|
Injection, inclisiran, 1 mg
|
$8,656.10 |
$8,656.10 |
$8,656.10 |
$10,366.61
|
|
Injection jugular
|
$7,586.50 |
$7,586.50 |
$7,586.50 |
$1,048.20
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$2,252.23 |
$2,252.23 |
$2,252.23 |
$1,471.50
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$1,209.31 |
$1,209.31 |
$1,209.31 |
$1,017.28
|
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
|
$2,369.76 |
$2,369.76 |
$2,369.76 |
$2,251.00
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
|
$868.16 |
$868.16 |
$868.16 |
$1,119.88
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
|
$3,141.40 |
$3,141.40 |
$3,141.40 |
$2,154.68
|
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
|
$2,499.28 |
$2,499.28 |
$2,499.28 |
$1,829.28
|
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
|
$2,897.73 |
$2,897.73 |
$2,897.73 |
$1,758.12
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$445.10 |
$445.10 |
$445.10 |
$552.60
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$196.20 |
$196.20 |
$196.20 |
$168.05
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$196.20 |
$196.20 |
$196.20 |
$154.05
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$196.20 |
$196.20 |
$196.20 |
$271.65
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$110.34 |
$110.34 |
$110.34 |
$141.60
|
|
Inject sacroiliac joint
|
$1,972.85 |
$1,972.85 |
$1,972.85 |
$1,090.00
|
|
Inj efgart-alfa 2mg hya-qvfc
|
$39,522.15 |
$39,522.15 |
$39,522.15 |
$66,229.74
|
|
Inj epidural sgl lumb-sacral without img
|
$2,252.23 |
$2,252.23 |
$2,252.23 |
$1,450.84
|
|
Inj for ext venography
|
$2,216.31 |
$2,216.31 |
$2,216.31 |
$737.55
|
|
Inj, fulvestrant (fresenius)
|
$1,085.61 |
$1,085.61 |
$1,085.61 |
$1,713.99
|
|
Inj glycopyrrolate fres kabi
|
$35.97 |
$35.97 |
$35.97 |
$96.70
|
|
Inj ivig privigen 500 mg
|
$16,886.33 |
$16,886.33 |
$16,886.33 |
$7,298.71
|
|
Inj mepivacaine hcl/10 ml
|
$16.16 |
$16.16 |
$16.16 |
$28.41
|
|
Inj multihance
|
$154.11 |
$154.11 |
$154.11 |
$119.25
|
|
Inj nephrosto/ureterogram w/img exstng access
|
$1,937.24 |
$1,937.24 |
$1,937.24 |
$1,522.56
|
|
Inj non-compmd foam sclrsnt mlt trncl veins same leg
|
$2,373.55 |
$2,373.55 |
$2,373.55 |
$2,371.50
|
|
Inj non-compmd foam sclrsnt sgl trncl vein
|
$2,373.55 |
$2,373.55 |
$2,373.55 |
$2,164.64
|
|
Inj proc myelogram lumbar
|
$652.72 |
$652.72 |
$652.72 |
$922.80
|
|
Inj retro urethrocysto
|
$385.89 |
$385.89 |
$385.89 |
$551.29
|
|
Inj secukinumab intrav 1mg
|
$5,419.45 |
$5,419.45 |
$5,419.45 |
$9,077.39
|
|
Inj, spesolimab-sbzo, 1 mg
|
$130,649.82 |
$130,649.82 |
$130,649.82 |
$253,022.14
|
|
Inj testosterone cypionate
|
$66.26 |
$66.26 |
$66.26 |
$77.15
|
|
Inj, tislelizumab-jsgr
|
$28,592.46 |
$28,592.46 |
$28,592.46 |
$45,250.97
|
|
Inj, vancomycin hcl (mylan)
|
$28.65 |
$28.65 |
$28.65 |
$63.82
|
|
Inj, vegzelma, 10 mg
|
$8,296.27 |
