|
Inj, lanreotide, (cipla) 1mg
|
$444.82 |
$444.82 |
$444.82 |
$11,648.70
|
|
Inj, lecanemab-irmb, 1 mg
|
$10.78 |
$10.78 |
$10.78 |
$1,174.88
|
|
Inj levocarnitine per 1 gm
|
$225.14 |
$225.14 |
$225.14 |
$136.62
|
|
Inj levoleucovorin nos 0.5mg
|
$528.08 |
$528.08 |
$528.08 |
$109.92
|
|
Inj, levothyroxine, freskabi
|
$173.14 |
$173.14 |
$173.14 |
$303.45
|
|
Inj, lidocaine w epinephrine
|
$1.14 |
$1.14 |
$1.14 |
$47.52
|
|
Inj, linezolid (hospira)
|
$153.62 |
$153.62 |
$153.62 |
$153.30
|
|
Inj melpha hydroch nos 50 mg
|
$720.06 |
$720.06 |
$720.06 |
$1,791.90
|
|
Inj mepivacaine hcl/10 ml
|
$84.60 |
$84.60 |
$84.60 |
$33.86
|
|
Inj., meropenem, vaborbactam
|
$2,259.90 |
$2,259.90 |
$2,259.90 |
$558.08
|
|
Inj meropenem (wg crit care)
|
$12.97 |
$12.97 |
$12.97 |
$77.97
|
|
Inj, micafungin (par pharm)
|
$3.87 |
$3.87 |
$3.87 |
$89.40
|
|
Inj, mirikizumab-mrkz, 1 mg
|
$331.93 |
$331.93 |
$331.93 |
$1,496.55
|
|
Inj mogamulizumab-kpkc, 1 mg
|
$2,233.42 |
$2,233.42 |
$2,233.42 |
$8,304.04
|
|
Inj, moxifloxacin 100 mg
|
$490.46 |
$490.46 |
$490.46 |
$107.25
|
|
Inj multihance
|
$24.16 |
$24.16 |
$24.16 |
$73.49
|
|
Inj multihance multipack
|
$16.21 |
$16.21 |
$16.21 |
$2.80
|
|
Inj. mycophenolate mofetil
|
$5.37 |
$5.37 |
$5.37 |
$252.66
|
|
Inj, nithiodote, 3mg / 125mg
|
$2,044.65 |
$2,044.65 |
$2,044.65 |
$462.04
|
|
Inj nivolumab 2 mg hyaluron
|
$278.07 |
$278.07 |
$278.07 |
$15,599.68
|
|
Inj ocrelizumab 1mg hya-ocsq
|
$459.34 |
$459.34 |
$459.34 |
$66,582.27
|
|
Inj ogivri 10 mg
|
$582.27 |
$582.27 |
$582.27 |
$4,492.28
|
|
Inj, omacetaxine mep, 0.01mg
|
$13,469.40 |
$13,469.40 |
$13,469.40 |
$2,686.80
|
|
Inj ontruzant 10 mg
|
$505.36 |
$505.36 |
$505.36 |
$6,706.27
|
|
Inj pemetrexed ditromethamin
|
$4,604.99 |
$4,604.99 |
$4,604.99 |
$895.03
|
|
Inj peritoneal venous shunt
|
$1,422.04 |
$1,422.04 |
$1,422.04 |
$413.70
|
|
Inj proc myelogram lumbar
|
$3,172.46 |
$3,172.46 |
$3,172.46 |
$830.50
|
|
Inj progesterone per 50 mg
|
$9.86 |
$9.86 |
$9.86 |
$15.00
|
|
Inj, releuko 1 mcg
|
$1.50 |
$1.50 |
$1.50 |
$473.25
|
|
Inj, rimabotulinumtoxinb
|
$3,296.06 |
$3,296.06 |
$3,296.06 |
$746.79
|
|
Inj secretin synthetic human
|
$7,266.00 |
$7,266.00 |
$7,266.00 |
$1,285.20
|
|
Inj secukinumab intrav 1mg
|
$144.86 |
$144.86 |
$144.86 |
$4,413.21
|
|
Inj sulf hexa lipid microsph
|
$162.14 |
$162.14 |
$162.14 |
$256.14
|
|
Inj, sutimlimab-jome, 10 mg
|
$191.31 |
$191.31 |
$191.31 |
$3,453.73
|
|
Inj teclistamab cqyv 0.5 mg
|
$250.10 |
$250.10 |
$250.10 |
$17,517.56
|
|
Inj. teprotumumab-trbw 10 mg
|
$3,762.84 |
$3,762.84 |
$3,762.84 |
$35,034.78
|
|
Inj testosterone cypionate
|
$1,434.31 |
$1,434.31 |
