|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
|
$2,284.45 |
$2,284.45 |
$2,284.45 |
$1,758.12
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$1,043.72 |
$1,043.72 |
$1,043.72 |
$552.60
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$302.60 |
$302.60 |
$302.60 |
$168.05
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$302.60 |
$302.60 |
$302.60 |
$154.05
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$302.60 |
$302.60 |
$302.60 |
$271.65
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$150.48 |
$150.48 |
$150.48 |
$141.60
|
|
Inject sacroiliac joint
|
$1,770.82 |
$1,770.82 |
$1,770.82 |
$1,090.00
|
|
Inj efgart-alfa 2mg hya-qvfc
|
$72,774.92 |
$72,774.92 |
$72,774.92 |
$66,229.74
|
|
Inj for ext venography
|
$355.85 |
$355.85 |
$355.85 |
$737.55
|
|
Inj, fulvestrant (fresenius)
|
$1,955.96 |
$1,955.96 |
$1,955.96 |
$1,713.99
|
|
Inj glycopyrrolate fres kabi
|
$42.26 |
$42.26 |
$42.26 |
$96.70
|
|
Inj hrt cath w/s&i nonsel p-art angrp
|
$2,760.68 |
$2,760.68 |
$2,760.68 |
$1,482.00
|
|
Inj ivig privigen 500 mg
|
$12,215.87 |
$12,215.87 |
$12,215.87 |
$7,298.71
|
|
Inj mepivacaine hcl/10 ml
|
$8.90 |
$8.90 |
$8.90 |
$28.41
|
|
Inj multihance
|
$154.11 |
$154.11 |
$154.11 |
$119.25
|
|
Inj nephrosto/ureterogram w/img exstng access
|
$1,615.92 |
$1,615.92 |
$1,615.92 |
$1,522.56
|
|
Inj secukinumab intrav 1mg
|
$9,961.24 |
$9,961.24 |
$9,961.24 |
$9,077.39
|
|
Inj, spesolimab-sbzo, 1 mg
|
$240,622.71 |
$240,622.71 |
$240,622.71 |
$253,022.14
|
|
Inj testosterone cypionate
|
$93.04 |
$93.04 |
$93.04 |
$77.15
|
|
Inj, tislelizumab-jsgr
|
$56,721.13 |
$56,721.13 |
$56,721.13 |
$45,250.97
|
|
Inj, vancomycin hcl (mylan)
|
$31.38 |
$31.38 |
$31.38 |
$63.82
|
|
Inj, vegzelma, 10 mg
|
$16,205.58 |
$16,205.58 |
$16,205.58 |
$10,892.59
|
|
Inj w/fluor eval cv device
|
$592.68 |
$592.68 |
$592.68 |
$588.90
|
|
Ins cath ren art 1st bi
|
$6,922.09 |
$6,922.09 |
$6,922.09 |
$6,033.75
|
|
Ins cath ren art 2nd+ uni
|
$7,232.36 |
$7,232.36 |
$7,232.36 |
$5,528.94
|
|
Insert cath pleura with image
|
$2,080.98 |
$2,080.98 |
$2,080.98 |
$2,239.02
|
|
Insert hepatic shunt (tips)
|
$5,382.03 |
$5,382.03 |
$5,382.03 |
$9,754.48
|
|
Insertion catheter bladder non indwelling
|
$206.69 |
$206.69 |
$206.69 |
$237.13
|
|
Insertion catheter bladder temporary simple
|
$310.67 |
$310.67 |
$310.67 |
$273.60
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$8,064.93 |
$8,064.93 |
$8,064.93 |
$4,943.21
|
|
Insertion intra aortic balloon assist device percutaneous
|
$3,802.98 |
$3,802.98 |
$3,802.98 |
$2,549.95
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$11,010.00 |
$11,010.00 |
$11,010.00 |
$7,088.54
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$2,753.32 |
$2,753.32 |
$2,753.32 |
$2,618.40
|
|
Insertion of catheter vein
|
$1,185.35 |
$1,185.35 |
$1,185.35 |
$1,749.80
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$27,542.72 |
$27,542.72 |
$27,542.72 |
$14,158.20
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$22,520.23 |
$22,520.23 |
$22,520.23 |
$9,855.00
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$3,904.63 |
$3,904.63 |
$3,904.63 |
$2,079.43
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$2,709.70 |
$2,709.70 |
$2,709.70 |
$2,527.91
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$64,720.14 |
$64,720.14 |
$64,720.14 |
$29,997.52
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$16,722.69 |
$16,722.69 |
$16,722.69 |
$7,572.47
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$11,222.76 |
$11,222.76 |
$11,222.76 |
$7,673.12
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$17,662.36 |
$17,662.36 |
$17,662.36 |
$9,793.46
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$8,005.07 |
$8,005.07 |
$8,005.07 |
$5,470.54
|
|
Insert/repl sq defib w/eltrd
|
$33,593.55 |
$33,593.55 |
$33,593.55 |
$33,948.20
|
|
Insert vad art access left hrt arterial access
|
$2,808.41 |
$2,808.41 |
$2,808.41 |
$5,062.80
|
|
In situ hybridization per specimen each additional single probe stain
|
$663.02 |
$663.02 |
$663.02 |
$251.55
|
|
In situ hybridization per specimen initial single probe stain
|
$373.22 |
$373.22 |
$373.22 |
$338.40
|
|
Insj perq vad r hrt venous
