|
Inj hydroxyprogst capoat nos
|
$1,293.56 |
$1,293.56 |
$1,293.56 |
$1,495.98
|
|
Inj intralesional <= 7 lsn(s)
|
$520.80 |
$520.80 |
$520.80 |
$238.77
|
|
Inj intralesional > 7 lsns
|
$520.80 |
$520.80 |
$520.80 |
$222.75
|
|
Inj ivig privigen 500 mg
|
$7,298.71 |
$7,298.71 |
$7,298.71 |
$6,144.00
|
|
Inj, lanreotide, (cipla) 1mg
|
$12,160.05 |
$12,160.05 |
$12,160.05 |
$12,160.05
|
|
Inj levocarnitine per 1 gm
|
$53.36 |
$53.36 |
$53.36 |
$87.51
|
|
Inj melpha hydroch nos 50 mg
|
$2,513.20 |
$2,513.20 |
$2,513.20 |
$1,713.99
|
|
Inj mepivacaine hcl/10 ml
|
$41.81 |
$41.81 |
$41.81 |
$28.41
|
|
Inj., meropenem, vaborbactam
|
$426.85 |
$426.85 |
$426.85 |
$426.85
|
|
Inj, moxifloxacin 100 mg
|
$262.28 |
$262.28 |
$262.28 |
$100.44
|
|
Inj. mycophenolate mofetil
|
$425.22 |
$425.22 |
$643.72 |
$387.27
|
|
Inj nephrosto/ureterogram w/img exstng access
|
$2,632.80 |
$2,632.80 |
$2,632.80 |
$1,522.56
|
|
Inj non-compmd foam sclrsnt mlt trncl veins same leg
|
$990.60 |
$990.60 |
$990.60 |
$2,154.21
|
|
Inj non-compmd foam sclrsnt sgl trncl vein
|
$1,518.00 |
$1,518.00 |
$1,518.00 |
$2,058.43
|
|
Inj., patisiran, 0.1 mg
|
$146.78 |
$146.78 |
$146.78 |
$36,180.04
|
|
Inj peritoneal venous shunt
|
$681.00 |
$681.00 |
$681.00 |
$329.49
|
|
Inj proc ankle arthr
|
$482.40 |
$482.40 |
$482.40 |
$405.60
|
|
Inj proc elbow arthro
|
$534.60 |
$534.60 |
$534.60 |
$483.15
|
|
Inj proc for lymphang
|
$7,618.80 |
$7,618.80 |
$7,618.80 |
$1,718.73
|
|
Inj proc myelogram lumbar
|
$1,544.40 |
$1,544.40 |
$1,544.40 |
$1,026.35
|
|
Inj proc sialogram
|
$1,032.60 |
$1,032.60 |
$1,032.60 |
$419.34
|
|
Inj progesterone per 50 mg
|
$120.00 |
$120.00 |
$120.00 |
$35.00
|
|
Inj retacrit esrd on dialysi
|
$307.40 |
$307.40 |
$307.40 |
$307.40
|
|
Inj retro urethrocysto
|
$640.80 |
$640.80 |
$640.80 |
$569.60
|
|
Inj scleros sol mult veins
|
$460.80 |
$460.80 |
$460.80 |
$614.00
|
|
Inj scleros sol sgl vein
|
$987.60 |
$987.60 |
$987.60 |
$534.40
|
|
Inj sebelipase alfa 1 mg
|
$804.04 |
$804.04 |
$804.04 |
$539.69
|
|
Inj secretin synthetic human
|
$1,234.65 |
$1,234.65 |
$1,234.65 |
$610.89
|
|
Inj testostero enanthate 1mg
|
$197.08 |
$197.08 |
$197.08 |
$55.89
|
|
Inj testosterone cypionate
|
$122.55 |
$122.55 |
$122.55 |
$78.79
|
|
Inj., tildrakizumab, 1 mg
|
$24,563.40 |
$24,563.40 |
$24,563.40 |
$126.24
|
|
Inj w/fluor eval cv device
|
$872.40 |
$872.40 |
$872.40 |
$573.00
|
|
Ins cath ren art 1st bi
|
$17,988.00 |
$17,988.00 |
$17,988.00 |
$6,012.50
|
|
Ins cath ren art 1st uni
|
$9,758.40 |
$9,758.40 |
$9,758.40 |
$4,628.00
|
|
Ins cath ren art 2nd+ bi
|
$18,786.60 |
$18,786.60 |
$18,786.60 |
$5,251.20
|
|
Ins cath ren art 2nd+ uni
|
$10,158.60 |
$10,158.60 |
$10,158.60 |
$5,528.94
|
|
Insert abdomen-venous drain
|
$8,817.00 |
$8,817.00 |
$8,817.00 |
$2,875.81
|
