|
Inj peritoneal venous shunt
|
$453.42 |
$453.42 |
$453.42 |
$406.80
|
|
Inj proc ankle arthr
|
$460.00 |
$460.00 |
$611.16 |
$405.31
|
|
Inj proc elbow arthro
|
$460.00 |
$460.00 |
$611.16 |
$432.00
|
|
Inj proc lumbr disk ea lvl
|
$1,230.00 |
$1,230.00 |
$1,760.88 |
$1,139.40
|
|
Inj proc myelogram lumbar
|
$580.00 |
$580.00 |
$859.98 |
$856.00
|
|
Inj proc sialogram
|
$395.34 |
$395.34 |
$395.34 |
$373.00
|
|
Inj retro urethrocysto
|
$450.00 |
$450.00 |
$528.00 |
$450.00
|
|
Inj scleros sol mult veins
|
$425.00 |
$425.00 |
$461.34 |
$602.50
|
|
Inj scleros sol sgl vein
|
$142.50 |
$142.50 |
$142.50 |
$534.40
|
|
Inj(s) sclerosant spider veins limb/trunk
|
$125.00 |
$125.00 |
$125.00 |
$436.80
|
|
Inj teclistamab cqyv 0.5 mg
|
$71.66 |
$71.66 |
$71.66 |
$17,517.56
|
|
Inj thrc fascial pln blk bi w/wo image
|
$775.00 |
$775.00 |
$775.00 |
$1,025.00
|
|
Inj thrc fascial pln blk uni w/wo image
|
$650.00 |
$650.00 |
$650.00 |
$818.00
|
|
Inj w/fluor eval cv device
|
$377.50 |
$377.50 |
$583.44 |
$463.40
|
|
Ins cath ren art 1st bi
|
$3,635.28 |
$3,635.28 |
$5,820.00 |
$5,741.00
|
|
Ins cath ren art 1st uni
|
$3,004.98 |
$3,004.98 |
$4,660.00 |
$4,692.00
|
|
Ins cath ren art 2nd+ bi
|
$5,820.00 |
$5,820.00 |
$5,820.00 |
$5,408.65
|
|
Ins cath ren art 2nd+ uni
|
$4,660.00 |
$4,660.00 |
$6,243.60 |
$5,419.00
|
|
Ins cerv dilator (sep proc)
|
$382.50 |
$382.50 |
$1,267.86 |
$488.35
|
|
Insert cath pleura with image
|
$1,240.00 |
$1,240.00 |
$2,046.00 |
$2,194.40
|
|
Insert cath pleura without image
|
$1,120.00 |
$1,120.00 |
$2,191.20 |
$2,019.00
|
|
Insert drug delivery implant
|
$305.00 |
$305.00 |
$305.00 |
$280.00
|
|
Insert hepatic shunt (tips)
|
$11,055.00 |
$11,055.00 |
$11,864.82 |
$8,367.70
|
|
Insert intrauterine device iud
|
$267.30 |
$267.30 |
$570.00 |
$366.65
|
|
Insertion catheter bladder non indwelling
|
$117.50 |
$117.50 |
$215.82 |
$205.20
|
|
Insertion catheter bladder temporary simple
|
$195.00 |
$195.00 |
$215.82 |
$229.32
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$3,125.00 |
$3,125.00 |
$4,434.54 |
$4,731.80
|
|
Insertion intra aortic balloon assist device percutaneous
|
$1,571.46 |
$1,571.46 |
$1,571.46 |
$2,529.45
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$7,365.00 |
$7,365.00 |
$7,679.10 |
$7,034.50
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$1,085.00 |
$1,085.00 |
$3,161.40 |
$2,511.00
|
|
Insertion of cannula
|
$2,915.88 |
$2,915.88 |
$2,915.88 |
$4,341.66
|
|
Insertion of catheter vein
|
$880.00 |
$880.00 |
$1,367.52 |
$1,657.32
|
|
Insertion of catheter vein
|
$760.00 |
$760.00 |
$925.32 |
$836.25
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$7,330.62 |
$7,330.62 |
$7,330.62 |
$12,508.08
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$12,087.24 |
