|
Inj. fe derisomaltose 10 mg
|
$5,652.67 |
$5,652.67 |
$5,652.67 |
$3,221.52
|
|
Inj for ext venography
|
$1,214.40 |
$1,214.40 |
$1,214.40 |
$628.80
|
|
Inj, fosaprepitant (teva)
|
$359.56 |
$359.56 |
$359.56 |
$152.10
|
|
Inj glycopyrrolate, glyrx-pf
|
$32.05 |
$32.05 |
$32.05 |
$11.23
|
|
Inj., guselkumab, 1 mg
|
$33,244.95 |
$33,244.95 |
$33,244.95 |
$29,130.83
|
|
Inj heparin, pfizer, 1000u
|
$313.52 |
$313.52 |
$313.52 |
$25.30
|
|
Inj hrt cath w/s&i nonsel p-art angrp
|
$2,092.80 |
$2,092.80 |
$2,092.80 |
$1,492.00
|
|
Inj hrt cath w/s&i sel hrt ang
|
$2,308.80 |
$2,308.80 |
$2,308.80 |
$1,818.15
|
|
Inj hrt cath w/s&i sel hrt art
|
$2,309.60 |
$2,309.60 |
$2,309.60 |
$1,045.80
|
|
Inj hrt cath w/s&i sel left vent
|
$2,012.80 |
$2,012.80 |
$2,012.80 |
$1,250.34
|
|
Inj hrt cath w/s&i sel right vent
|
$2,061.60 |
$2,061.60 |
$2,061.60 |
$999.96
|
|
Inj hydroxocobalamin IV 25mg
|
$2,636.76 |
$2,636.76 |
$2,636.76 |
$2,452.32
|
|
Inj. inebilizumab-cdon, 1 mg
|
$131,120.01 |
$131,120.01 |
$131,120.01 |
$70,014.65
|
|
Inj intralesional > 7 lsns
|
$244.00 |
$244.00 |
$244.00 |
$234.00
|
|
Inj ivig privigen 500 mg
|
$9,628.80 |
$9,628.80 |
$9,628.80 |
$6,967.29
|
|
Inj levocarnitine per 1 gm
|
$399.29 |
$399.29 |
$399.29 |
$136.62
|
|
Inj, levothyroxine, freskabi
|
$188.51 |
$188.51 |
$188.51 |
$308.21
|
|
Inj, lidocaine w epinephrine
|
$311.62 |
$311.62 |
$311.62 |
$45.60
|
|
Inj melpha hydroch nos 50 mg
|
$731.92 |
$731.92 |
$731.92 |
$1,713.99
|
|
Inj mepivacaine hcl/10 ml
|
$317.30 |
$317.30 |
$317.30 |
$34.34
|
|
Inj, meropenem (b. braun)
|
$326.89 |
$326.89 |
$326.89 |
$71.14
|
|
Inj., meropenem, vaborbactam
|
$558.08 |
$558.08 |
$558.08 |
$556.87
|
|
Inj, micafungin (par pharm)
|
$321.22 |
$321.22 |
$321.22 |
$79.08
|
|
Inj, mirikizumab-mrkz, 1 mg
|
$26,844.02 |
$26,844.02 |
$26,844.02 |
$1,496.55
|
|
Inj moxifloxacin (fres kabi)
|
$336.00 |
$336.00 |
$336.00 |
$95.62
|
|
Inj multihance
|
$72.00 |
$72.00 |
$72.00 |
$70.54
|
|
Inj. mycophenolate mofetil
|
$362.50 |
$362.50 |
$362.50 |
$252.66
|
|
Inj nephrosto/ureterogram w/img exstng access
|
$1,900.00 |
$1,900.00 |
$1,900.00 |
$1,413.35
|
|
Inj non-compmd foam sclrsnt sgl trncl vein
|
$3,841.60 |
$3,841.60 |
$3,841.60 |
$2,726.90
|
|
Inj ocrelizumab 1mg hya-ocsq
|
$49,385.84 |
$49,385.84 |
$49,385.84 |
$66,582.27
|
|
Inj octafluoropropane mic,ml
|
$374.80 |
$374.80 |
$374.80 |
$211.40
|
|
Inj ogivri 10 mg
|
$2,484.97 |
$2,484.97 |
$2,484.97 |
$4,492.28
|
|
Inj onase abepar-xioi treat
|
$2,104,701.01 |
$2,104,701.01 |
$2,104,701.01 |
$3,572,794.09
|
|
Inj ontruzant 10 mg
|
$5,742.49 |
$5,742.49 |
$5,742.49 |
$6,706.27
|
|
Inj pantoprazole(hikma) 40mg
|
$313.23 |
$313.23 |
$313.23 |
$34.67
|
|
Inj., patisiran, 0.1 mg
|
