|
Inj peritoneal venous shunt
|
$1,592.67 |
$1,592.67 |
$1,592.67 |
|
|
Inj proc ankle arthr
|
$122.26 |
$2,606.87 |
$2,606.87 |
|
|
Inj proc elbow arthro
|
$154.21 |
$767.94 |
$767.94 |
|
|
Inj proc for lymphang
|
$303.07 |
$1,727.21 |
$1,727.21 |
|
|
Inj proc lumbr disk ea lvl
|
$337.66 |
$2,358.29 |
$2,358.29 |
|
|
Inj proc myelogram lumbar
|
$179.27 |
$1,959.04 |
$1,959.04 |
|
|
Inj proc sialogram
|
$117.58 |
$150.11 |
$170.31 |
|
|
Inj progesterone per 50 mg
|
$182.75 |
$315.37 |
$590.00 |
|
|
Inj prohance multipack
|
$0.78 |
$40.88 |
$47.33 |
|
|
Inj retacrit esrd on dialysi
|
$0.69 |
$2.58 |
$4.06 |
|
|
Inj retro urethrocysto
|
$128.65 |
$1,402.98 |
$1,402.98 |
|
|
Inj, rimabotulinumtoxinb
|
$2,728.20 |
$2,728.20 |
$2,728.20 |
|
|
Inj scleros sol mult veins
|
$1,218.25 |
$5,077.35 |
$5,077.35 |
|
|
Inj scleros sol sgl vein
|
$362.87 |
$3,385.63 |
$3,385.63 |
|
|
Inj secretin synthetic human
|
$278.40 |
$3,609.98 |
$6,015.70 |
|
|
Inj secukinumab intrav 1mg
|
$9,077.39 |
$9,077.39 |
$9,077.39 |
|
|
Inj, sezaby, 1 mg
|
$114.75 |
$114.75 |
$128.75 |
|
|
Inj, spesolimab-sbzo, 1 mg
|
$218,949.63 |
$218,949.63 |
$218,949.63 |
|
|
Inj, sutimlimab-jome, 10 mg
|
$7,555.00 |
$7,555.00 |
$7,555.00 |
|
|
Inj. tagraxofusp-erzs 10 mcg
|
$221,035.72 |
$221,035.72 |
$221,035.72 |
|
|
Inj tedizolid phosphate
|
$1,356.13 |
$1,356.13 |
$2,177.50 |
|
|
Inj testostero enanthate 1mg
|
$1.18 |
$1.18 |
$213.63 |
|
|
Inj testosterone cypionate
|
$3.87 |
$385.63 |
$400.00 |
|
|
Inj thiotepa nos 1 mg
|
$1,447.70 |
$4,185.93 |
$7,126.56 |
|
|
Inj, tislelizumab-jsgr
|
$45,903.37 |
$45,903.37 |
$45,903.37 |
|
|
Inj tofersen intrathec 1 mg
|
$84,150.53 |
$84,150.53 |
$84,150.53 |
|
|
Inj, vancomycin hcl (mylan)
|
$100.92 |
$100.92 |
$100.92 |
|
|
Inj, vancomycin hcl (xellia)
|
$610.34 |
$610.34 |
$610.34 |
|
|
Inj, vegzelma, 10 mg
|
$46,143.29 |
$46,143.29 |
$46,143.29 |
|
|
Inj vocal cord bulking agent
|
$2,635.00 |
$10,353.00 |
$10,353.00 |
|
|
Inj w/fluor eval cv device
|
$143.02 |
$1,277.70 |
$1,277.70 |
|
|
Ins cath ren art 1st bi
|
$2,410.10 |
$19,114.84 |
$19,114.84 |
|
|
Ins cath ren art 1st uni
|
$1,556.30 |
$12,743.24 |
$12,743.24 |
|
|
Ins cath ren art 2nd+ bi
|
$6,505.64 |
$15,290.58 |
$15,290.58 |
|
|
Ins cath ren art 2nd+ uni
|
$3,054.35 |
$15,291.88 |
$15,291.88 |
|
|
Ins cerv dilator (sep proc)
|
$206.55 |
$1,219.36 |
$1,219.36 |
|
|
Insert abdomen-venous drain
|
$3,349.37 |
$3,349.37 |
$3,349.37 |
|
|
Insert and remove bone pin
|
$8,943.79 |
$8,943.79 |
$8,943.79 |
|
|
Insert cath pleura with image
|
$1,142.60 |
$15,933.65 |
$15,933.65 |
|
|
Insert cath pleura without image
|
$197.63 |
$4,102.80 |
$4,102.80 |
|
|
Insert drug delivery implant
|
$338.41 |
$338.41 |
$338.41 |
|
|
Insert hepatic shunt (tips)
|
$6,038.08 |
$25,404.35 |
$25,404.35 |
|
|
Insert intrauterine device iud
|
$1,580.33 |
$1,580.33 |
$1,580.33 |
|
|
Insertion catheter artery nfs ther chemotx 36640
|
$13,788.00 |
$14,903.35 |
$20,171.70 |
|
|
Insertion catheter bladder non indwelling
|
$87.17 |
$1,640.60 |
$1,640.60 |
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$1,853.38 |
$7,780.97 |
$7,780.97 |
|
|
Insertion intra aortic balloon assist device percutaneous
|
$1,736.75 |
$11,522.90 |
$11,522.90 |
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$2,945.54 |
$17,118.22 |
$17,118.22 |
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$1,246.62 |
$3,185.45 |
$3,185.45 |
|
|
Insertion of catheter vein
|
$1,369.61 |
$4,094.13 |
$4,094.13 |
|
|
Insertion of catheter vein
|
$349.08 |
$4,894.57 |
$4,894.57 |
|
|
Insertion of heart electrode 33211
|
$16,767.98 |
$16,767.98 |
$16,767.98 |
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$8,237.36 |
