|
Injection into hemorrhoid(s)
|
$1,799.79 |
$1,799.79 |
$1,799.79 |
$1,278.72
|
|
Injection of sinus tract
|
$2,178.72 |
$2,178.72 |
$2,178.72 |
$1,651.20
|
|
Injection,onabotulinumtoxina
|
$1,771.49 |
$1,771.49 |
$1,771.49 |
$2,154.07
|
|
Injection radioactive tracer sentinel node (both sides)
|
$420.24 |
$420.24 |
$420.24 |
$717.20
|
|
Injection, renflexis
|
$1,445.21 |
$1,445.21 |
$1,445.21 |
$1,356.10
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$1,102.11 |
$1,102.11 |
$1,102.11 |
$1,471.50
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$892.50 |
$892.50 |
$892.50 |
$1,017.28
|
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
|
$2,984.52 |
$2,984.52 |
$2,984.52 |
$2,251.00
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
|
$2,317.95 |
$2,317.95 |
$2,317.95 |
$1,131.41
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
|
$2,317.95 |
$2,317.95 |
$2,317.95 |
$1,961.05
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
|
$2,317.95 |
$2,317.95 |
$2,317.95 |
$1,119.88
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
|
$2,317.95 |
$2,317.95 |
$2,317.95 |
$2,154.68
|
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
|
$2,984.52 |
$2,984.52 |
$2,984.52 |
$1,829.28
|
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
|
$2,984.52 |
$2,984.52 |
$2,984.52 |
$1,758.12
|
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
|
$1,649.34 |
$1,649.34 |
$1,649.34 |
$472.76
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$2,139.45 |
$2,139.45 |
$2,139.45 |
$552.60
|
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
|
$2,069.58 |
$2,069.58 |
$2,069.58 |
$670.00
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$196.35 |
$196.35 |
$196.35 |
$168.05
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$110.16 |
$110.16 |
$110.16 |
$154.05
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$391.68 |
$391.68 |
$391.68 |
$271.65
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$118.83 |
$118.83 |
$118.83 |
$141.60
|
|
Injection treatment of eye
|
$6,547.89 |
$6,547.89 |
$6,547.89 |
$2,698.92
|
|
Inject sacroiliac joint
|
$3,291.54 |
$3,291.54 |
$3,291.54 |
$1,090.00
|
|
Inj epidural sgl cerv-thor without img
|
$2,984.52 |
$2,984.52 |
$2,984.52 |
$1,366.20
|
|
Inj epidural sgl lumb-sacral without img
|
$2,984.52 |
$2,984.52 |
$2,984.52 |
$1,450.84
|
|
Inj for ext venography
|
$2,601.00 |
$2,601.00 |
$2,601.00 |
$737.55
|
|
Inj for mammo ductogram
|
$854.25 |
$854.25 |
$854.25 |
$433.50
|
|
Inj heparin, pfizer, 1000u
|
$84.15 |
$84.15 |
$84.15 |
$26.85
|
|
Inj hrt cath w/s&i nonsel p-art angrp
|
$830.79 |
$830.79 |
$830.79 |
$1,482.00
|
|
Inj intralesional <= 7 lsn(s)
|
$391.68 |
$391.68 |
$391.68 |
$241.74
|
|
Inj levocarnitine per 1 gm
|
$182.65 |
$182.65 |
$182.65 |
$136.62
|
|
Inj, levothyroxine, freskabi
|
$250.28 |
$250.28 |
$250.28 |
$303.45
|
|
Inj meropenem (wg crit care)
