|
Inj disk cerv-thor ea lev
|
$244.50 |
$244.50 |
$244.50 |
$957.60
|
|
Inj dupuytren cord w/enzyme
|
$71.00 |
$71.00 |
$71.00 |
$416.00
|
|
Inj, durolane 1 mg
|
$28.00 |
$28.00 |
$28.00 |
$1,950.93
|
|
Inj dx for sinogram
|
$38.50 |
$38.50 |
$38.50 |
$413.82
|
|
Inject for sacroiliac joint
|
$896.50 |
$896.50 |
$896.50 |
$1,025.77
|
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
|
$89.50 |
$89.50 |
$89.50 |
$1,214.78
|
|
Injection arthrography hip without anesthesia (both sides)
|
$402.50 |
$402.50 |
$402.50 |
$498.50
|
|
Injection carpal tunnel therapeutic (both sides)
|
$69.00 |
$69.00 |
$69.00 |
$502.64
|
|
Injection, casimersen, 10 mg
|
$181.00 |
$181.00 |
$181.00 |
$2,598.44
|
|
Injection epidural blood patch or clot
|
$676.00 |
$676.00 |
$676.00 |
$1,153.03
|
|
Injection eye drug
|
$91.50 |
$91.50 |
$91.50 |
$648.96
|
|
Injection for bladder x-ray
|
$46.00 |
$46.00 |
$46.00 |
$459.20
|
|
Injection for hip x-ray
|
$86.00 |
$86.00 |
$86.00 |
$662.40
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$52.00 |
$52.00 |
$52.00 |
$494.65
|
|
Injection, inclisiran, 1 mg
|
$18.00 |
$18.00 |
$18.00 |
$6,679.35
|
|
Injection into hemorrhoid(s)
|
$229.50 |
$229.50 |
$229.50 |
$1,432.81
|
|
Injection jugular
|
$118.50 |
$118.50 |
$118.50 |
$790.00
|
|
Injection,onabotulinumtoxina
|
$10.00 |
$10.00 |
$10.00 |
$2,277.65
|
|
Injection px peyronie ds
|
$100.00 |
$100.00 |
$100.00 |
$409.34
|
|
Injection radioactive tracer sentinel node (both sides)
|
$34.00 |
$34.00 |
$34.00 |
$699.68
|
|
Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides)
|
$676.50 |
$676.50 |
$676.50 |
$1,582.12
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$688.00 |
$688.00 |
$688.00 |
$1,391.40
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$1,298.50 |
$1,298.50 |
$1,298.50 |
$1,045.65
|
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
|
$121.00 |
$121.00 |
$121.00 |
$1,961.05
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
|
$62.50 |
$62.50 |
$62.50 |
$1,007.19
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
|
$114.50 |
$114.50 |
$114.50 |
$1,777.50
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
|
$54.00 |
$54.00 |
$54.00 |
$984.48
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
|
$99.00 |
$99.00 |
$99.00 |
$1,961.05
|
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
|
$116.50 |
$116.50 |
$116.50 |
$1,781.55
|
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
|
$109.00 |
$109.00 |
$109.00 |
$1,685.00
|
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
|
$938.00 |
$938.00 |
$938.00 |
$478.20
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$611.50 |
$611.50 |
$611.50 |
$541.00
|
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
|
$63.00 |
$63.00 |
$63.00 |
$632.00
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$189.00 |
$189.00 |
$189.00 |
$163.80
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$183.00 |
$183.00 |
$183.00 |
$145.60
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$204.00 |
$204.00 |
$204.00 |
$261.00
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$131.00 |
$131.00 |
$131.00 |
$136.00
|
|
Inject sacroiliac joint
|
$111.50 |
$111.50 |
$111.50 |
$1,028.95
|
|
Inject/treat eye socket
|
$67.50 |
$67.50 |
$67.50 |
$381.13
|
|
Inject/treat eye socket
|
$304.50 |
$304.50 |
$304.50 |
$670.02
|
|
Inj efgart-alfa 2mg hya-qvfc
|
$49.00 |
$49.00 |
$49.00 |
$32,176.93
|
|
Inj epidural sgl cerv-thor without img
|
$925.50 |
$925.50 |
$925.50 |
$1,311.74
|
|
Inj epidural sgl lumb-sacral without img
|
$906.00 |
$906.00 |
$906.00 |
$1,415.50
|
|
Inj., eravacycline, 1 mg
|
$2.50 |
$2.50 |
$2.50 |
$206.64
|
|
Inj, faricimab-svoa, 0.1mg
|
$36.00 |
$36.00 |
$36.00 |
$4,103.29
|
|
Inj for ext venography
|
$51.50 |
$51.50 |
$51.50 |
$654.00
|
|
Inj intralesional <= 7 lsn(s)
|
$29.50 |
$29.50 |
$29.50 |
$235.13
|
|
Inj, invega hafyera/trinza
|
$19.00 |
$19.00 |
$19.00 |
