|
Inj mepivacaine hcl/10 ml
|
$44.43 |
$44.43 |
$64.80 |
$34.00
|
|
Inj meropenem (wg crit care)
|
$6.14 |
$6.14 |
$6.14 |
$83.19
|
|
Inj mogamulizumab-kpkc, 1 mg
|
$370.45 |
$370.45 |
$370.45 |
$8,304.04
|
|
Inj. mycophenolate mofetil
|
$108.10 |
$108.10 |
$108.10 |
$252.66
|
|
Inj naloxone hydrochloride
|
$96.40 |
$96.40 |
$96.40 |
$83.16
|
|
Inj nephrosto/ureterogram w/img exstng access
|
$1,267.20 |
$1,267.20 |
$2,057.25 |
$1,413.35
|
|
Inj, nithiodote, 3mg / 125mg
|
$984.90 |
$984.90 |
$984.90 |
$472.76
|
|
Inj non-compmd foam sclrsnt mlt trncl veins same leg
|
$8,129.60 |
$8,129.60 |
$8,129.60 |
$2,881.20
|
|
Inj non-compmd foam sclrsnt sgl trncl vein
|
$7,323.20 |
$7,323.20 |
$7,323.20 |
$2,726.90
|
|
Inj octafluoropropane mic,ml
|
$60.00 |
$60.00 |
$60.00 |
$211.40
|
|
Inj ogivri 10 mg
|
$100.16 |
$100.16 |
$100.16 |
$4,492.28
|
|
Inj pantoprazole(hikma) 40mg
|
$16.80 |
$16.80 |
$16.80 |
$34.67
|
|
Inj peritoneal venous shunt
|
$100.80 |
$100.80 |
$100.80 |
$406.80
|
|
Inj proc ankle arthr
|
$982.40 |
$982.40 |
$982.40 |
$405.31
|
|
Inj proc elbow arthro
|
$600.60 |
$600.60 |
$883.20 |
$433.00
|
|
Inj proc for lymphang
|
$742.40 |
$742.40 |
$742.40 |
$742.40
|
|
Inj proc lumbr disk ea lvl
|
$1,029.37 |
$1,029.37 |
$1,029.37 |
$1,106.93
|
|
Inj proc myelogram lumbar
|
$488.00 |
$488.00 |
$488.00 |
$840.00
|
|
Inj proc sialogram
|
$380.80 |
$380.80 |
$380.80 |
$369.45
|
|
Inj progesterone per 50 mg
|
$3.00 |
$3.00 |
$3.20 |
$13.76
|
|
Inj protirelin per 250 mcg
|
$24.00 |
$24.00 |
$24.00 |
$24.00
|
|
Inj retro urethrocysto
|
$296.80 |
$296.80 |
$296.80 |
$447.74
|
|
Inj, rimabotulinumtoxinb
|
$15.20 |
$15.20 |
$15.20 |
$714.24
|
|
Inj scleros sol mult veins
|
$955.20 |
$955.20 |
$955.20 |
$707.85
|
|
Inj scleros sol sgl vein
|
$534.40 |
$534.40 |
$534.40 |
$561.88
|
|
Inj(s) sclerosant spider veins limb/trunk
|
$113.60 |
$113.60 |
$113.60 |
$436.80
|
|
Inj sulf hexa lipid microsph
|
$47.62 |
$47.62 |
$47.62 |
$256.14
|
|
Inj testostero enanthate 1mg
|
$0.20 |
$0.20 |
$0.20 |
$123.09
|
|
Inj testosterone cypionate
|
$0.20 |
$0.20 |
$0.20 |
$64.96
|
|
Inj thrc fascial pln blk bi w/wo image
|
$257.60 |
$257.60 |
$257.60 |
$1,059.00
|
|
Inj thrc fascial pln blk uni w/wo image
|
$446.40 |
$446.40 |
$446.40 |
$837.50
|
|
Inj., tildrakizumab, 1 mg
|
$160.00 |
$160.00 |
$160.00 |
$26,635.60
|
|
Inj triamcinolone ace X-ray 1mg
|
$21.60 |
$21.60 |
$21.60 |
$1,090.75
|
|
Inj vancomycin (xellia) 10mg
|
$0.80 |
$0.80 |
$0.80 |
$76.59
|
|
Inj vocal cord bulking agent
|
$543.84 |
$543.84 |
$543.84 |
$1,480.00
|
|
Inj w/fluor eval cv device
|
$588.90 |
$588.90 |
$593.60 |
$504.40
|
|
