|
Inj dupuytren cord w/enzyme
|
$92.70 |
$92.70 |
$92.70 |
$416.00
|
|
Inj, durolane 1 mg
|
$319.80 |
$319.80 |
$319.80 |
$1,950.93
|
|
Inj dx for sinogram
|
$36.60 |
$36.60 |
$36.60 |
$422.59
|
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
|
$84.90 |
$84.90 |
$84.90 |
$1,214.78
|
|
Injection arthrography hip without anesthesia (both sides)
|
$417.60 |
$417.60 |
$417.60 |
$495.84
|
|
Injection carpal tunnel therapeutic (both sides)
|
$132.60 |
$132.60 |
$132.60 |
$450.72
|
|
Injection during cath supravalvular aortography
|
$25.80 |
$25.80 |
$25.80 |
$952.66
|
|
Injection epidural blood patch or clot
|
$116.40 |
$116.40 |
$116.40 |
$1,156.80
|
|
Injection eye drug
|
$119.10 |
$119.10 |
$119.10 |
$644.50
|
|
Injection for arthrography wrist (both sides)
|
$677.70 |
$677.70 |
$677.70 |
$428.40
|
|
Injection for bladder x-ray
|
$170.10 |
$170.10 |
$170.10 |
$459.20
|
|
Injection for hip x-ray
|
$82.50 |
$82.50 |
$82.50 |
$710.00
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$168.90 |
$168.90 |
$168.90 |
$494.65
|
|
Injection for ureter x-ray
|
$72.90 |
$72.90 |
$72.90 |
$515.21
|
|
Injection into brain canal
|
$117.60 |
$117.60 |
$117.60 |
$836.40
|
|
Injection into hemorrhoid(s)
|
$198.00 |
$198.00 |
$198.00 |
$1,432.81
|
|
Injection into vocal cord
|
$135.30 |
$135.30 |
$135.30 |
$499.50
|
|
Injection of sinus tract
|
$95.40 |
$95.40 |
$95.40 |
$1,627.60
|
|
Injection,onabotulinumtoxina
|
$3.90 |
$3.90 |
$3.90 |
$2,277.65
|
|
Injection radioactive tracer sentinel node (both sides)
|
$32.40 |
$32.40 |
$32.40 |
$670.64
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$123.30 |
$123.30 |
$123.30 |
$1,348.56
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$311.70 |
$311.70 |
$311.70 |
$1,023.50
|
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
|
$263.10 |
$263.10 |
$263.10 |
$1,952.40
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
|
$103.20 |
$103.20 |
$103.20 |
$1,029.45
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
|
$164.10 |
$164.10 |
$164.10 |
$1,814.40
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
|
$78.00 |
$78.00 |
$78.00 |
$1,017.90
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
|
$141.60 |
$141.60 |
$141.60 |
$1,995.00
|
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
|
$110.70 |
$110.70 |
$110.70 |
$1,817.24
|
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
|
$102.30 |
$102.30 |
$102.30 |
$1,681.24
|
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
|
$132.90 |
$132.90 |
$132.90 |
$472.76
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$132.90 |
$132.90 |
$132.90 |
$548.80
|
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
|
$132.90 |
$132.90 |
$132.90 |
$632.00
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$116.70 |
$116.70 |
$116.70 |
$166.38
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$116.10 |
$116.10 |
$116.10 |
$145.60
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$212.10 |
$212.10 |
$212.10 |
$249.32
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$90.90 |
$90.90 |
$90.90 |
$135.60
|
|
Injection treatment of eye
|
$117.90 |
$117.90 |
$117.90 |
$2,665.60
|
|
Injection treatment of nerve
|
$938.70 |
$938.70 |
$938.70 |
$3,219.20
|
|
Injection treatment of nerve
|
$789.30 |
$789.30 |
$789.30 |
$4,350.00
|
|
Injection treatment of nerve
|
$485.40 |
$485.40 |
$485.40 |
$2,025.45
|
|
Injection treatment of nose
|
$117.60 |
$117.60 |
$117.60 |
$859.59
|
|
Inject sacroiliac joint
|
$536.10 |
$536.10 |
$536.10 |
$1,028.95
|
|
Inject/treat eye socket
|
$48.60 |
$48.60 |
$48.60 |
$670.02
|
|
Inj epidural sgl cerv-thor without img
|
$100.50 |
$100.50 |
$100.50 |
$1,318.80
|
|
Inj epidural sgl lumb-sacral without img
|
$79.80 |
$79.80 |
$79.80 |
$1,415.50
|
|
Inj for ext venography
|
$46.50 |
$46.50 |
$46.50 |
$649.95
|
|
Inj for mammo ductogram
|
$76.20 |
$76.20 |
$76.20 |
$399.60
