|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
|
$2,188.39 |
$2,188.39 |
$2,349.42 |
$2,071.80
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
|
$571.28 |
$571.28 |
$583.90 |
$1,030.05
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
|
$2,188.39 |
$2,188.39 |
$2,349.42 |
$1,888.80
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
|
$566.25 |
$566.25 |
$608.93 |
$1,048.20
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
|
$2,188.39 |
$2,188.39 |
$2,349.42 |
$2,006.79
|
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
|
$852.20 |
$852.20 |
$914.90 |
$1,826.80
|
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
|
$852.20 |
$852.20 |
$914.90 |
$1,685.00
|
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
|
$418.44 |
$418.44 |
$515.00 |
$485.28
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$418.44 |
$418.44 |
$449.22 |
$552.60
|
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
|
$418.44 |
$418.44 |
$449.22 |
$638.95
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$168.98 |
$168.98 |
$207.98 |
$145.60
|
|
Injection treatment of nerve
|
$3,552.48 |
$3,552.48 |
$3,552.48 |
$4,446.30
|
|
Injection treatment of nerve
|
$2,188.39 |
$2,188.39 |
$2,693.41 |
$2,050.30
|
|
Injection treatment of nose
|
$1,152.40 |
$1,152.40 |
$1,152.40 |
$859.59
|
|
Inject sacroiliac joint
|
$1,364.28 |
$1,364.28 |
$1,467.95 |
$1,029.04
|
|
Inject/treat eye socket
|
$918.99 |
$918.99 |
$918.99 |
$381.13
|
|
Inject/treat eye socket
|
$918.99 |
$918.99 |
$918.99 |
$670.02
|
|
Inj epidural sgl cerv-thor without img
|
$1,276.42 |
$1,276.42 |
$1,570.98 |
$1,329.00
|
|
Inj epidural sgl lumb-sacral without img
|
$914.90 |
$914.90 |
$1,129.76 |
$1,450.84
|
|
Inj, etelcalcetide, 0.1 mg
|
$8.03 |
$8.03 |
$9.88 |
$343.35
|
|
Inj, faricimab-svoa, 0.1mg
|
$82.63 |
$82.63 |
$101.70 |
$4,103.29
|
|
Inj fe-based mr contrast,1ml
|
$41.37 |
$41.37 |
$41.37 |
$56.56
|
|
Inj for ext venography
|
$895.63 |
$895.63 |
$1,102.31 |
$631.80
|
|
Inj for mammo ductogram
|
$236.57 |
$236.57 |
$236.57 |
$397.80
|
|
Inj, gadopiclenol, 1 ml
|
$7.27 |
$7.27 |
$8.94 |
$37.63
|
|
Inj hrt cath w/s&i nonsel p-art angrp
|
$1,694.30 |
$1,694.30 |
$1,694.30 |
$1,492.00
|
|
Inj hydroxyprogst capoat nos
|
$5.85 |
$5.85 |
$7.20 |
$1,228.59
|
|
Inj/inf neurolyt sbst spinal canal lesion 62282
|
$2,188.39 |
$2,188.39 |
$2,188.39 |
$1,928.00
|
|
Inj intralesional <= 7 lsn(s)
|
$384.21 |
$384.21 |
$597.34 |
$235.13
|
|
Inj intralesional > 7 lsns
|
$584.21 |
$584.21 |
$611.77 |
$234.00
|
|
Inj levocarnitine per 1 gm
|
$27.44 |
$27.44 |
$29.58 |
$136.62
|
|
Inj lwr xtr fscl pln blk uni w/wo image
|
$2,129.44 |
$2,129.44 |
$2,620.85 |
$794.70
|
|
Inj, moxifloxacin 100 mg
|
$49.92 |
$49.92 |
$53.81 |
