|
Inj hrt cath w/s&i sel right vent
|
$700.00 |
$1,426.00 |
$3,686.00 |
|
|
Inj hydroxocobalamin IV 25mg
|
$8,983.00 |
$8,983.00 |
$8,983.00 |
|
|
Inj. inebilizumab-cdon, 1 mg
|
$117,051.41 |
$117,051.41 |
$117,051.41 |
|
|
Inj/inf neurolyt sbst spinal canal lesion 62282
|
$1,081.50 |
$1,468.50 |
$1,468.50 |
|
|
Inj intralesional <= 7 lsn(s)
|
$122.50 |
$137.00 |
$169.00 |
|
|
Inj intralesional > 7 lsns
|
$157.50 |
$218.00 |
$218.00 |
|
|
Inj ivig privigen 500 mg
|
$16,116.24 |
$16,116.24 |
$18,418.56 |
|
|
Inj, lanreotide, (cipla) 1mg
|
$37,349.17 |
$37,349.17 |
$42,684.77 |
|
|
Inj levocarnitine per 1 gm
|
$512.00 |
$512.00 |
$512.00 |
|
|
Inj, levothyroxine, freskabi
|
$87.17 |
$87.17 |
$97.56 |
|
|
Inj, lidocaine w epinephrine
|
$194.62 |
$194.62 |
$217.81 |
|
|
Inj lwr xtr fscl pln blk uni w/wo image
|
$274.00 |
$274.00 |
$1,629.00 |
|
|
Inj mepivacaine hcl/10 ml
|
$45.00 |
$45.00 |
$45.00 |
|
|
Inj., meropenem, vaborbactam
|
$761.00 |
$761.00 |
$761.00 |
|
|
Inj mogamulizumab-kpkc, 1 mg
|
$23,816.30 |
$23,816.30 |
$27,259.63 |
|
|
Inj, moxifloxacin 100 mg
|
$703.00 |
$703.00 |
$703.00 |
|
|
Inj multihance
|
$260.90 |
$260.90 |
$270.36 |
|
|
Inj. mycophenolate mofetil
|
$602.48 |
$602.48 |
$674.25 |
|
|
Inj nephrosto/ureterogram w/img exstng access
|
$543.50 |
$901.00 |
$6,084.00 |
|
|
Inj, nithiodote, 3mg / 125mg
|
$2,742.30 |
$2,742.30 |
$3,069.00 |
|
|
Inj, nogapendekin pmln, 1mcg
|
$107,400.00 |
$107,400.00 |
$107,400.00 |
|
|
Inj non-compmd foam sclrsnt mlt trncl veins same leg
|
$2,274.00 |
$3,144.00 |
$3,144.00 |
|
|
Inj non-compmd foam sclrsnt sgl trncl vein
|
$2,274.00 |
$2,821.00 |
$3,144.00 |
|
|
Inj ogivri 10 mg
|
$400.00 |
$400.00 |
$400.00 |
|
|
Inj peritoneal venous shunt
|
$108.00 |
$146.50 |
$694.20 |
|
|
Inj proc ankle arthr
|
$135.50 |
$224.50 |
$334.00 |
|
|
Inj proc elbow arthro
|
$188.50 |
$313.00 |
$644.50 |
|
|
Inj proc for lymphang
|
$135.50 |
$224.00 |
$224.00 |
|
|
Inj proc lumbr disk ea lvl
|
$340.50 |
$404.50 |
$671.00 |
|
|
Inj proc myelogram lumbar
|
$454.50 |
$754.00 |
$2,041.00 |
|
|
Inj proc sialogram
|
$48.00 |
$80.00 |
$857.50 |
|
|
Inj progesterone per 50 mg
|
$504.00 |
$504.00 |
$504.00 |
|
|
Inj, releuko 1 mcg
|
$1,068.48 |
$1,068.48 |
$1,221.12 |
|
|
Inj retro urethrocysto
|
$71.00 |
$117.50 |
$1,516.20 |
|
|
Inj scleros sol mult veins
|
$224.50 |
$310.00 |
$615.50 |
|
|
Inj scleros sol sgl vein
|
$216.00 |
$298.50 |
$3,358.00 |
|
|
Inj(s) sclerosant spider veins limb/trunk
|
$270.50 |
$374.00 |
$374.00 |
|
|
Inj sulf hexa lipid microsph
|
$822.76 |
$822.76 |
$852.60 |
|
|
Inj, susvimo 0.1 mg
|
$9,360.00 |
$12,080.00 |
$15,320.00 |
|
|
Inj teclistamab cqyv 0.5 mg
|
$52,028.80 |
$52,028.80 |
$59,551.04 |
|
|
Inj testosterone cypionate
|
$2.00 |
$2.00 |
$51.13 |
|
|
Inj thrc fascial pln blk bi w/wo image
|
$1,125.80 |
$1,125.80 |
$1,629.00 |
|
|
Inj thrc fascial pln blk uni w/wo image
|
$274.00 |
$274.00 |
$814.80 |
|
|
Inj. tigecycline (accord)
|
$162.30 |
$162.30 |
$181.63 |
|
|
Inj, tyenne, 1 mg
|
$8,225.28 |
$8,225.28 |
$9,400.32 |
|
|
Inj vocal cord bulking agent
|
$1,504.00 |
$1,579.00 |
$4,608.45 |
|
|
Inj w/fluor eval cv device
|
$115.00 |
$406.00 |
$761.50 |
|
|
Inotuzumab ozogamicin 0.9 mg(0.25 mg/ml initial concentration) IV soln
|
$71,747.85 |
$71,747.85 |
$71,747.85 |
|
|
Ins cath ren art 1st bi
|
$2,054.00 |
$3,405.00 |
$7,264.80 |
|
|
Ins cath ren art 1st uni
|
$1,899.50 |
$3,149.00 |
$6,838.80 |
|
|
Ins cath ren art 2nd+ bi
|
$2,161.50 |
$3,583.00 |
$21,394.00 |
|
|
Ins cath ren art 2nd+ uni
|
$2,084.00 |
$3,455.50 |
$7,205.00 |
|
|
Ins cerv dilator (sep proc)
|
$238.50 |
$330.00 |
$688.80 |
