|
Inj cntr knee arthro incl ct/mri
|
$261.04 |
$261.04 |
$261.04 |
$436.80
|
|
Inj dupuytren cord w/enzyme
|
$304.02 |
$304.02 |
$304.02 |
$416.00
|
|
Injection arthrography hip without anesthesia (both sides)
|
$187.21 |
$187.21 |
$187.21 |
$503.50
|
|
Injection carpal tunnel therapeutic (both sides)
|
$277.11 |
$277.11 |
$277.11 |
$458.15
|
|
Injection eye drug
|
$205.46 |
$205.46 |
$205.46 |
$654.00
|
|
Injection for arthrography wrist (both sides)
|
$104.69 |
$104.69 |
$104.69 |
$436.00
|
|
Injection for bladder x-ray
|
$555.91 |
$555.91 |
$555.91 |
$459.20
|
|
Injection for hip x-ray
|
$514.01 |
$514.01 |
$514.01 |
$763.60
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$427.38 |
$427.38 |
$427.38 |
$497.76
|
|
Injection for ureter x-ray
|
$643.42 |
$643.42 |
$643.42 |
$515.21
|
|
Injection, inclisiran, 1 mg
|
$18.84 |
$18.84 |
$18.84 |
$6,679.35
|
|
Injection of sinus tract
|
$3,205.47 |
$3,205.47 |
$3,205.47 |
$1,640.99
|
|
Injection,onabotulinumtoxina
|
$10.51 |
$10.51 |
$10.51 |
$2,277.65
|
|
Injection radioactive tracer sentinel node (both sides)
|
$951.59 |
$951.59 |
$951.59 |
$685.44
|
|
Injection, renflexis
|
$76.69 |
$76.69 |
$76.69 |
$1,341.52
|
|
Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides)
|
$1,895.48 |
$1,895.48 |
$1,895.48 |
$1,582.12
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$1,895.48 |
$1,895.48 |
$1,895.48 |
$1,391.40
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$1,703.27 |
$1,703.27 |
$1,703.27 |
$1,043.72
|
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
|
$2,419.18 |
$2,419.18 |
$2,419.18 |
$2,040.36
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
|
$376.14 |
$376.14 |
$376.14 |
$1,030.05
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
|
$1,128.78 |
$1,128.78 |
$1,128.78 |
$1,855.36
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
|
$376.14 |
$376.14 |
$376.14 |
$1,043.20
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
|
$2,035.46 |
$2,035.46 |
$2,035.46 |
$2,006.79
|
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
|
$883.82 |
$883.82 |
$883.82 |
$1,817.24
|
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
|
$1,612.12 |
$1,612.12 |
$1,612.12 |
$1,685.00
|
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
|
$807.96 |
$807.96 |
$807.96 |
$475.80
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$680.24 |
$680.24 |
$680.24 |
$548.80
|
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
|
$680.24 |
$680.24 |
$680.24 |
$637.92
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$113.59 |
$113.59 |
$113.59 |
$145.60
|
|
Inject sacroiliac joint
|
$1,522.96 |
$1,522.96 |
$1,522.96 |
$1,029.04
|
|
Inj, faricimab-svoa, 0.1mg
|
$57.53 |
$57.53 |
$57.53 |
$4,103.29
|
|
Inj, gadopiclenol, 1 ml
|
$6.34 |
$6.34 |
$6.34 |
$37.63
|
|
Inj intralesional <= 7 lsn(s)
|
$47.61 |
$47.61 |
$47.61 |
$235.13
|
|
Inj intralesional > 7 lsns
|
$440.09 |
$440.09 |
$440.09 |
$234.00
|
|
Inj ivig privigen 500 mg
|
$90.80 |
$90.80 |
$90.80 |
$6,967.29
|
|
Inj, lecanemab-irmb, 1 mg
|
$1.03 |
$1.03 |
$1.03 |
$1,174.88
|
|
Inj mepivacaine hcl/10 ml
|
$5.41 |
$5.41 |
$5.41 |
$34.34
|
|
Inj multihance
|
$3.16 |
$3.16 |
$3.16 |
$70.54
|
|
Inj nephrosto/ureterogram w/img exstng access
|
$592.42 |
$592.42 |
$592.42 |
$1,413.35
|
|
Inj, pegcetacoplan, 1mg
|
$237.25 |
$237.25 |
$237.25 |
$3,662.96
|
|
Inj proc ankle arthr
|
$261.18 |
$261.18 |
$261.18 |
$405.31
|
|
Inj proc elbow arthro
|
$104.69 |
$104.69 |
$104.69 |
$432.00
|
|
Inj proc myelogram lumbar
|
$462.54 |
$462.54 |
$462.54 |
$838.30
|
|
Inj retro urethrocysto
|
$129.57 |
$129.57 |
$129.57 |
$447.74
|
|
Inj scleros sol mult veins
|
$876.79 |
$876.79 |
$876.79 |
$692.90
|
|
Inj secukinumab intrav 1mg
|
$5.55 |
$5.55 |
$5.55 |
$4,413.21
|
|
Inj. teprotumumab-trbw 10 mg
|
$569.11 |
$569.11 |
$569.11 |
$35,034.78
|
|
Inj testosterone cypionate
|
$0.15 |
$0.15 |
$0.15 |
$64.96
|
|
Inj., tildrakizumab, 1 mg
|
$248.65 |
$248.65 |
$248.65 |
$26,635.60
|
|
Inj w/fluor eval cv device
|
$482.54 |
$482.54 |
$482.54 |
$504.40
|
|
Insert cath pleura with image
