|
Injection for bladder x-ray
|
$271.00 |
$271.00 |
$271.00 |
$459.20
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$281.00 |
$281.00 |
$281.00 |
$494.65
|
|
Injection for ureter x-ray
|
$140.00 |
$140.00 |
$140.00 |
$515.21
|
|
Injection, fulvestrant
|
$4,210.16 |
$4,210.16 |
$4,210.16 |
$1,817.65
|
|
Injection, inclisiran, 1 mg
|
$27.00 |
$27.00 |
$27.00 |
$6,679.35
|
|
Injection jugular
|
$187.50 |
$187.50 |
$187.50 |
$790.00
|
|
Injection,onabotulinumtoxina
|
$1,292.00 |
$1,292.00 |
$1,292.00 |
$2,277.65
|
|
Injection px peyronie ds
|
$287.00 |
$287.00 |
$287.00 |
$409.34
|
|
Injection radioactive tracer sentinel node (both sides)
|
$532.00 |
$532.00 |
$532.00 |
$670.64
|
|
Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides)
|
$1,710.00 |
$1,710.00 |
$1,710.00 |
$1,582.12
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$5,391.33 |
$5,391.33 |
$5,391.33 |
$1,348.56
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$954.00 |
$954.00 |
$954.00 |
$1,023.50
|
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
|
$2,742.00 |
$2,742.00 |
$2,742.00 |
$1,952.40
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
|
$566.00 |
$566.00 |
$566.00 |
$1,029.45
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
|
$1,398.00 |
$1,398.00 |
$1,398.00 |
$1,814.40
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
|
$460.00 |
$460.00 |
$460.00 |
$1,017.90
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
|
$2,153.00 |
$2,153.00 |
$2,153.00 |
$1,995.00
|
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
|
$852.50 |
$852.50 |
$852.50 |
$1,817.24
|
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
|
$877.50 |
$877.50 |
$877.50 |
$1,681.24
|
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
|
$888.00 |
$888.00 |
$888.00 |
$472.76
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$706.00 |
$706.00 |
$706.00 |
$548.80
|
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
|
$706.00 |
$706.00 |
$706.00 |
$632.00
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$298.00 |
$298.00 |
$298.00 |
$166.38
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$162.00 |
$162.00 |
$162.00 |
$145.60
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$417.00 |
$417.00 |
$417.00 |
$249.32
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$153.00 |
$153.00 |
$153.00 |
$135.60
|
|
Injection treatment of eye
|
$2,652.50 |
$2,652.50 |
$2,652.50 |
$2,665.60
|
|
Injection treatment of nerve
|
$2,244.50 |
$2,244.50 |
$2,244.50 |
$3,219.20
|
|
Inject sacroiliac joint
|
$1,710.00 |
$1,710.00 |
$1,710.00 |
$1,028.95
|
|
Inject/treat eye socket
|
$365.00 |
$365.00 |
$365.00 |
$381.13
|
|
Inject/treat eye socket
|
$365.00 |
$365.00 |
$365.00 |
$670.02
|
|
Inj efgart-alfa 2mg hya-qvfc
|
$73.50 |
$73.50 |
$73.50 |
$32,176.93
|
|
Inj epidural sgl lumb-sacral without img
|
$1,127.50 |
$1,127.50 |
$1,127.50 |
$1,415.50
|
|
Inj, epinephrine (belcher)
|
$36.18 |
$36.18 |
$36.18 |
$6.55
|
|
Inj., eravacycline, 1 mg
|
$3.50 |
$3.50 |
$3.50 |
$206.64
|
|
Inj, faricimab-svoa, 0.1mg
|
$88.50 |
$88.50 |
$88.50 |
$4,103.29
|
|
Inj for ext venography
|
$389.00 |
$389.00 |
$389.00 |
$649.95
|
|
Inj for mammo ductogram
|
$221.50 |
$221.50 |
$221.50 |
$399.60
|
|
Inj, gadopiclenol, 1 ml
|
$82.97 |
$82.97 |
$82.97 |
$37.63
|
|
Inj heparin, pfizer, 1000u
|
$4.86 |
$4.86 |
$4.86 |
$26.26
|
|
Inj. herceptin hylecta, 10mg
|
$10,519.29 |
$10,519.29 |
$10,519.29 |
$7,690.59
|
|
Inj hrt cath w/s&i nonsel p-art angrp
|
$139.00 |
$139.00 |
$139.00 |
$1,439.90
|
|
Inj intralesional <= 7 lsn(s)
|
$230.50 |
$230.50 |
$230.50 |
$235.13
|
|
Inj, invega hafyera/trinza
|
$28.50 |
$28.50 |
$28.50 |
$32,073.55
|
|
Inj ivig privigen 500 mg
|
$3,285.00 |
$3,285.00 |
$3,285.00 |
$6,967.29
|
|
Inj, lecanemab-irmb, 1 mg
|
$1,322.49 |
$1,322.49 |
$1,322.49 |
$1,174.88
|
|
Inj lwr xtr fscl pln blk uni w/wo image
|
$980.00 |
$980.00 |
$980.00 |
$784.00
|
|
Inj mepivacaine hcl/10 ml
|
$3.51 |
$3.51 |
$3.51 |
$33.86
|
|
Inj, mirikizumab-mrkz, 1 mg
|
$118.50 |
$118.50 |
$118.50 |
$1,496.55
|
|
Inj multihance multipack
