|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$2,201.49 |
$2,201.49 |
$2,201.49 |
$298.35
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$1,819.13 |
$1,819.13 |
$1,819.13 |
$359.64
|
|
Initiation & management bipap/cpap initial day
|
$1,785.80 |
$1,785.80 |
$1,785.80 |
$645.79
|
|
Inj., benralizumab, 1 mg
|
$89,108.21 |
$89,108.21 |
$89,108.21 |
$16,865.48
|
|
Inj, bezlotoxumab, 10 mg
|
$19,971.36 |
$19,971.36 |
$19,971.36 |
$9,702.65
|
|
Inj cefazolin sodium, hikma
|
$223.82 |
$223.82 |
$223.82 |
$56.70
|
|
Inj, durolane 1 mg
|
$9,418.69 |
$9,418.69 |
$9,418.69 |
$3,382.31
|
|
Inj dx for sinogram
|
$988.14 |
$988.14 |
$988.14 |
$436.00
|
|
Injection arthrography hip without anesthesia (both sides)
|
$2,822.35 |
$2,822.35 |
$2,822.35 |
$507.10
|
|
Injection, daratumumab 10 mg
|
$12,745.97 |
$12,745.97 |
$12,745.97 |
$7,107.73
|
|
Injection during cath supravalvular aortography
|
$3,449.01 |
$3,449.01 |
$3,449.01 |
$1,148.80
|
|
Injection epidural blood patch or clot
|
$2,170.13 |
$2,170.13 |
$2,170.13 |
$1,473.12
|
|
Injection for arthrography wrist (both sides)
|
$882.21 |
$882.21 |
$882.21 |
$441.12
|
|
Injection for bladder x-ray
|
$1,709.65 |
$1,709.65 |
$1,709.65 |
$585.00
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$2,505.56 |
$2,505.56 |
$2,505.56 |
$504.00
|
|
Injection for ureter x-ray
|
$2,247.25 |
$2,247.25 |
$2,247.25 |
$444.95
|
|
Injection for ureter x-ray
|
$2,556.19 |
$2,556.19 |
$2,556.19 |
$515.21
|
|
Injection, fulvestrant
|
$8,305.26 |
$8,305.26 |
$8,305.26 |
$2,756.47
|
|
Injection, inclisiran, 1 mg
|
$63,027.65 |
$63,027.65 |
$63,027.65 |
$10,366.61
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$1,876.88 |
$1,876.88 |
$1,876.88 |
$1,471.50
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$1,876.88 |
$1,876.88 |
$1,876.88 |
$1,017.28
|
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
|
$2,962.67 |
$2,962.67 |
$2,962.67 |
$2,251.00
|
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
|
$5,410.92 |
$5,410.92 |
$5,410.92 |
$1,829.28
|
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
|
$2,269.59 |
$2,269.59 |
$2,269.59 |
$1,758.12
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$1,358.89 |
$1,358.89 |
$1,358.89 |
$552.60
|
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
|
$1,358.89 |
$1,358.89 |
$1,358.89 |
$670.00
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$368.30 |
$368.30 |
$368.30 |
$168.05
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$335.85 |
$335.85 |
$335.85 |
$154.05
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$479.72 |
$479.72 |
$479.72 |
$271.65
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$277.91 |
$277.91 |
$277.91 |
$141.60
|
|
Inject sacroiliac joint
|
$1,879.14 |
$1,879.14 |
$1,879.14 |
$1,090.00
|
|
Inj efgart-alfa 2mg hya-qvfc
|
$288,118.02 |
$288,118.02 |
$288,118.02 |
$66,229.74
|
|
Inj epidural sgl lumb-sacral without img
|
$5,410.92 |
$5,410.92 |
$5,410.92 |
$1,450.84
|
|
Inj for ext venography
|
$1,610.19 |
$1,610.19 |
$1,610.19 |
$737.55
|
|
Inj, fulvestrant (fresenius)
|
$1,688.69 |
$1,688.69 |
$1,688.69 |
$1,713.99
|
|
Inj glycopyrrolate fres kabi
|
$151.64 |
$151.64 |
$151.64 |
$96.70
|
|
Inj ivig privigen 500 mg
|
$19,508.43 |
$19,508.43 |
$19,508.43 |
$7,298.71
|
|
Inj mepivacaine hcl/10 ml
|
$20.72 |
$20.72 |
$20.72 |
$28.41
|
|
Inj multihance
|
$410.96 |
$410.96 |
$410.96 |
$119.25
|
|
Inj nephrosto/ureterogram w/img exstng access
