|
Inj nivolumab 2 mg hyaluron
|
$10,923.96 |
$10,923.96 |
$10,923.96 |
|
|
Inj non-compmd foam sclrsnt mlt trncl veins same leg
|
$1,607.09 |
$1,607.09 |
$3,318.24 |
|
|
Inj non-compmd foam sclrsnt sgl trncl vein
|
$1,263.81 |
$1,263.81 |
$2,609.38 |
|
|
Inj ocrelizumab 1mg hya-ocsq
|
$49,325.84 |
$49,325.84 |
$49,325.84 |
|
|
Inj octafluoropropane mic,ml
|
$76.37 |
$89.10 |
$367.01 |
|
|
Inj ogivri 10 mg
|
$1,475.30 |
$2,118.55 |
$2,387.16 |
|
|
Inj, olaratumab, 10 mg
|
$4,698.06 |
$4,698.06 |
$4,698.06 |
|
|
Inj ontruzant 10 mg
|
$2,976.40 |
$3,877.70 |
$5,309.54 |
|
|
Inj pantoprazole(hikma) 40mg
|
$26.44 |
$51.04 |
$62.10 |
|
|
Inj., patisiran, 0.1 mg
|
$40,946.16 |
$40,946.16 |
$44,469.32 |
|
|
Inj pegfilgrastim-bmez 0.5mg
|
$2,108.52 |
$6,219.85 |
$7,256.50 |
|
|
Inj. pemetrexed, 10 mg
|
$4,238.42 |
$4,238.42 |
$4,238.42 |
|
|
Inj pemetrexed, hospira 10mg
|
$198.60 |
$198.60 |
$467.62 |
|
|
Inj peritoneal venous shunt
|
$1,892.59 |
$1,892.59 |
$1,892.59 |
|
|
Inj., perseris, 0.5 mg
|
$4,377.34 |
$4,377.34 |
$4,377.34 |
|
|
Inj proc ankle arthr
|
$521.52 |
$552.89 |
$552.89 |
|
|
Inj proc elbow arthro
|
$252.06 |
$459.22 |
$491.20 |
|
|
Inj proc for lymphang
|
$3,866.02 |
$3,866.02 |
$3,866.02 |
|
|
Inj proc lumbr disk ea lvl
|
$507.12 |
$522.82 |
$2,721.60 |
|
|
Inj proc myelogram lumbar
|
$481.97 |
$775.77 |
$1,418.40 |
|
|
Inj proc sialogram
|
$352.13 |
$582.12 |
$582.12 |
|
|
Inj progesterone per 50 mg
|
$22.11 |
$25.80 |
$25.80 |
|
|
Inj, releuko 1 mcg
|
$117.60 |
$175.81 |
$288.32 |
|
|
Inj retacrit esrd on dialysi
|
$335.69 |
$335.69 |
$349.45 |
|
|
Inj retro urethrocysto
|
$265.60 |
$893.28 |
$1,808.30 |
|
|
Inj, rimabotulinumtoxinb
|
$21.83 |
$21.83 |
$21.83 |
|
|
Inj scleros sol mult veins
|
$524.80 |
$796.32 |
$1,215.94 |
|
|
Inj scleros sol sgl vein
|
$549.30 |
$589.62 |
$988.66 |
|
|
Inj secretin synthetic human
|
$1,195.54 |
$1,195.54 |
$1,195.54 |
|
|
Inj secukinumab intrav 1mg
|
$3,443.44 |
$4,104.83 |
$4,104.83 |
|
|
Inj(s) sclerosant spider veins limb/trunk
|
$320.80 |
$3,937.10 |
$3,937.10 |
|
|
Inj sulf hexa lipid microsph
|
$7.56 |
$7.56 |
$149.14 |
|
|
Inj, sutimlimab-jome, 10 mg
|
$15,857.20 |
$15,857.20 |
$15,857.20 |
|
|
Inj. tagraxofusp-erzs 10 mcg
|
$44,835.67 |
$44,835.67 |
$44,835.67 |
|
|
Inj teclistamab cqyv 0.5 mg
|
$9,931.39 |
$9,931.39 |
$11,638.05 |
|
|
Inj teplizumab mzwv 5 mcg
|
$13,890.00 |
$13,890.00 |
$13,890.00 |
|
|
Inj. teprotumumab-trbw 10 mg
|
$22,825.34 |
$26,629.57 |
$26,629.57 |
|
|
Inj testosterone cypionate
|
$39.76 |
$62.80 |
$72.95 |
|
|
Inj thiotepa nos 1 mg
|
$1,158.96 |
$1,158.96 |
$1,158.96 |
|
|
Inj thrc fascial pln blk uni w/wo image
|
$1,440.00 |
$1,440.00 |
$1,440.00 |
|
|
Inj, tofidence, 1 mg
|
$4,908.60 |
$4,908.60 |
$4,908.60 |
|
|
Inj, tyenne, 1 mg
|
$2,016.58 |
$4,087.59 |
$4,768.85 |
|
|
Inj ustekinumab-kfce, 1 mg
|
$4,591.70 |
$4,591.70 |
$4,591.70 |
|
|
Inj, uzedy, 1 mg
|
$698.58 |
$698.58 |
$3,683.20 |
|
|
Inj vancomycin (xellia) 10mg
|
$65.64 |
$76.59 |
$76.59 |
|
|
Inj vasopressin (am reg) 1 u
|
$62.36 |
$62.36 |
$62.36 |
|
|
Inj, vegzelma, 10 mg
|
$2,348.37 |
$2,739.76 |
$2,739.76 |
|
|
Inj w/fluor eval cv device
|
$630.40 |
$775.77 |
$1,618.08 |
|
|
Inotuzumab ozogamicin 0.9 mg(0.25 mg/ml initial concentration) IV soln
|
$31,518.32 |
$31,518.32 |
$31,518.32 |
|
|
Ins cath ren art 1st bi
|
$6,105.60 |
$9,620.30 |
$9,620.30 |
|
|
Ins cath ren art 1st uni
|
$5,855.28 |
$5,855.28 |
$6,302.40 |
|
|
Ins cath ren art 2nd+ bi
|
$5,608.00 |
$13,725.36 |
$13,725.36 |
|
|
Ins cath ren art 2nd+ uni
|
$6,118.40 |
$11,217.31 |
$11,217.31 |
|
|
Ins cerv dilator (sep proc)
|
$208.04 |
$245.78 |
