|
Inj romidepsin non-lyo 0.1mg
|
$39.35 |
$39.35 |
$39.35 |
$9,892.69
|
|
Inj, rykindo, 0.5 mg
|
$17.98 |
$17.98 |
$17.98 |
$13.03
|
|
Inj scleros sol mult veins
|
$558.97 |
$558.97 |
$558.97 |
$719.34
|
|
Inj scleros sol sgl vein
|
$558.97 |
$558.97 |
$558.97 |
$567.60
|
|
Inj, sculptra, 0.5mg
|
$2.98 |
$2.98 |
$2.98 |
$1.00
|
|
Inj sebelipase alfa 1 mg
|
$745.32 |
$745.32 |
$745.32 |
$539.69
|
|
Inj secretin synthetic human
|
$55.81 |
$55.81 |
$55.81 |
$1,234.65
|
|
Inj secukinumab intrav 1mg
|
$24.94 |
$24.94 |
$24.94 |
$4,413.21
|
|
Inj, sezaby, 1 mg
|
$1.62 |
$1.62 |
$1.62 |
$235.85
|
|
Inj, spesolimab-sbzo, 1 mg
|
$90.70 |
$90.70 |
$90.70 |
$90,007.62
|
|
Inj(s) sclerosant spider veins limb/trunk
|
$558.97 |
$558.97 |
$558.97 |
$436.80
|
|
Inj sulf hexa lipid microsph
|
$25.07 |
$25.07 |
$25.07 |
$256.14
|
|
Inj, susvimo 0.1 mg
|
$105.19 |
$105.19 |
$105.19 |
$2,598.44
|
|
Inj, sutimlimab-jome, 10 mg
|
$26.26 |
$26.26 |
$26.26 |
$3,453.73
|
|
Inj. tagraxofusp-erzs 10 mcg
|
$492.69 |
$492.69 |
$492.69 |
$67,538.30
|
|
Inj, taliglucerace alfa 10 u
|
$56.50 |
$56.50 |
$56.50 |
$1,573.27
|
|
Inj teclistamab cqyv 0.5 mg
|
$47.71 |
$47.71 |
$47.71 |
$17,517.56
|
|
Inj tedizolid phosphate
|
$2.71 |
$2.71 |
$2.71 |
$664.72
|
|
Inj teplizumab mzwv 5 mcg
|
$52.97 |
$52.97 |
$52.97 |
$22,340.08
|
|
Inj. teprotumumab-trbw 10 mg
|
$509.65 |
$509.65 |
$509.65 |
$35,034.78
|
|
Inj testostero enanthate 1mg
|
$0.07 |
$0.07 |
$0.07 |
$123.09
|
|
Inj, testosterone, azmiro
|
$1.83 |
$1.83 |
$1.83 |
$1.33
|
|
Inj testosterone cypionate
|
$0.04 |
$0.04 |
$0.04 |
$64.96
|
|
Inj thiotepa nos 1 mg
|
$12.23 |
$12.23 |
$12.23 |
$3,170.16
|
|
Inj thrc fascial pln blk bi w/wo image
|
$98.35 |
$98.35 |
$98.35 |
$1,059.00
|
|
Inj thrc fascial pln blk uni w/wo image
|
$88.84 |
$88.84 |
$88.84 |
$996.15
|
|
Inj., tildrakizumab, 1 mg
|
$170.82 |
$170.82 |
$170.82 |
$26,635.60
|
|
Inj, tislelizumab-jsgr
|
$80.55 |
$80.55 |
$80.55 |
$9,764.09
|
|
Inj tofersen intrathec 1 mg
|
$220.81 |
$220.81 |
$220.81 |
$293.34
|
|
Inj, tofidence, 1 mg
|
$7.71 |
$7.71 |
$7.71 |
$86.87
|
|
Inj travoprost intra impl
|
$270.79 |
$270.79 |
$270.79 |
$197.16
|
|
Inj triamcinolone ace X-ray 1mg
|
$25.64 |
$25.64 |
$25.64 |
$1,090.75
|
|
Inj., triluron, 1 mg
|
$13.96 |
$13.96 |
$13.96 |
$10.36
|
|
Inj., triptorelin X-ray 3.75 mg
|
$5,195.68 |
$5,195.68 |
$5,195.68 |
$33,416.39
|
|
Inj, trivisc 1 mg
|
$4.98 |
$4.98 |
$4.98 |
$6.67
|
|
Inj, tyenne, 1 mg
|
$5.79 |
$5.79 |
$5.79 |
$3,525.12
|
|
Inj ustekinumab-aekn, 1 mg
|
