|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$9,285.57 |
$10,758.80 |
$10,758.80 |
$12,384.25
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$7,521.31 |
$8,716.40 |
$8,716.40 |
$12,384.25
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$8,121.03 |
$10,208.80 |
$10,208.80 |
$10,100.35
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$1,480.63 |
$1,804.80 |
$1,804.80 |
$2,079.50
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$1,922.89 |
$3,470.40 |
$3,470.40 |
$2,419.65
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$14,579.06 |
$26,037.20 |
$26,037.20 |
$29,042.52
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$4,148.80 |
$4,148.80 |
$4,376.59 |
$7,200.05
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$2,538.90 |
$4,875.60 |
$4,875.60 |
$7,312.80
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$4,098.12 |
$5,118.00 |
$5,118.00 |
$9,332.50
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$2,989.65 |
$4,872.80 |
$4,872.80 |
$5,223.20
|
|
Insert pessary/other device
|
$99.44 |
$415.20 |
$415.20 |
$278.50
|
|
Insert picvad cath
|
$1,769.06 |
$3,500.40 |
$3,500.40 |
$4,195.00
|
|
Insert pm/icd lead dual
|
$2,589.68 |
$4,875.60 |
$4,875.60 |
$7,115.20
|
|
Insert/repl sq defib w/eltrd
|
$5,843.69 |
$22,530.80 |
$22,530.80 |
$32,800.04
|
|
Insert sq defib electrode
|
$2,976.20 |
$4,875.60 |
$4,875.60 |
$8,167.68
|
|
Insert swan-ganz cath
|
$1,859.91 |
$3,352.80 |
$3,352.80 |
$2,210.50
|
|
Insert tunneled cv 2cath 2sits without port/pmp 36565
|
$2,989.65 |
$2,989.65 |
$2,989.65 |
$4,803.00
|
|
Insert tunneled cv cath
|
$3,295.35 |
$4,872.80 |
$4,872.80 |
$4,520.00
|
|
Insert tunneled cv cath
|
$2,989.65 |
$2,989.65 |
$2,989.65 |
$5,983.35
|
|
Insert uteri tandem/ovoids
|
$3,574.80 |
$3,574.80 |
$3,574.80 |
$3,905.20
|
|
Insert vad art access left hrt arterial access
|
$2,790.27 |
$4,386.00 |
$4,386.00 |
$4,270.75
|
|
Insert vad art access left hrt art & vein access
|
$4,882.98 |
$4,882.98 |
$4,882.98 |
$3,677.40
|
|
Ins icd gen exist mlt leads
|
$6,425.80 |
$26,037.20 |
$26,037.20 |
$31,286.77
|
|
Ins icd gen exist sgl lead
|
$6,425.80 |
$14,630.00 |
$14,630.00 |
$23,230.50
|
|
Insitu hybridization auto
|
$332.93 |
$634.00 |
$634.00 |
$377.37
|
|
Insitu hybridization (fish)
|
$339.10 |
$339.10 |
$339.10 |
$481.60
|
|
Insitu hybridization manual
|
$374.60 |
$633.60 |
$633.60 |
$401.28
|
|
In situ hybridization per specimen each additional single probe stain
|
$175.72 |
$197.60 |
$197.60 |
$241.15
|
|
In situ hybridization per specimen initial single probe stain
|
$179.86 |
$460.00 |
$460.00 |
$331.69
|
|
Insj perq vad r hrt venous
|
$2,790.27 |
$3,796.00 |
$3,796.00 |
$3,796.00
