|
Inj xipere 1 mg
|
$48.00 |
$48.00 |
$48.00 |
$48.00
|
|
Inj., yutiq, 0.01 mg
|
$532.58 |
$532.58 |
$532.58 |
$532.58
|
|
Inj zanidatamab-hrii, 2 mg
|
$25.08 |
$25.08 |
$25.08 |
$25.08
|
|
Inj zenocutuzumab-zbco 1 mg
|
$32.62 |
$32.62 |
$32.62 |
$32.62
|
|
Inotuzumab ozogamicin 0.9 mg(0.25 mg/ml initial concentration) IV soln
|
$2,698.05 |
$2,698.05 |
$2,698.05 |
$2,698.05
|
|
Ins cath ren art 1st bi
|
$3,439.84 |
$3,439.84 |
$3,439.84 |
$6,012.50
|
|
Ins cath ren art 1st uni
|
$3,439.84 |
$3,439.84 |
$3,439.84 |
$4,628.00
|
|
Ins cath ren art 2nd+ bi
|
$3,439.84 |
$3,439.84 |
$3,439.84 |
$5,251.20
|
|
Ins cath ren art 2nd+ uni
|
$5,907.78 |
$5,907.78 |
$5,907.78 |
$5,528.94
|
|
Ins cerv dilator (sep proc)
|
$332.44 |
$332.44 |
$332.44 |
$557.60
|
|
Insemination of oocytes
|
$187.28 |
$187.28 |
$187.28 |
$314.40
|
|
Insert and remove bone pin
|
$3,545.97 |
$3,545.97 |
$3,545.97 |
$3,825.28
|
|
Insert ant drainage device
|
$4,396.50 |
$4,396.50 |
$4,396.50 |
$4,737.56
|
|
Insert brain-fluid device 61215
|
$6,998.88 |
$6,998.88 |
$6,998.88 |
$6,619.99
|
|
Insert cannula hemo oth 36815
|
$5,907.78 |
$5,907.78 |
$5,907.78 |
$6,354.94
|
|
Insert cannula vein-to-vein hemodialysis
|
$5,907.78 |
$5,907.78 |
$5,907.78 |
$7,279.50
|
|
Insert cath pleura with image
|
$1,697.72 |
$1,697.72 |
$1,697.72 |
$2,239.02
|
|
Insert cath pleura without image
|
$2,073.18 |
$2,073.18 |
$2,073.18 |
$2,157.58
|
|
Insert cv cath inf & sup app
|
$9,016.81 |
$9,016.81 |
$9,016.81 |
$9,132.15
|
|
Insert drug del implant, >=4
|
$436.10 |
$436.10 |
$436.10 |
$441.68
|
|
Insert drug delivery implant
|
$140.87 |
$140.87 |
$140.87 |
$257.40
|
|
Insert eye socket implant
|
$4,121.25 |
$4,121.25 |
$4,121.25 |
$4,834.49
|
|
Insert heyman uteri capsule
|
$5,394.95 |
$5,394.95 |
$5,394.95 |
$5,394.95
|
|
Insertion catheter artery nfs ther chemotx 36640
|
$3,439.84 |
$3,439.84 |
$3,439.84 |
$3,483.84
|
|
Insertion catheter bladder non indwelling
|
$140.87 |
$140.87 |
$140.87 |
$230.40
|
|
Insertion catheter bladder temporary simple
|
$140.87 |
$140.87 |
$140.87 |
$245.00
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$3,856.84 |
$3,856.84 |
$3,856.84 |
$4,923.19
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$5,907.78 |
$5,907.78 |
$5,907.78 |
$7,210.78
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$3,439.84 |
$3,439.84 |
$3,439.84 |
$2,457.24
|
|
Insertion of cannula
|
$3,439.84 |
$3,439.84 |
$3,439.84 |
$3,648.16
|
|
Insertion of heart electrode 33211
|
$9,044.65 |
$9,044.65 |
$9,044.65 |
$9,537.90
|
|
Insertion of infusion pump
|
$5,907.78 |
$5,907.78 |
$5,907.78 |
$5,907.78
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$11,437.35 |
$11,437.35 |
$11,437.35 |
$14,777.24
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$11,437.35 |
