|
Injection for ureter x-ray
|
$510.40 |
$510.40 |
$510.40 |
$515.21
|
|
Injection, fulvestrant
|
$249.68 |
$249.68 |
$249.68 |
$1,719.16
|
|
Injection, inclisiran, 1 mg
|
$5,260.16 |
$5,260.16 |
$5,260.16 |
$6,679.35
|
|
Injection, necitumumab, 1 mg
|
$7,055.36 |
$7,055.36 |
$7,055.36 |
$8,572.91
|
|
Injection,onabotulinumtoxina
|
$1,093.60 |
$1,093.60 |
$1,093.60 |
$2,277.65
|
|
Injection radioactive tracer sentinel node (both sides)
|
$1,140.00 |
$1,140.00 |
$1,140.00 |
$685.44
|
|
Injection, renflexis
|
$702.07 |
$702.07 |
$702.07 |
$1,341.52
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$914.40 |
$914.40 |
$914.40 |
$1,043.72
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$488.00 |
$488.00 |
$488.00 |
$548.80
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$154.40 |
$154.40 |
$154.40 |
$145.60
|
|
Inj, etelcalcetide, 0.1 mg
|
$347.96 |
$347.96 |
$347.96 |
$343.35
|
|
Inj. fe derisomaltose 10 mg
|
$3,221.52 |
$3,221.52 |
$3,221.52 |
$3,221.52
|
|
Inj, fosaprepitant (teva)
|
$108.36 |
$108.36 |
$108.36 |
$152.10
|
|
Inj heparin, pfizer, 1000u
|
$60.73 |
$60.73 |
$60.73 |
$25.30
|
|
Inj. herceptin hylecta, 10mg
|
$7,640.32 |
$7,640.32 |
$7,640.32 |
$8,193.78
|
|
Inj hydroxocobalamin IV 25mg
|
$1,541.19 |
$1,541.19 |
$1,541.19 |
$2,452.32
|
|
Inj ivig privigen 500 mg
|
$6,908.00 |
$6,908.00 |
$6,908.00 |
$6,967.29
|
|
Inj levocarnitine per 1 gm
|
$76.00 |
$76.00 |
$76.00 |
$136.62
|
|
Inj, lidocaine w epinephrine
|
$60.55 |
$60.55 |
$60.55 |
$45.60
|
|
Inj, meropenem (b. braun)
|
$164.72 |
$164.72 |
$164.72 |
$71.14
|
|
Inj multihance
|
$204.00 |
$204.00 |
$204.00 |
$70.54
|
|
Inj ocrelizumab 1mg hya-ocsq
|
$49,325.84 |
$49,325.84 |
$49,325.84 |
$66,582.27
|
|
Inj octafluoropropane mic,ml
|
$123.20 |
$123.20 |
$123.20 |
$211.40
|
|
Inj ogivri 10 mg
|
$2,118.55 |
$2,118.55 |
$2,118.55 |
$4,492.28
|
|
Inj ontruzant 10 mg
|
$5,309.54 |
$5,309.54 |
$5,309.54 |
$6,706.27
|
|
Inj pantoprazole(hikma) 40mg
|
$62.02 |
$62.02 |
$62.02 |
$34.67
|
|
Inj, releuko 1 mcg
|
$117.60 |
$117.60 |
$117.60 |
$475.36
|
|
Inj retacrit esrd on dialysi
|
$349.45 |
$349.45 |
$349.45 |
$349.45
|
|
Inj scleros sol mult veins
|
$579.20 |
$579.20 |
$579.20 |
$692.90
|
|
Inj secukinumab intrav 1mg
|
$3,443.44 |
$3,443.44 |
$3,443.44 |
$4,413.21
|
|
Inj(s) sclerosant spider veins limb/trunk
|
$320.80 |
$320.80 |
$320.80 |
$436.80
|
|
Inj teclistamab cqyv 0.5 mg
|
$11,638.05 |
$11,638.05 |
$11,638.05 |
$17,517.56
|
|
Inj testosterone cypionate
|
$66.69 |
$66.69 |
$66.69 |
$64.96
|
|
Inj, tyenne, 1 mg
|
$2,705.64 |
$2,705.64 |
$2,705.64 |
$3,525.12
|
|
Ins cerv dilator (sep proc)
|
$468.80 |
$468.80 |
$468.80 |
$490.73
|
|
Insert cath pleura without image
|
$1,552.80 |
$1,552.80 |
$1,552.80 |
$2,099.70
|
|
Insertion catheter bladder non indwelling
|
$166.40 |
$166.40 |
$166.40 |
$208.01
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$1,750.40 |
$1,750.40 |
$1,750.40 |
$2,585.25
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$1,818.40 |
$1,818.40 |
$1,818.40 |
$2,103.75
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$2,355.20 |
$2,355.20 |
$2,355.20 |
$2,453.83
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$676.00 |
$676.00 |
$676.00 |
$7,183.68
|
|
In situ hybridization per specimen each additional single probe stain
|
$300.00 |
$300.00 |
$300.00 |
$243.50
|
|
In situ hybridization per specimen initial single probe stain
|
$376.80 |
$376.80 |
$376.80 |
$338.40
|
|
Ins mark abd/pel for right perq
|
$3,195.20 |
$3,195.20 |
$3,195.20 |
$2,477.24
|
|
Ins pq tunnld ip cath w/img
|
$6,146.40 |
$6,146.40 |
$6,146.40 |
$5,486.00
|
|
Instillation anticarcinogenic agent bladder
|
$460.80 |
$460.80 |
$460.80 |
$638.40
|
|
Intro long gi tube
|
$664.00 |
$664.00 |
$664.00 |
$974.17
|
|
Intro long gi tube w/mult fluo
|
$676.80 |
$676.80 |
$676.80 |
$469.00
|
|
Intubation endotracheal emergency procedure
|
$558.40 |
$558.40 |
$558.40 |
$601.28
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$200.00 |
$200.00 |
$200.00 |
$165.67
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$100.00 |
$100.00 |
$100.00 |
$279.10
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$14,014.08 |
