|
Inj herzuma 10 mg
|
$15,209.42 |
$15,209.42 |
$17,408.37 |
$7,775.46
|
|
Inj hrt cath w/s&i sel left vent
|
$42.00 |
$42.00 |
$42.00 |
$1,239.00
|
|
Inj hrt cath w/s&i sel right vent
|
$1,695.00 |
$1,695.00 |
$1,695.00 |
$965.33
|
|
Inj ivig privigen 500 mg
|
$16,116.24 |
$16,116.24 |
$18,418.56 |
$6,967.29
|
|
Inj, lanreotide, (cipla) 1mg
|
$37,349.17 |
$37,349.17 |
$42,684.77 |
$11,648.70
|
|
Inj, levothyroxine, freskabi
|
$87.17 |
$87.17 |
$97.56 |
$303.45
|
|
Inj, lidocaine w epinephrine
|
$194.62 |
$194.62 |
$217.81 |
$47.52
|
|
Inj lwr xtr fscl pln blk uni w/wo image
|
$1,629.00 |
$1,629.00 |
$1,629.00 |
$784.00
|
|
Inj mepivacaine hcl/10 ml
|
$45.00 |
$45.00 |
$45.00 |
$33.86
|
|
Inj mogamulizumab-kpkc, 1 mg
|
$23,816.30 |
$23,816.30 |
$27,259.63 |
$8,304.04
|
|
Inj multihance
|
$260.90 |
$260.90 |
$270.36 |
$73.49
|
|
Inj. mycophenolate mofetil
|
$602.48 |
$602.48 |
$674.25 |
$252.66
|
|
Inj nephrosto/ureterogram w/img exstng access
|
$2,167.80 |
$2,167.80 |
$2,167.80 |
$1,413.35
|
|
Inj, nithiodote, 3mg / 125mg
|
$2,742.30 |
$2,742.30 |
$3,069.00 |
$462.04
|
|
Inj, nogapendekin pmln, 1mcg
|
$107,400.00 |
$107,400.00 |
$107,400.00 |
$94.12
|
|
Inj peritoneal venous shunt
|
$694.20 |
$694.20 |
$694.20 |
$413.70
|
|
Inj proc elbow arthro
|
$358.80 |
$358.80 |
$358.80 |
$419.60
|
|
Inj, releuko 1 mcg
|
$1,068.48 |
$1,068.48 |
$1,221.12 |
$473.25
|
|
Inj retro urethrocysto
|
$1,516.20 |
$1,516.20 |
$1,516.20 |
$443.50
|
|
Inj sulf hexa lipid microsph
|
$822.76 |
$822.76 |
$852.60 |
$256.14
|
|
Inj teclistamab cqyv 0.5 mg
|
$52,028.80 |
$52,028.80 |
$59,551.04 |
$17,517.56
|
|
Inj testosterone cypionate
|
$45.69 |
$45.69 |
$51.13 |
$64.80
|
|
Inj thrc fascial pln blk bi w/wo image
|
$1,629.00 |
$1,629.00 |
$1,629.00 |
$1,152.97
|
|
Inj thrc fascial pln blk uni w/wo image
|
$814.80 |
$814.80 |
$814.80 |
$837.50
|
|
Inj. tigecycline (accord)
|
$162.30 |
$162.30 |
$181.63 |
$188.03
|
|
Inj, tyenne, 1 mg
|
$8,225.28 |
$8,225.28 |
$9,400.32 |
$3,525.12
|
|
Inj vocal cord bulking agent
|
$4,608.45 |
$4,608.45 |
$4,608.45 |
$1,480.00
|
|
Inj w/fluor eval cv device
|
$428.40 |
$428.40 |
$428.40 |
$503.92
|
|
Inotuzumab ozogamicin 0.9 mg(0.25 mg/ml initial concentration) IV soln
|
$71,747.85 |
$71,747.85 |
$71,747.85 |
$44,026.28
|
|
Ins cath ren art 1st bi
|
$7,264.80 |
$7,264.80 |
$7,264.80 |
$5,753.10
|
|
Ins cath ren art 1st uni
|
$6,838.80 |
$6,838.80 |
$6,838.80 |
$4,660.00
|
|
Ins cath ren art 2nd+ bi
|
$7,554.00 |
$7,554.00 |
$7,554.00 |
$5,500.86
|
|
Ins cath ren art 2nd+ uni
|
$7,104.00 |
$7,104.00 |
$7,104.00 |
$5,395.20
|
|
Ins cerv dilator (sep proc)
|
$688.80 |
$688.80 |
$688.80 |
$480.28
|
|
Insert and remove bone pin
|
$7,289.40 |
$7,289.40 |
$7,289.40 |
$4,410.60
|
|
Insert cath pleura with image
|
$3,896.40 |
$3,896.40 |
$3,896.40 |
$2,194.40
|
|
