|
Inj, lecanemab-irmb, 1 mg
|
$1,009.20 |
$1,009.20 |
$1,955.17 |
|
|
Inj levocarnitine per 1 gm
|
$65.60 |
$65.60 |
$156.04 |
|
|
Inj, levothyroxine, freskabi
|
$193.99 |
$193.99 |
$216.18 |
|
|
Inj lwr xtr fscl pln blk uni w/wo image
|
$21,986.26 |
$21,986.26 |
$28,953.71 |
|
|
Inj mepivacaine hcl/10 ml
|
$19.37 |
$19.37 |
$75.33 |
|
|
Inj meropenem (wg crit care)
|
$20.78 |
$23.16 |
$146.25 |
|
|
Inj, mirikizumab-mrkz, 1 mg
|
$35,079.78 |
$35,079.78 |
$35,079.78 |
|
|
Inj mogamulizumab-kpkc, 1 mg
|
$17,855.23 |
$17,855.23 |
$17,855.23 |
|
|
Inj, moxifloxacin 100 mg
|
$73.08 |
$73.08 |
$214.50 |
|
|
Inj multihance
|
$124.11 |
$124.11 |
$141.76 |
|
|
Inj. mycophenolate mofetil
|
$317.15 |
$317.15 |
$317.15 |
|
|
Inj nephrosto/ureterogram w/img exstng access
|
$702.35 |
$702.35 |
$2,650.30 |
|
|
Inj ogivri 10 mg
|
$2,757.49 |
$2,757.49 |
$9,625.06 |
|
|
Inj ontruzant 10 mg
|
$3,881.13 |
$3,881.13 |
$13,584.88 |
|
|
Inj., patisiran, 0.1 mg
|
$28,627.62 |
$28,627.62 |
$35,780.35 |
|
|
Inj pegfilgrastim-bmez 0.5mg
|
$12,783.49 |
$12,783.49 |
$12,783.49 |
|
|
Inj peritoneal venous shunt
|
$47.55 |
$47.55 |
$47.55 |
|
|
Inj proc ankle arthr
|
$261.30 |
$316.54 |
$316.54 |
|
|
Inj proc elbow arthro
|
$295.10 |
$302.66 |
$302.66 |
|
|
Inj proc for lymphang
|
$212.29 |
$212.29 |
$212.29 |
|
|
Inj proc lumbr disk ea lvl
|
$3,647.80 |
$3,647.80 |
$3,946.15 |
|
|
Inj proc myelogram lumbar
|
$446.68 |
$446.68 |
$6,615.70 |
|
|
Inj proc sialogram
|
$130.24 |
$130.24 |
$569.40 |
|
|
Inj progesterone per 50 mg
|
$35.00 |
$35.00 |
$131.23 |
|
|
Inj, releuko 1 mcg
|
$775.12 |
$775.12 |
$1,112.88 |
|
|
Inj retro urethrocysto
|
$111.28 |
$111.28 |
$2,031.25 |
|
|
Inj, rimabotulinumtoxinb
|
$846.25 |
$846.25 |
$846.25 |
|
|
Inj scleros sol mult veins
|
$289.99 |
$289.99 |
$1,077.70 |
|
|
Inj scleros sol sgl vein
|
$213.86 |
$213.86 |
$439.40 |
|
|
Inj secretin synthetic human
|
$610.89 |
$610.89 |
$2,559.37 |
|
|
Inj secukinumab intrav 1mg
|
$8,235.53 |
$8,235.53 |
$8,235.53 |
|
|
Inj, sutimlimab-jome, 10 mg
|
$7,667.95 |
$7,667.95 |
$7,667.95 |
|
|
Inj teclistamab cqyv 0.5 mg
|
$39,612.75 |
$39,612.75 |
$39,612.75 |
|
|
Inj. teprotumumab-trbw 10 mg
|
$54,767.45 |
$54,767.45 |
$54,767.45 |
|
|
Inj testosterone cypionate
|
$32.30 |
$32.30 |
$134.36 |
|
|
Inj thiotepa nos 1 mg
|
$2,592.85 |
$2,592.85 |
$2,592.85 |
|
|
Inj thrc fascial pln blk bi w/wo image
|
$2,860.00 |
$2,860.00 |
$2,860.00 |
|
|
Inj thrc fascial pln blk uni w/wo image
|
$1,682.20 |
$1,682.20 |
$1,682.20 |
|
|
Inj, tofidence, 1 mg
|
$5,651.75 |
$5,651.75 |
$7,086.04 |
|
|
Inj triamcinolone ace X-ray 1mg
|
$1,868.81 |
$1,868.81 |
$1,868.81 |
|
|
Inj, tyenne, 1 mg
|
$1,152.16 |
$1,152.16 |
$1,466.56 |
|
|
Inj, uzedy, 1 mg
|
$17,791.34 |
$17,791.34 |
$17,791.34 |
|
|
Inj, vasopressin (baxter)
|
$328.09 |
$328.09 |
$328.09 |
|
|
Inj, vegzelma, 10 mg
|
$2,510.29 |
$2,510.29 |
$7,932.08 |
|
|
Inj w/fluor eval cv device
|
$208.13 |
$267.14 |
$392.87 |
|
|
Inotuzumab ozogamicin 0.9 mg(0.25 mg/ml initial concentration) IV soln
|
$2,540.29 |
$2,540.29 |
$2,540.29 |
|
|
Ins cath ren art 1st bi
|
$4,554.15 |
$4,554.15 |
$22,439.30 |
|
|
Ins cath ren art 1st uni
|
$3,186.95 |
$3,592.89 |
$18,330.72 |
|
|
Ins cath ren art 2nd+ bi
|
$4,554.15 |
$4,554.15 |
$4,554.15 |
|
|
Ins cath ren art 2nd+ uni
|
$3,211.65 |
$3,485.22 |
$16,333.20 |
|
|
Ins cerv dilator (sep proc)
|
$154.85 |
$284.05 |
$484.90 |
|
|
Insert abdomen-venous drain
|
$1,050.80 |
$1,050.80 |
$1,050.80 |
|
|
Insert cannula vein-to-vein hemodialysis
|
$2,016.78 |
$2,016.78 |
$2,016.78 |
|
|
Insert cath pleura with image
|
$1,600.99 |
$1,600.99 |
$3,612.83 |