|
|
Insert abdomen-venous drain
|
$529.00 |
$542.00 |
$735.00 |
|
|
Insert and remove bone pin
|
$7,289.40 |
$7,289.40 |
$7,289.40 |
|
|
Insert ant drainage device
|
$3,388.00 |
$5,020.00 |
$5,020.00 |
|
|
Insert cannula vein-to-vein hemodialysis
|
$3,508.00 |
$3,893.00 |
$4,806.00 |
|
|
Insert cath pleura with image
|
$775.50 |
$1,510.00 |
$3,896.40 |
|
|
Insert cath pleura without image
|
$909.00 |
$1,257.00 |
$4,562.40 |
|
|
Insert drug delivery implant
|
$101.00 |
$139.50 |
$139.50 |
|
|
Insert epicardial lead open 33202
|
$3,353.00 |
$4,139.50 |
$17,054.50 |
|
|
Insert hepatic shunt (tips)
|
$6,034.00 |
$16,107.50 |
$22,272.00 |
|
|
Insert intrauterine device iud
|
$213.00 |
$451.50 |
$11,270.85 |
|
|
Insertion catheter bladder non indwelling
|
$101.00 |
$148.80 |
$214.00 |
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$3,801.00 |
$5,004.00 |
$13,449.00 |
|
|
Insertion intra aortic balloon assist device percutaneous
|
$1,811.50 |
$2,329.00 |
$6,144.00 |
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$886.50 |
$6,950.50 |
$8,253.00 |
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$1,060.50 |
$1,865.50 |
$3,150.00 |
|
|
Insertion of catheter vein
|
$151.00 |
$657.50 |
$2,716.80 |
|
|
Insertion of catheter vein
|
$205.00 |
$2,704.50 |
$3,671.50 |
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$3,592.50 |
$4,435.00 |
$29,386.50 |
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$2,478.50 |
$3,060.00 |
$18,922.50 |
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$1,846.00 |
$2,279.00 |
$34,408.50 |
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$1,092.00 |
$2,254.20 |
$8,057.00 |
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$943.00 |
$1,865.50 |
$6,956.50 |
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$4,499.00 |
$6,721.00 |
$187,881.47 |
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$1,315.50 |
$4,769.00 |
$11,220.60 |
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$1,885.50 |
$2,327.50 |
$11,211.00 |
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$8,381.00 |
$10,347.00 |
$16,573.50 |
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$2,283.00 |
$3,249.50 |
$11,383.20 |
|
|
Insert lens prosthesis
|
$1,731.50 |
$2,565.00 |
$2,565.00 |
|
|
Insert multi-comp penis pros
|
$128,372.95 |
$128,372.95 |
$128,372.95 |
|
|
Insert nasal septal button
|
$1,238.00 |
$1,712.00 |
$1,712.00 |
|
|
Insert pessary/other device
|
$178.10 |
$201.00 |
$278.50 |
|
|
Insert picvad cath
|
$1,727.50 |
$2,389.00 |
$12,747.00 |
|
|
Insert pm/icd lead dual
|
$1,976.50 |
$2,440.00 |
$23,804.00 |
|
|
Insert/repl sq defib w/eltrd
|
$30,878.50 |
$52,089.50 |
$70,629.00 |
|
|
Insert spine infusion device 62360
|
$16,325.50 |
$22,573.50 |
$22,573.50 |
|
|
Insert sq defib electrode
|
$5,680.00 |
$8,962.00 |
$11,064.50 |
|
|
Insert swan-ganz cath
|
$1,369.00 |
$1,725.50 |
$6,189.50 |
|
|
Insert tunneled cv cath
|
$1,924.50 |
$2,661.00 |
$8,316.00 |
|
|
Insert tunneled cv cath
|
$2,675.00 |
$3,698.00 |
$8,313.00 |
|
|
Insert uro/ves nck sphincter
|
$140,485.76 |
$140,485.76 |
$140,485.76 |
|
|
Insert vad art access left hrt arterial access
|
$1,517.00 |
$3,481.50 |
$15,224.50 |
|
|
Insert vad art access left hrt art & vein access
|
$3,436.00 |
$4,242.50 |
$4,242.50 |
|
|
Ins icd gen exist mlt leads
|
$30,659.50 |
$37,851.00 |
$246,010.00 |
|
|
Ins icd gen exist sgl lead
|
$3,303.50 |
$5,545.00 |
$183,775.00 |
|
|
Insitu hybridization auto
|
$811.00 |
$811.00 |
$1,027.20 |
|
|
Insitu hybridization (fish)
|
$320.00 |
$320.00 |
$320.00 |
|
|
Insitu hybridization manual
|
$271.20 |
$271.20 |
$1,031.00 |
|
