|
Inj mogamulizumab-kpkc, 1 mg
|
$733.60 |
$733.60 |
$733.60 |
$8,304.04
|
|
Inj multihance
|
$55.80 |
$55.80 |
$55.80 |
$70.54
|
|
Inj naloxone hydrochloride
|
$144.00 |
$144.00 |
$144.00 |
$83.16
|
|
Inj nephrosto/ureterogram w/img exstng access
|
$2,189.40 |
$2,189.40 |
$2,189.40 |
$1,413.35
|
|
Inj, nithiodote, 3mg / 125mg
|
$3.60 |
$3.60 |
$3.60 |
$468.10
|
|
Inj nivolumab 2 mg hyaluron
|
$48.60 |
$48.60 |
$48.60 |
$15,599.68
|
|
Inj non-compmd foam sclrsnt sgl trncl vein
|
$5,315.40 |
$5,315.40 |
$5,315.40 |
$2,726.90
|
|
Inj octafluoropropane mic,ml
|
$765.60 |
$765.60 |
$765.60 |
$211.40
|
|
Inj ogivri 10 mg
|
$10,341.00 |
$10,341.00 |
$10,341.00 |
$4,492.28
|
|
Inj ontruzant 10 mg
|
$4,939.20 |
$4,939.20 |
$4,939.20 |
$6,706.27
|
|
Inj pegfilgrastim-bmez 0.5mg
|
$1,258.80 |
$1,258.80 |
$1,258.80 |
$6,614.40
|
|
Inj. pemetrexed, 10 mg
|
$156.60 |
$156.60 |
$156.60 |
$104.72
|
|
Inj, pemivibart, 4500 mg
|
$13,860.00 |
$13,860.00 |
$13,860.00 |
$1,235.55
|
|
Inj., plazomicin, 5 mg
|
$91.20 |
$91.20 |
$91.20 |
$607.16
|
|
Inj proc ankle arthr
|
$543.00 |
$543.00 |
$543.00 |
$405.31
|
|
Inj proc elbow arthro
|
$543.00 |
$543.00 |
$543.00 |
$432.00
|
|
Inj prohance multipack
|
$55.80 |
$55.80 |
$55.80 |
$10.40
|
|
Inj retro urethrocysto
|
$2,334.00 |
$2,334.00 |
$2,334.00 |
$447.74
|
|
Inj., rolapitant, 0.5 mg
|
$2.40 |
$2.40 |
$2.40 |
$1.80
|
|
Inj scleros sol mult veins
|
$1,187.40 |
$1,187.40 |
$1,187.40 |
$692.90
|
|
Inj scleros sol sgl vein
|
$1,491.00 |
$1,491.00 |
$1,491.00 |
$561.88
|
|
Inj, spesolimab-sbzo, 1 mg
|
$110.40 |
$110.40 |
$110.40 |
$90,007.62
|
|
Inj sulf hexa lipid microsph
|
$447.00 |
$447.00 |
$447.00 |
$256.14
|
|
Inj. teprotumumab-trbw 10 mg
|
$804.60 |
$804.60 |
$804.60 |
$35,034.78
|
|
Inj testosterone cypionate
|
$0.80 |
$0.80 |
$0.80 |
$64.96
|
|
Inj., tildrakizumab, 1 mg
|
$32,438.40 |
$32,438.40 |
$32,438.40 |
$26,635.60
|
|
Inj, tislelizumab-jsgr
|
$103.20 |
$103.20 |
$103.20 |
$9,764.09
|
|
Inj, tyenne, 1 mg
|
$12.80 |
$12.80 |
$12.80 |
$3,525.12
|
|
Inj w/fluor eval cv device
|
$469.80 |
$469.80 |
$469.80 |
$504.40
|
|
Inj zanidatamab-hrii, 2 mg
|
$44.40 |
$44.40 |
$44.40 |
$8,532.00
|
|
Ins cath ren art 1st bi
|
$7,562.40 |
$7,562.40 |
$7,562.40 |
$5,974.80
|
|
Ins cath ren art 1st uni
|
$4,726.20 |
$4,726.20 |
$4,726.20 |
$4,667.63
|
|
Ins cath ren art 2nd+ uni
|
$5,618.40 |
$5,618.40 |
$5,618.40 |
$5,395.20
|
|
Insert cath pleura with image
|
$2,484.60 |
$2,484.60 |
$2,484.60 |
$2,194.40
|
|
Insert cath pleura without image
|
$931.20 |
$931.20 |
$931.20 |
$2,099.70
|
|
Insert hepatic shunt (tips)
|
$10,398.00 |
$10,398.00 |
$10,398.00 |
$7,571.20
|
|
Insert intrauterine device iud
|
$543.60 |
