|
Injection, inclisiran, 1 mg
|
$7,503.60 |
$7,503.60 |
$7,503.60 |
$6,679.35
|
|
Injection intraop add-on
|
$336.05 |
$336.05 |
$336.05 |
$214.48
|
|
Injection, isavuconazonium
|
$945.34 |
$945.34 |
$945.34 |
$787.67
|
|
Injection jaw joint x-ray
|
$803.40 |
$803.40 |
$803.40 |
$307.80
|
|
Injection jugular
|
$845.00 |
$845.00 |
$845.00 |
$790.00
|
|
Injection of sinus tract
|
$1,625.65 |
$1,625.65 |
$1,625.65 |
$1,640.99
|
|
Injection,onabotulinumtoxina
|
$2,081.38 |
$2,081.38 |
$2,081.38 |
$2,277.65
|
|
Injection radioactive tracer sentinel node (both sides)
|
$1,497.60 |
$1,497.60 |
$1,497.60 |
$685.44
|
|
Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides)
|
$1,474.20 |
$1,474.20 |
$1,474.20 |
$1,582.12
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$1,330.55 |
$1,330.55 |
$1,330.55 |
$1,391.40
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$2,509.00 |
$2,509.00 |
$2,509.00 |
$1,043.72
|
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
|
$1,961.05 |
$1,961.05 |
$1,961.05 |
$2,040.36
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
|
$919.75 |
$919.75 |
$919.75 |
$1,030.05
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
|
$1,961.05 |
$1,961.05 |
$1,961.05 |
$1,855.36
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
|
$919.75 |
$919.75 |
$919.75 |
$1,043.20
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
|
$1,961.05 |
$1,961.05 |
$1,961.05 |
$2,006.79
|
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
|
$2,070.25 |
$2,070.25 |
$2,070.25 |
$1,817.24
|
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
|
$3,074.50 |
$3,074.50 |
$3,074.50 |
$1,685.00
|
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
|
$767.65 |
$767.65 |
$767.65 |
$475.80
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$854.10 |
$854.10 |
$854.10 |
$548.80
|
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
|
$768.95 |
$768.95 |
$768.95 |
$637.92
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$133.90 |
$133.90 |
$133.90 |
$145.60
|
|
Inject sacroiliac joint
|
$761.15 |
$761.15 |
$761.15 |
$1,029.04
|
|
Inj efgart-alfa 2mg hya-qvfc
|
$9,754.47 |
$9,754.47 |
$9,754.47 |
$32,176.93
|
|
Inj., eravacycline, 1 mg
|
$339.39 |
$339.39 |
$339.39 |
$206.64
|
|
Inj for ext venography
|
$260.00 |
$260.00 |
$260.00 |
$628.80
|
|
Inj for mammo ductogram
|
$124.80 |
$124.80 |
$124.80 |
$397.80
|
|
Inj hrt cath w/s&i nonsel p-art angrp
|
$1,721.20 |
$1,721.20 |
$1,721.20 |
$1,492.00
|
|
Inj imip 4 cilas 4 releb 2mg
|
$926.41 |
$926.41 |
$926.41 |
$739.77
|
|
Inj/inf neurolyt sbst spinal canal lesion 62282
|
$3,214.25 |
$3,214.25 |
$3,214.25 |
$1,938.00
|
|
Inj intralesional <= 7 lsn(s)
|
$516.10 |
$516.10 |
$516.10 |
$235.13
|
|
Inj ivig privigen 500 mg
|
$49.18 |
$49.18 |
$49.18 |
$6,967.29
|
|
Inj, lecanemab-irmb, 1 mg
