|
Inj intralesional <= 7 lsn(s)
|
$340.60 |
$340.60 |
$340.60 |
$241.74
|
|
Inj ivig privigen 500 mg
|
$3,920.83 |
$3,920.83 |
$3,920.83 |
$7,298.71
|
|
Inj, lanreotide, (cipla) 1mg
|
$4,264.42 |
$4,264.42 |
$4,264.42 |
$12,160.05
|
|
Inj, lecanemab-irmb, 1 mg
|
$2,160.70 |
$2,160.70 |
$2,160.70 |
$1,729.21
|
|
Inj levocarnitine per 1 gm
|
$89.24 |
$89.24 |
$89.24 |
$138.96
|
|
Inj, levothyroxine, freskabi
|
$236.50 |
$236.50 |
$236.50 |
$302.07
|
|
Inj mepivacaine hcl/10 ml
|
$41.92 |
$41.92 |
$41.92 |
$28.41
|
|
Inj., meropenem, vaborbactam
|
$740.32 |
$740.32 |
$740.32 |
$618.43
|
|
Inj multihance
|
$20.28 |
$20.28 |
$20.28 |
$119.25
|
|
Inj nephrosto/ureterogram w/img exstng access
|
$7,683.00 |
$7,683.00 |
$7,683.00 |
$1,522.56
|
|
Inj non-compmd foam sclrsnt mlt trncl veins same leg
|
$1,485.90 |
$1,485.90 |
$1,485.90 |
$2,371.50
|
|
Inj non-compmd foam sclrsnt sgl trncl vein
|
$1,485.90 |
$1,485.90 |
$1,485.90 |
$2,164.64
|
|
Inj ontruzant 10 mg
|
$1,661.08 |
$1,661.08 |
$1,661.08 |
$34.17
|
|
Inj pemetrexed, hospira 10mg
|
$213.59 |
$213.59 |
$213.59 |
$0.62
|
|
Inj peritoneal venous shunt
|
$1,710.80 |
$1,710.80 |
$1,710.80 |
$386.88
|
|
Inj proc ankle arthr
|
$1,601.60 |
$1,601.60 |
$1,601.60 |
$405.31
|
|
Inj proc elbow arthro
|
$1,983.80 |
$1,983.80 |
$1,983.80 |
$453.60
|
|
Inj proc for lymphang
|
$2,096.90 |
$2,096.90 |
$2,096.90 |
$1,372.00
|
|
Inj proc lumbr disk ea lvl
|
$2,696.85 |
$2,696.85 |
$2,696.85 |
$1,224.30
|
|
Inj proc myelogram lumbar
|
$833.30 |
$833.30 |
$833.30 |
$922.80
|
|
Inj proc sialogram
|
$1,988.35 |
$1,988.35 |
$1,988.35 |
$380.80
|
|
Inj progesterone per 50 mg
|
$21.71 |
$21.71 |
$21.71 |
$48.51
|
|
Inj retro urethrocysto
|
$1,760.20 |
$1,760.20 |
$1,760.20 |
$551.29
|
|
Inj scleros sol mult veins
|
$522.60 |
$522.60 |
$522.60 |
$687.96
|
|
Inj scleros sol sgl vein
|
$522.60 |
$522.60 |
$522.60 |
$534.40
|
|
Inj secukinumab intrav 1mg
|
$7,158.68 |
$7,158.68 |
$7,158.68 |
$9,077.39
|
|
Inj, spesolimab-sbzo, 1 mg
|
$75,287.97 |
$75,287.97 |
$75,287.97 |
$253,022.14
|
|
Inj(s) sclerosant spider veins limb/trunk
|
$85.80 |
$85.80 |
$85.80 |
$436.64
|
|
Inj. teprotumumab-trbw 10 mg
|
$48,637.22 |
$48,637.22 |
$48,637.22 |
$47,971.67
|
|
Inj testosterone cypionate
|
$39.32 |
$39.32 |
$39.32 |
$77.15
|
|
Inj, tislelizumab-jsgr
|
$15,082.34 |
$15,082.34 |
$15,082.34 |
$45,250.97
|
|
Inj, tyenne, 1 mg
|
$5,110.62 |
$5,110.62 |
$5,110.62 |
$860.68
|
|
Inj w/fluor eval cv device
|
$1,674.40 |
$1,674.40 |
$1,674.40 |
$588.90
|
|
Ins cath ren art 1st bi
|
$9,456.20 |
$9,456.20 |
$9,456.20 |
$6,033.75
|
|
Ins cath ren art 1st uni
|
$9,443.20 |
$9,443.20 |
$9,443.20 |
$4,667.63
|
|
Ins cath ren art 2nd+ bi
|
$7,770.10 |
$7,770.10 |
$7,770.10 |
$5,408.65
|
|
Ins cath ren art 2nd+ uni
|
$5,617.30 |
$5,617.30 |