|
$1,047.17 |
$1,047.17 |
$1,047.17 |
$4,981.60
|
|
Ins lv lead exist pm/icd
|
$22,520.23 |
$22,520.23 |
$22,520.23 |
$12,384.25
|
|
Ins pq tunnld ip cath w/img
|
$8,064.93 |
$8,064.93 |
$8,064.93 |
$5,593.60
|
|
Ins/rpl ldless pm right vent w img & eval
|
$34,497.14 |
$34,497.14 |
$34,497.14 |
$24,135.54
|
|
Instillation anticarcinogenic agent bladder
|
$1,033.71 |
$1,033.71 |
$1,033.71 |
$721.50
|
|
Instill, bupivac and meloxic
|
$643.88 |
$643.88 |
$643.88 |
$1,127.61
|
|
Ins tun cvad 2 cath w/subq port(s)
|
$18,524.60 |
$18,524.60 |
$18,524.60 |
$6,396.57
|
|
Ins tun cv cath wo subq prt/pm
|
$6,163.59 |
$6,163.59 |
$6,163.59 |
$4,748.00
|
|
Insulin total
|
$42.34 |
$42.34 |
$42.34 |
$67.60
|
|
Interrogate subq defib
|
$113.20 |
$113.20 |
$113.20 |
$139.10
|
|
Interrog dev eval scrms ip
|
$75.10 |
$75.10 |
$75.10 |
$124.80
|
|
Interrog device eval heart
|
$113.20 |
$113.20 |
$113.20 |
$150.00
|
|
Interrog evl pm/ldls pm ip
|
$87.46 |
$87.46 |
$87.46 |
$127.20
|
|
Intrinsic factor antibody
|
$43.65 |
$43.65 |
$43.65 |
$59.95
|
|
Intro cath dialysis circuit
|
$1,995.83 |
$1,995.83 |
$1,995.83 |
$2,317.80
|
|
Intro catheter aorta
|
$1,151.15 |
$1,151.15 |
$1,151.15 |
$1,861.61
|
|
Intro cath svc/ivc
|
$649.66 |
$649.66 |
$649.66 |
$1,350.75
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$3,493.94 |
$3,493.94 |
$3,493.94 |
$3,510.75
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$2,930.25 |
$2,930.25 |
$2,930.25 |
$1,825.16
|
|
Intubation endotracheal emergency procedure
|
$1,006.50 |
$1,006.50 |
$1,006.50 |
$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
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$64,598.84 |
$64,598.84 |
$64,598.84 |
$52,615.16
|
|
Ipratropium bromide non-comp
|
$7.78 |
$7.78 |
$7.78 |
$7.57
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$368.07 |
$368.07 |
$368.07 |
$227.39
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$5,138.18 |
$5,138.18 |
$5,138.18 |
$6,655.71
|
|
Iron
|
$254.55 |
$254.55 |
$254.55 |
$70.72
|
|
Iron binding capacity
|
$72.18 |
$72.18 |
$72.18 |
$63.00
|
|
Iron dextran 50 mg/ml injection solution
|
$85.85 |
$85.85 |
$85.85 |
$62.70
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$230.33 |
$230.33 |
$230.33 |
$198.01
|
|
Irradiation of blood product each unit reference
|
$102.92 |
$102.92 |
$102.92 |
$124.24
|
|
Irrigation implantable venous access device for drug delivery systems
|
$448.03 |
$448.03 |
$448.03 |
$154.50
|
|
Isatuximab-irfc 20 mg/ml intravenous solution
|
$19,571.66 |
$19,571.66 |
$19,571.66 |
$13,419.80
|
|
Ivc venogram s&i
|
$3,311.61 |
$3,311.61 |
$3,311.61 |
$3,332.55
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$216.84 |
$216.84 |
$216.84 |
$191.75
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$477.38 |
$477.38 |
$477.38 |
$174.40
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$150.48 |
$150.48 |
$150.48 |
$155.00
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$792.51 |
$792.51 |
$792.51 |
$460.85
|
|
Jak2 targeted sequence analysis
|
$500.00 |
$500.00 |
$500.00 |
$378.30
|
|
John cunningham antibody
|
$55.86 |
$55.86 |
$55.86 |
$48.57
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$60.20 |
$60.20 |
$60.20 |
$56.61
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$58.20 |
$58.20 |
$58.20 |
$30.08
|
|
Kidney img w/bldflw sgl without rx
|
$773.27 |
$773.27 |
$773.27 |
$1,468.04
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$1,272.19 |
$1,272.19 |
$1,272.19 |
$668.25
|
|
Knee MRI (with and without contrast)
|
$3,322.09 |
$3,322.09 |
$3,322.09 |
$2,950.00
|
|
Knee MRI (with contrast)
|
$2,678.05 |
$2,678.05 |
$2,678.05 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$2,619.83 |
$2,619.83 |
$2,619.83 |
$2,181.10
|
|
Knee X-ray
|
$891.37 |
$891.37 |
$891.37 |
$443.90
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$126.33 |
$126.33 |
$126.33 |
$42.38
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$107.07 |
$107.07 |
$107.07 |
$188.92
|
|
Lactate dehydrogenase (ldh)
|
$140.36 |
$140.36 |
$140.36 |
$53.30
|
|
Lactated ringers intravenous solution
|
$90.31 |
$90.31 |
$90.31 |
$54.11
|
|
Lactic acid
|
$160.99 |
$160.99 |
$160.99 |
$102.90
|