|
Inj nephrosto/ureterogram w/img exstng access
|
$672.58 |
$672.58 |
$672.58 |
$1,413.35
|
|
Inj nivolumab 2 mg hyaluron
|
$10,923.96 |
$10,923.96 |
$10,923.96 |
$15,599.68
|
|
Inj non-compmd foam sclrsnt mlt trncl veins same leg
|
$3,318.24 |
$3,318.24 |
$3,318.24 |
$2,881.20
|
|
Inj non-compmd foam sclrsnt sgl trncl vein
|
$2,609.38 |
$2,609.38 |
$2,609.38 |
$2,726.90
|
|
Inj octafluoropropane mic,ml
|
$76.37 |
$76.37 |
$76.37 |
$211.40
|
|
Inj ogivri 10 mg
|
$2,387.16 |
$2,387.16 |
$2,387.16 |
$4,492.28
|
|
Inj., patisiran, 0.1 mg
|
$40,946.16 |
$40,946.16 |
$40,946.16 |
$17,613.00
|
|
Inj pegfilgrastim-bmez 0.5mg
|
$6,219.85 |
$6,219.85 |
$6,219.85 |
$6,614.40
|
|
Inj pemetrexed, hospira 10mg
|
$198.60 |
$198.60 |
$198.60 |
$64.35
|
|
Inj peritoneal venous shunt
|
$1,892.59 |
$1,892.59 |
$1,892.59 |
$406.80
|
|
Inj., perseris, 0.5 mg
|
$4,377.34 |
$4,377.34 |
$4,377.34 |
$5,146.85
|
|
Inj proc ankle arthr
|
$521.52 |
$521.52 |
$521.52 |
$405.31
|
|
Inj proc elbow arthro
|
$459.22 |
$459.22 |
$459.22 |
$432.00
|
|
Inj proc for lymphang
|
$3,866.02 |
$3,866.02 |
$3,866.02 |
$742.40
|
|
Inj proc lumbr disk ea lvl
|
$507.12 |
$507.12 |
$507.12 |
$1,106.93
|
|
Inj proc myelogram lumbar
|
$481.97 |
$481.97 |
$481.97 |
$838.30
|
|
Inj proc sialogram
|
$352.13 |
$352.13 |
$352.13 |
$373.00
|
|
Inj progesterone per 50 mg
|
$22.11 |
$22.11 |
$22.11 |
$13.76
|
|
Inj retro urethrocysto
|
$893.28 |
$893.28 |
$893.28 |
$447.74
|
|
Inj, rimabotulinumtoxinb
|
$21.83 |
$21.83 |
$21.83 |
$714.24
|
|
Inj scleros sol mult veins
|
$1,215.94 |
$1,215.94 |
$1,215.94 |
$692.90
|
|
Inj scleros sol sgl vein
|
$988.66 |
$988.66 |
$988.66 |
$561.88
|
|
Inj secretin synthetic human
|
$1,195.54 |
$1,195.54 |
$1,195.54 |
$1,253.09
|
|
Inj(s) sclerosant spider veins limb/trunk
|
$3,937.10 |
$3,937.10 |
$3,937.10 |
$436.80
|
|
Inj sulf hexa lipid microsph
|
$149.14 |
$149.14 |
$149.14 |
$256.14
|
|
Inj, sutimlimab-jome, 10 mg
|
$15,857.20 |
$15,857.20 |
$15,857.20 |
$3,453.73
|
|
Inj. tagraxofusp-erzs 10 mcg
|
$44,835.67 |
$44,835.67 |
$44,835.67 |
$67,538.30
|
|
Inj teclistamab cqyv 0.5 mg
|
$9,931.39 |
$9,931.39 |
$9,931.39 |
$17,517.56
|
|
Inj. teprotumumab-trbw 10 mg
|
$22,825.34 |
$22,825.34 |
$22,825.34 |
$35,034.78
|
|
Inj testosterone cypionate
|
$62.53 |
$62.53 |
$62.53 |
$64.96
|
|
Inj thiotepa nos 1 mg
|
$1,158.96 |
$1,158.96 |
$1,158.96 |
$3,170.16
|
|
Inj, tofidence, 1 mg
|
$4,908.60 |
$4,908.60 |
$4,908.60 |
$86.87
|
|
Inj, tyenne, 1 mg
|
$4,087.59 |
$4,087.59 |
$4,087.59 |
$3,525.12
|
|
Inj ustekinumab-kfce, 1 mg
|
$4,591.70 |
$4,591.70 |
$4,591.70 |
$5,244.37
|
|
Inj vancomycin (xellia) 10mg
|
$65.64 |
$65.64 |
$65.64 |
$76.59
|
|
Inj, vegzelma, 10 mg
|
$2,348.37 |
$2,348.37 |
$2,348.37 |
$1,186.35
|
|
Inj w/fluor eval cv device
|
$1,618.08 |
$1,618.08 |
