|
Injection for tear sac x-ray
|
$1,040.00 |
$1,040.00 |
$1,040.00 |
$225.20
|
|
Injection for ureter x-ray
|
$275.00 |
$275.00 |
$275.00 |
$415.80
|
|
Injection for ureter x-ray
|
$390.00 |
$390.00 |
$390.00 |
$515.21
|
|
Injection, fulvestrant
|
$26.19 |
$26.19 |
$26.19 |
$1,719.16
|
|
Injection, glucarpidase
|
$689.67 |
$689.67 |
$689.67 |
$74,113.20
|
|
Injection, inclisiran, 1 mg
|
$29.27 |
$29.27 |
$29.27 |
$6,679.35
|
|
Injection into brain canal
|
$650.00 |
$650.00 |
$650.00 |
$844.50
|
|
Injection into spinal artery
|
$1,135.00 |
$1,135.00 |
$1,135.00 |
$1,710.80
|
|
Injection, isavuconazonium
|
$3.04 |
$3.04 |
$3.04 |
$787.67
|
|
Injection jaw joint x-ray
|
$195.00 |
$195.00 |
$195.00 |
$307.80
|
|
Injection of sinus tract
|
$625.00 |
$625.00 |
$625.00 |
$1,640.99
|
|
Injection,onabotulinumtoxina
|
$19.19 |
$19.19 |
$19.19 |
$2,277.65
|
|
Injection, peramivir
|
$4.71 |
$4.71 |
$4.71 |
$744.75
|
|
Injection radioactive tracer sentinel node (both sides)
|
$650.00 |
$650.00 |
$650.00 |
$685.44
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$1,565.00 |
$1,565.00 |
$1,565.00 |
$1,391.40
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$775.00 |
$775.00 |
$775.00 |
$1,043.72
|
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
|
$1,510.00 |
$1,510.00 |
$1,510.00 |
$2,040.36
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
|
$785.00 |
$785.00 |
$785.00 |
$1,030.05
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
|
$1,540.00 |
$1,540.00 |
$1,540.00 |
$1,855.36
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
|
$675.00 |
$675.00 |
$675.00 |
$1,043.20
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
|
$1,820.00 |
$1,820.00 |
$1,820.00 |
$2,006.79
|
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
|
$1,145.00 |
$1,145.00 |
$1,145.00 |
$1,817.24
|
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
|
$1,145.00 |
$1,145.00 |
$1,145.00 |
$1,685.00
|
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
|
$412.50 |
$412.50 |
$412.50 |
$475.80
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$500.00 |
$500.00 |
$500.00 |
$548.80
|
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
|
$625.00 |
$625.00 |
$625.00 |
$637.92
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$150.00 |
$150.00 |
$150.00 |
$145.60
|
|
Injection treatment of nerve
|
$2,785.00 |
$2,785.00 |
$2,785.00 |
$4,446.30
|
|
Injection treatment of nerve
|
$1,135.00 |
$1,135.00 |
$1,135.00 |
$2,054.00
|
|
Inject sacroiliac joint
|
$1,020.00 |
$1,020.00 |
$1,020.00 |
$1,029.04
|
|
Inj epidural sgl lumb-sacral without img
|
$895.00 |
$895.00 |
$895.00 |
$1,450.84
|
|
Inj for ext venography
|
$675.00 |
$675.00 |
$675.00 |
$628.80
|
|
Inj for mammo ductogram
|
$285.00 |
$285.00 |
$285.00 |
$397.80
|
|
