|
Injection, inclisiran, 1 mg
|
$3,726.45 |
$3,726.45 |
$3,726.45 |
$6,830.50
|
|
Injection into brain canal
|
$747.06 |
$747.06 |
$747.06 |
$933.60
|
|
Injection into spinal artery
|
$615.05 |
$615.05 |
$615.05 |
$1,468.18
|
|
Injection, isavuconazonium
|
$361.92 |
$361.92 |
$361.92 |
$863.93
|
|
Injection jugular
|
$448.94 |
$448.94 |
$448.94 |
$1,048.20
|
|
Injection of sinus tract
|
$1,294.19 |
$1,294.19 |
$1,294.19 |
$1,651.20
|
|
Injection,onabotulinumtoxina
|
$664.15 |
$664.15 |
$664.15 |
$2,154.07
|
|
Injection radioactive tracer sentinel node (both sides)
|
$716.48 |
$716.48 |
$716.48 |
$717.20
|
|
Injection, renflexis
|
$864.07 |
$864.07 |
$864.07 |
$1,356.10
|
|
Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides)
|
$986.96 |
$986.96 |
$986.96 |
$1,501.60
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$727.36 |
$727.36 |
$727.36 |
$1,471.50
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$668.27 |
$668.27 |
$668.27 |
$1,017.28
|
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
|
$1,641.11 |
$1,641.11 |
$1,641.11 |
$2,251.00
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
|
$326.64 |
$326.64 |
$326.64 |
$1,131.41
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
|
$1,357.70 |
$1,357.70 |
$1,357.70 |
$1,961.05
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
|
$2,042.72 |
$2,042.72 |
$2,042.72 |
$1,119.88
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
|
$2,630.72 |
$2,630.72 |
$2,630.72 |
$2,154.68
|
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
|
$753.82 |
$753.82 |
$753.82 |
$1,829.28
|
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
|
$756.17 |
$756.17 |
$756.17 |
$1,758.12
|
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
|
$472.76 |
$472.76 |
$472.76 |
$472.76
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$168.17 |
$168.17 |
$168.17 |
$168.05
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$216.09 |
$216.09 |
$216.09 |
$154.05
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$168.17 |
$168.17 |
$168.17 |
$271.65
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$69.09 |
$69.09 |
$69.09 |
$141.60
|
|
Injection torsemide 10 mg/ml
|
$19.11 |
$19.11 |
$19.11 |
$16.02
|
|
Inj epidural sgl cerv-thor without img
|
$1,591.43 |
$1,591.43 |
$1,591.43 |
$1,366.20
|
|
Inj epidural sgl lumb-sacral without img
|
$744.12 |
$744.12 |
$744.12 |
$1,450.84
|
|
Inj fluphenazine hcl 1.25 mg
|
$19.11 |
$19.11 |
$19.11 |
$44.95
|
|
Inj for ext venography
|
$692.08 |
$692.08 |
$692.08 |
$737.55
|
|
Inj for mammo ductogram
|
$1,157.48 |
$1,157.48 |
$1,157.48 |
$433.50
|
|
Inj hrt cath w/s&i nonsel p-art angrp
|
$649.16 |
$649.16 |
$649.16 |
$1,482.00
|
|
Inj hrt cath w/s&i sel hrt ang
|
$2,384.93 |
$2,384.93 |
$2,384.93 |
$1,837.17
|
|
Inj hrt cath w/s&i sel left vent
|
$627.99 |
