|
Inj proc ankle arthr
|
$274.50 |
$274.50 |
$274.50 |
$405.31
|
|
Inj proc elbow arthro
|
$274.50 |
$274.50 |
$274.50 |
$453.60
|
|
Inj proc for lymphang
|
$1,623.80 |
$1,623.80 |
$1,623.80 |
$1,372.00
|
|
Inj proc lumbr disk ea lvl
|
$158.62 |
$158.62 |
$158.62 |
$1,224.30
|
|
Inj proc myelogram lumbar
|
$772.50 |
$772.50 |
$772.50 |
$922.80
|
|
Inj proc sialogram
|
$1,770.06 |
$1,770.06 |
$1,770.06 |
$380.80
|
|
Inj progesterone per 50 mg
|
$100.94 |
$100.94 |
$100.94 |
$20.15
|
|
Inj retacrit esrd on dialysi
|
$266.26 |
$266.26 |
$266.26 |
$266.26
|
|
Inj retro urethrocysto
|
$321.88 |
$321.88 |
$321.88 |
$551.29
|
|
Inj sulf hexa lipid microsph
|
$350.20 |
$350.20 |
$350.20 |
$281.30
|
|
Inj, sutimlimab-jome, 10 mg
|
$4,017.00 |
$4,017.00 |
$4,017.00 |
$38.81
|
|
Inj teclistamab cqyv 0.5 mg
|
$11,157.48 |
$11,157.48 |
$11,157.48 |
$17,517.56
|
|
Inj. teprotumumab-trbw 10 mg
|
$18,416.40 |
$18,416.40 |
$18,416.40 |
$36,300.60
|
|
Inj testostero enanthate 1mg
|
$35.02 |
$35.02 |
$35.02 |
$33.13
|
|
Inj testosterone cypionate
|
$57.68 |
$57.68 |
$57.68 |
$77.15
|
|
Inj., tildrakizumab, 1 mg
|
$16,384.73 |
$16,384.73 |
$16,384.73 |
$26,635.60
|
|
Inj, vancomycin hcl (mylan)
|
$1,004.25 |
$1,004.25 |
$1,004.25 |
$89.83
|
|
Inj w/fluor eval cv device
|
$428.48 |
$428.48 |
$428.48 |
$588.90
|
|
Ins cath ren art 1st bi
|
$3,892.89 |
$3,892.89 |
$3,892.89 |
$6,033.75
|
|
Ins cath ren art 1st uni
|
$4,322.40 |
$4,322.40 |
$4,322.40 |
$4,667.63
|
|
Ins cath ren art 2nd+ bi
|
$7,185.28 |
$7,185.28 |
$7,185.28 |
$5,408.65
|
|
Ins cath ren art 2nd+ uni
|
$4,425.40 |
$4,425.40 |
$4,425.40 |
$5,528.94
|
|
Ins cerv dilator (sep proc)
|
$346.60 |
$346.60 |
$346.60 |
$544.00
|
|
Insert abdomen-venous drain
|
$5,079.96 |
$5,079.96 |
$5,079.96 |
$4,391.00
|
|
Insert cath pleura with image
|
$2,796.45 |
$2,796.45 |
$2,796.45 |
$2,239.02
|
|
Insert cath pleura without image
|
$3,319.18 |
$3,319.18 |
$3,319.18 |
$2,212.00
|
|
Insert drug delivery implant
|
$157.08 |
$157.08 |
$157.08 |
$285.80
|
|
Insert hepatic shunt (tips)
|
$14,431.85 |
$14,431.85 |
$14,431.85 |
$9,754.48
|
|
Insert intrauterine device iud
|
$148.84 |
$148.84 |
$148.84 |
$378.83
|
|
Insertion catheter bladder non indwelling
|
$15.45 |
$15.45 |
$15.45 |
$237.13
|
|
Insertion catheter bladder temporary simple
|
$166.86 |
$166.86 |
$166.86 |
$273.60
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$5,378.66 |
$5,378.66 |
$5,378.66 |
$4,943.21
|
|
Insertion intra aortic balloon assist device percutaneous
|
$4,461.45 |
$4,461.45 |
$4,461.45 |
$2,549.95
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$3,635.39 |
$3,635.39 |
$3,635.39 |
$7,088.54
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$1,954.94 |
$1,954.94 |
$1,954.94 |
$2,618.40
