|
Inj for mammo ductogram
|
$150.00 |
$150.00 |
$150.00 |
$433.50
|
|
Inj, fulvestrant (fresenius)
|
$1,713.99 |
$1,713.99 |
$1,713.99 |
$1,713.99
|
|
Inj givosiran 0.5 mg
|
$162,298.07 |
$162,298.07 |
$162,298.07 |
$162,298.07
|
|
Inj. herceptin hylecta, 10mg
|
$17,286.71 |
$17,286.71 |
$17,286.71 |
$17,286.71
|
|
Inj hrt cath w/s&i nonsel p-art angrp
|
$1,110.00 |
$1,110.00 |
$1,110.00 |
$1,646.97
|
|
Inj hrt cath w/s&i sel hrt ang
|
$2,622.00 |
$2,622.00 |
$2,622.00 |
$1,929.42
|
|
Inj hrt cath w/s&i sel hrt art
|
$1,192.50 |
$1,192.50 |
$1,192.50 |
$1,192.50
|
|
Inj hrt cath w/s&i sel left vent
|
$1,239.00 |
$1,239.00 |
$1,239.00 |
$1,214.40
|
|
Inj hrt cath w/s&i sel right vent
|
$5,894.25 |
$5,894.25 |
$5,894.25 |
$745.00
|
|
Inj human fibrinogen con nos
|
$4,326.08 |
$4,326.08 |
$4,326.08 |
$4,326.08
|
|
Inj imip 4 cilas 4 releb 2mg
|
$1,083.72 |
$1,083.72 |
$1,083.72 |
$1,083.72
|
|
Inj. inebilizumab-cdon, 1 mg
|
$172,856.28 |
$172,856.28 |
$172,856.28 |
$172,856.28
|
|
Inj/inf neurolyt sbst spinal canal lesion 62282
|
$2,233.50 |
$2,233.50 |
$2,233.50 |
$1,673.66
|
|
Inj intralesional <= 7 lsn(s)
|
$206.25 |
$206.25 |
$206.25 |
$238.77
|
|
Inj intralesional > 7 lsns
|
$222.75 |
$222.75 |
$222.75 |
$222.75
|
|
Inj ivig privigen 500 mg
|
$4,194.45 |
$4,194.45 |
$4,194.45 |
$4,194.45
|
|
Inj levocarnitine per 1 gm
|
$122.28 |
$122.28 |
$122.28 |
$122.28
|
|
Inj, levothyroxine, freskabi
|
$244.63 |
$244.63 |
$244.63 |
$244.63
|
|
Inj lwr xtr fscl pln blk uni w/wo image
|
$1,471.50 |
$1,471.50 |
$1,471.50 |
$625.00
|
|
Inj melpha hydroch nos 50 mg
|
$1,713.99 |
$1,713.99 |
$1,713.99 |
$1,713.99
|
|
Inj mepivacaine hcl/10 ml
|
$28.41 |
$28.41 |
$28.41 |
$28.41
|
|
Inj., meropenem, vaborbactam
|
$759.87 |
$759.87 |
$759.87 |
$759.87
|
|
Inj mogamulizumab-kpkc, 1 mg
|
$17,682.90 |
$17,682.90 |
$17,682.90 |
$558.40
|
|
Inj multihance
|
$166.47 |
$166.47 |
$166.47 |
$64.93
|
|
Inj. mycophenolate mofetil
|
$387.27 |
$387.27 |
$387.27 |
$387.27
|
|
Inj. naxitamab-gqgk, 1 mg
|
$96,378.67 |
$96,378.67 |
$96,378.67 |
$96,378.67
|
|
Inj nephrosto/ureterogram w/img exstng access
|
$522.75 |
$522.75 |
$522.75 |
$1,522.56
|
|
Inj non-compmd foam sclrsnt mlt trncl veins same leg
|
$2,371.50 |
$2,371.50 |
$2,371.50 |
$2,371.50
|
|
Inj non-compmd foam sclrsnt sgl trncl vein
|
$1,569.00 |
$1,569.00 |
$1,569.00 |
$2,058.43
|
|
Inj ogivri 10 mg
|
$8,661.59 |
$8,661.59 |
$8,661.59 |
$8,661.59
|
|
Inj., patisiran, 0.1 mg
|
$36,180.04 |
$36,180.04 |
$36,180.04 |
$36,180.04
|
|
Inj pegfilgrastim-bmez 0.5mg
|
$12,400.57 |
$12,400.57 |
$12,400.57 |
$12,400.57
|
|
Inj proc ankle arthr
|
$219.00 |
$219.00 |
$219.00 |
$405.60
|
|
Inj proc elbow arthro
|
$212.25 |
$212.25 |
$212.25 |
$483.15
|
|
Inj proc lumbr disk ea lvl
|
$3,232.50 |
$3,232.50 |
$3,232.50 |
$1,178.10
|
|
