|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$63.04 |
$63.04 |
$63.04 |
$135.60
|
|
Inject sacroiliac joint
|
$403.20 |
$403.20 |
$403.20 |
$1,028.95
|
|
Inj. fe derisomaltose 10 mg
|
$2,680.53 |
$2,680.53 |
$2,680.53 |
$3,221.52
|
|
Inj for ext venography
|
$407.04 |
$407.04 |
$407.04 |
$649.95
|
|
Inj for mammo ductogram
|
$188.16 |
$188.16 |
$188.16 |
$399.60
|
|
Inj, gadopiclenol, 1 ml
|
$3.51 |
$3.51 |
$3.51 |
$37.63
|
|
Inj., guselkumab, 1 mg
|
$9,229.30 |
$9,229.30 |
$9,229.30 |
$29,130.83
|
|
Inj hrt cath w/s&i nonsel p-art angrp
|
$125.44 |
$125.44 |
$125.44 |
$1,439.90
|
|
Inj hrt cath w/s&i sel hrt ang
|
$474.88 |
$474.88 |
$474.88 |
$1,827.74
|
|
Inj hrt cath w/s&i sel hrt art
|
$271.36 |
$271.36 |
$271.36 |
$1,045.80
|
|
Inj hrt cath w/s&i sel left vent
|
$203.52 |
$203.52 |
$203.52 |
$1,239.00
|
|
Inj hrt cath w/s&i sel right vent
|
$203.52 |
$203.52 |
$203.52 |
$965.33
|
|
Inj. inebilizumab-cdon, 1 mg
|
$28,722.89 |
$28,722.89 |
$28,722.89 |
$70,014.65
|
|
Inj intralesional <= 7 lsn(s)
|
$23.68 |
$23.68 |
$23.68 |
$235.13
|
|
Inj ivig privigen 500 mg
|
$6,362.36 |
$6,362.36 |
$6,362.36 |
$6,967.29
|
|
Inj, lidocaine w epinephrine
|
$29.28 |
$29.28 |
$29.28 |
$47.52
|
|
Inj mepivacaine hcl/10 ml
|
$21.47 |
$21.47 |
$21.47 |
$33.86
|
|
Inj multihance
|
$1.47 |
$1.47 |
$1.47 |
$73.49
|
|
Inj. mycophenolate mofetil
|
$103.01 |
$103.01 |
$103.01 |
$252.66
|
|
Inj nivolumab 2 mg hyaluron
|
$4,880.23 |
$4,880.23 |
$4,880.23 |
$15,599.68
|
|
Inj proc lumbr disk ea lvl
|
$407.04 |
$407.04 |
$407.04 |
$1,106.93
|
|
Inj proc sialogram
|
$169.60 |
$169.60 |
$169.60 |
$373.00
|
|
Inj retro urethrocysto
|
$169.60 |
$169.60 |
$169.60 |
$443.50
|
|
Inj, vasopressin (baxter)
|
$97.92 |
$97.92 |
$97.92 |
$228.24
|
|
Inj, vegzelma, 10 mg
|
$2,185.02 |
$2,185.02 |
$2,185.02 |
$1,291.28
|
|
Inj w/fluor eval cv device
|
$179.84 |
$179.84 |
$179.84 |
$503.92
|
|
Ins cath ren art 1st bi
|
$3,045.44 |
$3,045.44 |
$3,045.44 |
$5,753.10
|
|
Ins cath ren art 1st uni
|
$2,522.24 |
$2,522.24 |
$2,522.24 |
$4,660.00
|
|
Ins cath ren art 2nd+ bi
|
$2,374.40 |
$2,374.40 |
$2,374.40 |
$5,500.86
|
|
Ins cath ren art 2nd+ uni
|
$3,256.32 |
$3,256.32 |
$3,256.32 |
$5,395.20
|
|
Ins cerv dilator (sep proc)
|
$169.60 |
$169.60 |
$169.60 |
$480.28
|
|
Insert cath pleura with image
|
$1,176.96 |
$1,176.96 |
$1,176.96 |
$2,194.40
|
|
Insert cath pleura without image
|
$720.96 |
$720.96 |
$720.96 |
$2,073.18
|
|
Insert drug delivery implant
|
$109.44 |
$109.44 |
$109.44 |
$280.00
|
|
Insert hepatic shunt (tips)
|
$1,899.52 |
$1,899.52 |
$1,899.52 |
$7,571.20
|
|
Insert intrauterine device iud
|
$38.72 |
$38.72 |
$38.72 |
$347.10
|
|