$8,296.27 |
$8,296.27 |
$10,892.59
|
|
Inj w/fluor eval cv device
|
$1,119.72 |
$1,119.72 |
$1,119.72 |
$588.90
|
|
Ins cath ren art 1st bi
|
$10,918.89 |
$10,918.89 |
$10,918.89 |
$6,033.75
|
|
Ins cath ren art 1st uni
|
$10,918.89 |
$10,918.89 |
$10,918.89 |
$4,667.63
|
|
Ins cath ren art 2nd+ bi
|
$9,967.09 |
$9,967.09 |
$9,967.09 |
$5,408.65
|
|
Ins cath ren art 2nd+ uni
|
$9,967.09 |
$9,967.09 |
$9,967.09 |
$5,528.94
|
|
Ins cerv dilator (sep proc)
|
$664.65 |
$664.65 |
$664.65 |
$544.00
|
|
Insert cath pleura with image
|
$1,664.32 |
$1,664.32 |
$1,664.32 |
$2,239.02
|
|
Insert hepatic shunt (tips)
|
$8,299.69 |
$8,299.69 |
$8,299.69 |
$9,754.48
|
|
Insertion catheter bladder non indwelling
|
$150.20 |
$150.20 |
$150.20 |
$237.13
|
|
Insertion catheter bladder temporary simple
|
$168.92 |
$168.92 |
$168.92 |
$273.60
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$8,991.70 |
$8,991.70 |
$8,991.70 |
$4,943.21
|
|
Insertion intra aortic balloon assist device percutaneous
|
$4,920.13 |
$4,920.13 |
$4,920.13 |
$2,549.95
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$14,667.37 |
$14,667.37 |
$14,667.37 |
$7,088.54
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$2,920.95 |
$2,920.95 |
$2,920.95 |
$2,618.40
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$38,571.92 |
$38,571.92 |
$38,571.92 |
$14,158.20
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$38,571.92 |
$38,571.92 |
$38,571.92 |
$12,813.28
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$35,587.76 |
$35,587.76 |
$35,587.76 |
$9,855.00
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$5,993.73 |
$5,993.73 |
$5,993.73 |
$2,079.43
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$5,993.73 |
$5,993.73 |
$5,993.73 |
$2,527.91
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$103,893.83 |
$103,893.83 |
$103,893.83 |
$29,997.52
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$26,593.72 |
$26,593.72 |
$26,593.72 |
$7,572.47
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$26,593.72 |
$26,593.72 |
$26,593.72 |
$7,673.12
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$18,808.66 |
$18,808.66 |
$18,808.66 |
$9,793.46
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$9,189.69 |
$9,189.69 |
$9,189.69 |
$5,470.54
|
|
Insert pm/icd lead dual
|
$26,593.72 |
$26,593.72 |
$26,593.72 |
$7,562.63
|
|
Insert/repl sq defib w/eltrd
|
$131,424.77 |
$131,424.77 |
$131,424.77 |
$33,948.20
|
|
Insert swan-ganz cath
|
$1,017.61 |
$1,017.61 |
$1,017.61 |
$2,164.52
|
|
Insert vad art access left hrt arterial access
|
$2,721.77 |
$2,721.77 |
$2,721.77 |
$5,062.80
|
|
Insitu hybridization auto
|
$191.73 |
$191.73 |
$191.73 |
$398.16
|
|
In situ hybridization per specimen each additional single probe stain
|
$216.10 |
$216.10 |
$216.10 |
$251.55
|
|
In situ hybridization per specimen initial single probe stain
|
$182.33 |
