|
Inj nephrosto/ureterogram w/img exstng access
|
$2,685.71 |
$2,685.71 |
$2,685.71 |
$1,522.56
|
|
Inj, nithiodote, 3mg / 125mg
|
$675.00 |
$675.00 |
$675.00 |
$228.00
|
|
Inj non-compmd foam sclrsnt mlt trncl veins same leg
|
$3,272.10 |
$3,272.10 |
$3,272.10 |
$2,371.50
|
|
Inj non-compmd foam sclrsnt sgl trncl vein
|
$3,272.10 |
$3,272.10 |
$3,272.10 |
$2,164.64
|
|
Inj, pedmark, 100 mg
|
$621.00 |
$621.00 |
$675.00 |
$96.08
|
|
Inj peritoneal venous shunt
|
$1,354.22 |
$1,354.22 |
$1,354.22 |
$386.88
|
|
Inj proc ankle arthr
|
$1,341.49 |
$1,341.49 |
$1,341.49 |
$405.31
|
|
Inj proc elbow arthro
|
$2,505.56 |
$2,505.56 |
$2,505.56 |
$453.60
|
|
Inj proc for lymphang
|
$4,036.34 |
$4,036.34 |
$4,036.34 |
$1,372.00
|
|
Inj proc lumbr disk ea lvl
|
$2,136.82 |
$2,136.82 |
$2,136.82 |
$1,224.30
|
|
Inj proc myelogram lumbar
|
$3,449.99 |
$3,449.99 |
$3,449.99 |
$922.80
|
|
Inj progesterone per 50 mg
|
$91.00 |
$91.00 |
$91.00 |
$19.53
|
|
Inj retro urethrocysto
|
$1,514.73 |
$1,514.73 |
$1,514.73 |
$551.29
|
|
Inj scleros sol mult veins
|
$4,243.77 |
$4,243.77 |
$4,243.77 |
$687.96
|
|
Inj scleros sol sgl vein
|
$4,243.77 |
$4,243.77 |
$4,243.77 |
$534.40
|
|
Inj secukinumab intrav 1mg
|
$17,402.99 |
$17,402.99 |
$19,346.70 |
$5,994.20
|
|
Inj, spesolimab-sbzo, 1 mg
|
$420,318.10 |
$420,318.10 |
$467,305.14 |
$178,150.09
|
|
Inj testostero enanthate 1mg
|
$230.00 |
$230.00 |
$230.00 |
$35.40
|
|
Inj testosterone cypionate
|
$9.71 |
$164.96 |
$334.00 |
$82.58
|
|
Inj, tislelizumab-jsgr
|
$83,769.78 |
$83,769.78 |
$84,418.91 |
$103.20
|
|
Inj, vancomycin hcl (mylan)
|
$57.51 |
$61.35 |
$280.38 |
$89.83
|
|
Inj, vegzelma, 10 mg
|
$22,693.07 |
$22,693.07 |
$23,701.51 |
$1,444.45
|
|
Inj w/fluor eval cv device
|
$1,179.61 |
$1,179.61 |
$1,179.61 |
$588.90
|
|
Ins cath ren art 1st bi
|
$11,623.82 |
$11,623.82 |
$11,623.82 |
$6,033.75
|
|
Ins cath ren art 1st uni
|
$8,023.82 |
$8,023.82 |
$8,333.83 |
$4,667.63
|
|
Ins cath ren art 2nd+ bi
|
$26,854.65 |
$26,854.65 |
$26,854.65 |
$5,408.65
|
|
Ins cath ren art 2nd+ uni
|
$16,968.55 |
$16,968.55 |
$16,968.55 |
$5,528.94
|
|
Ins cerv dilator (sep proc)
|
$1,029.68 |
$1,029.68 |
$1,029.68 |
$544.00
|
|
Insert abdomen-venous drain
|
$11,238.19 |
$11,238.19 |
$11,238.19 |
$4,391.00
|
|
Insert and remove bone pin
|
$31,045.79 |
$31,045.79 |
$31,045.79 |
$4,335.60
|
|
Insert cath pleura with image
|
$3,925.23 |
$3,925.23 |
$3,994.42 |
$2,239.02
|
|
Insert cath pleura without image
|
$3,287.49 |
$3,287.49 |
$5,468.60 |
$2,212.00
|
|
Insert drug delivery implant
|
$1,252.04 |
$1,252.04 |
$1,252.04 |
$285.80
|
|
Insert hepatic shunt (tips)
|
$15,166.52 |
$15,166.52 |
$15,166.52 |
$9,754.48
|
|
Insert intrauterine device iud
|
$2,441.93 |
$2,441.93 |
$2,441.93 |
$378.83
|
|
Insertion catheter bladder non indwelling
|
$1,252.04 |
$1,252.04 |
$1,252.04 |
$237.13
