|
Inj., triluron, 1 mg
|
$10.16 |
$10.16 |
$10.16 |
$10.36
|
|
Inj., triptorelin X-ray 3.75 mg
|
$3,772.85 |
$3,772.85 |
$3,772.85 |
$33,416.39
|
|
Inj, trivisc 1 mg
|
$5.45 |
$5.45 |
$5.45 |
$6.67
|
|
Inj, tyenne, 1 mg
|
$4.69 |
$4.69 |
$4.69 |
$3,525.12
|
|
Inj ustekinumab-aekn, 1 mg
|
$47.80 |
$47.80 |
$47.80 |
$47.80
|
|
Inj ustekinumab-kfce, 1 mg
|
$3.17 |
$3.17 |
$3.17 |
$5,244.37
|
|
Inj ustekinumab-stba, 1 mg
|
$2.41 |
$2.41 |
$2.41 |
$16.36
|
|
Inj, uzedy, 1 mg
|
$25.08 |
$25.08 |
$25.08 |
$11,475.96
|
|
Inj, vasopressin (baxter)
|
$2.94 |
$2.94 |
$2.94 |
$202.50
|
|
Inj, vegzelma, 10 mg
|
$43.62 |
$43.62 |
$43.62 |
$1,186.35
|
|
Inj velmanase alfa-tycv 1 mg
|
$465.05 |
$465.05 |
$465.05 |
$7,123.31
|
|
Inj w/fluor eval cv device
|
$248.12 |
$248.12 |
$248.12 |
$504.40
|
|
Inj. xembify, 100 mg
|
$14.91 |
$14.91 |
$14.91 |
$3,451.77
|
|
Inj xipere 1 mg
|
$48.00 |
$48.00 |
$48.00 |
$93.00
|
|
Inj., yutiq, 0.01 mg
|
$532.58 |
$532.58 |
$532.58 |
$14,458.60
|
|
Inj zanidatamab-hrii, 2 mg
|
$25.08 |
$25.08 |
$25.08 |
$8,532.00
|
|
Inj zenocutuzumab-zbco 1 mg
|
$32.62 |
$32.62 |
$32.62 |
$19,177.20
|
|
Inotuzumab ozogamicin 0.9 mg(0.25 mg/ml initial concentration) IV soln
|
$2,698.05 |
$2,698.05 |
$2,698.05 |
$41,083.73
|
|
Ins cath ren art 1st bi
|
$3,706.68 |
$3,706.68 |
$3,706.68 |
$5,974.80
|
|
Ins cath ren art 1st uni
|
$3,706.68 |
$3,706.68 |
$3,706.68 |
$4,667.63
|
|
Ins cath ren art 2nd+ bi
|
$3,706.68 |
$3,706.68 |
$3,706.68 |
$5,663.98
|
|
Ins cath ren art 2nd+ uni
|
$6,366.08 |
$6,366.08 |
$6,366.08 |
$5,395.20
|
|
Ins cerv dilator (sep proc)
|
$358.23 |
$358.23 |
$358.23 |
$490.73
|
|
Insemination of oocytes
|
$201.80 |
$201.80 |
$201.80 |
$314.40
|
|
Insert and remove bone pin
|
$3,821.05 |
$3,821.05 |
$3,821.05 |
$4,433.36
|
|
Insert ant drainage device
|
$4,737.56 |
$4,737.56 |
$4,737.56 |
$5,108.80
|
|
Insert brain-fluid device 61215
|
$7,541.82 |
$7,541.82 |
$7,541.82 |
$7,181.20
|
|
Insert cannula hemo oth 36815
|
$6,366.08 |
$6,366.08 |
$6,366.08 |
$5,983.35
|
|
Insert cannula vein-to-vein hemodialysis
|
$6,366.08 |
$6,366.08 |
$6,366.08 |
$7,279.50
|
|
Insert cath pleura with image
|
$1,829.42 |
$1,829.42 |
$1,829.42 |
$2,194.40
|
|
Insert cath pleura without image
|
$2,234.01 |
$2,234.01 |
$2,234.01 |
$2,099.70
|
|
Insert cv cath inf & sup app
|
$9,716.28 |
$9,716.28 |
$9,716.28 |
$9,763.31
|
|
Insert drug del implant, >=4
|
$469.93 |
$469.93 |
$469.93 |
$472.21
|
|
Insert drug delivery implant
|
$151.80 |
$151.80 |
$151.80 |
$280.00
|
|
Insert eye socket implant
|
$4,440.96 |
$4,440.96 |
$4,440.96 |
$5,067.20
|
|
Insert heyman uteri capsule
|
$5,813.46 |
$5,813.46 |
$5,813.46 |
$5,841.60
|
|
Insertion catheter artery nfs ther chemotx 36640
