 |
$7.79 |
$7.79 |
$3,525.12
|
|
Inj vocal cord bulking agent
|
$1,902.80 |
$1,902.80 |
$1,902.80 |
$1,480.00
|
|
Inj w/fluor eval cv device
|
$628.40 |
$628.40 |
$628.40 |
$503.92
|
|
Ins cath ren art 1st bi
|
$5,092.80 |
$5,092.80 |
$5,092.80 |
$5,753.10
|
|
Ins cath ren art 1st uni
|
$3,894.40 |
$3,894.40 |
$3,894.40 |
$4,660.00
|
|
Ins cath ren art 2nd+ bi
|
$5,092.80 |
$5,092.80 |
$5,092.80 |
$5,500.86
|
|
Ins cath ren art 2nd+ uni
|
$2,821.60 |
$2,821.60 |
$2,821.60 |
$5,395.20
|
|
Ins cerv dilator (sep proc)
|
$518.40 |
$518.40 |
$518.40 |
$480.28
|
|
Insert cath pleura with image
|
$3,362.80 |
$3,362.80 |
$3,362.80 |
$2,194.40
|
|
Insert cath pleura without image
|
$3,161.20 |
$3,161.20 |
$3,161.20 |
$2,073.18
|
|
Insert drug delivery implant
|
$1,396.80 |
$1,396.80 |
$1,396.80 |
$280.00
|
|
Insert hepatic shunt (tips)
|
$3,996.80 |
$3,996.80 |
$3,996.80 |
$7,571.20
|
|
Insert intrauterine device iud
|
$122.40 |
$122.40 |
$122.40 |
$347.10
|
|
Insertion catheter bladder non indwelling
|
$202.00 |
$202.00 |
$202.00 |
$205.40
|
|
Insertion catheter bladder temporary simple
|
$210.00 |
$210.00 |
$210.00 |
$232.25
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$6,514.40 |
$6,514.40 |
$6,514.40 |
$4,782.00
|
|
Insertion intra aortic balloon assist device percutaneous
|
$915.20 |
$915.20 |
$915.20 |
$2,529.45
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$7,585.60 |
$7,585.60 |
$7,585.60 |
$7,210.78
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$1,939.20 |
$1,939.20 |
$1,939.20 |
$2,505.60
|
|
Insertion of catheter vein
|
$1,692.00 |
$1,692.00 |
$1,692.00 |
$1,477.00
|
|
Insertion of catheter vein
|
$578.40 |
$578.40 |
$578.40 |
$836.25
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$10,758.80 |
$10,758.80 |
$10,758.80 |
$12,384.25
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$8,716.40 |
$8,716.40 |
$8,716.40 |
$12,384.25
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$10,208.80 |
$10,208.80 |
$10,208.80 |
$10,100.35
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$1,804.80 |
$1,804.80 |
$1,804.80 |
$2,079.50
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$3,470.40 |
$3,470.40 |
$3,470.40 |
$2,419.65
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$26,037.20 |
$26,037.20 |
$26,037.20 |
$29,042.52
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$4,148.80 |
$4,148.80 |
$4,148.80 |
$7,200.05
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$4,875.60 |
$4,875.60 |
$4,875.60 |
$7,312.80
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$5,118.00 |
$5,118.00 |
$5,118.00 |
$9,332.50
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$4,872.80 |
$4,872.80 |
$4,872.80 |
$5,223.20
|
|
Insert pessary/other device
|
$415.20 |
$415.20 |
$415.20 |
$278.50
