|
Inject sacroiliac joint
|
$271.98 |
$271.98 |
$528.85 |
$1,090.00
|
|
Inj., emapalumab-lzsg, 1 mg
|
$607.86 |
$1,181.95 |
$1,442.88 |
$381.64
|
|
Inj., emicizumab-kxwh 0.5 mg
|
$22.23 |
$22.23 |
$30,467.85 |
$15,669.18
|
|
Inj epidural sgl lumb-sacral without img
|
$922.68 |
$987.12 |
$987.12 |
$1,450.84
|
|
Inj, factor x, (human), 1iu
|
$4.23 |
$4.23 |
$8.23 |
$9.91
|
|
Inj for ext venography
|
$456.75 |
$748.71 |
$888.13 |
$737.55
|
|
Inj for mammo ductogram
|
$215.55 |
$215.55 |
$215.55 |
$433.50
|
|
Inj glofitamab gxbm, 2.5 mg
|
$4,414.59 |
$4,414.59 |
$4,414.59 |
$2,770.57
|
|
Inj, granisetron, xr, 0.1 mg
|
$83.97 |
$83.97 |
$163.28 |
$5.71
|
|
Inj., guselkumab, 1 mg
|
$6,292.71 |
$6,292.71 |
$6,292.71 |
$74.86
|
|
Inj. herceptin hylecta, 10mg
|
$403.92 |
$403.92 |
$403.92 |
$63.79
|
|
Inj hrt cath w/s&i nonsel p-art angrp
|
$1,190.88 |
$1,190.88 |
$1,773.63 |
$1,482.00
|
|
Inj hrt cath w/s&i sel hrt ang
|
$5,282.73 |
$5,282.73 |
$8,438.68 |
$1,837.17
|
|
Inj hrt cath w/s&i sel hrt art
|
$5,525.73 |
$5,525.73 |
$10,442.25 |
$1,192.50
|
|
Inj hrt cath w/s&i sel left vent
|
$5,525.73 |
$5,525.73 |
$8,438.68 |
$1,214.40
|
|
Inj hrt cath w/s&i sel right vent
|
$8,438.68 |
$8,929.08 |
$8,929.08 |
$947.65
|
|
Inj human fibrinogen con nos
|
$8.58 |
$8.58 |
$8.58 |
$1.52
|
|
Inj hydroxyprogst capoat nos
|
$1,495.98 |
$1,495.98 |
$2,908.85 |
$1,495.98
|
|
Inj. inebilizumab-cdon, 1 mg
|
$565.92 |
$565.92 |
$1,100.40 |
$494.43
|
|
Inj ivig privigen 500 mg
|
$7,173.90 |
$7,173.90 |
$13,949.25 |
$7,298.71
|
|
Inj, lanreotide, (cipla) 1mg
|
$32.04 |
$32.04 |
$32.04 |
$12,160.05
|
|
Inj levocarnitine per 1 gm
|
$75.08 |
$75.08 |
$75.08 |
$138.96
|
|
Inj melpha hydroch nos 50 mg
|
$503.55 |
$503.55 |
$979.13 |
$1,518.68
|
|
Inj mepivacaine hcl/10 ml
|
$16.38 |
$16.38 |
$31.85 |
$28.41
|
|
Inj., meropenem, vaborbactam
|
$77.04 |
$77.04 |
$149.80 |
$618.43
|
|
Inj, moxifloxacin 100 mg
|
$100.44 |
$100.44 |
$195.30 |
$190.81
|
|
Inj multihance
|
$4.14 |
$4.14 |
$7.88 |
$119.25
|
|
Inj. naxitamab-gqgk, 1 mg
|
$1,842.75 |
$1,842.75 |
$1,842.75 |
$642.15
|
|
Inj ogivri 10 mg
|
$38.16 |
$38.16 |
$74.20 |
$3,968.67
|
|
Inj ontruzant 10 mg
|
$39.24 |
$39.24 |
$76.30 |
$34.17
|
|
Inj pegfilgrastim-bmez 0.5mg
|
$1,695.87 |
$1,695.87 |
$3,297.53 |
$6,403.59
|
|
Inj proc ankle arthr
|
$268.11 |
$268.11 |
$521.33 |
$405.31
|
|
Inj proc elbow arthro
|
$268.11 |
$268.11 |
$521.33 |
$453.60
|
|
Inj proc for lymphang
|
$197.73 |
$197.73 |
$197.73 |
$1,372.00
|
|
Inj proc lumbr disk ea lvl
|
$457.98 |
$1,218.51 |