$20,980.38 |
$20,980.38 |
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$7,376.47 |
$17,483.66 |
$17,483.66 |
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$4,392.31 |
$19,970.35 |
$19,970.35 |
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$763.57 |
$7,385.08 |
$7,385.08 |
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$916.05 |
$9,256.89 |
$9,256.89 |
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$11,620.24 |
$74,039.29 |
$74,039.29 |
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$2,432.56 |
$9,999.79 |
$9,999.79 |
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$3,879.72 |
$16,956.16 |
$16,956.16 |
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$3,037.74 |
$10,162.08 |
$10,162.08 |
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$2,640.59 |
$14,377.17 |
$14,377.17 |
|
|
Insert pessary/other device
|
$519.18 |
$519.18 |
$519.18 |
|
|
Insert picvad cath
|
$8,541.47 |
$8,541.47 |
$8,541.47 |
|
|
Insert pm/icd lead dual
|
$4,224.86 |
$44,466.49 |
$44,466.49 |
|
|
Insert/repl sq defib w/eltrd
|
$22,957.59 |
$109,140.87 |
$109,140.87 |
|
|
Insert sq defib electrode
|
$5,677.79 |
$20,075.96 |
$20,075.96 |
|
|
Insert swan-ganz cath
|
$1,119.33 |
$5,422.41 |
$5,422.41 |
|
|
Insert tunneled cv 2cath 2sits without port/pmp 36565
|
$8,228.41 |
$8,228.41 |
$8,228.41 |
|
|
Insert tunneled cv cath
|
$8,383.96 |
$8,383.96 |
$8,383.96 |
|
|
Insert tunneled cv cath
|
$8,228.41 |
$8,228.41 |
$8,228.41 |
|
|
Insert uteri tandem/ovoids
|
$1,293.62 |
$6,290.72 |
$6,290.72 |
|
|
Insert vad art access left hrt arterial access
|
$2,215.46 |
$20,171.26 |
$20,171.26 |
|
|
Insert vad art access left hrt art & vein access
|
$104,200.96 |
$104,200.96 |
$104,200.96 |
|
|
Ins icd gen exist mlt leads
|
$26,824.47 |
$62,038.99 |
$62,038.99 |
|
|
Ins icd gen exist sgl lead
|
$11,786.51 |
$42,073.04 |
$42,073.04 |
|
|
Insitu hybridization auto
|
$303.42 |
$2,201.96 |
$3,987.72 |
|
|
Insitu hybridization (fish)
|
$169.59 |
$525.32 |
$1,425.00 |
|
|
Insitu hybridization manual
|
$296.00 |
$411.33 |
$3,970.00 |
|
|
In situ hybridization per specimen each additional single probe stain
|
$105.50 |
$290.57 |
$2,165.56 |
|
|
In situ hybridization per specimen initial single probe stain
|
$169.59 |
$1,952.67 |
$5,799.70 |
|
|
Insj perq vad r hrt venous
|
$2,177.64 |
$20,209.33 |
$20,209.33 |
|
|
Insj phrnc nrv stim sys
|
$24,346.30 |
$68,500.00 |
$68,500.00 |
|
|
Insj phrnc nrv stim transvns
|
$603.45 |
$603.45 |
$603.45 |
|
|
Ins lv lead exist pm/icd
|
$5,516.00 |
$32,520.81 |
$32,520.81 |
|
|
Ins mark abd/pel for right perq
|
$873.73 |
$2,967.62 |
$2,967.62 |
|
|
Ins mark thor for right perq
|
$986.18 |
$2,804.91 |
$2,804.91 |
|
|
Ins picad w subq port 5yr>
|
$9,581.00 |
$9,581.00 |
$9,581.00 |
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$853.81 |
$3,381.67 |
$3,381.67 |
|
|
Ins pm gen exist dual lead
|
$25,546.94 |
$51,601.80 |
$51,601.80 |
|
|
Ins pm gen w/exist mlt leads
|
$7,939.61 |
$24,032.55 |
$24,032.55 |
|
|
Ins pq tunnld ip cath w/img
|
$2,550.46 |
$7,766.31 |
$7,766.31 |
|
|
Ins/rplcm prq eltrd ra pn ea
|
$2,363.21 |
$2,363.21 |
$2,681.11 |
|
|
Ins/rplcmt prq eltrd ra pn 1
|
$6,718.49 |
$6,718.49 |
$7,622.24 |
|
|
Ins/rplc spi npg/rcvr pocket
|
$3,392.73 |
$85,568.23 |
$85,568.23 |
|
|
Ins/rpl ldless pm right vent w img & eval
|
$10,256.21 |
$24,262.53 |
$24,262.53 |
|
|
Ins/rpl pm gen exist dual lead
|
$6,706.67 |
$21,043.52 |
$21,043.52 |
|
|
Ins/rpl pm gen exist sgl lead
|
$6,387.53 |
$14,893.55 |
$14,893.55 |
|
|
Ins/rpl pm w/tv ld atrl
|
$7,012.02 |
$17,483.66 |
$17,483.66 |
|
|
Ins/rpl prph sac/gstr npg/r
|
$4,354.23 |
$4,354.23 |
$4,354.23 |
|