$11,437.35 |
$11,437.35 |
$13,806.24
|
|
Insertion palate prosthesis
|
$6,465.11 |
$6,465.11 |
$6,465.11 |
$6,465.11
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$1,697.72 |
$1,697.72 |
$1,697.72 |
$2,079.43
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$1,697.72 |
$1,697.72 |
$1,697.72 |
$2,367.00
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$35,039.46 |
$35,039.46 |
$35,039.46 |
$32,608.80
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$9,044.65 |
$9,044.65 |
$9,044.65 |
$7,513.67
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$9,044.65 |
$9,044.65 |
$9,044.65 |
$8,460.40
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$9,044.65 |
$9,044.65 |
$9,044.65 |
$9,824.59
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$3,439.84 |
$3,439.84 |
$3,439.84 |
$5,423.04
|
|
Insertion ureth cath
|
$2,238.78 |
$2,238.78 |
$2,238.78 |
$1,780.46
|
|
Insert lens prosthesis
|
$2,492.56 |
$2,492.56 |
$2,492.56 |
$3,333.13
|
|
Insert multi-comp penis pros
|
$21,998.10 |
$21,998.10 |
$21,998.10 |
$21,998.10
|
|
Insert nasal septal button
|
$1,618.86 |
$1,618.86 |
$1,618.86 |
$1,639.57
|
|
Insert ocular implant
|
$4,121.25 |
$4,121.25 |
$4,121.25 |
$4,169.11
|
|
Insert ocular implant
|
$4,121.25 |
$4,121.25 |
$4,121.25 |
$3,958.40
|
|
Insert palate implants
|
$1,618.86 |
$1,618.86 |
$1,618.86 |
$1,639.57
|
|
Insert pessary/other device
|
$219.85 |
$219.85 |
$219.85 |
$277.99
|
|
Insert picvad cath
|
$3,439.84 |
$3,439.84 |
$3,439.84 |
$4,201.80
|
|
Insert pm/icd lead dual
|
$9,044.65 |
$9,044.65 |
$9,044.65 |
$7,885.34
|
|
Insert prost urethral stent
|
$2,238.78 |
$2,238.78 |
$2,238.78 |
$1,804.00
|
|
Insert/repl sq defib w/eltrd
|
$35,039.46 |
$35,039.46 |
$35,039.46 |
$33,948.20
|
|
Insert self-contd prosthesis
|
$21,998.10 |
$21,998.10 |
$21,998.10 |
$9,754.56
|
|
Insert semi-rigid prosthesis
|
$14,199.16 |
$14,199.16 |
$14,199.16 |
$10,037.15
|
|
Insert spine infusion device 62360
|
$19,315.69 |
$19,315.69 |
$19,315.69 |
$6,531.84
|
|
Insert sq defib electrode
|
$9,044.65 |
$9,044.65 |
$9,044.65 |
$8,366.80
|
|
Insert swan-ganz cath
|
$1,697.72 |
$1,697.72 |
$1,697.72 |
$2,269.00
|
|
Insert tandem cuff
|
$21,998.10 |
$21,998.10 |
$21,998.10 |
$16,482.71
|
|
Insert tissue expander(s)
|
$4,001.00 |
$4,001.00 |
$4,001.00 |
$3,703.68
|
|
Insert tunneled cv 2cath 2sits without port/pmp 36565
|
$3,439.84 |
$3,439.84 |
$3,439.84 |
$4,705.13
|
|
Insert tunneled cv cath
|
$3,439.84 |
$3,439.84 |
$3,439.84 |
$4,350.11
|
|
Insert tunneled cv cath
|
$5,907.78 |
$5,907.78 |
$5,907.78 |
$6,290.54
|
|
Insert uro/ves nck sphincter
|
$21,998.10 |
$21,998.10 |
$21,998.10 |
$9,417.14
|
|
Insert uteri tandem/ovoids
|
$5,394.95 |
$5,394.95 |
$5,394.95 |
$3,940.41
|
|
Ins icd gen exist mlt leads
|
$35,039.46 |
