|
Injection of sinus tract
|
$1,335.52 |
$1,335.52 |
$1,350.07 |
$1,651.20
|
|
Injection,onabotulinumtoxina
|
$1,840.51 |
$1,840.51 |
$1,860.57 |
$2,154.07
|
|
Injection radioactive tracer sentinel node (both sides)
|
$476.74 |
$476.74 |
$481.93 |
$717.20
|
|
Injection, renflexis
|
$1,320.84 |
$1,320.84 |
$1,320.84 |
$1,356.10
|
|
Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides)
|
$652.53 |
$652.53 |
$659.64 |
$1,501.60
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$741.71 |
$741.71 |
$749.80 |
$1,471.50
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$741.71 |
$741.71 |
$749.80 |
$1,017.28
|
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
|
$821.72 |
$821.72 |
$2,176.29 |
$2,251.00
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
|
$432.59 |
$432.59 |
$432.59 |
$1,131.41
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
|
$1,252.94 |
$1,252.94 |
$1,266.60 |
$1,961.05
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
|
$902.09 |
$902.09 |
$2,710.16 |
$1,119.88
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
|
$1,803.81 |
$1,803.81 |
$1,823.47 |
$2,154.68
|
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
|
$659.27 |
$659.27 |
$659.27 |
$1,829.28
|
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
|
$1,008.89 |
$1,008.89 |
$1,062.55 |
$1,758.12
|
|
Injection, siltuximab
|
$9,300.52 |
$9,300.52 |
$9,300.52 |
$9,427.67
|
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
|
$141.30 |
$141.30 |
$300.51 |
$472.76
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$363.33 |
$363.33 |
$363.33 |
$552.60
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$240.76 |
$240.76 |
$243.38 |
$168.05
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$204.06 |
$204.06 |
$206.28 |
$154.05
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$240.76 |
$240.76 |
$243.38 |
$271.65
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$240.76 |
$240.76 |
$243.38 |
$141.60
|
|
Inj epidural sgl cerv-thor without img
|
$652.53 |
$652.53 |
$659.64 |
$1,366.20
|
|
Inj epidural sgl lumb-sacral without img
|
$816.95 |
$816.95 |
$850.71 |
$1,450.84
|
|
Inj for ext venography
|
$184.76 |
$184.76 |
$275.99 |
$737.55
|
|
Inj for mammo ductogram
|
$203.32 |
$203.32 |
$205.54 |
$433.50
|
|
Inj., guselkumab, 1 mg
|
$19,967.37 |
$19,967.37 |
$19,967.37 |
$100.65
|
|
Inj hrt cath w/s&i nonsel p-art angrp
|
$478.57 |
$478.57 |
$478.57 |
$1,482.00
|
|
Inj hrt cath w/s&i sel hrt ang
|
$1,786.56 |
$1,786.56 |
$1,786.56 |
$1,837.17
|
|
Inj hrt cath w/s&i sel left vent
|
$31.93 |
$31.93 |
$31.93 |
$1,214.40
|
|
Inj hrt cath w/s&i sel right vent
|
$31.93 |
$31.93 |
$31.93 |
$947.65
|
|
Inj. inebilizumab-cdon, 1 mg
|
$81,942.30 |
$81,942.30 |
$81,942.30 |
$871.80
|
|
Inj intralesional <= 7 lsn(s)
|
$217.27 |
$217.27 |
$217.27 |
$241.74
|
|
Inj intralesional > 7 lsns
|
$325.90 |
$325.90 |
$325.90 |
$234.00
|
|
Inj ivig privigen 500 mg
|
$7,782.61 |
$7,782.61 |
$7,782.61 |
$7,173.90
|
|
Inj, lecanemab-irmb, 1 mg
|
$1,116.79 |
$1,116.79 |
$1,116.79 |
$1,174.88
|
|
Inj mepivacaine hcl/10 ml
|
$13.95 |
$13.95 |
$19.30 |
$31.28
|
|
Inj., meropenem, vaborbactam
|
$312.69 |
$312.69 |
$316.10 |
$586.20
|
|
Inj mogamulizumab-kpkc, 1 mg
|
$6,643.44 |
$6,643.44 |
$6,643.44 |
$2,984.20
|
|
Inj, moxifloxacin 100 mg
|
$81.62 |
$81.62 |
$81.62 |
$153.27
|
|
Inj multihance
|
$102.03 |
$102.03 |
$103.14 |
$119.25
|
|
Inj. mycophenolate mofetil
|
$191.44 |
$191.44 |
$191.44 |
$291.54
|
|
Inj nephrosto/ureterogram w/img exstng access
|
$795.43 |
$795.43 |
$1,041.18 |
$1,522.56
|
|
Inj, nithiodote, 3mg / 125mg
|
$336.87 |
$336.87 |
$336.87 |
$228.00
|
|
Inj ogivri 10 mg
|
$155.61 |
$155.61 |
$155.61 |
$4,096.71
|
|
Inj, panzyga, 500 mg
|
$8,974.62 |
$8,974.62 |
$8,974.62 |
$67.46
|
|
Inj., patisiran, 0.1 mg
|
$16,651.53 |
$16,651.53 |
$16,651.53 |
$17,613.00
|
|
Inj peritoneal venous shunt
|
$609.59 |
$609.59 |
$616.24 |
$386.88
|
|
Inj proc ankle arthr
|
$193.05 |
$193.05 |
$195.15 |
$405.31
|
|
Inj proc elbow arthro
|
$193.05 |
$193.05 |
$195.15 |
$453.60
|
|
Inj proc for lymphang
|
$1,140.64 |
$1,140.64 |
$1,153.07 |
$1,372.00
|
|
Inj proc lumbr disk ea lvl
