|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$8,224.00 |
$8,224.00 |
$8,224.00 |
$5,223.20
|
|
Insert lens prosthesis
|
$3,113.00 |
$3,113.00 |
$3,113.00 |
$3,173.34
|
|
Insert multi-comp penis pros
|
$9,263.34 |
$9,263.34 |
$9,263.34 |
$21,998.10
|
|
Insert pessary/other device
|
$465.50 |
$465.50 |
$465.50 |
$278.50
|
|
Insert pm/icd lead dual
|
$5,915.00 |
$5,915.00 |
$5,915.00 |
$7,115.20
|
|
Insert/repl sq defib w/eltrd
|
$11,268.00 |
$11,268.00 |
$11,268.00 |
$32,800.04
|
|
Insert semi-rigid prosthesis
|
$8,406.67 |
$8,406.67 |
$8,406.67 |
$14,393.26
|
|
Insert spine infusion device 62360
|
$5,672.50 |
$5,672.50 |
$5,672.50 |
$17,262.84
|
|
Insert sq defib electrode
|
$5,915.00 |
$5,915.00 |
$5,915.00 |
$8,167.68
|
|
Insert swan-ganz cath
|
$2,522.00 |
$2,522.00 |
$2,522.00 |
$2,210.50
|
|
Insert tunneled cv 2cath 2sits without port/pmp 36565
|
$2,870.00 |
$2,870.00 |
$2,870.00 |
$4,803.00
|
|
Insert tunneled cv cath
|
$2,870.00 |
$2,870.00 |
$2,870.00 |
$4,520.00
|
|
Insert tunneled cv cath
|
$5,039.50 |
$5,039.50 |
$5,039.50 |
$5,983.35
|
|
Insert uteri tandem/ovoids
|
$4,578.00 |
$4,578.00 |
$4,578.00 |
$3,905.20
|
|
Insert vad art access left hrt arterial access
|
$1,179.00 |
$1,179.00 |
$1,179.00 |
$4,270.75
|
|
Ins icd gen exist mlt leads
|
$11,268.00 |
$11,268.00 |
$11,268.00 |
$31,286.77
|
|
Ins icd gen exist sgl lead
|
$8,489.00 |
$8,489.00 |
$8,489.00 |
$23,230.50
|
|
Insitu hybridization auto
|
$999.50 |
$999.50 |
$999.50 |
$377.37
|
|
Insitu hybridization manual
|
$596.50 |
$596.50 |
$596.50 |
$401.28
|
|
In situ hybridization per specimen each additional single probe stain
|
$192.50 |
$192.50 |
$192.50 |
$241.15
|
|
In situ hybridization per specimen initial single probe stain
|
$921.00 |
$921.00 |
$921.00 |
$331.69
|
|
Insj biomechanical device 22853
|
$3,816.20 |
$3,816.20 |
$3,816.20 |
$622.40
|
|
Insj rx elut implt lac canal
|
$2,777.00 |
$2,777.00 |
$2,777.00 |
$2,572.70
|
|
Insj stablj dev without dcmprn
|
$8,195.00 |
$8,195.00 |
$8,195.00 |
$15,226.08
|
|
Insj stablj dev without dcmprn
|
$282.50 |
$282.50 |
$282.50 |
$10,418.40
|
|
Ins lv lead exist pm/icd
|
$5,363.00 |
$5,363.00 |
$5,363.00 |
$12,384.25
|
|
Ins picad w subq port 5yr>
|
$6,783.00 |
$6,783.00 |
$6,783.00 |
$3,985.20
|
|
Ins pm gen exist dual lead
|
$8,489.00 |
$8,489.00 |
$8,489.00 |
$23,665.85
|
|
Ins pq tunnld ip cath w/img
|
$3,332.50 |
$3,332.50 |
$3,332.50 |
$5,377.00
|
|
Ins/rplcmt prq eltrd ra pn 1
|
$9,581.50 |
$9,581.50 |
$9,581.50 |
$14,685.79
|
|
Ins/rplc spi npg/rcvr pocket
|
$13,843.00 |
$13,843.00 |
$13,843.00 |
$24,061.80
|
|
Ins/rpl ldless pm right vent w img & eval
|
$8,536.00 |
$8,536.00 |
$8,536.00 |
$24,135.54
|
