|
Inj cefazolin sodium, hikma
|
$43.80 |
$43.80 |
$43.80 |
$28.51
|
|
Inj, clindamycin (baxter)
|
$42.42 |
$42.42 |
$42.42 |
$48.96
|
|
Inj cntr knee arthro incl ct/mri
|
$375.00 |
$375.00 |
$375.00 |
$436.80
|
|
Inj, cyclophos (baxter) 5mg
|
$1,745.34 |
$1,745.34 |
$1,745.34 |
$2,584.85
|
|
Inject for sacroiliac joint
|
$5,037.18 |
$5,037.18 |
$5,037.18 |
$1,025.77
|
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
|
$3,139.32 |
$3,139.32 |
$3,139.32 |
$1,214.78
|
|
Injection arthrography hip without anesthesia (both sides)
|
$5,871.12 |
$5,871.12 |
$5,871.12 |
$498.50
|
|
Injection carpal tunnel therapeutic (both sides)
|
$524.40 |
$524.40 |
$524.40 |
$504.90
|
|
Injection epidural blood patch or clot
|
$716.40 |
$716.40 |
$716.40 |
$1,153.03
|
|
Injection for bladder x-ray
|
$364.20 |
$364.20 |
$364.20 |
$459.20
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$375.00 |
$375.00 |
$375.00 |
$494.65
|
|
Injection for ureter x-ray
|
$992.40 |
$992.40 |
$992.40 |
$515.21
|
|
Injection, fulvestrant
|
$126.84 |
$126.84 |
$126.84 |
$1,719.16
|
|
Injection, inclisiran, 1 mg
|
$16.20 |
$16.20 |
$16.20 |
$6,679.35
|
|
Injection,onabotulinumtoxina
|
$1,550.70 |
$1,550.70 |
$1,550.70 |
$2,277.65
|
|
Injection px peyronie ds
|
$255.00 |
$255.00 |
$255.00 |
$409.34
|
|
Injection radioactive tracer sentinel node (both sides)
|
$1,109.40 |
$1,109.40 |
$1,109.40 |
$699.68
|
|
Injection, renflexis
|
$1,794.60 |
$1,794.60 |
$1,794.60 |
$1,341.52
|
|
Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides)
|
$4,505.58 |
$4,505.58 |
$4,505.58 |
$1,582.12
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$2,442.60 |
$2,442.60 |
$2,442.60 |
$1,391.40
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$1,119.60 |
$1,119.60 |
$1,119.60 |
$1,045.65
|
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
|
$4,895.52 |
$4,895.52 |
$4,895.52 |
$2,031.18
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
|
$4,869.54 |
$4,869.54 |
$4,869.54 |
$1,007.19
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
|
$5,422.80 |
$5,422.80 |
$5,422.80 |
$1,781.40
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
|
$6,934.14 |
$6,934.14 |
$6,934.14 |
$984.48
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
|
$6,934.14 |
$6,934.14 |
$6,934.14 |
$1,961.05
|
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
|
$3,715.74 |
$3,715.74 |
$3,715.74 |
$1,783.60
|
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
|
$4,078.32 |
$4,078.32 |
$4,078.32 |
$1,685.00
|
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
|
$263.40 |
$263.40 |
$263.40 |
$478.20
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$5,809.08 |
$5,809.08 |
$5,809.08 |
$546.40
|
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
|
$771.60 |
$771.60 |
$771.60 |
$634.40
