|
Inj retro urethrocysto
|
$99.36 |
$338.52 |
$4,577.00 |
|
|
Inj, rimabotulinumtoxinb
|
$15.20 |
$15.20 |
$594.44 |
|
|
Inj scleros sol mult veins
|
$144.06 |
$955.20 |
$955.20 |
|
|
Inj scleros sol sgl vein
|
$55.68 |
$534.40 |
$534.40 |
|
|
Inj secretin synthetic human
|
$1,388.10 |
$1,586.40 |
$1,619.45 |
|
|
Inj secukinumab intrav 1mg
|
$28.09 |
$4,485.92 |
$5,233.57 |
|
|
Inj, spesolimab-sbzo, 1 mg
|
$92.88 |
$53,689.66 |
$62,637.94 |
|
|
Inj(s) sclerosant spider veins limb/trunk
|
$106.80 |
$113.60 |
$724.75 |
|
|
Inj sulf hexa lipid microsph
|
$37.60 |
$80.48 |
$281.30 |
|
|
Inj teclistamab cqyv 0.5 mg
|
$51.06 |
$53.99 |
$17,249.16 |
|
|
Inj tedizolid phosphate
|
$685.81 |
$685.81 |
$685.81 |
|
|
Inj teplizumab mzwv 5 mcg
|
$22,745.80 |
$25,995.20 |
$26,536.76 |
|
|
Inj. teprotumumab-trbw 10 mg
|
$546.60 |
$32,490.36 |
$37,905.42 |
|
|
Inj testostero enanthate 1mg
|
$0.20 |
$0.20 |
$157.81 |
|
|
Inj testosterone cypionate
|
$0.20 |
$73.17 |
$257.14 |
|
|
Inj thrc fascial pln blk bi w/wo image
|
$257.60 |
$257.60 |
$2,144.64 |
|
|
Inj thrc fascial pln blk uni w/wo image
|
$345.00 |
$446.40 |
$693.51 |
|
|
Inj., tildrakizumab, 1 mg
|
$160.00 |
$281.57 |
$53,884.35 |
|
|
Inj, tofidence, 1 mg
|
$4,662.00 |
$5,328.00 |
$9,495.10 |
|
|
Inj triamcinolone ace X-ray 1mg
|
$21.60 |
$21.60 |
$1,837.91 |
|
|
Inj, tyenne, 1 mg
|
$8.72 |
$4,306.56 |
$4,503.35 |
|
|
Inj ustekinumab-kfce, 1 mg
|
$1,103.70 |
$1,103.70 |
$1,103.70 |
|
|
Inj, uzedy, 1 mg
|
$41.56 |
$11,643.18 |
$31,407.80 |
|
|
Inj, vancomycin hcl (mylan)
|
$36.20 |
$65.21 |
$138.52 |
|
|
Inj, vancomycin hcl (xellia)
|
$29.05 |
$47.80 |
$101.31 |
|
|
Inj vancomycin (xellia) 10mg
|
$0.80 |
$1.50 |
$79.21 |
|
|
Inj vasopressin (am reg) 1 u
|
$41.79 |
$47.76 |
$53.86 |
|
|
Inj, vegzelma, 10 mg
|
$107.28 |
$981.40 |
$981.40 |
|
|
Inj vocal cord bulking agent
|
$322.70 |
$552.41 |
$2,837.59 |
|
|
Inj w/fluor eval cv device
|
$108.48 |
$593.60 |
$1,306.50 |
|
|
Inotuzumab ozogamicin 0.9 mg(0.25 mg/ml initial concentration) IV soln
|
$3,598.64 |
$73,182.85 |
$73,182.85 |
|
|
Inpatient consultation
|
$50.88 |
$72.60 |
$76.20 |
|
|
Inpt/ed teleconsult30
|
$156.60 |
$221.60 |
$293.00 |
|
|
Inpt/ed teleconsult50
|
$213.00 |
$301.60 |
$399.00 |
|
|
Inpt/ed teleconsult70
|
$315.00 |
$446.40 |
$446.40 |
|
|
Inpt/tele follow up 15
|
$61.80 |
$87.20 |
$87.20 |
|
|
Inpt/tele follow up 25
|
$113.40 |
$160.00 |
$212.00 |
|
|
Inpt/tele follow up 35
|
$163.20 |
$230.40 |
$230.40 |
|
|
Ins cath ren art 1st bi
|
$3,207.96 |
$4,636.20 |
$35,688.18 |
|
|
Ins cath ren art 1st uni
|
$1,899.66 |
$3,395.20 |
$37,714.71 |
|
|
Ins cath ren art 2nd+ bi
|
$4,164.72 |
$5,251.20 |
$10,085.40 |
|
|
Ins cath ren art 2nd+ uni
|
$2,814.00 |
$5,395.20 |
$10,134.15 |
|
|
Ins cerv dilator (sep proc)
|
$143.40 |
$480.28 |
$883.00 |
|
|
Insemination of oocytes
|
$314.40 |
$314.40 |
$314.40 |
|
|
Insert abdomen-venous drain
|
$1,777.60 |
$1,777.60 |
$1,777.60 |
|
|
Insert and remove bone pin
|
$363.00 |
$524.00 |
$4,102.16 |
|
|
Insert ant drainage device
|
$5,108.80 |
$5,108.80 |
$26,871.86 |
|
|
Insert brain-fluid device 61215
|
$1,197.60 |
$1,197.60 |
$1,432.80 |
|
|
Insert cannula hemo oth 36815
|
$280.20 |
$329.60 |
$329.60 |
|
|
Insert cannula vein-to-vein hemodialysis
|
$301.80 |
$310.40 |
$408.00 |
|
|
Insert cath pleura with image
|
$314.40 |
$3,022.40 |
$7,884.00 |
|
|
Insert cath pleura without image
|
$231.00 |
$3,267.20 |
$3,267.20 |
|
|
Insert drug del implant, >=4
|
$640.80 |
$640.80 |
$640.80 |
|
|
Insert drug delivery implant
