|
Inj, gadopiclenol, 1 ml
|
$2.00 |
$2.00 |
$2.00 |
$37.63
|
|
Inj hrt cath w/s&i nonsel p-art angrp
|
$21.60 |
$21.60 |
$21.60 |
$1,439.90
|
|
Inj hrt cath w/s&i sel hrt ang
|
$24.00 |
$24.00 |
$24.00 |
$1,827.74
|
|
Inj hrt cath w/s&i sel hrt art
|
$25.40 |
$25.40 |
$25.40 |
$1,045.80
|
|
Inj hrt cath w/s&i sel left vent
|
$14.40 |
$14.40 |
$14.40 |
$1,239.00
|
|
Inj hrt cath w/s&i sel right vent
|
$14.40 |
$14.40 |
$14.40 |
$965.33
|
|
Inj/inf neurolyt sbst spinal canal lesion 62282
|
$98.80 |
$98.80 |
$98.80 |
$1,928.00
|
|
Inj intralesional <= 7 lsn(s)
|
$55.20 |
$55.20 |
$55.20 |
$235.13
|
|
Inj intralesional > 7 lsns
|
$49.60 |
$49.60 |
$49.60 |
$234.00
|
|
Inj ivig privigen 500 mg
|
$6,145.46 |
$6,145.46 |
$6,145.46 |
$6,967.29
|
|
Inj, lidocaine w epinephrine
|
$35.86 |
$35.86 |
$35.86 |
$47.52
|
|
Inj multihance
|
$4.40 |
$4.40 |
$4.40 |
$73.49
|
|
Inj naloxone hydrochloride
|
$4.80 |
$4.80 |
$4.80 |
$83.16
|
|
Inj nephrosto/ureterogram w/img exstng access
|
$796.20 |
$796.20 |
$796.20 |
$1,413.35
|
|
Inj nivolumab 2 mg hyaluron
|
$2,948.47 |
$2,948.47 |
$2,948.47 |
$15,599.68
|
|
Inj proc ankle arthr
|
$108.00 |
$108.00 |
$108.00 |
$405.31
|
|
Inj proc elbow arthro
|
$171.40 |
$171.40 |
$171.40 |
$419.60
|
|
Inj proc for lymphang
|
$127.60 |
$127.60 |
$127.60 |
$682.00
|
|
Inj proc lumbr disk ea lvl
|
$107.00 |
$107.00 |
$107.00 |
$1,106.93
|
|
Inj proc myelogram lumbar
|
$56.40 |
$56.40 |
$56.40 |
$830.50
|
|
Inj proc sialogram
|
$86.80 |
$86.80 |
$86.80 |
$373.00
|
|
Inj progesterone per 50 mg
|
$4.80 |
$4.80 |
$4.80 |
$15.00
|
|
Inj, releuko 1 mcg
|
$332.76 |
$332.76 |
$332.76 |
$473.25
|
|
Inj retro urethrocysto
|
$188.00 |
$188.00 |
$188.00 |
$443.50
|
|
Inj scleros sol mult veins
|
$140.60 |
$140.60 |
$140.60 |
$675.00
|
|
Inj scleros sol sgl vein
|
$119.60 |
$119.60 |
$119.60 |
$558.97
|
|
Inj secukinumab intrav 1mg
|
$1,928.88 |
$1,928.88 |
$1,928.88 |
$4,413.21
|
|
Inj(s) sclerosant spider veins limb/trunk
|
$43.80 |
$43.80 |
$43.80 |
$436.80
|
|
Inj teclistamab cqyv 0.5 mg
|
$7,600.00 |
$7,600.00 |
$7,600.00 |
$17,517.56
|
|
Inj. teprotumumab-trbw 10 mg
|
$9,297.78 |
$9,297.78 |
$9,297.78 |
$35,034.78
|
|
Inj testosterone cypionate
|
$0.44 |
$0.44 |
$0.44 |
$64.80
|
|
Inj triamcinolone ace X-ray 1mg
|
$12.40 |
$12.40 |
$12.40 |
$1,090.75
|
|
Inj w/fluor eval cv device
|
$282.60 |
$282.60 |
$282.60 |
$503.92
|
|
Inj zenocutuzumab-zbco 1 mg
|
$6,982.50 |
$6,982.50 |
$6,982.50 |
$19,177.20
|
|
Inpt/ed teleconsult30
|
$44.60 |
$44.60 |
$44.60 |
$164.40
|
|
Inpt/ed teleconsult50
|
$63.60 |
$63.60 |
$63.60 |
$223.80
|
|
Inpt/ed teleconsult70
|
$90.40 |
$90.40 |
$90.40 |
$330.60
|
|
Inpt/tele follow up 15
|
$20.00 |
$20.00 |
$20.00 |
$64.80
|
|
Inpt/tele follow up 25
|
$35.20 |
$35.20 |
$35.20 |
$118.80
|
|
Inpt/tele follow up 35
|
$51.20 |
$51.20 |
$51.20 |
$171.60
|
|
Ins cath ren art 1st bi
|
$228.80 |
$228.80 |
$228.80 |
$5,753.10
|
|
Ins cath ren art 1st uni
|
$164.60 |
$164.60 |
$164.60 |
$4,660.00
|
|
Ins cath ren art 2nd+ bi
|
$267.60 |
$267.60 |
$267.60 |
$5,500.86
|
|
Ins cath ren art 2nd+ uni
|
$232.80 |
$232.80 |
$232.80 |
$5,395.20
|
|
Ins cerv dilator (sep proc)
|
$288.60 |
$288.60 |
$288.60 |
$480.28
|
|
Insert and remove bone pin
|
$118.60 |
$118.60 |
$118.60 |
$4,410.60
|
|
Insert cannula vein-to-vein hemodialysis
|
$80.40 |
$80.40 |
$80.40 |
$7,279.50
|
|
Insert cath pleura with image
|
$465.00 |
$465.00 |
$465.00 |
$2,194.40
|
|
Insert cath pleura without image
|
$82.20 |
$82.20 |
$82.20 |
$2,073.18
|
|
Insert drug delivery implant
|
$110.80 |
$110.80 |
$110.80 |
$280.00
|
|
Insert hepatic shunt (tips)
|
$538.00 |
$538.00 |
$538.00 |
$7,571.20
|
|
Insert intervert bimech device 22854
|
$217.80 |
$217.80 |
$217.80 |
$1,573.00
|
|
Insert intrauterine device iud
|
$53.20 |
$53.20 |
$53.20 |
$347.10
|
|
Insertion catheter bladder non indwelling