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$117.00 |
$117.00 |
$117.00 |
$163.83
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$42.00 |
$42.00 |
$42.00 |
$145.60
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$178.80 |
$178.80 |
$178.80 |
$259.49
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$85.20 |
$85.20 |
$85.20 |
$136.00
|
|
Inject/treat eye socket
|
$1,284.00 |
$1,284.00 |
$1,284.00 |
$381.13
|
|
Inj epidural sgl lumb-sacral without img
|
$4,463.52 |
$4,463.52 |
$4,463.52 |
$1,415.50
|
|
Inj hydroxocobalamin IV 25mg
|
$2,496.36 |
$2,496.36 |
$2,496.36 |
$2,452.32
|
|
Inj, lanreotide, (cipla) 1mg
|
$21,182.34 |
$21,182.34 |
$21,182.34 |
$11,648.70
|
|
Inj, levothyroxine, freskabi
|
$476.64 |
$476.64 |
$476.64 |
$322.98
|
|
Inj, lidocaine w epinephrine
|
$43.74 |
$43.74 |
$43.74 |
$45.14
|
|
Inj lwr xtr fscl pln blk uni w/wo image
|
$1,864.20 |
$1,864.20 |
$1,864.20 |
$788.40
|
|
Inj mepivacaine hcl/10 ml
|
$9.00 |
$9.00 |
$9.00 |
$33.86
|
|
Inj multihance
|
$201.00 |
$201.00 |
$201.00 |
$70.54
|
|
Inj nephrosto/ureterogram w/img exstng access
|
$2,262.60 |
$2,262.60 |
$2,262.60 |
$1,413.35
|
|
Inj ogivri 10 mg
|
$7,827.90 |
$7,827.90 |
$7,827.90 |
$4,492.28
|
|
Inj pantoprazole(hikma) 40mg
|
$25.74 |
$25.74 |
$25.74 |
$34.67
|
|
Inj proc ankle arthr
|
$483.00 |
$483.00 |
$483.00 |
$405.60
|
|
Inj proc elbow arthro
|
$318.60 |
$318.60 |
$318.60 |
$434.00
|
|
Inj proc myelogram lumbar
|
$891.60 |
$891.60 |
$891.60 |
$854.00
|
|
Inj, releuko 1 mcg
|
$606.00 |
$606.00 |
$606.00 |
$461.20
|
|
Inj retro urethrocysto
|
$519.00 |
$519.00 |
$519.00 |
$450.00
|
|
Inj sulf hexa lipid microsph
|
$532.92 |
$532.92 |
$532.92 |
$256.14
|
|
Inj testosterone cypionate
|
$1.20 |
$1.20 |
$1.20 |
$64.80
|
|
Inj thrc fascial pln blk bi w/wo image
|
$1,864.20 |
$1,864.20 |
$1,864.20 |
$1,025.00
|
|
Inj thrc fascial pln blk uni w/wo image
|
$1,510.80 |
$1,510.80 |
$1,510.80 |
$837.50
|
|
Inj., tildrakizumab, 1 mg
|
$42,784.20 |
$42,784.20 |
$42,784.20 |
$26,635.60
|
|
Inj, tyenne, 1 mg
|
$4,664.94 |
$4,664.94 |
$4,664.94 |
$3,525.12
|
|
Inj vocal cord bulking agent
|
$2,109.26 |
$2,109.26 |
$2,109.26 |
$1,480.00
|
|
Inj w/fluor eval cv device
|
$433.80 |
$433.80 |
$433.80 |
$504.40
|
|
Insert and remove bone pin
|
$4,410.60 |
$4,410.60 |
$4,410.60 |
$4,421.00
|
|
Insert cath pleura with image
|
$1,098.00 |
$1,098.00 |
$1,098.00 |
$2,194.40
|
|
Insert cath pleura without image
|
$3,111.60 |
$3,111.60 |
$3,111.60 |
$2,048.67
|
|
Insert drug delivery implant
|
$21,400.96 |
$21,400.96 |
$21,400.96 |
$283.20
|
|
Insert intrauterine device iud
|
$235.20 |
$235.20 |
$235.20 |
$366.65
|
|
Insertion catheter bladder non indwelling
|
$87.60 |
$87.60 |
$87.60 |
$205.80
|
|
Insertion catheter bladder temporary simple
|
$266.40 |
$266.40 |
$266.40 |
$235.20