|
|
Insertion of cannula
|
$4,322.40 |
$4,322.40 |
$4,322.40 |
$3,724.63
|
|
Insertion of catheter vein
|
$645.30 |
$645.30 |
$645.30 |
$1,749.80
|
|
Insertion of catheter vein
|
$1,216.95 |
$1,216.95 |
$1,216.95 |
$858.05
|
|
Insertion of heart electrode 33211
|
$8,471.75 |
$8,471.75 |
$8,471.75 |
$9,090.00
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$20,502.15 |
$20,502.15 |
$20,502.15 |
$14,158.20
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$18,861.88 |
$18,861.88 |
$18,861.88 |
$12,813.28
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$30,909.27 |
$30,909.27 |
$30,909.27 |
$9,855.00
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$1,969.88 |
$1,969.88 |
$1,969.88 |
$2,079.43
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$2,010.05 |
$2,010.05 |
$2,010.05 |
$2,527.91
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$60,527.95 |
$60,527.95 |
$60,527.95 |
$29,997.52
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$8,306.44 |
$8,306.44 |
$8,306.44 |
$7,572.47
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$7,429.39 |
$7,429.39 |
$7,429.39 |
$7,673.12
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$10,595.61 |
$10,595.61 |
$10,595.61 |
$9,793.46
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$4,828.13 |
$4,828.13 |
$4,828.13 |
$5,470.54
|
|
Insert pessary/other device
|
$301.28 |
$301.28 |
$301.28 |
$278.90
|
|
Insert picvad cath
|
$6,271.16 |
$6,271.16 |
$6,271.16 |
$4,490.00
|
|
Insert pm/icd lead dual
|
$7,429.39 |
$7,429.39 |
$7,429.39 |
$7,562.63
|
|
Insert/repl sq defib w/eltrd
|
$55,886.77 |
$55,886.77 |
$55,886.77 |
$33,948.20
|
|
Insert sq defib electrode
|
$12,772.00 |
$12,772.00 |
$12,772.00 |
$8,167.68
|
|
Insert swan-ganz cath
|
$2,441.10 |
$2,441.10 |
$2,441.10 |
$2,164.52
|
|
Insert tunneled cv 2cath 2sits without port/pmp 36565
|
$5,069.66 |
$5,069.66 |
$5,069.66 |
$4,705.13
|
|
Insert tunneled cv cath
|
$1,772.63 |
$1,772.63 |
$1,772.63 |
$4,520.00
|
|
Insert vad art access left hrt arterial access
|
$4,221.97 |
$4,221.97 |
$4,221.97 |
$5,062.80
|
|
Ins icd gen exist sgl lead
|
$49,389.53 |
$49,389.53 |
$49,389.53 |
$24,159.72
|
|
Insitu hybridization manual
|
$78.20 |
$78.20 |
$78.20 |
$407.11
|
|
In situ hybridization per specimen each additional single probe stain
|
$73.45 |
$73.45 |
$73.45 |
$251.55
|
|
In situ hybridization per specimen initial single probe stain
|
$99.15 |
$99.15 |
$99.15 |
$338.40
|
|
Ins lv lead exist pm/icd
|
$30,909.27 |
$30,909.27 |
$30,909.27 |
$12,384.25
|
|
Ins mark abd/pel for right perq
|
$2,220.68 |
$2,220.68 |
$2,220.68 |
$2,070.00
|
|
Ins mark thor for right perq
|
$1,952.37 |
$1,952.37 |
$1,952.37 |
$2,396.35
|
|
Ins picad w subq port 5yr>
|
$6,613.12 |
$6,613.12 |
$6,613.12 |
