|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$35.92 |
$57.81 |
$304.49 |
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$90.16 |
$142.69 |
$304.49 |
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$67.45 |
$84.86 |
$146.55 |
|
|
Inject sacroiliac joint
|
$504.90 |
$1,104.39 |
$3,364.07 |
|
|
Inject/treat eye socket
|
$261.92 |
$294.83 |
$369.66 |
|
|
Inj efgart-alfa 2mg hya-qvfc
|
$101,827.08 |
$101,827.08 |
$101,827.08 |
|
|
Inj epidural sgl lumb-sacral without img
|
$413.25 |
$509.05 |
$832.99 |
|
|
Inj for ext venography
|
$236.23 |
$318.13 |
$484.75 |
|
|
Inj for mammo ductogram
|
$51.02 |
$51.02 |
$51.02 |
|
|
Inj, fulvestrant (fresenius)
|
$2,895.86 |
$2,895.86 |
$2,895.86 |
|
|
Inj glycopyrrolate fres kabi
|
$56.66 |
$56.66 |
$56.66 |
|
|
Inj heparin, pfizer, 1000u
|
$22.58 |
$25.42 |
$31.87 |
|
|
Inj hrt cath w/s&i nonsel p-art angrp
|
$97.42 |
$103.24 |
$121.07 |
|
|
Inj hrt cath w/s&i sel hrt ang
|
$1,587.02 |
$1,587.02 |
$1,861.25 |
|
|
Inj hrt cath w/s&i sel hrt art
|
$146.62 |
$146.62 |
$171.95 |
|
|
Inj hrt cath w/s&i sel left vent
|
$572.37 |
$641.08 |
$751.85 |
|
|
Inj hrt cath w/s&i sel right vent
|
$107.41 |
$114.08 |
$133.79 |
|
|
Inj ivig privigen 500 mg
|
$6,942.77 |
$6,942.77 |
$6,942.77 |
|
|
Inj levocarnitine per 1 gm
|
$55.77 |
$62.77 |
$78.71 |
|
|
Inj lwr xtr fscl pln blk uni w/wo image
|
$495.65 |
$542.27 |
$650.78 |
|
|
Inj mepivacaine hcl/10 ml
|
$17.00 |
$31.85 |
$39.93 |
|
|
Inj., meropenem, vaborbactam
|
$6,929.35 |
$7,800.09 |
$9,779.71 |
|
|
Inj multihance
|
$410.96 |
$410.96 |
$410.96 |
|
|
Inj nephrosto/ureterogram w/img exstng access
|
$520.63 |
$586.05 |
$734.78 |
|
|
Inj non-compmd foam sclrsnt mlt trncl veins same leg
|
$2,431.74 |
$2,431.74 |
$2,431.74 |
|
|
Inj non-compmd foam sclrsnt sgl trncl vein
|
$2,431.74 |
$2,431.74 |
$2,431.74 |
|
|
Inj., omadacycline, 1 mg
|
$576.08 |
$648.46 |
$813.04 |
|
|
Inj pegfilgrastim-bmez 0.5mg
|
$6,985.53 |
$7,863.32 |
$9,859.00 |
|
|
Inj proc ankle arthr
|
$151.69 |
$151.69 |
$163.08 |
|
|
Inj proc elbow arthro
|
$128.94 |
$151.22 |
$246.22 |
|
|
Inj proc myelogram lumbar
|
$584.14 |
$838.30 |
$1,139.08 |
|
|
Inj retacrit esrd on dialysi
|
$249.56 |
$280.92 |
$352.22 |
|
|
Inj retro urethrocysto
|
$110.47 |
$110.47 |
$129.55 |
|
|
Inj scleros sol mult veins
|
$324.37 |
$370.75 |
$446.87 |
|
|
Inj scleros sol sgl vein
|
$573.78 |
$573.78 |
$573.78 |
|
|
Inj secukinumab intrav 1mg
|
$13,941.85 |
$13,941.85 |
$13,941.85 |
|
|
Inj, spesolimab-sbzo, 1 mg
|
$336,669.92 |
$336,669.92 |
$336,669.92 |
|
|
Inj testosterone cypionate
|
$68.22 |
$81.11 |
$113.42 |
|
|
Inj thrc fascial pln blk bi w/wo image
|
$364.69 |
$398.87 |
$500.10 |
|
|
Inj thrc fascial pln blk uni w/wo image
|
$362.55 |
$396.46 |
$475.79 |
|
|
Inj, tislelizumab-jsgr
|
$80,414.13 |
$80,414.13 |
$80,414.13 |
|
|
Inj, vancomycin hcl (mylan)
|
$46.08 |
$46.08 |
$46.08 |
|
|
Inj, vegzelma, 10 mg
|
$22,434.17 |
$22,434.17 |
$22,434.17 |
|
|
Inj w/fluor eval cv device
|
$83.20 |
$106.08 |
$743.33 |
|
|
Ins cath ren art 1st bi
|
$2,031.68 |
$2,031.68 |
$2,382.74 |
|
|
Ins cath ren art 1st uni
|
$1,585.01 |
$1,585.01 |
$1,858.90 |
|
|
Ins cerv dilator (sep proc)
|
$163.79 |
$171.15 |
$198.14 |
|
|
Insert cannula vein-to-vein hemodialysis
|
$1,039.47 |
$1,039.47 |
$1,039.47 |
|
|
Insert cath pleura with image
|
$922.78 |
$1,109.43 |
$1,391.00 |
|
|
Insert cath pleura without image
|
$1,466.60 |
$1,763.36 |
$2,210.89 |
|
|
Insert intrauterine device iud
|
$173.53 |
$173.53 |
$173.53 |
|
|
Insertion catheter bladder non indwelling
|
$242.30 |
$288.09 |
$705.50 |
|
|
Insertion catheter bladder temporary simple
|
$60.26 |
$159.87 |
$278.78 |