|
|
Insj stablj dev without dcmprn
|
$3,521.93 |
$3,521.93 |
$3,521.93 |
$15,226.08
|
|
Insj stablj dev without dcmprn
|
$1,331.82 |
$1,331.82 |
$1,331.82 |
$10,418.40
|
|
Ins lv lead exist pm/icd
|
$2,253.25 |
$17,150.40 |
$17,150.40 |
$12,384.25
|
|
Ins mark abd/pel for right perq
|
$1,380.18 |
$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>
|
$1,769.06 |
$3,500.40 |
$3,500.40 |
$3,985.20
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$1,922.89 |
$3,470.40 |
$3,470.40 |
$1,690.00
|
|
Ins pm gen exist dual lead
|
$6,425.80 |
$19,095.20 |
$19,095.20 |
$23,665.85
|
|
Ins pm gen w/exist mlt leads
|
$4,258.32 |
$13,456.80 |
$13,456.80 |
$14,804.40
|
|
Ins pq tunnld ip cath w/img
|
$2,838.86 |
$4,324.00 |
$4,324.00 |
$5,377.00
|
|
Ins/rplc spi npg/rcvr pocket
|
$4,115.86 |
$4,115.86 |
$4,115.86 |
$24,061.80
|
|
Ins/rpl ldless pm right vent w img & eval
|
$8,564.89 |
$32,654.40 |
$32,654.40 |
$24,135.54
|
|
Ins/rpl pm gen exist dual lead
|
$4,258.32 |
$9,031.20 |
$9,031.20 |
$11,005.50
|
|
Ins/rpl pm gen exist sgl lead
|
$3,866.42 |
$7,872.40 |
$7,872.40 |
$9,428.64
|
|
Ins/rpl pm w/tv ld atrl
|
$6,592.75 |
$8,300.80 |
$8,300.80 |
$11,583.66
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$11,686.64 |
$19,196.00 |
$19,196.00 |
$25,694.00
|
|
Inst fibrinolysis agent ini day
|
$516.24 |
$1,882.40 |
$1,882.40 |
$1,036.05
|
|
Inst fibrinolysis agent sbsq d
|
$516.24 |
$516.24 |
$516.24 |
$898.12
|
|
Insti hexaminolevulinate hcl
|
$2,121.20 |
$2,121.20 |
$2,121.20 |
$2,224.80
|
|
Instillation anticarcinogenic agent bladder
|
$568.55 |
$1,708.00 |
$1,708.00 |
$621.40
|
|
Instll rx agnt into rnal tub
|
$224.53 |
$1,554.00 |
$1,554.00 |
$619.20
|
|
Ins tun cvad 2 cath w/subq port(s)
|
$2,239.74 |
$2,239.74 |
$2,239.74 |
$7,826.00
|
|
Ins tun cv cath wo subq prt/pm
|
$2,908.86 |
$3,868.40 |
$3,868.40 |
$5,324.80
|
|
Ins tun cv cath wo subq prt/pm
|
$2,034.17 |
$3,868.40 |
$3,868.40 |
$4,202.70
|
|
Ins tun intraperit dia cath
|
$2,090.07 |
$2,983.60 |
$2,983.60 |
$4,570.00
|
|
Inst via cath agent pleurds
|
$369.60 |
$369.60 |
$427.75 |
$1,065.00
|
|
Insulin for insulin pump use
|
$39.33 |
$39.33 |
$39.33 |
$396.18
|
|
Insulin total
|
$29.20 |
$29.20 |
$40.47 |
$66.64
|
|
Ins vag brachytx device
|
$950.00 |
$950.00 |
$950.00 |
$935.50
|
|
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm
|
$6,317.39 |
$8,683.20 |
$8,683.20 |
$8,629.72
|
|
Integra meshed bil wound mat
|
$15,188.80 |
$15,188.80 |
$19,573.70 |
$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
|
$431.33 |
$1,463.60 |
$1,463.60 |
$1,222.26
|
|
Interferon alfa-2b inj
|
$4,010.08 |
$4,010.08 |
$4,010.08 |
$1,409.92
|
|
Interferon alfacon-1 inj