$627.99 |
$627.99 |
$1,214.40
|
|
Inj hrt cath w/s&i sel right vent
|
$627.99 |
$627.99 |
$627.99 |
$947.65
|
|
Inj hydroxocobalamin IV 25mg
|
$1,144.55 |
$1,144.55 |
$1,144.55 |
$2,452.32
|
|
Inj. inebilizumab-cdon, 1 mg
|
$53,603.26 |
$53,603.26 |
$53,603.26 |
$871.80
|
|
Inj mepivacaine hcl/10 ml
|
$19.11 |
$19.11 |
$19.11 |
$31.28
|
|
Inj multihance
|
$120.54 |
$120.54 |
$120.54 |
$119.25
|
|
Inj. mycophenolate mofetil
|
$124.07 |
$124.07 |
$124.07 |
$291.54
|
|
Inj nephrosto/ureterogram w/img exstng access
|
$1,782.53 |
$1,782.53 |
$1,782.53 |
$1,522.56
|
|
Inj, nithiodote, 3mg / 125mg
|
$217.86 |
$217.86 |
$217.86 |
$228.00
|
|
Inj non-compmd foam sclrsnt mlt trncl veins same leg
|
$2,110.63 |
$2,110.63 |
$2,110.63 |
$2,371.50
|
|
Inj non-compmd foam sclrsnt sgl trncl vein
|
$2,110.63 |
$2,110.63 |
$2,110.63 |
$2,164.64
|
|
Inj ogivri 10 mg
|
$1,519.10 |
$1,519.10 |
$1,519.10 |
$4,096.71
|
|
Inj peritoneal venous shunt
|
$464.52 |
$464.52 |
$464.52 |
$386.88
|
|
Inj proc ankle arthr
|
$140.83 |
$140.83 |
$140.83 |
$405.31
|
|
Inj proc elbow arthro
|
$1,034.88 |
$1,034.88 |
$1,034.88 |
$453.60
|
|
Inj proc for lymphang
|
$869.36 |
$869.36 |
$869.36 |
$1,372.00
|
|
Inj proc lumbr disk ea lvl
|
$81.15 |
$81.15 |
$81.15 |
$1,224.30
|
|
Inj proc myelogram lumbar
|
$1,304.19 |
$1,304.19 |
$1,304.19 |
$922.80
|
|
Inj proc sialogram
|
$947.57 |
$947.57 |
$947.57 |
$380.80
|
|
Inj progesterone per 50 mg
|
$47.93 |
$47.93 |
$47.93 |
$19.53
|
|
Inj retacrit esrd on dialysi
|
$230.69 |
$230.69 |
$505.98 |
$343.53
|
|
Inj retro urethrocysto
|
$962.56 |
$962.56 |
$962.56 |
$551.29
|
|
Inj., tildrakizumab, 1 mg
|
$15,199.51 |
$15,199.51 |
$15,199.51 |
$31,164.94
|
|
Inj, vancomycin hcl (mylan)
|
$477.75 |
$477.75 |
$477.75 |
$89.83
|
|
Inj w/fluor eval cv device
|
$430.42 |
$430.42 |
$430.42 |
$588.90
|
|
Ins cath ren art 1st bi
|
$2,450.49 |
$2,450.49 |
$2,450.49 |
$6,033.75
|
|
Ins cath ren art 1st uni
|
$1,842.50 |
$1,842.50 |
$1,842.50 |
$4,667.63
|
|
Ins cath ren art 2nd+ bi
|
$2,855.92 |
$2,855.92 |
$2,855.92 |
$5,408.65
|
|
Ins cath ren art 2nd+ uni
|
$2,506.06 |
$2,506.06 |
$2,506.06 |
$5,528.94
|
|
Ins cerv dilator (sep proc)
|
$192.87 |
$192.87 |
$192.87 |
$544.00
|
|
Insert abdomen-venous drain
|
$2,718.92 |
$2,718.92 |
$2,718.92 |
$4,391.00
|
|
Insert cannula hemo oth 36815
|
$756.47 |
$756.47 |
$756.47 |
$5,983.35
|
|
Insert cath pleura with image
|
$1,854.56 |
$1,854.56 |
$1,854.56 |
$2,239.02
|
|
Insert cath pleura without image
|
$2,995.86 |
$2,995.86 |
$2,995.86 |
$2,212.00
|
|
Insert hepatic shunt (tips)
|
$10,409.37 |
$10,409.37 |
$10,409.37 |
$9,754.48
|
|
Insertion catheter bladder temporary simple
|
$87.03 |
$87.03 |
$87.03 |
$273.60
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$3,339.26 |
$3,339.26 |
$3,339.26 |
$4,943.21
