|
Ins cath ren art 2nd+ bi
|
$5,101.20 |
$5,101.20 |
$5,101.20 |
$5,500.86
|
|
Ins cath ren art 2nd+ uni
|
$5,852.80 |
$5,852.80 |
$5,852.80 |
$5,395.20
|
|
Ins cerv dilator (sep proc)
|
$420.80 |
$420.80 |
$420.80 |
$480.28
|
|
Insert abdomen-venous drain
|
$5,208.40 |
$5,208.40 |
$5,208.40 |
$3,147.06
|
|
Insert cath pleura with image
|
$2,334.00 |
$2,334.00 |
$2,334.00 |
$2,194.40
|
|
Insert cath pleura without image
|
$2,711.20 |
$2,711.20 |
$2,711.20 |
$2,073.18
|
|
Insert drug delivery implant
|
$1,425.60 |
$1,425.60 |
$1,425.60 |
$280.00
|
|
Insert hepatic shunt (tips)
|
$712.40 |
$712.40 |
$712.40 |
$7,571.20
|
|
Insert intrauterine device iud
|
$124.80 |
$124.80 |
$124.80 |
$347.10
|
|
Insertion catheter bladder non indwelling
|
$198.00 |
$198.00 |
$198.00 |
$205.40
|
|
Insertion catheter bladder temporary simple
|
$198.00 |
$198.00 |
$198.00 |
$232.25
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$2,765.20 |
$2,765.20 |
$2,765.20 |
$4,782.00
|
|
Insertion intra aortic balloon assist device percutaneous
|
$890.40 |
$890.40 |
$890.40 |
$2,529.45
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$8,460.40 |
$8,460.40 |
$8,460.40 |
$7,210.78
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$1,867.20 |
$1,867.20 |
$1,867.20 |
$2,505.60
|
|
Insertion of catheter vein
|
$1,469.20 |
$1,469.20 |
$1,469.20 |
$1,477.00
|
|
Insertion of catheter vein
|
$515.20 |
$515.20 |
$515.20 |
$836.25
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$7,853.20 |
$7,853.20 |
$7,853.20 |
$12,384.25
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$7,853.20 |
$7,853.20 |
$7,853.20 |
$12,384.25
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$12,875.20 |
$12,875.20 |
$12,875.20 |
$10,100.35
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$2,334.00 |
$2,334.00 |
$2,334.00 |
$2,079.50
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$2,478.40 |
$2,478.40 |
$2,478.40 |
$2,419.65
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$45,622.40 |
$45,622.40 |
$45,622.40 |
$29,042.52
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$2,931.20 |
$2,931.20 |
$2,931.20 |
$7,200.05
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$7,115.20 |
$7,115.20 |
$7,115.20 |
$7,312.80
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$7,490.00 |
$7,490.00 |
$7,490.00 |
$9,332.50
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$4,550.80 |
$4,550.80 |
$4,550.80 |
$5,223.20
|
|
Insert pessary/other device
|
$290.80 |
$290.80 |
$290.80 |
$278.50
|
|
Insert pm/icd lead dual
|
$7,115.20 |
$7,115.20 |
$7,115.20 |
$7,115.20
|
|
Insert/repl sq defib w/eltrd
|
$29,406.00 |
$29,406.00 |
$29,406.00 |
$32,800.04
|
|
Insert swan-ganz cath
|
$2,530.80 |
$2,530.80 |
$2,530.80 |
$2,210.50
|
|
Insert vad art access left hrt arterial access
|