Inotuzumab ozogamicin 0.9 mg(0.25 mg/ml initial concentration) IV soln
|
$73,182.85 |
$73,182.85 |
$73,182.85 |
$41,083.73
|
|
Inpt/ed teleconsult30
|
$221.60 |
$221.60 |
$221.60 |
$156.60
|
|
Inpt/ed teleconsult50
|
$301.60 |
$301.60 |
$301.60 |
$223.80
|
|
Inpt/ed teleconsult70
|
$446.40 |
$446.40 |
$446.40 |
$315.00
|
|
Inpt/tele follow up 15
|
$87.20 |
$87.20 |
$87.20 |
$64.80
|
|
Inpt/tele follow up 25
|
$160.00 |
$160.00 |
$160.00 |
$116.80
|
|
Inpt/tele follow up 35
|
$230.40 |
$230.40 |
$230.40 |
$168.96
|
|
Ins cath ren art 1st bi
|
$4,170.17 |
$4,170.17 |
$5,024.50 |
$5,974.80
|
|
Ins cath ren art 1st uni
|
$3,430.88 |
$3,430.88 |
$3,430.88 |
$4,692.00
|
|
Ins cath ren art 2nd+ bi
|
$5,251.20 |
$5,251.20 |
$5,251.20 |
$5,663.98
|
|
Ins cath ren art 2nd+ uni
|
$5,395.20 |
$5,395.20 |
$5,395.20 |
$5,395.20
|
|
Ins cerv dilator (sep proc)
|
$232.00 |
$232.00 |
$232.00 |
$488.35
|
|
Insemination of oocytes
|
$314.40 |
$314.40 |
$314.40 |
$314.40
|
|
Insert abdomen-venous drain
|
$1,777.60 |
$1,777.60 |
$1,777.60 |
$3,758.23
|
|
Insert and remove bone pin
|
$524.00 |
$524.00 |
$524.00 |
$4,433.36
|
|
Insert ant drainage device
|
$5,108.80 |
$5,108.80 |
$5,108.80 |
$5,108.80
|
|
Insert brain-fluid device 61215
|
$1,197.60 |
$1,197.60 |
$1,197.60 |
$7,181.20
|
|
Insert cannula hemo oth 36815
|
$329.60 |
$329.60 |
$329.60 |
$5,983.35
|
|
Insert cannula vein-to-vein hemodialysis
|
$310.40 |
$310.40 |
$310.40 |
$7,279.50
|
|
Insert cath pleura with image
|
$3,091.92 |
$3,091.92 |
$3,091.92 |
$2,194.40
|
|
Insert cath pleura without image
|
$3,267.20 |
$3,267.20 |
$3,267.20 |
$2,101.52
|
|
Insert drug del implant, >=4
|
$640.80 |
$640.80 |
$640.80 |
$472.21
|
|
Insert drug delivery implant
|
$252.80 |
$252.80 |
$252.80 |
$280.00
|
|
Insert electrodes for eeg
|
$1,180.00 |
$1,180.00 |
$1,180.00 |
$564.20
|
|
Insert epicard eltrd endo 33203
|
$1,967.20 |
$1,967.20 |
$1,967.20 |
$3,053.00
|
|
Insert epicardial lead open 33202
|
$1,879.20 |
$1,879.20 |
$1,879.20 |
$3,775.20
|
|
Insert eye socket implant
|
$5,067.20 |
$5,067.20 |
$5,067.20 |
$5,067.20
|
|
Insert hepatic shunt (tips)
|
$2,106.40 |
$2,106.40 |
$2,106.40 |
$7,571.20
|
|
Insert heyman uteri capsule
|
$1,205.60 |
$1,205.60 |
$1,205.60 |
$5,813.46
|
|
Insert intervert bimech device 22854
|
$805.60 |
$805.60 |
$805.60 |
$1,103.00
|
|
Insert intrauterine device iud
|
$226.40 |
$226.40 |
$226.40 |
$330.72
|
|
Insertion catheter artery nfs ther chemotx 36640
|
$294.40 |
$294.40 |
$294.40 |
$3,594.47
|
|
Insertion catheter bladder non indwelling
|
$145.60 |
$145.60 |
$232.30 |
$209.30
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$1,924.00 |