Inj proc myelogram lumbar
|
$1,300.50 |
$1,300.50 |
$1,300.50 |
$1,026.35
|
|
Inj progesterone per 50 mg
|
$123.09 |
$123.09 |
$123.09 |
$123.09
|
|
Inj retro urethrocysto
|
$629.25 |
$629.25 |
$629.25 |
$551.29
|
|
Inj, rimabotulinumtoxinb
|
$2,348.22 |
$2,348.22 |
$2,348.22 |
$2,348.22
|
|
Inj scleros sol mult veins
|
$520.50 |
$520.50 |
$520.50 |
$625.60
|
|
Inj scleros sol sgl vein
|
$489.00 |
$489.00 |
$489.00 |
$534.40
|
|
Inj secretin synthetic human
|
$2,444.05 |
$2,444.05 |
$2,444.05 |
$2,444.05
|
|
Inj(s) sclerosant spider veins limb/trunk
|
$467.25 |
$467.25 |
$467.25 |
$442.22
|
|
Inj sulf hexa lipid microsph
|
$336.56 |
$336.56 |
$336.56 |
$336.56
|
|
Inj. tagraxofusp-erzs 10 mcg
|
$124,816.51 |
$124,816.51 |
$124,816.51 |
$124,816.51
|
|
Inj. teprotumumab-trbw 10 mg
|
$66,625.08 |
$66,625.08 |
$66,625.08 |
$66,625.08
|
|
Inj testosterone cypionate
|
$473.66 |
$473.66 |
$473.66 |
$473.66
|
|
Inj thiotepa nos 1 mg
|
$8,689.13 |
$8,689.13 |
$8,689.13 |
$8,689.13
|
|
Inj thrc fascial pln blk bi w/wo image
|
$2,207.25 |
$2,207.25 |
$2,207.25 |
$1,483.20
|
|
Inj thrc fascial pln blk uni w/wo image
|
$1,471.50 |
$1,471.50 |
$1,471.50 |
$1,471.50
|
|
Inj w/fluor eval cv device
|
$1,032.00 |
$1,032.00 |
$1,032.00 |
$593.60
|
|
Inotuzumab ozogamicin 0.9 mg(0.25 mg/ml initial concentration) IV soln
|
$88,429.23 |
$88,429.23 |
$88,429.23 |
$88,429.23
|
|
Ins cath ren art 1st bi
|
$6,033.75 |
$6,033.75 |
$6,033.75 |
$6,012.50
|
|
Ins cath ren art 1st uni
|
$5,074.50 |
$5,074.50 |
$5,074.50 |
$4,667.63
|
|
Ins cath ren art 2nd+ bi
|
$7,922.25 |
$7,922.25 |
$7,922.25 |
$5,251.20
|
|
Ins cath ren art 2nd+ uni
|
$5,184.00 |
$5,184.00 |
$5,184.00 |
$5,528.94
|
|
Ins cerv dilator (sep proc)
|
$1,127.25 |
$1,127.25 |
$1,127.25 |
$664.66
|
|
Insert abdomen-venous drain
|
$7,121.25 |
$7,121.25 |
$7,121.25 |
$2,875.81
|
|
Insert cath pleura with image
|
$1,734.75 |
$1,734.75 |
$1,734.75 |
$2,239.02
|
|
Insert cath pleura without image
|
$2,019.00 |
$2,019.00 |
$2,019.00 |
$2,178.16
|
|
Insert drug delivery implant
|
$1,418.25 |
$1,418.25 |
$1,418.25 |
$257.40
|
|
Insert hepatic shunt (tips)
|
$10,536.00 |
$10,536.00 |
$10,536.00 |
$9,754.48
|
|
Insert intrauterine device iud
|
$723.75 |
$723.75 |
$723.75 |
$366.65
|
|
Insertion catheter bladder non indwelling
|
$327.75 |
$327.75 |
$327.75 |
$237.13
|
|
Insertion catheter bladder temporary simple
|
$323.25 |
$323.25 |
$323.25 |
$273.60
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$4,782.00 |
$4,782.00 |
$4,782.00 |
$5,008.50
|
|
Insertion intra aortic balloon assist device percutaneous
|
$3,576.75 |
$3,576.75 |
$3,576.75 |
$2,306.83
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$6,702.00 |
$6,702.00 |
$6,702.00 |
$7,210.78
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$2,712.75 |
$2,712.75 |