|
$3,706.68 |
$3,706.68 |
$3,706.68 |
$3,594.47
|
|
Insertion catheter bladder non indwelling
|
$151.80 |
$151.80 |
$151.80 |
$208.01
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$4,156.03 |
$4,156.03 |
$4,156.03 |
$4,897.20
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$6,366.08 |
$6,366.08 |
$6,366.08 |
$7,210.78
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$3,706.68 |
$3,706.68 |
$3,706.68 |
$2,585.25
|
|
Insertion of cannula
|
$3,706.68 |
$3,706.68 |
$3,706.68 |
$4,341.66
|
|
Insertion of heart electrode 33211
|
$9,746.29 |
$9,746.29 |
$9,746.29 |
$6,820.50
|
|
Insertion of infusion pump
|
$6,366.08 |
$6,366.08 |
$6,366.08 |
$5,907.78
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$12,324.60 |
$12,324.60 |
$12,324.60 |
$12,384.25
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$12,324.60 |
$12,324.60 |
$12,324.60 |
$12,324.60
|
|
Insertion palate prosthesis
|
$6,966.64 |
$6,966.64 |
$6,966.64 |
$6,547.81
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$1,829.42 |
$1,829.42 |
$1,829.42 |
$2,103.75
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$1,829.42 |
$1,829.42 |
$1,829.42 |
$2,453.83
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$37,757.64 |
$37,757.64 |
$37,757.64 |
$29,180.00
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$9,746.29 |
$9,746.29 |
$9,746.29 |
$7,183.68
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$9,746.29 |
$9,746.29 |
$9,746.29 |
$7,267.20
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$9,746.29 |
$9,746.29 |
$9,746.29 |
$9,332.50
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$3,706.68 |
$3,706.68 |
$3,706.68 |
$5,236.80
|
|
Insertion ureth cath
|
$2,412.45 |
$2,412.45 |
$2,412.45 |
$2,412.45
|
|
Insert lens prosthesis
|
$2,685.92 |
$2,685.92 |
$2,685.92 |
$3,333.13
|
|
Insert multi-comp penis pros
|
$23,704.60 |
$23,704.60 |
$23,704.60 |
$9,495.20
|
|
Insert nasal septal button
|
$1,744.44 |
$1,744.44 |
$1,744.44 |
$1,783.50
|
|
Insert ocular implant
|
$4,440.96 |
$4,440.96 |
$4,440.96 |
$4,462.45
|
|
Insert ocular implant
|
$4,440.96 |
$4,440.96 |
$4,440.96 |
$4,462.45
|
|
Insert palate implants
|
$1,744.44 |
$1,744.44 |
$1,744.44 |
$1,752.89
|
|
Insert pessary/other device
|
$236.91 |
$236.91 |
$236.91 |
$278.90
|
|
Insert picvad cath
|
$3,706.68 |
$3,706.68 |
$3,706.68 |
$4,195.00
|
|
Insert pm/icd lead dual
|
$9,746.29 |
$9,746.29 |
$9,746.29 |
$7,115.90
|
|
Insert prost urethral stent
|
$2,412.45 |
$2,412.45 |
$2,412.45 |
$2,467.08
|
|
Insert/repl sq defib w/eltrd
|
$37,757.64 |
$37,757.64 |
$37,757.64 |
$33,593.55
|
|
Insert self-contd prosthesis
|
$23,704.60 |
$23,704.60 |
$23,704.60 |
$22,279.50
|
|
Insert semi-rigid prosthesis
|
