|
Infliximab-dyyb 100 mg intravenous solution
|
$1,155.48 |
$1,155.48 |
$1,155.48 |
$1,654.83
|
|
Inf lwr xtr fscl pln blk uni w/wo image
|
$485.59 |
$485.59 |
$485.59 |
$780.00
|
|
Inf thrc fascial pln blk bi w/wo image
|
$354.39 |
$354.39 |
$354.39 |
$624.00
|
|
Inf thrc fascial pln blk uni w/wo image
|
$355.49 |
$355.49 |
$355.49 |
$820.80
|
|
Initiation & management bipap/cpap initial day
|
$243.71 |
$243.71 |
$243.71 |
$627.00
|
|
Inj., benralizumab, 1 mg
|
$11,312.99 |
$11,312.99 |
$11,312.99 |
$18,984.78
|
|
Inj calcitriol per 0.1 mcg
|
$27.55 |
$27.55 |
$27.55 |
$29.35
|
|
Inj, cefepime hcl (b braun)
|
$42.59 |
$42.59 |
$42.59 |
$81.41
|
|
Inj, cefiderocol, 10 mg
|
$279.63 |
$279.63 |
$279.63 |
$718.84
|
|
Inj ceftolozane tazobactam
|
$190.53 |
$190.53 |
$190.53 |
$333.00
|
|
Inj cntr knee arthro incl ct/mri
|
$64.87 |
$64.87 |
$64.87 |
$461.25
|
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
|
$690.45 |
$690.45 |
$690.45 |
$1,214.78
|
|
Injection arthrography hip without anesthesia (both sides)
|
$85.76 |
$85.76 |
$85.76 |
$562.20
|
|
Injection, cangrelor
|
$1,109.51 |
$1,109.51 |
$1,109.51 |
$2,161.85
|
|
Injection carpal tunnel therapeutic (both sides)
|
$516.38 |
$516.38 |
$516.38 |
$541.96
|
|
Injection, daratumumab 10 mg
|
$6,139.43 |
$6,139.43 |
$6,139.43 |
$4,017.00
|
|
Injection, doxercalciferol
|
$26.57 |
$26.57 |
$26.57 |
$28.25
|
|
Injection epidural blood patch or clot
|
$565.85 |
$565.85 |
$565.85 |
$1,447.86
|
|
Injection for arthrography wrist (both sides)
|
$68.17 |
$68.17 |
$68.17 |
$471.00
|
|
Injection for bladder x-ray
|
$68.17 |
$68.17 |
$68.17 |
$585.00
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$89.79 |
$89.79 |
$89.79 |
$504.55
|
|
Injection for ureter x-ray
|
$292.09 |
$292.09 |
$292.09 |
$515.21
|
|
Injection, fulvestrant
|
$2,389.48 |
$2,389.48 |
$2,389.48 |
$2,618.94
|
|
Injection, isavuconazonium
|
$468.97 |
$468.97 |
$468.97 |
$634.28
|
|
Injection,onabotulinumtoxina
|
$1,584.58 |
$1,584.58 |
$1,584.58 |
$2,154.07
|
|
Injection radioactive tracer sentinel node (both sides)
|
$409.00 |
$409.00 |
$409.00 |
$773.19
|
|
Injection, renflexis
|
$1,129.15 |
$1,129.15 |
$1,129.15 |
$1,407.02
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$398.00 |
$398.00 |
$398.00 |
$1,471.50
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$424.76 |
$424.76 |
$424.76 |
$999.81
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
|
$484.86 |
$484.86 |
$484.86 |
$1,131.41
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
|
$431.72 |
$431.72 |
$431.72 |
$1,119.88
|
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
|
$329.47 |
$329.47 |
$329.47 |
$460.94
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$35.92 |
$35.92 |
$35.92 |
$168.17
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$35.92 |
$35.92 |
$35.92 |
$154.05
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$90.16 |
$90.16 |
$90.16 |
$270.60
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$77.33 |
$77.33 |
$77.33 |
$140.29
|
|
Inject/treat eye socket
|
$269.00 |
$269.00 |
$269.00 |
$366.40
|
|
Inj epidural sgl lumb-sacral without img
|
$509.05 |
$509.05 |
$509.05 |
$1,415.50
|
|
Inj heparin, pfizer, 1000u
|
$23.19 |
$23.19 |
$23.19 |
$19.04
|
|
Inj levocarnitine per 1 gm
|
$57.27 |
$57.27 |
$57.27 |
$122.28
|
|
Inj lwr xtr fscl pln blk uni w/wo image
|
$499.52 |
$499.52 |
$499.52 |
$625.00
|
|
Inj mepivacaine hcl/10 ml
|
$29.06 |
$29.06 |
$29.06 |
$22.38
|
|
Inj., meropenem, vaborbactam
|
$7,116.65 |
$7,116.65 |
$7,116.65 |
$618.43
|
|
Inj nephrosto/ureterogram w/img exstng access
|
$534.70 |
$534.70 |
$534.70 |
$1,522.56
|
|
Inj., omadacycline, 1 mg
|
$591.65 |
$591.65 |
$591.65 |
$3.80
|
|
Inj pegfilgrastim-bmez 0.5mg
|
$7,174.34 |
$7,174.34 |
$7,174.34 |
$2,572.03
|
|
Inj proc myelogram lumbar
|
$768.88 |
$768.88 |
$768.88 |
$960.30
|
|
Inj retacrit esrd on dialysi
|
$256.31 |
$256.31 |
$256.31 |
$307.40
|
|
Inj scleros sol mult veins
|
$339.73 |
$339.73 |
$339.73 |
$648.45
|
|
Inj testosterone cypionate
|
$70.07 |
$70.07 |
$70.07 |
$82.58
|
|
Inj thrc fascial pln blk bi w/wo image
|
$367.58 |
$367.58 |
$367.58 |
$1,483.20
|
|
Inj thrc fascial pln blk uni w/wo image
