|
Inj proc ankle arthr
|
$723.00 |
$723.00 |
$723.00 |
$405.31
|
|
Inj proc elbow arthro
|
$723.00 |
$723.00 |
$723.00 |
$453.60
|
|
Inj proc for lymphang
|
$2,020.00 |
$2,020.00 |
$2,020.00 |
$1,372.00
|
|
Inj proc lumbr disk ea lvl
|
$3,343.00 |
$3,343.00 |
$3,343.00 |
$1,224.30
|
|
Inj proc myelogram lumbar
|
$997.00 |
$997.00 |
$997.00 |
$922.80
|
|
Inj retro urethrocysto
|
$354.00 |
$354.00 |
$354.00 |
$551.29
|
|
Inj scleros sol mult veins
|
$2,567.00 |
$2,567.00 |
$2,567.00 |
$687.96
|
|
Inj scleros sol sgl vein
|
$387.00 |
$387.00 |
$387.00 |
$534.40
|
|
Inj secretin synthetic human
|
$1,984.50 |
$1,984.50 |
$1,984.50 |
$741.75
|
|
Inj secukinumab intrav 1mg
|
$22,384.65 |
$22,384.65 |
$22,384.65 |
$9,077.39
|
|
Inj, spesolimab-sbzo, 1 mg
|
$255,588.84 |
$255,588.84 |
$255,588.84 |
$253,022.14
|
|
Inj testosterone cypionate
|
$1.00 |
$1.00 |
$232.13 |
$77.15
|
|
Inj thiotepa nos 1 mg
|
$685.20 |
$685.20 |
$685.20 |
$3,452.53
|
|
Inj, tislelizumab-jsgr
|
$53,552.66 |
$53,552.66 |
$53,552.66 |
$45,250.97
|
|
Inj, vancomycin hcl (mylan)
|
$70.18 |
$70.18 |
$70.18 |
$63.82
|
|
Inj, vasopressin (baxter)
|
$87.20 |
$87.20 |
$87.20 |
$32.40
|
|
Inj, vegzelma, 10 mg
|
$30,213.57 |
$30,213.57 |
$30,213.57 |
$10,892.59
|
|
Inj w/fluor eval cv device
|
$1,397.00 |
$1,397.00 |
$1,397.00 |
$588.90
|
|
Ins cath ren art 1st bi
|
$27,595.00 |
$27,595.00 |
$27,595.00 |
$6,033.75
|
|
Ins cath ren art 1st uni
|
$18,397.00 |
$18,397.00 |
$18,397.00 |
$4,667.63
|
|
Ins cath ren art 2nd+ bi
|
$27,595.00 |
$27,595.00 |
$27,595.00 |
$5,408.65
|
|
Ins cath ren art 2nd+ uni
|
$18,397.00 |
$18,397.00 |
$18,397.00 |
$5,528.94
|
|
Ins cerv dilator (sep proc)
|
$1,128.00 |
$1,128.00 |
$1,128.00 |
$544.00
|
|
Insert abdomen-venous drain
|
$12,011.00 |
$12,011.00 |
$12,011.00 |
$4,391.00
|
|
Insert and remove bone pin
|
$10,690.00 |
$10,690.00 |
$10,690.00 |
$4,335.60
|
|
Insert cath pleura with image
|
$1,133.00 |
$1,133.00 |
$1,133.00 |
$2,239.02
|
|
Insert cath pleura without image
|
$2,802.00 |
$2,802.00 |
$2,802.00 |
$2,212.00
|
|
Insert drug delivery implant
|
$5,685.00 |
$5,685.00 |
$5,685.00 |
$285.80
|
|
Insert hepatic shunt (tips)
|
$15,779.00 |
$15,779.00 |
$15,779.00 |
$9,754.48
|
|
Insert intrauterine device iud
|
$6,221.00 |
$6,221.00 |
$6,221.00 |
$378.83
|
|
Insertion catheter bladder non indwelling
|
$285.00 |
$285.00 |
$285.00 |
$237.13
|
|
Insertion catheter bladder temporary simple
|
$285.00 |
$285.00 |
$285.00 |
$273.60
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$13,191.00 |
$13,191.00 |
$13,191.00 |
$4,943.21
|
|
Insertion intra aortic balloon assist device percutaneous
|
$6,967.00 |
$6,967.00 |
$6,967.00 |
$2,549.95
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$9,950.00 |
$9,950.00 |
$9,950.00 |
$7,088.54
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$3,777.00 |
