|
Inj multihance
|
$64.93 |
$64.93 |
$64.93 |
$70.54
|
|
Inj. mycophenolate mofetil
|
$220.86 |
$220.86 |
$220.86 |
$252.66
|
|
Inj nephrosto/ureterogram w/img exstng access
|
$811.20 |
$811.20 |
$811.20 |
$1,413.35
|
|
Inj nivolumab 2 mg hyaluron
|
$14,110.18 |
$14,110.18 |
$14,110.18 |
$15,599.68
|
|
Inj non-compmd foam sclrsnt mlt trncl veins same leg
|
$233.40 |
$233.40 |
$233.40 |
$2,881.20
|
|
Inj non-compmd foam sclrsnt sgl trncl vein
|
$180.00 |
$180.00 |
$180.00 |
$2,726.90
|
|
Inj ocrelizumab 1mg hya-ocsq
|
$73,159.94 |
$73,159.94 |
$73,159.94 |
$66,582.27
|
|
Inj ogivri 10 mg
|
$6,589.99 |
$6,589.99 |
$6,589.99 |
$4,492.28
|
|
Inj pegfilgrastim-bmez 0.5mg
|
$6,965.32 |
$6,965.32 |
$6,965.32 |
$6,614.40
|
|
Inj peritoneal venous shunt
|
$586.20 |
$586.20 |
$586.20 |
$406.80
|
|
Inj., perseris, 0.5 mg
|
$5,146.85 |
$5,146.85 |
$5,146.85 |
$5,146.85
|
|
Inj proc ankle arthr
|
$264.00 |
$264.00 |
$264.00 |
$405.31
|
|
Inj proc elbow arthro
|
$216.60 |
$216.60 |
$216.60 |
$432.00
|
|
Inj proc for lymphang
|
$805.80 |
$805.80 |
$805.80 |
$742.40
|
|
Inj proc lumbr disk ea lvl
|
$666.00 |
$666.00 |
$666.00 |
$1,106.93
|
|
Inj proc myelogram lumbar
|
$400.20 |
$400.20 |
$400.20 |
$838.30
|
|
Inj proc sialogram
|
$209.40 |
$209.40 |
$209.40 |
$373.00
|
|
Inj progesterone per 50 mg
|
$14.93 |
$14.93 |
$14.93 |
$13.76
|
|
Inj retro urethrocysto
|
$213.60 |
$213.60 |
$213.60 |
$447.74
|
|
Inj, rimabotulinumtoxinb
|
$594.44 |
$594.44 |
$594.44 |
$714.24
|
|
Inj scleros sol mult veins
|
$337.80 |
$337.80 |
$337.80 |
$692.90
|
|
Inj scleros sol sgl vein
|
$286.20 |
$286.20 |
$286.20 |
$561.88
|
|
Inj(s) sclerosant spider veins limb/trunk
|
$112.20 |
$112.20 |
$112.20 |
$436.80
|
|
Inj sulf hexa lipid microsph
|
$281.30 |
$281.30 |
$281.30 |
$256.14
|
|
Inj teclistamab cqyv 0.5 mg
|
$17,249.16 |
$17,249.16 |
$17,249.16 |
$17,517.56
|
|
Inj tedizolid phosphate
|
$685.81 |
$685.81 |
$685.81 |
$664.72
|
|
Inj testostero enanthate 1mg
|
$157.81 |
$157.81 |
$157.81 |
$123.09
|
|
Inj testosterone cypionate
|
$257.14 |
$257.14 |
$257.14 |
$64.96
|
|
Inj triamcinolone ace X-ray 1mg
|
$1,230.10 |
$1,230.10 |
$1,230.10 |
$1,090.75
|
|
Inj, uzedy, 1 mg
|
$11,643.18 |
$11,643.18 |
$11,643.18 |
$11,475.96
|
|
Inj, vancomycin hcl (mylan)
|
$65.21 |
$65.21 |
$65.21 |
$72.33
|
|
Inj vancomycin (xellia) 10mg
|
$79.21 |
$79.21 |
$79.21 |
$76.59
|
|
Inj w/fluor eval cv device
|
$266.40 |
$266.40 |
$266.40 |
$504.40
|
|
Inpatient consultation
|
$76.20 |
$76.20 |
$76.20 |
$73.80
|
|
Inpt/ed teleconsult30
|
$164.40 |
$164.40 |
$164.40 |
$164.40
|
|
Inpt/ed teleconsult50
|
$223.80 |
$223.80 |
$223.80 |
$223.80
|
|
Inpt/ed teleconsult70
|
$330.60 |
$330.60 |