$35,039.46 |
$35,039.46 |
$31,488.80
|
|
Ins icd gen exist sgl lead
|
$24,530.99 |
$24,530.99 |
$24,530.99 |
$26,433.98
|
|
Insitu hybridization auto
|
$393.13 |
$393.13 |
$393.13 |
$328.79
|
|
Insitu hybridization (fish)
|
$187.28 |
$187.28 |
$187.28 |
$481.60
|
|
Insitu hybridization manual
|
$393.13 |
$393.13 |
$393.13 |
$407.11
|
|
In situ hybridization per specimen initial single probe stain
|
$187.28 |
$187.28 |
$187.28 |
$364.00
|
|
Insj phrnc nrv stim sys
|
$49,180.15 |
$49,180.15 |
$49,180.15 |
$54,756.75
|
|
Insj rx elut implt lac canal
|
$2,549.65 |
$2,549.65 |
$2,549.65 |
$2,572.70
|
|
Insj stablj dev w/dcmprn
|
$20,098.12 |
$20,098.12 |
$20,098.12 |
$16,139.55
|
|
Insj stablj dev without dcmprn
|
$14,061.89 |
$14,061.89 |
$14,061.89 |
$15,065.59
|
|
Ins lv lead exist pm/icd
|
$11,437.35 |
$11,437.35 |
$11,437.35 |
$12,270.00
|
|
Ins mark abd/pel for right perq
|
$1,495.34 |
$1,495.34 |
$1,495.34 |
$2,000.78
|
|
Ins mark thor for right perq
|
$1,495.34 |
$1,495.34 |
$1,495.34 |
$2,477.45
|
|
Ins picad w subq port 5yr>
|
$3,439.84 |
$3,439.84 |
$3,439.84 |
$4,312.97
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$675.68 |
$675.68 |
$675.68 |
$1,483.95
|
|
Ins pm gen exist dual lead
|
$24,530.99 |
$24,530.99 |
$24,530.99 |
$25,546.94
|
|
Ins pm gen w/exist mlt leads
|
$20,842.49 |
$20,842.49 |
$20,842.49 |
$17,191.21
|
|
Ins pq tunnld ip cath w/img
|
$3,856.84 |
$3,856.84 |
$3,856.84 |
$5,597.45
|
|
Ins/rplcmt prq eltrd ra pn 1
|
$13,628.55 |
$13,628.55 |
$13,628.55 |
$10,237.75
|
|
Ins/rplc spi npg/rcvr pocket
|
$33,303.98 |
$33,303.98 |
$33,303.98 |
$33,303.98
|
|
Ins/rpl ldless pm right vent w img & eval
|
$20,842.49 |
$20,842.49 |
$20,842.49 |
$24,705.20
|
|
Ins/rpl pm gen exist dual lead
|
$11,437.35 |
$11,437.35 |
$11,437.35 |
$11,583.66
|
|
Ins/rpl pm gen exist sgl lead
|
$9,044.65 |
$9,044.65 |
$9,044.65 |
$9,824.59
|
|
Ins/rpl pm w/tv ld atrl
|
$11,437.35 |
$11,437.35 |
$11,437.35 |
$12,442.95
|
|
Ins/rpl prph sac/gstr npg/r
|
$23,436.14 |
$23,436.14 |
$23,436.14 |
$23,436.14
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$31,068.75 |
$31,068.75 |
$31,068.75 |
$28,931.50
|
|
Insrt/redo neurostim 1 array
|
$23,436.14 |
$23,436.14 |
$23,436.14 |
$14,695.12
|
|
Install spinal shunt 63741
|
$6,998.88 |
$6,998.88 |
$6,998.88 |
$7,088.41
|
|
Inst fibrinolysis agent ini day
|
$675.68 |
$675.68 |
$675.68 |
$1,110.55
|
|
Inst fibrinolysis agent sbsq d
|
$675.68 |
$675.68 |
$675.68 |
$898.12
|
|
Instillation anticarcinogenic agent bladder
|
$729.46 |
$729.46 |
$729.46 |
$721.50
|
|
Instill, bupivac and meloxic
|
$0.89 |
$0.89 |
$0.89 |
$0.90
|
|
Instill pharm renal pelvis
|
$2,459.53 |
$2,459.53 |
$2,459.53 |
$2,493.15
|
|
Instll rx agnt into rnal tub
|
$265.80 |
$265.80 |
$265.80 |
$509.60
|