$1,434.31 |
$64.80
|
|
Inj., tildrakizumab, 1 mg
|
$1,296.41 |
$1,296.41 |
$1,296.41 |
$26,635.60
|
|
Inj, tofidence, 1 mg
|
$42.13 |
$42.13 |
$42.13 |
$92.13
|
|
Inj triamcinolone ace X-ray 1mg
|
$194.14 |
$194.14 |
$194.14 |
$1,090.75
|
|
Inj ustekinumab-aekn, 1 mg
|
$107.90 |
$107.90 |
$107.90 |
$47.80
|
|
Inj vancomycin (xellia) 10mg
|
$1.29 |
$1.29 |
$1.29 |
$76.59
|
|
Inj, vasopressin (baxter)
|
$20.81 |
$20.81 |
$20.81 |
$228.24
|
|
Inj, vegzelma, 10 mg
|
$537.68 |
$537.68 |
$537.68 |
$1,291.28
|
|
Inj w/fluor eval cv device
|
$2,904.21 |
$2,904.21 |
$2,904.21 |
$503.92
|
|
Inj zanidatamab-hrii, 2 mg
|
$253.28 |
$253.28 |
$253.28 |
$11,091.60
|
|
Inotuzumab ozogamicin 0.9 mg(0.25 mg/ml initial concentration) IV soln
|
$27,675.01 |
$27,675.01 |
$27,675.01 |
$44,026.28
|
|
Insert hepatic shunt (tips)
|
$18,997.68 |
$18,997.68 |
$18,997.68 |
$7,571.20
|
|
Insert intrauterine device iud
|
$1,602.62 |
$1,602.62 |
$1,602.62 |
$347.10
|
|
Insertion catheter bladder non indwelling
|
$362.05 |
$362.05 |
$362.05 |
$205.40
|
|
Insertion catheter bladder temporary simple
|
$338.93 |
$338.93 |
$338.93 |
$232.25
|
|
Insertion intra aortic balloon assist device percutaneous
|
$6,434.26 |
$6,434.26 |
$6,434.26 |
$2,529.45
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$5,391.76 |
$5,391.76 |
$5,391.76 |
$2,505.60
|
|
Insertion of catheter vein
|
$3,693.80 |
$3,693.80 |
$3,693.80 |
$1,477.00
|
|
Insertion of catheter vein
|
$3,934.01 |
$3,934.01 |
$3,934.01 |
$836.25
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$72,203.90 |
$72,203.90 |
$72,203.90 |
$12,384.25
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$58,346.70 |
$58,346.70 |
$58,346.70 |
$12,384.25
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$58,853.37 |
$58,853.37 |
$58,853.37 |
$10,100.35
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$89,496.45 |
$89,496.45 |
$89,496.45 |
$29,042.52
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$26,693.55 |
$26,693.55 |
$26,693.55 |
$7,200.05
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$23,874.41 |
$23,874.41 |
$23,874.41 |
$7,312.80
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$42,130.22 |
$42,130.22 |
$42,130.22 |
$9,332.50
|
|
Insert pm/icd lead dual
|
$26,916.19 |
$26,916.19 |
$26,916.19 |
$7,115.20
|
|
Insert/repl sq defib w/eltrd
|
$89,252.00 |
$89,252.00 |
$89,252.00 |
$32,800.04
|
|
Insert sq defib electrode
|
$40,596.87 |
$40,596.87 |
$40,596.87 |
$8,167.68
|
|
Insert swan-ganz cath
|
$8,120.11 |
$8,120.11 |
$8,120.11 |
$2,210.50
|
|
Insert uteri tandem/ovoids
|
$9,680.69 |
$9,680.69 |
$9,680.69 |
$3,905.20
|
|
Ins icd gen exist mlt leads
|
$89,496.45 |
