|
Inj retacrit esrd on dialysi
|
$832.93 |
$832.93 |
$832.93 |
|
|
Inj retro urethrocysto
|
$115.50 |
$346.28 |
$1,254.00 |
|
|
Inj, rimabotulinumtoxinb
|
$2,540.33 |
$2,540.33 |
$2,540.33 |
|
|
Inj scleros sol mult veins
|
$464.50 |
$489.00 |
$489.00 |
|
|
Inj scleros sol sgl vein
|
$457.53 |
$457.53 |
$534.00 |
|
|
Inj sebelipase alfa 1 mg
|
$20,432.50 |
$20,432.50 |
$20,432.50 |
|
|
Inj secretin synthetic human
|
$1,285.20 |
$1,285.20 |
$1,285.20 |
|
|
Inj secukinumab intrav 1mg
|
$6,380.61 |
$6,380.61 |
$10,481.11 |
|
|
Inj, sezaby, 1 mg
|
$292.85 |
$292.85 |
$292.85 |
|
|
Inj, spesolimab-sbzo, 1 mg
|
$83,709.85 |
$83,709.85 |
$253,022.14 |
|
|
Inj(s) sclerosant spider veins limb/trunk
|
$468.50 |
$468.50 |
$468.50 |
|
|
Inj, sutimlimab-jome, 10 mg
|
$3,847.73 |
$3,847.73 |
$3,847.73 |
|
|
Inj. tagraxofusp-erzs 10 mcg
|
$67,538.30 |
$67,538.30 |
$67,538.30 |
|
|
Inj teclistamab cqyv 0.5 mg
|
$27,081.00 |
$27,081.00 |
$27,081.00 |
|
|
Inj. teprotumumab-trbw 10 mg
|
$35,034.78 |
$35,034.78 |
$35,034.78 |
|
|
Inj testosterone cypionate
|
$59.70 |
$290.33 |
$290.33 |
|
|
Inj thiotepa nos 1 mg
|
$5,479.58 |
$5,479.58 |
$5,479.58 |
|
|
Inj thrc fascial pln blk bi w/wo image
|
$3,046.70 |
$3,046.70 |
$3,046.70 |
|
|
Inj thrc fascial pln blk uni w/wo image
|
$1,523.38 |
$1,523.38 |
$1,523.38 |
|
|
Inj. tigecycline (accord)
|
$106.58 |
$106.58 |
$106.58 |
|
|
Inj., tildrakizumab, 1 mg
|
$26,635.60 |
$26,635.60 |
$26,635.60 |
|
|
Inj, tislelizumab-jsgr
|
$32,487.79 |
$32,487.79 |
$54,665.56 |
|
|
Inj tofersen intrathec 1 mg
|
$28,602.30 |
$28,602.30 |
$28,602.30 |
|
|
Inj, tofidence, 1 mg
|
$4,452.50 |
$4,452.50 |
$4,452.50 |
|
|
Inj triamcinolone ace X-ray 1mg
|
$1,132.35 |
$1,132.35 |
$1,132.35 |
|
|
Inj., triluron, 1 mg
|
$1,130.20 |
$1,130.20 |
$1,130.20 |
|
|
Inj., triptorelin X-ray 3.75 mg
|
$44,595.35 |
$44,595.35 |
$44,595.35 |
|
|
Inj, trivisc 1 mg
|
$1,042.08 |
$1,042.08 |
$1,042.08 |
|
|
Inj, tyenne, 1 mg
|
$3,561.20 |
$3,561.20 |
$3,561.20 |
|
|
Inj, uzedy, 1 mg
|
$11,291.75 |
$11,291.75 |
$11,291.75 |
|
|
Inj, vancomycin hcl (mylan)
|
$27.80 |
$27.80 |
$28.31 |
|
|
Inj, vancomycin hcl (xellia)
|
$146.45 |
$146.45 |
$146.45 |
|
|
Inj vancomycin (xellia) 10mg
|
$86.90 |
$86.90 |
$86.90 |
|
|
Inj vasopressin (am reg) 1 u
|
$34.68 |
$34.68 |
$34.68 |
|
|
Inj, vegzelma, 10 mg
|
$7,940.94 |
$7,940.94 |
$16,146.24 |
|
|
Inj vocal cord bulking agent
|
$367.50 |
$367.50 |
$367.50 |
|
|
Inj w/fluor eval cv device
|
$96.50 |
$96.50 |
$437.50 |
|
|
Inj xipere 1 mg
|
$3,312.50 |
$3,312.50 |
$3,312.50 |
|
|
Inj., yutiq, 0.01 mg
|
$17,992.00 |
$17,992.00 |
$17,992.00 |
|
|
Inj zanidatamab-hrii, 2 mg
|
$14,232.50 |
$14,232.50 |
$14,232.50 |
|
|
Inj zenocutuzumab-zbco 1 mg
|
$47,525.03 |
$47,525.03 |
$47,525.03 |
|
|
Inotuzumab ozogamicin 0.9 mg(0.25 mg/ml initial concentration) IV soln
|
$45,841.00 |
$45,841.00 |
$45,841.00 |
|
|
Ins cath ren art 1st bi
|
$3,416.50 |
$7,587.60 |
$7,587.60 |
|
|
Ins cath ren art 1st uni
|
$3,793.83 |
$3,793.83 |
$4,145.00 |
|
|
Ins cath ren art 2nd+ bi
|
$3,870.50 |
$8,598.88 |
$8,598.88 |
|
|
Ins cath ren art 2nd+ uni
|
$3,870.50 |
$4,299.45 |
$4,299.45 |
|
|
Ins cerv dilator (sep proc)
|
$169.00 |
$169.00 |
$1,364.00 |
|
|
Insemination of oocytes
|
$368.98 |
$368.98 |
$368.98 |
|
|
Insert abdomen-venous drain
|
$1,868.00 |
$1,868.00 |
$1,868.00 |
|
|
Insert and remove bone pin
|
$1,849.00 |
$3,825.28 |
$3,825.28 |
|
|
Insert cath pleura with image
|
$1,611.70 |
$1,611.70 |
$2,252.00 |
|
|
Insert cath pleura without image
|
$566.05 |
$566.05 |
$3,754.59 |
|
|
Insert drug delivery implant
|
$285.80 |
$285.80 |
$1,565.00 |
|
|
Insert hepatic shunt (tips)
