|
Inj epidural sgl cerv-thor without img
|
$181.80 |
$181.80 |
$190.80 |
$1,329.00
|
|
Inj epidural sgl lumb-sacral without img
|
$156.60 |
$156.60 |
$164.40 |
$1,450.84
|
|
Inj for ext venography
|
$628.80 |
$628.80 |
$660.00 |
$631.80
|
|
Inj for mammo ductogram
|
$399.60 |
$399.60 |
$462.00 |
$397.80
|
|
Inj heparin, pfizer, 1000u
|
$18.40 |
$18.40 |
$18.40 |
$25.30
|
|
Inj. herceptin hylecta, 10mg
|
$8,322.19 |
$8,322.19 |
$8,322.19 |
$8,193.78
|
|
Inj hrt cath w/s&i nonsel p-art angrp
|
$2,526.60 |
$2,526.60 |
$3,183.60 |
$1,492.00
|
|
Inj hrt cath w/s&i sel hrt ang
|
$522.60 |
$522.60 |
$658.80 |
$1,818.15
|
|
Inj hrt cath w/s&i sel hrt art
|
$526.80 |
$526.80 |
$664.20 |
$1,045.80
|
|
Inj hrt cath w/s&i sel left vent
|
$653.40 |
$653.40 |
$823.80 |
$1,250.34
|
|
Inj hrt cath w/s&i sel right vent
|
$146.40 |
$146.40 |
$184.80 |
$999.96
|
|
Inj hydroxocobalamin IV 25mg
|
$1,528.67 |
$1,528.67 |
$1,797.27 |
$2,452.32
|
|
Inj hydroxyprogst capoat nos
|
$1,271.73 |
$1,271.73 |
$1,271.73 |
$1,228.59
|
|
Inj/inf neurolyt sbst spinal canal lesion 62282
|
$534.60 |
$534.60 |
$561.60 |
$1,928.00
|
|
Inj intralesional <= 7 lsn(s)
|
$133.80 |
$133.80 |
$154.80 |
$235.13
|
|
Inj intralesional > 7 lsns
|
$127.80 |
$127.80 |
$134.40 |
$234.00
|
|
Inj ivig privigen 500 mg
|
$11,894.53 |
$11,894.53 |
$13,368.87 |
$6,967.29
|
|
Inj, lanreotide, (cipla) 1mg
|
$15,763.10 |
$15,763.10 |
$15,763.10 |
$11,648.70
|
|
Inj, lecanemab-irmb, 1 mg
|
$1,174.88 |
$1,174.88 |
$1,174.88 |
$1,174.88
|
|
Inj levocarnitine per 1 gm
|
$65.56 |
$65.56 |
$77.55 |
$136.62
|
|
Inj, levothyroxine, freskabi
|
$386.42 |
$386.42 |
$386.42 |
$320.80
|
|
Inj melpha hydroch nos 50 mg
|
$2,951.66 |
$2,951.66 |
$2,951.66 |
$1,713.99
|
|
Inj mepivacaine hcl/10 ml
|
$30.04 |
$30.04 |
$30.04 |
$34.00
|
|
Inj, moxifloxacin 100 mg
|
$120.04 |
$120.04 |
$120.04 |
$101.31
|
|
Inj multihance
|
$64.93 |
$64.93 |
$64.93 |
$70.54
|
|
Inj. mycophenolate mofetil
|
$220.86 |
$220.86 |
$220.86 |
$252.66
|
|
Inj naloxone hydrochloride
|
$70.87 |
$70.87 |
$70.87 |
$83.16
|
|
Inj nephrosto/ureterogram w/img exstng access
|
$702.00 |
$702.00 |
$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 |
$1,058.98
|
|
Inj ogivri 10 mg
|
$6,589.99 |
$6,589.99 |
$6,589.99 |
$4,492.28
|
|
Inj, olaratumab, 10 mg
|
$3,688.21 |
$3,688.21 |
$3,688.21 |
$4,127.04
|
|
Inj pegfilgrastim-bmez 0.5mg
|
$6,965.32 |
$6,965.32 |
$6,965.32 |
$6,614.40
|
|
Inj peritoneal venous shunt
|
$507.00 |
$507.00 |
$586.20 |
$406.80
|
|
Inj., perseris, 0.5 mg
|
$4,902.35 |
$4,902.35 |
$5,146.85 |
$5,146.85
|
|
Inj proc ankle arthr
|
$228.60 |
$228.60 |
$264.00 |
$405.31
|
|
Inj proc elbow arthro
|
$187.20 |
$187.20 |
$216.60 |
$433.00
|
|
Inj proc for lymphang
|
$767.40 |
$767.40 |
$805.80 |
$742.40
|
|
Inj proc lumbr disk ea lvl
|
$634.20 |
$634.20 |
$666.00 |
$1,106.93
|
|
Inj proc myelogram lumbar
|
$364.20 |
$364.20 |
$400.20 |
$840.00
|
|
Inj proc sialogram
|
$181.20 |
$181.20 |
$209.40 |
$369.45
|
|
Inj progesterone per 50 mg
|
$14.93 |
$14.93 |
$14.93 |
$13.76
|
|
Inj retro urethrocysto
|
$184.80 |
$184.80 |
$213.60 |
$447.74
|
|
Inj, rimabotulinumtoxinb
|
$594.44 |
$594.44 |
$594.44 |
$714.24
|
|
Inj scleros sol mult veins
|
$412.80 |
$412.80 |
$477.00 |
$707.85
|
|
Inj scleros sol sgl vein
|
$412.80 |
$412.80 |
$451.20 |
$561.88
|
|
Inj(s) sclerosant spider veins limb/trunk
|
$106.80 |
$106.80 |
$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
|
$228.42 |
$228.42 |
$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 |
$72.33 |
$70.84
|
|
Inj vancomycin (xellia) 10mg