$14,014.08 |
$14,014.08 |
$62,692.46
|
|
Ipratropium bromide non-comp
|
$3.60 |
$3.60 |
$3.60 |
$4.06
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$418.12 |
$418.12 |
$418.12 |
$173.98
|
|
Iron dextran 50 mg/ml injection solution
|
$86.34 |
$86.34 |
$86.34 |
$80.67
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$66.61 |
$66.61 |
$66.61 |
$187.06
|
|
Irrigation implantable venous access device for drug delivery systems
|
$122.40 |
$122.40 |
$122.40 |
$146.11
|
|
IV Fluids (each additional hour)
|
$186.40 |
$186.40 |
$186.40 |
$133.90
|
|
IV Fluids (first hour)
|
$440.80 |
$440.80 |
$440.80 |
$390.00
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$180.80 |
$180.80 |
$180.80 |
$162.68
|
|
IV Medicine Infusion (additional drug)
|
$232.80 |
$232.80 |
$232.80 |
$191.75
|
|
IV Medicine Infusion (each additional hour)
|
$198.40 |
$198.40 |
$198.40 |
$154.00
|
|
IV Medicine Infusion (first hour)
|
$501.60 |
$501.60 |
$501.60 |
$439.56
|
|
IV Push Injection (each additional drug)
|
$166.52 |
$166.52 |
$166.52 |
$167.50
|
|
IV Push Injection (first drug)
|
$166.52 |
$166.52 |
$166.52 |
$252.76
|
|
Ivp w/nephrotomography
|
$1,168.80 |
$1,168.80 |
$1,168.80 |
$748.15
|
|
Ivp w/wo kub w/wo tomography
|
$981.60 |
$981.60 |
$981.60 |
$713.40
|
|
Jaw Joint (TMJ) X-ray (both sides, open and closed)
|
$394.40 |
$394.40 |
$394.40 |
$330.05
|
|
Jaw (Mandible) X-ray (complete)
|
$392.00 |
$392.00 |
$392.00 |
$362.05
|
|
Ketorolac (Toradol) Pain Shot, 15 mg
|
$63.54 |
$63.54 |
$63.54 |
$23.52
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$905.60 |
$905.60 |
$905.60 |
$673.36
|
|
Kidney (Retroperitoneal) Ultrasound (limited)
|
$618.40 |
$618.40 |
$618.40 |
$490.75
|
|
Knee MRI (with and without contrast)
|
$3,600.80 |
$3,600.80 |
$3,600.80 |
$3,022.20
|
|
Knee MRI (with contrast)
|
$3,039.20 |
$3,039.20 |
$3,039.20 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$2,912.28 |
$2,912.28 |
$2,912.28 |
$2,130.88
|
|
Knee X-ray
|
$387.20 |
$387.20 |
$387.20 |
$432.18
|
|
Knee X-ray (1 to 2 views, both knees)
|
$304.80 |
$304.80 |
$304.80 |
$290.40
|
|
Knee X-ray (3 views, both knees)
|
$310.40 |
$310.40 |
$310.40 |
$363.60
|
|
Knee X-ray (standing, both knees)
|
$232.00 |
$232.00 |
$232.00 |
$251.20
|
|
Kyleena, 19.5 mg
|
$921.51 |
$921.51 |
$921.51 |
$2,125.00
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$61.46 |
$61.46 |
$61.46 |
$33.60
|
|
Lactated ringers intravenous solution
|
$75.59 |
$75.59 |
$75.59 |
$43.74
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$15,359.14 |
$15,359.14 |
$15,359.14 |
$19,124.00
|
|
Large Joint Injection or Fluid Draw (both sides)
|
$747.20 |
$747.20 |
$747.20 |
$740.40
|
|
Leg Artery Ultrasound (complete, both legs)
|
$1,392.80 |
$1,392.80 |
$1,392.80 |
$990.00
|
|
Leg CT Scan (with contrast, both legs)
|
$2,279.20 |
$2,279.20 |
$2,279.20 |
$1,585.20
|
|
Leg CT Scan (without contrast, both legs)
|
$1,972.80 |
$1,972.80 |
$1,972.80 |
$1,372.50
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$1,261.60 |
$1,261.60 |
$1,261.60 |
$1,092.58
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$1,484.80 |
$1,484.80 |
$1,484.80 |
$955.30
|
|
Lens iol ant bicnvx 24.0 multi
|
$570.40 |
$570.40 |
$570.40 |
$1,065.00
|
|
Lens iol ant chamb 10.5
|
$450.40 |
$450.40 |
$450.40 |
$377.71
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$111.80 |
$111.80 |
$111.80 |
$163.62
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$1,561.20 |
$1,561.20 |
$1,561.20 |
$6,360.76
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$7,697.59 |
$7,697.59 |
$7,697.59 |
$8,348.12
|
|
Levalbuterol non-comp unit
|
$289.47 |
$289.47 |
$289.47 |
$6.48
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$61.29 |
$61.29 |
$61.29 |
$97.62
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$103.22 |
$103.22 |
$103.22 |
$55.69
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$302.13 |
$302.13 |
$302.13 |
$420.60
|
|
Lidocaine (pf) 10 mg/ml (1 %) injection solution
|
$60.70 |
$60.70 |
$60.70 |
$46.02
|
|
Ligation/biopsy of temporal artery 37609
|
$4,458.40 |
$4,458.40 |
$4,458.40 |
$3,322.80
|