$12,087.24 |
$12,087.24 |
$12,384.25
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$5,838.36 |
$5,838.36 |
$5,838.36 |
$10,100.35
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$1,085.00 |
$1,085.00 |
$1,560.24 |
$2,079.43
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$2,015.00 |
$2,015.00 |
$3,082.86 |
$2,414.10
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$15,899.40 |
$15,899.40 |
$15,899.40 |
$29,146.96
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$9,558.78 |
$9,558.78 |
$9,558.78 |
$7,513.67
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$9,558.78 |
$9,558.78 |
$9,558.78 |
$7,342.20
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$5,034.48 |
$5,034.48 |
$5,034.48 |
$9,397.50
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$2,630.00 |
$2,630.00 |
$5,794.80 |
$5,236.80
|
|
Insert picvad cath
|
$6,232.38 |
$6,232.38 |
$6,232.38 |
$4,341.66
|
|
Insert pm/icd lead dual
|
$9,769.32 |
$9,769.32 |
$9,769.32 |
$7,388.80
|
|
Insert/repl sq defib w/eltrd
|
$20,743.80 |
$20,743.80 |
$20,743.80 |
$33,297.72
|
|
Insert swan-ganz cath
|
$1,871.10 |
$1,871.10 |
$1,871.10 |
$2,210.50
|
|
Insert tunneled cv 2cath 2sits without port/pmp 36565
|
$5,840.34 |
$5,840.34 |
$5,840.34 |
$5,018.25
|
|
Insert tunneled cv cath
|
$4,350.06 |
$4,350.06 |
$4,350.06 |
$4,580.61
|
|
Insert tunneled cv cath
|
$3,954.06 |
$3,954.06 |
$3,954.06 |
$6,075.30
|
|
Ins icd gen exist mlt leads
|
$11,388.96 |
$11,388.96 |
$11,388.96 |
$31,286.77
|
|
Ins icd gen exist sgl lead
|
$25,925.46 |
$25,925.46 |
$25,925.46 |
$23,742.75
|
|
Insitu hybridization auto
|
$295.00 |
$295.00 |
$295.00 |
$371.00
|
|
Insitu hybridization (fish)
|
$322.50 |
$322.50 |
$493.68 |
$481.60
|
|
Insitu hybridization manual
|
$357.50 |
$357.50 |
$894.30 |
$388.20
|
|
In situ hybridization per specimen each additional single probe stain
|
$257.50 |
$257.50 |
$493.68 |
$243.60
|
|
In situ hybridization per specimen initial single probe stain
|
$322.50 |
$322.50 |
$493.68 |
$326.04
|
|
Ins lv lead exist pm/icd
|
$12,087.24 |
$12,087.24 |
$12,087.24 |
$12,087.24
|
|
Ins mark abd/pel for right perq
|
$3,070.32 |
$3,070.32 |
$3,070.32 |
$2,376.00
|
|
Ins picad w subq port 5yr>
|
$2,160.00 |
$2,160.00 |
$6,688.44 |
$3,912.93
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$1,855.00 |
$1,855.00 |
$2,620.86 |
$1,609.25
|
|
Ins pm gen exist dual lead
|
$10,565.94 |
$10,565.94 |
$10,565.94 |
$24,696.00
|
|
Ins pq tunnld ip cath w/img
|
$3,490.00 |
$3,490.00 |
$6,031.08 |
$5,377.00
|
|
Ins/rpl pm gen exist dual lead
|
$12,087.24 |
$12,087.24 |
$12,087.24 |
$11,408.40
|
|
Ins/rpl pm gen exist sgl lead
|
$9,558.78 |
$9,558.78 |
$9,558.78 |
$9,558.78
|
|
Ins/rpl pm w/tv ld atrl