|
$365.39 |
$365.39 |
$365.39 |
$1,252.02
|
|
Inj w/fluor eval cv device
|
$83.20 |
$83.20 |
$83.20 |
$593.60
|
|
Ins cerv dilator (sep proc)
|
$171.15 |
$171.15 |
$171.15 |
$529.00
|
|
Insert cath pleura with image
|
$966.41 |
$966.41 |
$966.41 |
$2,239.02
|
|
Insert cath pleura without image
|
$1,535.56 |
$1,535.56 |
$1,535.56 |
$2,168.17
|
|
Insertion catheter bladder non indwelling
|
$261.31 |
$261.31 |
$261.31 |
$237.13
|
|
Insertion catheter bladder temporary simple
|
$66.70 |
$66.70 |
$66.70 |
$250.80
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$1,970.20 |
$1,970.20 |
$1,970.20 |
$4,782.00
|
|
Insertion intra aortic balloon assist device percutaneous
|
$675.43 |
$675.43 |
$675.43 |
$2,529.45
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$726.00 |
$726.00 |
$726.00 |
$6,832.00
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$1,163.21 |
$1,163.21 |
$1,163.21 |
$2,505.60
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$977.77 |
$977.77 |
$977.77 |
$2,079.43
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$486.32 |
$486.32 |
$486.32 |
$2,367.00
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$597.73 |
$597.73 |
$597.73 |
$7,216.00
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$1,354.15 |
$1,354.15 |
$1,354.15 |
$5,423.04
|
|
Insert swan-ganz cath
|
$774.01 |
$774.01 |
$774.01 |
$2,164.52
|
|
Insert tunneled cv 2cath 2sits without port/pmp 36565
|
$2,570.13 |
$2,570.13 |
$2,570.13 |
$4,705.13
|
|
Insert vad art access left hrt arterial access
|
$698.52 |
$698.52 |
$698.52 |
$5,135.65
|
|
In situ hybridization per specimen each additional single probe stain
|
$53.51 |
$53.51 |
$53.51 |
$264.00
|
|
In situ hybridization per specimen initial single probe stain
|
$159.42 |
$159.42 |
$159.42 |
$341.90
|
|
Ins picad w subq port 5yr>
|
$1,094.32 |
$1,094.32 |
$1,094.32 |
$4,228.20
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$505.75 |
$505.75 |
$505.75 |
$1,483.95
|
|
Inst fibrinolysis agent ini day
|
$521.14 |
$521.14 |
$521.14 |
$948.00
|
|
Ins tun cvad 2 cath w/subq port(s)
|
$1,536.66 |
$1,536.66 |
$1,536.66 |
$6,396.57
|
|
Inst via cath agent pleurds
|
$531.03 |
$531.03 |
$531.03 |
$1,029.00
|
|
Insulin total
|
$76.23 |
$76.23 |
$76.23 |
$67.50
|
|
Interrog evl pm/ldls pm ip
|
$22.73 |
$22.73 |
$22.73 |
$124.80
|
|
Intraoral i+d tongue/floor lingual 41000
|
$1,196.20 |
$1,196.20 |
$1,196.20 |
$1,291.20
|
|
Intrapul surf admin endo tube
|
$89.06 |
$89.06 |
$89.06 |
$239.52
|
|
Intrinsic factor antibody
|
$93.09 |
$93.09 |
$93.09 |
$59.95
|
|
Intubation endotracheal emergency procedure
|
$448.21 |
$448.21 |
$448.21 |
$592.80
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$31.82 |
$31.82 |
$31.82 |
$184.87
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$108.01 |
$108.01 |
$108.01 |
$222.75
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$77,644.26 |
$77,644.26 |
$77,644.26 |
$51,535.10
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$150.70 |
$150.70 |
$150.70 |
$236.99
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$6,348.69 |
$6,348.69 |
$6,348.69 |
$5,328.52
|
|
Iron
|
$24.93 |
$24.93 |
$24.93 |
$72.15
|
|
Iron binding capacity
|
$25.66 |
$25.66 |
$25.66 |
$61.47
|
|
Iron dextran 50 mg/ml injection solution
|
$60.42 |
$60.42 |
$60.42 |
$61.17
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$60.17 |
$60.17 |
$60.17 |
$255.91
|
|
Irradiation of blood product each unit reference
|
$45.08 |
$45.08 |
$45.08 |
$124.24
|
|
Irrigation implantable venous access device for drug delivery systems
|
$76.60 |
$76.60 |
$76.60 |
$153.75
|
|
Ivc venogram s&i
|
$1,341.32 |
$1,341.32 |
$1,341.32 |
$3,258.00
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$38.12 |
$38.12 |
$38.12 |
$191.75
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$337.90 |
$337.90 |
$337.90 |
$181.26
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$38.12 |
$38.12 |
$38.12 |
$154.00
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$210.36 |
$210.36 |
$210.36 |
$460.85
|
|
Ivp w/wo kub w/wo tomography
|
$387.74 |
$387.74 |
$387.74 |
$692.18
|
|
Jak2 targeted sequence analysis
|
$234.92 |
$234.92 |
$234.92 |
$379.87
|