$1,825.60 |
$1,825.60 |
$1,825.60 |
$4,270.75
|
|
Ins icd gen exist mlt leads
|
$39,397.60 |
$39,397.60 |
$39,397.60 |
$31,286.77
|
|
Ins icd gen exist sgl lead
|
$17,446.00 |
$17,446.00 |
$17,446.00 |
$23,230.50
|
|
Insitu hybridization (fish)
|
$458.80 |
$458.80 |
$458.80 |
$481.60
|
|
Insitu hybridization manual
|
$481.60 |
$481.60 |
$481.60 |
$401.28
|
|
In situ hybridization per specimen each additional single probe stain
|
$124.00 |
$124.00 |
$124.00 |
$241.15
|
|
In situ hybridization per specimen initial single probe stain
|
$261.60 |
$261.60 |
$261.60 |
$331.69
|
|
Insj perq vad r hrt venous
|
$2,832.80 |
$2,832.80 |
$2,832.80 |
$3,796.00
|
|
Ins lv lead exist pm/icd
|
$13,374.40 |
$13,374.40 |
$13,374.40 |
$12,384.25
|
|
Ins mark abd/pel for right perq
|
$1,126.80 |
$1,126.80 |
$1,126.80 |
$2,414.36
|
|
Ins mark thor for right perq
|
$2,896.40 |
$2,896.40 |
$2,896.40 |
$2,477.45
|
|
Insole orthotic freedom sz6 6816
|
$60.80 |
$60.80 |
$60.80 |
$84.00
|
|
Ins picad w subq port 5yr>
|
$3,551.20 |
$3,551.20 |
$3,551.20 |
$3,985.20
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$2,747.60 |
$2,747.60 |
$2,747.60 |
$1,690.00
|
|
Ins pm gen exist dual lead
|
$20,062.80 |
$20,062.80 |
$20,062.80 |
$23,665.85
|
|
Ins pm gen w/exist mlt leads
|
$19,143.60 |
$19,143.60 |
$19,143.60 |
$14,804.40
|
|
Ins pq tunnld ip cath w/img
|
$2,765.20 |
$2,765.20 |
$2,765.20 |
$5,377.00
|
|
Ins/rpl ldless pm right vent w img & eval
|
$25,210.00 |
$25,210.00 |
$25,210.00 |
$24,135.54
|
|
Ins/rpl pm gen exist dual lead
|
$14,739.20 |
$14,739.20 |
$14,739.20 |
$11,005.50
|
|
Ins/rpl pm gen exist sgl lead
|
$9,095.60 |
$9,095.60 |
$9,095.60 |
$9,428.64
|
|
Ins/rpl pm w/tv ld atrl
|
$7,853.20 |
$7,853.20 |
$7,853.20 |
$11,583.66
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$20,328.40 |
$20,328.40 |
$20,328.40 |
$25,694.00
|
|
Instll rx agnt into rnal tub
|
$1,335.20 |
$1,335.20 |
$1,335.20 |
$619.20
|
|
Ins tun cv cath wo subq prt/pm
|
$4,550.80 |
$4,550.80 |
$4,550.80 |
$4,202.70
|
|
Inst via cath agent pleurds
|
$971.20 |
$971.20 |
$971.20 |
$1,065.00
|
|
Insulin total
|
$50.40 |
$50.40 |
$50.40 |
$66.64
|
|
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm
|
$8,683.20 |
$8,683.20 |
$8,683.20 |
$8,629.72
|
|
Integra meshed bil wound mat
|
$15,188.80 |
$15,188.80 |
$15,188.80 |
$9,924.16
|
|
Integra os putty 2.5cc - cost per 0.5cc
|
$2,312.00 |
$2,312.00 |
$2,312.00 |
$3,803.11
|
|
Interdiscal perq aspir dx
|
$1,307.20 |
$1,307.20 |
$1,307.20 |
$1,222.26
|
|
Interfyl, 1 mg
|
$4,656.80 |
$4,656.80 |
$4,656.80 |
$4,656.80
|
|
Interrogate subq defib
|
$76.40 |
$76.40 |
$76.40 |
$119.60
|
|
Interrog device eval heart
|
$80.40 |
$80.40 |
$80.40 |
$162.40
|
|
Interrog evl pm/ldls pm ip
|
$80.40 |
$80.40 |
$80.40 |
$124.80
|
|
Intl custm cong/latyp insert