$15,300.65 |
$15,300.65 |
$15,300.65 |
$14,199.16
|
|
Insert spine infusion device 62360
|
$20,814.10 |
$20,814.10 |
$20,814.10 |
$17,262.84
|
|
Insert sq defib electrode
|
$9,746.29 |
$9,746.29 |
$9,746.29 |
$8,167.68
|
|
Insert swan-ganz cath
|
$1,829.42 |
$1,829.42 |
$1,829.42 |
$2,164.52
|
|
Insert tandem cuff
|
$23,704.60 |
$23,704.60 |
$23,704.60 |
$22,279.50
|
|
Insert tissue expander(s)
|
$4,311.38 |
$4,311.38 |
$4,311.38 |
$4,332.25
|
|
Insert tunneled cv 2cath 2sits without port/pmp 36565
|
$3,706.68 |
$3,706.68 |
$3,706.68 |
$4,997.60
|
|
Insert tunneled cv cath
|
$3,706.68 |
$3,706.68 |
$3,706.68 |
$4,520.00
|
|
Insert tunneled cv cath
|
$6,366.08 |
$6,366.08 |
$6,366.08 |
$6,028.07
|
|
Insert uro/ves nck sphincter
|
$23,704.60 |
$23,704.60 |
$23,704.60 |
$22,298.82
|
|
Insert uteri tandem/ovoids
|
$5,813.46 |
$5,813.46 |
$5,813.46 |
$3,940.41
|
|
Ins icd gen exist mlt leads
|
$37,757.64 |
$37,757.64 |
$37,757.64 |
$31,286.77
|
|
Ins icd gen exist sgl lead
|
$26,433.98 |
$26,433.98 |
$26,433.98 |
$23,230.50
|
|
Insitu hybridization auto
|
$423.63 |
$423.63 |
$423.63 |
$377.37
|
|
Insitu hybridization (fish)
|
$201.80 |
$201.80 |
$201.80 |
$481.00
|
|
Insitu hybridization manual
|
$423.63 |
$423.63 |
$423.63 |
$401.28
|
|
In situ hybridization per specimen initial single probe stain
|
$201.80 |
$201.80 |
$201.80 |
$338.40
|
|
Insj phrnc nrv stim sys
|
$52,995.29 |
$52,995.29 |
$52,995.29 |
$53,251.79
|
|
Insj rx elut implt lac canal
|
$2,747.43 |
$2,747.43 |
$2,747.43 |
$2,572.70
|
|
Insj stablj dev w/dcmprn
|
$21,657.23 |
$21,657.23 |
$21,657.23 |
$21,352.50
|
|
Insj stablj dev without dcmprn
|
$15,152.74 |
$15,152.74 |
$15,152.74 |
$15,226.08
|
|
Ins lv lead exist pm/icd
|
$12,324.60 |
$12,324.60 |
$12,324.60 |
$12,384.25
|
|
Ins mark abd/pel for right perq
|
$1,611.35 |
$1,611.35 |
$1,611.35 |
$2,477.24
|
|
Ins mark thor for right perq
|
$1,611.35 |
$1,611.35 |
$1,611.35 |
$2,503.80
|
|
Ins picad w subq port 5yr>
|
$3,706.68 |
$3,706.68 |
$3,706.68 |
$4,078.00
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$728.10 |
$728.10 |
$728.10 |
$1,690.00
|
|
Ins pm gen exist dual lead
|
$26,433.98 |
$26,433.98 |
$26,433.98 |
$24,159.72
|
|
Ins pm gen w/exist mlt leads
|
$22,459.34 |
$22,459.34 |
$22,459.34 |
$14,804.40
|
|
Ins pq tunnld ip cath w/img
|
$4,156.03 |
$4,156.03 |
$4,156.03 |
$5,486.00
|
|
Ins/rplcmt prq eltrd ra pn 1
|
$14,685.79 |
$14,685.79 |
$14,685.79 |
$14,685.79
|
|
Ins/rplc spi npg/rcvr pocket
|
$35,887.53 |
$35,887.53 |
$35,887.53 |
$24,061.80
|
|
Ins/rpl ldless pm right vent w img & eval
|
$22,459.34 |
$22,459.34 |
$22,459.34 |
$24,135.54
|
|
Ins/rpl pm gen exist dual lead
|
$12,324.60 |
$12,324.60 |
$12,324.60 |
$11,005.50
|