$59.62 |
$59.62 |
$59.62 |
$47.80
|
|
Inj ustekinumab-kfce, 1 mg
|
$34.06 |
$34.06 |
$34.06 |
$5,244.37
|
|
Inj ustekinumab-stba, 1 mg
|
$16.36 |
$16.36 |
$16.36 |
$16.36
|
|
Inj, uzedy, 1 mg
|
$34.56 |
$34.56 |
$34.56 |
$11,475.96
|
|
Inj vancomycin (xellia) 10mg
|
$0.18 |
$0.18 |
$0.18 |
$76.59
|
|
Inj vasopressin (am reg) 1 u
|
$1.19 |
$1.19 |
$1.19 |
$41.79
|
|
Inj, vasopressin (baxter)
|
$3.07 |
$3.07 |
$3.07 |
$202.50
|
|
Inj, vegzelma, 10 mg
|
$52.66 |
$52.66 |
$52.66 |
$1,186.35
|
|
Inj velmanase alfa-tycv 1 mg
|
$642.02 |
$642.02 |
$642.02 |
$7,123.31
|
|
Inj., vestronidase alfa-vjbk
|
$386.53 |
$386.53 |
$386.53 |
$386.53
|
|
Inj vocal cord bulking agent
|
$72.88 |
$72.88 |
$72.88 |
$1,480.00
|
|
Inj w/fluor eval cv device
|
$292.48 |
$292.48 |
$292.48 |
$504.40
|
|
Inj. xembify, 100 mg
|
$20.78 |
$20.78 |
$20.78 |
$3,451.77
|
|
Inj xipere 1 mg
|
$66.03 |
$66.03 |
$66.03 |
$93.00
|
|
Inj., yutiq, 0.01 mg
|
$731.25 |
$731.25 |
$731.25 |
$14,458.60
|
|
Inj zanidatamab-hrii, 2 mg
|
$34.50 |
$34.50 |
$34.50 |
$8,532.00
|
|
Inj zenocutuzumab-zbco 1 mg
|
$46.32 |
$46.32 |
$46.32 |
$19,177.20
|
|
Inner skull vessel surgery
|
$6,000.92 |
$6,000.92 |
$6,000.92 |
$6,000.92
|
|
Inotuzumab ozogamicin 0.9 mg(0.25 mg/ml initial concentration) IV soln
|
$3,887.14 |
$3,887.14 |
$3,887.14 |
$41,083.73
|
|
Inpatient telehealth pharmacologic management, including prescription, use, and review of medication with no more than minimal medical psychotherapy
|
$56.46 |
$56.46 |
$56.46 |
$54.24
|
|
Inpt/ed teleconsult30
|
$121.50 |
$121.50 |
$121.50 |
$156.60
|
|
Inpt/ed teleconsult50
|
$167.97 |
$167.97 |
$167.97 |
$223.80
|
|
Inpt/ed teleconsult70
|
$239.71 |
$239.71 |
$239.71 |
$315.00
|
|
Inpt/tele follow up 15
|
$51.93 |
$51.93 |
$51.93 |
$64.80
|
|
Inpt/tele follow up 25
|
$91.19 |
$91.19 |
$91.19 |
$116.80
|
|
Inpt/tele follow up 35
|
$133.75 |
$133.75 |
$133.75 |
$168.96
|
|
Ins cath ren art 1st bi
|
$4,341.66 |
$4,341.66 |
$4,341.66 |
$5,974.80
|
|
Ins cath ren art 1st uni
|
$4,341.66 |
$4,341.66 |
$4,341.66 |
$4,692.00
|
|
Ins cath ren art 2nd+ bi
|
$4,341.66 |
$4,341.66 |
$4,341.66 |
$5,663.98
|
|
Ins cath ren art 2nd+ uni
|
$7,651.38 |
$7,651.38 |
$7,651.38 |
$5,509.80
|
|
Ins cerv dilator (sep proc)
|
$419.01 |
$419.01 |
$419.01 |
$500.00
|
|
Ins device for right guide open
|
$113.62 |
$113.62 |
$113.62 |
$487.20
|
|
Insemination of oocytes
|
$234.27 |
$234.27 |
$234.27 |
$314.40
|
|
Insert abdomen-venous drain
|
$1,119.03 |
$1,119.03 |
$1,119.03 |
$3,758.23
|
|
