|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$125.84 |
$125.84 |
$125.84 |
$166.38
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$115.50 |
$115.50 |
$115.50 |
$145.60
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$141.68 |
$141.68 |
$141.68 |
$261.00
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$72.60 |
$72.60 |
$72.60 |
$135.20
|
|
Inject sacroiliac joint
|
$1,265.00 |
$1,265.00 |
$1,265.00 |
$963.00
|
|
Inj., emicizumab-kxwh 0.5 mg
|
$7,758.03 |
$7,758.03 |
$7,758.03 |
$54,322.53
|
|
Inj for ext venography
|
$1,161.16 |
$1,161.16 |
$1,161.16 |
$654.00
|
|
Inj. herceptin hylecta, 10mg
|
$2,468.53 |
$2,468.53 |
$2,468.53 |
$8,193.78
|
|
Inj hrt cath w/s&i nonsel p-art angrp
|
$929.94 |
$929.94 |
$929.94 |
$1,237.50
|
|
Inj hrt cath w/s&i sel left vent
|
$886.16 |
$886.16 |
$886.16 |
$1,071.00
|
|
Inj hrt cath w/s&i sel right vent
|
$2,272.38 |
$2,272.38 |
$2,272.38 |
$947.05
|
|
Inj ivig privigen 500 mg
|
$8,818.87 |
$8,818.87 |
$8,818.87 |
$6,967.29
|
|
Inj, lecanemab-irmb, 1 mg
|
$548.69 |
$548.69 |
$548.69 |
$923.69
|
|
Inj levocarnitine per 1 gm
|
$38.89 |
$38.89 |
$38.89 |
$136.62
|
|
Inj, lidocaine w epinephrine
|
$30.29 |
$30.29 |
$30.29 |
$44.96
|
|
Inj meropenem (wg crit care)
|
$49.00 |
$49.00 |
$49.00 |
$77.97
|
|
Inj nephrosto/ureterogram w/img exstng access
|
$727.54 |
$727.54 |
$727.54 |
$1,414.40
|
|
Inj non-compmd foam sclrsnt mlt trncl veins same leg
|
$1,525.70 |
$1,525.70 |
$1,525.70 |
$2,485.20
|
|
Inj ogivri 10 mg
|
$697.61 |
$697.61 |
$697.61 |
$4,492.28
|
|
Inj ontruzant 10 mg
|
$47.00 |
$47.00 |
$47.00 |
$6,706.27
|
|
Inj. pemetrexed, 10 mg
|
$47.02 |
$47.02 |
$47.02 |
$104.72
|
|
Inj pemetrexed (teva) 10mg
|
$1,116.50 |
$1,116.50 |
$1,116.50 |
$200.85
|
|
Inj proc elbow arthro
|
$589.82 |
$589.82 |
$589.82 |
$432.00
|
|
Inj proc sialogram
|
$541.86 |
$541.86 |
$541.86 |
$373.00
|
|
Inj retro urethrocysto
|
$316.14 |
$316.14 |
$316.14 |
$450.00
|
|
Inj secukinumab intrav 1mg
|
$1,270.95 |
$1,270.95 |
$1,270.95 |
$4,485.92
|
|
Inj., tildrakizumab, 1 mg
|
$7,584.49 |
$7,584.49 |
$7,584.49 |
$27,967.38
|
|
Inj, vegzelma, 10 mg
|
$1,430.67 |
$1,430.67 |
$1,430.67 |
$1,291.28
|
|
Inj w/fluor eval cv device
|
$330.22 |
$330.22 |
$330.22 |
$463.40
|
|
Inpt/ed teleconsult30
|
$50.06 |
$50.06 |
$50.06 |
$164.40
|
|
Inpt/ed teleconsult50
|
$367.62 |
$367.62 |
$367.62 |
$223.80
|
|
Inpt/ed teleconsult70
|
$100.10 |
$100.10 |
$100.10 |
$330.60
|
|
Inpt/tele follow up 15
|
$22.00 |
$22.00 |
$22.00 |
$64.80
|
|
Inpt/tele follow up 25
|
$39.55 |
$39.55 |
$39.55 |
$118.80
|
|
Inpt/tele follow up 35
|
$57.23 |
$57.23 |
$57.23 |
$171.60
|
|
Ins cath ren art 1st bi
|
$3,027.20 |
$3,027.20 |
$3,027.20 |
$5,741.00
|
|
Ins cath ren art 1st uni
|