$543.60 |
$543.60 |
$347.10
|
|
Insertion catheter bladder non indwelling
|
$664.20 |
$664.20 |
$664.20 |
$208.01
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$4,134.60 |
$4,134.60 |
$4,134.60 |
$4,897.20
|
|
Insertion intra aortic balloon assist device percutaneous
|
$3,461.40 |
$3,461.40 |
$3,461.40 |
$2,447.63
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$7,189.20 |
$7,189.20 |
$7,189.20 |
$7,210.78
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$1,284.00 |
$1,284.00 |
$1,284.00 |
$2,585.25
|
|
Insertion of catheter vein
|
$3,046.20 |
$3,046.20 |
$3,046.20 |
$1,525.80
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$12,843.00 |
$12,843.00 |
$12,843.00 |
$12,384.25
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$10,378.80 |
$10,378.80 |
$10,378.80 |
$12,324.60
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$12,843.00 |
$12,843.00 |
$12,843.00 |
$9,884.16
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$1,284.00 |
$1,284.00 |
$1,284.00 |
$2,103.75
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$1,284.00 |
$1,284.00 |
$1,284.00 |
$2,453.83
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$39,445.80 |
$39,445.80 |
$39,445.80 |
$29,180.00
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$4,607.40 |
$4,607.40 |
$4,607.40 |
$7,183.68
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$4,615.80 |
$4,615.80 |
$4,615.80 |
$7,267.20
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$7,465.20 |
$7,465.20 |
$7,465.20 |
$9,332.50
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$2,869.80 |
$2,869.80 |
$2,869.80 |
$5,236.80
|
|
Insertion ureth cath
|
$5,982.00 |
$5,982.00 |
$5,982.00 |
$2,412.45
|
|
Insert pm/icd lead dual
|
$5,272.80 |
$5,272.80 |
$5,272.80 |
$7,115.90
|
|
Insert/repl sq defib w/eltrd
|
$34,910.40 |
$34,910.40 |
$34,910.40 |
$33,593.55
|
|
Insert swan-ganz cath
|
$1,522.20 |
$1,522.20 |
$1,522.20 |
$2,164.52
|
|
Insert vad art access left hrt arterial access
|
$2,083.20 |
$2,083.20 |
$2,083.20 |
$4,276.00
|
|
Ins icd gen exist mlt leads
|
$31,884.00 |
$31,884.00 |
$31,884.00 |
$31,286.77
|
|
Insitu hybridization auto
|
$1,314.60 |
$1,314.60 |
$1,314.60 |
$377.37
|
|
Insitu hybridization manual
|
$426.00 |
$426.00 |
$426.00 |
$401.28
|
|
In situ hybridization per specimen each additional single probe stain
|
$295.20 |
$295.20 |
$295.20 |
$243.50
|
|
In situ hybridization per specimen initial single probe stain
|
$295.20 |
$295.20 |
$295.20 |
$338.40
|
|
Ins lv lead exist pm/icd
|
$12,843.00 |
$12,843.00 |
$12,843.00 |
$12,384.25
|
|
Ins picad w subq port 5yr>
|
$2,346.00 |
$2,346.00 |
$2,346.00 |
$4,078.00
|
|
Ins pm gen exist dual lead
|
$36,471.60 |