$3,777.00 |
$3,777.00 |
$2,618.40
|
|
Insertion of catheter vein
|
$6,777.00 |
$6,777.00 |
$6,777.00 |
$1,749.80
|
|
Insertion of catheter vein
|
$1,586.00 |
$1,586.00 |
$1,586.00 |
$858.05
|
|
Insertion of infusion pump
|
$18,001.00 |
$18,001.00 |
$18,001.00 |
$5,907.78
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$27,737.00 |
$27,737.00 |
$27,737.00 |
$14,158.20
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$27,737.00 |
$27,737.00 |
$27,737.00 |
$12,813.28
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$27,737.00 |
$27,737.00 |
$27,737.00 |
$9,855.00
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$4,186.00 |
$4,186.00 |
$4,186.00 |
$2,079.43
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$5,307.00 |
$5,307.00 |
$5,307.00 |
$2,527.91
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$27,737.00 |
$27,737.00 |
$27,737.00 |
$29,997.52
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$27,737.00 |
$27,737.00 |
$27,737.00 |
$7,572.47
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$27,737.00 |
$27,737.00 |
$27,737.00 |
$7,673.12
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$5,047.00 |
$5,047.00 |
$5,047.00 |
$9,793.46
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$9,393.00 |
$9,393.00 |
$9,393.00 |
$5,470.54
|
|
Insert pessary/other device
|
$642.00 |
$642.00 |
$642.00 |
$278.90
|
|
Insert picvad cath
|
$10,805.00 |
$10,805.00 |
$10,805.00 |
$4,490.00
|
|
Insert pm/icd lead dual
|
$27,737.00 |
$27,737.00 |
$27,737.00 |
$7,562.63
|
|
Insert/repl sq defib w/eltrd
|
$27,737.00 |
$27,737.00 |
$27,737.00 |
$33,948.20
|
|
Insert sq defib electrode
|
$27,737.00 |
$27,737.00 |
$27,737.00 |
$8,167.68
|
|
Insert swan-ganz cath
|
$7,693.00 |
$7,693.00 |
$7,693.00 |
$2,164.52
|
|
Insert tunneled cv 2cath 2sits without port/pmp 36565
|
$10,805.00 |
$10,805.00 |
$10,805.00 |
$4,705.13
|
|
Insert tunneled cv cath
|
$10,805.00 |
$10,805.00 |
$10,805.00 |
$4,520.00
|
|
Insert tunneled cv cath
|
$7,517.00 |
$7,517.00 |
$7,517.00 |
$6,028.07
|
|
Insert uteri tandem/ovoids
|
$3,940.00 |
$3,940.00 |
$3,940.00 |
$3,986.00
|
|
Insert vad art access left hrt arterial access
|
$6,967.00 |
$6,967.00 |
$6,967.00 |
$5,062.80
|
|
Insert vad art access left hrt art & vein access
|
$27,737.00 |
$27,737.00 |
$27,737.00 |
$6,740.80
|
|
Ins icd gen exist mlt leads
|
$27,737.00 |
$27,737.00 |
$27,737.00 |
$31,286.77
|
|
Ins icd gen exist sgl lead
|
$27,737.00 |
$27,737.00 |
$27,737.00 |
$24,159.72
|
|
Insitu hybridization auto
|
$629.62 |
$631.70 |
$1,464.00 |
$398.16
|
|
Insitu hybridization (fish)
|
$211.73 |
$211.73 |
$212.40 |
$481.60
|
|
Insitu hybridization manual
|
$629.62 |
$629.62 |
$1,464.00 |
$407.11
|
|
In situ hybridization per specimen each additional single probe stain
|
$107.04 |
$109.40 |