|
|
Insert picvad cath
|
$3,500.40 |
$3,500.40 |
$3,500.40 |
$4,195.00
|
|
Insert pm/icd lead dual
|
$4,875.60 |
$4,875.60 |
$4,875.60 |
$7,115.20
|
|
Insert/repl sq defib w/eltrd
|
$22,530.80 |
$22,530.80 |
$22,530.80 |
$32,800.04
|
|
Insert sq defib electrode
|
$4,875.60 |
$4,875.60 |
$4,875.60 |
$8,167.68
|
|
Insert swan-ganz cath
|
$3,352.80 |
$3,352.80 |
$3,352.80 |
$2,210.50
|
|
Insert tunneled cv cath
|
$4,872.80 |
$4,872.80 |
$4,872.80 |
$4,520.00
|
|
Insert uteri tandem/ovoids
|
$3,574.80 |
$3,574.80 |
$3,574.80 |
$3,905.20
|
|
Insert vad art access left hrt arterial access
|
$4,386.00 |
$4,386.00 |
$4,386.00 |
$4,270.75
|
|
Ins icd gen exist mlt leads
|
$26,037.20 |
$26,037.20 |
$26,037.20 |
$31,286.77
|
|
Ins icd gen exist sgl lead
|
$14,630.00 |
$14,630.00 |
$14,630.00 |
$23,230.50
|
|
Insitu hybridization auto
|
$634.00 |
$634.00 |
$634.00 |
$377.37
|
|
Insitu hybridization manual
|
$633.60 |
$633.60 |
$633.60 |
$401.28
|
|
In situ hybridization per specimen each additional single probe stain
|
$197.60 |
$197.60 |
$197.60 |
$241.15
|
|
In situ hybridization per specimen initial single probe stain
|
$460.00 |
$460.00 |
$460.00 |
$331.69
|
|
Insj perq vad r hrt venous
|
$3,796.00 |
$3,796.00 |
$3,796.00 |
$3,796.00
|
|
Ins lv lead exist pm/icd
|
$17,150.40 |
$17,150.40 |
$17,150.40 |
$12,384.25
|
|
Ins mark abd/pel for right perq
|
$1,809.20 |
$1,809.20 |
$1,809.20 |
$2,414.36
|
|
Ins mark thor for right perq
|
$1,917.20 |
$1,917.20 |
$1,917.20 |
$2,477.45
|
|
Insole orthotic freedom sz6 6816
|
$60.80 |
$60.80 |
$60.80 |
$84.00
|
|
Ins picad w subq port 5yr>
|
$3,500.40 |
$3,500.40 |
$3,500.40 |
$3,985.20
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$3,470.40 |
$3,470.40 |
$3,470.40 |
$1,690.00
|
|
Ins pm gen exist dual lead
|
$19,095.20 |
$19,095.20 |
$19,095.20 |
$23,665.85
|
|
Ins pm gen w/exist mlt leads
|
$13,456.80 |
$13,456.80 |
$13,456.80 |
$14,804.40
|
|
Ins pq tunnld ip cath w/img
|
$4,324.00 |
$4,324.00 |
$4,324.00 |
$5,377.00
|
|
Ins/rpl ldless pm right vent w img & eval
|
$32,654.40 |
$32,654.40 |
$32,654.40 |
$24,135.54
|
|
Ins/rpl pm gen exist dual lead
|
$9,031.20 |
$9,031.20 |
$9,031.20 |
$11,005.50
|
|
Ins/rpl pm gen exist sgl lead
|
$7,872.40 |
$7,872.40 |
$7,872.40 |
$9,428.64
|
|
Ins/rpl pm w/tv ld atrl
|
$8,300.80 |
$8,300.80 |
$8,300.80 |
$11,583.66
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$19,196.00 |
$19,196.00 |
$19,196.00 |
$25,694.00
|
|
Inst fibrinolysis agent ini day
|
$1,882.40 |
$1,882.40 |
$1,882.40 |
$1,036.05
|
|
Insti hexaminolevulinate hcl
|
$2,121.20 |
$2,121.20 |
$2,121.20 |
$2,224.80
|
|
Instillation anticarcinogenic agent bladder
|
$1,708.00 |
$1,708.00 |
$1,708.00 |
$621.40
|
|
Instill, bupivac and meloxic
|
$1.42 |
$1.42 |
$1.42 |
$687.60
|