|
Inj, lanreotide, (cipla) 1mg
|
$26,017.53 |
$26,017.53 |
$26,017.53 |
$12,160.05
|
|
Inj, lecanemab-irmb, 1 mg
|
$1,955.17 |
$1,955.17 |
$1,955.17 |
$1.33
|
|
Inj, levothyroxine, freskabi
|
$216.18 |
$216.18 |
$216.18 |
$244.63
|
|
Inj lwr xtr fscl pln blk uni w/wo image
|
$28,953.71 |
$28,953.71 |
$28,953.71 |
$625.00
|
|
Inj meropenem (wg crit care)
|
$146.25 |
$146.25 |
$146.25 |
$20.78
|
|
Inj, moxifloxacin 100 mg
|
$214.50 |
$214.50 |
$214.50 |
$100.44
|
|
Inj multihance
|
$141.76 |
$141.76 |
$141.76 |
$86.40
|
|
Inj nephrosto/ureterogram w/img exstng access
|
$1,044.55 |
$1,044.55 |
$1,044.55 |
$1,522.56
|
|
Inj ogivri 10 mg
|
$2,757.49 |
$2,757.49 |
$2,757.49 |
$91.01
|
|
Inj ontruzant 10 mg
|
$3,881.13 |
$3,881.13 |
$3,881.13 |
$34.96
|
|
Inj., patisiran, 0.1 mg
|
$28,627.62 |
$28,627.62 |
$28,627.62 |
$36,180.04
|
|
Inj proc lumbr disk ea lvl
|
$3,946.15 |
$3,946.15 |
$3,946.15 |
$1,218.51
|
|
Inj proc myelogram lumbar
|
$2,037.10 |
$2,037.10 |
$2,037.10 |
$1,026.35
|
|
Inj proc sialogram
|
$569.40 |
$569.40 |
$569.40 |
$419.34
|
|
Inj, releuko 1 mcg
|
$775.12 |
$775.12 |
$775.12 |
$775.12
|
|
Inj retro urethrocysto
|
$2,031.25 |
$2,031.25 |
$2,031.25 |
$569.60
|
|
Inj, rimabotulinumtoxinb
|
$846.25 |
$846.25 |
$846.25 |
$16.56
|
|
Inj scleros sol mult veins
|
$474.50 |
$474.50 |
$474.50 |
$614.00
|
|
Inj scleros sol sgl vein
|
$421.20 |
$421.20 |
$421.20 |
$534.40
|
|
Inj secretin synthetic human
|
$2,559.37 |
$2,559.37 |
$2,559.37 |
$610.89
|
|
Inj. teprotumumab-trbw 10 mg
|
$54,767.45 |
$54,767.45 |
$54,767.45 |
$359.09
|
|
Inj testosterone cypionate
|
$134.36 |
$134.36 |
$134.36 |
$78.79
|
|
Inj thrc fascial pln blk bi w/wo image
|
$2,860.00 |
$2,860.00 |
$2,860.00 |
$1,497.60
|
|
Inj thrc fascial pln blk uni w/wo image
|
$1,682.20 |
$1,682.20 |
$1,682.20 |
$1,471.50
|
|
Inj, tofidence, 1 mg
|
$5,651.75 |
$5,651.75 |
$5,651.75 |
$1,167.32
|
|
Inj triamcinolone ace X-ray 1mg
|
$1,868.81 |
$1,868.81 |
$1,868.81 |
$18.21
|
|
Inj, tyenne, 1 mg
|
$1,152.16 |
$1,152.16 |
$1,152.16 |
$12.60
|
|
Inj, vegzelma, 10 mg
|
$7,932.08 |
$7,932.08 |
$7,932.08 |
$43.62
|
|
Inj w/fluor eval cv device
|
$208.13 |
$208.13 |
$208.13 |
$573.00
|
|
Ins cath ren art 1st bi
|
$22,439.30 |
$22,439.30 |
$22,439.30 |
$6,012.50
|
|
Ins cath ren art 1st uni
|
$3,186.95 |
$3,186.95 |
$3,186.95 |
$4,628.00
|
|
Ins cath ren art 2nd+ uni
|
$16,333.20 |
$16,333.20 |
$16,333.20 |
$5,528.94
|
|
Ins cerv dilator (sep proc)
|
$484.90 |
$484.90 |
$484.90 |
$557.60
|
|
Insert cath pleura with image
|
$3,170.70 |
$3,170.70 |
$3,170.70 |
$2,239.02
|
|
Insert intrauterine device iud
|
$12,890.60 |
$12,890.60 |
$12,890.60 |
$366.65
|
|
Insertion catheter bladder non indwelling
|
$15,380.15 |
$15,380.15 |
$15,380.15 |
$230.40
|
|
Insertion catheter bladder temporary simple
|