|
|
Insertion catheter bladder temporary simple
|
$836.82 |
$836.82 |
$836.82 |
$273.60
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$13,597.20 |
$13,597.20 |
$13,597.20 |
$4,943.21
|
|
Insertion intra aortic balloon assist device percutaneous
|
$6,753.24 |
$6,753.24 |
$6,753.24 |
$2,549.95
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$20,506.72 |
$20,506.72 |
$20,506.72 |
$7,088.54
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$8,023.82 |
$8,023.82 |
$8,333.83 |
$2,618.40
|
|
Insertion of catheter vein
|
$1,132.16 |
$1,132.16 |
$1,132.16 |
$1,749.80
|
|
Insertion of catheter vein
|
$4,440.18 |
$4,440.18 |
$4,440.18 |
$858.05
|
|
Insertion of infusion pump
|
$46,619.20 |
$46,619.20 |
$46,619.20 |
$5,907.78
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$47,122.74 |
$47,122.74 |
$47,122.74 |
$14,158.20
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$15,638.99 |
$15,638.99 |
$15,638.99 |
$12,813.28
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$9,321.03 |
$9,321.03 |
$9,321.03 |
$9,855.00
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$4,320.06 |
$4,320.06 |
$4,320.06 |
$2,079.43
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$12,975.70 |
$12,975.70 |
$12,975.70 |
$2,527.91
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$29,997.52 |
$29,997.52 |
$31,506.32 |
$29,997.52
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$11,395.40 |
$11,395.40 |
$11,395.40 |
$7,572.47
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$11,642.90 |
$11,642.90 |
$11,642.90 |
$7,673.12
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$21,655.76 |
$21,655.76 |
$21,655.76 |
$9,793.46
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$11,906.02 |
$11,906.02 |
$11,906.02 |
$5,470.54
|
|
Insert pessary/other device
|
$2,089.82 |
$2,089.82 |
$2,089.82 |
$278.90
|
|
Insert picvad cath
|
$26,854.65 |
$26,854.65 |
$26,854.65 |
$4,490.00
|
|
Insert pm/icd lead dual
|
$11,558.07 |
$11,558.07 |
$11,558.07 |
$7,562.63
|
|
Insert/repl sq defib w/eltrd
|
$29,997.52 |
$29,997.52 |
$31,506.32 |
$33,948.20
|
|
Insert sq defib electrode
|
$28,223.49 |
$28,223.49 |
$28,223.49 |
$8,167.68
|
|
Insert swan-ganz cath
|
$5,487.94 |
$5,487.94 |
$12,975.70 |
$2,164.52
|
|
Insert tunneled cv 2cath 2sits without port/pmp 36565
|
$26,854.65 |
$26,854.65 |
$26,854.65 |
$4,705.13
|
|
Insert tunneled cv cath
|
$26,854.65 |
$26,854.65 |
$26,854.65 |
$4,520.00
|
|
Insert tunneled cv cath
|
$14,869.12 |
$14,869.12 |
$14,869.12 |
$6,028.07
|
|
Insert uteri tandem/ovoids
|
$43,993.31 |
$43,993.31 |
$43,993.31 |
$3,986.00
|
|
Insert vad art access left hrt arterial access
|
$18,056.29 |
$18,056.29 |
$18,056.29 |
$5,062.80
|
|
Insert vad art access left hrt art & vein access
|
$53,304.56 |
$53,304.56 |
$53,304.56 |
$6,740.80
|
|
Ins icd gen exist mlt leads
|
$100,001.66 |
$100,001.66 |
