|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$437.91 |
$437.91 |
$437.91 |
$168.05
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$348.40 |
$348.40 |
$348.40 |
$154.05
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$437.61 |
$437.61 |
$437.61 |
$271.65
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$350.21 |
$350.21 |
$350.21 |
$141.60
|
|
Inj efgart-alfa 2mg hya-qvfc
|
$376,662.58 |
$376,662.58 |
$376,662.58 |
$66,229.74
|
|
Inj epidural sgl lumb-sacral without img
|
$3,935.22 |
$3,935.22 |
$3,935.22 |
$1,450.84
|
|
Inj for ext venography
|
$533.28 |
$533.28 |
$533.28 |
$737.55
|
|
Inj, fulvestrant (fresenius)
|
$3,651.91 |
$3,651.91 |
$3,651.91 |
$1,713.99
|
|
Inj glycopyrrolate fres kabi
|
$187.59 |
$187.59 |
$187.59 |
$96.70
|
|
Inj hrt cath w/s&i nonsel p-art angrp
|
$232.82 |
$232.82 |
$232.82 |
$1,482.00
|
|
Inj ivig privigen 500 mg
|
$50,729.99 |
$50,729.99 |
$50,729.99 |
$7,298.71
|
|
Inj mepivacaine hcl/10 ml
|
$27.46 |
$27.46 |
$27.46 |
$28.41
|
|
Inj multihance
|
$410.96 |
$410.96 |
$410.96 |
$119.25
|
|
Inj nephrosto/ureterogram w/img exstng access
|
$2,327.89 |
$2,327.89 |
$2,327.89 |
$1,522.56
|
|
Inj proc elbow arthro
|
$2,505.56 |
$2,505.56 |
$2,505.56 |
$453.60
|
|
Inj proc lumbr disk ea lvl
|
$1,859.04 |
$1,859.04 |
$1,859.04 |
$1,224.30
|
|
Inj proc myelogram lumbar
|
$1,113.39 |
$1,113.39 |
$1,113.39 |
$922.80
|
|
Inj retro urethrocysto
|
$1,545.64 |
$1,545.64 |
$1,545.64 |
$551.29
|
|
Inj secukinumab intrav 1mg
|
$51,541.15 |
$51,541.15 |
$51,541.15 |
$9,077.39
|
|
Inj, spesolimab-sbzo, 1 mg
|
$1,245,437.01 |
$1,245,437.01 |
$1,245,437.01 |
$253,022.14
|
|
Inj testosterone cypionate
|
$438.18 |
$438.18 |
$438.18 |
$77.15
|
|
Inj, tislelizumab-jsgr
|
$108,880.89 |
$108,880.89 |
$108,880.89 |
$45,250.97
|
|
Inj, vancomycin hcl (mylan)
|
$129.30 |
$129.30 |
$129.30 |
$63.82
|
|
Inj, vegzelma, 10 mg
|
$29,012.43 |
$29,012.43 |
$29,012.43 |
$10,892.59
|
|
Inj w/fluor eval cv device
|
$1,179.61 |
$1,179.61 |
$1,179.61 |
$588.90
|
|
Ins cath ren art 1st bi
|
$15,561.16 |
$15,561.16 |
$15,561.16 |
$6,033.75
|
|
Ins cath ren art 1st uni
|
$15,561.16 |
$15,561.16 |
$15,561.16 |
$4,667.63
|
|
Ins cath ren art 2nd+ uni
|
$15,561.16 |
$15,561.16 |
$15,561.16 |
$5,528.94
|
|
Ins cerv dilator (sep proc)
|
$927.22 |
$927.22 |
$927.22 |
$544.00
|
|
Insert and remove bone pin
|
$22,578.76 |
$22,578.76 |
$22,578.76 |
$4,335.60
|
|
Insert cath pleura with image
|
$3,480.85 |
$3,480.85 |
$3,480.85 |
$2,239.02
|
|
Insertion catheter bladder non indwelling
|
$910.58 |
$910.58 |
$910.58 |
$237.13
|
|
Insertion catheter bladder temporary simple
|
$693.38 |
$693.38 |
$693.38 |
$273.60
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$19,122.15 |
$19,122.15 |
$19,122.15 |
$4,943.21
|
|
Insertion intra aortic balloon assist device percutaneous
|
$4,022.59 |
$4,022.59 |
$4,022.59 |