$1,618.08 |
$504.40
|
|
Inotuzumab ozogamicin 0.9 mg(0.25 mg/ml initial concentration) IV soln
|
$31,518.32 |
$31,518.32 |
$31,518.32 |
$41,083.73
|
|
Ins cath ren art 1st bi
|
$9,620.30 |
$9,620.30 |
$9,620.30 |
$5,974.80
|
|
Ins cath ren art 1st uni
|
$5,855.28 |
$5,855.28 |
$5,855.28 |
$4,667.63
|
|
Ins cath ren art 2nd+ bi
|
$13,725.36 |
$13,725.36 |
$13,725.36 |
$5,663.98
|
|
Ins cath ren art 2nd+ uni
|
$11,217.31 |
$11,217.31 |
$11,217.31 |
$5,395.20
|
|
Ins cerv dilator (sep proc)
|
$849.89 |
$849.89 |
$849.89 |
$490.73
|
|
Insert cath pleura with image
|
$1,711.34 |
$1,711.34 |
$1,711.34 |
$2,194.40
|
|
Insert drug delivery implant
|
$1,968.72 |
$1,968.72 |
$1,968.72 |
$280.00
|
|
Insert hepatic shunt (tips)
|
$15,598.85 |
$15,598.85 |
$15,598.85 |
$7,571.20
|
|
Insertion catheter bladder non indwelling
|
$108.58 |
$108.58 |
$108.58 |
$208.01
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$1,036.42 |
$1,036.42 |
$1,036.42 |
$4,897.20
|
|
Insertion intra aortic balloon assist device percutaneous
|
$7,607.81 |
$7,607.81 |
$7,607.81 |
$2,447.63
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$6,008.06 |
$6,008.06 |
$6,008.06 |
$7,210.78
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$1,752.53 |
$1,752.53 |
$1,752.53 |
$2,585.25
|
|
Insertion of catheter vein
|
$3,436.13 |
$3,436.13 |
$3,436.13 |
$1,525.80
|
|
Insertion of catheter vein
|
$822.38 |
$822.38 |
$822.38 |
$870.59
|
|
Insertion of heart electrode 33211
|
$4,460.88 |
$4,460.88 |
$4,460.88 |
$6,820.50
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$17,874.48 |
$17,874.48 |
$17,874.48 |
$12,384.25
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$10,345.01 |
$10,345.01 |
$10,345.01 |
$12,324.60
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$19,526.78 |
$19,526.78 |
$19,526.78 |
$9,884.16
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$2,802.34 |
$2,802.34 |
$2,802.34 |
$2,103.75
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$3,082.32 |
$3,082.32 |
$3,082.32 |
$2,453.83
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$10,461.12 |
$10,461.12 |
$10,461.12 |
$29,180.00
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$7,447.01 |
$7,447.01 |
$7,447.01 |
$7,183.68
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$7,447.01 |
$7,447.01 |
$7,447.01 |
$7,267.20
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$11,263.25 |
$11,263.25 |
$11,263.25 |
$9,332.50
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$5,420.02 |
$5,420.02 |
$5,420.02 |
$5,236.80
|
|
Insert picvad cath
|
$2,002.80 |
$2,002.80 |
$2,002.80 |
$4,195.00
|
|
Insert pm/icd lead dual
|
$7,729.20 |
$7,729.20 |
$7,729.20 |
$7,115.90
|
|
Insert/repl sq defib w/eltrd
|
$8,559.22 |
$8,559.22 |
$8,559.22 |
$33,593.55
|
|
Insert sq defib electrode
|
$4,078.37 |
