|
Inj hrt cath w/s&i sel left vent
|
$4,206.00 |
$4,206.00 |
$4,206.00 |
$1,250.34
|
|
Inj hrt cath w/s&i sel right vent
|
$5,894.25 |
$5,894.25 |
$5,894.25 |
$999.96
|
|
Inj human fibrinogen con nos
|
$4,326.08 |
$4,326.08 |
$4,326.08 |
$3.95
|
|
Inj imip 4 cilas 4 releb 2mg
|
$1,083.72 |
$1,083.72 |
$1,083.72 |
$739.77
|
|
Inj. inebilizumab-cdon, 1 mg
|
$172,856.28 |
$172,856.28 |
$172,856.28 |
$70,014.65
|
|
Inj/inf neurolyt sbst spinal canal lesion 62282
|
$2,706.00 |
$2,706.00 |
$2,706.00 |
$1,928.00
|
|
Inj intralesional <= 7 lsn(s)
|
$191.25 |
$191.25 |
$191.25 |
$235.13
|
|
Inj intralesional > 7 lsns
|
$222.75 |
$222.75 |
$222.75 |
$234.00
|
|
Inj ivig privigen 500 mg
|
$4,194.45 |
$4,194.45 |
$4,194.45 |
$6,967.29
|
|
Inj levocarnitine per 1 gm
|
$122.28 |
$122.28 |
$122.28 |
$136.62
|
|
Inj levoleucovorin nos 0.5mg
|
$76.51 |
$76.51 |
$76.51 |
$110.40
|
|
Inj, levothyroxine, freskabi
|
$244.63 |
$244.63 |
$244.63 |
$320.80
|
|
Inj, lidocaine w epinephrine
|
$37.17 |
$37.17 |
$37.17 |
$45.14
|
|
Inj lwr xtr fscl pln blk uni w/wo image
|
$1,471.50 |
$1,471.50 |
$1,471.50 |
$794.70
|
|
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 |
$34.00
|
|
Inj., meropenem, vaborbactam
|
$759.87 |
$759.87 |
$759.87 |
$556.87
|
|
Inj mogamulizumab-kpkc, 1 mg
|
$17,682.90 |
$17,682.90 |
$17,682.90 |
$8,304.04
|
|
Inj multihance
|
$166.47 |
$166.47 |
$166.47 |
$70.54
|
|
Inj. mycophenolate mofetil
|
$387.27 |
$387.27 |
$387.27 |
$252.66
|
|
Inj. naxitamab-gqgk, 1 mg
|
$96,378.67 |
$96,378.67 |
$96,378.67 |
$42,064.28
|
|
Inj nephrosto/ureterogram w/img exstng access
|
$522.75 |
$522.75 |
$522.75 |
$1,413.35
|
|
Inj non-compmd foam sclrsnt mlt trncl veins same leg
|
$2,371.50 |
$2,371.50 |
$2,371.50 |
$2,881.20
|
|
Inj non-compmd foam sclrsnt sgl trncl vein
|
$1,534.50 |
$1,534.50 |
$1,534.50 |
$2,726.90
|
|
Inj octafluoropropane mic,ml
|
$340.18 |
$340.18 |
$340.18 |
$211.40
|
|
Inj ogivri 10 mg
|
$8,661.59 |
$8,661.59 |
$8,661.59 |
$4,492.28
|
|
Inj, omacetaxine mep, 0.01mg
|
$4,831.38 |
$4,831.38 |
$4,831.38 |
$2,686.80
|
|
Inj., patisiran, 0.1 mg
|
$36,180.04 |
$36,180.04 |
$36,180.04 |
$17,613.00
|
|
Inj pegfilgrastim-bmez 0.5mg
|
$12,400.57 |
$12,400.57 |
$12,400.57 |
$6,614.40
|
|
Inj peritoneal venous shunt
|
$746.25 |
$746.25 |
$746.25 |
$406.80
|
|
Inj proc ankle arthr
|
$219.00 |
$219.00 |
$219.00 |
$405.31
|
|
Inj proc elbow arthro
|
$308.25 |
$308.25 |
$308.25 |
$433.00
|
|
Inj proc lumbr disk ea lvl
|
$3,232.50 |
$3,232.50 |
$3,232.50 |
$1,106.93
|
|
Inj proc myelogram lumbar
|
$1,692.75 |
$1,692.75 |
$1,692.75 |
$840.00
|
|
Inj progesterone per 50 mg
|
$123.09 |
$123.09 |
$123.09 |
$13.76
|
|
Inj retro urethrocysto
|
$629.25 |
$629.25 |
$629.25 |
$447.74
|
|
Inj, rimabotulinumtoxinb
|
$2,348.22 |
$2,348.22 |
$2,348.22 |
$714.24
|
|
Inj scleros sol mult veins
|
$489.00 |
$489.00 |
$489.00 |
$707.85
|
|
Inj scleros sol sgl vein
|
$489.00 |
$489.00 |
$489.00 |
$561.88
|
|
Inj secretin synthetic human
|
$2,444.05 |
$2,444.05 |
$2,444.05 |
$1,234.65
|
|
Inj(s) sclerosant spider veins limb/trunk
|
$467.25 |
$467.25 |
$467.25 |
$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 |
$1,059.00
|
|
Inj thrc fascial pln blk uni w/wo image
|
$1,471.50 |
$1,471.50 |
$1,471.50 |
$837.50
|
|
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
|
$717.75 |
$717.75 |
$717.75 |
$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
|
$5,809.50 |
$5,809.50 |
$5,809.50 |
$5,974.80
|
|
Ins cath ren art 1st uni
|
$5,074.50 |
$5,074.50 |
$5,074.50 |
$4,692.00
|
|
Ins cath ren art 2nd+ bi
|
$7,922.25 |
$7,922.25 |
$7,922.25 |
$5,663.98
|
|
Ins cath ren art 2nd+ uni
|
$5,184.00 |
$5,184.00 |
$5,184.00 |
$5,395.20
|
|
Ins cerv dilator (sep proc)
|
$1,135.50 |
$1,135.50 |
