|
Inpt/tele follow up 15
|
$66.40 |
$66.40 |
$66.40 |
$64.80
|
|
Inpt/tele follow up 25
|
$116.80 |
$116.80 |
$116.80 |
$118.80
|
|
Inpt/tele follow up 35
|
$171.20 |
$171.20 |
$171.20 |
$171.60
|
|
Ins cath ren art 1st bi
|
$596.80 |
$596.80 |
$596.80 |
$5,753.10
|
|
Ins cath ren art 2nd+ bi
|
$698.40 |
$698.40 |
$698.40 |
$5,500.86
|
|
Ins cath ren art 2nd+ uni
|
$572.80 |
$572.80 |
$572.80 |
$5,395.20
|
|
Ins cerv dilator (sep proc)
|
$675.20 |
$675.20 |
$675.20 |
$480.28
|
|
Insert cannula vein-to-vein hemodialysis
|
$199.20 |
$199.20 |
$199.20 |
$7,279.50
|
|
Insert cath pleura with image
|
$2,564.00 |
$2,564.00 |
$2,564.00 |
$2,194.40
|
|
Insert cath pleura without image
|
$3,290.40 |
$3,290.40 |
$3,290.40 |
$2,073.18
|
|
Insert drug delivery implant
|
$103.20 |
$103.20 |
$103.20 |
$280.00
|
|
Insert epicardial lead open 33202
|
$13,052.80 |
$13,052.80 |
$13,052.80 |
$3,775.20
|
|
Insert intrauterine device iud
|
$1,331.20 |
$1,331.20 |
$1,331.20 |
$347.10
|
|
Insertion catheter artery nfs ther chemotx 36640
|
$181.60 |
$181.60 |
$181.60 |
$3,706.68
|
|
Insertion catheter bladder non indwelling
|
$204.00 |
$204.00 |
$204.00 |
$205.40
|
|
Insertion catheter bladder temporary simple
|
$264.00 |
$264.00 |
$264.00 |
$232.25
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$336.80 |
$336.80 |
$336.80 |
$4,782.00
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$360.80 |
$360.80 |
$360.80 |
$7,210.78
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$3,736.80 |
$3,736.80 |
$3,736.80 |
$2,505.60
|
|
Insertion of cannula
|
$324.80 |
$324.80 |
$324.80 |
$4,341.66
|
|
Insertion of cannula(s)
|
$2,480.80 |
$2,480.80 |
$2,480.80 |
$1,989.39
|
|
Insertion of heart electrode 33211
|
$4,004.00 |
$4,004.00 |
$4,004.00 |
$6,903.60
|
|
Insertion of infusion pump
|
$1,174.40 |
$1,174.40 |
$1,174.40 |
$5,907.78
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$859.20 |
$859.20 |
$859.20 |
$12,384.25
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$794.40 |
$794.40 |
$794.40 |
$12,384.25
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$758.40 |
$758.40 |
$758.40 |
$10,100.35
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$3,437.60 |
$3,437.60 |
$3,437.60 |
$2,079.50
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$3,437.60 |
$3,437.60 |
$3,437.60 |
$2,419.65
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$270.40 |
$270.40 |
$270.40 |
$7,200.05
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$4,004.00 |
$4,004.00 |
$4,004.00 |
$7,312.80
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$4,191.20 |
$4,191.20 |
$4,191.20 |
$9,332.50
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$5,602.40 |
$5,602.40 |
$5,602.40 |
$5,223.20
|
|
Insertion ureth cath
|
$829.60 |
$829.60 |
$829.60 |
$2,412.45
|
|
Insert lens prosthesis
|
$1,152.80 |
$1,152.80 |
$1,152.80 |
$3,173.34
|
|
Insert multi-comp penis pros
|
$1,336.00 |
$1,336.00 |
$1,336.00 |
$21,998.10
|
|
Insert pessary/other device
|
$332.00 |
$332.00 |
$332.00 |
$278.50
|
|
Insert pm/icd lead dual
|
$4,004.00 |
$4,004.00 |
$4,004.00 |
$7,115.20
|
|
Insert/repl sq defib w/eltrd
|
$14,675.20 |
$14,675.20 |
$14,675.20 |
$32,800.04
|
|
Insert sq defib electrode
|
$4,004.00 |
$4,004.00 |
$4,004.00 |
$8,167.68
|
|
Insitu hybridization auto
|
$55.20 |
$55.20 |
$55.20 |
$377.37
|
|
Insitu hybridization (fish)
|
$131.20 |
$131.20 |
$131.20 |
$481.60
|
|
Insitu hybridization manual
|
$71.20 |
$71.20 |
$71.20 |
$401.28
|
|
In situ hybridization per specimen each additional single probe stain
|
$210.40 |
$210.40 |
$210.40 |
$241.15
|
|
In situ hybridization per specimen initial single probe stain
|
$648.00 |
$648.00 |
$648.00 |
$331.69
|
|
Insj biomechanical device 22853
|
$443.20 |
$443.20 |
$443.20 |
$622.40
|
|
Ins lv lead exist pm/icd
|
$6,651.20 |
$6,651.20 |
$6,651.20 |
$12,384.25
|
|
Ins picad w subq port 5yr>
|
$544.00 |
$544.00 |
$544.00 |
$3,985.20
|
|
Ins pm gen w/exist mlt leads
|
$595.20 |
$595.20 |
$595.20 |
$14,804.40
|
|
Ins pq tunnld ip cath w/img
|
$324.00 |
$324.00 |
$324.00 |