$101.31
|
|
Inj multihance
|
$3.46 |
$3.46 |
$4.26 |
$70.54
|
|
Inj naloxone hydrochloride
|
$19.21 |
$19.21 |
$20.70 |
$83.16
|
|
Inj nephrosto/ureterogram w/img exstng access
|
$1,966.48 |
$1,966.48 |
$2,111.18 |
$1,413.35
|
|
Inj non-compmd foam sclrsnt mlt trncl veins same leg
|
$2,313.36 |
$2,313.36 |
$2,847.22 |
$2,881.20
|
|
Inj non-compmd foam sclrsnt sgl trncl vein
|
$2,313.36 |
$2,313.36 |
$2,847.22 |
$2,726.90
|
|
Inj octafluoropropane mic,ml
|
$91.73 |
$91.73 |
$98.86 |
$211.40
|
|
Inj, pegcetacoplan, 1mg
|
$317.74 |
$317.74 |
$391.06 |
$3,662.96
|
|
Inj pegfilgrastim-bmez 0.5mg
|
$34.68 |
$34.68 |
$42.69 |
$6,614.40
|
|
Inj peritoneal venous shunt
|
$277.83 |
$277.83 |
$325.65 |
$406.80
|
|
Inj proc ankle arthr
|
$263.95 |
$263.95 |
$263.95 |
$405.31
|
|
Inj proc elbow arthro
|
$199.53 |
$199.53 |
$245.58 |
$433.00
|
|
Inj proc for lymphang
|
$341.08 |
$341.08 |
$341.08 |
$742.40
|
|
Inj proc lumbr disk ea lvl
|
$608.38 |
$608.38 |
$608.38 |
$1,106.93
|
|
Inj proc myelogram lumbar
|
$229.36 |
$229.36 |
$504.22 |
$840.00
|
|
Inj proc sialogram
|
$195.07 |
$195.07 |
$195.07 |
$369.45
|
|
Inj prohance multipack
|
$2.78 |
$2.78 |
$3.42 |
$10.40
|
|
Inj retacrit esrd on dialysi
|
$1.92 |
$1.92 |
$2.37 |
$307.40
|
|
Inj retro urethrocysto
|
$132.26 |
$132.26 |
$229.88 |
$447.74
|
|
Inj, rimabotulinumtoxinb
|
$22.78 |
$22.78 |
$24.55 |
$714.24
|
|
Inj scleros sol mult veins
|
$1,107.30 |
$1,107.30 |
$1,188.79 |
$707.85
|
|
Inj scleros sol sgl vein
|
$1,107.30 |
$1,107.30 |
$1,188.79 |
$561.88
|
|
Inj secretin synthetic human
|
$63.17 |
$63.17 |
$63.17 |
$1,234.65
|
|
Inj(s) sclerosant spider veins limb/trunk
|
$911.47 |
$911.47 |
$911.47 |
$436.80
|
|
Inj sulf hexa lipid microsph
|
$48.52 |
$48.52 |
$52.29 |
$256.14
|
|
Inj testosterone cypionate
|
$0.10 |
$0.10 |
$0.13 |
$64.96
|
|
Inj thrc fascial pln blk uni w/wo image
|
$1,712.95 |
$1,712.95 |
$2,108.25 |
$837.50
|
|
Inj triamcinolone ace X-ray 1mg
|
$38.12 |
$38.12 |
$46.92 |
$1,090.75
|
|
Inj, trivisc 1 mg
|
$12.37 |
$12.37 |
$13.33 |
$6.67
|
|
Inj w/fluor eval cv device
|
$503.92 |
$503.92 |
$620.21 |
$504.40
|
|
Inj., yutiq, 0.01 mg
|
$1,050.19 |
$1,050.19 |
$1,292.54 |
$14,458.60
|
|
Ins cath ren art 1st bi
|
$6,509.50 |
$6,509.50 |
$6,988.46 |
$5,974.80
|
|
Ins cath ren art 1st uni
|
$6,509.50 |
$6,509.50 |
$6,988.46 |
$4,692.00
|
|
Ins cath ren art 2nd+ bi
|
$6,509.50 |
$6,509.50 |
$6,988.46 |
$5,663.98
|
|
Ins cath ren art 2nd+ uni
|
$12,290.60 |
$12,290.60 |
$15,126.89 |
$5,395.20
|
|
Ins cerv dilator (sep proc)
|
$958.48 |
$958.48 |
$1,028.98 |
$488.35
|
|
Insert cannula hemo oth 36815
|
$12,290.60 |
$12,290.60 |
$12,290.60 |
$5,983.35
|
|
Insert cath pleura with image
|
$2,535.44 |
$2,535.44 |