Insert cath pleura without image
|
$4,562.40 |
$4,562.40 |
$4,562.40 |
$2,073.18
|
|
Insert hepatic shunt (tips)
|
$8,018.40 |
$8,018.40 |
$8,018.40 |
$7,571.20
|
|
Insert intrauterine device iud
|
$726.60 |
$726.60 |
$11,270.85 |
$347.10
|
|
Insertion catheter bladder non indwelling
|
$148.80 |
$148.80 |
$148.80 |
$205.40
|
|
Insertion catheter bladder temporary simple
|
$235.80 |
$235.80 |
$29,038.10 |
$232.25
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$5,004.00 |
$5,004.00 |
$5,004.00 |
$4,782.00
|
|
Insertion intra aortic balloon assist device percutaneous
|
$4,561.80 |
$4,561.80 |
$4,561.80 |
$2,529.45
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$8,253.00 |
$8,253.00 |
$8,253.00 |
$7,210.78
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$2,338.80 |
$2,338.80 |
$2,338.80 |
$2,505.60
|
|
Insertion of catheter vein
|
$2,716.80 |
$2,716.80 |
$2,716.80 |
$1,477.00
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$17,758.80 |
$17,758.80 |
$17,758.80 |
$12,384.25
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$13,323.60 |
$13,323.60 |
$13,323.60 |
$12,384.25
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$11,578.80 |
$11,578.80 |
$11,578.80 |
$10,100.35
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$2,254.20 |
$2,254.20 |
$2,367.00 |
$2,079.50
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$3,813.60 |
$3,813.60 |
$4,004.40 |
$2,419.65
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$187,881.47 |
$187,881.47 |
$187,881.47 |
$29,042.52
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$10,685.40 |
$10,685.40 |
$11,220.60 |
$7,200.05
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$11,211.00 |
$11,211.00 |
$11,211.00 |
$7,312.80
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$11,386.20 |
$11,386.20 |
$11,386.20 |
$9,332.50
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$10,864.10 |
$10,864.10 |
$11,383.20 |
$5,223.20
|
|
Insert multi-comp penis pros
|
$128,372.95 |
$128,372.95 |
$128,372.95 |
$21,998.10
|
|
Insert pm/icd lead dual
|
$15,192.00 |
$15,192.00 |
$15,192.00 |
$7,115.20
|
|
Insert/repl sq defib w/eltrd
|
$61,733.40 |
$61,733.40 |
$61,733.40 |
$32,800.04
|
|
Insert swan-ganz cath
|
$4,452.60 |
$4,452.60 |
$4,452.60 |
$2,210.50
|
|
Insert tunneled cv cath
|
$4,105.80 |
$4,105.80 |
$4,105.80 |
$4,520.00
|
|
Insert uro/ves nck sphincter
|
$140,485.76 |
$140,485.76 |
$140,485.76 |
$22,298.82
|
|
Insert vad art access left hrt arterial access
|
$5,137.20 |
$5,137.20 |
$5,137.20 |
$4,270.75
|
|
Insitu hybridization auto
|
$1,027.20 |
$1,027.20 |
$1,027.20 |
$377.37
|
|
Insitu hybridization manual
|
$271.20 |
$271.20 |
$271.20 |
$401.28
|
|
In situ hybridization per specimen each additional single probe stain
|
$219.00 |
$219.00 |
$219.00 |
$241.15
|
|
In situ hybridization per specimen initial single probe stain