$36,471.60 |
$36,471.60 |
$24,159.72
|
|
Ins pm gen w/exist mlt leads
|
$2,586.00 |
$2,586.00 |
$2,586.00 |
$14,804.40
|
|
Ins pq tunnld ip cath w/img
|
$5,742.00 |
$5,742.00 |
$5,742.00 |
$5,486.00
|
|
Ins/rplc spi npg/rcvr pocket
|
$4,066.20 |
$4,066.20 |
$4,066.20 |
$24,061.80
|
|
Ins/rpl ldless pm right vent w img & eval
|
$17,683.80 |
$17,683.80 |
$17,683.80 |
$24,135.54
|
|
Ins/rpl pm gen exist dual lead
|
$9,586.80 |
$9,586.80 |
$9,586.80 |
$11,005.50
|
|
Ins/rpl pm w/tv ld atrl
|
$10,378.80 |
$10,378.80 |
$10,378.80 |
$11,583.66
|
|
Inst fibrinolysis agent ini day
|
$948.00 |
$948.00 |
$948.00 |
$1,043.35
|
|
Instill, bupivac and meloxic
|
$1.80 |
$1.80 |
$1.80 |
$687.60
|
|
Ins tun cv cath wo subq prt/pm
|
$2,346.00 |
$2,346.00 |
$2,346.00 |
$4,218.00
|
|
Insulin total
|
$156.60 |
$156.60 |
$156.60 |
$66.64
|
|
Interrogate subq defib
|
$199.20 |
$199.20 |
$199.20 |
$119.60
|
|
Interrogation vad in person
|
$516.00 |
$516.00 |
$516.00 |
$296.80
|
|
Interrog dev eval icpms ip
|
$104.40 |
$104.40 |
$104.40 |
$104.00
|
|
Interrog dev eval scrms ip
|
$183.60 |
$183.60 |
$183.60 |
$124.80
|
|
Interrog device eval heart
|
$247.20 |
$247.20 |
$247.20 |
$162.40
|
|
Interrog evl pm/ldls pm ip
|
$204.00 |
$204.00 |
$204.00 |
$127.20
|
|
Intra-atrial pacing
|
$921.00 |
$921.00 |
$921.00 |
$4,850.82
|
|
Intra-atrial recording
|
$921.00 |
$921.00 |
$921.00 |
$5,252.30
|
|
Intracard echo interv w/s&i
|
$696.00 |
$696.00 |
$696.00 |
$3,436.00
|
|
Intracran angioplsty w/stent
|
$12,948.60 |
$12,948.60 |
$12,948.60 |
$8,145.50
|
|
Intracranial angioplasty
|
$12,235.20 |
$12,235.20 |
$12,235.20 |
$5,181.00
|
|
Intracranial complete study
|
$1,173.60 |
$1,173.60 |
$1,173.60 |
$881.50
|
|
Intracranial limited study
|
$808.20 |
$808.20 |
$808.20 |
$467.50
|
|
Intraventricular pacing
|
$921.00 |
$921.00 |
$921.00 |
$5,456.17
|
|
Intrinsic factor antibody
|
$133.20 |
$133.20 |
$133.20 |
$65.00
|
|
Intro cath dialysis circuit
|
$2,163.60 |
$2,163.60 |
$2,163.60 |
$2,036.94
|
|
Intro cath dialysis circuit w/pta
|
$5,144.40 |
$5,144.40 |
$5,144.40 |
$8,690.50
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$2,163.60 |
$2,163.60 |
$2,163.60 |
$16,262.40
|
|
Intro catheter aorta
|
$3,559.20 |
$3,559.20 |
$3,559.20 |
$1,678.05
|
|
Intro cath svc/ivc
|
$6,967.80 |
$6,967.80 |
$6,967.80 |
$1,323.27
|
|
Intro long gi tube
|
$661.20 |
$661.20 |
$661.20 |
$974.17
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$4,063.80 |
$4,063.80 |
$4,063.80 |
$3,472.95
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$4,063.80 |
$4,063.80 |
$4,063.80 |
$1,801.10
|
|
Intubation endotracheal emergency procedure
|
$2,313.60 |
$2,313.60 |
$2,313.60 |
$601.28
|