$1,218.51 |
$1,224.30
|
|
Inj proc myelogram lumbar
|
$265.13 |
$350.37 |
$350.37 |
$922.80
|
|
Inj proc sialogram
|
$177.98 |
$318.24 |
$318.24 |
$380.80
|
|
Inj progesterone per 50 mg
|
$8.91 |
$8.91 |
$17.33 |
$48.51
|
|
Inj retro urethrocysto
|
$215.10 |
$215.10 |
$415.45 |
$551.29
|
|
Inj, rimabotulinumtoxinb
|
$16.56 |
$16.56 |
$32.20 |
$16.56
|
|
Inj secretin synthetic human
|
$233.82 |
$233.82 |
$454.65 |
$741.75
|
|
Inj, spesolimab-sbzo, 1 mg
|
$11,044.80 |
$11,044.80 |
$11,044.80 |
$253,022.14
|
|
Inj sulf hexa lipid microsph
|
$39.60 |
$39.60 |
$77.00 |
$315.78
|
|
Inj. tagraxofusp-erzs 10 mcg
|
$47,819.16 |
$47,819.16 |
$92,981.70 |
$92,981.70
|
|
Inj teclistamab cqyv 0.5 mg
|
$2,468.79 |
$2,468.79 |
$2,468.79 |
$14,653.61
|
|
Inj. teprotumumab-trbw 10 mg
|
$147.06 |
$147.06 |
$285.95 |
$47,971.67
|
|
Inj testostero enanthate 1mg
|
$50.85 |
$50.85 |
$98.88 |
$50.85
|
|
Inj testosterone cypionate
|
$72.99 |
$72.99 |
$141.93 |
$77.15
|
|
Inj., tildrakizumab, 1 mg
|
$74.52 |
$74.52 |
$144.90 |
$24,563.40
|
|
Inj tofersen intrathec 1 mg
|
$422.10 |
$422.10 |
$422.10 |
$153.66
|
|
Inj, uzedy, 1 mg
|
$2,836.80 |
$2,836.80 |
$5,516.00 |
$24.77
|
|
Inj, vasopressin (baxter)
|
$63.00 |
$63.00 |
$63.00 |
$32.40
|
|
Inj, vegzelma, 10 mg
|
$29.25 |
$29.25 |
$29.25 |
$10,892.59
|
|
Inj w/fluor eval cv device
|
$267.03 |
$267.03 |
$642.08 |
$588.90
|
|
Inotuzumab ozogamicin 0.9 mg(0.25 mg/ml initial concentration) IV soln
|
$1,712.97 |
$1,712.97 |
$3,330.78 |
$3,429.94
|
|
Ins cath ren art 1st bi
|
$2,282.31 |
$2,282.31 |
$4,249.88 |
$6,033.75
|
|
Ins cath ren art 1st uni
|
$2,477.16 |
$2,477.16 |
$3,387.30 |
$4,667.63
|
|
Ins cath ren art 2nd+ bi
|
$4,249.88 |
$4,399.56 |
$4,399.56 |
$5,408.65
|
|
Ins cath ren art 2nd+ uni
|
$3,306.69 |
$3,306.69 |
$3,493.88 |
$5,528.94
|
|
Ins cerv dilator (sep proc)
|
$184.50 |
$184.50 |
$354.55 |
$544.00
|
|
Insert cath pleura with image
|
$2,129.85 |
$2,129.85 |
$2,129.85 |
$2,239.02
|
|
Insertion catheter bladder non indwelling
|
$163.26 |
$163.26 |
$317.45 |
$237.13
|
|
Insertion catheter bladder temporary simple
|
$176.22 |
$176.22 |
$342.65 |
$273.60
|
|
Insertion of catheter vein
|
$525.51 |
$525.51 |
$1,302.00 |
$858.05
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$2,618.35 |
$2,618.35 |
$2,618.35 |
$2,079.43
|
|
Insert/repl sq defib w/eltrd
|
$69,123.25 |
$79,603.20 |
$79,603.20 |
$33,948.20
|
|
Insert sq defib electrode
|
$688.86 |
$688.86 |
$726.78 |
$8,167.68
|
|
Insert swan-ganz cath
|
$358.92 |
$358.92 |
$358.92 |
$2,164.52
|
|