$100,001.66 |
$31,286.77
|
|
Ins icd gen exist sgl lead
|
$73,431.05 |
$73,431.05 |
$73,431.05 |
$24,159.72
|
|
Insitu hybridization auto
|
$235.44 |
$1,801.16 |
$3,289.10 |
$398.16
|
|
Insitu hybridization (fish)
|
$820.69 |
$820.69 |
$1,668.92 |
$481.60
|
|
Insitu hybridization manual
|
$213.64 |
$1,645.99 |
$1,801.16 |
$407.11
|
|
In situ hybridization per specimen each additional single probe stain
|
$186.34 |
$899.60 |
$899.60 |
$251.55
|
|
In situ hybridization per specimen initial single probe stain
|
$141.70 |
$531.87 |
$1,666.44 |
$338.40
|
|
Insj perq vad r hrt venous
|
$19,306.35 |
$19,306.35 |
$19,306.35 |
$4,981.60
|
|
Ins lv lead exist pm/icd
|
$35,379.39 |
$35,379.39 |
$35,379.39 |
$12,384.25
|
|
Ins mark abd/pel for right perq
|
$451.26 |
$451.26 |
$15,543.45 |
$2,070.00
|
|
Ins mark thor for right perq
|
$3,246.42 |
$3,246.42 |
$4,823.68 |
$2,396.35
|
|
Ins picad w subq port 5yr>
|
$8,023.82 |
$8,023.82 |
$8,023.82 |
$4,341.66
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$1,908.87 |
$1,908.87 |
$1,908.87 |
$1,483.95
|
|
Ins pm gen exist dual lead
|
$73,431.05 |
$73,431.05 |
$73,431.05 |
$24,696.00
|
|
Ins pm gen w/exist mlt leads
|
$78,775.39 |
$78,775.39 |
$78,775.39 |
$15,600.75
|
|
Ins pq tunnld ip cath w/img
|
$11,082.59 |
$11,082.59 |
$11,082.59 |
$5,593.60
|
|
Ins/rplc spi npg/rcvr pocket
|
$63,262.68 |
$63,262.68 |
$63,262.68 |
$21,097.15
|
|
Ins/rpl ldless pm right vent w img & eval
|
$59,188.03 |
$59,188.03 |
$59,188.03 |
$24,135.54
|
|
Ins/rpl pm gen exist dual lead
|
$47,122.74 |
$47,122.74 |
$47,122.74 |
$11,593.70
|
|
Ins/rpl pm gen exist sgl lead
|
$28,223.49 |
$28,223.49 |
$28,223.49 |
$9,746.29
|
|
Ins/rpl pm w/tv ld atrl
|
$14,150.58 |
$14,150.58 |
$14,994.38 |
$12,384.25
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$20,835.73 |
$20,835.73 |
$22,379.55 |
$25,106.90
|
|
Inst fibrinolysis agent ini day
|
$6,317.82 |
$6,317.82 |
$6,317.82 |
$1,095.00
|
|
Inst fibrinolysis agent sbsq d
|
$6,317.82 |
$6,317.82 |
$6,317.82 |
$898.12
|
|
Instillation anticarcinogenic agent bladder
|
$1,881.13 |
$1,881.13 |
$1,932.07 |
$721.50
|
|
Instill, bupivac and meloxic
|
$1,127.61 |
$1,127.61 |
$1,251.83 |
$786.78
|
|
Ins tun cvad 2 cath w/subq port(s)
|
$46,619.20 |
$46,619.20 |
$46,619.20 |
$6,396.57
|
|
Ins tun cv cath wo subq prt/pm
|
$46,619.20 |
$46,619.20 |
$46,619.20 |
$5,888.85
|
|
Ins tun cv cath wo subq prt/pm
|
$8,023.82 |
$8,023.82 |
$8,333.83 |
$4,748.00
|
|
Ins tun intraperit dia cath
|
$34,860.78 |
$34,860.78 |
$34,860.78 |
$4,657.46
|
|
Inst via cath agent pleurds
|
$6,317.82 |
$6,317.82 |
$6,317.82 |
$1,074.68
|
|
Insulin total
|
$71.22 |
$71.22 |
$403.93 |
$67.60
|
|
Ins vag brachytx device
|
$3,591.71 |
$3,591.71 |
$3,591.71 |
$909.35
|
|
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm
|
$14,223.57 |
$14,223.57 |
$16,362.45 |
$9,970.16
|