|
Inj. pemetrexed, 10 mg
|
$152.40 |
$156.60 |
$11,086.80 |
|
|
Inj, pemivibart, 4500 mg
|
$96.00 |
$96.00 |
$13,860.00 |
|
|
Inj peritoneal venous shunt
|
$25.30 |
$1,665.60 |
$3,279.60 |
|
|
Inj., perseris, 0.5 mg
|
$25.00 |
$25.00 |
$34.80 |
|
|
Inj., plazomicin, 5 mg
|
$81.00 |
$85.80 |
$115.20 |
|
|
Inj proc ankle arthr
|
$273.00 |
$543.00 |
$1,172.00 |
|
|
Inj proc elbow arthro
|
$272.00 |
$543.00 |
$1,172.00 |
|
|
Inj proc for lymphang
|
$52.90 |
$1,879.60 |
$3,449.40 |
|
|
Inj proc lumbr disk ea lvl
|
$100.97 |
$3,214.20 |
$6,966.00 |
|
|
Inj proc myelogram lumbar
|
$273.00 |
$1,000.80 |
$5,222.40 |
|
|
Inj proc sialogram
|
$39.56 |
$612.60 |
$1,172.00 |
|
|
Inj progesterone per 50 mg
|
$1.80 |
$11.40 |
$114.60 |
|
|
Inj prohance multipack
|
$10.80 |
$40.80 |
$138.00 |
|
|
Inj, releuko 1 mcg
|
$1.80 |
$190.80 |
$190.80 |
|
|
Inj retacrit esrd on dialysi
|
$88.79 |
$100.37 |
$169.55 |
|
|
Inj retro urethrocysto
|
$47.32 |
$504.00 |
$4,464.00 |
|
|
Inj, rimabotulinumtoxinb
|
$13.00 |
$13.00 |
$13.00 |
|
|
Inj., rolapitant, 0.5 mg
|
$1.80 |
$1.80 |
$2.40 |
|
|
Inj scleros sol mult veins
|
$156.60 |
$1,187.40 |
$3,474.40 |
|
|
Inj scleros sol sgl vein
|
$1,108.20 |
$1,246.20 |
$3,516.00 |
|
|
Inj secretin synthetic human
|
$43.80 |
$169.20 |
$2,715.60 |
|
|
Inj secukinumab intrav 1mg
|
$31.80 |
$43.50 |
$253.80 |
|
|
Inj, sezaby, 1 mg
|
$79.80 |
$79.80 |
$79.80 |
|
|
Inj, spesolimab-sbzo, 1 mg
|
$109.20 |
$109.20 |
$110.40 |
|
|
Inj(s) sclerosant spider veins limb/trunk
|
$12.00 |
$12.00 |
$602.40 |
|
|
Inj sulf hexa lipid microsph
|
$105.60 |
$397.80 |
$529.20 |
|
|
Inj, susvimo 0.1 mg
|
$180.00 |
$180.00 |
$242.40 |
|
|
Inj, sutimlimab-jome, 10 mg
|
$34.80 |
$52.20 |
$52.20 |
|
|
Inj. tagraxofusp-erzs 10 mcg
|
$540.00 |
$544.80 |
$84,002.40 |
|
|
Inj teclistamab cqyv 0.5 mg
|
$55.80 |
$85.20 |
$25,086.00 |
|
|
Inj tedizolid phosphate
|
$3.60 |
$184.20 |
$1,282.20 |
|
|
Inj. teprotumumab-trbw 10 mg
|
$726.00 |
$9,829.20 |
$51,233.40 |
|
|
Inj testostero enanthate 1mg
|
$0.60 |
$0.60 |
$20.40 |
|
|
Inj testosterone cypionate
|
$0.60 |
$12.60 |
$121.00 |
|
|
Inj thiotepa nos 1 mg
|
$53.40 |
$450.00 |
$450.00 |
|
|
Inj thrc fascial pln blk bi w/wo image
|
$133.80 |
$135.00 |
$3,039.19 |
|
|
Inj thrc fascial pln blk uni w/wo image
|
$118.80 |
$120.00 |
$2,026.64 |
|
|
Inj., tildrakizumab, 1 mg
|
$294.00 |
$10,342.20 |
$73,040.40 |
|
|
Inj, tislelizumab-jsgr
|
$102.00 |
$103.20 |
$103.20 |
|
|
Inj tofersen intrathec 1 mg
|
$288.00 |
$288.00 |
$288.00 |
|
|
Inj triamcinolone ace X-ray 1mg
|
$48.50 |
$48.50 |
$48.50 |
|
|
Inj, trivisc 1 mg
|
$37.50 |
$37.50 |
$37.50 |
|
|
Inj, tyenne, 1 mg
|
$12.60 |
$12.80 |
$4,456.60 |
|
|
Inj, uzedy, 1 mg
|
$50.50 |
$50.50 |
$59.40 |
|
|
Inj, vancomycin hcl (mylan)
|
$30.00 |
$30.00 |
$30.00 |
|
|
Inj, vancomycin hcl (xellia)
|
$9.60 |
$25.20 |
$85.20 |
|
|
Inj vancomycin (xellia) 10mg
|
$12.88 |
$12.88 |
$12.88 |
|
|
Inj vasopressin (am reg) 1 u
|
$30.00 |
$30.00 |
$198.20 |
|
|
Inj w/fluor eval cv device
|
$381.00 |
$567.20 |
$1,494.00 |
|
|
Inj xipere 1 mg
|
$89.40 |
$89.40 |
$93.00 |
|
|
Inj., yutiq, 0.01 mg
|
$1,158.50 |
$1,158.50 |
$1,158.50 |
|
|
Inj zanidatamab-hrii, 2 mg
|
$43.80 |
$44.40 |
$47.40 |
|
|
Inner skull vessel surgery
|
$2,608.89 |
$2,608.89 |