$5,377.00
|
|
Ins/rplc spi npg/rcvr pocket
|
$584.00 |
$584.00 |
$584.00 |
$24,061.80
|
|
Ins/rpl pm gen exist dual lead
|
$6,651.20 |
$6,651.20 |
$6,651.20 |
$11,005.50
|
|
Ins/rpl pm gen exist sgl lead
|
$544.80 |
$544.80 |
$544.80 |
$9,428.64
|
|
Ins/rpl pm w/tv ld atrl
|
$751.20 |
$751.20 |
$751.20 |
$11,583.66
|
|
Ins/rpl prph sac/gstr npg/r
|
$489.60 |
$489.60 |
$489.60 |
$21,857.50
|
|
Instillation anticarcinogenic agent bladder
|
$408.00 |
$408.00 |
$408.00 |
$621.40
|
|
Ins tun cv cath wo subq prt/pm
|
$3,820.00 |
$3,820.00 |
$3,820.00 |
$4,202.70
|
|
Inst via cath agent pleurds
|
$128.80 |
$128.80 |
$128.80 |
$1,065.00
|
|
Insulin total
|
$27.20 |
$27.20 |
$27.20 |
$66.64
|
|
Intens behave ther cardio dx
|
$48.00 |
$48.00 |
$48.00 |
$47.60
|
|
Intermediate visual field xm
|
$36.00 |
$36.00 |
$36.00 |
$112.80
|
|
Internal nerve revision 64727
|
$264.00 |
$264.00 |
$264.00 |
$806.00
|
|
Interrogate subq defib
|
$63.20 |
$63.20 |
$63.20 |
$119.60
|
|
Interrog dev eval scrms ip
|
$31.20 |
$31.20 |
$31.20 |
$124.80
|
|
Interrog evl pm/ldls pm ip
|
$36.00 |
$36.00 |
$36.00 |
$124.80
|
|
Int hrhc lig 1 hroid without img
|
$608.00 |
$608.00 |
$608.00 |
$3,484.00
|
|
Int hrhc lig 2+hroid without img
|
$669.60 |
$669.60 |
$669.60 |
$3,245.23
|
|
Intraop colon lavage add-on
|
$294.40 |
$294.40 |
$294.40 |
$416.80
|
|
Intrinsic factor antibody
|
$38.40 |
$38.40 |
$38.40 |
$63.15
|
|
Intrm oph exam est patient
|
$74.40 |
$74.40 |
$74.40 |
$161.25
|
|
Intro cath dialysis circuit w/pta
|
$396.80 |
$396.80 |
$396.80 |
$8,690.50
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$527.20 |
$527.20 |
$527.20 |
$16,262.40
|
|
Intro cath svc/ivc
|
$182.40 |
$182.40 |
$182.40 |
$1,323.27
|
|
Intro long gi tube
|
$1,547.20 |
$1,547.20 |
$1,547.20 |
$957.18
|
|
Intro long gi tube w/mult fluo
|
$44.80 |
$44.80 |
$44.80 |
$466.00
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$152.80 |
$152.80 |
$152.80 |
$3,409.29
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$120.00 |
$120.00 |
$120.00 |
$1,747.80
|
|
Intubation endotracheal emergency procedure
|
$428.80 |
$428.80 |
$428.80 |
$598.80
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$95.78 |
$95.78 |
$95.78 |
$170.06
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$151.49 |
$151.49 |
$151.49 |
$288.11
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$31,957.85 |
$31,957.85 |
$31,957.85 |
$62,692.46
|
|
Ip/obs cnsltj new/est low 45
|
$177.60 |
$177.60 |
$177.60 |
$174.20
|
|
Ip/obs cnsltj new/est mod 60
|
$246.40 |
$246.40 |
$246.40 |
$284.45
|
|
Ip/obs consltj new/est hi 80
|
$332.80 |
$332.80 |
$332.80 |
$332.80
|
|
Ip/obs consltj new/est sf 35
|
$126.40 |
$126.40 |
$126.40 |
$134.46
|
|
Ipratropium bromide non-comp
|
$2.40 |
$2.40 |
$2.40 |
$3.75
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$143.98 |
$143.98 |
$143.98 |
$174.47
|
|
Iron
|
$27.20 |
$27.20 |
$27.20 |
$72.29
|
|
Iron dextran 50 mg/ml injection solution
|
$762.98 |
$762.98 |
$762.98 |
$81.70
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$287.57 |
$287.57 |
$287.57 |
$187.06
|
|
Irrigation implantable venous access device for drug delivery systems
|
$116.00 |
$116.00 |
$116.00 |
$144.62
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$128.00 |
$128.00 |
$128.00 |
$190.56
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$35.20 |
$35.20 |
$35.20 |
$159.00
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$384.00 |
$384.00 |
$384.00 |
$153.60
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$455.20 |
$455.20 |
$455.20 |
$437.45
|
|
Keratoprosthesis
|
$2,089.60 |
$2,089.60 |
$2,089.60 |
$13,812.84
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$98.40 |
$98.40 |
$98.40 |
$58.50
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$11.38 |
$11.38 |
$11.38 |
$23.77
|
|
Kidney img w/bldflw sgl without rx
|
$1,080.80 |
$1,080.80 |
$1,080.80 |
$1,425.00
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$260.00 |
$260.00 |
$260.00 |
$673.36
|
|
Kit gene analys d816 variant
|
$1,708.80 |
$1,708.80 |
$1,708.80 |
$366.03
|
