|
Injection,onabotulinumtoxina
|
$2,532.32 |
$2,532.32 |
$2,532.32 |
$2,154.07
|
|
Injection radioactive tracer sentinel node (both sides)
|
$270.20 |
$270.20 |
$270.20 |
$717.20
|
|
Injection, renflexis
|
$1,725.90 |
$1,725.90 |
$1,725.90 |
$1,356.10
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$491.75 |
$491.75 |
$491.75 |
$1,471.50
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$549.15 |
$549.15 |
$549.15 |
$1,017.28
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
|
$1,594.25 |
$1,594.25 |
$1,594.25 |
$1,131.41
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
|
$3,187.45 |
$3,187.45 |
$3,187.45 |
$1,961.05
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
|
$1,594.25 |
$1,594.25 |
$1,594.25 |
$1,119.88
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
|
$3,187.45 |
$3,187.45 |
$3,187.45 |
$2,154.68
|
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
|
$1,379.00 |
$1,379.00 |
$1,379.00 |
$1,829.28
|
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
|
$1,407.70 |
$1,407.70 |
$1,407.70 |
$1,758.12
|
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
|
$446.60 |
$446.60 |
$446.60 |
$472.76
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$275.80 |
$275.80 |
$275.80 |
$552.60
|
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
|
$275.80 |
$275.80 |
$275.80 |
$670.00
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$168.00 |
$168.00 |
$168.00 |
$168.05
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$168.00 |
$168.00 |
$168.00 |
$154.05
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$214.55 |
$214.55 |
$214.55 |
$271.65
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$168.00 |
$168.00 |
$168.00 |
$141.60
|
|
Injection treatment of eye
|
$1,246.35 |
$1,246.35 |
$1,246.35 |
$2,698.92
|
|
Inject sacroiliac joint
|
$2,016.35 |
$2,016.35 |
$2,016.35 |
$1,090.00
|
|
Inj epidural sgl cerv-thor without img
|
$549.15 |
$549.15 |
$549.15 |
$1,366.20
|
|
Inj epidural sgl lumb-sacral without img
|
$985.95 |
$985.95 |
$985.95 |
$1,450.84
|
|
Inj fluphenazine hcl 1.25 mg
|
$34.39 |
$34.39 |
$34.39 |
$44.95
|
|
Inj for ext venography
|
$325.85 |
$325.85 |
$325.85 |
$737.55
|
|
Inj for mammo ductogram
|
$156.45 |
$156.45 |
$156.45 |
$433.50
|
|
Inj heparin, pfizer, 1000u
|
$32.70 |
$32.70 |
$32.70 |
$26.85
|
|
Inj intralesional <= 7 lsn(s)
|
$242.20 |
$242.20 |
$242.20 |
$241.74
|
|
Inj levocarnitine per 1 gm
|
$139.67 |
$139.67 |
$139.67 |
$136.62
|
|
Inj, levothyroxine, freskabi
|
$302.07 |
$302.07 |
$302.07 |
$303.45
|
|
Inj mepivacaine hcl/10 ml
|
$32.98 |
$32.98 |
$32.98 |
$31.28
|
|
Inj. mycophenolate mofetil
|
$248.38 |
$248.38 |
$248.38 |
$291.54
|
|
Inj nephrosto/ureterogram w/img exstng access
|
$1,341.55 |
$1,341.55 |
$1,341.55 |
