|
Inj secukinumab intrav 1mg
|
$30,154.22 |
$30,154.22 |
$30,154.22 |
$9,077.39
|
|
Inj, spesolimab-sbzo, 1 mg
|
$728,573.40 |
$728,573.40 |
$728,573.40 |
$253,022.14
|
|
Inj testosterone cypionate
|
$262.89 |
$262.89 |
$262.89 |
$77.15
|
|
Inj, tislelizumab-jsgr
|
$101,295.41 |
$101,295.41 |
$101,295.41 |
$45,250.97
|
|
Inj, vancomycin hcl (mylan)
|
$76.59 |
$76.59 |
$76.59 |
$63.82
|
|
Inj, vegzelma, 10 mg
|
$26,370.20 |
$26,370.20 |
$26,370.20 |
$10,892.59
|
|
Inj w/fluor eval cv device
|
$518.45 |
$518.45 |
$518.45 |
$588.90
|
|
Ins cath ren art 1st bi
|
$10,159.87 |
$10,159.87 |
$10,159.87 |
$6,033.75
|
|
Ins cath ren art 1st uni
|
$6,705.92 |
$6,705.92 |
$6,705.92 |
$4,667.63
|
|
Ins cath ren art 2nd+ uni
|
$7,766.82 |
$7,766.82 |
$7,766.82 |
$5,528.94
|
|
Ins cerv dilator (sep proc)
|
$3,693.40 |
$3,693.40 |
$3,693.40 |
$544.00
|
|
Insert cath pleura with image
|
$2,083.73 |
$2,083.73 |
$2,083.73 |
$2,239.02
|
|
Insert hepatic shunt (tips)
|
$18,199.82 |
$18,199.82 |
$18,199.82 |
$9,754.48
|
|
Insertion catheter bladder non indwelling
|
$806.28 |
$806.28 |
$806.28 |
$237.13
|
|
Insertion catheter bladder temporary simple
|
$581.70 |
$581.70 |
$581.70 |
$273.60
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$20,429.20 |
$20,429.20 |
$20,429.20 |
$4,943.21
|
|
Insertion intra aortic balloon assist device percutaneous
|
$3,194.12 |
$3,194.12 |
$3,194.12 |
$2,549.95
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$9,498.32 |
$9,498.32 |
$9,498.32 |
$7,088.54
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$4,537.56 |
$4,537.56 |
$4,537.56 |
$2,618.40
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$44,766.60 |
$44,766.60 |
$44,766.60 |
$14,158.20
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$22,411.21 |
$22,411.21 |
$22,411.21 |
$12,813.28
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$47,315.93 |
$47,315.93 |
$47,315.93 |
$9,855.00
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$7,295.93 |
$7,295.93 |
$7,295.93 |
$2,079.43
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$6,832.51 |
$6,832.51 |
$6,832.51 |
$2,527.91
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$32,025.10 |
$32,025.10 |
$32,025.10 |
$29,997.52
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$12,806.42 |
$12,806.42 |
$12,806.42 |
$7,572.47
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$12,806.42 |
$12,806.42 |
$12,806.42 |
$7,673.12
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$13,008.61 |
$13,008.61 |
$13,008.61 |
$9,793.46
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$9,730.04 |
$9,730.04 |
$9,730.04 |
$5,470.54
|
|
Insert pessary/other device
|
$1,268.51 |
$1,268.51 |
$1,268.51 |
$278.90
|
|
Insert picvad cath
|
$17,713.48 |
$17,713.48 |
$17,713.48 |
$4,490.00
|
|
Insert pm/icd lead dual
|
$16,338.77 |
$16,338.77 |
$16,338.77 |
$7,562.63
|
|
Insert/repl sq defib w/eltrd