|
$806.00 |
$806.00 |
$806.00 |
$1,453.20
|
|
Intracard echo interv w/s&i
|
$1,147.60 |
$1,147.60 |
$1,147.60 |
$3,461.04
|
|
Intracran angioplsty w/stent
|
$15,196.40 |
$15,196.40 |
$15,196.40 |
$8,145.50
|
|
Intracranial angioplasty
|
$15,196.40 |
$15,196.40 |
$15,196.40 |
$4,962.40
|
|
Intracranial complete study
|
$455.20 |
$455.20 |
$455.20 |
$874.99
|
|
Intracranial limited study
|
$424.80 |
$424.80 |
$424.80 |
$465.01
|
|
Intranasal biopsy 30100
|
$2,026.40 |
$2,026.40 |
$2,026.40 |
$2,133.48
|
|
Intrapul surf admin endo tube
|
$400.00 |
$400.00 |
$400.00 |
$220.80
|
|
Intraventricular pacing
|
$10,726.00 |
$10,726.00 |
$10,726.00 |
$5,456.17
|
|
Intrinsic factor antibody
|
$67.20 |
$67.20 |
$67.20 |
$63.15
|
|
Intro cath dialysis circuit
|
$2,512.80 |
$2,512.80 |
$2,512.80 |
$2,036.94
|
|
Intro cath dialysis circuit w/pta
|
$14,704.00 |
$14,704.00 |
$14,704.00 |
$8,690.50
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$30,393.20 |
$30,393.20 |
$30,393.20 |
$16,262.40
|
|
Intro catheter aorta
|
$1,119.20 |
$1,119.20 |
$1,119.20 |
$1,654.05
|
|
Intro cath svc/ivc
|
$678.80 |
$678.80 |
$678.80 |
$1,323.27
|
|
Intro long gi tube
|
$1,446.40 |
$1,446.40 |
$1,446.40 |
$957.18
|
|
Intro long gi tube w/mult fluo
|
$953.60 |
$953.60 |
$953.60 |
$466.00
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$3,252.40 |
$3,252.40 |
$3,252.40 |
$3,409.29
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$2,884.40 |
$2,884.40 |
$2,884.40 |
$1,747.80
|
|
Intubation endotracheal emergency procedure
|
$322.80 |
$322.80 |
$322.80 |
$598.80
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$8.80 |
$8.80 |
$8.80 |
$170.06
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$50.51 |
$50.51 |
$50.51 |
$288.11
|
|
Iron
|
$28.80 |
$28.80 |
$28.80 |
$72.29
|
|
Iron binding capacity
|
$38.40 |
$38.40 |
$38.40 |
$63.60
|
|
Iron dextran 50 mg/ml injection solution
|
$32.36 |
$32.36 |
$32.36 |
$81.70
|
|
Irradiation of blood product each unit reference
|
$96.00 |
$96.00 |
$96.00 |
$114.40
|
|
Irrigation implantable venous access device for drug delivery systems
|
$125.60 |
$125.60 |
$125.60 |
$144.62
|
|
Ivc venogram s&i
|
$7,136.00 |
$7,136.00 |
$7,136.00 |
$3,316.95
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$112.40 |
$112.40 |
$112.40 |
$190.56
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$80.40 |
$80.40 |
$80.40 |
$159.00
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$78.00 |
$78.00 |
$78.00 |
$153.60
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$470.00 |
$470.00 |
$470.00 |
$437.45
|
|
Ivp w/wo kub w/wo tomography
|
$904.40 |
$904.40 |
$904.40 |
$692.18
|
|
Jak2 targeted sequence analysis
|
$1,423.60 |
$1,423.60 |
$1,423.60 |
$393.43
|
|
Kafo fem fx cast semi-rigid
|
$592.40 |
$592.40 |
$592.40 |
$2,130.02
|