|
Insert cath pleura with image
|
$3,266.40 |
$3,266.40 |
$3,266.40 |
$2,239.02
|
|
Insert cath pleura without image
|
$1,911.00 |
$1,911.00 |
$1,911.00 |
$2,157.58
|
|
Insert hepatic shunt (tips)
|
$9,354.60 |
$9,354.60 |
$9,354.60 |
$9,754.48
|
|
Insertion catheter bladder non indwelling
|
$343.80 |
$343.80 |
$343.80 |
$230.40
|
|
Insertion catheter bladder temporary simple
|
$315.00 |
$315.00 |
$315.00 |
$245.00
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$726.00 |
$726.00 |
$726.00 |
$4,923.19
|
|
Insertion intra aortic balloon assist device percutaneous
|
$3,859.20 |
$3,859.20 |
$3,859.20 |
$2,346.00
|
|
Insertion intra-aortic circulation dev 33970
|
$4,191.60 |
$4,191.60 |
$4,191.60 |
$866.40
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$11,380.80 |
$11,380.80 |
$11,380.80 |
$7,210.78
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$3,024.60 |
$3,024.60 |
$3,024.60 |
$2,457.24
|
|
Insertion of catheter vein
|
$1,907.40 |
$1,907.40 |
$1,907.40 |
$2,214.00
|
|
Insertion of catheter vein
|
$2,487.60 |
$2,487.60 |
$2,487.60 |
$1,079.00
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$12,064.20 |
$12,064.20 |
$12,064.20 |
$14,777.24
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$12,064.20 |
$12,064.20 |
$12,064.20 |
$13,806.24
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$14,976.60 |
$14,976.60 |
$14,976.60 |
$9,855.00
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$4,831.80 |
$4,831.80 |
$4,831.80 |
$2,079.43
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$5,228.40 |
$5,228.40 |
$5,228.40 |
$2,367.00
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$26,412.00 |
$26,412.00 |
$26,412.00 |
$32,608.80
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$1,944.00 |
$1,944.00 |
$1,944.00 |
$7,513.67
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$5,598.60 |
$5,598.60 |
$5,598.60 |
$8,460.40
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$12,783.00 |
$12,783.00 |
$12,783.00 |
$9,824.59
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$6,640.80 |
$6,640.80 |
$6,640.80 |
$5,423.04
|
|
Insert pm/icd lead dual
|
$5,598.60 |
$5,598.60 |
$5,598.60 |
$7,885.34
|
|
Insert/repl sq defib w/eltrd
|
$33,775.20 |
$33,775.20 |
$33,775.20 |
$33,948.20
|
|
Insert sq defib electrode
|
$3,921.00 |
$3,921.00 |
$3,921.00 |
$8,366.80
|
|
Insert swan-ganz cath
|
$2,650.80 |
$2,650.80 |
$2,650.80 |
$2,269.00
|
|
Insert tunneled cv 2cath 2sits without port/pmp 36565
|
$7,546.80 |
$7,546.80 |
$7,546.80 |
$4,705.13
|
|
Insert tunneled cv cath
|
$6,944.40 |
$6,944.40 |
$6,944.40 |
$4,350.11
|
|
Insert vad art access left hrt arterial access
|
$15,978.00 |
$15,978.00 |
$15,978.00 |
$5,135.65
|
|
Insert vad art access left hrt art & vein access
|
$16,611.60 |
$16,611.60 |
$16,611.60 |
$7,330.95
|
|
