|
Inj, nithiodote, 3mg / 125mg
|
$3.60 |
$3.60 |
$3.60 |
$468.10
|
|
Inj nivolumab 2 mg hyaluron
|
$48.00 |
$48.00 |
$48.00 |
$15,599.68
|
|
Inj ogivri 10 mg
|
$234.00 |
$234.00 |
$234.00 |
$4,492.28
|
|
Inj pegfilgrastim-bmez 0.5mg
|
$1,264.80 |
$1,264.80 |
$1,264.80 |
$6,614.40
|
|
Inj. pemetrexed, 10 mg
|
$152.40 |
$152.40 |
$152.40 |
$104.72
|
|
Inj., plazomicin, 5 mg
|
$81.00 |
$81.00 |
$81.00 |
$607.16
|
|
Inj proc elbow arthro
|
$278.40 |
$278.40 |
$278.40 |
$432.00
|
|
Inj proc myelogram lumbar
|
$922.80 |
$922.80 |
$922.80 |
$838.30
|
|
Inj progesterone per 50 mg
|
$12.40 |
$12.40 |
$12.40 |
$13.76
|
|
Inj prohance multipack
|
$43.80 |
$43.80 |
$43.80 |
$10.40
|
|
Inj., rolapitant, 0.5 mg
|
$1.80 |
$1.80 |
$1.80 |
$1.80
|
|
Inj secukinumab intrav 1mg
|
$42.40 |
$42.40 |
$42.40 |
$4,413.21
|
|
Inj. tagraxofusp-erzs 10 mcg
|
$540.00 |
$540.00 |
$540.00 |
$67,538.30
|
|
Inj teclistamab cqyv 0.5 mg
|
$61.80 |
$61.80 |
$61.80 |
$17,517.56
|
|
Inj. teprotumumab-trbw 10 mg
|
$36,300.60 |
$36,300.60 |
$36,300.60 |
$35,034.78
|
|
Inj testostero enanthate 1mg
|
$0.60 |
$0.60 |
$0.60 |
$123.09
|
|
Inj testosterone cypionate
|
$0.60 |
$0.60 |
$0.60 |
$64.96
|
|
Inj, tislelizumab-jsgr
|
$102.00 |
$102.00 |
$102.00 |
$9,764.09
|
|
Inj, tyenne, 1 mg
|
$12.60 |
$12.60 |
$12.60 |
$3,525.12
|
|
Inj w/fluor eval cv device
|
$484.20 |
$484.20 |
$484.20 |
$504.40
|
|
Inj zanidatamab-hrii, 2 mg
|
$43.80 |
$43.80 |
$43.80 |
$8,532.00
|
|
Inotuzumab ozogamicin 0.9 mg(0.25 mg/ml initial concentration) IV soln
|
$7,368.80 |
$7,368.80 |
$7,368.80 |
$41,083.73
|
|
Ins cath ren art 1st bi
|
$4,169.40 |
$4,169.40 |
$4,169.40 |
$5,974.80
|
|
Ins cath ren art 1st uni
|
$3,789.00 |
$3,789.00 |
$3,789.00 |
$4,667.63
|
|
Ins cath ren art 2nd+ uni
|
$5,785.80 |
$5,785.80 |
$5,785.80 |
$5,395.20
|
|
Ins cerv dilator (sep proc)
|
$2,562.00 |
$2,562.00 |
$2,562.00 |
$490.73
|
|
Insert and remove bone pin
|
$5,397.60 |
$5,397.60 |
$5,397.60 |
$4,433.36
|
|
Insert cath pleura with image
|
$1,942.80 |
$1,942.80 |
$1,942.80 |
$2,194.40
|
|
Insert cath pleura without image
|
$843.60 |
$843.60 |
$843.60 |
$2,099.70
|
|
Insert drug delivery implant
|
$253.20 |
$253.20 |
$253.20 |
$280.00
|
|
Insert intrauterine device iud
|
$148.80 |
$148.80 |
$148.80 |
$347.10
|
|
Insertion catheter bladder non indwelling
|
$279.00 |
$279.00 |
$279.00 |
$208.01
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$3,090.00 |
$3,090.00 |
$3,090.00 |
$4,897.20
|
|
Insertion intra aortic balloon assist device percutaneous
|
$921.60 |
$921.60 |
$921.60 |
$2,447.63
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$6,817.80 |
$6,817.80 |
$6,817.80 |
$7,210.78
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$1,267.20 |
