|
Injection arthrography hip without anesthesia (both sides)
|
$181.64 |
$181.64 |
$181.64 |
$495.84
|
|
Injection, cangrelor
|
$912.00 |
$912.00 |
$912.00 |
$1,889.78
|
|
Injection carpal tunnel therapeutic (both sides)
|
$36.86 |
$36.86 |
$36.86 |
$450.72
|
|
Injection during cath supravalvular aortography
|
$416.67 |
$416.67 |
$416.67 |
$952.66
|
|
Injection epidural blood patch or clot
|
$671.84 |
$671.84 |
$671.84 |
$1,156.80
|
|
Injection eye drug
|
$60.61 |
$60.61 |
$60.61 |
$644.50
|
|
Injection for arthrography wrist (both sides)
|
$239.59 |
$239.59 |
$239.59 |
$428.40
|
|
Injection for bladder x-ray
|
$246.24 |
$246.24 |
$246.24 |
$459.20
|
|
Injection for hip x-ray
|
$348.65 |
$348.65 |
$348.65 |
$710.00
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$222.30 |
$222.30 |
$222.30 |
$494.65
|
|
Injection for ureter x-ray
|
$46.17 |
$46.17 |
$46.17 |
$515.21
|
|
Injection, inclisiran, 1 mg
|
$2,230.50 |
$2,230.50 |
$2,230.50 |
$6,679.35
|
|
Injection into brain canal
|
$74.48 |
$74.48 |
$74.48 |
$836.40
|
|
Injection into hemorrhoid(s)
|
$125.40 |
$125.40 |
$125.40 |
$1,432.81
|
|
Injection into vocal cord
|
$85.69 |
$85.69 |
$85.69 |
$499.50
|
|
Injection, isavuconazonium
|
$419.04 |
$419.04 |
$419.04 |
$787.67
|
|
Injection jugular
|
$321.10 |
$321.10 |
$321.10 |
$790.00
|
|
Injection of sinus tract
|
$60.42 |
$60.42 |
$60.42 |
$1,627.60
|
|
Injection,onabotulinumtoxina
|
$698.76 |
$698.76 |
$698.76 |
$2,277.65
|
|
Injection radioactive tracer sentinel node (both sides)
|
$223.25 |
$223.25 |
$223.25 |
$670.64
|
|
Injection, renflexis
|
$582.31 |
$582.31 |
$582.31 |
$1,341.52
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$40.85 |
$40.85 |
$40.85 |
$1,348.56
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$27.17 |
$27.17 |
$27.17 |
$1,023.50
|
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
|
$1,025.43 |
$1,025.43 |
$1,025.43 |
$1,952.40
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
|
$57.57 |
$57.57 |
$57.57 |
$1,029.45
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
|
$103.93 |
$103.93 |
$103.93 |
$1,814.40
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
|
$648.47 |
$648.47 |
$648.47 |
$1,017.90
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
|
$972.61 |
$972.61 |
$972.61 |
$1,995.00
|
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
|
$732.07 |
$732.07 |
$732.07 |
$1,817.24
|
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
|
$848.35 |
$848.35 |
$848.35 |
$1,681.24
|
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
|
$25.08 |
$25.08 |
$25.08 |
$472.76
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$23.75 |
$23.75 |
$23.75 |
$548.80
|
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
|
$26.98 |
$26.98 |
$26.98 |
$632.00
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$76.00 |
$76.00 |
$76.00 |
$166.38
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$71.63 |
$71.63 |
$71.63 |
$145.60
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$103.74 |
$103.74 |
$103.74 |
$249.32
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$57.19 |
$57.19 |
$57.19 |
$135.60
|
|
Injection treatment of eye
|
$74.67 |
$74.67 |
$74.67 |
$2,665.60
|
|
Injection treatment of nerve
|
$145.54 |
$145.54 |
$145.54 |
$2,025.45
|
|
Injection treatment of nose
|
$40.28 |
$40.28 |
$40.28 |
$859.59
|
|
Inject sacroiliac joint
|
$532.19 |
$532.19 |
$532.19 |
$1,028.95
|
|
Inject/treat eye socket
|
$30.78 |
$30.78 |
$30.78 |
$670.02
|
|
Inj epidural sgl cerv-thor without img
|
$63.65 |
$63.65 |
$63.65 |
$1,318.80
|
|
Inj epidural sgl lumb-sacral without img
|
$50.54 |
$50.54 |
$50.54 |
$1,415.50
|
|
Inj for ext venography
|
$153.71 |
$153.71 |
$153.71 |
$649.95
|
|
Inj for mammo ductogram
|
$107.54 |
$107.54 |
$107.54 |
$399.60
|
|
Inj, gadopiclenol, 1 ml
|
$2.05 |
$2.05 |
$2.05 |
$37.63
|
|
Inj hrt cath w/s&i nonsel p-art angrp
|
$515.47 |
$515.47 |
$515.47 |
