|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$759.00 |
$759.00 |
$759.00 |
$1,471.50
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$1,180.00 |
$1,180.00 |
$1,180.00 |
$1,017.28
|
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
|
$1,422.00 |
$1,422.00 |
$1,422.00 |
$2,251.00
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
|
$1,112.00 |
$1,112.00 |
$1,112.00 |
$1,131.41
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
|
$1,011.00 |
$1,011.00 |
$1,011.00 |
$1,961.05
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
|
$601.00 |
$601.00 |
$601.00 |
$1,119.88
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
|
$1,054.00 |
$1,054.00 |
$1,054.00 |
$2,154.68
|
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
|
$1,913.00 |
$1,913.00 |
$1,913.00 |
$1,829.28
|
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
|
$1,913.00 |
$1,913.00 |
$1,913.00 |
$1,758.12
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$508.00 |
$508.00 |
$508.00 |
$552.60
|
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
|
$632.00 |
$632.00 |
$632.00 |
$670.00
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$258.00 |
$258.00 |
$258.00 |
$168.05
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$258.00 |
$258.00 |
$258.00 |
$154.05
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$496.00 |
$496.00 |
$496.00 |
$271.65
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$204.00 |
$204.00 |
$204.00 |
$141.60
|
|
Inj epidural sgl cerv-thor without img
|
$1,339.00 |
$1,339.00 |
$1,339.00 |
$1,366.20
|
|
Inj epidural sgl lumb-sacral without img
|
$1,339.00 |
$1,339.00 |
$1,339.00 |
$1,450.84
|
|
Inj, erzofri, 1 mg
|
$12,492.25 |
$12,492.25 |
$12,492.25 |
$17.15
|
|
Inj for ext venography
|
$514.00 |
$514.00 |
$514.00 |
$737.55
|
|
Inj for mammo ductogram
|
$397.00 |
$397.00 |
$397.00 |
$433.50
|
|
Inj glycopyrrolate, glyrx-pf
|
$91.75 |
$91.75 |
$91.75 |
$11.23
|
|
Inj heparin, pfizer, 1000u
|
$36.50 |
$36.50 |
$36.50 |
$26.85
|
|
Inj hrt cath w/s&i nonsel p-art angrp
|
$1,134.00 |
$1,134.00 |
$1,134.00 |
$1,482.00
|
|
Inj hrt cath w/s&i sel hrt ang
|
$1,386.00 |
$1,386.00 |
$1,386.00 |
$1,837.17
|
|
Inj hrt cath w/s&i sel hrt art
|
$1,462.00 |
$1,462.00 |
$1,462.00 |
$1,192.50
|
|
Inj hrt cath w/s&i sel left vent
|
$1,071.00 |
$1,071.00 |
$1,071.00 |
$1,214.40
|
|
Inj hrt cath w/s&i sel right vent
|
$1,096.00 |
$1,096.00 |
$1,096.00 |
$947.65
|
|
Inj/inf neurolyt sbst spinal canal lesion 62282
|
$1,060.00 |
$1,060.00 |
$1,060.00 |
$1,901.25
|
|
Inj ivig privigen 500 mg
|
$16,174.50 |
$16,174.50 |
$16,174.50 |
$7,173.90
|
|
Inj labetalol hcl hikma, 5mg
|
$46.25 |
$46.25 |
$46.25 |
$25.20
|
|
Inj levocarnitine per 1 gm
|
$256.75 |
$256.75 |
$256.75 |
$136.62
|
|
Inj, levothyroxine, freskabi
|
$794.50 |
$794.50 |
$794.50 |
$303.45
|
|
Inj, lidocaine w epinephrine
|
$155.25 |