$1,924.00 |
$11,750.97 |
$4,923.19
|
|
Insertion intra aortic balloon assist device percutaneous
|
$1,924.13 |
$1,924.13 |
$2,593.50 |
$2,447.63
|
|
Insertion intra-aortic circulation dev 33970
|
$866.40 |
$866.40 |
$1,040.00 |
$1,752.40
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$6,061.56 |
$6,061.56 |
$8,400.60 |
$7,210.78
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$1,521.30 |
$1,521.30 |
$1,792.05 |
$2,595.45
|
|
Insertion of cannula
|
$532.80 |
$532.80 |
$532.80 |
$4,322.40
|
|
Insertion of catheter vein
|
$4,687.20 |
$4,687.20 |
$4,687.20 |
$1,525.80
|
|
Insertion of catheter vein
|
$454.40 |
$454.40 |
$454.40 |
$858.05
|
|
Insertion of heart electrode 33211
|
$416.80 |
$416.80 |
$15,405.00 |
$6,839.00
|
|
Insertion of infusion pump
|
$1,592.00 |
$1,592.00 |
$1,592.00 |
$5,855.00
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$18,507.49 |
$18,507.49 |
$22,458.84 |
$12,384.25
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$5,658.90 |
$5,658.90 |
$20,742.08 |
$12,324.60
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$1,152.80 |
$1,152.80 |
$6,030.05 |
$9,884.16
|
|
Insertion palate prosthesis
|
$564.80 |
$564.80 |
$564.80 |
$6,547.81
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$1,157.00 |
$1,157.00 |
$1,871.40 |
$2,109.00
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$2,530.45 |
$2,530.45 |
$2,883.90 |
$2,463.50
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$2,250.40 |
$2,250.40 |
$14,580.15 |
$29,180.00
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$403.20 |
$403.20 |
$3,612.70 |
$7,200.05
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$733.85 |
$733.85 |
$5,028.58 |
$7,267.20
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$11,052.53 |
$11,052.53 |
$13,679.89 |
$9,390.55
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$5,236.80 |
$5,236.80 |
$12,956.48 |
$5,236.80
|
|
Insertion ureth cath
|
$1,240.00 |
$1,240.00 |
$1,240.00 |
$2,365.38
|
|
Insert lens prosthesis
|
$3,812.80 |
$3,812.80 |
$3,812.80 |
$3,173.34
|
|
Insert multi-comp penis pros
|
$2,044.00 |
$2,044.00 |
$2,044.00 |
$9,495.20
|
|
Insert nasal septal button
|
$745.60 |
$745.60 |
$745.60 |
$1,783.50
|
|
Insert ocular implant
|
$3,905.60 |
$3,905.60 |
$3,905.60 |
$4,462.45
|
|
Insert ocular implant
|
$3,958.40 |
$3,958.40 |
$3,958.40 |
$4,462.45
|
|
Insert palate implants
|
$1,163.20 |
$1,163.20 |
$1,163.20 |
$1,752.89
|
|
Insert pelv fixation device
|
$874.40 |
$874.40 |
$874.40 |
$490.25
|
|
Insert pessary/other device
|
$169.60 |
$169.60 |
$169.60 |
$278.90
|
|
Insert picvad cath
|
$7,192.00 |
$7,192.00 |
$7,192.00 |
$4,195.00
|
