|
Inj proc sialogram
|
$476.40 |
$476.40 |
$476.40 |
$369.45
|
|
Inj progesterone per 50 mg
|
$11.40 |
$11.40 |
$114.60 |
$13.76
|
|
Inj prohance multipack
|
$34.80 |
$39.00 |
$138.00 |
$10.40
|
|
Inj retro urethrocysto
|
$2,236.20 |
$2,981.40 |
$4,057.80 |
$447.74
|
|
Inj., rolapitant, 0.5 mg
|
$1.80 |
$1.80 |
$2.40 |
$1.80
|
|
Inj scleros sol mult veins
|
$1,108.20 |
$1,181.40 |
$1,430.40 |
$707.85
|
|
Inj scleros sol sgl vein
|
$1,193.40 |
$1,274.40 |
$1,399.20 |
$561.88
|
|
Inj secretin synthetic human
|
$43.80 |
$169.20 |
$2,715.60 |
$1,234.65
|
|
Inj secukinumab intrav 1mg
|
$42.80 |
$43.50 |
$43.50 |
$4,413.21
|
|
Inj, spesolimab-sbzo, 1 mg
|
$109.20 |
$109.20 |
$109.20 |
$90,007.62
|
|
Inj(s) sclerosant spider veins limb/trunk
|
$12.00 |
$12.00 |
$12.00 |
$436.80
|
|
Inj sulf hexa lipid microsph
|
$105.60 |
$397.80 |
$529.20 |
$256.14
|
|
Inj, susvimo 0.1 mg
|
$242.40 |
$242.40 |
$242.40 |
$2,598.44
|
|
Inj, sutimlimab-jome, 10 mg
|
$34.80 |
$34.80 |
$34.80 |
$3,453.73
|
|
Inj. tagraxofusp-erzs 10 mcg
|
$544.80 |
$560.40 |
$84,002.40 |
$67,538.30
|
|
Inj teclistamab cqyv 0.5 mg
|
$85.20 |
$85.20 |
$85.20 |
$17,517.56
|
|
Inj tedizolid phosphate
|
$765.00 |
$765.00 |
$1,081.80 |
$664.72
|
|
Inj. teprotumumab-trbw 10 mg
|
$768.00 |
$36,250.20 |
$51,233.40 |
$35,034.78
|
|
Inj testostero enanthate 1mg
|
$0.60 |
$0.60 |
$20.40 |
$123.09
|
|
Inj testosterone cypionate
|
$0.60 |
$68.40 |
$97.20 |
$64.96
|
|
Inj thiotepa nos 1 mg
|
$53.40 |
$70.80 |
$195.60 |
$3,170.16
|
|
Inj thrc fascial pln blk bi w/wo image
|
$135.00 |
$135.00 |
$179.40 |
$1,059.00
|
|
Inj thrc fascial pln blk uni w/wo image
|
$120.00 |
$120.00 |
$160.20 |
$837.50
|
|
Inj., tildrakizumab, 1 mg
|
$313.20 |
$313.20 |
$31,450.80 |
$26,635.60
|
|
Inj, tislelizumab-jsgr
|
$103.20 |
$103.20 |
$103.20 |
$9,764.09
|
|
Inj tofersen intrathec 1 mg
|
$288.00 |
$288.00 |
$288.00 |
$293.34
|
|
Inj, tyenne, 1 mg
|
$12.75 |
$12.75 |
$12.80 |
$3,525.12
|
|
Inj, uzedy, 1 mg
|
$59.40 |
$59.40 |
$59.40 |
$11,475.96
|
|
Inj, vancomycin hcl (xellia)
|
$24.00 |
$36.00 |
$85.20 |
$85.20
|
|
Inj w/fluor eval cv device
|
$516.00 |
$784.20 |
$1,433.40 |
$504.40
|
|
Inj zanidatamab-hrii, 2 mg
|
$44.40 |
$44.40 |
$47.40 |
$8,532.00
|
|
Inotuzumab ozogamicin 0.9 mg(0.25 mg/ml initial concentration) IV soln
|
$8,027.40 |
$8,027.40 |
$60,660.60 |
$41,083.73
|
|
Ins cath ren art 1st bi
|
$2,866.20 |
$11,076.00 |
$18,946.80 |
$5,974.80
|
|
Ins cath ren art 1st uni
|
$2,833.20 |
$7,507.80 |
$10,031.40 |
$4,692.00
|
|
Ins cath ren art 2nd+ bi
|
$11,865.00 |
$15,122.40 |
$18,946.80 |
$5,663.98
|
|
Ins cath ren art 2nd+ uni
|
$7,959.00 |
$10,031.40 |
$11,560.20 |
$5,395.20
|
|
Ins cerv dilator (sep proc)
|
$733.80 |
$733.80 |
$733.80 |
$488.35
|
|