|
$403.30 |
$403.30 |
$403.30 |
$382.15
|
|
Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper)
|
$910.70 |
$910.70 |
$910.70 |
$10,427.90
|
|
Interferon gamma 1-b inj
|
$1,097.69 |
$1,097.69 |
$1,097.69 |
$9,879.00
|
|
Interfyl, 1 mg
|
$4,656.80 |
$4,656.80 |
$4,656.80 |
$4,656.80
|
|
Interrogate subq defib
|
$102.40 |
$102.40 |
$102.40 |
$119.60
|
|
Interrogation vad in person
|
$336.40 |
$336.40 |
$336.40 |
$296.40
|
|
Interrog dev eval icpms ip
|
$42.78 |
$42.78 |
$42.78 |
$103.50
|
|
Interrog dev eval scrms ip
|
$103.60 |
$103.60 |
$103.60 |
$124.80
|
|
Interrog device eval heart
|
$146.40 |
$146.40 |
$146.40 |
$162.40
|
|
Interrog evl pm/ldls pm ip
|
$104.00 |
$104.00 |
$104.00 |
$124.80
|
|
Interstitial brachy inter
|
$2,392.31 |
$2,392.31 |
$2,392.31 |
$1,244.40
|
|
Intl custm cong/latyp insert
|
$806.00 |
$806.00 |
$806.00 |
$1,453.20
|
|
Intra-atrial pacing
|
$1,833.07 |
$10,026.80 |
$10,026.80 |
$4,780.80
|
|
Intra-atrial recording
|
$2,880.64 |
$2,880.64 |
$2,880.64 |
$5,252.30
|
|
Intracard echo interv w/s&i
|
$2,321.17 |
$3,436.00 |
$3,436.00 |
$3,461.04
|
|
Intracran angioplsty w/stent
|
$3,672.00 |
$3,672.00 |
$3,912.43 |
$8,145.50
|
|
Intracranial angioplasty
|
$3,024.00 |
$3,024.00 |
$3,163.48 |
$4,962.40
|
|
Intracranial complete study
|
$518.85 |
$744.40 |
$744.40 |
$874.99
|
|
Intracranial limited study
|
$380.40 |
$380.40 |
$435.84 |
$465.01
|
|
Intraoral i+d tongue/floor lingual 41000
|
$469.31 |
$469.31 |
$469.31 |
$1,331.45
|
|
Intrapul surf admin endo tube
|
$101.39 |
$215.20 |
$215.20 |
$220.80
|
|
Intraventricular pacing
|
$3,036.19 |
$4,063.20 |
$4,063.20 |
$5,456.17
|
|
Intrinsic factor antibody
|
$34.40 |
$34.40 |
$110.24 |
$63.15
|
|
Intro cath dialysis circuit
|
$978.57 |
$1,292.00 |
$1,292.00 |
$2,036.94
|
|
Intro cath dialysis circuit w/pta
|
$3,998.00 |
$3,998.00 |
$7,527.43 |
$8,690.50
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$7,905.60 |
$7,905.60 |
$22,055.37 |
$16,262.40
|
|
Intro catheter aorta
|
$1,110.00 |
$1,110.00 |
$1,110.00 |
$1,654.05
|
|
Intro cath svc/ivc
|
$637.20 |
$637.20 |
$637.20 |
$1,323.27
|
|
Intro long gi tube
|
$364.80 |
$650.40 |
$650.40 |
$957.18
|
|
Intro long gi tube w/mult fluo
|
$478.08 |
$479.20 |
$479.20 |
$466.00
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$2,254.26 |
$2,546.80 |
$2,546.80 |
$3,409.29
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$1,555.44 |
$2,336.40 |
$2,336.40 |
$1,747.80
|
|
Intubation endotracheal emergency procedure
|
$443.81 |
$460.40 |
$460.40 |
$598.80
|
|
Io anal gast n-stim subsq
|
$298.00 |
$298.00 |
$298.00 |
$170.00
|
|
Iodine i-123 sod iodide mil
|
$135.27 |
$135.27 |
$135.27 |
$371.18
|