|
Inj pegfilgrastim-bmez 0.5mg
|
$12,400.57 |
$12,400.57 |
$12,400.57 |
$6,614.40
|
|
Inj proc ankle arthr
|
$159.00 |
$159.00 |
$159.00 |
$405.31
|
|
Inj proc elbow arthro
|
$108.75 |
$108.75 |
$108.75 |
$432.00
|
|
Inj proc lumbr disk ea lvl
|
$2,326.50 |
$2,326.50 |
$2,326.50 |
$1,106.93
|
|
Inj proc myelogram lumbar
|
$1,300.50 |
$1,300.50 |
$1,300.50 |
$838.30
|
|
Inj progesterone per 50 mg
|
$123.09 |
$123.09 |
$123.09 |
$13.76
|
|
Inj retro urethrocysto
|
$391.50 |
$391.50 |
$391.50 |
$447.74
|
|
Inj, rimabotulinumtoxinb
|
$2,348.22 |
$2,348.22 |
$2,348.22 |
$714.24
|
|
Inj scleros sol mult veins
|
$454.50 |
$454.50 |
$454.50 |
$692.90
|
|
Inj scleros sol sgl vein
|
$454.50 |
$454.50 |
$454.50 |
$561.88
|
|
Inj secretin synthetic human
|
$2,444.05 |
$2,444.05 |
$2,444.05 |
$1,253.09
|
|
Inj(s) sclerosant spider veins limb/trunk
|
$389.25 |
$389.25 |
$389.25 |
$436.80
|
|
Inj sulf hexa lipid microsph
|
$336.56 |
$336.56 |
$336.56 |
$256.14
|
|
Inj. tagraxofusp-erzs 10 mcg
|
$124,816.51 |
$124,816.51 |
$124,816.51 |
$67,538.30
|
|
Inj. teprotumumab-trbw 10 mg
|
$66,625.08 |
$66,625.08 |
$66,625.08 |
$35,034.78
|
|
Inj testosterone cypionate
|
$473.66 |
$473.66 |
$473.66 |
$64.96
|
|
Inj thiotepa nos 1 mg
|
$8,689.13 |
$8,689.13 |
$8,689.13 |
$3,170.16
|
|
Inj thrc fascial pln blk bi w/wo image
|
$2,207.25 |
$2,207.25 |
$2,207.25 |
$1,049.50
|
|
Inj thrc fascial pln blk uni w/wo image
|
$1,471.50 |
$1,471.50 |
$1,471.50 |
$818.00
|
|
Inj vancomycin (xellia) 10mg
|
$93.18 |
$93.18 |
$93.18 |
$76.59
|
|
Inj vocal cord bulking agent
|
$1,653.75 |
$1,653.75 |
$1,653.75 |
$1,480.00
|
|
Inj w/fluor eval cv device
|
$711.00 |
$711.00 |
$711.00 |
$504.40
|
|
Inotuzumab ozogamicin 0.9 mg(0.25 mg/ml initial concentration) IV soln
|
$88,429.23 |
$88,429.23 |
$88,429.23 |
$41,083.73
|
|
Ins cath ren art 1st bi
|
$4,677.00 |
$4,677.00 |
$4,677.00 |
$5,974.80
|
|
Ins cath ren art 1st uni
|
$4,084.50 |
$4,084.50 |
$4,084.50 |
$4,667.63
|
|
Ins cath ren art 2nd+ bi
|
$6,376.50 |
$6,376.50 |
$6,376.50 |
$5,663.98
|
|
Ins cath ren art 2nd+ uni
|
$4,172.25 |
$4,172.25 |
$4,172.25 |
$5,395.20
|
|
Insert abdomen-venous drain
|
$5,264.25 |
$5,264.25 |
$5,264.25 |
$4,039.47
|
|
Insert cath pleura with image
|
$1,842.00 |
$1,842.00 |
$1,842.00 |
$2,194.40
|
|
Insert cath pleura without image
|
$1,492.50 |
$1,492.50 |
$1,492.50 |
$2,099.70
|
|
Insert drug delivery implant
|
$377.25 |
$377.25 |
$377.25 |
$280.00
|
|
Insert hepatic shunt (tips)
|
$6,123.00 |
$6,123.00 |
$6,123.00 |
$7,571.20
|
|
Insert intrauterine device iud
|
$271.50 |
$271.50 |
$271.50 |
$347.10
|
|
Insertion catheter bladder non indwelling
|
$162.75 |
$162.75 |
$162.75 |
$208.01
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$5,079.00 |
$5,079.00 |