|
|
Insert cath pleura without image
|
$436.15 |
$4,113.48 |
$4,113.48 |
|
|
Insert hepatic shunt (tips)
|
$2,985.07 |
$2,985.07 |
$5,935.80 |
|
|
Insert intrauterine device iud
|
$10,436.48 |
$10,436.48 |
$12,890.60 |
|
|
Insertion catheter artery nfs ther chemotx 36640
|
$1,638.82 |
$1,638.82 |
$1,638.82 |
|
|
Insertion catheter bladder non indwelling
|
$103.14 |
$139.75 |
$19,380.71 |
|
|
Insertion catheter bladder temporary simple
|
$113.78 |
$194.35 |
$17,343.53 |
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$1,662.23 |
$1,662.23 |
$5,095.32 |
|
|
Insertion intra aortic balloon assist device percutaneous
|
$999.56 |
$999.56 |
$999.56 |
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$3,911.70 |
$4,955.60 |
$5,374.16 |
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$381.55 |
$1,018.15 |
$1,488.50 |
|
|
Insertion of catheter vein
|
$885.30 |
$885.30 |
$885.30 |
|
|
Insertion of catheter vein
|
$86.49 |
$86.49 |
$86.49 |
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$5,083.62 |
$5,083.62 |
$35,959.85 |
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$2,835.30 |
$4,238.91 |
$14,608.75 |
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$2,577.24 |
$2,577.24 |
$5,109.00 |
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$1,159.86 |
$1,360.45 |
$5,701.55 |
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$2,063.10 |
$2,063.10 |
$2,063.10 |
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$9,232.06 |
$9,232.06 |
$79,233.05 |
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$2,494.54 |
$2,494.54 |
$4,921.15 |
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$2,005.90 |
$2,464.29 |
$2,464.29 |
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$17,553.25 |
$17,553.25 |
$22,768.78 |
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$1,720.69 |
$1,720.69 |
$10,099.70 |
|
|
Insert multi-comp penis pros
|
$50,259.40 |
$50,259.40 |
$50,259.40 |
|
|
Insert nasal septal button
|
$4,870.65 |
$4,870.65 |
$4,870.65 |
|
|
Insert pessary/other device
|
$177.42 |
$177.42 |
$177.42 |
|
|
Insert pm/icd lead dual
|
$2,149.24 |
$2,149.24 |
$2,149.24 |
|
|
Insert/repl sq defib w/eltrd
|
$12,007.45 |
$23,732.36 |
$23,732.36 |
|
|
Insert semi-rigid prosthesis
|
$26,143.34 |
$26,143.34 |
$26,143.34 |
|
|
Insert sq defib electrode
|
$3,445.72 |
$3,445.72 |
$3,445.72 |
|
|
Insert swan-ganz cath
|
$1,373.35 |
$1,373.35 |
$4,052.10 |
|
|
Insert tunneled cv 2cath 2sits without port/pmp 36565
|
$1,422.85 |
$1,422.85 |
$1,422.85 |
|
|
Insert uro/ves nck sphincter
|
$37,098.26 |
$37,098.26 |
$37,098.26 |
|
|
Insert uteri tandem/ovoids
|
$3,437.49 |
$3,437.49 |
$22,508.77 |
|
|
Insert vad art access left hrt arterial access
|
$748.51 |
$748.51 |
$6,390.80 |
|
|
Ins icd gen exist mlt leads
|
$7,174.58 |
$7,174.58 |
$40,730.95 |
|
|
Ins icd gen exist sgl lead
|
$6,491.28 |
$6,491.28 |
$6,491.28 |
|
|
Insitu hybridization auto
|
$240.50 |
$240.50 |
$240.50 |
|
|
Insitu hybridization (fish)
|
$254.01 |
$254.01 |
$254.01 |
|
|
Insitu hybridization manual
|
$364.65 |
$485.00 |
$697.45 |
|
|
In situ hybridization per specimen each additional single probe stain
|
$181.69 |
$230.75 |
$9,150.88 |
|
|
In situ hybridization per specimen initial single probe stain
|
$240.83 |
$240.83 |
$9,150.88 |
|
|
Ins lv lead exist pm/icd
|
$10,829.65 |
$12,417.57 |
$19,955.65 |
|
|
Ins mark abd/pel for right perq
|
$1,549.19 |
$1,549.19 |
$2,434.90 |
|
|
Ins mark thor for right perq
|
$833.70 |
$833.70 |
$833.70 |
|
|
Ins picad w subq port 5yr>
|
$1,161.15 |
$1,161.15 |
$1,634.75 |
|
|
Ins pm gen exist dual lead
|
$7,174.58 |
$7,174.58 |
$29,350.10 |
|