Insert and remove bone pin
|
$3,639.60 |
$3,639.60 |
$5,790.60 |
$4,433.36
|
|
Insert cannula vein-to-vein hemodialysis
|
$6,414.00 |
$6,414.00 |
$6,414.00 |
$7,279.50
|
|
Insert cath pleura with image
|
$2,703.60 |
$4,552.20 |
$4,810.20 |
$2,194.40
|
|
Insert cath pleura without image
|
$697.20 |
$2,370.00 |
$2,890.80 |
$2,101.52
|
|
Insert drug delivery implant
|
$1,399.20 |
$1,399.20 |
$1,523.40 |
$280.00
|
|
Insert hepatic shunt (tips)
|
$7,146.60 |
$10,154.40 |
$10,756.80 |
$7,571.20
|
|
Insert intrauterine device iud
|
$336.00 |
$349.80 |
$513.00 |
$330.72
|
|
Insertion catheter bladder non indwelling
|
$309.00 |
$441.00 |
$609.00 |
$209.30
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$6,054.00 |
$6,840.00 |
$10,692.00 |
$4,923.19
|
|
Insertion intra aortic balloon assist device percutaneous
|
$1,380.00 |
$2,385.60 |
$12,931.20 |
$2,447.63
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$4,867.80 |
$5,160.00 |
$11,923.20 |
$7,210.78
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$1,302.60 |
$1,890.60 |
$3,496.20 |
$2,595.45
|
|
Insertion of catheter vein
|
$4,219.80 |
$4,219.80 |
$5,730.60 |
$1,525.80
|
|
Insertion of catheter vein
|
$3,172.80 |
$3,172.80 |
$4,284.60 |
$858.05
|
|
Insertion of heart electrode 33211
|
$12,704.40 |
$12,704.40 |
$12,704.40 |
$6,839.00
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$14,596.20 |
$21,200.40 |
$22,707.00 |
$12,384.25
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$12,188.40 |
$18,169.20 |
$19,503.60 |
$12,324.60
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$21,211.80 |
$28,245.60 |
$34,056.00 |
$9,884.16
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$1,798.20 |
$2,011.80 |
$4,189.20 |
$2,109.00
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$1,798.20 |
$2,011.80 |
$4,189.20 |
$2,463.50
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$41,292.60 |
$67,256.40 |
$70,716.00 |
$29,180.00
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$4,897.20 |
$8,266.80 |
$9,072.60 |
$7,200.05
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$7,267.20 |
$9,282.00 |
$9,305.40 |
$7,267.20
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$8,470.20 |
$8,850.60 |
$14,247.60 |
$9,390.55
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$3,034.20 |
$4,011.60 |
$5,847.60 |
$5,236.80
|
|
Insert pessary/other device
|
$421.80 |
$421.80 |
$421.80 |
$278.90
|
|
Insert pm/icd lead dual
|
$6,057.00 |
$9,288.60 |
$9,305.40 |
$7,115.90
|
|
Insert/repl sq defib w/eltrd
|
$2,995.20 |
$30,741.60 |
$59,956.20 |
$33,593.55
|
|
Insert sq defib electrode
|
$14,554.20 |
$18,924.60 |
$20,059.80 |
$8,167.68
|
|
Insert swan-ganz cath
|
$1,972.20 |
$2,271.60 |
$4,443.00 |
$2,164.52
|
|
Insert uteri tandem/ovoids
