|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$515.53 |
$515.53 |
$515.53 |
$552.60
|
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
|
$515.53 |
$515.53 |
$515.53 |
$670.00
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$121.77 |
$121.77 |
$121.77 |
$168.05
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$123.52 |
$123.52 |
$123.52 |
$154.05
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$420.48 |
$420.48 |
$420.48 |
$271.65
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$121.77 |
$121.77 |
$121.77 |
$141.60
|
|
Injection torsemide 10 mg/ml
|
$29.35 |
$29.35 |
$29.35 |
$19.11
|
|
Inj efgart-alfa 2mg hya-qvfc
|
$52.70 |
$52.70 |
$52.70 |
$66,229.74
|
|
Inj epidural sgl cerv-thor without img
|
$738.03 |
$738.03 |
$738.03 |
$1,366.20
|
|
Inj. fe derisomaltose 10 mg
|
$37.45 |
$37.45 |
$37.45 |
$21.05
|
|
Inj for ext venography
|
$197.98 |
$197.98 |
$197.98 |
$737.55
|
|
Inj for mammo ductogram
|
$183.53 |
$183.53 |
$183.53 |
$433.50
|
|
Inj, fosaprepitant (teva)
|
$0.22 |
$0.22 |
$0.22 |
$2.04
|
|
Inj, fulvestrant (fresenius)
|
$29.28 |
$29.28 |
$29.28 |
$1,713.99
|
|
Inj, fulvestrant (teva)
|
$26.57 |
$26.57 |
$26.57 |
$26.57
|
|
Inj glofitamab gxbm, 2.5 mg
|
$430.25 |
$430.25 |
$430.25 |
$2,770.57
|
|
Inj, granisetron, xr, 0.1 mg
|
$65.05 |
$65.05 |
$65.05 |
$5.71
|
|
Inj hrt cath w/s&i nonsel p-art angrp
|
$83.22 |
$83.22 |
$83.22 |
$1,482.00
|
|
Inj hrt cath w/s&i sel left vent
|
$7,331.69 |
$7,331.69 |
$7,331.69 |
$1,214.40
|
|
Inj hrt cath w/s&i sel right vent
|
$83.22 |
$83.22 |
$83.22 |
$947.65
|
|
Inj hydroxocobalamin IV 25mg
|
$1,314.00 |
$1,314.00 |
$1,314.00 |
$3,180.35
|
|
Inj ivig privigen 500 mg
|
$5,134.24 |
$5,134.24 |
$5,134.24 |
$7,298.71
|
|
Inj, lecanemab-irmb, 1 mg
|
$2.12 |
$2.12 |
$2.12 |
$1,729.21
|
|
Inj melpha hydroch nos 50 mg
|
$522.71 |
$522.71 |
$522.71 |
$1,518.68
|
|
Inj mepivacaine hcl/10 ml
|
$29.35 |
$29.35 |
$29.35 |
$28.41
|
|
Inj mogamulizumab-kpkc, 1 mg
|
$328.79 |
$328.79 |
$328.79 |
$788.73
|
|
Inj, moxifloxacin 100 mg
|
$43.37 |
$43.37 |
$43.37 |
$190.81
|
|
Inj multihance
|
$7.89 |
$7.89 |
$7.89 |
$119.25
|
|
Inj. mycophenolate mofetil
|
$170.39 |
$170.39 |
$170.39 |
$344.84
|
|
Inj nephrosto/ureterogram w/img exstng access
|
$740.66 |
$740.66 |
$740.66 |
$1,522.56
|
|
Inj ogivri 10 mg
|
$37.20 |
$37.20 |
$37.20 |
$3,968.67
|
|
Inj pegfilgrastim-bmez 0.5mg
|
$175.31 |
$175.31 |
$175.31 |
$6,403.59
|
|
Inj. pemetrexed, 10 mg
|
$39.80 |
$39.80 |
$39.80 |
$50.83
|
|
Inj proc ankle arthr
|
$179.58 |
$179.58 |
$179.58 |
$405.31
|
|
Inj proc elbow arthro
|
$85.41 |
$85.41 |
$85.41 |
$453.60
|
|
Inj proc for lymphang
|
$231.27 |
$231.27 |
$231.27 |