$1,267.20 |
$1,267.20 |
$2,585.25
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$12,450.60 |
$12,450.60 |
$12,450.60 |
$12,384.25
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$4,138.20 |
$4,138.20 |
$4,138.20 |
$12,324.60
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$1,704.00 |
$1,704.00 |
$1,704.00 |
$9,884.16
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$1,267.20 |
$1,267.20 |
$1,267.20 |
$2,103.75
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$1,267.20 |
$1,267.20 |
$1,267.20 |
$2,453.83
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$6,433.20 |
$6,433.20 |
$6,433.20 |
$29,180.00
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$4,361.40 |
$4,361.40 |
$4,361.40 |
$7,183.68
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$4,804.80 |
$4,804.80 |
$4,804.80 |
$7,267.20
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$2,788.80 |
$2,788.80 |
$2,788.80 |
$9,332.50
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$2,532.60 |
$2,532.60 |
$2,532.60 |
$5,236.80
|
|
Insert pessary/other device
|
$750.60 |
$750.60 |
$750.60 |
$278.90
|
|
Insert pm/icd lead dual
|
$4,804.80 |
$4,804.80 |
$4,804.80 |
$7,115.90
|
|
Insert/repl sq defib w/eltrd
|
$40,435.80 |
$40,435.80 |
$40,435.80 |
$33,593.55
|
|
Insert swan-ganz cath
|
$1,641.60 |
$1,641.60 |
$1,641.60 |
$2,164.52
|
|
Insert vad art access left hrt arterial access
|
$2,443.80 |
$2,443.80 |
$2,443.80 |
$4,276.00
|
|
Insitu hybridization auto
|
$1,162.80 |
$1,162.80 |
$1,162.80 |
$377.37
|
|
Insitu hybridization manual
|
$412.80 |
$412.80 |
$412.80 |
$401.28
|
|
In situ hybridization per specimen initial single probe stain
|
$275.40 |
$275.40 |
$275.40 |
$338.40
|
|
Ins lv lead exist pm/icd
|
$4,358.40 |
$4,358.40 |
$4,358.40 |
$12,384.25
|
|
Ins picad w subq port 5yr>
|
$5,757.00 |
$5,757.00 |
$5,757.00 |
$4,078.00
|
|
Ins pm gen exist dual lead
|
$3,124.80 |
$3,124.80 |
$3,124.80 |
$24,159.72
|
|
Ins pq tunnld ip cath w/img
|
$7,305.00 |
$7,305.00 |
$7,305.00 |
$5,486.00
|
|
Ins/rpl ldless pm right vent w img & eval
|
$15,600.00 |
$15,600.00 |
$15,600.00 |
$24,135.54
|
|
Ins/rpl pm gen exist dual lead
|
$5,344.20 |
$5,344.20 |
$5,344.20 |
$11,005.50
|
|
Ins/rpl pm gen exist sgl lead
|
$5,344.20 |
$5,344.20 |
$5,344.20 |
$9,428.64
|
|
Instillation anticarcinogenic agent bladder
|
$2,226.00 |
$2,226.00 |
$2,226.00 |
$638.40
|
|
Instll rx agnt into rnal tub
|
$1,399.80 |
$1,399.80 |
$1,399.80 |
$619.20
|
|
Ins tun cvad 2 cath w/subq port(s)
|
$5,547.00 |
$5,547.00 |
$5,547.00 |
$7,826.00
|
|
Ins tun cv cath wo subq prt/pm
|
$2,502.00 |
$2,502.00 |
$2,502.00 |
$4,218.00
|
|
Insulin total
|
$146.40 |
$146.40 |
$146.40 |
$66.64
|
|
Ins vag brachytx device
|
$1,732.80 |
