|
Injection torsemide 10 mg/ml
|
$4.00 |
$4.00 |
$4.00 |
$16.02
|
|
Injection treatment of eye
|
$955.20 |
$955.20 |
$955.20 |
$2,698.92
|
|
Injection treatment of eye
|
$852.80 |
$852.80 |
$852.80 |
$2,685.92
|
|
Injection treatment of nerve
|
$3,219.20 |
$3,219.20 |
$3,219.20 |
$3,219.20
|
|
Injection treatment of nerve
|
$3,731.20 |
$3,731.20 |
$3,731.20 |
$4,446.30
|
|
Injection treatment of nerve
|
$1,368.00 |
$1,368.00 |
$1,368.00 |
$2,050.30
|
|
Injection treatment of nose
|
$273.60 |
$273.60 |
$273.60 |
$859.59
|
|
Inject sacroiliac joint
|
$801.60 |
$801.60 |
$801.60 |
$1,029.04
|
|
Inject/treat eye socket
|
$366.40 |
$366.40 |
$366.40 |
$381.13
|
|
Inject/treat eye socket
|
$414.40 |
$414.40 |
$414.40 |
$750.70
|
|
Inject/treat eye socket
|
$342.40 |
$342.40 |
$342.40 |
$670.02
|
|
Inj epidural sgl cerv-thor without img
|
$1,634.36 |
$1,634.36 |
$1,634.36 |
$1,329.00
|
|
Inj epidural sgl lumb-sacral without img
|
$1,621.33 |
$1,621.33 |
$1,621.33 |
$1,450.84
|
|
Inj follitropin beta 75 iu
|
$307.20 |
$307.20 |
$307.20 |
$207.20
|
|
Inj for ext venography
|
$1,444.80 |
$1,444.80 |
$1,444.80 |
$631.80
|
|
Inj for mammo ductogram
|
$833.60 |
$833.60 |
$833.60 |
$397.80
|
|
Inj., fremanezumab-vfrm 1 mg
|
$3.20 |
$3.20 |
$3.20 |
$1,322.20
|
|
Inj, gadopiclenol, 1 ml
|
$27.06 |
$27.06 |
$27.06 |
$37.63
|
|
Inj glycopyrrolate fres kabi
|
$36.80 |
$36.80 |
$36.80 |
$12.18
|
|
Inj heparin, pfizer, 1000u
|
$12.21 |
$12.21 |
$12.21 |
$25.30
|
|
Inj hrt cath w/s&i nonsel p-art angrp
|
$1,893.23 |
$1,893.23 |
$1,893.23 |
$1,492.00
|
|
Inj hrt cath w/s&i sel hrt ang
|
$127.20 |
$127.20 |
$127.20 |
$1,818.15
|
|
Inj hrt cath w/s&i sel hrt art
|
$132.00 |
$132.00 |
$132.00 |
$1,045.80
|
|
Inj hrt cath w/s&i sel left vent
|
$98.40 |
$98.40 |
$98.40 |
$1,250.34
|
|
Inj hrt cath w/s&i sel right vent
|
$313.60 |
$313.60 |
$313.60 |
$999.96
|
|
Inj hydroxyprogst capoat nos
|
$17.60 |
$17.60 |
$17.60 |
$1,228.59
|
|
Inj/inf neurolyt sbst spinal canal lesion 62282
|
$1,079.60 |
$1,079.60 |
$1,079.60 |
$1,928.00
|
|
Inj intralesional <= 7 lsn(s)
|
$205.36 |
$205.36 |
$205.36 |
$235.13
|
|
Inj intralesional > 7 lsns
|
$171.20 |
$171.20 |
$171.20 |
$234.00
|
|
Inj ivig privigen 500 mg
|
$69.60 |
$69.60 |
$69.60 |
$6,967.29
|
|
Inj labetalol hcl hikma, 5mg
|
$70.56 |
$70.56 |
$70.56 |
$41.79
|
|
Inj, levothyroxine, freskabi
|
$18.30 |
$18.30 |
$18.30 |
$320.80
|
|
Inj, lidocaine w epinephrine
|
$1.79 |
$1.79 |
$1.79 |
$45.14
|
|
Inj lwr xtr fscl pln blk uni w/wo image
|
$422.40 |
$422.40 |
$422.40 |
$794.70
|
|
Inj, micafungin (par pharm)
|
$3.10 |
$3.10 |
$3.10 |
$79.08
|
|
Inj naloxone hydrochloride
|
$86.00 |
$86.00 |
$86.00 |
$83.16
|
|
Inj nephrosto/ureterogram w/img exstng access
|
$1,267.20 |
$1,267.20 |
$1,267.20 |
$1,413.35
|
|
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 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
|
$883.20 |
$883.20 |
$883.20 |
$433.00
|
|
Inj proc for lymphang
|
$792.92 |
$792.92 |
$792.92 |
$742.40
|
|
Inj proc lumbr disk ea lvl
|
$2,404.65 |
$2,404.65 |
$2,404.65 |
$1,106.93
|
|
Inj proc myelogram lumbar
|
$1,280.61 |
$1,280.61 |
$1,280.61 |
$840.00
|
|
Inj proc sialogram
|
$1,064.46 |
$1,064.46 |
$1,064.46 |
$369.45
|
|
Inj progesterone per 50 mg
|
$3.20 |
$3.20 |
$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, spesolimab-sbzo, 1 mg
|
$92.88 |
$92.88 |
$92.88 |
$90,007.62
|
|
Inj(s) sclerosant spider veins limb/trunk
|
$113.60 |
$113.60 |
$113.60 |
$436.80
|
|
Inj sulf hexa lipid microsph
|
$80.65 |
$80.65 |
$80.65 |
$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
|
$281.52 |
$281.52 |
$281.52 |
$26,635.60
|
|
Inj triamcinolone ace X-ray 1mg
|
$21.60 |
$21.60 |
$21.60 |
$1,090.75
|
|
Inj w/fluor eval cv device
|
$593.60 |
$593.60 |
$593.60 |
$504.40
|
|
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
|
$3,644.00 |
$3,644.00 |
$3,644.00 |
$5,974.80
|
|
Ins cath ren art 1st uni
|
$3,395.20 |
$3,395.20 |
$3,395.20 |
$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)
|
$260.56 |
$260.56 |
$260.56 |
$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
|
$3,022.40 |
$3,022.40 |
$3,022.40 |
$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
|
$276.61 |
$276.61 |
$276.61 |
$330.72
|
|
Insertion catheter artery nfs ther chemotx 36640
|
$294.40 |
$294.40 |
$294.40 |
$3,594.47
|
|
Insertion catheter bladder non indwelling
|
$136.12 |
$136.12 |
$136.12 |
$209.30
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$4,936.65 |
$4,936.65 |
$4,936.65 |
$4,923.19
|
|
Insertion intra aortic balloon assist device percutaneous
|
$1,565.48 |
$1,565.48 |
$1,565.48 |
$2,447.63
|
|
Insertion intra-aortic circulation dev 33970
|
$866.40 |
$866.40 |
$866.40 |
$1,752.40
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$5,812.80 |
$5,812.80 |
$5,812.80 |
$7,210.78
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$2,283.28 |
$2,283.28 |
$2,283.28 |
$2,595.45
|