Insertion catheter bladder non indwelling
|
$56.64 |
$56.64 |
$56.64 |
$205.40
|
|
Insertion catheter bladder temporary simple
|
$75.84 |
$75.84 |
$75.84 |
$232.25
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$3,264.00 |
$3,264.00 |
$3,264.00 |
$4,782.00
|
|
Insertion intra aortic balloon assist device percutaneous
|
$2,238.72 |
$2,238.72 |
$2,238.72 |
$2,529.45
|
|
Insertion intra-aortic circulation dev 33970
|
$123.52 |
$123.52 |
$123.52 |
$1,752.40
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$3,256.32 |
$3,256.32 |
$3,256.32 |
$7,210.78
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$1,791.04 |
$1,791.04 |
$1,791.04 |
$2,505.60
|
|
Insertion of catheter vein
|
$508.80 |
$508.80 |
$508.80 |
$1,477.00
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$5,291.52 |
$5,291.52 |
$5,291.52 |
$12,384.25
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$9,109.12 |
$9,109.12 |
$9,109.12 |
$12,384.25
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$1,969.92 |
$1,969.92 |
$1,969.92 |
$10,100.35
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$883.84 |
$883.84 |
$883.84 |
$2,079.50
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$1,159.68 |
$1,159.68 |
$1,159.68 |
$2,419.65
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$21,708.80 |
$21,708.80 |
$21,708.80 |
$29,042.52
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$5,797.76 |
$5,797.76 |
$5,797.76 |
$7,200.05
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$7,944.00 |
$7,944.00 |
$7,944.00 |
$7,312.80
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$5,620.48 |
$5,620.48 |
$5,620.48 |
$9,332.50
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$2,021.76 |
$2,021.76 |
$2,021.76 |
$5,223.20
|
|
Insert multi-comp penis pros
|
$639.68 |
$639.68 |
$639.68 |
$21,998.10
|
|
Insert pessary/other device
|
$35.52 |
$35.52 |
$35.52 |
$278.50
|
|
Insert pm/icd lead dual
|
$3,799.04 |
$3,799.04 |
$3,799.04 |
$7,115.20
|
|
Insert/repl sq defib w/eltrd
|
$19,754.88 |
$19,754.88 |
$19,754.88 |
$32,800.04
|
|
Insert swan-ganz cath
|
$814.08 |
$814.08 |
$814.08 |
$2,210.50
|
|
Insert tunneled cv 2cath 2sits without port/pmp 36565
|
$3,054.72 |
$3,054.72 |
$3,054.72 |
$4,803.00
|
|
Insert vad art access left hrt arterial access
|
$4,233.28 |
$4,233.28 |
$4,233.28 |
$4,270.75
|
|
Ins icd gen exist mlt leads
|
$16,960.00 |
$16,960.00 |
$16,960.00 |
$31,286.77
|
|
Ins icd gen exist sgl lead
|
$12,889.60 |
$12,889.60 |
$12,889.60 |
$23,230.50
|
|
Insitu hybridization auto
|
$176.00 |
$176.00 |
$176.00 |
$377.37
|
|
Insitu hybridization (fish)
|
$153.60 |
$153.60 |
$153.60 |
$481.60
|
|
Insitu hybridization manual
|
$176.00 |
$176.00 |
