|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$109.20 |
$120.90 |
$136.50 |
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$109.20 |
$120.90 |
$136.50 |
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$109.20 |
$120.90 |
$136.50 |
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$90.35 |
$94.90 |
$104.00 |
|
|
Inj fluphenazine hcl 1.25 mg
|
$29.65 |
$29.65 |
$29.65 |
|
|
Inj for ext venography
|
$4,658.54 |
$4,658.54 |
$4,658.54 |
|
|
Inj., guselkumab, 1 mg
|
$34,802.08 |
$34,802.08 |
$34,802.08 |
|
|
Inj heparin, pfizer, 1000u
|
$18.49 |
$18.49 |
$18.49 |
|
|
Inj herzuma 10 mg
|
$6,658.11 |
$6,658.11 |
$6,658.11 |
|
|
Inj hrt cath w/s&i nonsel p-art angrp
|
$1,235.00 |
$1,235.00 |
$1,235.00 |
|
|
Inj hrt cath w/s&i sel hrt ang
|
$1,425.45 |
$1,425.45 |
$1,425.45 |
|
|
Inj hrt cath w/s&i sel hrt art
|
$1,053.65 |
$1,053.65 |
$1,053.65 |
|
|
Inj hrt cath w/s&i sel left vent
|
$1,407.25 |
$1,407.25 |
$1,407.25 |
|
|
Inj hrt cath w/s&i sel right vent
|
$1,407.25 |
$1,407.25 |
$1,407.25 |
|
|
Inj, immphentiv, 20 mcg
|
$7.15 |
$7.15 |
$7.15 |
|
|
Inj intralesional <= 7 lsn(s)
|
$49.40 |
$49.40 |
$49.40 |
|
|
Inj levocarnitine per 1 gm
|
$110.14 |
$110.14 |
$120.03 |
|
|
Inj, levothyroxine, freskabi
|
$136.92 |
$167.54 |
$1,629.93 |
|
|
Inj lwr xtr fscl pln blk uni w/wo image
|
$16,778.04 |
$16,778.04 |
$16,778.04 |
|
|
Inj mepivacaine hcl/10 ml
|
$42.62 |
$42.62 |
$43.54 |
|
|
Inj meropenem (wg crit care)
|
$14.67 |
$90.67 |
$92.62 |
|
|
Inj multihance
|
$79.42 |
$91.53 |
$91.53 |
|
|
Inj. mycophenolate mofetil
|
$223.85 |
$223.85 |
$223.85 |
|
|
Inj nephrosto/ureterogram w/img exstng access
|
$1,996.15 |
$1,996.15 |
$1,996.15 |
|
|
Inj ogivri 10 mg
|
$2,055.76 |
$2,055.76 |
$5,978.49 |
|
|
Inj ontruzant 10 mg
|
$2,892.25 |
$2,892.25 |
$2,892.25 |
|
|
Inj pegfilgrastim-bmez 0.5mg
|
$7,680.30 |
$7,680.30 |
$7,680.30 |
|
|
Inj proc lumbr disk ea lvl
|
$8,853.16 |
$8,853.16 |
$8,853.16 |
|
|
Inj, releuko 1 mcg
|
$768.92 |
$768.92 |
$785.46 |
|
|
Inj sulf hexa lipid microsph
|
$448.46 |
$448.46 |
$448.46 |
|
|
Inj, sutimlimab-jome, 10 mg
|
$4,759.65 |
$4,759.65 |
$4,759.65 |
|
|
Inj testosterone cypionate
|
$13.00 |
$55.44 |
$104.65 |
|
|
Inj thrc fascial pln blk uni w/wo image
|
$1,252.02 |
$1,252.02 |
$1,252.02 |
|
|
Inj, tofidence, 1 mg
|
$974.61 |
$974.61 |
$4,397.25 |
|
|
Inj, tyenne, 1 mg
|
$860.68 |
$860.68 |
$4,461.86 |
|
|
Inj w/fluor eval cv device
|
$405.60 |
$405.60 |
$405.60 |
|
|
Inotuzumab ozogamicin 0.9 mg(0.25 mg/ml initial concentration) IV soln
|
$55,503.47 |
$55,503.47 |
$55,503.47 |
|
|
Ins cath ren art 1st bi
|
$10,673.91 |
$10,673.91 |
$10,673.91 |
|
|
Ins cath ren art 1st uni
|
$16,123.82 |
$16,123.82 |
$16,123.82 |
|
|
Ins cerv dilator (sep proc)
|
$237.25 |
$237.25 |
$237.25 |
|
|
Insert cath pleura with image
|
$1,784.25 |
$1,784.25 |
$1,784.25 |
|
|
Insert cath pleura without image
|
$475.80 |
$475.80 |
$475.80 |
|
|
Insert intrauterine device iud
|
$3,913.09 |
$3,913.09 |
$3,913.09 |
|
|
Insertion catheter bladder non indwelling
|
$90.35 |
$90.35 |
$19,823.47 |
|
|
Insertion catheter bladder temporary simple
|
$139.10 |
$165.75 |
$17,576.54 |
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$4,535.89 |
$4,535.89 |
$4,535.89 |
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$8,515.90 |
$8,515.90 |
$8,515.90 |
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$439.40 |
$439.40 |
$599.95 |
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$15,472.51 |
$15,472.51 |
$15,472.51 |
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$13,739.89 |
$13,739.89 |
$13,739.89 |
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$48,047.08 |
$48,047.08 |
$48,047.08 |
