|
Inj nephrosto/ureterogram w/img exstng access
|
$2,932.80 |
$2,932.80 |
$4,814.58 |
|
|
Inj ogivri 10 mg
|
$2,464.71 |
$4,273.51 |
$5,723.85 |
|
|
Inj ontruzant 10 mg
|
$3,468.49 |
$3,468.49 |
$3,468.49 |
|
|
Inj., patisiran, 0.1 mg
|
$25,575.35 |
$25,575.35 |
$25,575.35 |
|
|
Inj pegfilgrastim-bmez 0.5mg
|
$9,568.48 |
$9,568.48 |
$9,568.48 |
|
|
Inj pemetrexed (accord) 10mg
|
$227.82 |
$227.82 |
$227.82 |
|
|
Inj pemetrexed (teva) 10mg
|
$2,423.22 |
$2,423.22 |
$2,423.22 |
|
|
Inj proc ankle arthr
|
$226.85 |
$226.85 |
$226.85 |
|
|
Inj proc elbow arthro
|
$478.40 |
$478.40 |
$478.40 |
|
|
Inj proc lumbr disk ea lvl
|
$1,067.95 |
$1,067.95 |
$3,998.15 |
|
|
Inj proc myelogram lumbar
|
$625.95 |
$625.95 |
$6,073.17 |
|
|
Inj proc sialogram
|
$501.15 |
$501.15 |
$501.15 |
|
|
Inj progesterone per 50 mg
|
$9.07 |
$9.75 |
$90.67 |
|
|
Inj, releuko 1 mcg
|
$826.80 |
$826.80 |
$826.80 |
|
|
Inj retro urethrocysto
|
$1,013.15 |
$1,013.15 |
$1,316.28 |
|
|
Inj scleros sol mult veins
|
$707.85 |
$707.85 |
$707.85 |
|
|
Inj scleros sol sgl vein
|
$2,920.86 |
$2,920.86 |
$3,616.79 |
|
|
Inj secukinumab intrav 1mg
|
$4,632.95 |
$4,632.95 |
$5,479.19 |
|
|
Inj(s) sclerosant spider veins limb/trunk
|
$359.45 |
$359.45 |
$359.45 |
|
|
Inj teclistamab cqyv 0.5 mg
|
$28,316.68 |
$28,316.68 |
$28,316.68 |
|
|
Inj. teprotumumab-trbw 10 mg
|
$40,774.29 |
$40,774.29 |
$48,926.93 |
|
|
Inj testosterone cypionate
|
$13.13 |
$14.75 |
$473.91 |
|
|
Inj thrc fascial pln blk bi w/wo image
|
$3,344.25 |
$3,344.25 |
$3,344.25 |
|
|
Inj thrc fascial pln blk uni w/wo image
|
$1,963.00 |
$1,963.00 |
$23,436.97 |
|
|
Inj., tildrakizumab, 1 mg
|
$39,118.84 |
$39,118.84 |
$39,118.84 |
|
|
Inj, tofidence, 1 mg
|
$922.66 |
$1,167.32 |
$3,144.05 |
|
|
Inj triamcinolone ace X-ray 1mg
|
$1,595.32 |
$1,595.32 |
$1,595.32 |
|
|
Inj, tyenne, 1 mg
|
$1,030.61 |
$4,043.08 |
$4,781.40 |
|
|
Inj, uzedy, 1 mg
|
$6,658.53 |
$6,658.53 |
$13,361.45 |
|
|
Inj, vasopressin (baxter)
|
$226.69 |
$226.69 |
$226.69 |
|
|
Inj, vegzelma, 10 mg
|
$1,777.20 |
$1,777.20 |
$1,777.20 |
|
|
Inj w/fluor eval cv device
|
$543.30 |
$543.30 |
$1,442.58 |
|
|
Inj., yutiq, 0.01 mg
|
$17,864.80 |
$17,864.80 |
$17,864.80 |
|
|
Ins cath ren art 1st bi
|
$9,158.97 |
$9,158.97 |
$18,663.18 |
|
|
Ins cath ren art 1st uni
|
$21,744.02 |
$21,744.02 |
$21,744.02 |
|
|
Ins cath ren art 2nd+ bi
|
$5,475.60 |
$5,475.60 |
$5,475.60 |
|
|
Ins cath ren art 2nd+ uni
|
$16,067.57 |
$16,067.57 |
$16,067.57 |
|
|
Ins cerv dilator (sep proc)
|
$209.95 |
$282.10 |
$290.55 |
|
|
Insert ant drainage device
|
$16,417.45 |
$16,417.45 |
$16,417.45 |
|
|
Insert cath pleura with image
|
$632.45 |
$13,339.64 |
$21,554.48 |
|
|
Insert cath pleura without image
|
$588.25 |
$588.25 |
$1,177.15 |
|
|
Insert drug delivery implant
|
$368.25 |
$368.25 |
$1,509.95 |
|
|
Insert hepatic shunt (tips)
|
$4,759.95 |
$4,759.95 |
$4,759.95 |
|
|
Insert intrauterine device iud
|
$10,028.73 |
$10,028.73 |
$21,420.20 |
|
|
Insertion catheter bladder non indwelling
|
$133.90 |
$217.75 |
$30,051.71 |
|
|
Insertion catheter bladder temporary simple
|
$237.90 |
$2,240.28 |
$26,377.97 |
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$351.00 |
$1,114.10 |
$10,119.49 |
|
|
Insertion intra aortic balloon assist device percutaneous
|
$1,348.75 |
$1,348.75 |
$1,348.75 |
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$10,551.37 |
$10,551.37 |
$10,551.37 |
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$159.75 |
$529.75 |
$59,342.80 |
|
|
Insertion of catheter vein
|
$5,239.00 |
$5,239.00 |
$5,239.00 |
|
|
Insertion of catheter vein
|
$585.65 |
$585.65 |
$585.65 |
|
|
Insertion of heart electrode 33211
|
$25,748.45 |