|
$69.17 |
$69.17 |
$69.17 |
$2.80
|
|
Inj naloxone hydrochloride
|
$42.30 |
$42.30 |
$42.30 |
$83.16
|
|
Inj nephrosto/ureterogram w/img exstng access
|
$1,292.00 |
$1,292.00 |
$1,292.00 |
$1,413.35
|
|
Inj non-compmd foam sclrsnt mlt trncl veins same leg
|
$2,371.50 |
$2,371.50 |
$2,371.50 |
$2,837.09
|
|
Inj non-compmd foam sclrsnt sgl trncl vein
|
$2,371.50 |
$2,371.50 |
$2,371.50 |
$2,609.38
|
|
Inj ocrelizumab 1mg hya-ocsq
|
$101.00 |
$101.00 |
$101.00 |
$66,582.27
|
|
Inj, pegcetacoplan, 1mg
|
$338.50 |
$338.50 |
$338.50 |
$3,662.96
|
|
Inj., perseris, 0.5 mg
|
$25.00 |
$25.00 |
$25.00 |
$5,146.85
|
|
Inj proc ankle arthr
|
$273.00 |
$273.00 |
$273.00 |
$405.31
|
|
Inj proc elbow arthro
|
$410.00 |
$410.00 |
$410.00 |
$419.60
|
|
Inj proc myelogram lumbar
|
$273.00 |
$273.00 |
$273.00 |
$830.50
|
|
Inj retacrit esrd on dialysi
|
$169.55 |
$169.55 |
$169.55 |
$349.45
|
|
Inj retro urethrocysto
|
$273.00 |
$273.00 |
$273.00 |
$443.50
|
|
Inj, rimabotulinumtoxinb
|
$13.00 |
$13.00 |
$13.00 |
$746.79
|
|
Inj scleros sol mult veins
|
$467.00 |
$467.00 |
$467.00 |
$675.00
|
|
Inj, susvimo 0.1 mg
|
$180.00 |
$180.00 |
$180.00 |
$2,598.44
|
|
Inj. teprotumumab-trbw 10 mg
|
$811.00 |
$811.00 |
$811.00 |
$35,034.78
|
|
Inj testostero enanthate 1mg
|
$13.24 |
$13.24 |
$13.24 |
$123.24
|
|
Inj testosterone cypionate
|
$42.75 |
$42.75 |
$42.75 |
$64.80
|
|
Inj thrc fascial pln blk bi w/wo image
|
$1,025.00 |
$1,025.00 |
$1,025.00 |
$1,152.97
|
|
Inj thrc fascial pln blk uni w/wo image
|
$818.00 |
$818.00 |
$818.00 |
$837.50
|
|
Inj triamcinolone ace X-ray 1mg
|
$48.50 |
$48.50 |
$48.50 |
$1,090.75
|
|
Inj, trivisc 1 mg
|
$37.50 |
$37.50 |
$37.50 |
$6.67
|
|
Inj, uzedy, 1 mg
|
$50.50 |
$50.50 |
$50.50 |
$11,475.96
|
|
Inj w/fluor eval cv device
|
$381.00 |
$381.00 |
$381.00 |
$503.92
|
|
Inj xipere 1 mg
|
$93.00 |
$93.00 |
$93.00 |
$93.00
|
|
Inj., yutiq, 0.01 mg
|
$1,158.50 |
$1,158.50 |
$1,158.50 |
$14,458.60
|
|
Ins cath ren art 1st bi
|
$2,669.50 |
$2,669.50 |
$2,669.50 |
$5,753.10
|
|
Ins cath ren art 1st uni
|
$4,130.50 |
$4,130.50 |
$4,130.50 |
$4,660.00
|
|
Ins cath ren art 2nd+ bi
|
$2,669.50 |
$2,669.50 |
$2,669.50 |
$5,500.86
|
|
Ins cath ren art 2nd+ uni
|
$4,687.50 |
$4,687.50 |
$4,687.50 |
$5,395.20
|
|
Ins cerv dilator (sep proc)
|
$397.00 |
$397.00 |
$397.00 |
$480.28
|
|
Insert and remove bone pin
|
$4,421.00 |
$4,421.00 |
$4,421.00 |
$4,410.60
|
|
Insert cath pleura with image
|
$2,200.00 |
$2,200.00 |
$2,200.00 |
$2,194.40
|
|
Insert cath pleura without image
|
$3,306.00 |
$3,306.00 |
$3,306.00 |
$2,073.18
|
|
Insert drug delivery implant
|
$803.88 |
$803.88 |
$803.88 |
$280.00
|
|
Insert epicardial lead open 33202
|
$9,790.00 |
$9,790.00 |
$9,790.00 |
$3,775.20
|
|
Insert intrauterine device iud
|
$388.33 |
$388.33 |
$388.33 |
$347.10
|
|
Insertion catheter bladder non indwelling
|
$184.00 |
$184.00 |
$184.00 |
$205.40
|
|
Insertion catheter bladder temporary simple
|
$184.00 |
$184.00 |
$184.00 |
$232.25
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$4,515.00 |
$4,515.00 |
$4,515.00 |
$4,782.00
|
|
Insertion intra aortic balloon assist device percutaneous
|
$2,250.00 |
$2,250.00 |
$2,250.00 |
$2,529.45
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$4,687.50 |
$4,687.50 |
$4,687.50 |
$7,210.78
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$2,669.50 |
$2,669.50 |
$2,669.50 |
$2,505.60
|
|
Insertion of catheter vein
|
$878.50 |
$878.50 |
$878.50 |
$836.25
|
|
Insertion of heart electrode 33211
|
$3,003.00 |
$3,003.00 |
$3,003.00 |
$6,903.60
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$5,273.00 |
$5,273.00 |
$5,273.00 |
$12,384.25
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$5,273.00 |
$5,273.00 |
$5,273.00 |
$12,384.25
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$2,386.50 |
$2,386.50 |
$2,386.50 |
$10,100.35
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$2,676.00 |
$2,676.00 |
$2,676.00 |
$2,079.50
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$1,912.50 |
$1,912.50 |
$1,912.50 |
$2,419.65
|