$2,549.95
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$18,737.81 |
$18,737.81 |
$18,737.81 |
$7,088.54
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$7,262.34 |
$7,262.34 |
$7,262.34 |
$2,618.40
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$34,271.08 |
$34,271.08 |
$34,271.08 |
$14,158.20
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$14,979.86 |
$14,979.86 |
$14,979.86 |
$12,813.28
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$18,897.61 |
$18,897.61 |
$18,897.61 |
$9,855.00
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$3,480.85 |
$3,480.85 |
$3,480.85 |
$2,079.43
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$3,480.85 |
$3,480.85 |
$3,480.85 |
$2,527.91
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$54,934.36 |
$54,934.36 |
$54,934.36 |
$29,997.52
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$31,283.22 |
$31,283.22 |
$31,283.22 |
$7,572.47
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$7,864.99 |
$7,864.99 |
$7,864.99 |
$7,673.12
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$36,943.69 |
$36,943.69 |
$36,943.69 |
$9,793.46
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$12,425.10 |
$12,425.10 |
$12,425.10 |
$5,470.54
|
|
Insert picvad cath
|
$19,530.65 |
$19,530.65 |
$19,530.65 |
$4,490.00
|
|
Insert pm/icd lead dual
|
$20,526.17 |
$20,526.17 |
$20,526.17 |
$7,562.63
|
|
Insert/repl sq defib w/eltrd
|
$94,755.32 |
$94,755.32 |
$94,755.32 |
$33,948.20
|
|
Insert swan-ganz cath
|
$4,994.30 |
$4,994.30 |
$4,994.30 |
$2,164.52
|
|
Insert vad art access left hrt arterial access
|
$18,424.79 |
$18,424.79 |
$18,424.79 |
$5,062.80
|
|
In situ hybridization per specimen each additional single probe stain
|
$153.77 |
$153.77 |
$153.77 |
$251.55
|
|
In situ hybridization per specimen initial single probe stain
|
$1,393.74 |
$1,393.74 |
$1,393.74 |
$338.40
|
|
Insj perq vad r hrt venous
|
$16,824.15 |
$16,824.15 |
$16,824.15 |
$4,981.60
|
|
Ins lv lead exist pm/icd
|
$17,981.20 |
$17,981.20 |
$17,981.20 |
$12,384.25
|
|
Ins mark abd/pel for right perq
|
$11,304.33 |
$11,304.33 |
$11,304.33 |
$2,070.00
|
|
Ins pq tunnld ip cath w/img
|
$12,992.12 |
$12,992.12 |
$12,992.12 |
$5,593.60
|
|
Ins/rpl ldless pm right vent w img & eval
|
$60,022.73 |
$60,022.73 |
$60,022.73 |
$24,135.54
|
|
Ins/rpl pm w/tv ld atrl
|
$34,271.08 |
$34,271.08 |
$34,271.08 |
$12,384.25
|
|
Instill, bupivac and meloxic
|
$3,314.83 |
$3,314.83 |
$3,314.83 |
$1,127.61
|
|
Ins tun cv cath wo subq prt/pm
|
$13,016.58 |
$13,016.58 |
$13,016.58 |
$4,748.00
|
|
Insulin total
|
$231.66 |
$231.66 |
$231.66 |
$67.60
|
|
Intens cardiac rehab no exer
|
$398.61 |
$398.61 |
$398.61 |
$149.00
|
|
Intens cardiac rehab w/exerc
|
$398.61 |
$398.61 |
$398.61 |
$226.98
|
|
Interdiscal perq aspir dx
|
$3,008.52 |
$3,008.52 |
$3,008.52 |
$1,222.26
|
|
Intracard echo interv w/s&i
|