$330.60 |
$330.60
|
|
Inpt/tele follow up 15
|
$64.80 |
$64.80 |
$64.80 |
$64.80
|
|
Inpt/tele follow up 25
|
$118.80 |
$118.80 |
$118.80 |
$118.80
|
|
Inpt/tele follow up 35
|
$171.60 |
$171.60 |
$171.60 |
$171.60
|
|
Ins cath ren art 1st bi
|
$5,355.00 |
$5,355.00 |
$5,355.00 |
$5,974.80
|
|
Ins cath ren art 1st uni
|
$3,802.20 |
$3,802.20 |
$3,802.20 |
$4,667.63
|
|
Ins cath ren art 2nd+ bi
|
$6,178.80 |
$6,178.80 |
$6,178.80 |
$5,663.98
|
|
Ins cath ren art 2nd+ uni
|
$5,509.80 |
$5,509.80 |
$5,509.80 |
$5,395.20
|
|
Ins cerv dilator (sep proc)
|
$150.60 |
$150.60 |
$150.60 |
$490.73
|
|
Insert and remove bone pin
|
$381.00 |
$381.00 |
$381.00 |
$4,433.36
|
|
Insert brain-fluid device 61215
|
$1,432.80 |
$1,432.80 |
$1,432.80 |
$7,181.20
|
|
Insert cannula hemo oth 36815
|
$294.00 |
$294.00 |
$294.00 |
$5,983.35
|
|
Insert cannula vein-to-vein hemodialysis
|
$316.80 |
$316.80 |
$316.80 |
$7,279.50
|
|
Insert cath pleura with image
|
$314.40 |
$314.40 |
$314.40 |
$2,194.40
|
|
Insert cath pleura without image
|
$242.40 |
$242.40 |
$242.40 |
$2,099.70
|
|
Insert drug delivery implant
|
$257.40 |
$257.40 |
$257.40 |
$280.00
|
|
Insert epicard eltrd endo 33203
|
$1,564.20 |
$1,564.20 |
$1,564.20 |
$3,053.00
|
|
Insert epicardial lead open 33202
|
$1,504.20 |
$1,504.20 |
$1,504.20 |
$3,775.20
|
|
Insert intervert bimech device 22854
|
$632.40 |
$632.40 |
$632.40 |
$1,573.00
|
|
Insert intrauterine device iud
|
$129.60 |
$129.60 |
$129.60 |
$347.10
|
|
Insertion catheter artery nfs ther chemotx 36640
|
$334.20 |
$334.20 |
$334.20 |
$3,594.47
|
|
Insertion catheter bladder non indwelling
|
$109.80 |
$109.80 |
$109.80 |
$208.01
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$4,520.40 |
$4,520.40 |
$4,520.40 |
$4,897.20
|
|
Insertion intra aortic balloon assist device percutaneous
|
$2,611.80 |
$2,611.80 |
$2,611.80 |
$2,447.63
|
|
Insertion intra-aortic circulation dev 33970
|
$630.60 |
$630.60 |
$630.60 |
$1,752.40
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$6,321.00 |
$6,321.00 |
$6,321.00 |
$7,210.78
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$1,447.20 |
$1,447.20 |
$1,447.20 |
$2,585.25
|
|
Insertion of heart electrode 33211
|
$384.60 |
$384.60 |
$384.60 |
$6,820.50
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$14,888.40 |
$14,888.40 |
$14,888.40 |
$12,384.25
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$13,837.20 |
$13,837.20 |
$13,837.20 |
$12,324.60
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$8,272.20 |
$8,272.20 |
$8,272.20 |
$9,884.16
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$1,447.20 |
$1,447.20 |
$1,447.20 |
$2,103.75
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$828.00 |
