|
Inj efgart-alfa 2mg hya-qvfc
|
$96,841.85 |
$96,841.85 |
$96,841.85 |
$32,176.93
|
|
Inj epidural sgl cerv-thor without img
|
$2,876.30 |
$2,876.30 |
$2,876.30 |
$1,318.80
|
|
Inj epidural sgl lumb-sacral without img
|
$97,338.12 |
$97,338.12 |
$97,338.12 |
$1,415.50
|
|
Inj fluphenazine hcl 1.25 mg
|
$515.90 |
$515.90 |
$515.90 |
$39.54
|
|
Inj for ext venography
|
$17,685.83 |
$17,685.83 |
$17,685.83 |
$649.95
|
|
Inj, fulvestrant (fresenius)
|
$5,408.02 |
$5,408.02 |
$5,408.02 |
$1,043.05
|
|
Inj glofitamab gxbm, 2.5 mg
|
$63,274.22 |
$63,274.22 |
$63,274.22 |
$4,760.67
|
|
Inj hrt cath w/s&i nonsel p-art angrp
|
$3,875.20 |
$3,875.20 |
$3,875.20 |
$1,439.90
|
|
Inj hrt cath w/s&i sel hrt ang
|
$3,314.50 |
$3,314.50 |
$3,314.50 |
$1,827.74
|
|
Inj hrt cath w/s&i sel left vent
|
$1,657.60 |
$1,657.60 |
$1,657.60 |
$1,239.00
|
|
Inj hrt cath w/s&i sel right vent
|
$1,657.60 |
$1,657.60 |
$1,657.60 |
$965.33
|
|
Inj hydroxocobalamin IV 25mg
|
$5,667.72 |
$5,667.72 |
$5,667.72 |
$2,452.32
|
|
Inj/inf neurolyt sbst spinal canal lesion 62282
|
$5,803.00 |
$5,803.00 |
$5,803.00 |
$1,928.00
|
|
Inj intralesional <= 7 lsn(s)
|
$371.00 |
$371.00 |
$371.00 |
$235.13
|
|
Inj ivig privigen 500 mg
|
$27,464.67 |
$27,464.67 |
$27,464.67 |
$6,967.29
|
|
Inj, lecanemab-irmb, 1 mg
|
$3,849.82 |
$3,849.82 |
$3,849.82 |
$1,174.88
|
|
Inj levocarnitine per 1 gm
|
$125.47 |
$125.47 |
$125.47 |
$136.62
|
|
Inj, levothyroxine, freskabi
|
$96.60 |
$96.60 |
$96.60 |
$303.45
|
|
Inj, lidocaine w epinephrine
|
$128.45 |
$128.45 |
$128.45 |
$47.52
|
|
Inj melpha hydroch nos 50 mg
|
$2,737.17 |
$2,737.17 |
$2,737.17 |
$1,791.90
|
|
Inj mepivacaine hcl/10 ml
|
$36.92 |
$36.92 |
$36.92 |
$33.86
|
|
Inj meropenem (wg crit care)
|
$147.17 |
$147.17 |
$147.17 |
$77.97
|
|
Inj, micafungin (par pharm)
|
$129.85 |
$129.85 |
$129.85 |
$89.40
|
|
Inj, mirikizumab-mrkz, 1 mg
|
$55,989.85 |
$55,989.85 |
$55,989.85 |
$1,496.55
|
|
Inj mogamulizumab-kpkc, 1 mg
|
$27,669.07 |
$27,669.07 |
$27,669.07 |
$8,304.04
|
|
Inj, moxifloxacin 100 mg
|
$105.00 |
$105.00 |
$105.00 |
$107.25
|
|
Inj multihance
|
$160.47 |
$160.47 |
$160.47 |
$73.49
|
|
Inj. mycophenolate mofetil
|
$614.95 |
$614.95 |
$614.95 |
$252.66
|
|
Inj naloxone hydrochloride
|
$80.50 |
$80.50 |
$80.50 |
$83.16
|
|
Inj nephrosto/ureterogram w/img exstng access
|
$3,695.69 |
$3,695.69 |
$3,695.69 |
$1,413.35
|
|
Inj nivolumab 2 mg hyaluron
|
$46,640.12 |
$46,640.12 |
$46,640.12 |
$15,599.68
|
|
Inj non-compmd foam sclrsnt mlt trncl veins same leg
|
$8,185.53 |
$8,185.53 |
$8,185.53 |
$2,837.09
|
|
Inj non-compmd foam sclrsnt sgl trncl vein
|
$3,686.90 |
$3,686.90 |
$3,686.90 |
$2,609.38
|
|
Inj octafluoropropane mic,ml
|
$731.85 |
$731.85 |
$731.85 |
$211.40
|
|
Inj ogivri 10 mg
|
$10,102.57 |
$10,102.57 |
$10,102.57 |
$4,492.28