$9,839.94 |
$9,839.94 |
$9,839.94 |
$3,982.59
|
|
Intracran angioplsty w/stent
|
$43,441.81 |
$43,441.81 |
$43,441.81 |
$11,364.78
|
|
Intrapul surf admin endo tube
|
$1,323.00 |
$1,323.00 |
$1,323.00 |
$239.52
|
|
Intrinsic factor antibody
|
$45.99 |
$45.99 |
$45.99 |
$59.95
|
|
Intro cath dialysis circuit
|
$5,856.05 |
$5,856.05 |
$5,856.05 |
$2,317.80
|
|
Intro cath dialysis circuit w/pta
|
$36,541.12 |
$36,541.12 |
$36,541.12 |
$8,761.00
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$51,338.31 |
$51,338.31 |
$51,338.31 |
$15,625.00
|
|
Intro catheter aorta
|
$1,286.36 |
$1,286.36 |
$1,286.36 |
$1,861.61
|
|
Intro cath svc/ivc
|
$1,235.21 |
$1,235.21 |
$1,235.21 |
$1,350.75
|
|
Intro long gi tube w/mult fluo
|
$365.44 |
$365.44 |
$365.44 |
$477.85
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$5,795.50 |
$5,795.50 |
$5,795.50 |
$3,510.75
|
|
Intubation endotracheal emergency procedure
|
$1,606.09 |
$1,606.09 |
$1,606.09 |
$617.60
|
|
Ionm in operatng room 15 min
|
$449.36 |
$449.36 |
$449.36 |
$200.78
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$492.98 |
$492.98 |
$492.98 |
$149.13
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$768.29 |
$768.29 |
$768.29 |
$153.98
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$124,004.90 |
$124,004.90 |
$124,004.90 |
$52,615.16
|
|
Ipratropium bromide non-comp
|
$15.04 |
$15.04 |
$15.04 |
$7.57
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$596.37 |
$596.37 |
$596.37 |
$227.39
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$9,615.47 |
$9,615.47 |
$9,615.47 |
$6,655.71
|
|
Iron
|
$226.01 |
$226.01 |
$226.01 |
$70.72
|
|
Iron binding capacity
|
$78.61 |
$78.61 |
$78.61 |
$63.00
|
|
Iron dextran 50 mg/ml injection solution
|
$425.26 |
$425.26 |
$425.26 |
$62.70
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$1,107.77 |
$1,107.77 |
$1,107.77 |
$198.01
|
|
Irradiation of blood product each unit reference
|
$115.48 |
$115.48 |
$115.48 |
$124.24
|
|
Irrigation implantable venous access device for drug delivery systems
|
$236.33 |
$236.33 |
$236.33 |
$154.50
|
|
Isatuximab-irfc 20 mg/ml intravenous solution
|
$37,559.57 |
$37,559.57 |
$37,559.57 |
$13,419.80
|
|
Ivc venogram s&i
|
$13,594.52 |
$13,594.52 |
$13,594.52 |
$3,332.55
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$226.76 |
$226.76 |
$226.76 |
$191.75
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$190.36 |
$190.36 |
$190.36 |
$174.40
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$218.12 |
$218.12 |
$218.12 |
$155.00
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$1,191.03 |
$1,191.03 |
$1,191.03 |
$460.85
|
|
IV inj ra drug dx study
|
$1,227.30 |
$1,227.30 |
$1,227.30 |
$560.00
|
|
Ivp w/wo kub w/wo tomography
|
$1,197.32 |
$1,197.32 |
$1,197.32 |
$713.05
|
|
Jak2 targeted sequence analysis
|
$3,675.29 |
$3,675.29 |
$3,675.29 |
$378.30
|
