|
Inj calcitriol per 0.1 mcg
|
$21.27 |
$21.27 |
$21.27 |
|
|
Inj, carmustine (accord)
|
$259.70 |
$259.70 |
$259.70 |
|
|
Inj cefazolin sodium, baxter
|
$0.39 |
$0.39 |
$15.40 |
|
|
Inj cefazolin sodium, hikma
|
$0.98 |
$0.98 |
$1.96 |
|
|
Inj cefazolin (wg crit care)
|
$1.04 |
$1.04 |
$4.09 |
|
|
Inj. cefepime hcl (baxter)
|
$1.49 |
$1.49 |
$1.49 |
|
|
Inj, cefepime hcl (b braun)
|
$23.40 |
$68.97 |
$68.97 |
|
|
Inj, cefiderocol, 10 mg
|
$2.28 |
$2.28 |
$718.84 |
|
|
Inj ceftolozane tazobactam
|
$8.23 |
$8.23 |
$519.17 |
|
|
Inj. cetirizine hcl 0.5mg
|
$14.87 |
$14.87 |
$1,078.95 |
|
|
Inj, cimerli, 0.1 mg
|
$201.01 |
$201.01 |
$93,296.00 |
|
|
Inj, cipaglucosidase, 5 mg
|
$88.06 |
$88.06 |
$88.06 |
|
|
Inj, clevidipine butyrate
|
$2.83 |
$2.83 |
$2.83 |
|
|
Inj, clindamycin (baxter)
|
$0.34 |
$0.34 |
$6.60 |
|
|
Inj cntr knee arthro incl ct/mri
|
$201.00 |
$277.15 |
$668.46 |
|
|
Inj., copanlisib, 1 mg
|
$92.81 |
$92.81 |
$92.81 |
|
|
Inj crotalidae im f(ab')2 eq
|
$1,040.11 |
$1,040.11 |
$1,040.11 |
|
|
Inj, crovalimab-akkz, 10 mg
|
$535.90 |
$535.90 |
$535.90 |
|
|
Inj cuvitru, 100 mg
|
$16.82 |
$16.82 |
$16.82 |
|
|
Inj, cyclophos (baxter) 5mg
|
$321.02 |
$321.02 |
$321.02 |
|
|
Inj cyclophosphamd auromedic
|
$1.16 |
$1.16 |
$170.63 |
|
|
Inj cyclophosphamd (ingenus)
|
$0.93 |
$0.93 |
$479.42 |
|
|
Inj, cyclophosphamd, sandoz
|
$4.34 |
$4.34 |
$828.66 |
|
|
Inj daptomycin (xellia)
|
$0.04 |
$0.04 |
$42.56 |
|
|
Inj daxibotulinumtoxina-lanm
|
$3.12 |
$3.12 |
$3.12 |
|
|
Inj, decitabine (sun pharma)
|
$183.54 |
$183.54 |
$183.54 |
|
|
Inj delandistrogene mox rokl
|
$3,200,000.00 |
$3,325,454.76 |
$3,325,454.76 |
|
|
Inj. denosumab-bbdz, 1 mg
|
$51.45 |
$51.45 |
$63.32 |
|
|
Inj disk cerv-thor ea lev
|
$2,130.96 |
$2,130.96 |
$2,130.96 |
|
|
Inj, donanemab-azbt, 2 mg
|
$4.09 |
$4.09 |
$121.74 |
|
|
Inj dupuytren cord w/enzyme
|
$40.70 |
$349.32 |
$967.00 |
|
|
Inj, durolane 1 mg
|
$7.00 |
$7.00 |
$1,172.65 |
|
|
Inj dx for sinogram
|
$153.22 |
$395.55 |
$2,599.74 |
|
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
|
$50.82 |
$819.50 |
$1,515.42 |
|
|
Injection arthrography hip without anesthesia (both sides)
|
$153.79 |
$201.00 |
$712.92 |
|
|
Injection, belinostat, 10mg
|
$50.09 |
$50.09 |
$8,595.55 |
|
|
Injection, burosumab-twza 1m
|
$469.58 |
$469.58 |
$469.58 |
|
|
Injection, cangrelor
|
$18.82 |
$18.82 |
$2,811.04 |
|
|
Injection, caplacizumab-yhdp
|
$2,097.96 |
$2,097.96 |
$2,097.96 |
|
|
Injection carpal tunnel therapeutic (both sides)
|
$34.98 |
$349.32 |
$1,342.00 |
|
|
Injection, daratumumab 10 mg
|
$65.12 |
$65.12 |
$512.16 |
|
|
Injection, doxercalciferol
|
$3.43 |
$4.22 |
$74.40 |
|
|
Injection during cath supravalvular aortography
|
$24.86 |
$132.92 |
$399.06 |
|
|
Injection, edaravone, 1 mg
|
$22.14 |
$22.14 |
$1,401.00 |
|
|
Injection epidural blood patch or clot
|
$480.60 |
$819.50 |
$7,495.00 |
|
|
Injection eye drug
|
$56.10 |
$392.51 |
$1,729.00 |
|
|
Injection for arthrography wrist (both sides)
|
$94.60 |
$103.21 |
$584.22 |
|
|
Injection for bladder x-ray
|
$100.80 |
$201.00 |
$5,309.00 |
|
|
Injection for hip x-ray
|
$50.16 |
$221.70 |
$514.01 |
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$114.03 |
$256.86 |
$1,040.52 |
|
|
Injection for spleen x-ray
|
$79.42 |
$79.42 |
$79.42 |
|
|
Injection for tear sac x-ray
|
$31.46 |
$31.46 |
$31.46 |
|
|
Injection for ureter x-ray