$25,748.45 |
$25,748.45 |
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$19,897.42 |
$19,897.42 |
$31,256.09 |
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$20,574.80 |
$20,574.80 |
$20,574.80 |
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$74,503.69 |
$74,503.69 |
$77,430.35 |
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$1,306.50 |
$1,497.60 |
$3,323.77 |
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$3,457.93 |
$3,457.93 |
$3,457.93 |
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$63,856.93 |
$63,856.93 |
$68,271.52 |
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$793.65 |
$793.65 |
$3,459.95 |
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$18,791.84 |
$18,791.84 |
$28,589.68 |
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$21,381.29 |
$21,381.29 |
$21,812.39 |
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$5,519.23 |
$7,315.66 |
$13,590.67 |
|
|
Insert lens prosthesis
|
$15,193.25 |
$15,193.25 |
$15,193.25 |
|
|
Insert pessary/other device
|
$156.65 |
$156.65 |
$156.65 |
|
|
Insert picvad cath
|
$1,617.85 |
$1,617.85 |
$1,617.85 |
|
|
Insert pm/icd lead dual
|
$7,264.40 |
$7,264.40 |
$7,264.40 |
|
|
Insert/repl sq defib w/eltrd
|
$67,865.20 |
$67,865.20 |
$67,865.20 |
|
|
Insert spine infusion device 62360
|
$5,228.60 |
$5,228.60 |
$56,216.57 |
|
|
Insert sq defib electrode
|
$17,982.25 |
$17,982.25 |
$17,982.25 |
|
|
Insert swan-ganz cath
|
$243.75 |
$243.75 |
$3,602.95 |
|
|
Insert tunneled cv 2cath 2sits without port/pmp 36565
|
$9,586.20 |
$9,586.20 |
$9,586.20 |
|
|
Insert tunneled cv cath
|
$9,347.65 |
$9,347.65 |
$9,347.65 |
|
|
Insert tunneled cv cath
|
$8,358.35 |
$8,358.35 |
$8,358.35 |
|
|
Insert uro/ves nck sphincter
|
$74,106.50 |
$74,106.50 |
$74,106.50 |
|
|
Insert uteri tandem/ovoids
|
$7,814.97 |
$7,814.97 |
$7,814.97 |
|
|
Insert vad art access left hrt arterial access
|
$7,022.60 |
$7,022.60 |
$7,022.60 |
|
|
Ins icd gen exist mlt leads
|
$13,761.15 |
$13,761.15 |
$13,761.15 |
|
|
Ins icd gen exist sgl lead
|
$10,700.95 |
$10,700.95 |
$10,700.95 |
|
|
Insitu hybridization auto
|
$286.65 |
$319.80 |
$324.35 |
|
|
Insitu hybridization manual
|
$414.05 |
$414.05 |
$517.40 |
|
|
In situ hybridization per specimen each additional single probe stain
|
$269.75 |
$4,162.98 |
$10,348.90 |
|
|
In situ hybridization per specimen initial single probe stain
|
$289.25 |
$4,162.98 |
$10,348.90 |
|
|
Insj perq vad r hrt venous
|
$7,022.60 |
$7,022.60 |
$7,022.60 |
|
|
Insj phrnc nrv stim sys
|
$87,898.20 |
$87,898.20 |
$87,898.20 |
|
|
Ins left heart vent thor inscn ecmo
|
$1,591.85 |
$1,591.85 |
$1,591.85 |
|
|
Ins lv lead exist pm/icd
|
$31,339.67 |
$31,339.67 |
$31,339.67 |
|
|
Ins mark abd/pel for right perq
|
$6,094.97 |
$6,094.97 |
$6,094.97 |
|
|
Ins mark thor for right perq
|
$6,094.97 |
$6,094.97 |
$6,094.97 |
|
|
Ins picad w subq port 5yr>
|
$30,235.86 |
$30,235.86 |
$30,235.86 |
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$2,967.90 |
$2,967.90 |
$2,967.90 |
|
|
Ins pm gen exist dual lead
|
$65,554.44 |
$65,554.44 |
$65,554.44 |
|
|
Ins pm gen w/exist mlt leads
|
$10,260.25 |
$10,260.25 |
$39,267.46 |
|
|
Ins pq tunnld ip cath w/img
|
$1,339.00 |
$8,047.76 |
$9,751.06 |
|
|
Ins/rplc spi npg/rcvr pocket
|
$45,409.73 |
$52,224.36 |
$68,282.73 |
|
|
Ins/rpl ldless pm right vent w img & eval
|
$53,430.28 |
$53,430.28 |
$68,247.32 |
|
|
Ins/rpl pm gen exist dual lead
|
$9,288.50 |
$9,288.50 |
$9,288.50 |
|
|
Ins/rpl pm gen exist sgl lead
|
$7,004.40 |
$7,004.40 |
$7,004.40 |
|
|
Ins/rpl pm w/tv ld atrl
|
$21,706.43 |
$21,706.43 |
$21,706.43 |
|
|
Ins/rpl prph sac/gstr npg/r
|
$39,232.27 |
$39,232.27 |
$47,352.43 |
|
