|
Inj nephrosto/ureterogram w/img exstng access
|
$1,120.20 |
$1,120.20 |
$1,120.20 |
$1,414.40
|
|
Inj, nithiodote, 3mg / 125mg
|
$1,346.40 |
$1,346.40 |
$1,346.40 |
$452.89
|
|
Inj ogivri 10 mg
|
$7,292.40 |
$7,292.40 |
$7,292.40 |
$4,492.28
|
|
Inj pemetrexed (teva) 10mg
|
$5,230.32 |
$5,230.32 |
$5,230.32 |
$200.85
|
|
Inj peritoneal venous shunt
|
$188.40 |
$188.40 |
$188.40 |
$406.80
|
|
Inj., perseris, 0.5 mg
|
$8,991.06 |
$8,991.06 |
$8,991.06 |
$5,372.48
|
|
Inj proc ankle arthr
|
$229.80 |
$229.80 |
$229.80 |
$405.31
|
|
Inj proc elbow arthro
|
$307.20 |
$307.20 |
$307.20 |
$432.00
|
|
Inj proc lumbr disk ea lvl
|
$907.80 |
$907.80 |
$907.80 |
$1,139.40
|
|
Inj proc myelogram lumbar
|
$607.80 |
$607.80 |
$607.80 |
$856.00
|
|
Inj progesterone per 50 mg
|
$9.00 |
$9.00 |
$9.00 |
$14.93
|
|
Inj, releuko 1 mcg
|
$709.80 |
$709.80 |
$709.80 |
$461.20
|
|
Inj retro urethrocysto
|
$296.40 |
$296.40 |
$296.40 |
$450.00
|
|
Inj, rimabotulinumtoxinb
|
$3,543.78 |
$3,543.78 |
$3,543.78 |
$714.24
|
|
Inj scleros sol mult veins
|
$538.20 |
$538.20 |
$538.20 |
$602.50
|
|
Inj scleros sol sgl vein
|
$564.00 |
$564.00 |
$564.00 |
$534.40
|
|
Inj secretin synthetic human
|
$1,844.22 |
$1,844.22 |
$1,844.22 |
$1,285.20
|
|
Inj sulf hexa lipid microsph
|
$453.18 |
$453.18 |
$453.18 |
$256.14
|
|
Inj testosterone cypionate
|
$24.30 |
$24.30 |
$24.30 |
$62.80
|
|
Inj thrc fascial pln blk bi w/wo image
|
$1,254.60 |
$1,254.60 |
$1,254.60 |
$1,025.00
|
|
Inj thrc fascial pln blk uni w/wo image
|
$717.00 |
$717.00 |
$717.00 |
$818.00
|
|
Inj. tigecycline (accord)
|
$408.00 |
$408.00 |
$408.00 |
$182.46
|
|
Inj., tildrakizumab, 1 mg
|
$50,112.42 |
$50,112.42 |
$50,112.42 |
$27,967.38
|
|
Inj, tofidence, 1 mg
|
$3,096.90 |
$3,096.90 |
$3,096.90 |
$346.32
|
|
Inj triamcinolone ace X-ray 1mg
|
$1,918.14 |
$1,918.14 |
$1,918.14 |
$1,132.35
|
|
Inj, tyenne, 1 mg
|
$5,463.96 |
$5,463.96 |
$5,463.96 |
$3,525.12
|
|
Inj vocal cord bulking agent
|
$2,189.65 |
$2,189.65 |
$2,189.65 |
$1,480.00
|
|
Inj w/fluor eval cv device
|
$204.00 |
$204.00 |
$204.00 |
$463.40
|
|
Ins cath ren art 1st bi
|
$4,229.40 |
$4,229.40 |
$4,229.40 |
$5,741.00
|
|
Ins cath ren art 1st uni
|
$3,688.80 |
$3,688.80 |
$3,688.80 |
$4,692.00
|
|
Ins cath ren art 2nd+ bi
|
$9,051.00 |
$9,051.00 |
$9,051.00 |
$5,408.65
|
|
Ins cath ren art 2nd+ uni
|
$7,846.20 |
$7,846.20 |
$7,846.20 |
$5,419.00
|
|
Insert abdomen-venous drain
|
$2,893.20 |
$2,893.20 |
$2,893.20 |
$3,199.20
|
|
Insert balloon device
|
$9,186.60 |
$9,186.60 |
$9,186.60 |
$2,535.00
|
|
Insert cath pleura with image
|
$1,025.40 |
$1,025.40 |
$1,025.40 |
$2,194.40
|
|
Insert cath pleura without image
|
$13,669.38 |
$13,669.38 |
$13,669.38 |
$2,019.00
|
|
Insert hepatic shunt (tips)
|
$5,167.80 |