$1,372.00
|
|
Inj proc lumbr disk ea lvl
|
$633.35 |
$633.35 |
$633.35 |
$1,224.30
|
|
Inj proc myelogram lumbar
|
$162.50 |
$162.50 |
$162.50 |
$922.80
|
|
Inj proc sialogram
|
$33.29 |
$33.29 |
$33.29 |
$380.80
|
|
Inj progesterone per 50 mg
|
$47.31 |
$47.31 |
$47.31 |
$48.51
|
|
Inj, releuko 1 mcg
|
$401.21 |
$401.21 |
$401.21 |
$557.11
|
|
Inj retacrit esrd on dialysi
|
$1,314.00 |
$1,314.00 |
$1,314.00 |
$307.40
|
|
Inj retro urethrocysto
|
$179.58 |
$179.58 |
$179.58 |
$551.29
|
|
Inj scleros sol mult veins
|
$641.24 |
$641.24 |
$641.24 |
$687.96
|
|
Inj scleros sol sgl vein
|
$641.24 |
$641.24 |
$641.24 |
$534.40
|
|
Inj secukinumab intrav 1mg
|
$28.31 |
$28.31 |
$28.31 |
$9,077.39
|
|
Inj teclistamab cqyv 0.5 mg
|
$49.16 |
$49.16 |
$49.16 |
$14,653.61
|
|
Inj. teprotumumab-trbw 10 mg
|
$501.87 |
$501.87 |
$501.87 |
$47,971.67
|
|
Inj testosterone cypionate
|
$116.07 |
$116.07 |
$116.07 |
$77.15
|
|
Inj, vancomycin hcl (mylan)
|
$38.11 |
$38.11 |
$38.11 |
$63.82
|
|
Inj w/fluor eval cv device
|
$270.25 |
$270.25 |
$270.25 |
$588.90
|
|
Ins cath ren art 1st bi
|
$3,707.67 |
$3,707.67 |
$3,707.67 |
$6,033.75
|
|
Ins cath ren art 1st uni
|
$3,707.67 |
$3,707.67 |
$3,707.67 |
$4,667.63
|
|
Ins cath ren art 2nd+ bi
|
$3,707.67 |
$3,707.67 |
$3,707.67 |
$5,408.65
|
|
Ins cath ren art 2nd+ uni
|
$3,707.67 |
$3,707.67 |
$3,707.67 |
$5,528.94
|
|
Ins cerv dilator (sep proc)
|
$355.66 |
$355.66 |
$355.66 |
$544.00
|
|
Insert cannula hemo oth 36815
|
$2,529.02 |
$2,529.02 |
$2,529.02 |
$5,983.35
|
|
Insert cath pleura with image
|
$686.35 |
$686.35 |
$686.35 |
$2,239.02
|
|
Insert cath pleura without image
|
$2,868.90 |
$2,868.90 |
$2,868.90 |
$2,212.00
|
|
Insert hepatic shunt (tips)
|
$3,730.89 |
$3,730.89 |
$3,730.89 |
$9,754.48
|
|
Insertion catheter bladder non indwelling
|
$161.63 |
$161.63 |
$161.63 |
$237.13
|
|
Insertion catheter bladder temporary simple
|
$71.40 |
$71.40 |
$71.40 |
$273.60
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$2,490.91 |
$2,490.91 |
$2,490.91 |
$4,943.21
|
|
Insertion intra aortic balloon assist device percutaneous
|
$2,603.04 |
$2,603.04 |
$2,603.04 |
$2,549.95
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$7,093.41 |
$7,093.41 |
$7,093.41 |
$7,088.54
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$2,875.91 |
$2,875.91 |
$2,875.91 |
$2,618.40
|
|
Insertion of cannula
|
$2,529.02 |
$2,529.02 |
$2,529.02 |
$3,724.63
|
|
Insertion of catheter vein
|
$165.57 |
$165.57 |
$165.57 |
$1,749.80
|
|
Insertion of catheter vein
|
$753.36 |
$753.36 |
$753.36 |
$858.05
|
|
Insertion of heart electrode 33211
|
$6,139.45 |
$6,139.45 |
$6,139.45 |
$9,090.00