|
$204.68 |
$204.68 |
$1,197.30 |
|
|
Injection for ureter x-ray
|
$229.27 |
$643.42 |
$1,479.66 |
|
|
Injection, fulvestrant
|
$7.51 |
$7.51 |
$390.00 |
|
|
Injection glatiramer acetate
|
$172.88 |
$172.88 |
$172.88 |
|
|
Injection, inclisiran, 1 mg
|
$12.19 |
$12.19 |
$7,889.98 |
|
|
Injection into brain canal
|
$69.96 |
$819.50 |
$819.50 |
|
|
Injection into brain canal
|
$71.28 |
$349.32 |
$3,948.00 |
|
|
Injection into hemorrhoid(s)
|
$112.86 |
$1,078.88 |
$2,393.41 |
|
|
Injection into spinal artery
|
$598.62 |
$1,053.53 |
$1,053.53 |
|
|
Injection into vocal cord
|
$80.74 |
$459.51 |
$459.51 |
|
|
Injection intraop add-on
|
$65.56 |
$65.56 |
$65.56 |
|
|
Injection, isavuconazonium
|
$0.98 |
$0.98 |
$1,002.40 |
|
|
Injection jaw joint x-ray
|
$378.30 |
$378.30 |
$378.30 |
|
|
Injection jugular
|
$1,623.58 |
$1,623.58 |
$1,998.25 |
|
|
Injection, necitumumab, 1 mg
|
$5.73 |
$5.73 |
$303.08 |
|
|
Injection of HIV prep drug
|
$84.22 |
$84.22 |
$84.22 |
|
|
Injection of sinus tract
|
$55.88 |
$1,752.89 |
$4,038.83 |
|
|
Injection,onabotulinumtoxina
|
$6.41 |
$6.41 |
$4,522.00 |
|
|
Injection, peramivir
|
$1.68 |
$1.68 |
$1.68 |
|
|
Injection px peyronie ds
|
$54.56 |
$287.81 |
$287.81 |
|
|
Injection radioactive tracer sentinel node (both sides)
|
$19.58 |
$475.51 |
$1,011.00 |
|
|
Injection, renflexis
|
$27.18 |
$27.18 |
$2,054.68 |
|
|
Injection, ruconest
|
$34.72 |
$34.72 |
$26,687.50 |
|
|
Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides)
|
$75.24 |
$819.50 |
$1,895.48 |
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$819.50 |
$1,276.42 |
$2,205.00 |
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$291.00 |
$819.50 |
$2,832.00 |
|
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
|
$480.60 |
$1,053.53 |
$4,250.59 |
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
|
$165.60 |
$571.28 |
$1,562.34 |
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
|
$465.60 |
$1,053.53 |
$2,349.42 |
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
|
$165.60 |
$566.25 |
$1,562.34 |
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
|
$465.60 |
$1,053.53 |
$4,245.76 |
|
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
|
$648.41 |
$819.50 |
$2,025.66 |
|
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
|
$61.16 |
$819.50 |
$4,245.76 |
|
|
Injection, siltuximab
|
$157.07 |
$157.07 |
$21,587.44 |
|
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
|
$171.60 |
$349.32 |
$1,617.00 |
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$171.60 |
$349.32 |
$1,715.00 |
|
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
|
$318.37 |
$349.32 |
$3,049.00 |
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$60.00 |
$168.98 |
$414.00 |
|
|
Injection treatment of eye
|
$79.64 |
$2,698.92 |
$2,698.92 |
|
|
Injection treatment of eye
|
$67.32 |
$2,698.92 |
$2,698.92 |
|
|
Injection treatment of nerve
|
$264.44 |
$2,310.83 |
$2,310.83 |
|
|
Injection treatment of nerve
|
$298.10 |
$2,310.83 |
$3,552.48 |
|
|
Injection treatment of nerve
|
$136.40 |
$1,053.53 |
$2,693.41 |
|
|
Injection treatment of nose
|
$37.18 |
$602.63 |
$1,152.40 |
|
|
Inject sacroiliac joint
|
$482.00 |
$1,467.95 |
$2,149.68 |
|
|
Inject/treat eye socket
|
$39.82 |
$353.74 |
$918.99 |
|
|
Inject/treat eye socket
|
$43.78 |
$353.74 |
$353.74 |
|
|
Inject/treat eye socket
|
$28.38 |
$353.74 |
$2,104.00 |
|