|
$159.91 |
$159.91 |
$159.91 |
$99.20
|
|
Inj. mycophenolate mofetil
|
$243.79 |
$243.79 |
$243.79 |
$291.54
|
|
Inj nephrosto/ureterogram w/img exstng access
|
$727.77 |
$727.77 |
$727.77 |
$1,522.56
|
|
Inj ogivri 10 mg
|
$2,210.24 |
$2,210.24 |
$2,210.24 |
$4,096.71
|
|
Inj pantoprazole(hikma) 40mg
|
$84.15 |
$84.15 |
$84.15 |
$33.52
|
|
Inj pemetrexed, hospira 10mg
|
$565.97 |
$565.97 |
$565.97 |
$64.35
|
|
Inj peritoneal venous shunt
|
$619.65 |
$619.65 |
$619.65 |
$386.88
|
|
Inj., perseris, 0.5 mg
|
$2,698.44 |
$2,698.44 |
$2,698.44 |
$5,372.48
|
|
Inj proc elbow arthro
|
$219.30 |
$219.30 |
$219.30 |
$453.60
|
|
Inj proc for lymphang
|
$1,363.74 |
$1,363.74 |
$1,363.74 |
$1,372.00
|
|
Inj proc myelogram lumbar
|
$327.42 |
$327.42 |
$327.42 |
$922.80
|
|
Inj progesterone per 50 mg
|
$84.15 |
$84.15 |
$84.15 |
$19.53
|
|
Inj, releuko 1 mcg
|
$519.53 |
$519.53 |
$519.53 |
$519.53
|
|
Inj retro urethrocysto
|
$252.45 |
$252.45 |
$252.45 |
$551.29
|
|
Inj testostero enanthate 1mg
|
$85.68 |
$85.68 |
$85.68 |
$35.40
|
|
Inj, vasopressin (baxter)
|
$190.33 |
$190.33 |
$190.33 |
$202.50
|
|
Inj w/fluor eval cv device
|
$232.05 |
$232.05 |
$232.05 |
$588.90
|
|
Ins cath ren art 1st bi
|
$4,624.68 |
$4,624.68 |
$4,624.68 |
$6,033.75
|
|
Ins cath ren art 1st uni
|
$7,860.12 |
$7,860.12 |
$7,860.12 |
$4,667.63
|
|
Ins cath ren art 2nd+ uni
|
$10,545.27 |
$10,545.27 |
$10,545.27 |
$5,528.94
|
|
Ins cerv dilator (sep proc)
|
$1,602.42 |
$1,602.42 |
$1,602.42 |
$544.00
|
|
Insert and remove bone pin
|
$6,447.42 |
$6,447.42 |
$6,447.42 |
$4,335.60
|
|
Insert cath pleura with image
|
$3,222.69 |
$3,222.69 |
$3,222.69 |
$2,239.02
|
|
Insert cath pleura without image
|
$3,627.63 |
$3,627.63 |
$3,627.63 |
$2,212.00
|
|
Insert hepatic shunt (tips)
|
$26,842.32 |
$26,842.32 |
$26,842.32 |
$9,754.48
|
|
Insert intrauterine device iud
|
$2,379.15 |
$2,379.15 |
$2,379.15 |
$378.83
|
|
Insertion catheter bladder non indwelling
|
$268.26 |
$268.26 |
$268.26 |
$237.13
|
|
Insertion catheter bladder temporary simple
|
$286.11 |
$286.11 |
$286.11 |
$273.60
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$12,163.50 |
$12,163.50 |
$12,163.50 |
$4,943.21
|
|
Insertion intra aortic balloon assist device percutaneous
|
$4,318.17 |
$4,318.17 |
$4,318.17 |
$2,549.95
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$10,069.95 |
$10,069.95 |
$10,069.95 |
$7,088.54
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$4,023.90 |
$4,023.90 |
$4,023.90 |
$2,618.40
|
|
Insertion of catheter vein
|
$1,087.32 |
$1,087.32 |
$1,087.32 |
$1,749.80
|
|
Insertion of heart electrode 33211
|
$15,840.09 |
$15,840.09 |
$15,840.09 |
$9,090.00
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$18,892.44 |
$18,892.44 |
$18,892.44 |
$14,158.20
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$18,892.44 |
$18,892.44 |
$18,892.44 |
$12,813.28