|
$2,522.00 |
$4,015.20 |
$4,015.20 |
|
|
Insert intrauterine device iud
|
$167.00 |
$366.65 |
$3,052.00 |
|
|
Insertion catheter bladder non indwelling
|
$120.00 |
$268.55 |
$840.00 |
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$3,089.00 |
$5,369.43 |
$5,369.43 |
|
|
Insertion intra aortic balloon assist device percutaneous
|
$749.00 |
$2,306.83 |
$2,306.83 |
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$3,782.95 |
$3,782.95 |
$4,417.00 |
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$1,361.85 |
$1,480.10 |
$4,051.00 |
|
|
Insertion of catheter vein
|
$1,727.50 |
$2,156.95 |
$2,156.95 |
|
|
Insertion of catheter vein
|
$405.50 |
$675.60 |
$675.60 |
|
|
Insertion of heart electrode 33211
|
$4,857.50 |
$11,789.35 |
$11,789.35 |
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$7,574.65 |
$7,574.65 |
$23,000.00 |
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$7,620.68 |
$7,620.68 |
$15,042.50 |
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$2,983.23 |
$2,983.23 |
$15,832.00 |
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$1,550.00 |
$1,691.98 |
$3,583.23 |
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$2,268.85 |
$2,268.85 |
$7,117.00 |
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$17,855.15 |
$17,855.15 |
$58,730.50 |
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$2,221.33 |
$2,221.33 |
$5,990.50 |
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$3,922.50 |
$4,010.18 |
$4,010.18 |
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$3,049.65 |
$3,049.65 |
$6,926.00 |
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$2,556.00 |
$2,934.40 |
$2,934.40 |
|
|
Insert pessary/other device
|
$207.50 |
$278.90 |
$1,321.00 |
|
|
Insert picvad cath
|
$2,360.00 |
$2,360.00 |
$2,360.00 |
|
|
Insert pm/icd lead dual
|
$5,248.45 |
$5,248.45 |
$10,716.50 |
|
|
Insert/repl sq defib w/eltrd
|
$17,855.15 |
$17,855.15 |
$67,011.50 |
|
|
Insert spine infusion device 62360
|
$8,604.00 |
$8,604.00 |
$8,604.00 |
|
|
Insert sq defib electrode
|
$4,010.18 |
$4,010.18 |
$5,295.00 |
|
|
Insert swan-ganz cath
|
$1,855.90 |
$1,855.90 |
$2,210.50 |
|
|
Insert tunneled cv 2cath 2sits without port/pmp 36565
|
$3,885.50 |
$4,705.13 |
$18,452.00 |
|
|
Insert tunneled cv cath
|
$2,235.00 |
$2,235.00 |
$2,235.00 |
|
|
Insert tunneled cv cath
|
$6,444.00 |
$6,444.00 |
$6,444.00 |
|
|
Insert uteri tandem/ovoids
|
$1,339.18 |
$1,339.18 |
$2,354.50 |
|
|
Insert vad art access left hrt arterial access
|
$2,591.73 |
$2,591.73 |
$6,485.00 |
|
|
Insert vad art access left hrt art & vein access
|
$6,485.00 |
$6,485.00 |
$6,485.00 |
|
|
Ins icd gen exist mlt leads
|
$58,730.50 |
$58,730.50 |
$58,730.50 |
|
|
Ins icd gen exist sgl lead
|
$13,640.43 |
$13,640.43 |
$41,146.50 |
|
|
Insitu hybridization auto
|
$408.00 |
$408.00 |
$408.00 |
|
|
Insitu hybridization (fish)
|
$260.00 |
$260.00 |
$260.00 |
|
|
Insitu hybridization manual
|
$199.50 |
$385.70 |
$385.70 |
|
|
In situ hybridization per specimen each additional single probe stain
|
$260.00 |
$436.88 |
$752.00 |
|
|
In situ hybridization per specimen initial single probe stain
|
$139.00 |
$436.88 |
$1,846.00 |
|
|
Insj phrnc nrv stim sys
|
$19,579.33 |
$19,579.33 |
$19,579.33 |
|
|
Insj phrnc nrv stim transvns
|
$47,104.90 |
$47,104.90 |
$47,104.90 |
|
|
Ins lv lead exist pm/icd
|
$5,183.13 |
$5,183.13 |
$15,832.00 |
|
|
Ins mark abd/pel for right perq
|
$903.00 |
$1,051.98 |
$1,051.98 |
|
|
Ins mark thor for right perq
|
$1,860.45 |
$1,860.45 |
$2,434.50 |
|
|
Insole orthotic freedom sz6 6816
|
$44.50 |
$44.50 |
$44.50 |
|
|
Ins picad w subq port 5yr>
|
$1,797.25 |
$1,797.25 |
$10,585.00 |
|