$892.00 |
|
|
Ins device for right guide open
|
$184.80 |
$184.80 |
$184.80 |
|
|
Insert and remove bone pin
|
$5,858.40 |
$5,858.40 |
$5,858.40 |
|
|
Insert cath pleura with image
|
$629.44 |
$2,742.40 |
$2,908.80 |
|
|
Insert cath pleura without image
|
$1,552.80 |
$1,979.20 |
$2,030.40 |
|
|
Insert drug delivery implant
|
$283.20 |
$1,968.72 |
$1,968.72 |
|
|
Insert hepatic shunt (tips)
|
$7,455.00 |
$7,455.00 |
$15,598.85 |
|
|
Insertion catheter bladder non indwelling
|
$58.74 |
$183.20 |
$283.20 |
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$659.79 |
$1,036.42 |
$6,130.40 |
|
|
Insertion intra aortic balloon assist device percutaneous
|
$4,145.60 |
$5,594.74 |
$7,607.81 |
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$3,479.67 |
$3,479.67 |
$10,322.40 |
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$619.70 |
$1,752.53 |
$2,311.20 |
|
|
Insertion of cannula(s)
|
$1,684.00 |
$1,684.00 |
$1,684.00 |
|
|
Insertion of catheter vein
|
$1,245.89 |
$1,245.89 |
$3,436.13 |
|
|
Insertion of catheter vein
|
$391.61 |
$391.61 |
$822.38 |
|
|
Insertion of heart electrode 33211
|
$4,460.88 |
$4,460.88 |
$4,460.88 |
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$13,144.54 |
$13,144.54 |
$20,590.40 |
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$10,345.01 |
$10,345.01 |
$18,991.20 |
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$7,404.80 |
$14,359.58 |
$19,526.78 |
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$1,211.28 |
$1,818.40 |
$2,802.34 |
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$1,229.42 |
$3,145.60 |
$3,309.26 |
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$10,461.12 |
$10,461.12 |
$32,608.80 |
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$676.00 |
$5,476.41 |
$8,665.60 |
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$4,102.22 |
$4,102.22 |
$10,312.00 |
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$6,399.62 |
$8,282.74 |
$13,974.40 |
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$3,016.55 |
$3,016.55 |
$6,115.20 |
|
|
Insert picvad cath
|
$1,073.86 |
$1,073.86 |
$2,002.80 |
|
|
Insert pm/icd lead dual
|
$4,102.22 |
$4,102.22 |
$10,304.00 |
|
|
Insert/repl sq defib w/eltrd
|
$8,559.22 |
$8,559.22 |
$8,559.22 |
|
|
Insert sq defib electrode
|
$4,078.37 |
$4,078.37 |
$4,078.37 |
|
|
Insert swan-ganz cath
|
$2,741.57 |
$2,741.57 |
$3,674.40 |
|
|
Insert tissue expander(s)
|
$2,358.14 |
$2,358.14 |
$2,358.14 |
|
|
Insert tunneled cv 2cath 2sits without port/pmp 36565
|
$6,867.46 |
$6,867.46 |
$6,867.46 |
|
|
Insert tunneled cv cath
|
$3,094.56 |
$3,094.56 |
$3,312.43 |
|
|
Insert tunneled cv cath
|
$5,058.91 |
$5,058.91 |
$5,058.91 |
|
|
Insert uteri tandem/ovoids
|
$1,053.94 |
$1,053.94 |
$1,053.94 |
|
|
Insert vad art access left hrt arterial access
|
$8,328.00 |
$11,065.82 |
$11,065.82 |
|
|
Insert vad art access left hrt art & vein access
|
$16,916.83 |
$16,916.83 |
$16,916.83 |
|
|
Ins icd gen exist mlt leads
|
$10,851.12 |
$10,851.12 |
$10,851.12 |
|
|
Ins icd gen exist sgl lead
|
$6,853.87 |
$6,866.61 |
$6,866.61 |
|
|
Insitu hybridization (fish)
|
$327.04 |
$525.78 |
$525.78 |
|
|
Insitu hybridization manual
|
$493.60 |
$493.60 |
$558.40 |
|
|
In situ hybridization per specimen each additional single probe stain
|
$113.51 |
$124.70 |
$328.80 |
|
|
In situ hybridization per specimen initial single probe stain
|
$340.00 |
$979.20 |
$2,344.38 |
|
|
Insj perq vad r hrt venous
|
$11,065.82 |
$11,065.82 |
$11,065.82 |
|
|
Insj phrnc nrv stim sys
|
$16,335.46 |
$16,335.46 |
$16,335.46 |
|
|
Ins left heart vent thor inscn ecmo
|
$5,604.82 |
$5,604.82 |
$5,604.82 |
|