|
$40.80 |
$252.80 |
$571.70 |
|
|
Insert electrodes for eeg
|
$1,180.00 |
$1,180.00 |
$1,180.00 |
|
|
Insert epicard eltrd endo 33203
|
$1,489.80 |
$1,967.20 |
$1,967.20 |
|
|
Insert epicardial lead open 33202
|
$1,432.80 |
$1,879.20 |
$2,510.00 |
|
|
Insert eye socket implant
|
$5,067.20 |
$5,067.20 |
$5,067.20 |
|
|
Insert hepatic shunt (tips)
|
$2,086.98 |
$2,106.40 |
$27,296.66 |
|
|
Insert heyman uteri capsule
|
$1,205.60 |
$1,205.60 |
$1,205.60 |
|
|
Insert intervert bimech device 22854
|
$602.40 |
$805.60 |
$1,103.00 |
|
|
Insert intracorporeal device
|
$6,261.00 |
$6,261.00 |
$6,261.00 |
|
|
Insert intrauterine device iud
|
$107.00 |
$226.40 |
$20,142.43 |
|
|
Insertion catheter artery nfs ther chemotx 36640
|
$294.40 |
$294.40 |
$334.20 |
|
|
Insertion catheter bladder non indwelling
|
$104.40 |
$180.80 |
$48,123.28 |
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$602.55 |
$4,936.65 |
$11,750.97 |
|
|
Insertion intra aortic balloon assist device percutaneous
|
$511.80 |
$2,329.32 |
$11,164.00 |
|
|
Insertion intra-aortic circulation dev 33970
|
$544.05 |
$866.40 |
$1,144.00 |
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$2,067.60 |
$5,812.80 |
$32,804.91 |
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$176.00 |
$1,844.80 |
$46,553.78 |
|
|
Insertion of cannula
|
$532.80 |
$532.80 |
$532.80 |
|
|
Insertion of catheter vein
|
$590.10 |
$4,687.20 |
$4,687.20 |
|
|
Insertion of catheter vein
|
$186.00 |
$454.40 |
$1,926.55 |
|
|
Insertion of heart electrode 33211
|
$366.00 |
$416.80 |
$15,405.00 |
|
|
Insertion of infusion pump
|
$1,592.00 |
$1,592.00 |
$1,592.00 |
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$1,269.00 |
$19,414.41 |
$37,332.15 |
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$1,176.80 |
$15,875.04 |
$28,570.93 |
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$1,152.80 |
$9,094.68 |
$87,550.37 |
|
|
Insertion palate prosthesis
|
$564.80 |
$564.80 |
$564.80 |
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$1,080.60 |
$2,022.15 |
$11,602.20 |
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$788.40 |
$2,474.22 |
$9,734.00 |
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$2,250.40 |
$32,074.99 |
$88,295.28 |
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$403.20 |
$6,962.40 |
$8,081.77 |
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$733.85 |
$6,247.58 |
$17,919.20 |
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$8,344.56 |
$12,680.88 |
$24,432.80 |
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$1,381.44 |
$5,236.80 |
$76,380.65 |
|
|
Insertion ureth cath
|
$907.80 |
$1,240.00 |
$2,019.47 |
|
|
Insert lens prosthesis
|
$3,812.80 |
$3,812.80 |
$3,812.80 |
|
|
Insert major vessel graft with bypass 33335
|
$3,494.40 |
$3,669.00 |
$3,669.00 |
|
|
Insert multi-comp penis pros
|
$2,044.00 |
$2,044.00 |
$2,044.00 |
|
|
Insert nasal septal button
|
$555.60 |
$745.60 |
$2,609.75 |
|
|
Insert ocular implant
|
$3,905.60 |
$3,905.60 |
$3,905.60 |
|
|
Insert ocular implant
|
$3,958.40 |
$3,958.40 |
$3,958.40 |
|
|
Insert palate implants
|
$1,163.20 |
$1,163.20 |
$2,736.62 |
|
|
Insert pelv fixation device
|
$481.80 |
$874.40 |
$1,193.00 |
|
|
Insert pessary/other device
|
$72.00 |
$169.60 |
$350.32 |
|
|
Insert picvad cath
|
$7,192.00 |
$7,192.00 |
$7,192.00 |
|
|
Insert pm/icd lead dual
|
$899.20 |
$6,085.68 |
$13,382.00 |
|
|
Insert prost urethral stent
|
$1,804.00 |
$1,804.00 |
$1,804.00 |
|
|
Insert/repl sq defib w/eltrd
|
$1,259.40 |
$34,258.40 |
$70,086.69 |
|
