|
Injection for ureter x-ray
|
$964.72 |
$964.72 |
$964.72 |
$515.21
|
|
Injection into spinal artery
|
$1,183.00 |
$1,183.00 |
$1,183.00 |
$1,468.18
|
|
Injection of sinus tract
|
$2,446.45 |
$2,446.45 |
$2,446.45 |
$1,651.20
|
|
Injection,onabotulinumtoxina
|
$5,392.80 |
$5,392.80 |
$5,392.80 |
$2,154.07
|
|
Injection, peramivir
|
$1,626.40 |
$1,626.40 |
$1,626.40 |
$857.98
|
|
Injection radioactive tracer sentinel node (both sides)
|
$481.93 |
$481.93 |
$481.93 |
$717.20
|
|
Injection, renflexis
|
$3,869.55 |
$3,869.55 |
$3,869.55 |
$1,356.10
|
|
Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides)
|
$1,184.28 |
$1,184.28 |
$1,184.28 |
$1,501.60
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$708.77 |
$708.77 |
$708.77 |
$1,017.28
|
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
|
$1,486.02 |
$1,486.02 |
$1,486.02 |
$2,251.00
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
|
$420.73 |
$420.73 |
$420.73 |
$1,131.41
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
|
$1,529.68 |
$1,529.68 |
$1,529.68 |
$1,961.05
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
|
$412.60 |
$412.60 |
$412.60 |
$1,119.88
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
|
$1,146.19 |
$1,146.19 |
$1,146.19 |
$2,154.68
|
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
|
$1,829.28 |
$1,829.28 |
$1,829.28 |
$1,829.28
|
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
|
$1,643.52 |
$1,643.52 |
$1,643.52 |
$1,758.12
|
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
|
$404.04 |
$404.04 |
$404.04 |
$472.76
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$481.50 |
$481.50 |
$481.50 |
$552.60
|
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
|
$481.50 |
$481.50 |
$481.50 |
$670.00
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$93.74 |
$93.74 |
$93.74 |
$168.05
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$265.79 |
$265.79 |
$265.79 |
$154.05
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$493.92 |
$493.92 |
$493.92 |
$271.65
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$153.23 |
$153.23 |
$153.23 |
$141.60
|
|
Inj epidural sgl lumb-sacral without img
|
$1,314.82 |
$1,314.82 |
$1,314.82 |
$1,450.84
|
|
Inj for ext venography
|
$148.95 |
$148.95 |
$148.95 |
$737.55
|
|
Inj for mammo ductogram
|
$536.72 |
$536.72 |
$536.72 |
$433.50
|
|
Inj hrt cath w/s&i nonsel p-art angrp
|
$115.14 |
$115.14 |
$115.14 |
$1,482.00
|
|
Inj hrt cath w/s&i sel right vent
|
$249.96 |
$249.96 |
$249.96 |
$947.65
|
|
Inj hydroxocobalamin IV 25mg
|
$5,125.73 |
$5,125.73 |
$5,125.73 |
$2,452.32
|
|
Inj ivig privigen 500 mg
|
$16,050.00 |
$16,050.00 |
$16,050.00 |
$7,173.90
|
|
Inj mepivacaine hcl/10 ml
|
$70.62 |
$70.62 |
$70.62 |
$31.28
|
|
Inj, moxifloxacin 100 mg
|
$236.26 |
$236.26 |
$236.26 |
$153.27
|
|
Inj multihance
|