$5,167.80 |
$5,167.80 |
$8,367.70
|
|
Insert intrauterine device iud
|
$11,647.02 |
$11,647.02 |
$11,647.02 |
$366.65
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$13,077.29 |
$13,077.29 |
$13,077.29 |
$4,731.80
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$4,482.60 |
$4,482.60 |
$4,482.60 |
$7,034.50
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$3,654.60 |
$3,654.60 |
$3,654.60 |
$2,511.00
|
|
Insertion of catheter vein
|
$1,783.80 |
$1,783.80 |
$1,783.80 |
$1,657.32
|
|
Insertion of catheter vein
|
$757.20 |
$757.20 |
$757.20 |
$836.25
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$19,615.80 |
$19,615.80 |
$19,615.80 |
$12,508.08
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$2,577.60 |
$2,577.60 |
$2,577.60 |
$10,100.35
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$4,703.40 |
$4,703.40 |
$4,703.40 |
$2,079.43
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$5,386.80 |
$5,386.80 |
$5,386.80 |
$2,414.10
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$8,526.00 |
$8,526.00 |
$8,526.00 |
$7,513.67
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$6,149.40 |
$6,149.40 |
$6,149.40 |
$7,342.20
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$11,527.80 |
$11,527.80 |
$11,527.80 |
$9,397.50
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$9,834.28 |
$9,834.28 |
$9,834.28 |
$5,236.80
|
|
Insert picvad cath
|
$8,431.80 |
$8,431.80 |
$8,431.80 |
$4,341.66
|
|
Insert spine infusion device 62360
|
$28,101.00 |
$28,101.00 |
$28,101.00 |
$15,920.80
|
|
Insert tunneled cv 2cath 2sits without port/pmp 36565
|
$7,756.20 |
$7,756.20 |
$7,756.20 |
$5,018.25
|
|
Insert tunneled cv cath
|
$10,773.60 |
$10,773.60 |
$10,773.60 |
$4,580.61
|
|
Insert tunneled cv cath
|
$7,756.20 |
$7,756.20 |
$7,756.20 |
$6,075.30
|
|
Insert vad art access left hrt arterial access
|
$11,843.40 |
$11,843.40 |
$11,843.40 |
$4,221.97
|
|
Ins icd gen exist mlt leads
|
$46,345.80 |
$46,345.80 |
$46,345.80 |
$31,286.77
|
|
Insitu hybridization (fish)
|
$483.00 |
$483.00 |
$483.00 |
$481.60
|
|
Insitu hybridization manual
|
$274.20 |
$274.20 |
$274.20 |
$388.20
|
|
In situ hybridization per specimen each additional single probe stain
|
$160.20 |
$160.20 |
$160.20 |
$243.60
|
|
In situ hybridization per specimen initial single probe stain
|
$250.80 |
$250.80 |
$250.80 |
$326.04
|
|
Insj biomechanical device 22853
|
$49,564.90 |
$49,564.90 |
$49,564.90 |
$622.40
|
|
Ins mark abd/pel for right perq
|
$6,114.00 |
$6,114.00 |
$6,114.00 |
$2,376.00
|
|
Insole orthotic freedom sz6 6816
|
$198.11 |
$198.11 |
$198.11 |
$84.00
|
|
Ins picad w subq port 5yr>
|
$4,060.80 |
$4,060.80 |
$4,060.80 |
$3,912.93
|
|
Ins pm gen w/exist mlt leads
|
$15,538.80 |
$15,538.80 |
$15,538.80 |
$14,804.40
|
|