|
|
Inj, gadopiclenol, 1 ml
|
$3.00 |
$3.00 |
$3.00 |
$37.63
|
|
Inj hrt cath w/s&i nonsel p-art angrp
|
$32.40 |
$32.40 |
$32.40 |
$1,439.90
|
|
Inj hrt cath w/s&i sel hrt ang
|
$36.00 |
$36.00 |
$36.00 |
$1,827.74
|
|
Inj hrt cath w/s&i sel hrt art
|
$38.10 |
$38.10 |
$38.10 |
$1,045.80
|
|
Inj hrt cath w/s&i sel left vent
|
$21.60 |
$21.60 |
$21.60 |
$1,239.00
|
|
Inj hrt cath w/s&i sel right vent
|
$21.60 |
$21.60 |
$21.60 |
$965.33
|
|
Inj/inf neurolyt sbst spinal canal lesion 62282
|
$148.20 |
$148.20 |
$148.20 |
$1,928.00
|
|
Inj intralesional <= 7 lsn(s)
|
$72.60 |
$72.60 |
$72.60 |
$235.13
|
|
Inj intralesional > 7 lsns
|
$74.40 |
$74.40 |
$74.40 |
$234.00
|
|
Inj ivig privigen 500 mg
|
$11,793.86 |
$11,793.86 |
$11,793.86 |
$6,967.29
|
|
Inj, lidocaine w epinephrine
|
$51.94 |
$51.94 |
$51.94 |
$47.52
|
|
Inj multihance
|
$8.70 |
$8.70 |
$8.70 |
$73.49
|
|
Inj naloxone hydrochloride
|
$7.20 |
$7.20 |
$7.20 |
$83.16
|
|
Inj nephrosto/ureterogram w/img exstng access
|
$731.10 |
$731.10 |
$731.10 |
$1,413.35
|
|
Inj proc ankle arthr
|
$77.70 |
$77.70 |
$77.70 |
$405.31
|
|
Inj proc elbow arthro
|
$100.80 |
$100.80 |
$100.80 |
$419.60
|
|
Inj proc for lymphang
|
$84.60 |
$84.60 |
$84.60 |
$682.00
|
|
Inj proc lumbr disk ea lvl
|
$160.50 |
$160.50 |
$160.50 |
$1,106.93
|
|
Inj proc myelogram lumbar
|
$84.60 |
$84.60 |
$84.60 |
$830.50
|
|
Inj proc sialogram
|
$62.40 |
$62.40 |
$62.40 |
$373.00
|
|
Inj progesterone per 50 mg
|
$7.20 |
$7.20 |
$7.20 |
$15.00
|
|
Inj, releuko 1 mcg
|
$471.66 |
$471.66 |
$471.66 |
$473.25
|
|
Inj retro urethrocysto
|
$138.60 |
$138.60 |
$138.60 |
$443.50
|
|
Inj scleros sol mult veins
|
$210.90 |
$210.90 |
$210.90 |
$675.00
|
|
Inj scleros sol sgl vein
|
$37.50 |
$37.50 |
$37.50 |
$558.97
|
|
Inj(s) sclerosant spider veins limb/trunk
|
$65.70 |
$65.70 |
$65.70 |
$436.80
|
|
Inj testosterone cypionate
|
$0.64 |
$0.64 |
$0.64 |
$64.80
|
|
Inj triamcinolone ace X-ray 1mg
|
$12.90 |
$12.90 |
$12.90 |
$1,090.75
|
|
Inj w/fluor eval cv device
|
$35.40 |
$35.40 |
$35.40 |
$503.92
|
|
Inpt/ed teleconsult30
|
$66.90 |
$66.90 |
$66.90 |
$164.40
|
|
Inpt/ed teleconsult50
|
$95.40 |
$95.40 |
$95.40 |
$223.80
|
|
Inpt/ed teleconsult70
|
$135.60 |
$135.60 |
$135.60 |
$330.60
|
|
Inpt/tele follow up 15
|
$30.00 |
$30.00 |
$30.00 |
$64.80
|
|
Inpt/tele follow up 25
|
$52.80 |
$52.80 |
$52.80 |
$118.80
|
|
Inpt/tele follow up 35
|
$76.80 |
$76.80 |
$76.80 |
$171.60
|
|
Ins cath ren art 1st bi
|
$343.20 |
$343.20 |
$343.20 |
$5,753.10
|
|
Ins cath ren art 1st uni
|
$246.90 |
$246.90 |
$246.90 |
$4,660.00
|
|
Ins cath ren art 2nd+ bi
|
$401.40 |
$401.40 |
$401.40 |
$5,500.86
|
|
Ins cath ren art 2nd+ uni
|
$349.20 |
$349.20 |
$349.20 |
$5,395.20
|
|
Ins cerv dilator (sep proc)
|
$65.40 |
$65.40 |
$65.40 |
$480.28
|
|
Insert and remove bone pin
|
$177.90 |
$177.90 |
$177.90 |
$4,410.60
|
|
Insert cannula vein-to-vein hemodialysis
|
$120.60 |
$120.60 |
$120.60 |
$7,279.50
|
|
Insert cath pleura with image
|
$696.30 |
$696.30 |
$696.30 |
$2,194.40
|
|
Insert cath pleura without image
|
$123.30 |
$123.30 |
$123.30 |
$2,073.18
|
|
Insert drug delivery implant
|
$105.60 |
$105.60 |
$105.60 |
$280.00
|
|
Insert hepatic shunt (tips)
|
$807.00 |
$807.00 |
$807.00 |
$7,571.20
|
|
Insert intervert bimech device 22854
|
$326.70 |
$326.70 |
$326.70 |
$1,573.00
|
|
Insert intrauterine device iud
|
$100.80 |
$100.80 |
$100.80 |
$347.10
|
|
Insertion catheter bladder non indwelling
|
$61.80 |
$61.80 |
$61.80 |
$205.40
|
|
Insertion catheter bladder temporary simple
|
$66.30 |
$66.30 |
$66.30 |
$232.25
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$3,647.40 |
$3,647.40 |
$3,647.40 |
$4,782.00
|
|
Insertion intra aortic balloon assist device percutaneous
|
$249.00 |
$249.00 |
$249.00 |
$2,529.45
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$216.30 |
$216.30 |
$216.30 |
$7,210.78
|