$2,949.18 |
|
|
Inotuzumab ozogamicin 0.9 mg(0.25 mg/ml initial concentration) IV soln
|
$3.00 |
$7,368.80 |
$60,660.60 |
|
|
Inpatient consultation
|
$73.80 |
$73.80 |
$73.80 |
|
|
Inpt/ed teleconsult30
|
$59.57 |
$59.57 |
$67.34 |
|
|
Inpt/ed teleconsult50
|
$83.95 |
$83.95 |
$94.90 |
|
|
Inpt/ed teleconsult70
|
$119.60 |
$119.60 |
$135.20 |
|
|
Inpt/tele follow up 15
|
$26.22 |
$26.22 |
$29.64 |
|
|
Inpt/tele follow up 25
|
$46.69 |
$46.69 |
$52.78 |
|
|
Inpt/tele follow up 35
|
$67.16 |
$67.16 |
$75.92 |
|
|
Ins cath ren art 1st bi
|
$2,669.50 |
$6,300.60 |
$18,946.80 |
|
|
Ins cath ren art 1st uni
|
$2,781.00 |
$6,300.60 |
$10,031.40 |
|
|
Ins cath ren art 2nd+ bi
|
$2,669.50 |
$6,300.60 |
$18,946.80 |
|
|
Ins cath ren art 2nd+ uni
|
$3,054.00 |
$10,450.20 |
$15,817.34 |
|
|
Ins cerv dilator (sep proc)
|
$43.47 |
$678.00 |
$2,562.00 |
|
|
Ins device for right guide open
|
$52.90 |
$52.90 |
$59.80 |
|
|
Insemination of oocytes
|
$257.60 |
$257.60 |
$291.20 |
|
|
Insert abdomen-venous drain
|
$506.46 |
$506.46 |
$572.52 |
|
|
Insert and remove bone pin
|
$109.48 |
$3,639.60 |
$5,790.60 |
|
|
Insert ant drainage device
|
$649.06 |
$649.06 |
$733.72 |
|
|
Insert balloon device
|
$316.48 |
$316.48 |
$357.76 |
|
|
Insert brain-fluid device 61215
|
$339.48 |
$339.48 |
$383.76 |
|
|
Insert cannula hemo oth 36815
|
$86.02 |
$86.02 |
$97.24 |
|
|
Insert cannula vein-to-vein hemodialysis
|
$77.05 |
$6,966.60 |
$6,966.60 |
|
|
Insert cath pleura with image
|
$396.00 |
$2,611.20 |
$10,384.20 |
|
|
Insert cath pleura without image
|
$218.40 |
$2,370.00 |
$5,550.93 |
|
|
Insert drug delivery implant
|
$142.80 |
$254.40 |
$1,523.40 |
|
|
Insert electrodes for eeg
|
$58.65 |
$58.65 |
$66.30 |
|
|
Insert epicard eltrd endo 33203
|
$516.81 |
$516.81 |
$584.22 |
|
|
Insert epicardial lead open 33202
|
$491.51 |
$555.62 |
$9,790.00 |
|
|
Insert eye socket implant
|
$678.27 |
$678.27 |
$766.74 |
|
|
Insert hepatic shunt (tips)
|
$515.89 |
$11,241.60 |
$28,240.62 |
|
|
Insert heyman uteri capsule
|
$323.84 |
$323.84 |
$366.08 |
|
|
Insert intervert bimech device 22854
|
$215.97 |
$215.97 |
$244.14 |
|
|
Insert intracorporeal device
|
$1,228.43 |
$1,228.43 |
$1,388.66 |
|
|
Insert intrauterine device iud
|
$34.27 |
$254.40 |
$733.60 |
|
|
Insertion catheter artery nfs ther chemotx 36640
|
$74.98 |
$74.98 |
$84.76 |
|
|
Insertion catheter bladder non indwelling
|
$150.40 |
$375.20 |
$1,524.00 |
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$343.80 |
$7,054.80 |
$10,692.00 |
|
|
Insertion intra aortic balloon assist device percutaneous
|
$796.80 |
$2,571.03 |
$12,931.20 |
|
|
Insertion intra-aortic circulation dev 33970
|
$223.33 |
$223.33 |
$252.46 |
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$1,806.60 |
$8,073.60 |
$15,817.34 |
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$1,101.60 |
$2,472.00 |
$9,209.97 |
|
|
Insertion of cannula
|
$123.51 |
$123.51 |
$139.62 |
|
|
Insertion of cannula(s)
|
$906.43 |
$906.43 |
$1,024.66 |
|
|
Insertion of catheter vein
|
$206.08 |
$3,023.40 |
$5,730.60 |
|
|
Insertion of catheter vein
|
$116.15 |
$4,608.60 |
$4,608.60 |
|
|
Insertion of heart electrode 33211
|
$119.86 |
$3,003.00 |
$24,215.73 |
|
|
Insertion of infusion pump
|
$425.04 |
$425.04 |
$480.48 |
|