Ins icd gen exist sgl lead
|
$69,123.25 |
$79,603.20 |
$79,603.20 |
$24,159.72
|
|
Insitu hybridization manual
|
$354.24 |
$354.24 |
$688.80 |
$407.11
|
|
In situ hybridization per specimen each additional single probe stain
|
$175.77 |
$175.77 |
$284.55 |
$251.55
|
|
In situ hybridization per specimen initial single probe stain
|
$286.74 |
$286.74 |
$557.55 |
$338.40
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$33,419.34 |
$33,419.34 |
$33,419.34 |
$25,106.90
|
|
Insti hexaminolevulinate hcl
|
$398.52 |
$398.52 |
$774.90 |
$2,359.80
|
|
Instillation anticarcinogenic agent bladder
|
$211.86 |
$211.86 |
$211.86 |
$721.50
|
|
Insulin total
|
$63.27 |
$70.20 |
$185.68 |
$67.60
|
|
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm
|
$1,912.68 |
$1,912.68 |
$1,912.68 |
$10,179.63
|
|
Integra os putty 2.5cc - cost per 0.5cc
|
$9,329.49 |
$9,329.49 |
$9,329.49 |
$3,160.50
|
|
Intens cardiac rehab no exer
|
$265.95 |
$265.95 |
$286.83 |
$149.00
|
|
Intens cardiac rehab w/exerc
|
$265.95 |
$265.95 |
$441.35 |
$226.98
|
|
Interferon alfa-2b inj
|
$21.24 |
$21.24 |
$55.80 |
$494.64
|
|
Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper)
|
$202.83 |
$349.11 |
$349.11 |
$3,853.81
|
|
Interrogation vad in person
|
$233.01 |
$233.01 |
$233.01 |
$280.00
|
|
Interrog dev eval icpms ip
|
$104.76 |
$104.76 |
$104.76 |
$106.80
|
|
Interrog evl pm/ldls pm ip
|
$76.95 |
$76.95 |
$149.63 |
$127.20
|
|
Interstitial brachy inter
|
$835.83 |
$835.83 |
$835.83 |
$1,244.40
|
|
Intra-atrial pacing
|
$10,511.10 |
$10,511.10 |
$10,975.13 |
$5,155.51
|
|
Intra-atrial recording
|
$10,511.10 |
$10,511.10 |
$10,975.13 |
$5,707.00
|
|
Intracard echo interv w/s&i
|
$525.35 |
$8,158.41 |
$8,158.41 |
$3,982.59
|
|
Intracranial complete study
|
$1,165.95 |
$1,165.95 |
$2,060.98 |
$883.30
|
|
Intracranial limited study
|
$430.85 |
$658.26 |
$658.26 |
$423.52
|
|
Intrapul surf admin endo tube
|
$58.05 |
$97.83 |
$104.76 |
$239.52
|
|
Intraventricular pacing
|
$9,140.04 |
$9,140.04 |
$10,975.13 |
$5,775.22
|
|
Intrinsic factor antibody
|
$89.37 |
$89.37 |
$257.95 |
$59.95
|
|
Intro catheter aorta
|
$439.25 |
$452.79 |
$452.79 |
$1,861.61
|
|
Intro cath svc/ivc
|
$225.05 |
$705.60 |
$705.60 |
$1,350.75
|
|
Intro long gi tube
|
$440.64 |
$440.64 |
$1,090.25 |
$1,036.00
|
|
Intro long gi tube w/mult fluo
|
$358.74 |
$358.74 |
$580.13 |
$477.85
|
|
Intubation endotracheal emergency procedure
|
$477.93 |
$477.93 |
$477.93 |
$617.60
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$3.15 |
$4.59 |
$4.95 |
$149.13
|