$4,341.66
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$2,010.05 |
$2,010.05 |
$2,010.05 |
$1,483.95
|
|
Ins pm gen w/exist mlt leads
|
$14,712.52 |
$14,712.52 |
$14,712.52 |
$15,600.75
|
|
Ins pq tunnld ip cath w/img
|
$4,866.75 |
$4,866.75 |
$4,866.75 |
$5,593.60
|
|
Ins/rpl ldless pm right vent w img & eval
|
$31,317.15 |
$31,317.15 |
$31,317.15 |
$24,135.54
|
|
Ins/rpl pm gen exist dual lead
|
$16,379.58 |
$16,379.58 |
$16,379.58 |
$11,593.70
|
|
Ins/rpl pm gen exist sgl lead
|
$14,863.42 |
$14,863.42 |
$14,863.42 |
$9,746.29
|
|
Ins/rpl pm w/tv ld atrl
|
$17,837.03 |
$17,837.03 |
$17,837.03 |
$12,384.25
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$54,038.44 |
$54,038.44 |
$54,038.44 |
$25,106.90
|
|
Insti hexaminolevulinate hcl
|
$2,159.40 |
$2,159.40 |
$2,159.40 |
$2,359.80
|
|
Instillation anticarcinogenic agent bladder
|
$421.79 |
$421.79 |
$421.79 |
$721.50
|
|
Instll rx agnt into rnal tub
|
$396.04 |
$396.04 |
$396.04 |
$619.20
|
|
Ins tun cvad 2 cath w/subq port(s)
|
$5,186.05 |
$5,186.05 |
$5,186.05 |
$6,396.57
|
|
Ins tun cv cath wo subq prt/pm
|
$1,886.96 |
$1,886.96 |
$1,886.96 |
$5,888.85
|
|
Ins tun cv cath wo subq prt/pm
|
$5,110.35 |
$5,110.35 |
$5,110.35 |
$4,748.00
|
|
Inst via cath agent pleurds
|
$1,253.51 |
$1,253.51 |
$1,253.51 |
$1,074.68
|
|
Insulin total
|
$9.27 |
$9.27 |
$9.27 |
$67.60
|
|
Ins vag brachytx device
|
$505.22 |
$505.22 |
$505.22 |
$909.35
|
|
Integra os putty 2.5cc - cost per 0.5cc
|
$1,124.76 |
$1,124.76 |
$1,124.76 |
$3,057.60
|
|
Interdiscal perq aspir dx
|
$1,370.42 |
$1,370.42 |
$1,370.42 |
$1,222.26
|
|
Interferon alfa-2b inj
|
$613.37 |
$613.37 |
$613.37 |
$559.83
|
|
Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper)
|
$5,617.62 |
$5,617.62 |
$5,617.62 |
$5,318.40
|
|
Interrog device eval heart
|
$105.58 |
$105.58 |
$105.58 |
$150.00
|
|
Interrog evl pm/ldls pm ip
|
$57.17 |
$57.17 |
$57.17 |
$127.20
|
|
Intra-atrial pacing
|
$3,138.41 |
$3,138.41 |
$3,138.41 |
$5,155.51
|
|
Intra-atrial recording
|
$3,149.74 |
$3,149.74 |
$3,149.74 |
$5,707.00
|
|
Intracard echo interv w/s&i
|
$928.03 |
$928.03 |
$928.03 |
$3,982.59
|
|
Intracran angioplsty w/stent
|
$20,592.79 |
$20,592.79 |
$20,592.79 |
$11,364.78
|
|
Intracranial angioplasty
|
$8,206.01 |
$8,206.01 |
$8,206.01 |
$7,149.60
|
|
Intracranial complete study
|
$874.99 |
$874.99 |
$874.99 |
$883.30
|
|
Intracranial limited study
|
$391.40 |
$391.40 |
$391.40 |
$423.52
|
|
Intraventricular pacing
|
$3,138.41 |
$3,138.41 |
$3,138.41 |
$5,775.22
|
|
Intrinsic factor antibody
|
$15.45 |
$15.45 |
$15.45 |
$59.95
|
|
Intro cath dialysis circuit
|
$2,744.95 |
$2,744.95 |
$2,744.95 |
$2,317.80
|
|
Intro cath dialysis circuit w/pta
|
$13,412.15 |
$13,412.15 |
$13,412.15 |
$8,761.00
|