$5,079.00 |
$4,897.20
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$6,646.50 |
$6,646.50 |
$6,646.50 |
$7,210.78
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$1,966.50 |
$1,966.50 |
$1,966.50 |
$2,585.25
|
|
Insertion of catheter vein
|
$1,761.75 |
$1,761.75 |
$1,761.75 |
$1,525.80
|
|
Insertion of catheter vein
|
$1,422.75 |
$1,422.75 |
$1,422.75 |
$870.59
|
|
Insertion of heart electrode 33211
|
$20,065.50 |
$20,065.50 |
$20,065.50 |
$6,820.50
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$10,317.00 |
$10,317.00 |
$10,317.00 |
$12,384.25
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$3,077.25 |
$3,077.25 |
$3,077.25 |
$2,103.75
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$3,558.00 |
$3,558.00 |
$3,558.00 |
$2,453.83
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$3,691.50 |
$3,691.50 |
$3,691.50 |
$7,183.68
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$4,551.75 |
$4,551.75 |
$4,551.75 |
$7,267.20
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$7,037.25 |
$7,037.25 |
$7,037.25 |
$9,332.50
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$3,831.00 |
$3,831.00 |
$3,831.00 |
$5,236.80
|
|
Insert pessary/other device
|
$290.25 |
$290.25 |
$290.25 |
$278.90
|
|
Insert picvad cath
|
$2,007.00 |
$2,007.00 |
$2,007.00 |
$4,195.00
|
|
Insert pm/icd lead dual
|
$16,456.50 |
$16,456.50 |
$16,456.50 |
$7,115.90
|
|
Insert swan-ganz cath
|
$5,181.00 |
$5,181.00 |
$5,181.00 |
$2,164.52
|
|
Insert tunneled cv 2cath 2sits without port/pmp 36565
|
$4,040.25 |
$4,040.25 |
$4,040.25 |
$4,997.60
|
|
Insert tunneled cv cath
|
$6,887.25 |
$6,887.25 |
$6,887.25 |
$4,520.00
|
|
Insert vad art access left hrt art & vein access
|
$9,195.00 |
$9,195.00 |
$9,195.00 |
$3,915.72
|
|
Ins icd gen exist sgl lead
|
$74,721.00 |
$74,721.00 |
$74,721.00 |
$23,230.50
|
|
Insitu hybridization (fish)
|
$907.50 |
$907.50 |
$907.50 |
$481.00
|
|
Insitu hybridization manual
|
$585.75 |
$585.75 |
$585.75 |
$401.28
|
|
In situ hybridization per specimen each additional single probe stain
|
$435.00 |
$435.00 |
$435.00 |
$243.50
|
|
In situ hybridization per specimen initial single probe stain
|
$492.75 |
$492.75 |
$492.75 |
$338.40
|
|
Insj phrnc nrv stim sys
|
$30,000.00 |
$30,000.00 |
$30,000.00 |
$53,251.79
|
|
Insj phrnc nrv stim transvns
|
$14,544.00 |
$14,544.00 |
$14,544.00 |
$13,142.86
|
|
Insj stablj dev without dcmprn
|
$12,715.50 |
$12,715.50 |
$12,715.50 |
$15,226.08
|
|
Insj stablj dev without dcmprn
|
$8,477.25 |
$8,477.25 |
$8,477.25 |
$10,418.40
|
|
Ins lv lead exist pm/icd
|
$5,679.00 |
$5,679.00 |
$5,679.00 |
$12,384.25
|
|
Ins mark abd/pel for right perq
|
$2,523.00 |
$2,523.00 |
$2,523.00 |
$2,477.24
|
|
Ins mark thor for right perq
|
$1,326.00 |
$1,326.00 |