|
$441.23 |
$441.23 |
$441.23 |
$1,174.88
|
|
Inj levocarnitine per 1 gm
|
$22.94 |
$22.94 |
$22.94 |
$136.62
|
|
Inj melpha hydroch nos 50 mg
|
$5,690.39 |
$5,690.39 |
$5,690.39 |
$1,713.99
|
|
Inj mepivacaine hcl/10 ml
|
$9.75 |
$9.75 |
$9.75 |
$34.34
|
|
Inj, moxifloxacin 100 mg
|
$19.50 |
$19.50 |
$19.50 |
$101.31
|
|
Inj nephrosto/ureterogram w/img exstng access
|
$1,898.65 |
$1,898.65 |
$1,898.65 |
$1,413.35
|
|
Inj ogivri 10 mg
|
$12,804.34 |
$12,804.34 |
$12,804.34 |
$4,492.28
|
|
Inj., patisiran, 0.1 mg
|
$6,777.49 |
$6,777.49 |
$6,777.49 |
$17,613.00
|
|
Inj peritoneal venous shunt
|
$547.30 |
$547.30 |
$547.30 |
$406.80
|
|
Inj proc ankle arthr
|
$193.05 |
$193.05 |
$193.05 |
$405.31
|
|
Inj proc elbow arthro
|
$477.75 |
$477.75 |
$477.75 |
$432.00
|
|
Inj proc for lymphang
|
$440.05 |
$440.05 |
$440.05 |
$742.40
|
|
Inj proc lumbr disk ea lvl
|
$1,966.90 |
$1,966.90 |
$1,966.90 |
$1,106.93
|
|
Inj proc sialogram
|
$289.25 |
$289.25 |
$289.25 |
$373.00
|
|
Inj progesterone per 50 mg
|
$14.46 |
$14.46 |
$14.46 |
$13.76
|
|
Inj prohance multipack
|
$20.53 |
$20.53 |
$20.53 |
$10.40
|
|
Inj retro urethrocysto
|
$758.55 |
$758.55 |
$758.55 |
$447.74
|
|
Inj secretin synthetic human
|
$1,818.18 |
$1,818.18 |
$1,818.18 |
$1,253.09
|
|
Inj sulf hexa lipid microsph
|
$492.12 |
$492.12 |
$492.12 |
$256.14
|
|
Inj tedizolid phosphate
|
$838.63 |
$838.63 |
$838.63 |
$664.72
|
|
Inj testosterone cypionate
|
$82.63 |
$82.63 |
$82.63 |
$64.96
|
|
Inj vancomycin (xellia) 10mg
|
$3.25 |
$3.25 |
$3.25 |
$76.59
|
|
Inj, vegzelma, 10 mg
|
$586.50 |
$586.50 |
$586.50 |
$1,186.35
|
|
Inj vocal cord bulking agent
|
$4,062.50 |
$4,062.50 |
$4,062.50 |
$1,480.00
|
|
Inj w/fluor eval cv device
|
$1,065.35 |
$1,065.35 |
$1,065.35 |
$504.40
|
|
Ins cath ren art 1st bi
|
$5,883.15 |
$5,883.15 |
$5,883.15 |
$5,974.80
|
|
Ins cath ren art 1st uni
|
$5,334.55 |
$5,334.55 |
$5,334.55 |
$4,667.63
|
|
Ins cath ren art 2nd+ bi
|
$5,334.55 |
$5,334.55 |
$5,334.55 |
$5,663.98
|
|
Ins cath ren art 2nd+ uni
|
$5,883.15 |
$5,883.15 |
$5,883.15 |
$5,395.20
|
|
Ins cerv dilator (sep proc)
|
$824.20 |
$824.20 |
$824.20 |
$490.73
|
|
Insert cath pleura with image
|
$4,115.15 |
$4,115.15 |
$4,115.15 |
$2,194.40
|
|
Insert cath pleura without image
|
$4,115.15 |
$4,115.15 |
$4,115.15 |
$2,099.70
|
|
Insert hepatic shunt (tips)
|
$32,714.50 |
$32,714.50 |
$32,714.50 |
$7,571.20
|
|
Insertion catheter bladder non indwelling
|
$289.90 |
$289.90 |
$289.90 |
$208.01
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$9,407.45 |
$9,407.45 |
$9,407.45 |
$4,897.20
|
|
Insertion intra aortic balloon assist device percutaneous
|
$10,308.35 |
$10,308.35 |
$10,308.35 |
$2,447.63
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$13,168.35 |
$13,168.35 |
$13,168.35 |