$1,522.56
|
|
Inj, nithiodote, 3mg / 125mg
|
$85.17 |
$85.17 |
$85.17 |
$228.00
|
|
Inj proc ankle arthr
|
$304.15 |
$304.15 |
$304.15 |
$405.31
|
|
Inj proc elbow arthro
|
$304.15 |
$304.15 |
$304.15 |
$453.60
|
|
Inj proc lumbr disk ea lvl
|
$878.15 |
$878.15 |
$878.15 |
$1,224.30
|
|
Inj proc myelogram lumbar
|
$397.60 |
$397.60 |
$397.60 |
$922.80
|
|
Inj proc sialogram
|
$184.80 |
$184.80 |
$184.80 |
$380.80
|
|
Inj, releuko 1 mcg
|
$367.19 |
$367.19 |
$367.19 |
$519.53
|
|
Inj retro urethrocysto
|
$116.55 |
$116.55 |
$116.55 |
$551.29
|
|
Inj scleros sol sgl vein
|
$275.80 |
$275.80 |
$275.80 |
$534.40
|
|
Inj testosterone cypionate
|
$55.38 |
$55.38 |
$55.38 |
$82.58
|
|
Inj w/fluor eval cv device
|
$718.55 |
$718.55 |
$718.55 |
$588.90
|
|
Ins cath ren art 1st bi
|
$6,379.80 |
$6,379.80 |
$6,379.80 |
$6,033.75
|
|
Ins cath ren art 1st uni
|
$3,113.95 |
$3,113.95 |
$3,113.95 |
$4,667.63
|
|
Ins cath ren art 2nd+ bi
|
$6,221.25 |
$6,221.25 |
$6,221.25 |
$5,408.65
|
|
Ins cath ren art 2nd+ uni
|
$3,113.95 |
$3,113.95 |
$3,113.95 |
$5,528.94
|
|
Ins cerv dilator (sep proc)
|
$242.20 |
$242.20 |
$242.20 |
$544.00
|
|
Insert and remove bone pin
|
$2,150.75 |
$2,150.75 |
$2,150.75 |
$4,335.60
|
|
Insert cath pleura with image
|
$1,041.95 |
$1,041.95 |
$1,041.95 |
$2,239.02
|
|
Insert cath pleura without image
|
$992.25 |
$992.25 |
$992.25 |
$2,212.00
|
|
Insert intrauterine device iud
|
$190.75 |
$190.75 |
$190.75 |
$378.83
|
|
Insertion catheter bladder non indwelling
|
$250.60 |
$250.60 |
$250.60 |
$237.13
|
|
Insertion catheter bladder temporary simple
|
$275.80 |
$275.80 |
$275.80 |
$273.60
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$4,623.15 |
$4,623.15 |
$4,623.15 |
$4,943.21
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$8,493.80 |
$8,493.80 |
$8,493.80 |
$7,088.54
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$2,424.45 |
$2,424.45 |
$2,424.45 |
$2,618.40
|
|
Insertion of catheter vein
|
$806.75 |
$806.75 |
$806.75 |
$1,749.80
|
|
Insertion of catheter vein
|
$1,401.75 |
$1,401.75 |
$1,401.75 |
$858.05
|
|
Insertion of heart electrode 33211
|
$5,172.30 |
$5,172.30 |
$5,172.30 |
$9,090.00
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$2,374.05 |
$2,374.05 |
$2,374.05 |
$2,079.43
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$2,434.60 |
$2,434.60 |
$2,434.60 |
$2,527.91
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$7,535.15 |
$7,535.15 |
$7,535.15 |
$7,572.47
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$6,185.90 |
$6,185.90 |
$6,185.90 |
$5,470.54
|
|
Insertion ureth cath
|
$1,503.25 |
$1,503.25 |
$1,503.25 |
$2,424.12
|
|
Insert pessary/other device
|
$275.80 |
$275.80 |
$275.80 |
$278.90
|
|
Insert picvad cath
|
$6,185.90 |
