|
Inj., plazomicin, 5 mg
|
$877.25 |
$877.25 |
$877.25 |
$607.16
|
|
Inj proc ankle arthr
|
$731.30 |
$731.30 |
$731.30 |
$405.31
|
|
Inj proc elbow arthro
|
$483.15 |
$483.15 |
$483.15 |
$432.00
|
|
Inj proc for lymphang
|
$2,257.55 |
$2,257.55 |
$2,257.55 |
$742.40
|
|
Inj proc lumbr disk ea lvl
|
$1,106.93 |
$1,106.93 |
$1,106.93 |
$1,106.93
|
|
Inj proc myelogram lumbar
|
$1,360.45 |
$1,360.45 |
$1,360.45 |
$838.30
|
|
Inj proc sialogram
|
$506.83 |
$506.83 |
$506.83 |
$373.00
|
|
Inj progesterone per 50 mg
|
$93.00 |
$93.00 |
$93.00 |
$13.76
|
|
Inj prohance multipack
|
$369.75 |
$369.75 |
$369.75 |
$10.40
|
|
Inj recombin esperoct per iu
|
$22.50 |
$22.50 |
$22.50 |
$6.63
|
|
Inj, releuko 1 mcg
|
$524.40 |
$524.40 |
$524.40 |
$475.36
|
|
Inj retacrit esrd on dialysi
|
$832.93 |
$832.93 |
$832.93 |
$349.45
|
|
Inj retro urethrocysto
|
$346.28 |
$346.28 |
$346.28 |
$447.74
|
|
Inj, rimabotulinumtoxinb
|
$2,540.33 |
$2,540.33 |
$2,540.33 |
$714.24
|
|
Inj scleros sol mult veins
|
$489.00 |
$489.00 |
$489.00 |
$692.90
|
|
Inj scleros sol sgl vein
|
$457.53 |
$457.53 |
$457.53 |
$561.88
|
|
Inj sebelipase alfa 1 mg
|
$20,432.50 |
$20,432.50 |
$20,432.50 |
$539.69
|
|
Inj secretin synthetic human
|
$1,285.20 |
$1,285.20 |
$1,285.20 |
$1,253.09
|
|
Inj, sezaby, 1 mg
|
$292.85 |
$292.85 |
$292.85 |
$235.85
|
|
Inj, spesolimab-sbzo, 1 mg
|
$83,709.85 |
$83,709.85 |
$83,709.85 |
$90,007.62
|
|
Inj, sutimlimab-jome, 10 mg
|
$3,847.73 |
$3,847.73 |
$3,847.73 |
$3,453.73
|
|
Inj. tagraxofusp-erzs 10 mcg
|
$67,538.30 |
$67,538.30 |
$67,538.30 |
$67,538.30
|
|
Inj teclistamab cqyv 0.5 mg
|
$27,081.00 |
$27,081.00 |
$27,081.00 |
$17,517.56
|
|
Inj. teprotumumab-trbw 10 mg
|
$35,034.78 |
$35,034.78 |
$35,034.78 |
$35,034.78
|
|
Inj testosterone cypionate
|
$290.33 |
$290.33 |
$290.33 |
$64.96
|
|
Inj thiotepa nos 1 mg
|
$5,479.58 |
$5,479.58 |
$5,479.58 |
$3,170.16
|
|
Inj thrc fascial pln blk bi w/wo image
|
$3,046.70 |
$3,046.70 |
$3,046.70 |
$1,049.50
|
|
Inj thrc fascial pln blk uni w/wo image
|
$1,523.38 |
$1,523.38 |
$1,523.38 |
$818.00
|
|
Inj. tigecycline (accord)
|
$106.58 |
$106.58 |
$106.58 |
$188.03
|
|
Inj., tildrakizumab, 1 mg
|
$26,635.60 |
$26,635.60 |
$26,635.60 |
$26,635.60
|
|
Inj tofersen intrathec 1 mg
|
$28,602.30 |
$28,602.30 |
$28,602.30 |
$293.34
|
|
Inj, tofidence, 1 mg
|
$4,452.50 |
$4,452.50 |
$4,452.50 |
$86.87
|
|
Inj triamcinolone ace X-ray 1mg
|
$1,132.35 |
$1,132.35 |
$1,132.35 |
$1,090.75
|
|
Inj., triluron, 1 mg
|
$1,130.20 |
$1,130.20 |
$1,130.20 |
$10.36
|
|
Inj., triptorelin X-ray 3.75 mg
|
$44,595.35 |
$44,595.35 |
$44,595.35 |
$33,416.39
|
|
Inj, trivisc 1 mg
|
$1,042.08 |
$1,042.08 |
$1,042.08 |
$6.67
|
|
Inj, tyenne, 1 mg
|
$3,561.20 |