$549.00 |
$251.55
|
|
In situ hybridization per specimen initial single probe stain
|
$186.04 |
$186.65 |
$549.00 |
$338.40
|
|
Insj perq vad r hrt venous
|
$27,737.00 |
$27,737.00 |
$27,737.00 |
$4,981.60
|
|
Insj phrnc nrv stim sys
|
$80,034.00 |
$80,034.00 |
$80,034.00 |
$53,251.79
|
|
Ins lv lead exist pm/icd
|
$27,737.00 |
$27,737.00 |
$27,737.00 |
$12,384.25
|
|
Ins mark abd/pel for right perq
|
$6,208.00 |
$6,208.00 |
$6,208.00 |
$2,070.00
|
|
Ins mark thor for right perq
|
$4,767.00 |
$4,767.00 |
$4,767.00 |
$2,396.35
|
|
Ins picad w subq port 5yr>
|
$9,158.00 |
$9,158.00 |
$9,158.00 |
$4,341.66
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$2,265.00 |
$2,265.00 |
$2,265.00 |
$1,483.95
|
|
Ins pm gen exist dual lead
|
$27,737.00 |
$27,737.00 |
$27,737.00 |
$24,696.00
|
|
Ins pm gen w/exist mlt leads
|
$27,737.00 |
$27,737.00 |
$27,737.00 |
$15,600.75
|
|
Ins pq tunnld ip cath w/img
|
$7,219.00 |
$7,219.00 |
$7,219.00 |
$5,593.60
|
|
Ins/rplc spi npg/rcvr pocket
|
$23,076.00 |
$23,076.00 |
$23,076.00 |
$21,097.15
|
|
Ins/rpl ldless pm right vent w img & eval
|
$27,737.00 |
$27,737.00 |
$27,737.00 |
$24,135.54
|
|
Ins/rpl pm gen exist dual lead
|
$27,737.00 |
$27,737.00 |
$27,737.00 |
$11,593.70
|
|
Ins/rpl pm gen exist sgl lead
|
$27,737.00 |
$27,737.00 |
$27,737.00 |
$9,746.29
|
|
Ins/rpl pm w/tv ld atrl
|
$27,737.00 |
$27,737.00 |
$27,737.00 |
$12,384.25
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$15,033.00 |
$15,033.00 |
$15,033.00 |
$25,106.90
|
|
Inst fibrinolysis agent ini day
|
$2,040.00 |
$2,040.00 |
$2,040.00 |
$1,095.00
|
|
Inst fibrinolysis agent sbsq d
|
$2,040.00 |
$2,040.00 |
$2,040.00 |
$898.12
|
|
Instillation anticarcinogenic agent bladder
|
$1,005.00 |
$1,005.00 |
$1,005.00 |
$721.50
|
|
Instill, bupivac and meloxic
|
$1,430.59 |
$1,430.59 |
$1,430.59 |
$1,127.61
|
|
Instill pharm renal pelvis
|
$9,269.00 |
$9,269.00 |
$9,269.00 |
$2,663.15
|
|
Ins tun cvad 2 cath w/subq port(s)
|
$18,001.00 |
$18,001.00 |
$18,001.00 |
$6,396.57
|
|
Ins tun cv cath wo subq prt/pm
|
$18,001.00 |
$18,001.00 |
$18,001.00 |
$5,888.85
|
|
Ins tun cv cath wo subq prt/pm
|
$9,393.00 |
$9,393.00 |
$9,393.00 |
$4,748.00
|
|
Ins tun intraperit dia cath
|
$15,320.00 |
$15,320.00 |
$15,320.00 |
$4,657.46
|
|
Inst via cath agent pleurds
|
$2,040.00 |
$2,040.00 |
$2,040.00 |
$1,074.68
|
|
Insulin total
|
$496.00 |
$496.00 |
$496.00 |
$67.60
|
|
Ins vag brachytx device
|
$2,037.00 |
$2,037.00 |
$2,037.00 |
$909.35
|
|
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm
|
$15,891.00 |
$15,891.00 |
$19,569.33 |
$10,179.63
|
|
Integra meshed bil wound mat
|
$733.00 |
$733.00 |
$733.00 |
$24,354.93
|
|
Intens cardiac rehab no exer
|
$710.00 |
$710.00 |
$710.00 |
$149.00
|
|
Intens cardiac rehab w/exerc
|
$710.00 |
$710.00 |
$710.00 |
$226.98
|