|
$2,862.60 |
$2,862.60 |
$2,862.60 |
$3,940.41
|
|
Insert vad art access left hrt arterial access
|
$2,074.20 |
$2,074.20 |
$2,868.00 |
$4,276.00
|
|
Ins icd gen exist sgl lead
|
$33,033.60 |
$34,386.00 |
$55,021.80 |
$23,230.50
|
|
Insitu hybridization auto
|
$717.60 |
$1,083.60 |
$1,867.80 |
$372.81
|
|
Insitu hybridization manual
|
$591.00 |
$615.00 |
$785.40 |
$401.28
|
|
In situ hybridization per specimen each additional single probe stain
|
$463.20 |
$463.20 |
$463.20 |
$243.00
|
|
In situ hybridization per specimen initial single probe stain
|
$102.00 |
$300.00 |
$981.00 |
$340.00
|
|
Ins lv lead exist pm/icd
|
$28,245.60 |
$28,245.60 |
$34,056.00 |
$12,384.25
|
|
Ins picad w subq port 5yr>
|
$2,961.00 |
$5,121.60 |
$5,529.60 |
$4,195.00
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$2,070.60 |
$2,070.60 |
$2,070.60 |
$1,690.00
|
|
Ins pm gen w/exist mlt leads
|
$40,853.40 |
$40,853.40 |
$40,853.40 |
$14,804.40
|
|
Ins pq tunnld ip cath w/img
|
$8,686.20 |
$11,944.80 |
$15,708.00 |
$5,486.00
|
|
Ins/rplc spi npg/rcvr pocket
|
$4,030.20 |
$4,030.20 |
$4,030.20 |
$24,061.80
|
|
Ins/rpl ldless pm right vent w img & eval
|
$1,543.20 |
$16,670.40 |
$19,179.60 |
$24,135.54
|
|
Ins/rpl pm gen exist dual lead
|
$10,852.20 |
$10,852.20 |
$18,634.20 |
$11,198.55
|
|
Ins/rpl pm gen exist sgl lead
|
$14,386.80 |
$14,386.80 |
$18,108.00 |
$9,558.78
|
|
Ins/rpl pm w/tv ld atrl
|
$15,256.20 |
$15,256.20 |
$17,949.60 |
$11,583.66
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$8,658.00 |
$8,658.00 |
$10,953.00 |
$27,318.11
|
|
Insrt/redo neurostim 1 array
|
$6,097.20 |
$6,097.20 |
$6,097.20 |
$21,817.60
|
|
Inst fibrinolysis agent ini day
|
$760.80 |
$878.40 |
$1,236.00 |
$1,043.35
|
|
Inst fibrinolysis agent sbsq d
|
$1,245.00 |
$1,245.00 |
$1,245.00 |
$997.05
|
|
Insti hexaminolevulinate hcl
|
$3,240.00 |
$3,240.00 |
$3,240.00 |
$2,356.80
|
|
Instillation anticarcinogenic agent bladder
|
$1,307.40 |
$1,307.40 |
$2,753.40 |
$645.01
|
|
Instill, bupivac and meloxic
|
$1.80 |
$1.80 |
$1.80 |
$687.07
|
|
Instll rx agnt into rnal tub
|
$2,577.60 |
$2,577.60 |
$2,577.60 |
$619.20
|
|
Ins tun cvad 2 cath w/subq port(s)
|
$2,997.00 |
$3,352.80 |
$12,849.60 |
$7,826.00
|
|
Ins tun cv cath wo subq prt/pm
|
$2,558.40 |
$2,645.40 |
$4,675.80 |
$4,218.00
|
|
Ins tun intraperit dia cath
|
$2,813.40 |
$2,815.20 |
$4,187.40 |
$4,570.00
|
|
Insulin total
|
$80.40 |
$114.60 |
$638.40 |
$66.64
|
|
Ins vag brachytx device
|
$2,862.60 |
$2,862.60 |
$3,562.20 |
$950.00
|
|
Interdental fixation
|
$3,520.20 |
$3,520.20 |
$5,052.60 |
$2,133.48
|
|
Interdental wirg oth/thn fx
|
$4,811.40 |
$4,811.40 |
$4,811.40 |
$1,944.80
|
|
Interdiscal perq aspir dx
|
$1,753.80 |
$1,753.80 |
$1,783.80 |
$1,222.26
|