|
$40.80 |
$40.80 |
$40.80 |
$205.40
|
|
Insertion catheter bladder temporary simple
|
$133.40 |
$133.40 |
$133.40 |
$232.25
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$135.60 |
$135.60 |
$135.60 |
$4,782.00
|
|
Insertion intra aortic balloon assist device percutaneous
|
$166.00 |
$166.00 |
$166.00 |
$2,529.45
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$144.20 |
$144.20 |
$144.20 |
$7,210.78
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$1,501.20 |
$1,501.20 |
$1,501.20 |
$2,505.60
|
|
Insertion of catheter vein
|
$207.80 |
$207.80 |
$207.80 |
$1,477.00
|
|
Insertion of heart electrode 33211
|
$108.20 |
$108.20 |
$108.20 |
$6,903.60
|
|
Insertion of infusion pump
|
$444.40 |
$444.40 |
$444.40 |
$5,907.78
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$340.40 |
$340.40 |
$340.40 |
$12,384.25
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$315.40 |
$315.40 |
$315.40 |
$12,384.25
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$297.80 |
$297.80 |
$297.80 |
$10,100.35
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$1,354.20 |
$1,354.20 |
$1,354.20 |
$2,079.50
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$1,354.20 |
$1,354.20 |
$1,354.20 |
$2,419.65
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$599.00 |
$599.00 |
$599.00 |
$29,042.52
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$104.20 |
$104.20 |
$104.20 |
$7,200.05
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$247.40 |
$247.40 |
$247.40 |
$7,312.80
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$56.80 |
$56.80 |
$56.80 |
$9,332.50
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$667.00 |
$667.00 |
$667.00 |
$5,223.20
|
|
Insertion ureth cath
|
$339.60 |
$339.60 |
$339.60 |
$2,412.45
|
|
Insert lens prosthesis
|
$537.40 |
$537.40 |
$537.40 |
$3,173.34
|
|
Insert multi-comp penis pros
|
$554.00 |
$554.00 |
$554.00 |
$21,998.10
|
|
Insert nasal septal button
|
$443.40 |
$443.40 |
$443.40 |
$1,783.50
|
|
Insert pelv fixation device
|
$235.60 |
$235.60 |
$235.60 |
$874.40
|
|
Insert pessary/other device
|
$63.80 |
$63.80 |
$63.80 |
$278.50
|
|
Insert picvad cath
|
$223.20 |
$223.20 |
$223.20 |
$4,195.00
|
|
Insert pm/icd lead dual
|
$246.00 |
$246.00 |
$246.00 |
$7,115.20
|
|
Insert prost urethral stent
|
$54.80 |
$54.80 |
$54.80 |
$2,467.08
|
|
Insert/repl sq defib w/eltrd
|
$368.80 |
$368.80 |
$368.80 |
$32,800.04
|
|
Insert spine fixation device
|
$532.00 |
$532.00 |
$532.00 |
$1,965.60
|
|
Insert spine fixation device
|
$111.40 |
$111.40 |
$111.40 |
$105.83
|
|
Insert spine fixation device
|
$645.80 |
$645.80 |
$645.80 |
$1,333.80
|
|
Insert spine fixation device
|
$532.40 |
$532.40 |
$532.40 |
$1,756.92
|
|
Insert swan-ganz cath
|
$43.60 |
$43.60 |
$43.60 |
$2,210.50
|
|
Insert tunneled cv 2cath 2sits without port/pmp 36565
|
$222.80 |
$222.80 |
$222.80 |
$4,803.00
|
|
Insert tunneled cv cath
|
$256.40 |
$256.40 |
$256.40 |
$4,520.00
|
|
Insert tunneled cv cath
|
$241.20 |
$241.20 |
$241.20 |
$5,983.35
|
|
Insert ureteral support
|
$675.00 |
$675.00 |
$675.00 |
$2,836.34
|
|
Insert uro/ves nck sphincter
|
$522.40 |
$522.40 |
$522.40 |
$22,298.82
|
|
Insert vad art access left hrt arterial access
|
$230.80 |
$230.80 |
$230.80 |
$4,270.75
|
|
Ins icd gen exist mlt leads
|
$265.00 |
$265.00 |
$265.00 |
$31,286.77
|
|
Ins icd gen exist sgl lead
|
$237.20 |
$237.20 |
$237.20 |
$23,230.50
|
|
Insitu hybridization auto
|
$26.00 |
$26.00 |
$26.00 |
$377.37
|
|
Insitu hybridization (fish)
|
$89.40 |
$89.40 |
$89.40 |
$481.60
|
|
In situ hybridization per specimen each additional single probe stain
|
$37.00 |
$37.00 |
$37.00 |
$241.15
|
|
In situ hybridization per specimen initial single probe stain
|
$119.20 |
$119.20 |
$119.20 |
$331.69
|
|
Insj biomechanical device
|
$217.60 |
$217.60 |
$217.60 |
$1,573.00
|