$7,115.45 |
$7,115.45 |
$7,115.45 |
$245.00
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$4,668.95 |
$4,668.95 |
$4,668.95 |
$4,923.19
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$3,911.70 |
$3,911.70 |
$3,911.70 |
$7,210.78
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$1,488.50 |
$1,488.50 |
$1,488.50 |
$2,457.24
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$35,959.85 |
$35,959.85 |
$35,959.85 |
$14,777.24
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$2,835.30 |
$2,835.30 |
$2,835.30 |
$13,806.24
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$5,109.00 |
$5,109.00 |
$5,109.00 |
$9,855.00
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$3,199.30 |
$3,199.30 |
$3,199.30 |
$2,079.43
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$79,233.05 |
$79,233.05 |
$79,233.05 |
$32,608.80
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$3,277.95 |
$3,277.95 |
$3,277.95 |
$7,513.67
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$2,005.90 |
$2,005.90 |
$2,005.90 |
$8,460.40
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$22,768.78 |
$22,768.78 |
$22,768.78 |
$9,824.59
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$6,762.60 |
$6,762.60 |
$6,762.60 |
$5,423.04
|
|
Insert/repl sq defib w/eltrd
|
$12,007.45 |
$12,007.45 |
$12,007.45 |
$33,948.20
|
|
Insert swan-ganz cath
|
$4,052.10 |
$4,052.10 |
$4,052.10 |
$2,269.00
|
|
Insert vad art access left hrt arterial access
|
$6,390.80 |
$6,390.80 |
$6,390.80 |
$5,135.65
|
|
Ins icd gen exist mlt leads
|
$40,730.95 |
$40,730.95 |
$40,730.95 |
$31,488.80
|
|
Insitu hybridization manual
|
$586.95 |
$586.95 |
$586.95 |
$407.11
|
|
In situ hybridization per specimen each additional single probe stain
|
$9,150.88 |
$9,150.88 |
$9,150.88 |
$291.00
|
|
In situ hybridization per specimen initial single probe stain
|
$9,150.88 |
$9,150.88 |
$9,150.88 |
$364.00
|
|
Ins lv lead exist pm/icd
|
$19,955.65 |
$19,955.65 |
$19,955.65 |
$12,270.00
|
|
Ins picad w subq port 5yr>
|
$1,634.75 |
$1,634.75 |
$1,634.75 |
$4,312.97
|
|
Ins pm gen exist dual lead
|
$29,350.10 |
$29,350.10 |
$29,350.10 |
$25,546.94
|
|
Ins pm gen w/exist mlt leads
|
$11,794.25 |
$11,794.25 |
$11,794.25 |
$17,191.21
|
|
Ins pq tunnld ip cath w/img
|
$4,501.90 |
$4,501.90 |
$4,501.90 |
$5,597.45
|
|
Ins/rplc spi npg/rcvr pocket
|
$46,212.60 |
$46,212.60 |
$46,212.60 |
$33,303.98
|
|
Ins/rpl ldless pm right vent w img & eval
|
$33,700.42 |
$33,700.42 |
$33,700.42 |
$24,705.20
|
|
Ins/rpl pm gen exist dual lead
|
$15,106.00 |
$15,106.00 |
$15,106.00 |
$11,583.66
|
|
Ins/rpl pm w/tv ld atrl
|
$10,385.05 |
$10,385.05 |
$10,385.05 |
$12,442.95
|
|
Ins/rpl prph sac/gstr npg/r
|
$33,831.84 |
$33,831.84 |
$33,831.84 |
$23,436.14
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$31,590.00 |
$31,590.00 |
$31,590.00 |
$28,931.50
|
|
Instillation anticarcinogenic agent bladder
|
$10,406.95 |
$10,406.95 |
$10,406.95 |
$721.50
|
|
Ins tun cv cath wo subq prt/pm
|
$7,027.84 |
$7,027.84 |
$7,027.84 |
$4,314.75
|
|
Insulin total
|
$30.55 |
$30.55 |
$30.55 |
$72.15
|
|
Intra-atrial pacing
|
$8,708.05 |
$8,708.05 |
$8,708.05 |
$4,614.35
|
|
Intra-atrial recording
|
$8,594.95 |
$8,594.95 |
$8,594.95 |
$5,252.30
|
|
Intraventricular pacing
|
$7,718.10 |
$7,718.10 |
$7,718.10 |
$5,625.00
|
|
Intrinsic factor antibody
|
$121.55 |
$121.55 |
$121.55 |
$76.77
|
|
Intro cath dialysis circuit
|
$1,299.35 |
$1,299.35 |
$1,299.35 |
$2,161.90
|
|
Intro cath dialysis circuit w/pta
|
$8,373.30 |
$8,373.30 |
$8,373.30 |
$8,761.00
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$14,035.45 |
$14,035.45 |
$14,035.45 |
$18,260.50
|
|
Intro catheter aorta
|
$744.25 |
$744.25 |
$744.25 |
$1,963.80
|
|
Intro cath svc/ivc
|
$1,329.90 |
$1,329.90 |
$1,329.90 |
$1,942.50
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$30,287.70 |
$30,287.70 |
$30,287.70 |
$3,510.75
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$30,287.70 |
$30,287.70 |
$30,287.70 |
$1,633.03
|
|
Intubation endotracheal emergency procedure
|
$1,318.85 |
$1,318.85 |
$1,318.85 |
$565.00
|
|
Ionm in operatng room 15 min
|
$388.05 |
$388.05 |
$388.05 |
$238.00
|
|
Ionm remote/>1 pt or per hr
|
$1,170.00 |
$1,170.00 |
$1,170.00 |
$622.70
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$315.02 |
$315.02 |
$315.02 |
$4.59
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$231.56 |
$231.56 |
$231.56 |
$145.52
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$50.37 |
$50.37 |
$50.37 |
$254.59
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$8,936.52 |
$8,936.52 |
$8,936.52 |
$111.98
|
|
Iron
|
$71.50 |
$71.50 |
$71.50 |
$67.50
|
|
Iron binding capacity
|
$31.20 |
$31.20 |
$31.20 |
$55.00
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$292.06 |
$292.06 |
$292.06 |
$211.09
|
|
Irradiation of blood product each unit reference
|
$76.70 |
$76.70 |
$76.70 |
$127.49
|
|
Irrigation implantable venous access device for drug delivery systems
|
$123.50 |
$123.50 |
$123.50 |
$149.00
|
|
Isatuximab-irfc 20 mg/ml intravenous solution
|
$13,555.98 |
$13,555.98 |
$13,555.98 |
$82.86
|
|
Ivc venogram s&i
|
$3,783.65 |
$3,783.65 |
$3,783.65 |
$2,975.00
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$176.80 |
$176.80 |
$176.80 |
$186.55
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$168.35 |
$168.35 |
$168.35 |
$170.94
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$176.80 |
$176.80 |
$176.80 |
$153.40
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$381.55 |
$381.55 |
$381.55 |
$476.50
|
|
Ivp w/wo kub w/wo tomography
|
$858.65 |
$858.65 |
$858.65 |
$687.80
|