$1,732.80 |
$1,732.80 |
$950.00
|
|
Interdiscal perq aspir dx
|
$969.00 |
$969.00 |
$969.00 |
$1,222.26
|
|
Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper)
|
$1,092.60 |
$1,092.60 |
$1,092.60 |
$10,427.90
|
|
Intra-atrial recording
|
$889.80 |
$889.80 |
$889.80 |
$5,252.30
|
|
Intracard echo interv w/s&i
|
$476.40 |
$476.40 |
$476.40 |
$3,436.00
|
|
Intracran angioplsty w/stent
|
$15,171.60 |
$15,171.60 |
$15,171.60 |
$8,145.50
|
|
Intracranial complete study
|
$769.80 |
$769.80 |
$769.80 |
$881.50
|
|
Intracranial limited study
|
$588.00 |
$588.00 |
$588.00 |
$467.50
|
|
Intrinsic factor antibody
|
$75.60 |
$75.60 |
$75.60 |
$65.00
|
|
Intro cath dialysis circuit
|
$2,508.60 |
$2,508.60 |
$2,508.60 |
$2,036.94
|
|
Intro cath dialysis circuit w/pta
|
$7,684.20 |
$7,684.20 |
$7,684.20 |
$8,690.50
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$2,508.60 |
$2,508.60 |
$2,508.60 |
$16,262.40
|
|
Intro catheter aorta
|
$1,882.80 |
$1,882.80 |
$1,882.80 |
$1,678.05
|
|
Intro cath svc/ivc
|
$3,670.20 |
$3,670.20 |
$3,670.20 |
$1,323.27
|
|
Intro long gi tube
|
$1,869.00 |
$1,869.00 |
$1,869.00 |
$974.17
|
|
Intro long gi tube w/mult fluo
|
$900.00 |
$900.00 |
$900.00 |
$469.00
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$7,361.40 |
$7,361.40 |
$7,361.40 |
$3,472.95
|
|
Intubation endotracheal emergency procedure
|
$1,666.80 |
$1,666.80 |
$1,666.80 |
$601.28
|
|
Iodine i-123 sod iodide mil
|
$2,604.00 |
$2,604.00 |
$2,604.00 |
$386.37
|
|
Ionm in operatng room 15 min
|
$177.60 |
$177.60 |
$177.60 |
$200.78
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$61.80 |
$61.80 |
$61.80 |
$165.67
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$38.40 |
$38.40 |
$38.40 |
$279.10
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$20,215.80 |
$20,215.80 |
$20,215.80 |
$62,692.46
|
|
Ipratropium bromide non-comp
|
$8.00 |
$8.00 |
$8.00 |
$4.06
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$2,596.20 |
$2,596.20 |
$2,596.20 |
$173.98
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$111.60 |
$111.60 |
$111.60 |
$5,517.12
|
|
Iron
|
$85.20 |
$85.20 |
$85.20 |
$75.00
|
|
Iron binding capacity
|
$100.80 |
$100.80 |
$100.80 |
$63.91
|
|
Iron dextran 50 mg/ml injection solution
|
$59.80 |
$59.80 |
$59.80 |
$80.67
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$141.60 |
$141.60 |
$141.60 |
$187.06
|
|
Irradiation of blood product each unit reference
|
$98.40 |
$98.40 |
$98.40 |
$115.20
|
|
Irrigation implantable venous access device for drug delivery systems
|
$166.80 |
$166.80 |
$166.80 |
$146.11
|
|
Irrigation tray
|
$1.80 |
$1.80 |
$1.80 |
$9.67
|
|
Isatuximab-irfc 20 mg/ml intravenous solution
|
$149.40 |
$149.40 |
$149.40 |
$8,273.35
|
