Fee Navigator

    Health Service Code 49.61B

    Percutaneous insertion of intra aortic balloon pump to include removal

    NOTE:

    When performed in conjunction with other procedures fee will be modified, refer to Price List.

    Category:M Minor Procedure
    Base rate:$245.00

    Fee modifiers:

    TypeCode# of callsExplicitActionAmount
    BMIBMIANTYesIncrease By25%
    BMIBMIPROYesIncrease By25%
    ROLEANESTYesReplace Base$18.39
    ANUANU1For Each Call Pay Base At100%
    ANUANU2 - 150For Each Call Increase By$18.39
    SURCEVYesIncrease By$48.70
    SURCNTAMYesIncrease By$116.83
    SURCNTPMYesIncrease By$116.83
    SURCWKYesIncrease By$48.70
    LVPADDYesReplace Base$113.91

    Governing Rules: