|
Inj progesterone per 50 mg
|
$21.71 |
$21.71 |
$21.71 |
$48.51
|
|
Inj retacrit esrd on dialysi
|
$3.11 |
$3.11 |
$3.11 |
$307.40
|
|
Inj retro urethrocysto
|
$1,863.55 |
$1,863.55 |
$1,863.55 |
$551.29
|
|
Inj scleros sol mult veins
|
$692.90 |
$692.90 |
$692.90 |
$687.96
|
|
Inj scleros sol sgl vein
|
$692.90 |
$692.90 |
$692.90 |
$534.40
|
|
Inj secretin synthetic human
|
$2,186.83 |
$2,186.83 |
$2,186.83 |
$741.75
|
|
Inj(s) sclerosant spider veins limb/trunk
|
$313.30 |
$313.30 |
$313.30 |
$436.64
|
|
Inj, sutimlimab-jome, 10 mg
|
$6,632.21 |
$6,632.21 |
$6,632.21 |
$18.13
|
|
Inj. teprotumumab-trbw 10 mg
|
$48,637.22 |
$48,637.22 |
$48,637.22 |
$47,971.67
|
|
Inj testosterone cypionate
|
$39.32 |
$39.32 |
$39.32 |
$77.15
|
|
Inj., tildrakizumab, 1 mg
|
$58,274.68 |
$58,274.68 |
$58,274.68 |
$24,563.40
|
|
Inj, tyenne, 1 mg
|
$5,110.62 |
$5,110.62 |
$5,110.62 |
$860.68
|
|
Inj, uzedy, 1 mg
|
$18,429.26 |
$18,429.26 |
$18,429.26 |
$24.77
|
|
Inj, vancomycin hcl (mylan)
|
$23.86 |
$23.86 |
$23.86 |
$63.82
|
|
Inj w/fluor eval cv device
|
$4,182.10 |
$4,182.10 |
$4,182.10 |
$588.90
|
|
Ins cath ren art 1st bi
|
$7,086.30 |
$7,086.30 |
$7,086.30 |
$6,033.75
|
|
Ins cath ren art 1st uni
|
$5,998.20 |
$5,998.20 |
$5,998.20 |
$4,667.63
|
|
Ins cath ren art 2nd+ bi
|
$8,073.65 |
$8,073.65 |
$8,073.65 |
$5,408.65
|
|
Ins cath ren art 2nd+ uni
|
$5,838.30 |
$5,838.30 |
$5,838.30 |
$5,528.94
|
|
Ins cerv dilator (sep proc)
|
$524.55 |
$524.55 |
$524.55 |
$544.00
|
|
Insert abdomen-venous drain
|
$2,475.85 |
$2,475.85 |
$2,475.85 |
$4,391.00
|
|
Insert cath pleura with image
|
$5,938.40 |
$5,938.40 |
$5,938.40 |
$2,239.02
|
|
Insert cath pleura without image
|
$2,657.20 |
$2,657.20 |
$2,657.20 |
$2,212.00
|
|
Insert drug delivery implant
|
$564.20 |
$564.20 |
$564.20 |
$285.80
|
|
Insert hepatic shunt (tips)
|
$10,821.20 |
$10,821.20 |
$10,821.20 |
$9,754.48
|
|
Insert intrauterine device iud
|
$1,005.55 |
$1,005.55 |
$1,005.55 |
$378.83
|
|
Insertion catheter bladder non indwelling
|
$261.30 |
$261.30 |
$261.30 |
$237.13
|
|
Insertion catheter bladder temporary simple
|
$319.15 |
$319.15 |
$319.15 |
$273.60
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$4,143.75 |
$4,143.75 |
$4,143.75 |
$4,943.21
|
|
Insertion intra aortic balloon assist device percutaneous
|
$2,668.25 |
$2,668.25 |
$2,668.25 |
$2,549.95
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$6,319.95 |
$6,319.95 |
$6,319.95 |
$7,088.54
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$1,920.75 |
$1,920.75 |
$1,920.75 |
$2,618.40
|
|
Insertion of catheter vein
|
$530.40 |
$530.40 |
$530.40 |
$1,749.80
|
|
Insertion of catheter vein
|
$163.80 |
$163.80 |
$163.80 |
$858.05
|
|
Insertion of heart electrode 33211
|
$7,035.60 |
$7,035.60 |
$7,035.60 |
$9,090.00
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$16,055.65 |
$16,055.65 |
$16,055.65 |
$14,158.20
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$16,055.65 |
$16,055.65 |
$16,055.65 |
$12,813.28
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$15,217.15 |
$15,217.15 |
$15,217.15 |
$9,855.00
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$1,134.90 |
$1,134.90 |
$1,134.90 |
$2,079.43
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$1,660.10 |
$1,660.10 |
$1,660.10 |
$2,527.91
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$20,832.50 |
$20,832.50 |
$20,832.50 |
$29,997.52
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$7,810.40 |
$7,810.40 |
$7,810.40 |
$7,572.47
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$15,837.90 |
$15,837.90 |
$15,837.90 |
$7,673.12
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$14,192.75 |
$14,192.75 |
$14,192.75 |
$9,793.46
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$11,050.00 |
$11,050.00 |
$11,050.00 |
$5,470.54
|
|
Insert pm/icd lead dual
|
$16,629.60 |
$16,629.60 |
$16,629.60 |
$7,562.63
|
|
Insert/repl sq defib w/eltrd
|
$20,679.10 |
$20,679.10 |
$20,679.10 |
$33,948.20
|
|
Insert sq defib electrode
|
$15,546.05 |
$15,546.05 |
$15,546.05 |
$8,167.68
|
|
Insert swan-ganz cath
|
$5,210.40 |
$5,210.40 |
$5,210.40 |
$2,164.52
|
|
Insert tunneled cv 2cath 2sits without port/pmp 36565
|
$11,050.00 |
$11,050.00 |
$11,050.00 |
$4,705.13
|
|
Insert uteri tandem/ovoids
|
$4,053.40 |
$4,053.40 |
$4,053.40 |
$3,986.00
|
|
Insert vad art access left hrt arterial access
|
$997.10 |
$997.10 |
$997.10 |
$5,062.80
|
|
Insert vad art access left hrt art & vein access
|
$997.10 |
$997.10 |
$997.10 |
$6,740.80
|
|
Ins icd gen exist mlt leads
|
$19,695.00 |
$19,695.00 |
$19,695.00 |
$31,286.77
|
|
Ins icd gen exist sgl lead
|
$18,742.75 |
$18,742.75 |
$18,742.75 |
$24,159.72
|
|
Insitu hybridization auto
|
$603.20 |
$603.20 |
$603.20 |
$398.16
|
|
Insitu hybridization manual
|
$612.30 |
$612.30 |
$612.30 |
$407.11
|
|
In situ hybridization per specimen each additional single probe stain
|
$227.50 |
$227.50 |
$227.50 |
$251.55
|
|
In situ hybridization per specimen initial single probe stain
|
$568.75 |
$568.75 |
$568.75 |
$338.40
|
|
Insj perq vad r hrt venous
|
$926.90 |
$926.90 |
$926.90 |
$4,981.60
|
|
Insj stablj dev w/dcmprn
|
$27,975.35 |
$27,975.35 |
$27,975.35 |
$16,139.55
|
|
Insj stablj dev without dcmprn
|
$27,975.35 |
$27,975.35 |
$27,975.35 |
$15,226.08
|
|
Ins lv lead exist pm/icd
|
$24,974.30 |
$24,974.30 |
$24,974.30 |
$12,384.25
|
|
Ins mark abd/pel for right perq
|
$1,400.75 |
$1,400.75 |
$1,400.75 |
$2,070.00
|
|
Ins mark thor for right perq
|
$1,449.50 |
$1,449.50 |
$1,449.50 |
$2,396.35
|
|
Ins pm gen exist dual lead
|
$16,840.20 |
$16,840.20 |
$16,840.20 |
$24,696.00
|
|
Ins pm gen w/exist mlt leads
|
$13,793.65 |
$13,793.65 |
$13,793.65 |
$15,600.75
|
|
Ins pq tunnld ip cath w/img
|
$4,692.35 |
$4,692.35 |
$4,692.35 |
$5,593.60
|
|
Ins/rplc spi npg/rcvr pocket
|
$21,922.55 |
$21,922.55 |
$21,922.55 |
$21,097.15
|
|
Ins/rpl ldless pm right vent w img & eval
|
$15,641.60 |
$15,641.60 |
$15,641.60 |
$24,135.54
|
|
Ins/rpl pm gen exist dual lead
|
$13,137.15 |
$13,137.15 |
$13,137.15 |
$11,593.70
|
|
Ins/rpl pm gen exist sgl lead
|
$12,511.85 |
$12,511.85 |
$12,511.85 |
$9,746.29
|
|
Ins/rpl pm w/tv ld atrl
|
$16,055.65 |
$16,055.65 |
$16,055.65 |
$12,384.25
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$17,603.95 |
$17,603.95 |
$17,603.95 |
$25,106.90
|
|
Insrt/redo neurostim 1 array
|
$25,935.00 |
$25,935.00 |
$25,935.00 |
$23,436.14
|
|
Inst fibrinolysis agent ini day
|
$803.40 |
$803.40 |
$803.40 |
$1,095.00
|
|
Inst fibrinolysis agent sbsq d
|
$742.30 |
$742.30 |
$742.30 |
$898.12
|
|
Instillation anticarcinogenic agent bladder
|
$653.25 |
$653.25 |
$653.25 |
$721.50
|
|
Instill, bupivac and meloxic
|
$2.44 |
$2.44 |
$2.44 |
$1,127.61
|
|
Instll rx agnt into rnal tub
|
$1,081.60 |
$1,081.60 |
$1,081.60 |
$619.20
|
|
Ins tun cvad 2 cath w/subq port(s)
|
$11,700.00 |
$11,700.00 |
$11,700.00 |
$6,396.57
|
|
Ins tun cv cath wo subq prt/pm
|
$9,750.00 |
$9,750.00 |
$9,750.00 |
$4,748.00
|
|
Ins tun intraperit dia cath
|
$5,187.65 |
$5,187.65 |
$5,187.65 |
$4,657.46
|
|
Inst via cath agent pleurds
|
$767.00 |
$767.00 |
$767.00 |
$1,074.68
|
|
Insulin total
|
$53.95 |
$53.95 |
$53.95 |
$67.60
|
|
Ins vag brachytx device
|
$1,878.50 |
$1,878.50 |
$1,878.50 |
$909.35
|
|
Integra meshed bil wound mat
|
$67.56 |
$67.56 |
$67.56 |
$24,354.93
|
|
Interdiscal perq aspir dx
|
$4,300.40 |
$4,300.40 |
$4,300.40 |
$1,222.26
|
|
Interrogate subq defib
|
$175.50 |
$175.50 |
$175.50 |
$139.10
|
|
Interrogation vad in person
|
$269.75 |
$269.75 |
$269.75 |
$280.00
|
|
Interrog dev eval icpms ip
|
$56.55 |
$56.55 |
$56.55 |
$106.80
|
|
Interrog dev eval scrms ip
|
$68.90 |
$68.90 |
$68.90 |
$124.80
|
|
Interrog device eval heart
|
$123.50 |
$123.50 |
$123.50 |
$150.00
|
|
Interrog evl pm/ldls pm ip
|
$73.45 |
$73.45 |
$73.45 |
$127.20
|
|
Interstitial brachy inter
|
$1,560.00 |
$1,560.00 |
$1,560.00 |
$1,244.40
|
|
Intra-atrial pacing
|
$4,448.60 |
$4,448.60 |
$4,448.60 |
$5,155.51
|
|
Intra-atrial recording
|
$4,483.70 |
$4,483.70 |
$4,483.70 |
$5,707.00
|
|
Intracard echo interv w/s&i
|
$3,028.35 |
$3,028.35 |
$3,028.35 |
$3,982.59
|
|
Intracran angioplsty w/stent
|
$23,366.85 |
$23,366.85 |
$23,366.85 |
$11,364.78
|
|
Intracranial angioplasty
|
$3,973.45 |
$3,973.45 |
$3,973.45 |
$7,149.60
|