|
|
Inj peritoneal venous shunt
|
$1,262.80 |
$1,262.80 |
$1,262.80 |
$413.70
|
|
Inj proc ankle arthr
|
$128.80 |
$128.80 |
$128.80 |
$405.31
|
|
Inj proc elbow arthro
|
$273.70 |
$273.70 |
$273.70 |
$419.60
|
|
Inj proc for lymphang
|
$58,323.52 |
$58,323.52 |
$58,323.52 |
$682.00
|
|
Inj proc sialogram
|
$1,299.20 |
$1,299.20 |
$1,299.20 |
$373.00
|
|
Inj progesterone per 50 mg
|
$168.35 |
$168.35 |
$168.35 |
$15.00
|
|
Inj scleros sol mult veins
|
$9,560.47 |
$9,560.47 |
$9,560.47 |
$675.00
|
|
Inj scleros sol sgl vein
|
$4,717.12 |
$4,717.12 |
$4,717.12 |
$558.97
|
|
Inj secretin synthetic human
|
$3,900.92 |
$3,900.92 |
$3,900.92 |
$1,285.20
|
|
Inj secukinumab intrav 1mg
|
$12,843.95 |
$12,843.95 |
$12,843.95 |
$4,413.21
|
|
Inj teclistamab cqyv 0.5 mg
|
$60,976.12 |
$60,976.12 |
$60,976.12 |
$17,517.56
|
|
Inj testostero enanthate 1mg
|
$11.90 |
$11.90 |
$11.90 |
$123.24
|
|
Inj thiotepa nos 1 mg
|
$297.50 |
$297.50 |
$297.50 |
$3,170.16
|
|
Inj thrc fascial pln blk bi w/wo image
|
$3,438.40 |
$3,438.40 |
$3,438.40 |
$1,152.97
|
|
Inj thrc fascial pln blk uni w/wo image
|
$50,388.60 |
$50,388.60 |
$50,388.60 |
$837.50
|
|
Inj tofersen intrathec 1 mg
|
$83,975.67 |
$83,975.67 |
$83,975.67 |
$422.10
|
|
Inj, tyenne, 1 mg
|
$10,929.62 |
$10,929.62 |
$10,929.62 |
$3,525.12
|
|
Inj vasopressin (am reg) 1 u
|
$216.47 |
$216.47 |
$216.47 |
$41.79
|
|
Inj w/fluor eval cv device
|
$1,571.32 |
$1,571.32 |
$1,571.32 |
$503.92
|
|
Ins cath ren art 1st bi
|
$7,978.60 |
$7,978.60 |
$7,978.60 |
$5,753.10
|
|
Ins cath ren art 1st uni
|
$77,359.08 |
$77,359.08 |
$77,359.08 |
$4,660.00
|
|
Ins cath ren art 2nd+ bi
|
$6,309.80 |
$6,309.80 |
$6,309.80 |
$5,500.86
|
|
Ins cath ren art 2nd+ uni
|
$74,201.34 |
$74,201.34 |
$74,201.34 |
$5,395.20
|
|
Ins cerv dilator (sep proc)
|
$415.80 |
$415.80 |
$415.80 |
$480.28
|
|
Insert cath pleura with image
|
$2,627.10 |
$2,627.10 |
$2,627.10 |
$2,194.40
|
|
Insert cath pleura without image
|
$2,495.50 |
$2,495.50 |
$2,495.50 |
$2,073.18
|
|
Insert eye socket implant
|
$25,801.01 |
$25,801.01 |
$25,801.01 |
$5,067.20
|
|
Insert hepatic shunt (tips)
|
$10,168.20 |
$10,168.20 |
$10,168.20 |
$7,571.20
|
|
Insert intrauterine device iud
|
$20,111.69 |
$20,111.69 |
$20,111.69 |
$347.10
|
|
Insertion catheter bladder non indwelling
|
$3,264.62 |
$3,264.62 |
$3,264.62 |
$205.40
|
|
Insertion catheter bladder temporary simple
|
$13,601.07 |
$13,601.07 |
$13,601.07 |
$232.25
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$15,203.96 |
$15,203.96 |
$15,203.96 |
$4,782.00
|
|
Insertion intra aortic balloon assist device percutaneous
|
$1,830.50 |
$1,830.50 |
$1,830.50 |
$2,529.45
|
|
Insertion intra-aortic circulation dev 33970
|
$2,826.60 |
$2,826.60 |
$2,826.60 |
$1,752.40
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$16,237.91 |