$3,289.00 |
$3,289.00 |
$3,289.00 |
$4,692.00
|
|
Ins cath ren art 2nd+ uni
|
$4,409.68 |
$4,409.68 |
$4,409.68 |
$5,419.00
|
|
Ins cerv dilator (sep proc)
|
$405.68 |
$405.68 |
$405.68 |
$488.35
|
|
Insert cath pleura with image
|
$982.52 |
$982.52 |
$982.52 |
$2,194.40
|
|
Insert cath pleura without image
|
$1,252.02 |
$1,252.02 |
$1,252.02 |
$2,019.00
|
|
Insert hepatic shunt (tips)
|
$6,534.00 |
$6,534.00 |
$6,534.00 |
$8,367.70
|
|
Insertion catheter bladder non indwelling
|
$49.50 |
$49.50 |
$49.50 |
$205.20
|
|
Insertion catheter bladder temporary simple
|
$194.26 |
$194.26 |
$194.26 |
$229.32
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$2,657.38 |
$2,657.38 |
$2,657.38 |
$4,731.80
|
|
Insertion intra aortic balloon assist device percutaneous
|
$3,417.26 |
$3,417.26 |
$3,417.26 |
$2,529.45
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$4,353.14 |
$4,353.14 |
$4,353.14 |
$7,034.50
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$1,340.46 |
$1,340.46 |
$1,340.46 |
$2,511.00
|
|
Insertion of catheter vein
|
$1,079.76 |
$1,079.76 |
$1,079.76 |
$1,657.32
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$6,987.20 |
$6,987.20 |
$6,987.20 |
$12,508.08
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$8,291.58 |
$8,291.58 |
$8,291.58 |
$12,384.25
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$5,322.24 |
$5,322.24 |
$5,322.24 |
$10,100.35
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$1,040.82 |
$1,040.82 |
$1,040.82 |
$2,079.43
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$1,098.46 |
$1,098.46 |
$1,098.46 |
$2,414.10
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$23,831.72 |
$23,831.72 |
$23,831.72 |
$29,146.96
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$5,920.42 |
$5,920.42 |
$5,920.42 |
$7,513.67
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$3,320.24 |
$3,320.24 |
$3,320.24 |
$7,342.20
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$5,070.34 |
$5,070.34 |
$5,070.34 |
$9,397.50
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$3,358.08 |
$3,358.08 |
$3,358.08 |
$5,236.80
|
|
Insert pm/icd lead dual
|
$5,996.10 |
$5,996.10 |
$5,996.10 |
$7,388.80
|
|
Insert/repl sq defib w/eltrd
|
$26,725.60 |
$26,725.60 |
$26,725.60 |
$33,297.72
|
|
Insert swan-ganz cath
|
$1,265.00 |
$1,265.00 |
$1,265.00 |
$2,210.50
|
|
Insert tunneled cv 2cath 2sits without port/pmp 36565
|
$2,621.49 |
$2,621.49 |
$2,621.49 |
$5,018.25
|
|
Insert vad art access left hrt arterial access
|
$9,579.02 |
$9,579.02 |
$9,579.02 |
$4,221.97
|
|
Ins icd gen exist mlt leads
|
$18,621.46 |
$18,621.46 |
$18,621.46 |
$31,286.77
|
|
Ins icd gen exist sgl lead
|
$18,081.80 |
$18,081.80 |
$18,081.80 |
$23,742.75
|
|
Insitu hybridization auto
|