Ins icd gen exist mlt leads
|
$11,408.40 |
$11,408.40 |
$11,408.40 |
$31,488.80
|
|
Ins icd gen exist sgl lead
|
$34,522.80 |
$34,522.80 |
$34,522.80 |
$26,433.98
|
|
Insitu hybridization manual
|
$1,167.60 |
$1,167.60 |
$1,167.60 |
$407.11
|
|
In situ hybridization per specimen each additional single probe stain
|
$183.60 |
$183.60 |
$183.60 |
$291.00
|
|
In situ hybridization per specimen initial single probe stain
|
$1,285.80 |
$1,285.80 |
$1,285.80 |
$364.00
|
|
Insj perq vad r hrt venous
|
$16,611.60 |
$16,611.60 |
$16,611.60 |
$5,375.00
|
|
Ins lv lead exist pm/icd
|
$15,138.60 |
$15,138.60 |
$15,138.60 |
$12,270.00
|
|
Ins mark abd/pel for right perq
|
$3,437.40 |
$3,437.40 |
$3,437.40 |
$2,000.78
|
|
Ins picad w subq port 5yr>
|
$5,736.00 |
$5,736.00 |
$5,736.00 |
$4,312.97
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$5,377.80 |
$5,377.80 |
$5,377.80 |
$1,483.95
|
|
Ins pm gen exist dual lead
|
$11,408.40 |
$11,408.40 |
$11,408.40 |
$25,546.94
|
|
Ins pm gen w/exist mlt leads
|
$11,408.40 |
$11,408.40 |
$11,408.40 |
$17,191.21
|
|
Ins pq tunnld ip cath w/img
|
$10,083.60 |
$10,083.60 |
$10,083.60 |
$5,597.45
|
|
Ins/rpl ldless pm right vent w img & eval
|
$12,106.20 |
$12,106.20 |
$12,106.20 |
$24,705.20
|
|
Ins/rpl pm gen exist dual lead
|
$11,408.40 |
$11,408.40 |
$11,408.40 |
$11,583.66
|
|
Ins/rpl pm gen exist sgl lead
|
$11,408.40 |
$11,408.40 |
$11,408.40 |
$9,824.59
|
|
Ins/rpl pm w/tv ld atrl
|
$12,669.00 |
$12,669.00 |
$12,669.00 |
$12,442.95
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$58,176.60 |
$58,176.60 |
$58,176.60 |
$28,931.50
|
|
Inst fibrinolysis agent ini day
|
$1,881.60 |
$1,881.60 |
$1,881.60 |
$1,110.55
|
|
Insti hexaminolevulinate hcl
|
$2,356.80 |
$2,356.80 |
$2,356.80 |
$2,356.80
|
|
Instillation anticarcinogenic agent bladder
|
$828.00 |
$828.00 |
$828.00 |
$721.50
|
|
Ins tun cvad 2 cath w/subq port(s)
|
$7,848.60 |
$7,848.60 |
$7,848.60 |
$6,396.57
|
|
Ins tun cv cath wo subq prt/pm
|
$5,600.40 |
$5,600.40 |
$5,600.40 |
$5,324.80
|
|
Ins tun cv cath wo subq prt/pm
|
$5,600.40 |
$5,600.40 |
$5,600.40 |
$4,314.75
|
|
Insulin total
|
$85.80 |
$85.80 |
$85.80 |
$72.15
|
|
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm
|
$6,354.00 |
$6,354.00 |
$6,354.00 |
$9,463.86
|
|
Integra os putty 2.5cc - cost per 0.5cc
|
$1,793.40 |
$1,793.40 |
$1,793.40 |
$6,018.75
|
|
Interdiscal perq aspir dx
|
$2,135.40 |
$2,135.40 |
$2,135.40 |
$1,222.26
|
|
Interferon alfa-2b inj
|
$51.21 |
$51.21 |
$51.21 |
$51.21
|
|
Interferon beta-1a inj
|
$12,503.22 |
$12,503.22 |
$12,503.22 |
$2,203.14
|
|
Interrogate subq defib
|
$5,992.80 |
$5,992.80 |
$5,992.80 |
$148.00
|
|
Interrogation vad in person
|
$386.40 |
$386.40 |
$386.40 |
$301.98
|
|
Interrog dev eval icpms ip
|
$121.80 |
$121.80 |
$121.80 |
$108.80
|