|
$54,865.74 |
$54,865.74 |
$54,865.74 |
$33,948.20
|
|
Insert swan-ganz cath
|
$2,701.09 |
$2,701.09 |
$2,701.09 |
$2,164.52
|
|
Insert uteri tandem/ovoids
|
$24,037.71 |
$24,037.71 |
$24,037.71 |
$3,986.00
|
|
Insert vad art access left hrt arterial access
|
$3,194.12 |
$3,194.12 |
$3,194.12 |
$5,062.80
|
|
Insitu hybridization auto
|
$1,421.12 |
$1,421.12 |
$1,421.12 |
$398.16
|
|
Insitu hybridization manual
|
$944.44 |
$944.44 |
$944.44 |
$407.11
|
|
In situ hybridization per specimen each additional single probe stain
|
$400.93 |
$400.93 |
$400.93 |
$251.55
|
|
In situ hybridization per specimen initial single probe stain
|
$1,152.53 |
$1,152.53 |
$1,152.53 |
$338.40
|
|
Ins lv lead exist pm/icd
|
$15,482.53 |
$15,482.53 |
$15,482.53 |
$12,384.25
|
|
Ins mark abd/pel for right perq
|
$5,183.20 |
$5,183.20 |
$5,183.20 |
$2,070.00
|
|
Ins picad w subq port 5yr>
|
$10,161.90 |
$10,161.90 |
$10,161.90 |
$4,341.66
|
|
Ins pq tunnld ip cath w/img
|
$20,426.89 |
$20,426.89 |
$20,426.89 |
$5,593.60
|
|
Ins/rpl ldless pm right vent w img & eval
|
$54,027.22 |
$54,027.22 |
$54,027.22 |
$24,135.54
|
|
Ins/rpl pm w/tv ld atrl
|
$22,411.21 |
$22,411.21 |
$22,411.21 |
$12,384.25
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$82,303.63 |
$82,303.63 |
$82,303.63 |
$25,106.90
|
|
Inst fibrinolysis agent ini day
|
$2,050.84 |
$2,050.84 |
$2,050.84 |
$1,095.00
|
|
Inst fibrinolysis agent sbsq d
|
$2,050.84 |
$2,050.84 |
$2,050.84 |
$898.12
|
|
Instillation anticarcinogenic agent bladder
|
$1,082.51 |
$1,082.51 |
$1,082.51 |
$721.50
|
|
Instill, bupivac and meloxic
|
$1,942.22 |
$1,942.22 |
$1,942.22 |
$1,127.61
|
|
Ins tun cv cath wo subq prt/pm
|
$10,313.83 |
$10,313.83 |
$10,313.83 |
$4,748.00
|
|
Insulin total
|
$184.25 |
$184.25 |
$184.25 |
$67.60
|
|
Ins vag brachytx device
|
$7,511.79 |
$7,511.79 |
$7,511.79 |
$909.35
|
|
Interdiscal perq aspir dx
|
$1,911.35 |
$1,911.35 |
$1,911.35 |
$1,222.26
|
|
Interrog dev eval icpms ip
|
$288.75 |
$288.75 |
$288.75 |
$106.80
|
|
Interrog device eval heart
|
$345.29 |
$345.29 |
$345.29 |
$150.00
|
|
Interrog evl pm/ldls pm ip
|
$544.09 |
$544.09 |
$544.09 |
$127.20
|
|
Intra-atrial recording
|
$10,640.05 |
$10,640.05 |
$10,640.05 |
$5,707.00
|
|
Intracard echo interv w/s&i
|
$7,623.21 |
$7,623.21 |
$7,623.21 |
$3,982.59
|
|
Intraoral i+d tongue/floor lingual 41000
|
$3,355.33 |
$3,355.33 |
$3,355.33 |
$1,182.15
|
|
Intrapul surf admin endo tube
|
$1,208.32 |
$1,208.32 |
$1,208.32 |
$239.52
|
|
Intrinsic factor antibody
|
$460.90 |
$460.90 |
$460.90 |
$59.95
|
|
Intro cath dialysis circuit
|
$1,134.24 |
$1,134.24 |
$1,134.24 |
$2,317.80
|
|
Intro cath dialysis circuit w/pta
|
$19,382.10 |
$19,382.10 |
$19,382.10 |
$8,761.00
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$35,693.42 |
$35,693.42 |
$35,693.42 |
$15,625.00
|
|
Intro catheter aorta
|
$1,059.51 |
$1,059.51 |
$1,059.51 |
