|
Inj teplizumab mzwv 5 mcg
|
$2,491.21 |
$22,745.80 |
$46,033.16 |
|
|
Inj. teprotumumab-trbw 10 mg
|
$7,116.94 |
$32,490.36 |
$65,754.30 |
|
|
Inj testosterone cypionate
|
$9.23 |
$73.17 |
$148.07 |
|
|
Inj., tildrakizumab, 1 mg
|
$6,126.19 |
$27,967.38 |
$56,600.65 |
|
|
Inj, tofidence, 1 mg
|
$51.06 |
$4,662.00 |
$9,435.00 |
|
|
Inj triamcinolone ace X-ray 1mg
|
$1,256.85 |
$1,256.85 |
$2,543.63 |
|
|
Inj, tyenne, 1 mg
|
$41.28 |
$3,768.24 |
$7,626.20 |
|
|
Inj, uzedy, 1 mg
|
$3,670.49 |
$11,729.37 |
$23,738.00 |
|
|
Inj, vancomycin hcl (xellia)
|
$0.04 |
$86.84 |
$175.74 |
|
|
Inj vasopressin (am reg) 1 u
|
$41.79 |
$41.79 |
$84.58 |
|
|
Inj w/fluor eval cv device
|
$189.84 |
$282.24 |
$553.61 |
|
|
Inpatient consultation
|
$87.98 |
$89.04 |
$90.10 |
|
|
Ins cath ren art 1st bi
|
$2,410.86 |
$3,207.96 |
$4,139.46 |
|
|
Ins cath ren art 1st uni
|
$1,899.66 |
$1,899.66 |
$3,464.19 |
|
|
Ins cath ren art 2nd+ bi
|
$2,936.64 |
$4,164.72 |
$5,049.58 |
|
|
Ins cath ren art 2nd+ uni
|
$2,814.00 |
$2,814.00 |
$7,862.29 |
|
|
Ins cerv dilator (sep proc)
|
$147.84 |
$194.12 |
$356.11 |
|
|
Insert balloon device
|
$11,052.88 |
$11,052.88 |
$11,052.88 |
|
|
Insert cath pleura with image
|
$610.42 |
$858.48 |
$1,777.08 |
|
|
Insert cath pleura without image
|
$395.14 |
$1,219.26 |
$1,845.35 |
|
|
Insert drug delivery implant
|
$71.40 |
$71.40 |
$72.25 |
|
|
Insert epicardial lead open 33202
|
$702.42 |
$702.42 |
$702.42 |
|
|
Insert hepatic shunt (tips)
|
$1,619.00 |
$2,086.98 |
$2,086.98 |
|
|
Insert intracorporeal device
|
$2,159.24 |
$2,159.24 |
$2,159.24 |
|
|
Insert intrauterine device iud
|
$126.42 |
$126.42 |
$255.85 |
|
|
Insertion catheter bladder non indwelling
|
$91.54 |
$132.50 |
$221.85 |
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$1,771.92 |
$2,059.68 |
$3,194.57 |
|
|
Insertion intra aortic balloon assist device percutaneous
|
$2,187.30 |
$2,565.36 |
$3,502.01 |
|
|
Insertion intra-aortic circulation dev 33970
|
$1,931.54 |
$1,931.54 |
$1,931.54 |
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$5,319.72 |
$5,319.72 |
$9,269.56 |
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$230.69 |
$1,946.70 |
$2,397.87 |
|
|
Insertion of catheter vein
|
$590.10 |
$590.10 |
$1,512.15 |
|
|
Insertion of catheter vein
|
$324.00 |
$372.96 |
$432.47 |
|
|
Insertion of heart electrode 33211
|
$3,858.02 |
$3,858.02 |
$3,858.02 |
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$8,652.14 |
$12,102.72 |
$12,435.46 |
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$6,662.18 |
$6,777.54 |
$9,556.87 |
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$6,574.37 |
$9,094.68 |
$11,545.08 |
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$1,456.00 |
$1,536.78 |
$3,558.21 |
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$786.50 |
$1,959.39 |
$2,474.22 |
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$19,033.99 |
$23,644.32 |
$23,644.32 |
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$3,253.50 |
$5,071.50 |
$5,957.87 |
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$389.00 |
$4,463.76 |
$5,709.60 |
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$5,888.92 |
$8,344.56 |
$8,344.56 |
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$2,172.00 |
$3,813.18 |
$5,475.36 |
|
|
Insert pessary/other device
|
$42.03 |
$100.38 |
$127.50 |
|
|
Insert pm/icd lead dual
|
$3,128.00 |
$5,400.78 |
$5,400.78 |
|
|
Insert/repl sq defib w/eltrd
|
$5,510.50 |
$10,583.58 |
$22,612.68 |
|
|
Insert sq defib electrode
|
$3,137.20 |
$4,831.68 |
$6,987.96 |
|
|
Insert swan-ganz cath
|
$986.24 |
$1,089.48 |
$1,917.23 |
|
|