Inj. herceptin hylecta, 10mg
|
$190.91 |
$190.91 |
$190.91 |
$8,193.78
|
|
Inj herzuma 10 mg
|
$220.78 |
$220.78 |
$220.78 |
$7,775.46
|
|
Inj hrt cath w/s&i nonsel p-art angrp
|
$555.00 |
$555.00 |
$555.00 |
$1,492.00
|
|
Inj hrt cath w/s&i sel hrt ang
|
$1,265.00 |
$1,265.00 |
$1,265.00 |
$1,818.15
|
|
Inj hrt cath w/s&i sel hrt art
|
$1,005.00 |
$1,005.00 |
$1,005.00 |
$1,045.80
|
|
Inj hrt cath w/s&i sel left vent
|
$740.00 |
$740.00 |
$740.00 |
$1,250.34
|
|
Inj hrt cath w/s&i sel right vent
|
$745.00 |
$745.00 |
$745.00 |
$999.96
|
|
Inj/inf neurolyt sbst spinal canal lesion 62282
|
$1,135.00 |
$1,135.00 |
$1,135.00 |
$1,938.00
|
|
Inj intralesional <= 7 lsn(s)
|
$332.50 |
$332.50 |
$332.50 |
$235.13
|
|
Inj ivig privigen 500 mg
|
$135.41 |
$135.41 |
$135.41 |
$6,967.29
|
|
Inj, lecanemab-irmb, 1 mg
|
$3.80 |
$3.80 |
$3.80 |
$1,174.88
|
|
Inj lwr xtr fscl pln blk uni w/wo image
|
$625.00 |
$625.00 |
$625.00 |
$794.70
|
|
Inj., meropenem, vaborbactam
|
$658.25 |
$658.25 |
$658.25 |
$556.87
|
|
Inj. mycophenolate mofetil
|
$4.19 |
$4.19 |
$4.19 |
$252.66
|
|
Inj nephrosto/ureterogram w/img exstng access
|
$875.00 |
$875.00 |
$875.00 |
$1,413.35
|
|
Inj proc ankle arthr
|
$332.50 |
$332.50 |
$332.50 |
$405.31
|
|
Inj proc elbow arthro
|
$332.50 |
$332.50 |
$332.50 |
$432.00
|
|
Inj proc for lymphang
|
$335.00 |
$335.00 |
$335.00 |
$742.40
|
|
Inj proc lumbr disk ea lvl
|
$885.00 |
$885.00 |
$885.00 |
$1,106.93
|
|
Inj proc myelogram lumbar
|
$830.00 |
$830.00 |
$830.00 |
$838.30
|
|
Inj proc sialogram
|
$535.00 |
$535.00 |
$535.00 |
$373.00
|
|
Inj retro urethrocysto
|
$222.50 |
$222.50 |
$222.50 |
$447.74
|
|
Inj scleros sol sgl vein
|
$620.00 |
$620.00 |
$620.00 |
$561.88
|
|
Inj secukinumab intrav 1mg
|
$42.04 |
$42.04 |
$42.04 |
$4,413.21
|
|
Inj teclistamab cqyv 0.5 mg
|
$79.03 |
$79.03 |
$79.03 |
$17,517.56
|
|
Inj thrc fascial pln blk bi w/wo image
|
$740.00 |
$740.00 |
$740.00 |
$1,049.50
|
|
Inj thrc fascial pln blk uni w/wo image
|
$625.00 |
$625.00 |
$625.00 |
$818.00
|
|
Inj w/fluor eval cv device
|
$540.00 |
$540.00 |
$540.00 |
$504.40
|
|
Inotuzumab ozogamicin 0.9 mg(0.25 mg/ml initial concentration) IV soln
|
$4,263.48 |
$4,263.48 |
$4,263.48 |
$41,083.73
|
|
Ins cath ren art 1st bi
|
$3,780.00 |
$3,780.00 |
$3,780.00 |
$5,974.80
|
|
Ins cath ren art 1st uni
|
$3,970.00 |
$3,970.00 |
$3,970.00 |
$4,667.63
|
|
Ins cath ren art 2nd+ bi
|
$6,850.00 |
$6,850.00 |
$6,850.00 |
$5,663.98
|
|
Ins cath ren art 2nd+ uni
|
$3,205.00 |
$3,205.00 |
$3,205.00 |
$5,395.20
|
|
Ins cerv dilator (sep proc)
|
$382.50 |
$382.50 |
$382.50 |
$490.73
|
|
Insert and remove bone pin
|
$3,630.00 |
$3,630.00 |
$3,630.00 |
$4,433.36
|
|
Insert cath pleura with image
|
$1,090.00 |
$1,090.00 |
$1,090.00 |
$2,194.40