$1,135.50 |
$488.35
|
|
Insert abdomen-venous drain
|
$7,121.25 |
$7,121.25 |
$7,121.25 |
$3,758.23
|
|
Insert cath pleura with image
|
$2,493.00 |
$2,493.00 |
$2,493.00 |
$2,194.40
|
|
Insert cath pleura without image
|
$2,019.00 |
$2,019.00 |
$2,019.00 |
$2,101.52
|
|
Insert drug delivery implant
|
$1,241.25 |
$1,241.25 |
$1,241.25 |
$280.00
|
|
Insert hepatic shunt (tips)
|
$7,606.50 |
$7,606.50 |
$7,606.50 |
$7,571.20
|
|
Insert heyman uteri capsule
|
$3,873.00 |
$3,873.00 |
$3,873.00 |
$5,813.46
|
|
Insert intrauterine device iud
|
$739.50 |
$739.50 |
$739.50 |
$330.72
|
|
Insertion catheter bladder non indwelling
|
$163.50 |
$163.50 |
$163.50 |
$209.30
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$4,516.50 |
$4,516.50 |
$4,516.50 |
$4,923.19
|
|
Insertion intra aortic balloon assist device percutaneous
|
$3,576.75 |
$3,576.75 |
$3,576.75 |
$2,447.63
|
|
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
|
$2,489.25 |
$2,489.25 |
$2,489.25 |
$2,595.45
|
|
Insertion of catheter vein
|
$2,103.00 |
$2,103.00 |
$2,103.00 |
$1,525.80
|
|
Insertion of catheter vein
|
$1,953.75 |
$1,953.75 |
$1,953.75 |
$858.05
|
|
Insertion of heart electrode 33211
|
$7,930.50 |
$7,930.50 |
$7,930.50 |
$6,839.00
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$11,024.25 |
$11,024.25 |
$11,024.25 |
$12,384.25
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$8,834.25 |
$8,834.25 |
$8,834.25 |
$12,324.60
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$9,855.00 |
$9,855.00 |
$9,855.00 |
$9,884.16
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$1,938.75 |
$1,938.75 |
$1,938.75 |
$2,109.00
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$1,242.75 |
$1,242.75 |
$1,242.75 |
$2,463.50
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$23,634.00 |
$23,634.00 |
$23,634.00 |
$29,180.00
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$6,205.50 |
$6,205.50 |
$6,205.50 |
$7,200.05
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$6,820.50 |
$6,820.50 |
$6,820.50 |
$7,267.20
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$10,116.00 |
$10,116.00 |
$10,116.00 |
$9,390.55
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$3,861.75 |
$3,861.75 |
$3,861.75 |
$5,236.80
|
|
Insert pessary/other device
|
$285.75 |
$285.75 |
$285.75 |
$278.90
|
|
Insert picvad cath
|
$2,907.75 |
$2,907.75 |
$2,907.75 |
$4,195.00
|
|
Insert pm/icd lead dual
|
$9,891.75 |
$9,891.75 |
$9,891.75 |
$7,115.90
|
|
Insert/repl sq defib w/eltrd
|
$25,770.00 |
$25,770.00 |
$25,770.00 |
$33,593.55
|
|
Insert sq defib electrode
|
$9,732.75 |
$9,732.75 |
$9,732.75 |
$8,167.68
|
|
Insert swan-ganz cath
|
$8,662.50 |
$8,662.50 |
$8,662.50 |
$2,164.52
|
|
Insert uteri tandem/ovoids
|
$3,873.00 |
$3,873.00 |
$3,873.00 |
$3,940.41
|
|
Insert vad art access left hrt arterial access
|
$5,240.25 |
$5,240.25 |
$5,240.25 |
$4,276.00
|
|
Insert vad art access left hrt art & vein access
|
$15,454.50 |
$15,454.50 |
$15,454.50 |
$3,777.27
|
|
Ins icd gen exist mlt leads
|
$26,801.25 |
$26,801.25 |
$26,801.25 |
$31,286.77
|
|
Ins icd gen exist sgl lead
|
$26,707.50 |
$26,707.50 |
$26,707.50 |
$23,230.50
|
|
Insitu hybridization (fish)
|
$907.50 |
$907.50 |
$907.50 |
$481.00
|
|
Insitu hybridization manual
|
$473.25 |
$473.25 |
$473.25 |
$401.28
|
|
In situ hybridization per specimen each additional single probe stain
|
$435.00 |
$435.00 |
$435.00 |
$243.00
|
|
In situ hybridization per specimen initial single probe stain
|
$396.75 |
$396.75 |
$396.75 |
$340.00
|
|
Insj phrnc nrv stim sys
|
$54,756.75 |
$54,756.75 |
$54,756.75 |
$53,251.79
|
|
Insj phrnc nrv stim transvns
|
$14,544.00 |
$14,544.00 |
$14,544.00 |
$13,142.86
|
|
Ins lv lead exist pm/icd
|
$9,546.00 |
$9,546.00 |
$9,546.00 |
$12,384.25
|