$33.00 |
$33.00 |
$33.00 |
$371.00
|
|
Insitu hybridization (fish)
|
$98.34 |
$98.34 |
$98.34 |
$481.60
|
|
Insitu hybridization manual
|
$30.80 |
$30.80 |
$30.80 |
$388.20
|
|
In situ hybridization per specimen each additional single probe stain
|
$55.00 |
$55.00 |
$55.00 |
$243.60
|
|
In situ hybridization per specimen initial single probe stain
|
$95.26 |
$95.26 |
$95.26 |
$326.04
|
|
Ins lv lead exist pm/icd
|
$7,418.62 |
$7,418.62 |
$7,418.62 |
$12,087.24
|
|
Ins pm gen w/exist mlt leads
|
$8,141.32 |
$8,141.32 |
$8,141.32 |
$14,804.40
|
|
Ins pq tunnld ip cath w/img
|
$3,273.60 |
$3,273.60 |
$3,273.60 |
$5,377.00
|
|
Ins/rpl ldless pm right vent w img & eval
|
$15,034.58 |
$15,034.58 |
$15,034.58 |
$23,369.00
|
|
Ins/rpl pm gen exist dual lead
|
$4,865.96 |
$4,865.96 |
$4,865.96 |
$11,408.40
|
|
Ins/rpl pm gen exist sgl lead
|
$4,865.96 |
$4,865.96 |
$4,865.96 |
$9,558.78
|
|
Ins/rpl pm w/tv ld atrl
|
$6,262.52 |
$6,262.52 |
$6,262.52 |
$12,371.40
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$23,967.46 |
$23,967.46 |
$23,967.46 |
$25,807.00
|
|
Instillation anticarcinogenic agent bladder
|
$495.00 |
$495.00 |
$495.00 |
$621.40
|
|
Ins tun cv cath wo subq prt/pm
|
$1,839.64 |
$1,839.64 |
$1,839.64 |
$5,324.80
|
|
Ins tun cv cath wo subq prt/pm
|
$3,466.10 |
$3,466.10 |
$3,466.10 |
$4,202.70
|
|
Insulin total
|
$53.90 |
$53.90 |
$53.90 |
$66.64
|
|
Interdiscal perq aspir dx
|
$516.56 |
$516.56 |
$516.56 |
$1,180.84
|
|
Interrog device eval heart
|
$104.94 |
$104.94 |
$104.94 |
$162.40
|
|
Intra-atrial pacing
|
$2,835.14 |
$2,835.14 |
$2,835.14 |
$4,683.25
|
|
Intra-atrial recording
|
$5,132.16 |
$5,132.16 |
$5,132.16 |
$5,252.30
|
|
Intracard echo interv w/s&i
|
$2,576.42 |
$2,576.42 |
$2,576.42 |
$3,429.40
|
|
Intrinsic factor antibody
|
$9.68 |
$9.68 |
$9.68 |
$66.60
|
|
Intro cath dialysis circuit
|
$1,609.96 |
$1,609.96 |
$1,609.96 |
$2,035.00
|
|
Intro cath dialysis circuit w/pta
|
$6,303.22 |
$6,303.22 |
$6,303.22 |
$8,761.00
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$9,901.76 |
$9,901.76 |
$9,901.76 |
$15,805.00
|
|
Intro catheter aorta
|
$1,479.94 |
$1,479.94 |
$1,479.94 |
$1,654.05
|
|
Intro cath svc/ivc
|
$1,657.26 |
$1,657.26 |
$1,657.26 |
$1,329.90
|
|
Intro long gi tube
|
$395.78 |
$395.78 |
$395.78 |
$990.00
|
|
Intro long gi tube w/mult fluo
|
$323.62 |
$323.62 |
$323.62 |
$449.40
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$3,012.02 |
$3,012.02 |
$3,012.02 |
$3,303.76
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$3,446.96 |
$3,446.96 |
$3,446.96 |
$1,633.03
|
|
Intubation endotracheal emergency procedure
|
$451.66 |
$451.66 |
$451.66 |
$589.60
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$1.87 |
$1.87 |
$1.87 |
$172.98
|