$4,078.37 |
$4,078.37 |
$8,167.68
|
|
Insert swan-ganz cath
|
$2,741.57 |
$2,741.57 |
$2,741.57 |
$2,164.52
|
|
Insert tissue expander(s)
|
$2,358.14 |
$2,358.14 |
$2,358.14 |
$4,332.25
|
|
Insert tunneled cv 2cath 2sits without port/pmp 36565
|
$6,867.46 |
$6,867.46 |
$6,867.46 |
$4,997.60
|
|
Insert tunneled cv cath
|
$3,312.43 |
$3,312.43 |
$3,312.43 |
$4,520.00
|
|
Insert tunneled cv cath
|
$5,058.91 |
$5,058.91 |
$5,058.91 |
$6,028.07
|
|
Insert uteri tandem/ovoids
|
$1,053.94 |
$1,053.94 |
$1,053.94 |
$3,940.41
|
|
Insert vad art access left hrt arterial access
|
$11,065.82 |
$11,065.82 |
$11,065.82 |
$4,276.00
|
|
Insert vad art access left hrt art & vein access
|
$16,916.83 |
$16,916.83 |
$16,916.83 |
$3,915.72
|
|
Ins icd gen exist mlt leads
|
$10,851.12 |
$10,851.12 |
$10,851.12 |
$31,286.77
|
|
Ins icd gen exist sgl lead
|
$6,853.87 |
$6,853.87 |
$6,853.87 |
$23,230.50
|
|
Insitu hybridization (fish)
|
$500.11 |
$500.11 |
$500.11 |
$481.00
|
|
In situ hybridization per specimen each additional single probe stain
|
$124.70 |
$124.70 |
$124.70 |
$243.50
|
|
In situ hybridization per specimen initial single probe stain
|
$1,860.62 |
$1,860.62 |
$1,860.62 |
$338.40
|
|
Insj perq vad r hrt venous
|
$11,065.82 |
$11,065.82 |
$11,065.82 |
$3,796.00
|
|
Insj phrnc nrv stim sys
|
$16,335.46 |
$16,335.46 |
$16,335.46 |
$53,251.79
|
|
Ins left heart vent thor inscn ecmo
|
$5,604.82 |
$5,604.82 |
$5,604.82 |
$1,901.60
|
|
Ins lv lead exist pm/icd
|
$22,084.56 |
$22,084.56 |
$22,084.56 |
$12,384.25
|
|
Ins mark abd/pel for right perq
|
$429.50 |
$429.50 |
$429.50 |
$2,477.24
|
|
Ins mark thor for right perq
|
$850.94 |
$850.94 |
$850.94 |
$2,503.80
|
|
Insole orthotic freedom sz6 6816
|
$136.66 |
$136.66 |
$136.66 |
$84.00
|
|
Ins picad w subq port 5yr>
|
$4,458.00 |
$4,458.00 |
$4,458.00 |
$4,078.00
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$2,400.86 |
$2,400.86 |
$2,400.86 |
$1,690.00
|
|
Ins pm gen exist dual lead
|
$9,864.72 |
$9,864.72 |
$9,864.72 |
$24,159.72
|
|
Ins pm gen w/exist mlt leads
|
$10,851.12 |
$10,851.12 |
$10,851.12 |
$14,804.40
|
|
Ins pq tunnld ip cath w/img
|
$3,505.30 |
$3,505.30 |
$3,505.30 |
$5,486.00
|
|
Ins/rplc spi npg/rcvr pocket
|
$52,475.52 |
$52,475.52 |
$52,475.52 |
$24,061.80
|
|
Ins/rpl ldless pm right vent w img & eval
|
$8,636.50 |
$8,636.50 |
$8,636.50 |
$24,135.54
|
|
Ins/rpl pm gen exist dual lead
|
$16,745.71 |
$16,745.71 |
$16,745.71 |
$11,005.50
|
|
Ins/rpl pm gen exist sgl lead
|
$10,851.12 |
$10,851.12 |
$10,851.12 |
$9,428.64
|
|
Ins/rpl pm w/tv ld atrl
|
$10,345.01 |
$10,345.01 |
$10,345.01 |
$11,583.66
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$9,642.77 |
$9,642.77 |
$9,642.77 |
$27,318.11
|
|
Insrt/redo neurostim 1 array
|
$6,001.54 |
$6,001.54 |
$6,001.54 |
$21,817.60
|