$1,326.00 |
$2,503.80
|
|
Insole orthotic freedom sz6 6816
|
$38.25 |
$38.25 |
$38.25 |
$84.00
|
|
Ins picad w subq port 5yr>
|
$3,510.75 |
$3,510.75 |
$3,510.75 |
$4,078.00
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$728.25 |
$728.25 |
$728.25 |
$1,690.00
|
|
Ins pq tunnld ip cath w/img
|
$5,122.50 |
$5,122.50 |
$5,122.50 |
$5,486.00
|
|
Ins/rplc spi npg/rcvr pocket
|
$29,999.25 |
$29,999.25 |
$29,999.25 |
$24,061.80
|
|
Ins/rpl pm gen exist dual lead
|
$6,548.25 |
$6,548.25 |
$6,548.25 |
$11,005.50
|
|
Ins/rpl pm gen exist sgl lead
|
$22,272.00 |
$22,272.00 |
$22,272.00 |
$9,428.64
|
|
Ins/rpl pm w/tv ld atrl
|
$25,282.50 |
$25,282.50 |
$25,282.50 |
$11,583.66
|
|
Ins/rpl prph sac/gstr npg/r
|
$21,134.25 |
$21,134.25 |
$21,134.25 |
$18,129.80
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$65,752.50 |
$65,752.50 |
$65,752.50 |
$27,318.11
|
|
Inst fibrinolysis agent sbsq d
|
$1,025.25 |
$1,025.25 |
$1,025.25 |
$997.05
|
|
Instillation anticarcinogenic agent bladder
|
$862.50 |
$862.50 |
$862.50 |
$638.40
|
|
Ins tun cv cath wo subq prt/pm
|
$6,372.00 |
$6,372.00 |
$6,372.00 |
$5,324.80
|
|
Ins tun cv cath wo subq prt/pm
|
$3,582.00 |
$3,582.00 |
$3,582.00 |
$4,218.00
|
|
Ins tun intraperit dia cath
|
$4,317.75 |
$4,317.75 |
$4,317.75 |
$4,570.00
|
|
Inst via cath agent pleurds
|
$1,861.50 |
$1,861.50 |
$1,861.50 |
$1,074.68
|
|
Insulin tolerance panel
|
$209.25 |
$209.25 |
$209.25 |
$258.40
|
|
Insulin total
|
$81.75 |
$81.75 |
$81.75 |
$66.64
|
|
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm
|
$9,970.16 |
$9,970.16 |
$9,970.16 |
$8,617.32
|
|
Integra meshed bil wound mat
|
$35,280.97 |
$35,280.97 |
$35,280.97 |
$9,924.16
|
|
Integra os putty 2.5cc - cost per 0.5cc
|
$6,018.75 |
$6,018.75 |
$6,018.75 |
$3,803.11
|
|
Interdental fixation
|
$1,443.75 |
$1,443.75 |
$1,443.75 |
$2,133.48
|
|
Interdiscal perq aspir dx
|
$685.50 |
$685.50 |
$685.50 |
$1,222.26
|
|
Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper)
|
$29,609.96 |
$29,609.96 |
$29,609.96 |
$10,427.90
|
|
Interrogate subq defib
|
$420.75 |
$420.75 |
$420.75 |
$119.60
|
|
Interrog dev eval icpms ip
|
$112.50 |
$112.50 |
$112.50 |
$104.00
|
|
Interrog dev eval scrms ip
|
$176.25 |
$176.25 |
$176.25 |
$124.80
|
|
Interrog device eval heart
|
$181.50 |
$181.50 |
$181.50 |
$162.40
|
|
Interrog evl pm/ldls pm ip
|
$113.25 |
$113.25 |
$113.25 |
$127.20
|
|
Interrog&prgrmg ipnss
|
$90.00 |
$90.00 |
$90.00 |
$200.00
|
|
Interrog&prgrmg ipnss polysm
|
$292.50 |
$292.50 |
$292.50 |
$422.32
|
|
Interrog without prgrmg ipnss
|
$90.00 |
$90.00 |
$90.00 |
$147.00
|
|
Int hrhc lig 1 hroid without img
|
$2,572.50 |
$2,572.50 |
$2,572.50 |
$3,491.25
|
|
Int hrhc lig 2+hroid without img
|
$2,682.00 |
$2,682.00 |
$2,682.00 |
$3,245.23
|