$89,496.45 |
$89,496.45 |
$31,286.77
|
|
Ins icd gen exist sgl lead
|
$88,121.39 |
$88,121.39 |
$88,121.39 |
$23,230.50
|
|
Insitu hybridization auto
|
$319.28 |
$319.28 |
$319.28 |
$377.37
|
|
Insitu hybridization (fish)
|
$422.39 |
$422.39 |
$422.39 |
$481.60
|
|
Insitu hybridization manual
|
$1,799.30 |
$1,799.30 |
$1,799.30 |
$401.28
|
|
In situ hybridization per specimen each additional single probe stain
|
$970.70 |
$970.70 |
$970.70 |
$241.15
|
|
In situ hybridization per specimen initial single probe stain
|
$1,283.03 |
$1,283.03 |
$1,283.03 |
$331.69
|
|
Ins lv lead exist pm/icd
|
$63,155.08 |
$63,155.08 |
$63,155.08 |
$12,384.25
|
|
Ins mark abd/pel for right perq
|
$4,994.41 |
$4,994.41 |
$4,994.41 |
$2,414.36
|
|
Ins pm gen exist dual lead
|
$88,681.19 |
$88,681.19 |
$88,681.19 |
$23,665.85
|
|
Ins pm gen w/exist mlt leads
|
$52,245.19 |
$52,245.19 |
$52,245.19 |
$14,804.40
|
|
Ins pq tunnld ip cath w/img
|
$13,982.89 |
$13,982.89 |
$13,982.89 |
$5,377.00
|
|
Ins/rpl ldless pm right vent w img & eval
|
$89,252.00 |
$89,252.00 |
$89,252.00 |
$24,135.54
|
|
Ins/rpl pm gen exist dual lead
|
$55,151.83 |
$55,151.83 |
$55,151.83 |
$11,005.50
|
|
Ins/rpl pm gen exist sgl lead
|
$47,264.30 |
$47,264.30 |
$47,264.30 |
$9,428.64
|
|
Ins/rpl pm w/tv ld atrl
|
$58,346.70 |
$58,346.70 |
$58,346.70 |
$11,583.66
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$65,048.75 |
$65,048.75 |
$65,048.75 |
$25,694.00
|
|
Ins tun cv cath wo subq prt/pm
|
$10,876.08 |
$10,876.08 |
$10,876.08 |
$4,202.70
|
|
Insulin total
|
$185.29 |
$185.29 |
$185.29 |
$66.64
|
|
Ins vag brachytx device
|
$1,424.75 |
$1,424.75 |
$1,424.75 |
$935.50
|
|
Interdiscal perq aspir dx
|
$3,113.62 |
$3,113.62 |
$3,113.62 |
$1,222.26
|
|
Interferon alfa-2b inj
|
$15,948.87 |
$15,948.87 |
$15,948.87 |
$1,409.92
|
|
Interferon beta-1a inj
|
$9,637.96 |
$9,637.96 |
$9,637.96 |
$1,851.20
|
|
Interferon beta-1b / .25 mg
|
$7,546.46 |
$7,546.46 |
$7,546.46 |
$1,662.71
|
|
Interrogate subq defib
|
$3,572.96 |
$3,572.96 |
$3,572.96 |
$119.60
|
|
Interrogation vad in person
|
$609.38 |
$609.38 |
$609.38 |
$296.40
|
|
Interrog device eval heart
|
$197.44 |
$197.44 |
$197.44 |
$162.40
|
|
Interrog evl pm/ldls pm ip
|
$161.67 |
$161.67 |
$161.67 |
$124.80
|
|
Interstitial brachy inter
|
$2,228.03 |
$2,228.03 |
$2,228.03 |
$1,244.40
|
|
Intra-atrial pacing
|
$27,869.51 |
$27,869.51 |
$27,869.51 |
$4,780.80
|
|
Intra-atrial recording
|
$27,869.51 |
$27,869.51 |
$27,869.51 |
$5,252.30
|
|
Intracard echo interv w/s&i
|
$6,867.98 |
$6,867.98 |
$6,867.98 |
$3,461.04
|
|
Intracranial complete study
|
$1,813.46 |
$1,813.46 |
$1,813.46 |
$874.99
|