$182.33 |
$182.33 |
$338.40
|
|
Insj perq vad r hrt venous
|
$1,425.30 |
$1,425.30 |
$1,425.30 |
$4,981.60
|
|
Ins lv lead exist pm/icd
|
$38,571.92 |
$38,571.92 |
$38,571.92 |
$12,384.25
|
|
Ins mark abd/pel for right perq
|
$3,761.43 |
$3,761.43 |
$3,761.43 |
$2,070.00
|
|
Ins pq tunnld ip cath w/img
|
$8,991.70 |
$8,991.70 |
$8,991.70 |
$5,593.60
|
|
Ins/rpl ldless pm right vent w img & eval
|
$50,308.31 |
$50,308.31 |
$50,308.31 |
$24,135.54
|
|
Ins/rpl pm w/tv ld atrl
|
$38,571.42 |
$38,571.42 |
$38,571.42 |
$12,384.25
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$87,563.25 |
$87,563.25 |
$87,563.25 |
$25,106.90
|
|
Instill, bupivac and meloxic
|
$360.88 |
$360.88 |
$360.88 |
$1,127.61
|
|
Ins tun cv cath wo subq prt/pm
|
$6,001.68 |
$6,001.68 |
$6,001.68 |
$4,748.00
|
|
Insulin total
|
$13.95 |
$13.95 |
$13.95 |
$67.60
|
|
Intens cardiac rehab no exer
|
$63.51 |
$63.51 |
$63.51 |
$149.00
|
|
Intens cardiac rehab w/exerc
|
$411.71 |
$411.71 |
$411.71 |
$226.98
|
|
Interdiscal perq aspir dx
|
$1,288.34 |
$1,288.34 |
$1,288.34 |
$1,222.26
|
|
Interrog dev eval scrms ip
|
$87.61 |
$87.61 |
$87.61 |
$124.80
|
|
Interrog device eval heart
|
$132.07 |
$132.07 |
$132.07 |
$150.00
|
|
Interrog evl pm/ldls pm ip
|
$110.17 |
$110.17 |
$110.17 |
$127.20
|
|
Intracard echo interv w/s&i
|
$3,596.01 |
$3,596.01 |
$3,596.01 |
$3,982.59
|
|
Intracran angioplsty w/stent
|
$30,458.59 |
$30,458.59 |
$30,458.59 |
$11,364.78
|
|
Intracranial angioplasty
|
$16,107.08 |
$16,107.08 |
$16,107.08 |
$7,149.60
|
|
Intracranial complete study
|
$559.36 |
$559.36 |
$559.36 |
$883.30
|
|
Intraoral i+d tongue/floor lingual 41000
|
$1,604.13 |
$1,604.13 |
$1,604.13 |
$1,182.15
|
|
Intrapul surf admin endo tube
|
$620.48 |
$620.48 |
$620.48 |
$239.52
|
|
Intrinsic factor antibody
|
$26.28 |
$26.28 |
$26.28 |
$59.95
|
|
Intro cath dialysis circuit
|
$3,464.00 |
$3,464.00 |
$3,464.00 |
$2,317.80
|
|
Intro cath dialysis circuit w/pta
|
$16,421.75 |
$16,421.75 |
$16,421.75 |
$8,761.00
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$36,021.83 |
$36,021.83 |
$36,021.83 |
$15,625.00
|
|
Intro catheter aorta
|
$1,410.22 |
$1,410.22 |
$1,410.22 |
$1,861.61
|
|
Intro cath svc/ivc
|
$1,346.13 |
$1,346.13 |
$1,346.13 |
$1,350.75
|
|
Intro long gi tube
|
$1,542.17 |
$1,542.17 |
$1,542.17 |
$1,036.00
|
|
Intro long gi tube w/mult fluo
|
$615.76 |
$615.76 |
$615.76 |
$477.85
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$4,406.59 |
$4,406.59 |
$4,406.59 |
$3,510.75
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$765.15 |
$765.15 |
$765.15 |
$1,825.16
|
|
Intubation endotracheal emergency procedure
|
$994.96 |
$994.96 |
$994.96 |
$617.60
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$184.87 |
$184.87 |
$184.87 |
$149.13
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$288.11 |
$288.11 |
$288.11 |
$153.98
|