|
|
Insertion intra aortic balloon assist device percutaneous
|
$785.28 |
$785.28 |
$785.28 |
$2,549.95
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$5,828.26 |
$5,828.26 |
$5,828.26 |
$7,088.54
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$1,876.02 |
$1,876.02 |
$1,876.02 |
$2,618.40
|
|
Insertion of cannula
|
$1,089.27 |
$1,089.27 |
$1,089.27 |
$3,724.63
|
|
Insertion of catheter vein
|
$351.04 |
$351.04 |
$351.04 |
$1,749.80
|
|
Insertion of heart electrode 33211
|
$4,786.91 |
$4,786.91 |
$4,786.91 |
$9,090.00
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$11,098.50 |
$11,098.50 |
$11,098.50 |
$14,158.20
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$10,210.62 |
$10,210.62 |
$10,210.62 |
$12,813.28
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$11,891.13 |
$11,891.13 |
$11,891.13 |
$9,855.00
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$1,575.84 |
$1,575.84 |
$1,575.84 |
$2,079.43
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$1,486.47 |
$1,486.47 |
$1,486.47 |
$2,527.91
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$22,012.37 |
$22,012.37 |
$22,012.37 |
$29,997.52
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$5,203.22 |
$5,203.22 |
$5,203.22 |
$7,572.47
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$7,122.15 |
$7,122.15 |
$7,122.15 |
$7,673.12
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$5,604.23 |
$5,604.23 |
$5,604.23 |
$9,793.46
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$5,873.83 |
$5,873.83 |
$5,873.83 |
$5,470.54
|
|
Insert picvad cath
|
$3,225.77 |
$3,225.77 |
$3,225.77 |
$4,490.00
|
|
Insert pm/icd lead dual
|
$6,979.86 |
$6,979.86 |
$6,979.86 |
$7,562.63
|
|
Insert/repl sq defib w/eltrd
|
$19,895.87 |
$19,895.87 |
$19,895.87 |
$33,948.20
|
|
Insert sq defib electrode
|
$3,926.96 |
$3,926.96 |
$3,926.96 |
$8,167.68
|
|
Insert swan-ganz cath
|
$3,480.38 |
$3,480.38 |
$3,480.38 |
$2,164.52
|
|
Insert tunneled cv 2cath 2sits without port/pmp 36565
|
$4,111.89 |
$4,111.89 |
$4,111.89 |
$4,705.13
|
|
Insert tunneled cv cath
|
$4,888.93 |
$4,888.93 |
$4,888.93 |
$4,520.00
|
|
Insert tunneled cv cath
|
$2,857.10 |
$2,857.10 |
$2,857.10 |
$6,028.07
|
|
Insert vad art access left hrt arterial access
|
$3,932.84 |
$3,932.84 |
$3,932.84 |
$5,062.80
|
|
Ins icd gen exist sgl lead
|
$27,814.17 |
$27,814.17 |
$27,814.17 |
$24,159.72
|
|
Insitu hybridization auto
|
$102.90 |
$102.90 |
$102.90 |
$398.16
|
|
Insitu hybridization manual
|
$44.65 |
$44.65 |
$86.71 |
$407.11
|
|
In situ hybridization per specimen each additional single probe stain
|
$52.92 |
$52.92 |
$81.44 |
$251.55
|
|
In situ hybridization per specimen initial single probe stain
|
$109.93 |
$109.93 |
$123.48 |
$338.40
|
|
Ins lv lead exist pm/icd
|
$9,084.60 |
$9,084.60 |
$9,084.60 |
$12,384.25
|