Ins pq tunnld ip cath w/img
|
$10,773.60 |
$10,773.60 |
$10,773.60 |
$5,377.00
|
|
Ins/rplc spi npg/rcvr pocket
|
$73,588.29 |
$73,588.29 |
$73,588.29 |
$23,746.69
|
|
Ins/rpl ldless pm right vent w img & eval
|
$31,271.40 |
$31,271.40 |
$31,271.40 |
$23,369.00
|
|
Ins/rpl pm w/tv ld atrl
|
$16,284.00 |
$16,284.00 |
$16,284.00 |
$12,371.40
|
|
Ins/rpl prph sac/gstr npg/r
|
$62,566.53 |
$62,566.53 |
$62,566.53 |
$15,339.48
|
|
Instillation anticarcinogenic agent bladder
|
$1,053.00 |
$1,053.00 |
$1,053.00 |
$621.40
|
|
Ins tun cvad 2 cath w/subq port(s)
|
$31,678.20 |
$31,678.20 |
$31,678.20 |
$7,651.38
|
|
Ins tun cv cath wo subq prt/pm
|
$8,431.80 |
$8,431.80 |
$8,431.80 |
$5,324.80
|
|
Ins tun cv cath wo subq prt/pm
|
$10,793.15 |
$10,793.15 |
$10,793.15 |
$4,202.70
|
|
Ins tun intraperit dia cath
|
$8,055.00 |
$8,055.00 |
$8,055.00 |
$4,657.46
|
|
Inst via cath agent pleurds
|
$1,277.40 |
$1,277.40 |
$1,277.40 |
$1,093.50
|
|
Insulin total
|
$117.00 |
$117.00 |
$117.00 |
$66.64
|
|
Ins vag brachytx device
|
$507.00 |
$507.00 |
$507.00 |
$897.75
|
|
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm
|
$13,763.15 |
$13,763.15 |
$13,763.15 |
$8,629.72
|
|
Integra meshed bil wound mat
|
$45,143.38 |
$45,143.38 |
$45,143.38 |
$9,924.00
|
|
Integra os putty 2.5cc - cost per 0.5cc
|
$10,382.23 |
$10,382.23 |
$10,382.23 |
$3,825.00
|
|
Interdiscal perq aspir dx
|
$1,093.20 |
$1,093.20 |
$1,093.20 |
$1,180.84
|
|
Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper)
|
$23,995.86 |
$23,995.86 |
$23,995.86 |
$10,427.90
|
|
Interfyl, 1 mg
|
$5,958.24 |
$5,958.24 |
$5,958.24 |
$5,118.52
|
|
Interstitial brachy inter
|
$1,709.40 |
$1,709.40 |
$1,709.40 |
$1,129.00
|
|
Intracran angioplsty w/stent
|
$6,521.40 |
$6,521.40 |
$6,521.40 |
$8,440.20
|
|
Intrapul surf admin endo tube
|
$360.60 |
$360.60 |
$360.60 |
$220.80
|
|
Intrinsic factor antibody
|
$159.00 |
$159.00 |
$159.00 |
$66.60
|
|
Intro cath dialysis circuit
|
$2,583.60 |
$2,583.60 |
$2,583.60 |
$2,035.00
|
|
Intro cath dialysis circuit w/pta
|
$7,249.80 |
$7,249.80 |
$7,249.80 |
$8,761.00
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$24,896.40 |
$24,896.40 |
$24,896.40 |
$15,805.00
|
|
Intro catheter aorta
|
$27,023.50 |
$27,023.50 |
$27,023.50 |
$1,654.05
|
|
Intro cath svc/ivc
|
$186.60 |
$186.60 |
$186.60 |
$1,329.90
|
|
Intro long gi tube
|
$887.40 |
$887.40 |
$887.40 |
$990.00
|
|
Intro long gi tube w/mult fluo
|
$364.20 |
$364.20 |
$364.20 |
$449.40
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$37,255.74 |
$37,255.74 |
$37,255.74 |
$3,303.76
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$39,356.16 |
$39,356.16 |
$39,356.16 |
$1,633.03
|
|
Intubation endotracheal emergency procedure
|
$1,651.80 |
$1,651.80 |
$1,651.80 |
$589.60
|