|
$5,539.38 |
$5,539.38 |
$5,539.38 |
$12,371.40
|
|
Inst fibrinolysis agent ini day
|
$714.12 |
$714.12 |
$905.00 |
$1,090.80
|
|
Inst fibrinolysis agent sbsq d
|
$714.12 |
$714.12 |
$714.12 |
$1,018.47
|
|
Instillation anticarcinogenic agent bladder
|
$505.00 |
$505.00 |
$505.00 |
$621.40
|
|
Ins tun cvad 2 cath w/subq port(s)
|
$8,823.54 |
$8,823.54 |
$8,823.54 |
$7,651.38
|
|
Ins tun cv cath wo subq prt/pm
|
$4,125.00 |
$4,125.00 |
$4,125.00 |
$5,324.80
|
|
Ins tun cv cath wo subq prt/pm
|
$1,555.00 |
$1,555.00 |
$4,888.62 |
$4,202.70
|
|
Ins tun intraperit dia cath
|
$3,130.00 |
$3,130.00 |
$4,306.50 |
$4,657.46
|
|
Inst via cath agent pleurds
|
$695.00 |
$695.00 |
$695.00 |
$1,093.50
|
|
Insulin total
|
$62.70 |
$62.70 |
$65.00 |
$66.64
|
|
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm
|
$4,457.29 |
$4,457.29 |
$4,457.29 |
$8,629.72
|
|
Interdiscal perq aspir dx
|
$710.00 |
$710.00 |
$1,384.02 |
$1,180.84
|
|
Interrogate subq defib
|
$78.54 |
$78.54 |
$78.54 |
$125.76
|
|
Interrog device eval heart
|
$310.00 |
$310.00 |
$310.00 |
$162.40
|
|
Interrog evl pm/ldls pm ip
|
$113.52 |
$113.52 |
$310.00 |
$124.80
|
|
Intra-atrial recording
|
$8,764.14 |
$8,764.14 |
$8,764.14 |
$5,252.30
|
|
Intracard echo interv w/s&i
|
$3,218.82 |
$3,218.82 |
$3,218.82 |
$3,429.40
|
|
Intracranial complete study
|
$1,030.00 |
$1,030.00 |
$1,030.00 |
$900.50
|
|
Intracranial limited study
|
$685.00 |
$685.00 |
$685.00 |
$444.66
|
|
Intrapul surf admin endo tube
|
$205.00 |
$205.00 |
$205.00 |
$220.80
|
|
Intraventricular pacing
|
$8,764.14 |
$8,764.14 |
$8,764.14 |
$5,609.50
|
|
Intrinsic factor antibody
|
$95.00 |
$95.00 |
$99.00 |
$66.60
|
|
Intro cath dialysis circuit
|
$1,145.00 |
$1,145.00 |
$3,098.04 |
$2,035.00
|
|
Intro cath dialysis circuit w/pta
|
$8,190.00 |
$8,190.00 |
$10,883.40 |
$8,761.00
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$14,730.00 |
$14,730.00 |
$20,413.80 |
$15,805.00
|
|
Intro catheter aorta
|
$1,060.00 |
$1,060.00 |
$1,450.68 |
$1,654.05
|
|
Intro cath svc/ivc
|
$880.00 |
$880.00 |
$1,139.16 |
$1,329.90
|
|
Intro long gi tube
|
$457.50 |
$457.50 |
$518.76 |
$990.00
|
|
Intro long gi tube w/mult fluo
|
$317.50 |
$317.50 |
$537.24 |
$449.40
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$2,620.00 |
$2,620.00 |
$2,620.00 |
$3,303.76
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$2,210.00 |
$2,210.00 |
$2,210.00 |
$1,633.03
|
|
Intubation endotracheal emergency procedure
|
$302.50 |
$302.50 |
$1,094.94 |
$589.60
|
|
Iodine i-123 sod iodide mil
|
$307.50 |
$307.50 |
$307.50 |
$350.74
|
|
Ionm in operatng room 15 min
|
$209.22 |
$209.22 |
$209.22 |
$191.40
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$11.01 |
$11.01 |
$11.01 |
$172.98
|