|
$265.80 |
$265.80 |
$279.00 |
$331.69
|
|
Insj biomechanical device 22853
|
$53,869.79 |
$53,869.79 |
$53,869.79 |
$622.40
|
|
Ins lv lead exist pm/icd
|
$40,695.00 |
$40,695.00 |
$40,695.00 |
$12,384.25
|
|
Ins mark abd/pel for right perq
|
$3,138.60 |
$3,138.60 |
$3,138.60 |
$2,414.36
|
|
Insole orthotic freedom sz6 6816
|
$416.96 |
$416.96 |
$416.96 |
$84.00
|
|
Ins pm gen exist dual lead
|
$54,763.80 |
$54,763.80 |
$54,763.80 |
$23,665.85
|
|
Ins pm gen w/exist mlt leads
|
$22,369.20 |
$22,369.20 |
$22,369.20 |
$14,804.40
|
|
Ins pq tunnld ip cath w/img
|
$6,775.20 |
$6,775.20 |
$6,775.20 |
$5,377.00
|
|
Ins/rplc spi npg/rcvr pocket
|
$180,260.37 |
$180,260.37 |
$180,260.37 |
$24,061.80
|
|
Ins/rpl ldless pm right vent w img & eval
|
$31,415.40 |
$31,415.40 |
$31,415.40 |
$24,135.54
|
|
Ins/rpl pm gen exist dual lead
|
$20,535.60 |
$20,535.60 |
$20,535.60 |
$11,005.50
|
|
Ins/rpl pm w/tv ld atrl
|
$23,700.60 |
$23,700.60 |
$23,700.60 |
$11,583.66
|
|
Ins/rpl prph sac/gstr npg/r
|
$105,235.24 |
$105,235.24 |
$123,130.61 |
$21,857.50
|
|
Insrt/redo neurostim 1 array
|
$204,144.90 |
$204,144.90 |
$204,144.90 |
$21,817.60
|
|
Inst fibrinolysis agent ini day
|
$1,297.80 |
$1,297.80 |
$1,297.80 |
$1,036.05
|
|
Inst fibrinolysis agent sbsq d
|
$1,179.60 |
$1,179.60 |
$1,179.60 |
$898.12
|
|
Instillation anticarcinogenic agent bladder
|
$15,084.53 |
$15,084.53 |
$15,084.53 |
$621.40
|
|
Ins tun cv cath wo subq prt/pm
|
$4,269.60 |
$4,269.60 |
$4,269.60 |
$4,202.70
|
|
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm
|
$28,966.58 |
$28,966.58 |
$28,966.58 |
$8,629.72
|
|
Integra meshed bil wound mat
|
$95,010.94 |
$95,010.94 |
$95,010.94 |
$9,924.16
|
|
Integra os putty 2.5cc - cost per 0.5cc
|
$21,850.95 |
$21,850.95 |
$21,850.95 |
$3,803.11
|
|
Interdental fixation
|
$3,481.80 |
$3,481.80 |
$3,481.80 |
$2,133.48
|
|
Interdiscal perq aspir dx
|
$2,076.00 |
$2,076.00 |
$2,076.00 |
$1,222.26
|
|
Interfyl, 1 mg
|
$12,540.00 |
$12,540.00 |
$12,540.00 |
$4,656.80
|
|
Intracard echo interv w/s&i
|
$4,670.40 |
$4,670.40 |
$4,670.40 |
$3,461.04
|
|
Intracranial angioplasty
|
$3,865.80 |
$3,865.80 |
$3,865.80 |
$4,962.40
|
|
Intracranial complete study
|
$370.20 |
$370.20 |
$370.20 |
$874.99
|
|
Intracranial limited study
|
$162.60 |
$162.60 |
$162.60 |
$465.01
|
|
Intrapul surf admin endo tube
|
$152.40 |
$152.40 |
$152.40 |
$220.80
|
|
Intrinsic factor antibody
|
$66.60 |
$66.60 |
$66.60 |
$63.15
|
|
Intro cath dialysis circuit
|
$2,076.00 |
$2,076.00 |
$2,076.00 |
$2,036.94
|
|
Intro cath dialysis circuit w/pta
|
$13,099.80 |
$13,099.80 |
$13,099.80 |
$8,690.50
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$30,965.89 |
$30,965.89 |
$30,965.89 |
$16,262.40
|
|
Intro catheter aorta
|
$44,111.71 |
$44,111.71 |
$44,111.71 |
$1,654.05
|