$3,561.20 |
$3,561.20 |
$3,525.12
|
|
Inj, uzedy, 1 mg
|
$11,291.75 |
$11,291.75 |
$11,291.75 |
$11,475.96
|
|
Inj vancomycin (xellia) 10mg
|
$86.90 |
$86.90 |
$86.90 |
$76.59
|
|
Inj vasopressin (am reg) 1 u
|
$34.68 |
$34.68 |
$34.68 |
$41.79
|
|
Inj vocal cord bulking agent
|
$367.50 |
$367.50 |
$367.50 |
$1,480.00
|
|
Inj w/fluor eval cv device
|
$96.50 |
$96.50 |
$96.50 |
$504.40
|
|
Inj xipere 1 mg
|
$3,312.50 |
$3,312.50 |
$3,312.50 |
$93.00
|
|
Inj., yutiq, 0.01 mg
|
$17,992.00 |
$17,992.00 |
$17,992.00 |
$14,458.60
|
|
Inj zanidatamab-hrii, 2 mg
|
$14,232.50 |
$14,232.50 |
$14,232.50 |
$8,532.00
|
|
Inj zenocutuzumab-zbco 1 mg
|
$47,525.03 |
$47,525.03 |
$47,525.03 |
$19,177.20
|
|
Inotuzumab ozogamicin 0.9 mg(0.25 mg/ml initial concentration) IV soln
|
$45,841.00 |
$45,841.00 |
$45,841.00 |
$41,083.73
|
|
Ins cath ren art 1st bi
|
$7,587.60 |
$7,587.60 |
$7,587.60 |
$5,974.80
|
|
Ins cath ren art 1st uni
|
$3,793.83 |
$3,793.83 |
$3,793.83 |
$4,667.63
|
|
Ins cath ren art 2nd+ bi
|
$8,598.88 |
$8,598.88 |
$8,598.88 |
$5,663.98
|
|
Ins cath ren art 2nd+ uni
|
$4,299.45 |
$4,299.45 |
$4,299.45 |
$5,395.20
|
|
Ins cerv dilator (sep proc)
|
$169.00 |
$169.00 |
$169.00 |
$490.73
|
|
Insemination of oocytes
|
$368.98 |
$368.98 |
$368.98 |
$314.40
|
|
Insert and remove bone pin
|
$3,825.28 |
$3,825.28 |
$3,825.28 |
$4,433.36
|
|
Insert cath pleura with image
|
$1,611.70 |
$1,611.70 |
$1,611.70 |
$2,194.40
|
|
Insert cath pleura without image
|
$566.05 |
$566.05 |
$566.05 |
$2,099.70
|
|
Insert drug delivery implant
|
$285.80 |
$285.80 |
$285.80 |
$280.00
|
|
Insert hepatic shunt (tips)
|
$4,015.20 |
$4,015.20 |
$4,015.20 |
$7,571.20
|
|
Insert intrauterine device iud
|
$366.65 |
$366.65 |
$366.65 |
$347.10
|
|
Insertion catheter bladder non indwelling
|
$268.55 |
$268.55 |
$268.55 |
$208.01
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$5,369.43 |
$5,369.43 |
$5,369.43 |
$4,897.20
|
|
Insertion intra aortic balloon assist device percutaneous
|
$2,306.83 |
$2,306.83 |
$2,306.83 |
$2,447.63
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$3,782.95 |
$3,782.95 |
$3,782.95 |
$7,210.78
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$1,480.10 |
$1,480.10 |
$1,480.10 |
$2,585.25
|
|
Insertion of catheter vein
|
$2,156.95 |
$2,156.95 |
$2,156.95 |
$1,525.80
|
|
Insertion of catheter vein
|
$675.60 |
$675.60 |
$675.60 |
$870.59
|
|
Insertion of heart electrode 33211
|
$11,789.35 |
$11,789.35 |
$11,789.35 |
$6,820.50
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$7,574.65 |
$7,574.65 |
$7,574.65 |
$12,384.25
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$7,620.68 |
$7,620.68 |
$7,620.68 |
$12,324.60
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$2,983.23 |