$26,720.00 |
$26,720.00 |
$26,720.00 |
$17,613.00
|
|
Inj pegfilgrastim-bmez 0.5mg
|
$5,799.86 |
$5,799.86 |
$5,799.86 |
$6,614.40
|
|
Inj proc elbow arthro
|
$997.60 |
$997.60 |
$997.60 |
$432.00
|
|
Inj proc for lymphang
|
$1,581.60 |
$1,581.60 |
$1,581.60 |
$742.40
|
|
Inj proc lumbr disk ea lvl
|
$3,672.80 |
$3,672.80 |
$3,672.80 |
$1,106.93
|
|
Inj proc myelogram lumbar
|
$2,159.20 |
$2,159.20 |
$2,159.20 |
$838.30
|
|
Inj proc sialogram
|
$584.00 |
$584.00 |
$584.00 |
$373.00
|
|
Inj, releuko 1 mcg
|
$805.44 |
$805.44 |
$805.44 |
$475.36
|
|
Inj retro urethrocysto
|
$860.80 |
$860.80 |
$860.80 |
$447.74
|
|
Inj scleros sol mult veins
|
$625.60 |
$625.60 |
$625.60 |
$692.90
|
|
Inj scleros sol sgl vein
|
$580.00 |
$580.00 |
$580.00 |
$561.88
|
|
Inj secretin synthetic human
|
$1,590.03 |
$1,590.03 |
$1,590.03 |
$1,253.09
|
|
Inj, sezaby, 1 mg
|
$439.24 |
$439.24 |
$439.24 |
$235.85
|
|
Inj(s) sclerosant spider veins limb/trunk
|
$773.60 |
$773.60 |
$773.60 |
$436.80
|
|
Inj. tagraxofusp-erzs 10 mcg
|
$58,832.00 |
$58,832.00 |
$58,832.00 |
$67,538.30
|
|
Inj teclistamab cqyv 0.5 mg
|
$19,245.07 |
$19,245.07 |
$19,245.07 |
$17,517.56
|
|
Inj teplizumab mzwv 5 mcg
|
$33,360.00 |
$33,360.00 |
$33,360.00 |
$22,340.08
|
|
Inj testosterone cypionate
|
$160.32 |
$160.32 |
$160.32 |
$64.96
|
|
Inj thiotepa nos 1 mg
|
$517.47 |
$517.47 |
$517.47 |
$3,170.16
|
|
Inj thrc fascial pln blk bi w/wo image
|
$1,497.60 |
$1,497.60 |
$1,497.60 |
$1,049.50
|
|
Inj thrc fascial pln blk uni w/wo image
|
$1,497.60 |
$1,497.60 |
$1,497.60 |
$818.00
|
|
Inj., tildrakizumab, 1 mg
|
$31,164.94 |
$31,164.94 |
$31,164.94 |
$26,635.60
|
|
Inj triamcinolone ace X-ray 1mg
|
$1,716.05 |
$1,716.05 |
$1,716.05 |
$1,090.75
|
|
Inj, tyenne, 1 mg
|
$2,091.32 |
$2,091.32 |
$2,091.32 |
$3,525.12
|
|
Inj vasopressin (am reg) 1 u
|
$49.04 |
$49.04 |
$49.04 |
$41.79
|
|
Inj w/fluor eval cv device
|
$1,106.40 |
$1,106.40 |
$1,106.40 |
$504.40
|
|
Inotuzumab ozogamicin 0.9 mg(0.25 mg/ml initial concentration) IV soln
|
$51,482.67 |
$51,482.67 |
$51,482.67 |
$41,083.73
|
|
Ins cath ren art 1st bi
|
$8,612.80 |
$8,612.80 |
$8,612.80 |
$5,974.80
|
|
Ins cath ren art 1st uni
|
$6,712.00 |
$6,712.00 |
$6,712.00 |
$4,667.63
|
|
Ins cath ren art 2nd+ bi
|
$8,673.60 |
$8,673.60 |
$8,673.60 |
$5,663.98
|
|
Ins cath ren art 2nd+ uni
|
$7,094.40 |
$7,094.40 |
$7,094.40 |
$5,395.20
|
|
Ins cerv dilator (sep proc)
|
$481.60 |
$481.60 |
$481.60 |
$490.73
|
|
Insert cath pleura with image
|
$2,668.80 |
$2,668.80 |
$2,668.80 |
$2,194.40
|
|
Insert cath pleura without image
|
$2,212.00 |
$2,212.00 |
$2,212.00 |
$2,099.70
|
|
Insert drug delivery implant
|
$452.80 |
$452.80 |
$452.80 |
$280.00
|
|
Insert hepatic shunt (tips)
|
$15,450.40 |