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$1,264.90 |
$1,309.75 |
$3,451.50 |
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$3,304.08 |
$3,304.08 |
$3,304.08 |
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$33,979.94 |
$33,979.94 |
$33,979.94 |
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$5,048.09 |
$5,048.09 |
$5,048.09 |
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$12,991.23 |
$12,991.23 |
$12,991.23 |
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$1,654.90 |
$1,654.90 |
$5,409.01 |
|
|
Insert multi-comp penis pros
|
$24,660.92 |
$24,660.92 |
$24,660.92 |
|
|
Insert nasal septal button
|
$4,192.87 |
$4,192.87 |
$4,192.87 |
|
|
Insert pessary/other device
|
$11,182.92 |
$11,182.92 |
$11,182.92 |
|
|
Insert swan-ganz cath
|
$2,002.00 |
$2,002.00 |
$2,002.00 |
|
|
Insert uro/ves nck sphincter
|
$38,241.57 |
$38,241.57 |
$38,241.57 |
|
|
Insitu hybridization auto
|
$310.05 |
$310.05 |
$310.05 |
|
|
Insitu hybridization (fish)
|
$7,281.38 |
$7,281.38 |
$7,281.38 |
|
|
Insitu hybridization manual
|
$317.20 |
$317.20 |
$319.80 |
|
|
In situ hybridization per specimen each additional single probe stain
|
$234.65 |
$241.15 |
$8,599.49 |
|
|
In situ hybridization per specimen initial single probe stain
|
$234.65 |
$245.05 |
$8,314.43 |
|
|
Ins mark abd/pel for right perq
|
$3,009.62 |
$3,009.62 |
$3,009.62 |
|
|
Ins pq tunnld ip cath w/img
|
$5,599.10 |
$5,599.10 |
$5,599.10 |
|
|
Ins/rpl ldless pm right vent w img & eval
|
$37,937.50 |
$37,937.50 |
$37,937.50 |
|
|
Ins/rpl prph sac/gstr npg/r
|
$26,269.28 |
$26,269.28 |
$26,269.28 |
|
|
Instillation anticarcinogenic agent bladder
|
$4,982.16 |
$4,982.16 |
$4,982.16 |
|
|
Ins tun cv cath wo subq prt/pm
|
$2,940.60 |
$2,940.60 |
$2,940.60 |
|
|
Insulin total
|
$56.55 |
$58.50 |
$89.05 |
|
|
Ins vag brachytx device
|
$7,826.00 |
$7,826.00 |
$7,826.00 |
|
|
Interferon alfa-2b inj
|
$168.12 |
$168.12 |
$168.12 |
|
|
Interrogate subq defib
|
$327.60 |
$327.60 |
$327.60 |
|
|
Int hrhc lig 2+hroid without img
|
$4,325.33 |
$4,325.33 |
$4,325.33 |
|
|
Intracard echo interv w/s&i
|
$7,605.00 |
$7,605.00 |
$7,605.00 |
|
|
Intracranial complete study
|
$640.25 |
$640.25 |
$640.25 |
|
|
Intrapul surf admin endo tube
|
$157.30 |
$157.30 |
$157.30 |
|
|
Intrauterine transfusion ftl
|
$963.95 |
$963.95 |
$963.95 |
|
|
Intraventricular pacing
|
$4,267.25 |
$4,267.25 |
$4,267.25 |
|
|
Intrinsic factor antibody
|
$59.15 |
$61.10 |
$61.75 |
|
|
Intro cath dialysis circuit
|
$3,523.45 |
$3,523.45 |
$3,523.45 |
|
|
Intro cath dialysis circuit w/pta
|
$7,390.99 |
$7,390.99 |
$7,390.99 |
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$11,026.11 |
$11,026.11 |
$11,026.11 |
|
|
Intro catheter aorta
|
$7,515.33 |
$7,515.33 |
$7,515.33 |
|
|
Intro cath svc/ivc
|
$28,078.33 |
$28,078.33 |
$28,078.33 |
|
|
Intro long gi tube
|
$787.15 |
$787.15 |
$787.15 |
|
|
Intro long gi tube w/mult fluo
|
$276.25 |
$276.25 |
$276.25 |
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$24,385.23 |
$24,385.23 |
$24,385.23 |
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$28,078.33 |
$28,078.33 |
$28,078.33 |
|
|
Intubation endotracheal emergency procedure
|
$453.70 |
$453.70 |
$602.55 |
|
|
Ionm in operatng room 15 min
|
$174.85 |
$174.85 |
$174.85 |
|
|
Ionm remote/>1 pt or per hr
|
$597.35 |
$597.35 |
$597.35 |
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$69.63 |
$69.63 |
$199.52 |
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$76.77 |
$146.66 |
$265.14 |
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$84,052.46 |
$84,052.46 |
$84,052.46 |
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$83.85 |
$83.85 |
$385.86 |
|