$32,073.55
|
|
Inj ivig privigen 500 mg
|
$2,737.50 |
$2,737.50 |
$2,737.50 |
$6,967.29
|
|
Inj lwr xtr fscl pln blk uni w/wo image
|
$780.50 |
$780.50 |
$780.50 |
$788.40
|
|
Inj, mirikizumab-mrkz, 1 mg
|
$79.00 |
$79.00 |
$79.00 |
$331.93
|
|
Inj naloxone hydrochloride
|
$3.72 |
$3.72 |
$3.72 |
$83.16
|
|
Inj non-compmd foam sclrsnt mlt trncl veins same leg
|
$165.00 |
$165.00 |
$165.00 |
$2,484.00
|
|
Inj non-compmd foam sclrsnt sgl trncl vein
|
$130.50 |
$130.50 |
$130.50 |
$2,373.55
|
|
Inj ocrelizumab 1mg hya-ocsq
|
$67.50 |
$67.50 |
$67.50 |
$1,058.98
|
|
Inj, pegcetacoplan, 1mg
|
$226.00 |
$226.00 |
$226.00 |
$3,662.96
|
|
Inj., perseris, 0.5 mg
|
$17.00 |
$17.00 |
$17.00 |
$5,146.85
|
|
Inj proc for lymphang
|
$92.00 |
$92.00 |
$92.00 |
$742.40
|
|
Inj proc lumbr disk ea lvl
|
$174.50 |
$174.50 |
$174.50 |
$1,106.93
|
|
Inj prohance multipack
|
$38.01 |
$38.01 |
$38.01 |
$9.59
|
|
Inj retacrit esrd on dialysi
|
$1.50 |
$1.50 |
$1.50 |
$337.13
|
|
Inj retro urethrocysto
|
$70.00 |
$70.00 |
$70.00 |
$450.00
|
|
Inj, rimabotulinumtoxinb
|
$19.50 |
$19.50 |
$19.50 |
$746.79
|
|
Inj scleros sol mult veins
|
$82.50 |
$82.50 |
$82.50 |
$676.00
|
|
Inj scleros sol sgl vein
|
$42.00 |
$42.00 |
$42.00 |
$561.88
|
|
Inj secukinumab intrav 1mg
|
$16,149.30 |
$16,149.30 |
$16,149.30 |
$4,351.48
|
|
Inj(s) sclerosant spider veins limb/trunk
|
$59.00 |
$59.00 |
$59.00 |
$436.80
|
|
Inj, susvimo 0.1 mg
|
$86.00 |
$86.00 |
$86.00 |
$2,598.44
|
|
Inj. teprotumumab-trbw 10 mg
|
$541.00 |
$541.00 |
$541.00 |
$35,034.78
|
|
Inj testostero enanthate 1mg
|
$0.50 |
$0.50 |
$0.50 |
$157.81
|
|
Inj testosterone cypionate
|
$0.50 |
$0.50 |
$0.50 |
$64.80
|
|
Inj thrc fascial pln blk bi w/wo image
|
$84.50 |
$84.50 |
$84.50 |
$1,025.00
|
|
Inj thrc fascial pln blk uni w/wo image
|
$694.50 |
$694.50 |
$694.50 |
$837.50
|
|
Inj triamcinolone ace X-ray 1mg
|
$32.50 |
$32.50 |
$32.50 |
$1,090.75
|
|
Inj, trivisc 1 mg
|
$25.00 |
$25.00 |
$25.00 |
$6.67
|
|
Inj, uzedy, 1 mg
|
$34.00 |
$34.00 |
$34.00 |
$11,475.96
|
|
Inj w/fluor eval cv device
|
$37.50 |
$37.50 |
$37.50 |
$504.40
|
|
Inj xipere 1 mg
|
$62.00 |
$62.00 |
$62.00 |
$93.00
|
|
Inj., yutiq, 0.01 mg
|
$772.50 |
$772.50 |
$772.50 |
$14,458.60
|
|
Inpatient consultation
|
$73.00 |
$73.00 |
$73.00 |
$73.80
|
|
Inpatient telehealth pharmacologic management, including prescription, use, and review of medication with no more than minimal medical psychotherapy
|
$49.00 |
$49.00 |
$49.00 |
$54.24
|
|
Inpt/ed teleconsult30
|
$104.00 |
$104.00 |
$104.00 |
$164.40
|
|
Inpt/ed teleconsult50
|
$144.00 |
$144.00 |
$144.00 |
$223.80
|
|
Inpt/ed teleconsult70
|
$207.50 |
$207.50 |
$207.50 |
$330.60
|
|
Inpt/tele follow up 15
|
$44.50 |
$44.50 |
$44.50 |
$64.80
|
|
Inpt/tele follow up 25
|
$78.50 |
$78.50 |
$78.50 |
$118.80
|
|
Inpt/tele follow up 35
|
$114.50 |
$114.50 |
$114.50 |
$171.60
|
|
Ins cath ren art 1st bi
|
$383.00 |
$383.00 |
$383.00 |
$5,820.00
|
|
Ins cath ren art 2nd+ bi
|
$448.50 |
$448.50 |
$448.50 |
$5,475.60
|
|
Ins cath ren art 2nd+ uni
|
$377.50 |
$377.50 |
$377.50 |
$5,395.20
|
|
Ins cerv dilator (sep proc)
|
$74.00 |
$74.00 |
$74.00 |
$484.90
|
|
Insert cannula vein-to-vein hemodialysis
|
$132.50 |
$132.50 |
$132.50 |
$7,534.80
|
|
Insert cath pleura with image
|
$160.00 |
$160.00 |
$160.00 |
$2,194.40
|
|
Insert cath pleura without image
|
$1,795.50 |
$1,795.50 |
$1,795.50 |
$2,056.00
|
|
Insert drug delivery implant
|
$177.00 |
$177.00 |
$177.00 |
$283.20
|
|
Insert epicardial lead open 33202
|
$8,158.00 |
$8,158.00 |
$8,158.00 |
$3,775.20
|
|
Insert intrauterine device iud
|
$61.50 |
$61.50 |
$61.50 |
$366.65
|
|
Insertion catheter artery nfs ther chemotx 36640
|
$123.00 |
$123.00 |
$123.00 |
$3,594.47
|
|
Insertion catheter bladder non indwelling
|
$127.50 |
$127.50 |
$127.50 |
$205.80
|
|
Insertion catheter bladder temporary simple
|
$358.00 |
$358.00 |
$358.00 |
$235.20
|