$16,237.91 |
$16,237.91 |
$7,210.78
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$2,602.60 |
$2,602.60 |
$2,602.60 |
$2,505.60
|
|
Insertion of catheter vein
|
$14,602.59 |
$14,602.59 |
$14,602.59 |
$1,477.00
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$48,077.79 |
$48,077.79 |
$48,077.79 |
$12,384.25
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$50,083.04 |
$50,083.04 |
$50,083.04 |
$12,384.25
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$131,399.70 |
$131,399.70 |
$131,399.70 |
$10,100.35
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$4,085.20 |
$4,085.20 |
$4,085.20 |
$2,079.50
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$4,724.30 |
$4,724.30 |
$4,724.30 |
$2,419.65
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$152,888.27 |
$152,888.27 |
$152,888.27 |
$29,042.52
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$7,875.00 |
$7,875.00 |
$7,875.00 |
$7,200.05
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$178,645.11 |
$178,645.11 |
$178,645.11 |
$7,312.80
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$38,451.59 |
$38,451.59 |
$38,451.59 |
$9,332.50
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$13,029.60 |
$13,029.60 |
$13,029.60 |
$5,223.20
|
|
Insert multi-comp penis pros
|
$127,997.79 |
$127,997.79 |
$127,997.79 |
$21,998.10
|
|
Insert nasal septal button
|
$26,705.45 |
$26,705.45 |
$26,705.45 |
$1,783.50
|
|
Insert pessary/other device
|
$343.00 |
$343.00 |
$343.00 |
$278.50
|
|
Insert pm/icd lead dual
|
$16,692.20 |
$16,692.20 |
$16,692.20 |
$7,115.20
|
|
Insert/repl sq defib w/eltrd
|
$228,168.86 |
$228,168.86 |
$228,168.86 |
$32,800.04
|
|
Insert sq defib electrode
|
$18,418.40 |
$18,418.40 |
$18,418.40 |
$8,167.68
|
|
Insert swan-ganz cath
|
$1,393.70 |
$1,393.70 |
$1,393.70 |
$2,210.50
|
|
Insert tunneled cv cath
|
$7,725.20 |
$7,725.20 |
$7,725.20 |
$4,520.00
|
|
Insert uro/ves nck sphincter
|
$149,134.52 |
$149,134.52 |
$149,134.52 |
$22,298.82
|
|
Insert vad art access left hrt arterial access
|
$4,880.40 |
$4,880.40 |
$4,880.40 |
$4,270.75
|
|
Ins icd gen exist mlt leads
|
$54,215.70 |
$54,215.70 |
$54,215.70 |
$31,286.77
|
|
Ins icd gen exist sgl lead
|
$97,400.94 |
$97,400.94 |
$97,400.94 |
$23,230.50
|
|
Insitu hybridization (fish)
|
$18,407.37 |
$18,407.37 |
$18,407.37 |
$481.60
|
|
Insitu hybridization manual
|
$459.20 |
$459.20 |
$459.20 |
$401.28
|
|
In situ hybridization per specimen each additional single probe stain
|
$24,801.97 |
$24,801.97 |
$24,801.97 |
$241.15
|
|
In situ hybridization per specimen initial single probe stain
|
$21,159.96 |
$21,159.96 |
$21,159.96 |
$331.69
|
|
Insj perq vad r hrt venous
|
$7,254.80 |
$7,254.80 |
$7,254.80 |
$3,796.00
|
|
Ins lv lead exist pm/icd
|
$13,969.20 |
$13,969.20 |
$13,969.20 |
$12,384.25
|