|
$2,685.71 |
$2,685.71 |
$2,685.71 |
$1,522.56
|
|
Inj proc elbow arthro
|
$2,505.56 |
$2,505.56 |
$2,505.56 |
$453.60
|
|
Inj proc myelogram lumbar
|
$3,449.99 |
$3,449.99 |
$3,449.99 |
$922.80
|
|
Inj retro urethrocysto
|
$1,514.73 |
$1,514.73 |
$1,514.73 |
$551.29
|
|
Inj secukinumab intrav 1mg
|
$39,424.39 |
$39,424.39 |
$39,424.39 |
$9,077.39
|
|
Inj, spesolimab-sbzo, 1 mg
|
$952,665.63 |
$952,665.63 |
$952,665.63 |
$253,022.14
|
|
Inj testosterone cypionate
|
$342.04 |
$342.04 |
$342.04 |
$77.15
|
|
Inj, tislelizumab-jsgr
|
$45,038.47 |
$45,038.47 |
$45,038.47 |
$45,250.97
|
|
Inj, vancomycin hcl (mylan)
|
$107.55 |
$107.55 |
$107.55 |
$63.82
|
|
Inj, vegzelma, 10 mg
|
$12,825.90 |
$12,825.90 |
$12,825.90 |
$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
|
$11,623.82 |
$11,623.82 |
$11,623.82 |
$6,033.75
|
|
Ins cath ren art 1st uni
|
$8,023.82 |
$8,023.82 |
$8,023.82 |
$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 cath pleura with image
|
$3,925.23 |
$3,925.23 |
$3,925.23 |
$2,239.02
|
|
Insert cath pleura without image
|
$3,287.49 |
$3,287.49 |
$3,287.49 |
$2,212.00
|
|
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 |
$8,023.82 |
$2,618.40
|
|
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 |
$29,997.52 |
$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 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 vad art access left hrt arterial access
|
$18,056.29 |
$18,056.29 |
$18,056.29 |
$5,062.80
|
|
In situ hybridization per specimen each additional single probe stain
|
$899.60 |
$899.60 |
$899.60 |
$251.55
|
|
In situ hybridization per specimen initial single probe stain
|
$1,666.44 |
$1,666.44 |
$1,666.44 |
$338.40
|
|
Insj perq vad r hrt venous
|
$19,306.35 |
$19,306.35 |
$19,306.35 |
$4,981.60
|
|
Ins pq tunnld ip cath w/img
|
$11,082.59 |
$11,082.59 |
$11,082.59 |
$5,593.60
|
|
Ins/rpl ldless pm right vent w img & eval
|
$59,188.03 |
$59,188.03 |
$59,188.03 |
$24,135.54
|
|
Ins/rpl pm w/tv ld atrl
|
$14,150.58 |
$14,150.58 |
$14,150.58 |
$12,384.25
|
|
Instill, bupivac and meloxic
|
$2,534.85 |
$2,534.85 |
$2,534.85 |
$1,127.61
|
|
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 |
$8,023.82 |
$4,748.00
|
|
Insulin total
|
$71.22 |
$71.22 |
$71.22 |
$67.60
|
|
Intrapul surf admin endo tube
|
$1,819.13 |
$1,819.13 |
$1,819.13 |
$239.52
|
|
Intraventricular pacing
|
$13,356.76 |
$13,356.76 |
$13,356.76 |
$5,775.22
|
|
Intrinsic factor antibody
|
$257.40 |
$257.40 |
$257.40 |
$59.95
|
|
Intro cath dialysis circuit
|
$7,509.84 |
$7,509.84 |
$7,509.84 |
$2,317.80
|
|
Intro cath dialysis circuit w/pta
|
$22,371.56 |
$22,371.56 |
$22,371.56 |
$8,761.00
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$37,946.21 |
$37,946.21 |
$37,946.21 |
$15,625.00
|
|
Intro catheter aorta
|
$4,571.53 |
$4,571.53 |
$4,571.53 |
$1,861.61
|
|
Intro cath svc/ivc
|
$3,631.90 |
$3,631.90 |
$3,631.90 |
$1,350.75
|
|
Intro long gi tube
|
$2,391.11 |
$2,391.11 |
$2,391.11 |
$1,036.00
|
|
Intro long gi tube w/mult fluo
|
$2,195.77 |
$2,195.77 |
$2,195.77 |
$477.85
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$5,120.54 |
$5,120.54 |
$5,120.54 |
$3,510.75
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$4,604.17 |
$4,604.17 |
$4,604.17 |
$1,825.16
|
|
Intubation endotracheal emergency procedure
|
$1,005.75 |
$1,005.75 |
$1,005.75 |
$617.60
|
|
Ionm in operatng room 15 min
|
$121.40 |
$121.40 |
$121.40 |
$200.78
|