|
Ins/rpl pm gen exist dual lead
|
$5,363.00 |
$5,363.00 |
$5,363.00 |
$11,005.50
|
|
Ins/rpl pm gen exist sgl lead
|
$5,915.00 |
$5,915.00 |
$5,915.00 |
$9,428.64
|
|
Ins/rpl pm w/tv ld atrl
|
$5,362.50 |
$5,362.50 |
$5,362.50 |
$11,583.66
|
|
Ins/rpl prph sac/gstr npg/r
|
$4,032.50 |
$4,032.50 |
$4,032.50 |
$21,857.50
|
|
Ins subq extnsn pertneal cath
|
$3,324.17 |
$3,324.17 |
$3,324.17 |
$2,479.93
|
|
Inst fibrinolysis agent ini day
|
$748.00 |
$748.00 |
$748.00 |
$1,036.05
|
|
Inst fibrinolysis agent sbsq d
|
$748.00 |
$748.00 |
$748.00 |
$898.12
|
|
Instillation anticarcinogenic agent bladder
|
$2,104.50 |
$2,104.50 |
$2,104.50 |
$621.40
|
|
Ins tun cvad 2 cath w/subq port(s)
|
$5,039.50 |
$5,039.50 |
$5,039.50 |
$7,826.00
|
|
Ins tun cv cath wo subq prt/pm
|
$17,556.50 |
$17,556.50 |
$17,556.50 |
$4,202.70
|
|
Ins tun intraperit dia cath
|
$3,332.50 |
$3,332.50 |
$3,332.50 |
$4,570.00
|
|
Inst via cath agent pleurds
|
$726.50 |
$726.50 |
$726.50 |
$1,065.00
|
|
Insulin total
|
$73.00 |
$73.00 |
$73.00 |
$66.64
|
|
Ins vag brachytx device
|
$468.50 |
$468.50 |
$468.50 |
$935.50
|
|
Intens cardiac rehab no exer
|
$199.00 |
$199.00 |
$199.00 |
$238.40
|
|
Intens cardiac rehab w/exerc
|
$199.00 |
$199.00 |
$199.00 |
$238.40
|
|
Interdiscal perq aspir dx
|
$924.00 |
$924.00 |
$924.00 |
$1,222.26
|
|
Interrogate subq defib
|
$45.50 |
$45.50 |
$45.50 |
$119.60
|
|
Interrogation vad in person
|
$111.50 |
$111.50 |
$111.50 |
$296.40
|
|
Interrog dev eval icpms ip
|
$45.50 |
$45.50 |
$45.50 |
$103.50
|
|
Interrog dev eval scrms ip
|
$30.00 |
$30.00 |
$30.00 |
$124.80
|
|
Interrog device eval heart
|
$49.50 |
$49.50 |
$49.50 |
$162.40
|
|
Interrog evl pm/ldls pm ip
|
$81.50 |
$81.50 |
$81.50 |
$124.80
|
|
Interrog without prgrmg ipnss
|
$118.50 |
$118.50 |
$118.50 |
$147.00
|
|
Int hrhc lig 2+hroid without img
|
$3,431.00 |
$3,431.00 |
$3,431.00 |
$3,245.23
|
|
Intra-atrial pacing
|
$4,777.50 |
$4,777.50 |
$4,777.50 |
$4,780.80
|
|
Intra-atrial recording
|
$5,006.00 |
$5,006.00 |
$5,006.00 |
$5,252.30
|
|
Intracard echo interv w/s&i
|
$3,372.50 |
$3,372.50 |
$3,372.50 |
$3,461.04
|
|
Intracran angioplsty w/stent
|
$2,964.50 |
$2,964.50 |
$2,964.50 |
$8,145.50
|
|
Intracranial complete study
|
$274.00 |
$274.00 |
$274.00 |
$874.99
|
|
Intranasal biopsy 30100
|
$2,672.50 |
$2,672.50 |
$2,672.50 |
$2,133.48
|
|
Intrapul surf admin endo tube
|
$428.50 |
$428.50 |
$428.50 |
$220.80
|
|
Intraventricular pacing
|
$5,006.00 |
$5,006.00 |
$5,006.00 |
$5,456.17
|
|
Intrinsic factor antibody
|
$96.50 |
$96.50 |
$96.50 |
$63.15
|
|
Intro cath dialysis circuit
|
$2,786.50 |
$2,786.50 |
$2,786.50 |
$2,036.94
|
|
Intro cath dialysis circuit w/pta
|