|
$79.21 |
$79.21 |
$79.21 |
$76.59
|
|
Inj w/fluor eval cv device
|
$230.40 |
$230.40 |
$266.40 |
$504.40
|
|
Inpatient consultation
|
$72.60 |
$72.60 |
$76.20 |
$73.80
|
|
Inpt/ed teleconsult30
|
$156.60 |
$156.60 |
$164.40 |
$156.60
|
|
Inpt/ed teleconsult50
|
$213.00 |
$213.00 |
$223.80 |
$223.80
|
|
Inpt/ed teleconsult70
|
$315.00 |
$315.00 |
$330.60 |
$315.00
|
|
Inpt/tele follow up 15
|
$61.80 |
$61.80 |
$64.80 |
$64.80
|
|
Inpt/tele follow up 25
|
$113.40 |
$113.40 |
$118.80 |
$116.80
|
|
Inpt/tele follow up 35
|
$163.20 |
$163.20 |
$171.60 |
$168.96
|
|
Ins cath ren art 1st bi
|
$4,636.20 |
$4,636.20 |
$5,355.00 |
$5,974.80
|
|
Ins cath ren art 1st uni
|
$3,291.60 |
$3,291.60 |
$3,802.20 |
$4,692.00
|
|
Ins cath ren art 2nd+ bi
|
$5,349.00 |
$5,349.00 |
$6,178.80 |
$5,663.98
|
|
Ins cath ren art 2nd+ uni
|
$4,770.00 |
$4,770.00 |
$5,509.80 |
$5,395.20
|
|
Ins cerv dilator (sep proc)
|
$143.40 |
$143.40 |
$150.60 |
$488.35
|
|
Insert and remove bone pin
|
$363.00 |
$363.00 |
$381.00 |
$4,433.36
|
|
Insert brain-fluid device 61215
|
$1,364.40 |
$1,364.40 |
$1,432.80 |
$7,181.20
|
|
Insert cannula hemo oth 36815
|
$280.20 |
$280.20 |
$294.00 |
$5,983.35
|
|
Insert cannula vein-to-vein hemodialysis
|
$301.80 |
$301.80 |
$316.80 |
$7,279.50
|
|
Insert cath pleura with image
|
$1,644.60 |
$1,644.60 |
$1,899.60 |
$2,194.40
|
|
Insert cath pleura without image
|
$231.00 |
$231.00 |
$242.40 |
$2,101.52
|
|
Insert drug delivery implant
|
$245.40 |
$245.40 |
$257.40 |
$280.00
|
|
Insert epicard eltrd endo 33203
|
$1,489.80 |
$1,489.80 |
$1,564.20 |
$3,053.00
|
|
Insert epicardial lead open 33202
|
$1,432.80 |
$1,432.80 |
$1,504.20 |
$3,775.20
|
|
Insert intervert bimech device 22854
|
$602.40 |
$602.40 |
$632.40 |
$1,103.00
|
|
Insert intrauterine device iud
|
$123.60 |
$123.60 |
$129.60 |
$330.72
|
|
Insertion catheter artery nfs ther chemotx 36640
|
$318.00 |
$318.00 |
$334.20 |
$3,594.47
|
|
Insertion catheter bladder non indwelling
|
$104.40 |
$104.40 |
$109.80 |
$209.30
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$3,913.80 |
$3,913.80 |
$4,520.40 |
$4,923.19
|
|
Insertion intra aortic balloon assist device percutaneous
|
$2,346.00 |
$2,346.00 |
$2,611.80 |
$2,447.63
|
|
Insertion intra-aortic circulation dev 33970
|
$600.60 |
$600.60 |
$630.60 |
$1,752.40
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$5,679.00 |
$5,679.00 |
$6,559.80 |
$7,210.78
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$793.80 |
$793.80 |
$1,252.80 |
$2,595.45
|
|
Insertion of catheter vein
|
$186.00 |
$186.00 |
$215.40 |
$858.05
|
|
Insertion of heart electrode 33211
|
$366.00 |
$366.00 |
$384.60 |
$6,839.00
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$12,890.40 |
$12,890.40 |
$14,888.40 |
$12,384.25
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$11,979.60 |
$11,979.60 |
$13,837.20 |
$12,324.60
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$7,161.60 |
$7,161.60 |
$8,272.20 |
$9,884.16
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$1,080.60 |
$1,080.60 |
$1,252.80 |
$2,109.00
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$788.40 |
$788.40 |
$828.00 |
$2,463.50
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$17,187.00 |
$17,187.00 |
$19,851.60 |
$29,180.00
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$6,285.60 |
$6,285.60 |
$7,590.00 |
$7,200.05
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$9,019.20 |
$9,019.20 |
$10,417.20 |
$7,267.20
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$9,019.20 |
$9,019.20 |
$10,417.20 |
$9,390.55
|