$828.00 |
$828.00 |
$2,453.83
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$19,851.60 |
$19,851.60 |
$19,851.60 |
$29,180.00
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$7,590.00 |
$7,590.00 |
$7,590.00 |
$7,183.68
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$10,417.20 |
$10,417.20 |
$10,417.20 |
$7,267.20
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$10,417.20 |
$10,417.20 |
$10,417.20 |
$9,332.50
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$2,550.00 |
$2,550.00 |
$2,550.00 |
$5,236.80
|
|
Insertion ureth cath
|
$953.40 |
$953.40 |
$953.40 |
$2,412.45
|
|
Insert major vessel graft with bypass 33335
|
$3,669.00 |
$3,669.00 |
$3,669.00 |
$3,669.00
|
|
Insert nasal septal button
|
$583.20 |
$583.20 |
$583.20 |
$1,783.50
|
|
Insert pelv fixation device
|
$481.80 |
$481.80 |
$481.80 |
$874.40
|
|
Insert pessary/other device
|
$148.20 |
$148.20 |
$148.20 |
$278.90
|
|
Insert pm/icd lead dual
|
$4,090.80 |
$4,090.80 |
$4,090.80 |
$7,115.90
|
|
Insert/repl sq defib w/eltrd
|
$39,444.00 |
$39,444.00 |
$39,444.00 |
$33,593.55
|
|
Insert spine infusion device 62360
|
$586.20 |
$586.20 |
$586.20 |
$17,262.84
|
|
Insert sq defib electrode
|
$1,057.20 |
$1,057.20 |
$1,057.20 |
$8,167.68
|
|
Insert swan-ganz cath
|
$1,973.40 |
$1,973.40 |
$1,973.40 |
$2,164.52
|
|
Insert tray without bag/cath
|
$3.00 |
$3.00 |
$3.00 |
$15.19
|
|
Insert tunneled cv 2cath 2sits without port/pmp 36565
|
$1,931.40 |
$1,931.40 |
$1,931.40 |
$4,997.60
|
|
Insert vad art access left hrt arterial access
|
$956.40 |
$956.40 |
$956.40 |
$4,276.00
|
|
Ins icd gen exist mlt leads
|
$39,444.00 |
$39,444.00 |
$39,444.00 |
$31,286.77
|
|
Ins icd gen exist sgl lead
|
$23,381.40 |
$23,381.40 |
$23,381.40 |
$23,230.50
|
|
Insj biomechanical device 22853
|
$534.00 |
$534.00 |
$534.00 |
$622.40
|
|
Ins left heart vent thor inscn ecmo
|
$1,710.60 |
$1,710.60 |
$1,710.60 |
$1,901.60
|
|
Ins lv lead exist pm/icd
|
$13,181.40 |
$13,181.40 |
$13,181.40 |
$12,384.25
|
|
Ins picad w subq port 5yr>
|
$2,478.00 |
$2,478.00 |
$2,478.00 |
$4,078.00
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$886.20 |
$886.20 |
$886.20 |
$1,690.00
|
|
Ins pm gen exist dual lead
|
$35,956.80 |
$35,956.80 |
$35,956.80 |
$24,159.72
|
|
Ins pm gen w/exist mlt leads
|
$17,245.20 |
$17,245.20 |
$17,245.20 |
$14,804.40
|
|
Ins pq tunnld ip cath w/img
|
$1,585.20 |
$1,585.20 |
$1,585.20 |
$5,486.00
|
|
Ins/rplc spi npg/rcvr pocket
|
$777.00 |
$777.00 |
$777.00 |
$24,061.80
|
|
Ins/rpl ldless pm right vent w img & eval
|
$21,123.60 |
$21,123.60 |
$21,123.60 |
$24,135.54
|
|
Ins/rpl pm gen exist dual lead
|
$13,181.40 |
$13,181.40 |
$13,181.40 |
$11,005.50
|