$9,824.00 |
$9,824.00 |
$9,824.00 |
$8,690.50
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$19,907.50 |
$19,907.50 |
$19,907.50 |
$16,262.40
|
|
Intro catheter aorta
|
$38,062.00 |
$38,062.00 |
$38,062.00 |
$1,654.05
|
|
Intro cath svc/ivc
|
$605.29 |
$605.29 |
$605.29 |
$1,323.27
|
|
Intro long gi tube
|
$1,695.50 |
$1,695.50 |
$1,695.50 |
$957.18
|
|
Intro long gi tube w/mult fluo
|
$305.00 |
$305.00 |
$305.00 |
$466.00
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$1,269.54 |
$1,269.54 |
$1,269.54 |
$3,409.29
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$1,269.54 |
$1,269.54 |
$1,269.54 |
$1,747.80
|
|
Intubation endotracheal emergency procedure
|
$295.00 |
$295.00 |
$295.00 |
$598.80
|
|
Iodine i-123 sod iodide mil
|
$1,111.50 |
$1,111.50 |
$1,111.50 |
$371.18
|
|
Ionm in operatng room 15 min
|
$134.50 |
$134.50 |
$134.50 |
$200.16
|
|
Ionm remote/>1 pt or per hr
|
$78.00 |
$78.00 |
$78.00 |
$622.70
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$828.90 |
$828.90 |
$828.90 |
$288.11
|
|
Io rad tx delivery by x-ray
|
$11,366.00 |
$11,366.00 |
$11,366.00 |
$9,046.18
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$20,595.06 |
$20,595.06 |
$20,595.06 |
$62,692.46
|
|
Ipratropium bromide non-comp
|
$2.00 |
$2.00 |
$2.00 |
$3.75
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$99.54 |
$99.54 |
$99.54 |
$174.47
|
|
Iron
|
$42.50 |
$42.50 |
$42.50 |
$72.29
|
|
Iron binding capacity
|
$55.50 |
$55.50 |
$55.50 |
$63.60
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$300.00 |
$300.00 |
$300.00 |
$187.06
|
|
Irrigation implantable venous access device for drug delivery systems
|
$130.50 |
$130.50 |
$130.50 |
$144.62
|
|
Ivc venogram s&i
|
$2,870.00 |
$2,870.00 |
$2,870.00 |
$3,316.95
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$259.00 |
$259.00 |
$259.00 |
$190.56
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$205.50 |
$205.50 |
$205.50 |
$159.00
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$537.00 |
$537.00 |
$537.00 |
$153.60
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$5,302.50 |
$5,302.50 |
$5,302.50 |
$437.45
|
|
Ivp w/wo kub w/wo tomography
|
$550.50 |
$550.50 |
$550.50 |
$692.18
|
|
Jak2 targeted sequence analysis
|
$335.50 |
$335.50 |
$335.50 |
$393.43
|
|
Jejunstmy tube plcmt
|
$1,758.00 |
$1,758.00 |
$1,758.00 |
$2,174.40
|
|
Ketamine and metabolite screen - quest
|
$18.50 |
$18.50 |
$18.50 |
$72.14
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$110.00 |
$110.00 |
$110.00 |
$58.50
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$40.50 |
$40.50 |
$40.50 |
$23.77
|
|
Kidney imag w/bld flow multi
|
$1,586.00 |
$1,586.00 |
$1,586.00 |
$1,557.41
|