|
$110.47 |
$110.47 |
$111.68 |
$1,224.30
|
|
Inj proc myelogram lumbar
|
$199.65 |
$199.65 |
$201.83 |
$922.80
|
|
Inj proc sialogram
|
$1,243.03 |
$1,243.03 |
$1,256.58 |
$380.80
|
|
Inj progesterone per 50 mg
|
$74.20 |
$74.20 |
$74.20 |
$19.53
|
|
Inj, releuko 1 mcg
|
$446.28 |
$446.28 |
$446.28 |
$519.53
|
|
Inj retacrit esrd on dialysi
|
$193.41 |
$193.41 |
$195.52 |
$343.53
|
|
Inj retro urethrocysto
|
$224.98 |
$224.98 |
$227.43 |
$551.29
|
|
Inj secukinumab intrav 1mg
|
$3,707.44 |
$3,707.44 |
$3,707.44 |
$5,994.20
|
|
Inj. teprotumumab-trbw 10 mg
|
$26,116.83 |
$26,116.83 |
$26,116.83 |
$42,164.34
|
|
Inj testosterone cypionate
|
$41.84 |
$41.84 |
$205.91 |
$82.58
|
|
Inj thrc fascial pln blk uni w/wo image
|
$297.27 |
$297.27 |
$297.27 |
$1,252.02
|
|
Inj., tildrakizumab, 1 mg
|
$23,235.14 |
$23,235.14 |
$23,235.14 |
$31,164.94
|
|
Inj, tyenne, 1 mg
|
$3,432.92 |
$3,432.92 |
$3,432.92 |
$3,525.12
|
|
Inj, vancomycin hcl (mylan)
|
$730.33 |
$730.33 |
$738.29 |
$89.83
|
|
Inj, vasopressin (baxter)
|
$263.14 |
$263.14 |
$263.14 |
$202.50
|
|
Inj w/fluor eval cv device
|
$299.84 |
$299.84 |
$303.11 |
$588.90
|
|
Ins cath ren art 1st bi
|
$3,205.38 |
$3,205.38 |
$3,240.32 |
$6,033.75
|
|
Ins cath ren art 1st uni
|
$3,099.69 |
$3,099.69 |
$3,133.47 |
$4,667.63
|
|
Ins cath ren art 2nd+ bi
|
$3,099.69 |
$3,099.69 |
$3,133.47 |
$5,408.65
|
|
Ins cath ren art 2nd+ uni
|
$3,099.69 |
$3,099.69 |
$5,101.25 |
$5,528.94
|
|
Ins cerv dilator (sep proc)
|
$195.89 |
$195.89 |
$208.46 |
$544.00
|
|
Insert abdomen-venous drain
|
$3,717.71 |
$3,717.71 |
$3,758.23 |
$4,391.00
|
|
Insert cannula hemo oth 36815
|
$5,046.25 |
$5,046.25 |
$5,101.25 |
$5,983.35
|
|
Insert cath pleura with image
|
$767.23 |
$767.23 |
$2,132.64 |
$2,239.02
|
|
Insert cath pleura without image
|
$2,026.58 |
$2,026.58 |
$2,048.67 |
$2,212.00
|
|
Insert hepatic shunt (tips)
|
$10,563.00 |
$10,563.00 |
$10,678.13 |
$9,754.48
|
|
Insertion catheter bladder non indwelling
|
$146.80 |
$146.80 |
$146.80 |
$237.13
|
|
Insertion catheter bladder temporary simple
|
$118.18 |
$118.18 |
$119.47 |
$273.60
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$3,557.34 |
$3,557.34 |
$3,596.11 |
$4,943.21
|
|
Insertion intra aortic balloon assist device percutaneous
|
$3,109.96 |
$3,109.96 |
$3,143.86 |
$2,549.95
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$4,770.64 |
$4,770.64 |
$4,822.63 |
$7,088.54
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$1,321.88 |
$1,321.88 |
$3,648.35 |
$2,618.40
|
|
Insertion of cannula
|
$3,035.09 |
$3,035.09 |
$3,068.17 |
$3,724.63
|
|
Insertion of catheter vein
|
$471.60 |
$471.60 |
$484.90 |
$1,749.80
|
|
Insertion of catheter vein
|
$182.77 |
$182.77 |
$182.77 |
$858.05
|
|
Insertion of heart electrode 33211
|
$6,497.37 |
$6,497.37 |
$6,497.37 |
$9,090.00
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$15,006.63 |
$15,006.63 |
$15,006.63 |
$14,158.20
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$13,806.18 |
$13,806.18 |
$13,806.18 |
$12,813.28
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$21,546.94 |
$21,546.94 |
$21,546.94 |
$9,855.00
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$1,401.64 |
$1,401.64 |
$1,446.35 |
$2,079.43
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$1,419.93 |
$1,419.93 |
$1,435.40 |
$2,527.91
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$42,194.36 |
$42,194.36 |
$42,654.25 |
$29,997.52
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$6,370.02 |
$6,370.02 |
$6,370.02 |
$7,572.47
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$5,438.21 |
$5,438.21 |
$5,438.21 |
$7,673.12
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$8,555.51 |
$8,555.51 |
$8,648.76 |
$9,793.46
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$3,534.58 |
$3,534.58 |
$4,029.81 |
$5,470.54
|
|
Insert picvad cath
|
$4,838.90 |
$4,838.90 |
$4,891.64 |
$4,490.00
|
|
Insert pm/icd lead dual
|
$5,438.21 |
$5,438.21 |
$5,438.21 |
$7,562.63
|
|
Insert/repl sq defib w/eltrd
|
$42,194.36 |
$42,194.36 |
$42,194.36 |
$33,948.20
|
|
Insert sq defib electrode
|
$2,374.49 |
$2,374.49 |
$2,374.49 |
$8,167.68
|