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$12,141.60 |
$12,141.60 |
$12,141.60 |
$4,782.00
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$5,172.60 |
$5,172.60 |
$5,172.60 |
$2,510.50
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$2,583.60 |
$2,583.60 |
$2,583.60 |
$2,079.43
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$2,831.40 |
$2,831.40 |
$2,831.40 |
$2,414.10
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$7,071.60 |
$7,071.60 |
$7,071.60 |
$7,216.00
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$12,164.57 |
$12,164.57 |
$12,164.57 |
$5,236.80
|
|
Insert swan-ganz cath
|
$1,638.00 |
$1,638.00 |
$1,638.00 |
$2,346.51
|
|
Insert tunneled cv cath
|
$5,167.80 |
$5,167.80 |
$5,167.80 |
$4,580.61
|
|
Insert tunneled cv cath
|
$5,167.80 |
$5,167.80 |
$5,167.80 |
$6,028.07
|
|
Insitu hybridization (fish)
|
$426.00 |
$426.00 |
$426.00 |
$481.60
|
|
Insitu hybridization manual
|
$348.60 |
$348.60 |
$348.60 |
$398.51
|
|
In situ hybridization per specimen each additional single probe stain
|
$160.20 |
$160.20 |
$160.20 |
$241.80
|
|
In situ hybridization per specimen initial single probe stain
|
$412.20 |
$412.20 |
$412.20 |
$337.20
|
|
Insole orthotic freedom sz6 6816
|
$190.84 |
$190.84 |
$190.84 |
$84.00
|
|
Ins picad w subq port 5yr>
|
$2,316.60 |
$2,316.60 |
$2,316.60 |
$3,985.20
|
|
Ins pq tunnld ip cath w/img
|
$5,639.40 |
$5,639.40 |
$5,639.40 |
$5,377.00
|
|
Ins/rpl prph sac/gstr npg/r
|
$57,607.78 |
$57,607.78 |
$57,607.78 |
$18,129.80
|
|
Instillation anticarcinogenic agent bladder
|
$14,248.55 |
$14,248.55 |
$14,248.55 |
$654.02
|
|
Ins tun cvad 2 cath w/subq port(s)
|
$8,924.40 |
$8,924.40 |
$8,924.40 |
$7,826.00
|
|
Ins tun cv cath wo subq prt/pm
|
$8,924.40 |
$8,924.40 |
$8,924.40 |
$5,324.80
|
|
Ins tun cv cath wo subq prt/pm
|
$2,316.60 |
$2,316.60 |
$2,316.60 |
$4,218.00
|
|
Insulin total
|
$120.00 |
$120.00 |
$120.00 |
$66.64
|
|
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm
|
$13,257.83 |
$13,257.83 |
$13,257.83 |
$8,683.20
|
|
Integra meshed bil wound mat
|
$43,485.92 |
$43,485.92 |
$43,485.92 |
$9,924.16
|
|
Integra os putty 2.5cc - cost per 0.5cc
|
$10,001.05 |
$10,001.05 |
$10,001.05 |
$3,803.11
|
|
Intens behave ther cardio dx
|
$478.20 |
$478.20 |
$478.20 |
$48.59
|
|
Interdental fixation
|
$1,710.60 |
$1,710.60 |
$1,710.60 |
$2,156.00
|
|
Interfyl, 1 mg
|
$5,739.48 |
$5,739.48 |
$5,739.48 |
$4,656.80
|
|
Interrog dev eval icpms ip
|
$195.60 |
$195.60 |
$195.60 |
$104.00
|
|
Int hrhc lig 1 hroid without img
|
$7,001.88 |
$7,001.88 |
$7,001.88 |
$3,454.40
|
|
Int hrhc lig 2+hroid without img
|
$6,673.14 |
$6,673.14 |
$6,673.14 |
$3,229.60
|
|
Intraoral i+d tongue/floor lingual 41000
|
$865.80 |
$865.80 |
$865.80 |
$1,361.25
|
|
Intrinsic factor antibody
|
$122.40 |
$122.40 |
$122.40 |
$62.70
|