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$33,316.77 |
$33,316.77 |
$33,316.77 |
$9,855.00
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$3,902.52 |
$3,902.52 |
$3,902.52 |
$2,079.43
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$3,512.88 |
$3,512.88 |
$3,512.88 |
$2,527.91
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$59,653.17 |
$59,653.17 |
$59,653.17 |
$29,997.52
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$9,095.85 |
$9,095.85 |
$9,095.85 |
$7,572.47
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$11,847.81 |
$11,847.81 |
$11,847.81 |
$7,673.12
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$11,847.81 |
$11,847.81 |
$11,847.81 |
$9,793.46
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$6,452.52 |
$6,452.52 |
$6,452.52 |
$5,470.54
|
|
Insertion ureth cath
|
$4,041.75 |
$4,041.75 |
$4,041.75 |
$2,424.12
|
|
Insert pessary/other device
|
$385.56 |
$385.56 |
$385.56 |
$278.90
|
|
Insert prost urethral stent
|
$4,017.78 |
$4,017.78 |
$4,017.78 |
$2,424.12
|
|
Insert/repl sq defib w/eltrd
|
$48,827.91 |
$48,827.91 |
$48,827.91 |
$33,948.20
|
|
Insert swan-ganz cath
|
$2,089.98 |
$2,089.98 |
$2,089.98 |
$2,164.52
|
|
Insert uteri tandem/ovoids
|
$10,310.16 |
$10,310.16 |
$10,310.16 |
$3,986.00
|
|
Insert vad art access left hrt arterial access
|
$6,343.89 |
$6,343.89 |
$6,343.89 |
$5,062.80
|
|
Insitu hybridization auto
|
$740.52 |
$740.52 |
$740.52 |
$398.16
|
|
Insitu hybridization manual
|
$541.62 |
$541.62 |
$541.62 |
$407.11
|
|
In situ hybridization per specimen each additional single probe stain
|
$123.42 |
$123.42 |
$123.42 |
$251.55
|
|
In situ hybridization per specimen initial single probe stain
|
$277.44 |
$277.44 |
$277.44 |
$338.40
|
|
Ins lv lead exist pm/icd
|
$15,113.85 |
$15,113.85 |
$15,113.85 |
$12,384.25
|
|
Ins mark abd/pel for right perq
|
$2,393.43 |
$2,393.43 |
$2,393.43 |
$2,070.00
|
|
Ins mark thor for right perq
|
$2,081.31 |
$2,081.31 |
$2,081.31 |
$2,396.35
|
|
Ins picad w subq port 5yr>
|
$3,676.08 |
$3,676.08 |
$3,676.08 |
$4,341.66
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$2,209.83 |
$2,209.83 |
$2,209.83 |
$1,483.95
|
|
Ins pq tunnld ip cath w/img
|
$13,608.84 |
$13,608.84 |
$13,608.84 |
$5,593.60
|
|
Ins/rplc spi npg/rcvr pocket
|
$96,592.47 |
$96,592.47 |
$96,592.47 |
$21,097.15
|
|
Ins/rpl ldless pm right vent w img & eval
|
$23,344.74 |
$23,344.74 |
$23,344.74 |
$24,135.54
|
|
Ins/rpl pm w/tv ld atrl
|
$15,456.57 |
$15,456.57 |
$15,456.57 |
$12,384.25
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$32,159.07 |
$32,159.07 |
$32,159.07 |
$25,106.90
|
|
Inst fibrinolysis agent ini day
|
$1,132.71 |
$1,132.71 |
$1,132.71 |
$1,095.00
|
|
Inst fibrinolysis agent sbsq d
|
$1,132.71 |
$1,132.71 |
$1,132.71 |
$898.12
|
|
Instillation anticarcinogenic agent bladder
|
$971.04 |
$971.04 |
$971.04 |
$721.50
|