$6,185.90 |
$6,185.90 |
$4,490.00
|
|
Insert prost urethral stent
|
$1,359.75 |
$1,359.75 |
$1,359.75 |
$2,424.12
|
|
Insert tunneled cv 2cath 2sits without port/pmp 36565
|
$6,185.90 |
$6,185.90 |
$6,185.90 |
$4,705.13
|
|
Insert tunneled cv cath
|
$6,185.90 |
$6,185.90 |
$6,185.90 |
$4,520.00
|
|
Insert tunneled cv cath
|
$10,447.15 |
$10,447.15 |
$10,447.15 |
$6,028.07
|
|
Insitu hybridization auto
|
$50.75 |
$50.75 |
$50.75 |
$398.16
|
|
Insitu hybridization manual
|
$50.75 |
$50.75 |
$50.75 |
$407.11
|
|
In situ hybridization per specimen each additional single probe stain
|
$38.50 |
$38.50 |
$38.50 |
$251.55
|
|
In situ hybridization per specimen initial single probe stain
|
$38.50 |
$38.50 |
$38.50 |
$338.40
|
|
Ins picad w subq port 5yr>
|
$6,185.90 |
$6,185.90 |
$6,185.90 |
$4,341.66
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$585.90 |
$585.90 |
$585.90 |
$1,483.95
|
|
Ins pq tunnld ip cath w/img
|
$3,663.45 |
$3,663.45 |
$3,663.45 |
$5,593.60
|
|
Inst fibrinolysis agent ini day
|
$347.90 |
$347.90 |
$347.90 |
$1,095.00
|
|
Inst fibrinolysis agent sbsq d
|
$347.90 |
$347.90 |
$347.90 |
$898.12
|
|
Ins tun cv cath wo subq prt/pm
|
$6,185.90 |
$6,185.90 |
$6,185.90 |
$5,888.85
|
|
Ins tun cv cath wo subq prt/pm
|
$6,343.75 |
$6,343.75 |
$6,343.75 |
$4,748.00
|
|
Ins tun intraperit dia cath
|
$6,717.20 |
$6,717.20 |
$6,717.20 |
$4,657.46
|
|
Inst via cath agent pleurds
|
$326.55 |
$326.55 |
$326.55 |
$1,074.68
|
|
Insulin total
|
$73.50 |
$73.50 |
$73.50 |
$67.60
|
|
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm
|
$8,617.32 |
$8,617.32 |
$8,617.32 |
$9,970.16
|
|
Integra meshed bil wound mat
|
$25,450.30 |
$25,450.30 |
$25,450.30 |
$25,450.30
|
|
Integra os putty 2.5cc - cost per 0.5cc
|
$2,254.00 |
$2,254.00 |
$2,254.00 |
$2,908.50
|
|
Interdental fixation
|
$1,027.25 |
$1,027.25 |
$1,027.25 |
$2,133.48
|
|
Interdiscal perq aspir dx
|
$537.95 |
$537.95 |
$537.95 |
$1,222.26
|
|
Int hrhc lig 1 hroid without img
|
$1,282.05 |
$1,282.05 |
$1,282.05 |
$3,245.23
|
|
Intranasal biopsy 30100
|
$1,027.25 |
$1,027.25 |
$1,027.25 |
$1,850.94
|
|
Intraoral i+d tongue/floor lingual 41000
|
$385.35 |
$385.35 |
$385.35 |
$1,182.15
|
|
Intrapul surf admin endo tube
|
$615.30 |
$615.30 |
$615.30 |
$239.52
|
|
Intro cath dialysis circuit
|
$1,126.65 |
$1,126.65 |
$1,126.65 |
$2,317.80
|
|
Intro cath dialysis circuit w/pta
|
$5,980.80 |
$5,980.80 |
$5,980.80 |
$8,761.00
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$11,960.90 |
$11,960.90 |
$11,960.90 |
$15,625.00
|
|
Intro catheter aorta
|
$1,005.90 |
$1,005.90 |
$1,005.90 |
$1,861.61
|
|
Intro cath svc/ivc
|
$1,005.90 |
$1,005.90 |
$1,005.90 |
$1,350.75
|
|
Intro long gi tube
|
$1,097.60 |
$1,097.60 |
$1,097.60 |
$1,036.00
|