$1,439.90
|
|
Inj hrt cath w/s&i sel hrt ang
|
$724.09 |
$724.09 |
$724.09 |
$1,827.74
|
|
Inj hrt cath w/s&i sel hrt art
|
$24.13 |
$24.13 |
$24.13 |
$1,045.80
|
|
Inj hrt cath w/s&i sel left vent
|
$724.09 |
$724.09 |
$724.09 |
$1,239.00
|
|
Inj hrt cath w/s&i sel right vent
|
$421.61 |
$421.61 |
$421.61 |
$965.33
|
|
Inj, immphentiv, 20 mcg
|
$18.44 |
$18.44 |
$18.44 |
$18.44
|
|
Inj/inf neurolyt sbst spinal canal lesion 62282
|
$964.25 |
$964.25 |
$964.25 |
$1,928.00
|
|
Inj intralesional <= 7 lsn(s)
|
$19.19 |
$19.19 |
$19.19 |
$235.13
|
|
Inj intralesional > 7 lsns
|
$29.64 |
$29.64 |
$29.64 |
$234.00
|
|
Inj ivig privigen 500 mg
|
$8,310.87 |
$8,310.87 |
$8,310.87 |
$6,967.29
|
|
Inj levocarnitine per 1 gm
|
$45.65 |
$45.65 |
$45.65 |
$136.62
|
|
Inj, lidocaine w epinephrine
|
$32.05 |
$32.05 |
$32.05 |
$47.52
|
|
Inj multihance
|
$1.72 |
$1.72 |
$1.72 |
$73.49
|
|
Inj nephrosto/ureterogram w/img exstng access
|
$998.64 |
$998.64 |
$998.64 |
$1,413.35
|
|
Inj proc ankle arthr
|
$49.21 |
$49.21 |
$49.21 |
$405.31
|
|
Inj proc elbow arthro
|
$176.51 |
$176.51 |
$176.51 |
$419.60
|
|
Inj proc for lymphang
|
$53.58 |
$53.58 |
$53.58 |
$682.00
|
|
Inj proc lumbr disk ea lvl
|
$251.37 |
$251.37 |
$251.37 |
$1,106.93
|
|
Inj proc myelogram lumbar
|
$384.56 |
$384.56 |
$384.56 |
$830.50
|
|
Inj proc sialogram
|
$100.89 |
$100.89 |
$100.89 |
$373.00
|
|
Inj, releuko 1 mcg
|
$180.66 |
$180.66 |
$180.66 |
$473.25
|
|
Inj retro urethrocysto
|
$351.50 |
$351.50 |
$351.50 |
$443.50
|
|
Inj scleros sol mult veins
|
$46.55 |
$46.55 |
$46.55 |
$675.00
|
|
Inj scleros sol sgl vein
|
$23.75 |
$23.75 |
$23.75 |
$558.97
|
|
Inj(s) sclerosant spider veins limb/trunk
|
$41.61 |
$41.61 |
$41.61 |
$436.80
|
|
Inj w/fluor eval cv device
|
$248.90 |
$248.90 |
$248.90 |
$503.92
|
|
Inpt/ed teleconsult30
|
$42.37 |
$42.37 |
$42.37 |
$164.40
|
|
Inpt/ed teleconsult50
|
$60.42 |
$60.42 |
$60.42 |
$223.80
|
|
Inpt/ed teleconsult70
|
$85.88 |
$85.88 |
$85.88 |
$330.60
|
|
Inpt/tele follow up 15
|
$19.00 |
$19.00 |
$19.00 |
$64.80
|
|
Inpt/tele follow up 25
|
$33.44 |
$33.44 |
$33.44 |
$118.80
|
|
Inpt/tele follow up 35
|
$48.64 |
$48.64 |
$48.64 |
$171.60
|
|
Ins cath ren art 1st bi
|
$2,196.02 |
$2,196.02 |
$2,196.02 |
$5,753.10
|
|
Ins cath ren art 1st uni
|
$1,997.66 |
$1,997.66 |
$1,997.66 |
$4,660.00
|
|
Ins cath ren art 2nd+ bi
|
$254.22 |
$254.22 |
$254.22 |
$5,500.86
|
|
Ins cath ren art 2nd+ uni
|
$3,280.54 |
$3,280.54 |
$3,280.54 |
$5,395.20
|
|
Ins cerv dilator (sep proc)
|
$175.56 |
$175.56 |
$175.56 |
$480.28
|
|
Insert and remove bone pin
|
$112.67 |
$112.67 |
$112.67 |
$4,410.60
|
|
Insert cannula vein-to-vein hemodialysis
|
$76.38 |
$76.38 |
$76.38 |
$7,279.50
|
|
Insert cath pleura with image
|
$933.66 |
$933.66 |
$933.66 |
$2,194.40
|
|
Insert cath pleura without image
|
$1,928.69 |
$1,928.69 |
$1,928.69 |
$2,073.18
|
|
Insert drug delivery implant
|
$40.09 |
$40.09 |
$40.09 |
$280.00
|
|
Insert hepatic shunt (tips)
|
$3,420.76 |
$3,420.76 |
$3,420.76 |
$7,571.20
|
|
Insert intervert bimech device 22854
|
$206.91 |
$206.91 |
$206.91 |
$1,573.00
|
|
Insert intrauterine device iud
|
$42.37 |
$42.37 |
$42.37 |
$347.10
|
|
Insertion catheter bladder non indwelling
|
$105.26 |
$105.26 |
$105.26 |
$205.40
|
|
Insertion catheter bladder temporary simple
|
$159.41 |
$159.41 |
$159.41 |
$232.25
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$2,162.77 |
$2,162.77 |
$2,162.77 |
$4,782.00
|
|
Insertion intra aortic balloon assist device percutaneous
|
$1,047.28 |
$1,047.28 |
$1,047.28 |
$2,529.45
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$3,819.76 |
$3,819.76 |
$3,819.76 |
$7,210.78
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$1,274.52 |
$1,274.52 |
$1,274.52 |
$2,505.60
|
|
Insertion of catheter vein
|
$342.00 |
$342.00 |
$342.00 |
$1,477.00
|
|
Insertion of heart electrode 33211
|
$102.79 |
$102.79 |
$102.79 |
$6,903.60
|