$7,210.78
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$2,302.30 |
$2,302.30 |
$2,302.30 |
$2,585.25
|
|
Insertion of catheter vein
|
$1,195.35 |
$1,195.35 |
$1,195.35 |
$1,525.80
|
|
Insertion of catheter vein
|
$928.20 |
$928.20 |
$928.20 |
$870.59
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$22,509.50 |
$22,509.50 |
$22,509.50 |
$12,384.25
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$18,512.00 |
$18,512.00 |
$18,512.00 |
$12,324.60
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$20,672.60 |
$20,672.60 |
$20,672.60 |
$9,884.16
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$2,463.50 |
$2,463.50 |
$2,463.50 |
$2,103.75
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$2,463.50 |
$2,463.50 |
$2,463.50 |
$2,453.83
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$66,651.65 |
$66,651.65 |
$66,651.65 |
$29,180.00
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$15,529.80 |
$15,529.80 |
$15,529.80 |
$7,183.68
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$12,523.55 |
$12,523.55 |
$12,523.55 |
$7,267.20
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$21,666.45 |
$21,666.45 |
$21,666.45 |
$9,332.50
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$3,704.35 |
$3,704.35 |
$3,704.35 |
$5,236.80
|
|
Insert pm/icd lead dual
|
$12,523.55 |
$12,523.55 |
$12,523.55 |
$7,115.90
|
|
Insert/repl sq defib w/eltrd
|
$65,798.85 |
$65,798.85 |
$65,798.85 |
$33,593.55
|
|
Insert swan-ganz cath
|
$3,773.90 |
$3,773.90 |
$3,773.90 |
$2,164.52
|
|
Insert tunneled cv cath
|
$8,212.75 |
$8,212.75 |
$8,212.75 |
$6,028.07
|
|
Insert uteri tandem/ovoids
|
$5,530.20 |
$5,530.20 |
$5,530.20 |
$3,940.41
|
|
Insert vad art access left hrt arterial access
|
$59,412.60 |
$59,412.60 |
$59,412.60 |
$4,276.00
|
|
Ins icd gen exist mlt leads
|
$57,348.20 |
$57,348.20 |
$57,348.20 |
$31,286.77
|
|
Ins icd gen exist sgl lead
|
$52,870.35 |
$52,870.35 |
$52,870.35 |
$23,230.50
|
|
Insitu hybridization auto
|
$1,106.30 |
$1,106.30 |
$1,106.30 |
$377.37
|
|
Insitu hybridization (fish)
|
$724.10 |
$724.10 |
$724.10 |
$481.00
|
|
Insitu hybridization manual
|
$364.65 |
$364.65 |
$364.65 |
$401.28
|
|
In situ hybridization per specimen each additional single probe stain
|
$258.05 |
$258.05 |
$258.05 |
$243.50
|
|
In situ hybridization per specimen initial single probe stain
|
$945.10 |
$945.10 |
$945.10 |
$338.40
|
|
Ins lv lead exist pm/icd
|
$14,954.55 |
$14,954.55 |
$14,954.55 |
$12,384.25
|
|
Ins mark abd/pel for right perq
|
$4,436.90 |
$4,436.90 |
$4,436.90 |
$2,477.24
|
|
Ins mark thor for right perq
|
$4,291.30 |
$4,291.30 |
$4,291.30 |
$2,503.80
|
|
Ins picad w subq port 5yr>
|
$3,406.00 |
$3,406.00 |
$3,406.00 |
$4,078.00
|
|
Ins pm gen exist dual lead
|
$46,409.35 |
$46,409.35 |
$46,409.35 |
$24,159.72
|