$2,722.00 |
$2,194.40
|
|
Insert cath pleura without image
|
$4,441.33 |
$4,441.33 |
$4,768.12 |
$2,101.52
|
|
Insert drug delivery implant
|
$335.52 |
$335.52 |
$360.21 |
$280.00
|
|
Insert hepatic shunt (tips)
|
$1,571.13 |
$1,571.13 |
$1,571.13 |
$7,571.20
|
|
Insert intrauterine device iud
|
$199.89 |
$199.89 |
$511.43 |
$330.72
|
|
Insertion catheter bladder non indwelling
|
$335.52 |
$335.52 |
$360.21 |
$209.30
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$8,417.52 |
$8,417.52 |
$9,036.87 |
$4,923.19
|
|
Insertion intra aortic balloon assist device percutaneous
|
$676.07 |
$676.07 |
$2,341.42 |
$2,447.63
|
|
Insertion intra-aortic circulation dev 33970
|
$8,465.05 |
$8,465.05 |
$8,465.05 |
$1,752.40
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$12,290.60 |
$12,290.60 |
$13,194.92 |
$7,210.78
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$5,765.71 |
$5,765.71 |
$7,096.26 |
$2,595.45
|
|
Insertion of catheter vein
|
$480.24 |
$480.24 |
$480.24 |
$1,525.80
|
|
Insertion of catheter vein
|
$721.88 |
$721.88 |
$888.46 |
$858.05
|
|
Insertion of heart electrode 33211
|
$7,542.63 |
$7,542.63 |
$7,542.63 |
$6,839.00
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$11,881.43 |
$11,881.43 |
$12,755.65 |
$12,384.25
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$11,881.43 |
$11,881.43 |
$12,755.65 |
$12,324.60
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$9,570.52 |
$9,570.52 |
$17,617.75 |
$9,884.16
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$2,535.44 |
$2,535.44 |
$3,120.54 |
$2,109.00
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$2,320.01 |
$2,320.01 |
$2,855.39 |
$2,463.50
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$25,392.76 |
$25,392.76 |
$27,261.14 |
$29,180.00
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$7,025.69 |
$7,025.69 |
$7,542.63 |
$7,200.05
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$7,025.69 |
$7,025.69 |
$7,542.63 |
$7,267.20
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$5,651.62 |
$5,651.62 |
$6,955.84 |
$9,390.55
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$6,509.50 |
$6,509.50 |
$6,988.46 |
$5,236.80
|
|
Insert pessary/other device
|
$558.63 |
$558.63 |
$599.71 |
$278.90
|
|
Insert pm/icd lead dual
|
$7,025.69 |
$7,025.69 |
$7,542.63 |
$7,115.90
|
|
Insert/repl sq defib w/eltrd
|
$25,392.76 |
$25,392.76 |
$27,261.14 |
$33,593.55
|
|
Insert swan-ganz cath
|
$2,785.63 |
$2,785.63 |
$3,428.47 |
$2,164.52
|
|
Insert tunneled cv 2cath 2sits without port/pmp 36565
|
$6,509.50 |
$6,509.50 |
$6,988.46 |
$5,018.25
|
|
Insert tunneled cv cath
|
$6,509.50 |
$6,509.50 |
$6,509.50 |
$4,580.61
|
|
Insert ureteral support
|
$2,836.34 |
$2,836.34 |
$3,490.88 |
$2,836.34
|