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$1,881.95 |
$2,280.94 |
$3,000.06 |
|
|
Insertion intra aortic balloon assist device percutaneous
|
$670.00 |
$675.43 |
$785.77 |
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$726.00 |
$965.08 |
$1,645.03 |
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$773.70 |
$1,272.51 |
$4,658.48 |
|
|
Insertion of heart electrode 33211
|
$798.53 |
$798.53 |
$936.52 |
|
|
Insertion of infusion pump
|
$4,820.10 |
$4,820.10 |
$5,653.00 |
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$2,413.27 |
$2,830.27 |
$5,655.13 |
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$1,906.35 |
$2,235.76 |
$5,655.13 |
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$1,810.75 |
$2,123.65 |
$2,432.91 |
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$627.16 |
$1,373.83 |
$8,683.53 |
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$486.32 |
$639.69 |
$5,978.45 |
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$3,686.17 |
$4,323.13 |
$22,006.75 |
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$597.73 |
$731.60 |
$7,134.57 |
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$774.03 |
$999.17 |
$4,591.57 |
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$7,298.00 |
$7,453.88 |
$8,741.89 |
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$362.19 |
$1,354.15 |
$1,823.57 |
|
|
Insert pm/icd lead dual
|
$1,728.81 |
$2,027.55 |
$3,333.92 |
|
|
Insert/repl sq defib w/eltrd
|
$26,038.28 |
$27,441.62 |
$32,183.45 |
|
|
Insert sq defib electrode
|
$7,872.15 |
$8,258.44 |
$9,685.47 |
|
|
Insert swan-ganz cath
|
$739.01 |
$839.91 |
$1,018.10 |
|
|
Insert tunneled cv 2cath 2sits without port/pmp 36565
|
$2,502.49 |
$2,814.54 |
$3,528.86 |
|
|
Insert vad art access left hrt arterial access
|
$698.52 |
$808.68 |
$918.80 |
|
|
Ins icd gen exist mlt leads
|
$2,411.26 |
$2,827.92 |
$14,614.55 |
|
|
Ins icd gen exist sgl lead
|
$2,997.98 |
$2,997.98 |
$9,988.18 |
|
|
Insitu hybridization auto
|
$128.14 |
$150.28 |
$233.36 |
|
|
Insitu hybridization manual
|
$102.06 |
$205.36 |
$657.23 |
|
|
In situ hybridization per specimen each additional single probe stain
|
$46.75 |
$117.70 |
$2,543.28 |
|
|
In situ hybridization per specimen initial single probe stain
|
$62.81 |
$165.70 |
$306.87 |
|
|
Insj perq vad r hrt venous
|
$1,786.82 |
$1,786.82 |
$1,786.82 |
|
|
Ins lv lead exist pm/icd
|
$1,260.86 |
$1,478.73 |
$4,498.63 |
|
|
Ins picad w subq port 5yr>
|
$1,094.32 |
$1,320.31 |
$8,891.66 |
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$505.75 |
$605.73 |
$769.65 |
|
|
Ins pm gen exist dual lead
|
$2,115.22 |
$2,480.73 |
$10,513.80 |
|
|
Ins pm gen w/exist mlt leads
|
$1,366.10 |
$1,602.16 |
$8,013.10 |
|
|
Ins pq tunnld ip cath w/img
|
$2,683.05 |
$3,141.10 |
$3,683.87 |
|
|
Ins/rplc spi npg/rcvr pocket
|
$12,853.60 |
$12,853.60 |
$15,074.66 |
|
|
Ins/rpl ldless pm right vent w img & eval
|
$7,269.81 |
$9,448.20 |
$11,080.82 |
|
|
Ins/rpl pm gen exist dual lead
|
$1,461.70 |
$1,714.28 |
$4,948.60 |
|
|
Ins/rpl pm gen exist sgl lead
|
$1,293.40 |
$1,516.89 |
$3,662.21 |
|
|
Ins/rpl pm w/tv ld atrl
|
$1,954.96 |
$2,292.77 |
$7,577.76 |
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$23,293.12 |
$23,293.12 |
$27,318.11 |
|
|
Inst fibrinolysis agent ini day
|
$497.79 |
$543.87 |
$685.49 |
|
|
Inst fibrinolysis agent sbsq d
|
$483.16 |
$543.87 |
$637.85 |
|
|
Instillation anticarcinogenic agent bladder
|
$151.44 |
$177.60 |
$351.31 |
|
|
Instill, bupivac and meloxic
|
$905.55 |
$905.55 |
$905.55 |
|
|
Ins tun cvad 2 cath w/subq port(s)
|
$1,467.67 |
$1,467.67 |
$1,536.66 |
|
|
Inst via cath agent pleurds
|
$507.07 |
$576.41 |
$698.50 |
|