$1,861.61
|
|
Intro cath svc/ivc
|
$1,206.41 |
$1,206.41 |
$1,206.41 |
$1,350.75
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$4,898.60 |
$4,898.60 |
$4,898.60 |
$3,510.75
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$4,048.45 |
$4,048.45 |
$4,048.45 |
$1,825.16
|
|
Intubation endotracheal emergency procedure
|
$549.76 |
$549.76 |
$549.76 |
$617.60
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$488.09 |
$488.09 |
$488.09 |
$149.13
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$1,157.69 |
$1,157.69 |
$1,157.69 |
$153.98
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$115,367.05 |
$115,367.05 |
$115,367.05 |
$52,615.16
|
|
Ipratropium bromide non-comp
|
$14.68 |
$14.68 |
$14.68 |
$7.57
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$524.10 |
$524.10 |
$524.10 |
$227.39
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$9,258.95 |
$9,258.95 |
$9,258.95 |
$6,655.71
|
|
Iron
|
$237.69 |
$237.69 |
$237.69 |
$70.72
|
|
Iron binding capacity
|
$228.34 |
$228.34 |
$228.34 |
$63.00
|
|
Iron dextran 50 mg/ml injection solution
|
$253.62 |
$253.62 |
$253.62 |
$62.70
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$660.19 |
$660.19 |
$660.19 |
$198.01
|
|
Irradiation of blood product each unit reference
|
$127.48 |
$127.48 |
$127.48 |
$124.24
|
|
Irrigation implantable venous access device for drug delivery systems
|
$248.37 |
$248.37 |
$248.37 |
$154.50
|
|
Isatuximab-irfc 20 mg/ml intravenous solution
|
$34,936.80 |
$34,936.80 |
$34,936.80 |
$13,419.80
|
|
Ivc venogram s&i
|
$7,521.00 |
$7,521.00 |
$7,521.00 |
$3,332.55
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$979.71 |
$979.71 |
$979.71 |
$191.75
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$1,135.58 |
$1,135.58 |
$1,135.58 |
$174.40
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$530.07 |
$530.07 |
$530.07 |
$155.00
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$814.26 |
$814.26 |
$814.26 |
$460.85
|
|
IV inj ra drug dx study
|
$1,379.69 |
$1,379.69 |
$1,379.69 |
$560.00
|
|
Ivp w/wo kub w/wo tomography
|
$3,049.44 |
$3,049.44 |
$3,049.44 |
$713.05
|
|
Jak2 targeted sequence analysis
|
$313.55 |
$313.55 |
$313.55 |
$378.30
|
|
John cunningham antibody
|
$30.07 |
$30.07 |
$30.07 |
$48.57
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$389.45 |
$389.45 |
$389.45 |
$56.61
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$169.51 |
$169.51 |
$169.51 |
$30.08
|
|
Kidney img w/bldflw sgl without rx
|
$1,433.22 |
$1,433.22 |
$1,433.22 |
$1,468.04
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$1,902.31 |
$1,902.31 |
$1,902.31 |
$668.25
|
|
Kit cast tcc 3in w/2reg boots total contact cast
|
$211.80 |
$211.80 |
$211.80 |
$100.00
|
|
Kit gene analys d816 variant
|
$1,721.20 |
$1,721.20 |
$1,721.20 |
$355.00
|
|
Knee MRI (with and without contrast)
|
$6,651.40 |
$6,651.40 |
$6,651.40 |
$2,950.00
|