$15,450.40 |
$15,450.40 |
$7,571.20
|
|
Insert intrauterine device iud
|
$462.40 |
$462.40 |
$462.40 |
$347.10
|
|
Insertion catheter bladder non indwelling
|
$242.40 |
$242.40 |
$242.40 |
$208.01
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$5,136.80 |
$5,136.80 |
$5,136.80 |
$4,897.20
|
|
Insertion intra aortic balloon assist device percutaneous
|
$2,440.00 |
$2,440.00 |
$2,440.00 |
$2,447.63
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$9,837.60 |
$9,837.60 |
$9,837.60 |
$7,210.78
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$2,740.00 |
$2,740.00 |
$2,740.00 |
$2,585.25
|
|
Insertion of catheter vein
|
$3,037.60 |
$3,037.60 |
$3,037.60 |
$1,525.80
|
|
Insertion of catheter vein
|
$2,197.60 |
$2,197.60 |
$2,197.60 |
$870.59
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$20,249.60 |
$20,249.60 |
$20,249.60 |
$12,384.25
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$18,748.00 |
$18,748.00 |
$18,748.00 |
$12,324.60
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$11,797.60 |
$11,797.60 |
$11,797.60 |
$9,884.16
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$2,626.40 |
$2,626.40 |
$2,626.40 |
$2,103.75
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$3,212.80 |
$3,212.80 |
$3,212.80 |
$2,453.83
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$55,776.80 |
$55,776.80 |
$55,776.80 |
$29,180.00
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$12,250.40 |
$12,250.40 |
$12,250.40 |
$7,183.68
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$11,024.80 |
$11,024.80 |
$11,024.80 |
$7,267.20
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$15,163.20 |
$15,163.20 |
$15,163.20 |
$9,332.50
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$6,694.40 |
$6,694.40 |
$6,694.40 |
$5,236.80
|
|
Insert pm/icd lead dual
|
$11,952.00 |
$11,952.00 |
$11,952.00 |
$7,115.90
|
|
Insert/repl sq defib w/eltrd
|
$53,226.40 |
$53,226.40 |
$53,226.40 |
$33,593.55
|
|
Insert sq defib electrode
|
$12,536.80 |
$12,536.80 |
$12,536.80 |
$8,167.68
|
|
Insert swan-ganz cath
|
$3,276.00 |
$3,276.00 |
$3,276.00 |
$2,164.52
|
|
Insert uteri tandem/ovoids
|
$4,703.20 |
$4,703.20 |
$4,703.20 |
$3,940.41
|
|
Insert vad art access left hrt arterial access
|
$2,104.80 |
$2,104.80 |
$2,104.80 |
$4,276.00
|
|
Ins icd gen exist mlt leads
|
$50,188.80 |
$50,188.80 |
$50,188.80 |
$31,286.77
|
|
Ins icd gen exist sgl lead
|
$39,502.40 |
$39,502.40 |
$39,502.40 |
$23,230.50
|
|
Insitu hybridization manual
|
$260.80 |
$260.80 |
$260.80 |
$401.28
|
|
In situ hybridization per specimen each additional single probe stain
|
$312.80 |
$312.80 |
$312.80 |
$243.50
|
|
In situ hybridization per specimen initial single probe stain
|
$429.60 |
$429.60 |
$429.60 |
$338.40
|