Insert and remove bone pin
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$4,433.36
|
|
Insert ant drainage device
|
$5,683.61 |
$5,683.61 |
$5,683.61 |
$5,108.80
|
|
Insert balloon device
|
$701.50 |
$701.50 |
$701.50 |
$2,067.52
|
|
Insert brain-fluid device 61215
|
$12,067.12 |
$12,067.12 |
$12,067.12 |
$7,181.20
|
|
Insert cannula hemo oth 36815
|
$7,651.38 |
$7,651.38 |
$7,651.38 |
$5,983.35
|
|
Insert cannula vein-to-vein hemodialysis
|
$7,651.38 |
$7,651.38 |
$7,651.38 |
$7,279.50
|
|
Insert cath pleura with image
|
$2,164.52 |
$2,164.52 |
$2,164.52 |
$2,194.40
|
|
Insert cath pleura without image
|
$2,638.57 |
$2,638.57 |
$2,638.57 |
$2,101.52
|
|
Insert cv cath inf & sup app
|
$11,104.24 |
$11,104.24 |
$11,104.24 |
$9,763.31
|
|
Insert drug del implant, >=4
|
$614.27 |
$614.27 |
$614.27 |
$472.21
|
|
Insert drug delivery implant
|
$182.95 |
$182.95 |
$182.95 |
$280.00
|
|
Insert electrodes for eeg
|
$108.74 |
$108.74 |
$108.74 |
$564.20
|
|
Insert epicard eltrd endo 33203
|
$1,163.01 |
$1,163.01 |
$1,163.01 |
$3,053.00
|
|
Insert epicardial lead open 33202
|
$1,113.12 |
$1,113.12 |
$1,113.12 |
$3,775.20
|
|
Insert eye socket implant
|
$5,405.82 |
$5,405.82 |
$5,405.82 |
$5,067.20
|
|
Insert hepatic shunt (tips)
|
$25,206.69 |
$25,206.69 |
$25,206.69 |
$7,571.20
|
|
Insert heyman uteri capsule
|
$6,878.55 |
$6,878.55 |
$6,878.55 |
$5,813.46
|
|
Insert intervert bimech device 22854
|
$470.11 |
$470.11 |
$470.11 |
$1,103.00
|
|
Insert intracorporeal device
|
$2,713.63 |
$2,713.63 |
$2,713.63 |
$4,520.75
|
|
Insert intrauterine device iud
|
$175.00 |
$175.00 |
$175.00 |
$347.10
|
|
Insertion catheter artery nfs ther chemotx 36640
|
$4,341.66 |
$4,341.66 |
$4,341.66 |
$3,594.47
|
|
Insertion catheter bladder non indwelling
|
$182.95 |
$182.95 |
$182.95 |
$209.30
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$4,923.19 |
$4,923.19 |
$4,923.19 |
$4,923.19
|
|
Insertion intra aortic balloon assist device percutaneous
|
$343.19 |
$343.19 |
$343.19 |
$2,469.74
|
|
Insertion intra-aortic circulation dev 33970
|
$481.33 |
$481.33 |
$481.33 |
$1,752.40
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$7,651.38 |
$7,651.38 |
$7,651.38 |
$7,210.78
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$4,341.66 |
$4,341.66 |
$4,341.66 |
$2,595.45
|
|
Insertion of cannula
|
$4,341.66 |
$4,341.66 |
$4,341.66 |
$4,322.40
|
|
Insertion of cannula(s)
|
$1,989.39 |
$1,989.39 |
$1,989.39 |
$1,989.39
|
|
Insertion of catheter vein
|
$410.03 |
$410.03 |
$410.03 |
$1,626.83
|