$2,712.75 |
$2,487.99
|
|
Insertion of catheter vein
|
$2,687.25 |
$2,687.25 |
$2,687.25 |
$2,214.00
|
|
Insertion of catheter vein
|
$2,808.00 |
$2,808.00 |
$2,808.00 |
$1,079.00
|
|
Insertion of heart electrode 33211
|
$6,820.50 |
$6,820.50 |
$6,820.50 |
$9,537.90
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$11,024.25 |
$11,024.25 |
$11,024.25 |
$14,888.40
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$8,834.25 |
$8,834.25 |
$8,834.25 |
$14,371.89
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$9,855.00 |
$9,855.00 |
$9,855.00 |
$9,855.00
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$3,077.25 |
$3,077.25 |
$3,077.25 |
$2,079.43
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$1,242.75 |
$1,242.75 |
$1,242.75 |
$2,367.00
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$26,801.25 |
$26,801.25 |
$26,801.25 |
$30,737.00
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$6,820.50 |
$6,820.50 |
$6,820.50 |
$7,590.00
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$6,820.50 |
$6,820.50 |
$6,820.50 |
$9,019.20
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$7,037.25 |
$7,037.25 |
$7,037.25 |
$9,471.15
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$4,604.25 |
$4,604.25 |
$4,604.25 |
$5,470.54
|
|
Insert pessary/other device
|
$332.25 |
$332.25 |
$332.25 |
$278.90
|
|
Insert picvad cath
|
$2,907.75 |
$2,907.75 |
$2,907.75 |
$4,210.00
|
|
Insert pm/icd lead dual
|
$6,880.50 |
$6,880.50 |
$6,880.50 |
$7,904.96
|
|
Insert/repl sq defib w/eltrd
|
$26,801.25 |
$26,801.25 |
$26,801.25 |
$33,948.20
|
|
Insert sq defib electrode
|
$6,820.50 |
$6,820.50 |
$6,820.50 |
$8,366.80
|
|
Insert swan-ganz cath
|
$6,580.50 |
$6,580.50 |
$6,580.50 |
$2,269.00
|
|
Insert tunneled cv 2cath 2sits without port/pmp 36565
|
$5,018.25 |
$5,018.25 |
$5,018.25 |
$4,705.13
|
|
Insert tunneled cv cath
|
$3,252.75 |
$3,252.75 |
$3,252.75 |
$4,350.11
|
|
Insert vad art access left hrt arterial access
|
$5,240.25 |
$5,240.25 |
$5,240.25 |
$5,135.65
|
|
Insert vad art access left hrt art & vein access
|
$15,454.50 |
$15,454.50 |
$15,454.50 |
$7,330.95
|
|
Ins icd gen exist mlt leads
|
$26,801.25 |
$26,801.25 |
$26,801.25 |
$32,061.58
|
|
Ins icd gen exist sgl lead
|
$23,742.75 |
$23,742.75 |
$23,742.75 |
$24,844.79
|
|
Insitu hybridization (fish)
|
$907.50 |
$907.50 |
$907.50 |
$481.60
|
|
Insitu hybridization manual
|
$459.75 |
$459.75 |
$459.75 |
$415.67
|
|
In situ hybridization per specimen each additional single probe stain
|
$435.00 |
$435.00 |
$435.00 |
$327.50
|
|
In situ hybridization per specimen initial single probe stain
|
$384.75 |
$384.75 |
$384.75 |
$373.43
|
|
Insj phrnc nrv stim sys
|
$54,756.75 |
$54,756.75 |
$54,756.75 |
$54,756.75
|
|
Insj stablj dev without dcmprn
|
$15,258.00 |
$15,258.00 |
$15,258.00 |
$15,219.83
|