$176.00 |
$401.28
|
|
In situ hybridization per specimen each additional single probe stain
|
$76.80 |
$76.80 |
$76.80 |
$241.15
|
|
In situ hybridization per specimen initial single probe stain
|
$160.32 |
$160.32 |
$160.32 |
$331.69
|
|
Insj biomechanical device 22853
|
$194.56 |
$194.56 |
$194.56 |
$622.40
|
|
Insj perq vad r hrt venous
|
$263.36 |
$263.36 |
$263.36 |
$3,796.00
|
|
Ins lv lead exist pm/icd
|
$5,291.52 |
$5,291.52 |
$5,291.52 |
$12,384.25
|
|
Ins picad w subq port 5yr>
|
$1,899.52 |
$1,899.52 |
$1,899.52 |
$3,985.20
|
|
Ins pm gen exist dual lead
|
$12,889.60 |
$12,889.60 |
$12,889.60 |
$23,665.85
|
|
Ins pq tunnld ip cath w/img
|
$3,264.64 |
$3,264.64 |
$3,264.64 |
$5,377.00
|
|
Ins/rpl ldless pm right vent w img & eval
|
$9,497.60 |
$9,497.60 |
$9,497.60 |
$24,135.54
|
|
Ins/rpl pm gen exist dual lead
|
$5,291.52 |
$5,291.52 |
$5,291.52 |
$11,005.50
|
|
Ins/rpl pm gen exist sgl lead
|
$5,291.52 |
$5,291.52 |
$5,291.52 |
$9,428.64
|
|
Ins/rpl pm w/tv ld atrl
|
$5,291.52 |
$5,291.52 |
$5,291.52 |
$11,583.66
|
|
Instillation anticarcinogenic agent bladder
|
$304.32 |
$304.32 |
$304.32 |
$621.40
|
|
Ins tun cvad 2 cath w/subq port(s)
|
$273.60 |
$273.60 |
$273.60 |
$7,826.00
|
|
Ins tun cv cath wo subq prt/pm
|
$2,010.56 |
$2,010.56 |
$2,010.56 |
$4,202.70
|
|
Inst via cath agent pleurds
|
$55.04 |
$55.04 |
$55.04 |
$1,065.00
|
|
Insulin total
|
$65.28 |
$65.28 |
$65.28 |
$66.64
|
|
Integra meshed bil wound mat
|
$6,490.88 |
$6,490.88 |
$6,490.88 |
$9,924.16
|
|
Interdiscal perq aspir dx
|
$325.76 |
$325.76 |
$325.76 |
$1,222.26
|
|
Interrog dev eval scrms ip
|
$14.08 |
$14.08 |
$14.08 |
$124.80
|
|
Interrog device eval heart
|
$72.96 |
$72.96 |
$72.96 |
$162.40
|
|
Interrog evl pm/ldls pm ip
|
$54.08 |
$54.08 |
$54.08 |
$124.80
|
|
Intestinal stricturoplasty
|
$824.96 |
$824.96 |
$824.96 |
$2,351.50
|
|
Int hrhc lig 1 hroid without img
|
$285.44 |
$285.44 |
$285.44 |
$3,484.00
|
|
Int hrhc lig 2+hroid without img
|
$315.84 |
$315.84 |
$315.84 |
$3,245.23
|
|
Intra-atrial pacing
|
$4,748.80 |
$4,748.80 |
$4,748.80 |
$4,780.80
|
|
Intra-atrial recording
|
$4,748.80 |
$4,748.80 |
$4,748.80 |
$5,252.30
|
|
Intracard echo interv w/s&i
|
$737.92 |
$737.92 |
$737.92 |
$3,461.04
|
|
Intracranial complete study
|
$301.76 |
$301.76 |
$301.76 |
$874.99
|
|
Intracranial limited study
|
$301.76 |
$301.76 |
$301.76 |
$465.01
|
|
Intranasal biopsy 30100
|
$842.88 |
$842.88 |
$842.88 |
$2,133.48
|
|
Intraoral i+d tongue/floor lingual 41000
|
$87.04 |
$87.04 |
$87.04 |
$1,331.45
|
|
Intraventricular pacing
|
$4,748.80 |
$4,748.80 |
$4,748.80 |
$5,456.17
|
|
Intrinsic factor antibody
|
$53.76 |
$53.76 |
$53.76 |
$63.15
|
