|
Inject sacroiliac joint
|
$1,336.66 |
$1,336.66 |
$1,336.66 |
$1,090.00
|
|
Inj epidural sgl cerv-thor without img
|
$1,034.56 |
$1,034.56 |
$1,034.56 |
$1,366.20
|
|
Inj epidural sgl lumb-sacral without img
|
$1,005.41 |
$1,005.41 |
$1,005.41 |
$1,450.84
|
|
Inj for ext venography
|
$743.06 |
$743.06 |
$743.06 |
$737.55
|
|
Inj hrt cath w/s&i nonsel p-art angrp
|
$495.55 |
$495.55 |
$495.55 |
$1,482.00
|
|
Inj hrt cath w/s&i sel right vent
|
$510.39 |
$510.39 |
$510.39 |
$947.65
|
|
Inj intralesional <= 7 lsn(s)
|
$491.84 |
$491.84 |
$491.84 |
$241.74
|
|
Inj nephrosto/ureterogram w/img exstng access
|
$913.19 |
$913.19 |
$913.19 |
$1,522.56
|
|
Inj proc for lymphang
|
$913.19 |
$913.19 |
$913.19 |
$1,372.00
|
|
Inj proc myelogram lumbar
|
$721.33 |
$721.33 |
$721.33 |
$922.80
|
|
Inj proc sialogram
|
$288.32 |
$288.32 |
$288.32 |
$380.80
|
|
Inj scleros sol mult veins
|
$422.94 |
$422.94 |
$422.94 |
$687.96
|
|
Inj w/fluor eval cv device
|
$246.45 |
$246.45 |
$246.45 |
$588.90
|
|
Insert cath pleura with image
|
$1,228.54 |
$1,228.54 |
$1,228.54 |
$2,239.02
|
|
Insert cath pleura without image
|
$1,172.36 |
$1,172.36 |
$1,172.36 |
$2,212.00
|
|
Insert hepatic shunt (tips)
|
$4,970.87 |
$4,970.87 |
$4,970.87 |
$9,754.48
|
|
Insertion catheter bladder temporary simple
|
$147.34 |
$147.34 |
$147.34 |
$273.60
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$2,991.85 |
$2,991.85 |
$2,991.85 |
$4,943.21
|
|
Insertion intra aortic balloon assist device percutaneous
|
$4,032.77 |
$4,032.77 |
$4,032.77 |
$2,549.95
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$1,738.93 |
$1,738.93 |
$1,738.93 |
$2,618.40
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$9,284.54 |
$9,284.54 |
$9,284.54 |
$14,158.20
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$9,284.54 |
$9,284.54 |
$9,284.54 |
$12,813.28
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$5,318.02 |
$5,318.02 |
$5,318.02 |
$9,855.00
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$1,228.54 |
$1,228.54 |
$1,228.54 |
$2,079.43
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$2,341.54 |
$2,341.54 |
$2,341.54 |
$2,527.91
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$28,989.41 |
$28,989.41 |
$28,989.41 |
$29,997.52
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$6,991.76 |
$6,991.76 |
$6,991.76 |
$7,572.47
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$6,991.76 |
$6,991.76 |
$6,991.76 |
$7,673.12
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$18,221.93 |
$18,221.93 |
$18,221.93 |
$9,793.46
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$3,447.12 |
$3,447.12 |
$3,447.12 |
$5,470.54
|
|
Insert pm/icd lead dual
|
$6,991.76 |
$6,991.76 |
$6,991.76 |
$7,562.63
|
|
Insert/repl sq defib w/eltrd
|
$28,989.41 |
$28,989.41 |
$28,989.41 |
$33,948.20
|
|
Insert sq defib electrode
|
$6,991.76 |
$6,991.76 |
$6,991.76 |
$8,167.68
|
|
Insert swan-ganz cath
|
$2,580.04 |
$2,580.04 |
$2,580.04 |
$2,164.52
|
|
Insert vad art access left hrt arterial access
|
$3,010.93 |
$3,010.93 |
$3,010.93 |
$5,062.80
|
|
Ins icd gen exist mlt leads
|
$29,097.53 |
$29,097.53 |
$29,097.53 |
$31,286.77
|
|
Ins icd gen exist sgl lead
|
$20,779.18 |
$20,779.18 |
$20,779.18 |
$24,159.72
|
|
Insitu hybridization auto
|
$484.42 |
$484.42 |
$484.42 |
$398.16
|
|
Insitu hybridization manual
|
$190.80 |
$190.80 |
$190.80 |
$407.11
|
|
In situ hybridization per specimen each additional single probe stain
|
$175.43 |
$175.43 |
$175.43 |
$251.55
|
|
In situ hybridization per specimen initial single probe stain
|
$175.43 |
$175.43 |
$175.43 |
$338.40
|
|
Insj perq vad r hrt venous
|
$3,010.93 |
$3,010.93 |
$3,010.93 |
$4,981.60
|
|
Ins lv lead exist pm/icd
|
$9,206.10 |
$9,206.10 |
$9,206.10 |
$12,384.25
|
|
Ins picad w subq port 5yr>
|
$3,128.59 |
$3,128.59 |
$3,128.59 |
$4,341.66
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$1,198.86 |
$1,198.86 |
$1,198.86 |
$1,483.95
|
|
Ins pm gen exist dual lead
|
$27,604.52 |
$27,604.52 |
$27,604.52 |
$24,696.00
|
|
Ins pm gen w/exist mlt leads
|
$16,526.46 |
$16,526.46 |
$16,526.46 |
$15,600.75
|
|
Ins pq tunnld ip cath w/img
|
$4,104.32 |
$4,104.32 |