$2,983.23 |
$2,983.23 |
$9,884.16
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$1,691.98 |
$1,691.98 |
$1,691.98 |
$2,103.75
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$2,268.85 |
$2,268.85 |
$2,268.85 |
$2,453.83
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$17,855.15 |
$17,855.15 |
$17,855.15 |
$29,180.00
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$2,221.33 |
$2,221.33 |
$2,221.33 |
$7,183.68
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$4,010.18 |
$4,010.18 |
$4,010.18 |
$7,267.20
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$3,049.65 |
$3,049.65 |
$3,049.65 |
$9,332.50
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$2,934.40 |
$2,934.40 |
$2,934.40 |
$5,236.80
|
|
Insert pessary/other device
|
$278.90 |
$278.90 |
$278.90 |
$278.90
|
|
Insert pm/icd lead dual
|
$5,248.45 |
$5,248.45 |
$5,248.45 |
$7,115.90
|
|
Insert/repl sq defib w/eltrd
|
$17,855.15 |
$17,855.15 |
$17,855.15 |
$33,593.55
|
|
Insert sq defib electrode
|
$4,010.18 |
$4,010.18 |
$4,010.18 |
$8,167.68
|
|
Insert swan-ganz cath
|
$1,855.90 |
$1,855.90 |
$1,855.90 |
$2,164.52
|
|
Insert tunneled cv 2cath 2sits without port/pmp 36565
|
$4,705.13 |
$4,705.13 |
$4,705.13 |
$4,997.60
|
|
Insert uteri tandem/ovoids
|
$1,339.18 |
$1,339.18 |
$1,339.18 |
$3,940.41
|
|
Insert vad art access left hrt arterial access
|
$2,591.73 |
$2,591.73 |
$2,591.73 |
$4,276.00
|
|
Ins icd gen exist sgl lead
|
$13,640.43 |
$13,640.43 |
$13,640.43 |
$23,230.50
|
|
Insitu hybridization manual
|
$385.70 |
$385.70 |
$385.70 |
$401.28
|
|
In situ hybridization per specimen each additional single probe stain
|
$436.88 |
$436.88 |
$436.88 |
$243.50
|
|
In situ hybridization per specimen initial single probe stain
|
$436.88 |
$436.88 |
$436.88 |
$338.40
|
|
Insj phrnc nrv stim sys
|
$19,579.33 |
$19,579.33 |
$19,579.33 |
$53,251.79
|
|
Insj phrnc nrv stim transvns
|
$47,104.90 |
$47,104.90 |
$47,104.90 |
$13,142.86
|
|
Ins lv lead exist pm/icd
|
$5,183.13 |
$5,183.13 |
$5,183.13 |
$12,384.25
|
|
Ins mark abd/pel for right perq
|
$1,051.98 |
$1,051.98 |
$1,051.98 |
$2,477.24
|
|
Ins mark thor for right perq
|
$1,860.45 |
$1,860.45 |
$1,860.45 |
$2,503.80
|
|
Ins picad w subq port 5yr>
|
$1,797.25 |
$1,797.25 |
$1,797.25 |
$4,078.00
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$2,114.98 |
$2,114.98 |
$2,114.98 |
$1,690.00
|
|
Ins pm gen exist dual lead
|
$15,679.00 |
$15,679.00 |
$15,679.00 |
$24,159.72
|
|
Ins pq tunnld ip cath w/img
|
$4,459.93 |
$4,459.93 |
$4,459.93 |
$5,486.00
|
|
Ins/rplcm prq eltrd ra pn ea
|
$9,698.38 |
$9,698.38 |
$9,698.38 |
$2,681.11
|
|
Ins/rplcmt prq eltrd ra pn 1
|
$10,237.75 |
$10,237.75 |
$10,237.75 |
$14,685.79
|