|
|
Insert cath pleura without image
|
$660.00 |
$660.00 |
$660.00 |
$2,099.70
|
|
Insert hepatic shunt (tips)
|
$3,015.00 |
$3,015.00 |
$3,015.00 |
$7,571.20
|
|
Insertion catheter bladder non indwelling
|
$220.00 |
$220.00 |
$220.00 |
$208.01
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$4,585.00 |
$4,585.00 |
$4,585.00 |
$4,897.20
|
|
Insertion intra aortic balloon assist device percutaneous
|
$1,240.00 |
$1,240.00 |
$1,240.00 |
$2,447.63
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$4,960.00 |
$4,960.00 |
$4,960.00 |
$7,210.78
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$2,330.00 |
$2,330.00 |
$2,330.00 |
$2,585.25
|
|
Insertion of catheter vein
|
$2,115.00 |
$2,115.00 |
$2,115.00 |
$1,525.80
|
|
Insertion of catheter vein
|
$425.00 |
$425.00 |
$425.00 |
$870.59
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$10,380.00 |
$10,380.00 |
$10,380.00 |
$12,384.25
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$9,955.00 |
$9,955.00 |
$9,955.00 |
$12,324.60
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$1,965.00 |
$1,965.00 |
$1,965.00 |
$9,884.16
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$1,090.00 |
$1,090.00 |
$1,090.00 |
$2,103.75
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$1,520.00 |
$1,520.00 |
$1,520.00 |
$2,453.83
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$29,805.00 |
$29,805.00 |
$29,805.00 |
$29,180.00
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$4,505.00 |
$4,505.00 |
$4,505.00 |
$7,183.68
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$6,020.00 |
$6,020.00 |
$6,020.00 |
$7,267.20
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$7,780.00 |
$7,780.00 |
$7,780.00 |
$9,332.50
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$4,280.00 |
$4,280.00 |
$4,280.00 |
$5,236.80
|
|
Insert pessary/other device
|
$295.00 |
$295.00 |
$295.00 |
$278.90
|
|
Insert picvad cath
|
$3,770.00 |
$3,770.00 |
$3,770.00 |
$4,195.00
|
|
Insert pm/icd lead dual
|
$6,020.00 |
$6,020.00 |
$6,020.00 |
$7,115.90
|
|
Insert/repl sq defib w/eltrd
|
$32,280.00 |
$32,280.00 |
$32,280.00 |
$33,593.55
|
|
Insert sq defib electrode
|
$18,295.00 |
$18,295.00 |
$18,295.00 |
$8,167.68
|
|
Insert swan-ganz cath
|
$1,390.00 |
$1,390.00 |
$1,390.00 |
$2,164.52
|
|
Insert tunneled cv cath
|
$3,770.00 |
$3,770.00 |
$3,770.00 |
$4,520.00
|
|
Insert uteri tandem/ovoids
|
$3,370.00 |
$3,370.00 |
$3,370.00 |
$3,940.41
|
|
Insert vad art access left hrt arterial access
|
$1,355.00 |
$1,355.00 |
$1,355.00 |
$4,276.00
|
|
Ins icd gen exist mlt leads
|
$14,560.00 |
$14,560.00 |
$14,560.00 |
$31,286.77
|
|
Ins icd gen exist sgl lead
|
$12,515.00 |
$12,515.00 |
$12,515.00 |
$23,230.50
|
|
Insitu hybridization auto
|
$565.00 |
$565.00 |
$565.00 |
$377.37
|