$4,104.32 |
$5,593.60
|
|
Ins/rpl ldless pm right vent w img & eval
|
$37,786.88 |
$37,786.88 |
$37,786.88 |
$24,135.54
|
|
Ins/rpl pm gen exist dual lead
|
$9,206.10 |
$9,206.10 |
$9,206.10 |
$11,593.70
|
|
Ins/rpl pm gen exist sgl lead
|
$6,991.76 |
$6,991.76 |
$6,991.76 |
$9,746.29
|
|
Ins/rpl pm w/tv ld atrl
|
$9,284.54 |
$9,284.54 |
$9,284.54 |
$12,384.25
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$72,205.61 |
$72,205.61 |
$72,205.61 |
$25,106.90
|
|
Inst fibrinolysis agent ini day
|
$1,802.53 |
$1,802.53 |
$1,802.53 |
$1,095.00
|
|
Ins tun cv cath wo subq prt/pm
|
$2,389.77 |
$2,389.77 |
$2,389.77 |
$4,748.00
|
|
Ins tun intraperit dia cath
|
$2,341.01 |
$2,341.01 |
$2,341.01 |
$4,657.46
|
|
Inst via cath agent pleurds
|
$770.09 |
$770.09 |
$770.09 |
$1,074.68
|
|
Insulin total
|
$41.87 |
$41.87 |
$41.87 |
$67.60
|
|
Interdiscal perq aspir dx
|
$1,186.14 |
$1,186.14 |
$1,186.14 |
$1,222.26
|
|
Interrogate subq defib
|
$365.17 |
$365.17 |
$365.17 |
$139.10
|
|
Intracard echo interv w/s&i
|
$3,519.20 |
$3,519.20 |
$3,519.20 |
$3,982.59
|
|
Intracran angioplsty w/stent
|
$8,007.24 |
$8,007.24 |
$8,007.24 |
$11,364.78
|
|
Intracranial angioplasty
|
$8,966.54 |
$8,966.54 |
$8,966.54 |
$7,149.60
|
|
Intracranial limited study
|
$795.53 |
$795.53 |
$795.53 |
$423.52
|
|
Intrapul surf admin endo tube
|
$170.13 |
$170.13 |
$170.13 |
$239.52
|
|
Intrinsic factor antibody
|
$51.41 |
$51.41 |
$51.41 |
$59.95
|
|
Intro cath dialysis circuit
|
$1,394.43 |
$1,394.43 |
$1,394.43 |
$2,317.80
|
|
Intro cath dialysis circuit w/pta
|
$9,838.92 |
$9,838.92 |
$9,838.92 |
$8,761.00
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$19,882.42 |
$19,882.42 |
$19,882.42 |
$15,625.00
|
|
Intro long gi tube
|
$599.96 |
$599.96 |
$599.96 |
$1,036.00
|
|
Intro long gi tube w/mult fluo
|
$169.60 |
$169.60 |
$169.60 |
$477.85
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$2,902.81 |
$2,902.81 |
$2,902.81 |
$3,510.75
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$1,451.14 |
$1,451.14 |
$1,451.14 |
$1,825.16
|
|
Ionm in operatng room 15 min
|
$213.59 |
$213.59 |
$213.59 |
$200.78
|
|
Iron
|
$25.97 |
$25.97 |
$25.97 |
$70.72
|
|
Iron binding capacity
|
$33.92 |
$33.92 |
$33.92 |
$63.00
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$1.13 |
$1.13 |
$1.13 |
$169.30
|
|
Irradiation of blood product each unit reference
|
$49.29 |
$49.29 |
$49.29 |
$124.24
|
|
Irrigation implantable venous access device for drug delivery systems
|
$136.21 |
$136.21 |
$136.21 |
$154.50
|
|
Ivc venogram s&i
|
$1,691.23 |
$1,691.23 |
$1,691.23 |
$3,332.55
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$202.46 |
$202.46 |
$202.46 |
$191.75
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$202.46 |
$202.46 |
$202.46 |
$174.40
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$197.16 |
$197.16 |
$197.16 |
$155.00
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$321.18 |
$321.18 |
$321.18 |
$460.85
|
|
IV inj ra drug dx study
|
$1,319.70 |
$1,319.70 |
$1,319.70 |
$560.00
|
|
Jak2 targeted sequence analysis
|
$622.22 |
$622.22 |
$622.22 |
$378.30
|
|
John cunningham antibody
|
$27.03 |
$27.03 |
$27.03 |
$48.57
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$42.93 |
$42.93 |
$42.93 |
$56.61
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$3.48 |
$3.48 |
$3.48 |
$29.52
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$510.39 |
$510.39 |
$510.39 |
$668.25
|
|
Knee MRI (with and without contrast)
|
$1,426.76 |
$1,426.76 |
$1,426.76 |
$2,950.00
|
|
Knee MRI (with contrast)
|
$1,405.56 |
$1,405.56 |
$1,405.56 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$1,355.21 |
$1,355.21 |
$1,355.21 |
$2,181.10
|
|
Knee X-ray
|
$156.88 |
$156.88 |
$156.88 |
$443.90
|
|
Kras gene addl variants
|
$328.07 |
$328.07 |
$328.07 |
$346.45
|
|
Kras gene variants exon 2
|
$354.57 |
$354.57 |
$354.57 |
$495.00
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$10.20 |
$10.20 |
$10.20 |
$39.72
|
|
Lactate dehydrogenase (ldh)
|
$23.85 |
$23.85 |
$23.85 |
$53.30
|
|
Lactic acid
|
$49.29 |
$49.29 |
$49.29 |
$102.90
|
|
Lactoferrin fecal qualitative
|
$66.25 |
$66.25 |
$66.25 |
$88.40
|