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$17,560.74 |
$17,560.74 |
$17,560.74 |
$14,158.20
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$14,400.13 |
$14,400.13 |
$14,400.13 |
$12,813.28
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$15,790.34 |
$15,790.34 |
$15,790.34 |
$9,855.00
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$1,611.84 |
$1,611.84 |
$1,611.84 |
$2,079.43
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$1,831.72 |
$1,831.72 |
$1,831.72 |
$2,527.91
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$38,936.45 |
$38,936.45 |
$38,936.45 |
$29,997.52
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$5,581.00 |
$5,581.00 |
$5,581.00 |
$7,572.47
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$6,048.78 |
$6,048.78 |
$6,048.78 |
$7,673.12
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$15,199.04 |
$15,199.04 |
$15,199.04 |
$9,793.46
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$3,729.57 |
$3,729.57 |
$3,729.57 |
$5,470.54
|
|
Insert picvad cath
|
$2,289.87 |
$2,289.87 |
$2,289.87 |
$4,490.00
|
|
Insert pm/icd lead dual
|
$6,048.78 |
$6,048.78 |
$6,048.78 |
$7,562.63
|
|
Insert/repl sq defib w/eltrd
|
$28,282.54 |
$28,282.54 |
$28,282.54 |
$33,948.20
|
|
Insert sq defib electrode
|
$6,502.11 |
$6,502.11 |
$6,502.11 |
$8,167.68
|
|
Insert swan-ganz cath
|
$1,137.93 |
$1,137.93 |
$1,137.93 |
$2,164.52
|
|
Insert tunneled cv 2cath 2sits without port/pmp 36565
|
$3,729.57 |
$3,729.57 |
$3,729.57 |
$4,705.13
|
|
Insert tunneled cv cath
|
$4,580.61 |
$4,580.61 |
$4,580.61 |
$4,520.00
|
|
Insert tunneled cv cath
|
$3,729.57 |
$3,729.57 |
$3,729.57 |
$6,028.07
|
|
Insert vad art access left hrt arterial access
|
$9,832.67 |
$9,832.67 |
$9,832.67 |
$5,062.80
|
|
Ins icd gen exist mlt leads
|
$31,547.39 |
$31,547.39 |
$31,547.39 |
$31,286.77
|
|
Ins icd gen exist sgl lead
|
$33,490.80 |
$33,490.80 |
$33,490.80 |
$24,159.72
|
|
Insitu hybridization (fish)
|
$224.70 |
$224.70 |
$224.70 |
$481.60
|
|
In situ hybridization per specimen each additional single probe stain
|
$48.18 |
$48.18 |
$48.18 |
$251.55
|
|
In situ hybridization per specimen initial single probe stain
|
$50.81 |
$50.81 |
$50.81 |
$338.40
|
|
Insj perq vad r hrt venous
|
$9,832.67 |
$9,832.67 |
$9,832.67 |
$4,981.60
|
|
Ins lv lead exist pm/icd
|
$15,211.74 |
$15,211.74 |
$15,211.74 |
$12,384.25
|
|
Ins mark thor for right perq
|
$1,723.10 |
$1,723.10 |
$1,723.10 |
$2,396.35
|
|
Ins picad w subq port 5yr>
|
$2,289.87 |
$2,289.87 |
$2,289.87 |
$4,341.66
|
|
Ins pm gen exist dual lead
|
$31,547.39 |
$31,547.39 |
$31,547.39 |
$24,696.00
|
|
Ins pm gen w/exist mlt leads
|
$10,877.73 |
$10,877.73 |
$10,877.73 |
$15,600.75
|