Insert tunneled cv 2cath 2sits without port/pmp 36565
|
$1,969.59 |
$2,017.05 |
$4,501.11 |
|
|
Insert tunneled cv cath
|
$2,087.82 |
$2,087.82 |
$3,056.60 |
|
|
Insert tunneled cv cath
|
$2,695.84 |
$2,728.32 |
$3,022.66 |
|
|
Insert uteri tandem/ovoids
|
$284.00 |
$1,820.28 |
$1,820.28 |
|
|
Insert vad art access left hrt arterial access
|
$687.54 |
$687.54 |
$5,200.25 |
|
|
Insert vad art access left hrt art & vein access
|
$609.50 |
$687.54 |
$687.54 |
|
|
Ins icd gen exist mlt leads
|
$20,135.12 |
$22,761.00 |
$27,113.45 |
|
|
Ins icd gen exist sgl lead
|
$19,887.18 |
$25,127.34 |
$30,473.50 |
|
|
Insitu hybridization manual
|
$317.42 |
$391.44 |
$668.98 |
|
|
In situ hybridization per specimen each additional single probe stain
|
$125.67 |
$343.98 |
$563.55 |
|
|
In situ hybridization per specimen initial single probe stain
|
$126.00 |
$310.80 |
$535.50 |
|
|
Insj perq vad r hrt venous
|
$653.10 |
$653.10 |
$653.10 |
|
|
Insj phrnc nrv stim sys
|
$36,960.42 |
$36,960.42 |
$43,314.06 |
|
|
Ins lv lead exist pm/icd
|
$6,771.43 |
$7,058.52 |
$9,081.32 |
|
|
Ins mark abd/pel for right perq
|
$655.04 |
$901.74 |
$938.79 |
|
|
Ins mark thor for right perq
|
$122.50 |
$122.50 |
$122.50 |
|
|
Ins picad w subq port 5yr>
|
$2,591.50 |
$3,564.96 |
$5,314.20 |
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$568.68 |
$568.68 |
$1,562.21 |
|
|
Ins pm gen exist dual lead
|
$6,284.46 |
$6,284.46 |
$22,761.00 |
|
|
Ins pm gen w/exist mlt leads
|
$6,685.50 |
$8,103.90 |
$8,904.68 |
|
|
Ins pq tunnld ip cath w/img
|
$424.80 |
$3,087.42 |
$4,767.76 |
|
|
Ins/rplc spi npg/rcvr pocket
|
$3,405.33 |
$16,197.30 |
$25,303.65 |
|
|
Ins/rpl ldless pm right vent w img & eval
|
$14,044.38 |
$14,044.38 |
$17,738.06 |
|
|
Ins/rpl pm gen exist dual lead
|
$7,126.78 |
$8,103.90 |
$10,207.13 |
|
|
Ins/rpl pm gen exist sgl lead
|
$5,361.76 |
$7,105.56 |
$10,308.39 |
|
|
Ins/rpl pm w/tv ld atrl
|
$7,873.36 |
$8,471.82 |
$16,695.70 |
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$18,216.46 |
$23,509.50 |
$34,209.41 |
|
|
Inst fibrinolysis agent ini day
|
$348.18 |
$348.18 |
$1,332.85 |
|
|
Inst fibrinolysis agent sbsq d
|
$599.76 |
$599.76 |
$599.76 |
|
|
Insti hexaminolevulinate hcl
|
$583.74 |
$2,664.90 |
$5,393.25 |
|
|
Instillation anticarcinogenic agent bladder
|
$436.77 |
$437.22 |
$904.02 |
|
|
Instill, bupivac and meloxic
|
$9.22 |
$588.92 |
$1,191.85 |
|
|
Instll rx agnt into rnal tub
|
$406.87 |
$406.87 |
$406.87 |
|
|
Ins tun cvad 2 cath w/subq port(s)
|
$3,417.80 |
$10,439.74 |
$10,691.30 |
|
|
Ins tun cv cath wo subq prt/pm
|
$1,231.50 |
$1,426.18 |
$1,490.93 |
|
|
Ins tun cv cath wo subq prt/pm
|
$2,021.05 |
$2,485.56 |
$3,853.98 |
|
|
Ins tun intraperit dia cath
|
$2,742.18 |
$2,742.18 |
$3,104.90 |
|
|
Inst via cath agent pleurds
|
$428.82 |
$428.82 |
$710.04 |
|
|
Insulin total
|
$18.30 |
$126.00 |
$144.50 |
|
|
Ins vag brachytx device
|
$226.38 |
$226.38 |
$358.07 |
|
|
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm
|
$4,290.87 |
$4,699.53 |
$8,683.90 |
|
|
Integra meshed bil wound mat
|
$7,205.53 |
$7,205.53 |
$7,205.53 |
|
|
Integra os putty 2.5cc - cost per 0.5cc
|
$104.14 |
$114.06 |
$210.76 |
|
|
Intens cardiac rehab no exer
|
$208.50 |
$208.50 |
$208.50 |
|
|
Intens cardiac rehab w/exerc
|
$208.50 |
$208.50 |
$208.50 |
|
|
Interdental fixation
|
$552.30 |
$552.30 |
$552.30 |
|
|
Interdiscal perq aspir dx
|
$236.55 |
$389.34 |
$607.75 |
|
|
Interrogate subq defib
|
$93.84 |
$102.00 |
$135.29 |
|
|
Interrogation vad in person
|
$88.78 |
$88.78 |
$96.50 |
|
|
Interrog dev eval icpms ip
|
$66.50 |
$66.50 |
$68.54 |
|
|
Interrog dev eval scrms ip
|
$31.08 |
$31.08 |
$144.42 |
|