$568.39 |
$568.39 |
$568.39 |
$119.25
|
|
Inj nephrosto/ureterogram w/img exstng access
|
$1,150.47 |
$1,150.47 |
$1,150.47 |
$1,522.56
|
|
Inj ogivri 10 mg
|
$6,803.49 |
$6,803.49 |
$6,803.49 |
$4,096.71
|
|
Inj pemetrexed (accord) 10mg
|
$3,796.36 |
$3,796.36 |
$3,796.36 |
$11.34
|
|
Inj proc ankle arthr
|
$451.54 |
$451.54 |
$451.54 |
$405.31
|
|
Inj proc elbow arthro
|
$434.00 |
$434.00 |
$434.00 |
$453.60
|
|
Inj proc for lymphang
|
$327.42 |
$327.42 |
$327.42 |
$1,372.00
|
|
Inj proc lumbr disk ea lvl
|
$418.16 |
$418.16 |
$418.16 |
$1,224.30
|
|
Inj proc myelogram lumbar
|
$353.53 |
$353.53 |
$353.53 |
$922.80
|
|
Inj prohance multipack
|
$8.56 |
$8.56 |
$8.56 |
$51.48
|
|
Inj, releuko 1 mcg
|
$1,306.69 |
$1,306.69 |
$1,306.69 |
$519.53
|
|
Inj retacrit esrd on dialysi
|
$2,266.26 |
$2,266.26 |
$2,266.26 |
$343.53
|
|
Inj retro urethrocysto
|
$288.48 |
$288.48 |
$288.48 |
$551.29
|
|
Inj. teprotumumab-trbw 10 mg
|
$16,050.00 |
$16,050.00 |
$16,050.00 |
$42,164.34
|
|
Inj testosterone cypionate
|
$122.84 |
$122.84 |
$122.84 |
$82.58
|
|
Inj, tyenne, 1 mg
|
$10,058.43 |
$10,058.43 |
$10,058.43 |
$3,525.12
|
|
Inj, vancomycin hcl (mylan)
|
$41.52 |
$41.52 |
$41.52 |
$89.83
|
|
Inj w/fluor eval cv device
|
$520.45 |
$520.45 |
$520.45 |
$588.90
|
|
Ins cath ren art 1st bi
|
$7,191.69 |
$7,191.69 |
$7,191.69 |
$6,033.75
|
|
Ins cath ren art 1st uni
|
$4,794.03 |
$4,794.03 |
$4,794.03 |
$4,667.63
|
|
Ins cath ren art 2nd+ bi
|
$6,982.40 |
$6,982.40 |
$6,982.40 |
$5,408.65
|
|
Ins cath ren art 2nd+ uni
|
$4,654.50 |
$4,654.50 |
$4,654.50 |
$5,528.94
|
|
Ins cerv dilator (sep proc)
|
$488.35 |
$488.35 |
$488.35 |
$544.00
|
|
Insert abdomen-venous drain
|
$4,039.47 |
$4,039.47 |
$4,039.47 |
$4,391.00
|
|
Insert cath pleura with image
|
$1,537.38 |
$1,537.38 |
$1,537.38 |
$2,239.02
|
|
Insert cath pleura without image
|
$983.55 |
$983.55 |
$983.55 |
$2,212.00
|
|
Insert hepatic shunt (tips)
|
$7,354.33 |
$7,354.33 |
$7,354.33 |
$9,754.48
|
|
Insertion catheter bladder non indwelling
|
$208.01 |
$208.01 |
$208.01 |
$237.13
|
|
Insertion catheter bladder temporary simple
|
$155.80 |
$155.80 |
$155.80 |
$273.60
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$4,930.56 |
$4,930.56 |
$4,930.56 |
$4,943.21
|
|
Insertion intra aortic balloon assist device percutaneous
|
$822.62 |
$822.62 |
$822.62 |
$2,549.95
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$7,739.53 |
$7,739.53 |
$7,739.53 |
$7,088.54
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$1,934.99 |
$1,934.99 |
$1,934.99 |
$2,618.40
|
|
Insertion of catheter vein
|
$1,626.83 |
$1,626.83 |
$1,626.83 |
$1,749.80
|
|
Insertion of catheter vein
|
$824.76 |
$824.76 |
$824.76 |
$858.05
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$16,040.16 |
$16,040.16 |
$16,040.16 |
$14,158.20