|
$4,342.98 |
$4,342.98 |
$4,342.98 |
$2,194.40
|
|
Insert cath pleura without image
|
$5,192.17 |
$5,192.17 |
$5,192.17 |
$2,099.70
|
|
Insert drug delivery implant
|
$290.50 |
$290.50 |
$290.50 |
$280.00
|
|
Insert intrauterine device iud
|
$178.07 |
$178.07 |
$178.07 |
$347.10
|
|
Insertion catheter bladder non indwelling
|
$185.42 |
$185.42 |
$185.42 |
$208.01
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$2,765.24 |
$2,765.24 |
$2,765.24 |
$4,897.20
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$1,760.62 |
$1,760.62 |
$1,760.62 |
$2,585.25
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$2,680.86 |
$2,680.86 |
$2,680.86 |
$2,103.75
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$1,287.30 |
$1,287.30 |
$1,287.30 |
$2,453.83
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$6,985.13 |
$6,985.13 |
$6,985.13 |
$5,236.80
|
|
Insert pessary/other device
|
$310.70 |
$310.70 |
$310.70 |
$278.90
|
|
Insitu hybridization manual
|
$219.32 |
$219.32 |
$219.32 |
$401.28
|
|
In situ hybridization per specimen each additional single probe stain
|
$250.63 |
$250.63 |
$250.63 |
$243.50
|
|
In situ hybridization per specimen initial single probe stain
|
$344.29 |
$344.29 |
$344.29 |
$338.40
|
|
Ins mark abd/pel for right perq
|
$2,002.62 |
$2,002.62 |
$2,002.62 |
$2,477.24
|
|
Ins picad w subq port 5yr>
|
$70.06 |
$70.06 |
$70.06 |
$4,078.00
|
|
Ins pq tunnld ip cath w/img
|
$2,765.24 |
$2,765.24 |
$2,765.24 |
$5,486.00
|
|
Instillation anticarcinogenic agent bladder
|
$1,496.98 |
$1,496.98 |
$1,496.98 |
$638.40
|
|
Ins tun cv cath wo subq prt/pm
|
$5,548.34 |
$5,548.34 |
$5,548.34 |
$4,218.00
|
|
Insulin total
|
$105.57 |
$105.57 |
$105.57 |
$66.64
|
|
Interdental fixation
|
$3,800.63 |
$3,800.63 |
$3,800.63 |
$2,133.48
|
|
Intermediate visual field xm
|
$31.28 |
$31.28 |
$31.28 |
$112.80
|
|
Interrog dev eval icpms ip
|
$95.26 |
$95.26 |
$95.26 |
$104.00
|
|
Interrog device eval heart
|
$95.26 |
$95.26 |
$95.26 |
$162.40
|
|
Interrog evl pm/ldls pm ip
|
$95.26 |
$95.26 |
$95.26 |
$127.20
|
|
Intracranial limited study
|
$291.05 |
$291.05 |
$291.05 |
$467.50
|
|
Intraoral i+d tongue/floor lingual 41000
|
$1,089.55 |
$1,089.55 |
$1,089.55 |
$1,331.45
|
|
Intrinsic factor antibody
|
$56.60 |
$56.60 |
$56.60 |
$65.00
|
|
Intrm oph exam est patient
|
$288.84 |
$288.84 |
$288.84 |
$161.25
|
|
Intubation endotracheal emergency procedure
|
$641.24 |
$641.24 |
$641.24 |
$601.28
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$0.18 |
$0.18 |
$0.18 |
$279.10
|
|
Iron
|
$86.03 |
$86.03 |
$86.03 |
$75.00
|
|
Iron binding capacity
|
$108.58 |
$108.58 |
$108.58 |
$63.91
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$0.87 |
$0.87 |
$0.87 |
$187.06
|
|
Irradiation of blood product each unit reference
|
$59.96 |
$59.96 |
$59.96 |
$115.20
|
|
Irrigation implantable venous access device for drug delivery systems
|
$143.81 |
$143.81 |
$143.81 |
$146.11
|
|
IV Fluids (each additional hour)
|
$131.72 |
$131.72 |
$131.72 |
$133.90
|
|
IV Fluids (first hour)
|
$356.31 |
$356.31 |
$356.31 |
$390.00
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$167.21 |
$167.21 |
$167.21 |
$162.68
|
|
IV Medicine Infusion (additional drug)
|
$79.43 |
$79.43 |
$79.43 |
$191.75
|
|
IV Medicine Infusion (each additional hour)
|
$131.72 |
$131.72 |
$131.72 |
$154.00
|
|
IV Medicine Infusion (first hour)
|
$344.72 |
$344.72 |
$344.72 |
$439.56
|
|
IV Push Injection (each additional drug)
|
$115.26 |
$115.26 |
$115.26 |
$167.50
|
|
IV Push Injection (first drug)
|
$258.08 |
$258.08 |
$258.08 |
$252.76
|
|
Ivp w/wo kub w/wo tomography
|
$568.94 |
$568.94 |
$568.94 |
$713.40
|
|
Jak2 targeted sequence analysis
|
$464.04 |
$464.04 |
$464.04 |
$405.00
|
|
Jaw Joint (TMJ) X-ray (both sides, open and closed)
|
$362.23 |
$362.23 |
$362.23 |
$330.05
|
|
Jaw (Mandible) X-ray (complete)
|
$284.47 |
$284.47 |
$284.47 |
$362.05
|
|
John cunningham antibody
|
$54.05 |
$54.05 |
$54.05 |
$78.00
|
|
Ketamine and metabolite screen - quest
|
$347.98 |
$347.98 |
$347.98 |
$72.14
|