$5,617.30 |
$5,528.94
|
|
Ins cerv dilator (sep proc)
|
$895.70 |
$895.70 |
$895.70 |
$544.00
|
|
Insert abdomen-venous drain
|
$2,303.60 |
$2,303.60 |
$2,303.60 |
$4,391.00
|
|
Insert cath pleura with image
|
$7,280.00 |
$7,280.00 |
$7,280.00 |
$2,239.02
|
|
Insert cath pleura without image
|
$7,020.00 |
$7,020.00 |
$7,020.00 |
$2,212.00
|
|
Insert drug delivery implant
|
$1,162.20 |
$1,162.20 |
$1,162.20 |
$285.80
|
|
Insert hepatic shunt (tips)
|
$18,846.75 |
$18,846.75 |
$18,846.75 |
$9,754.48
|
|
Insert intrauterine device iud
|
$1,751.10 |
$1,751.10 |
$1,751.10 |
$378.83
|
|
Insertion catheter bladder non indwelling
|
$442.65 |
$442.65 |
$442.65 |
$237.13
|
|
Insertion catheter bladder temporary simple
|
$348.40 |
$348.40 |
$348.40 |
$273.60
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$7,085.00 |
$7,085.00 |
$7,085.00 |
$4,943.21
|
|
Insertion intra aortic balloon assist device percutaneous
|
$2,258.10 |
$2,258.10 |
$2,258.10 |
$2,549.95
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$5,884.45 |
$5,884.45 |
$5,884.45 |
$7,088.54
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$3,656.25 |
$3,656.25 |
$3,656.25 |
$2,618.40
|
|
Insertion of catheter vein
|
$457.60 |
$457.60 |
$457.60 |
$1,749.80
|
|
Insertion of catheter vein
|
$154.05 |
$154.05 |
$154.05 |
$858.05
|
|
Insertion of heart electrode 33211
|
$6,464.90 |
$6,464.90 |
$6,464.90 |
$9,090.00
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$13,588.90 |
$13,588.90 |
$13,588.90 |
$14,158.20
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$13,590.20 |
$13,590.20 |
$13,590.20 |
$12,813.28
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$14,805.70 |
$14,805.70 |
$14,805.70 |
$9,855.00
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$1,686.10 |
$1,686.10 |
$1,686.10 |
$2,079.43
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$2,888.60 |
$2,888.60 |
$2,888.60 |
$2,527.91
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$14,645.80 |
$14,645.80 |
$14,645.80 |
$29,997.52
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$6,611.15 |
$6,611.15 |
$6,611.15 |
$7,572.47
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$13,406.25 |
$13,406.25 |
$13,406.25 |
$7,673.12
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$12,012.65 |
$12,012.65 |
$12,012.65 |
$9,793.46
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$13,210.60 |
$13,210.60 |
$13,210.60 |
$5,470.54
|
|
Insert pm/icd lead dual
|
$17,617.60 |
$17,617.60 |
$17,617.60 |
$7,562.63
|
|
Insert/repl sq defib w/eltrd
|
$14,645.80 |
$14,645.80 |
$14,645.80 |
$33,948.20
|
|
Insert sq defib electrode
|
$13,406.25 |
$13,406.25 |
$13,406.25 |
$8,167.68
|
|
Insert swan-ganz cath
|
$4,494.10 |
$4,494.10 |
$4,494.10 |
$2,164.52
|
|
Insert tunneled cv 2cath 2sits without port/pmp 36565
|