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$16,040.16 |
$16,040.16 |
$16,040.16 |
$12,813.28
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$22,666.46 |
$22,666.46 |
$22,666.46 |
$9,855.00
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$2,093.78 |
$2,093.78 |
$2,093.78 |
$2,079.43
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$2,158.41 |
$2,158.41 |
$2,158.41 |
$2,527.91
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$48,695.70 |
$48,695.70 |
$48,695.70 |
$29,997.52
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$8,955.05 |
$8,955.05 |
$8,955.05 |
$7,572.47
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$6,893.37 |
$6,893.37 |
$6,893.37 |
$7,673.12
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$8,516.78 |
$8,516.78 |
$8,516.78 |
$9,793.46
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$4,615.98 |
$4,615.98 |
$4,615.98 |
$5,470.54
|
|
Insert picvad cath
|
$4,467.90 |
$4,467.90 |
$4,467.90 |
$4,490.00
|
|
Insert pm/icd lead dual
|
$6,893.37 |
$6,893.37 |
$6,893.37 |
$7,562.63
|
|
Insert/repl sq defib w/eltrd
|
$45,154.86 |
$45,154.86 |
$45,154.86 |
$33,948.20
|
|
Insert swan-ganz cath
|
$2,070.24 |
$2,070.24 |
$2,070.24 |
$2,164.52
|
|
Insert tunneled cv 2cath 2sits without port/pmp 36565
|
$4,477.31 |
$4,477.31 |
$4,477.31 |
$4,705.13
|
|
Insert tunneled cv cath
|
$3,925.19 |
$3,925.19 |
$3,925.19 |
$4,520.00
|
|
Insert vad art access left hrt arterial access
|
$2,603.53 |
$2,603.53 |
$2,603.53 |
$5,062.80
|
|
Ins icd gen exist mlt leads
|
$35,170.90 |
$35,170.90 |
$35,170.90 |
$31,286.77
|
|
Ins icd gen exist sgl lead
|
$33,496.14 |
$33,496.14 |
$33,496.14 |
$24,159.72
|
|
Insitu hybridization auto
|
$55.64 |
$55.64 |
$55.64 |
$398.16
|
|
Insitu hybridization (fish)
|
$169.73 |
$169.73 |
$169.73 |
$481.60
|
|
Insitu hybridization manual
|
$64.20 |
$64.20 |
$64.20 |
$407.11
|
|
In situ hybridization per specimen each additional single probe stain
|
$107.00 |
$107.00 |
$107.00 |
$251.55
|
|
In situ hybridization per specimen initial single probe stain
|
$118.20 |
$118.20 |
$118.20 |
$338.40
|
|
Insj perq vad r hrt venous
|
$989.11 |
$989.11 |
$989.11 |
$4,981.60
|
|
Ins lv lead exist pm/icd
|
$22,068.97 |
$22,068.97 |
$22,068.97 |
$12,384.25
|
|
Ins mark abd/pel for right perq
|
$1,888.34 |
$1,888.34 |
$1,888.34 |
$2,070.00
|
|
Ins picad w subq port 5yr>
|
$4,467.90 |
$4,467.90 |
$4,467.90 |
$4,341.66
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$1,618.70 |
$1,618.70 |
$1,618.70 |
$1,483.95
|
|
Ins pm gen w/exist mlt leads
|
$10,986.34 |
$10,986.34 |
$10,986.34 |
$15,600.75
|
|
Ins pq tunnld ip cath w/img
|
$4,960.95 |
$4,960.95 |
$4,960.95 |
$5,593.60
|
|
Ins/rplc spi npg/rcvr pocket
|
$37,794.12 |
$37,794.12 |
$37,794.12 |
$21,097.15
|
|
Ins/rpl ldless pm right vent w img & eval
|
$27,923.15 |
$27,923.15 |
$27,923.15 |
$24,135.54
|