$155.25 |
$155.25 |
$43.73
|
|
Inj meropenem (wg crit care)
|
$198.00 |
$198.00 |
$198.00 |
$99.20
|
|
Inj, micafungin (par pharm)
|
$987.50 |
$987.50 |
$987.50 |
$93.73
|
|
Inj nephrosto/ureterogram w/img exstng access
|
$1,692.00 |
$1,692.00 |
$1,692.00 |
$1,522.56
|
|
Inj, nithiodote, 3mg / 125mg
|
$730.50 |
$730.50 |
$730.50 |
$228.00
|
|
Inj pantoprazole(hikma) 40mg
|
$43.00 |
$43.00 |
$43.00 |
$33.52
|
|
Inj peritoneal venous shunt
|
$232.00 |
$232.00 |
$232.00 |
$386.88
|
|
Inj proc elbow arthro
|
$333.00 |
$333.00 |
$333.00 |
$453.60
|
|
Inj proc lumbr disk ea lvl
|
$560.00 |
$560.00 |
$560.00 |
$1,224.30
|
|
Inj proc myelogram lumbar
|
$596.00 |
$596.00 |
$596.00 |
$922.80
|
|
Inj proc sialogram
|
$446.00 |
$446.00 |
$446.00 |
$380.80
|
|
Inj retacrit esrd on dialysi
|
$947.75 |
$947.75 |
$947.75 |
$343.53
|
|
Inj retro urethrocysto
|
$170.00 |
$170.00 |
$170.00 |
$551.29
|
|
Inj scleros sol mult veins
|
$822.00 |
$822.00 |
$822.00 |
$687.96
|
|
Inj testosterone cypionate
|
$1,409.00 |
$1,409.00 |
$1,409.00 |
$82.58
|
|
Inj vancomycin (xellia) 10mg
|
$185.00 |
$185.00 |
$185.00 |
$86.90
|
|
Inj vocal cord bulking agent
|
$2,720.00 |
$2,720.00 |
$2,720.00 |
$801.48
|
|
Inj w/fluor eval cv device
|
$1,023.00 |
$1,023.00 |
$1,023.00 |
$588.90
|
|
Ins cath ren art 1st bi
|
$7,584.00 |
$7,584.00 |
$7,584.00 |
$6,033.75
|
|
Ins cath ren art 1st uni
|
$5,379.00 |
$5,379.00 |
$5,379.00 |
$4,667.63
|
|
Ins cath ren art 2nd+ bi
|
$8,714.00 |
$8,714.00 |
$8,714.00 |
$5,408.65
|
|
Ins cath ren art 2nd+ uni
|
$7,477.00 |
$7,477.00 |
$7,477.00 |
$5,528.94
|
|
Ins cerv dilator (sep proc)
|
$733.00 |
$733.00 |
$733.00 |
$544.00
|
|
Insert abdomen-venous drain
|
$4,391.00 |
$4,391.00 |
$4,391.00 |
$4,391.00
|
|
Insert cath pleura with image
|
$1,998.00 |
$1,998.00 |
$1,998.00 |
$2,239.02
|
|
Insert hepatic shunt (tips)
|
$5,484.00 |
$5,484.00 |
$5,484.00 |
$9,754.48
|
|
Insertion catheter bladder non indwelling
|
$299.00 |
$299.00 |
$299.00 |
$237.13
|
|
Insertion catheter bladder temporary simple
|
$299.00 |
$299.00 |
$299.00 |
$273.60
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$5,918.00 |
$5,918.00 |
$5,918.00 |
$4,943.21
|
|
Insertion intra aortic balloon assist device percutaneous
|
$2,939.00 |
$2,939.00 |
$2,939.00 |
$2,549.95
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$8,627.00 |
$8,627.00 |
$8,627.00 |
$7,088.54
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$2,883.00 |
$2,883.00 |
$2,883.00 |
$2,618.40
|
|
Insertion of catheter vein
|
$1,477.00 |
$1,477.00 |
$1,477.00 |
$1,749.80
|
|
Insertion of catheter vein
|
$1,193.00 |
$1,193.00 |
$1,193.00 |
$858.05
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$12,331.00 |
$12,331.00 |
$12,331.00 |
$14,158.20
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$11,345.00 |
$11,345.00 |
$11,345.00 |
$12,813.28