$13,650.00 |
$13,650.00 |
$13,650.00 |
$4,705.13
|
|
Insert uteri tandem/ovoids
|
$3,120.00 |
$3,120.00 |
$3,120.00 |
$3,986.00
|
|
Insert vad art access left hrt arterial access
|
$856.70 |
$856.70 |
$856.70 |
$5,062.80
|
|
Insert vad art access left hrt art & vein access
|
$856.70 |
$856.70 |
$856.70 |
$6,740.80
|
|
Ins icd gen exist mlt leads
|
$11,247.60 |
$11,247.60 |
$11,247.60 |
$31,286.77
|
|
Ins icd gen exist sgl lead
|
$15,865.85 |
$15,865.85 |
$15,865.85 |
$24,159.72
|
|
Insitu hybridization auto
|
$471.90 |
$471.90 |
$471.90 |
$398.16
|
|
Insitu hybridization manual
|
$471.25 |
$471.25 |
$471.25 |
$407.11
|
|
In situ hybridization per specimen each additional single probe stain
|
$343.85 |
$343.85 |
$343.85 |
$251.55
|
|
In situ hybridization per specimen initial single probe stain
|
$445.90 |
$445.90 |
$445.90 |
$338.40
|
|
Insj stablj dev w/dcmprn
|
$28,277.60 |
$28,277.60 |
$28,277.60 |
$16,139.55
|
|
Insj stablj dev without dcmprn
|
$28,277.60 |
$28,277.60 |
$28,277.60 |
$15,226.08
|
|
Ins lv lead exist pm/icd
|
$21,139.30 |
$21,139.30 |
$21,139.30 |
$12,384.25
|
|
Ins mark abd/pel for right perq
|
$1,726.40 |
$1,726.40 |
$1,726.40 |
$2,070.00
|
|
Ins mark thor for right perq
|
$1,726.40 |
$1,726.40 |
$1,726.40 |
$2,396.35
|
|
Ins pm gen exist dual lead
|
$14,521.65 |
$14,521.65 |
$14,521.65 |
$24,696.00
|
|
Ins pm gen w/exist mlt leads
|
$13,217.10 |
$13,217.10 |
$13,217.10 |
$15,600.75
|
|
Ins pq tunnld ip cath w/img
|
$8,021.00 |
$8,021.00 |
$8,021.00 |
$5,593.60
|
|
Ins/rplc spi npg/rcvr pocket
|
$2,828.15 |
$2,828.15 |
$2,828.15 |
$21,097.15
|
|
Ins/rpl ldless pm right vent w img & eval
|
$13,590.20 |
$13,590.20 |
$13,590.20 |
$24,135.54
|
|
Ins/rpl pm gen exist dual lead
|
$12,587.25 |
$12,587.25 |
$12,587.25 |
$11,593.70
|
|
Ins/rpl pm gen exist sgl lead
|
$10,790.00 |
$10,790.00 |
$10,790.00 |
$9,746.29
|
|
Ins/rpl pm w/tv ld atrl
|
$19,753.50 |
$19,753.50 |
$19,753.50 |
$12,384.25
|
|
Ins/rpl prph sac/gstr npg/r
|
$30,521.40 |
$30,521.40 |
$30,521.40 |
$22,662.25
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$14,162.20 |
$14,162.20 |
$14,162.20 |
$25,106.90
|
|
Insrt/redo neurostim 1 array
|
$48,141.60 |
$48,141.60 |
$48,141.60 |
$23,436.14
|
|
Inst fibrinolysis agent ini day
|
$633.75 |
$633.75 |
$633.75 |
$1,095.00
|
|
Inst fibrinolysis agent sbsq d
|
$620.75 |
$620.75 |
$620.75 |
$898.12
|
|
Instillation anticarcinogenic agent bladder
|
$799.50 |
$799.50 |
$799.50 |
$721.50
|
|
Instll rx agnt into rnal tub
|
$1,654.90 |
$1,654.90 |
$1,654.90 |
$619.20
|
|
Ins tun cvad 2 cath w/subq port(s)
|
$13,975.00 |
$13,975.00 |
$13,975.00 |
$6,396.57
|
|
Ins tun cv cath wo subq prt/pm
|
$13,000.00 |
$13,000.00 |
$13,000.00 |
$4,748.00
|
|
Ins tun intraperit dia cath
|
$4,917.90 |
$4,917.90 |
$4,917.90 |
$4,657.46
|