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$42,023.00 |
$42,023.00 |
$42,023.00 |
$9,855.00
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$2,128.00 |
$2,128.00 |
$2,128.00 |
$2,079.43
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$1,915.00 |
$1,915.00 |
$1,915.00 |
$2,527.91
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$51,148.00 |
$51,148.00 |
$51,148.00 |
$29,997.52
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$10,192.00 |
$10,192.00 |
$10,192.00 |
$7,572.47
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$7,953.00 |
$7,953.00 |
$7,953.00 |
$7,673.12
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$11,733.00 |
$11,733.00 |
$11,733.00 |
$9,793.46
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$5,287.00 |
$5,287.00 |
$5,287.00 |
$5,470.54
|
|
Insert pm/icd lead dual
|
$17,528.00 |
$17,528.00 |
$17,528.00 |
$7,562.63
|
|
Insert/repl sq defib w/eltrd
|
$35,677.00 |
$35,677.00 |
$35,677.00 |
$33,948.20
|
|
Insert sq defib electrode
|
$9,144.00 |
$9,144.00 |
$9,144.00 |
$8,167.68
|
|
Insert swan-ganz cath
|
$3,046.00 |
$3,046.00 |
$3,046.00 |
$2,164.52
|
|
Insert tunneled cv 2cath 2sits without port/pmp 36565
|
$5,802.00 |
$5,802.00 |
$5,802.00 |
$4,705.13
|
|
Insert vad art access left hrt arterial access
|
$8,897.00 |
$8,897.00 |
$8,897.00 |
$5,062.80
|
|
Ins icd gen exist mlt leads
|
$36,208.00 |
$36,208.00 |
$36,208.00 |
$31,286.77
|
|
Ins icd gen exist sgl lead
|
$25,689.00 |
$25,689.00 |
$25,689.00 |
$24,159.72
|
|
Insitu hybridization auto
|
$440.00 |
$440.00 |
$440.00 |
$398.16
|
|
Insitu hybridization manual
|
$463.00 |
$463.00 |
$463.00 |
$407.11
|
|
In situ hybridization per specimen each additional single probe stain
|
$549.00 |
$549.00 |
$549.00 |
$251.55
|
|
In situ hybridization per specimen initial single probe stain
|
$627.00 |
$627.00 |
$627.00 |
$338.40
|
|
Insj perq vad r hrt venous
|
$9,876.00 |
$9,876.00 |
$9,876.00 |
$4,981.60
|
|
Ins lv lead exist pm/icd
|
$42,023.00 |
$42,023.00 |
$42,023.00 |
$12,384.25
|
|
Ins mark abd/pel for right perq
|
$2,920.00 |
$2,920.00 |
$2,920.00 |
$2,070.00
|
|
Ins mark thor for right perq
|
$3,996.00 |
$3,996.00 |
$3,996.00 |
$2,396.35
|
|
Ins picad w subq port 5yr>
|
$7,958.00 |
$7,958.00 |
$7,958.00 |
$4,341.66
|
|
Ins pm gen exist dual lead
|
$26,043.00 |
$26,043.00 |
$26,043.00 |
$24,696.00
|
|
Ins pm gen w/exist mlt leads
|
$20,086.00 |
$20,086.00 |
$20,086.00 |
$15,600.75
|
|
Ins pq tunnld ip cath w/img
|
$4,803.00 |
$4,803.00 |
$4,803.00 |
$5,593.60
|
|
Ins/rpl ldless pm right vent w img & eval
|
$27,526.00 |
$27,526.00 |
$27,526.00 |
$24,135.54
|
|
Ins/rpl pm gen exist dual lead
|
$11,542.00 |
$11,542.00 |
$11,542.00 |
$11,593.70
|
|
Ins/rpl pm gen exist sgl lead
|
$8,196.00 |
$8,196.00 |
$8,196.00 |
$9,746.29
|
|
Ins/rpl pm w/tv ld atrl
|
$10,852.00 |
$10,852.00 |
$10,852.00 |
$12,384.25
|
