|
Inj., omadacycline, 1 mg
|
$865.34 |
$865.34 |
$2,653.93 |
$865.34
|
|
Inj ontruzant 10 mg
|
$6,706.27 |
$6,706.27 |
$7,343.90 |
$6,706.27
|
|
Inj., patisiran, 0.1 mg
|
$17,613.00 |
$17,613.00 |
$17,613.00 |
$17,613.00
|
|
Inj pegfilgrastim-bmez 0.5mg
|
$7,082.75 |
$7,082.75 |
$7,082.75 |
$6,614.40
|
|
Inj peritoneal venous shunt
|
$329.49 |
$329.49 |
$329.49 |
$406.80
|
|
Inj., plazomicin, 5 mg
|
$643.37 |
$643.37 |
$643.37 |
$607.16
|
|
Inj proc ankle arthr
|
$405.31 |
$405.31 |
$469.05 |
$405.31
|
|
Inj proc elbow arthro
|
$497.55 |
$497.55 |
$768.85 |
$432.00
|
|
Inj proc for lymphang
|
$445.95 |
$445.95 |
$1,848.76 |
$742.40
|
|
Inj proc lumbr disk ea lvl
|
$2,015.55 |
$2,015.55 |
$2,015.55 |
$1,106.93
|
|
Inj proc myelogram lumbar
|
$651.90 |
$651.90 |
$1,267.73 |
$838.30
|
|
Inj proc sialogram
|
$419.34 |
$419.34 |
$419.34 |
$373.00
|
|
Inj progesterone per 50 mg
|
$6.00 |
$10.76 |
$260.92 |
$13.76
|
|
Inj prohance multipack
|
$283.77 |
$283.77 |
$283.77 |
$10.40
|
|
Inj retacrit esrd on dialysi
|
$775.00 |
$775.00 |
$965.12 |
$349.45
|
|
Inj retro urethrocysto
|
$384.60 |
$384.60 |
$605.02 |
$447.74
|
|
Inj, rimabotulinumtoxinb
|
$672.44 |
$672.44 |
$672.44 |
$714.24
|
|
Inj scleros sol mult veins
|
$237.15 |
$237.15 |
$237.15 |
$692.90
|
|
Inj scleros sol sgl vein
|
$244.80 |
$244.80 |
$244.80 |
$561.88
|
|
Inj secretin synthetic human
|
$775.00 |
$775.00 |
$3,646.65 |
$1,253.09
|
|
Inj secukinumab intrav 1mg
|
$2,828.37 |
$2,828.37 |
$2,828.37 |
$4,413.21
|
|
Inj, sezaby, 1 mg
|
$288.11 |
$288.11 |
$288.11 |
$235.85
|
|
Inj sulf hexa lipid microsph
|
$269.75 |
$269.75 |
$270.25 |
$256.14
|
|
Inj teclistamab cqyv 0.5 mg
|
$17,517.56 |
$17,517.56 |
$17,517.56 |
$17,517.56
|
|
Inj tedizolid phosphate
|
$664.72 |
$664.72 |
$664.72 |
$664.72
|
|
Inj testostero enanthate 1mg
|
$8.29 |
$8.29 |
$8.29 |
$123.09
|
|
Inj testosterone cypionate
|
$50.00 |
$50.00 |
$85.64 |
$64.96
|
|
Inj theophylline per 40 mg
|
$14.40 |
$14.40 |
$14.40 |
$31.90
|
|
Inj thrc fascial pln blk bi w/wo image
|
$2,139.00 |
$2,139.00 |
$3,047.17 |
$1,049.50
|
|
Inj thrc fascial pln blk uni w/wo image
|
$996.15 |
$996.15 |
$1,628.54 |
$818.00
|
|
Inj, tyenne, 1 mg
|
$3,525.12 |
$3,525.12 |
$3,525.12 |
$3,525.12
|
|
Inj, vancomycin hcl (mylan)
|
$89.83 |
$89.83 |
$89.83 |
$72.33
|
|
Inj, vancomycin hcl (xellia)
|
$70.56 |
$70.56 |
$70.56 |
$85.20
|
|
Inj vancomycin (xellia) 10mg
|
$13.80 |
$13.80 |
$17.17 |
$76.59
|
|
Inj, vasopressin (baxter)
|
$202.50 |
$202.50 |
$202.50 |
$202.50
|
|
Inj w/fluor eval cv device
|
$198.60 |
$683.62 |
$696.14 |
$504.40
|
|
Inotuzumab ozogamicin 0.9 mg(0.25 mg/ml initial concentration) IV soln
|
$44,026.28 |
$44,026.28 |
$176,745.82 |
$41,083.73
|
|
Ins cath ren art 1st bi
|
$5,395.20 |
$6,115.51 |
$25,448.55 |
$5,974.80
|
|
Ins cath ren art 1st uni
|
$4,879.64 |
$4,879.64 |
$5,395.20 |
$4,667.63
|
|
Ins cath ren art 2nd+ bi
|
$3,325.60 |
$5,395.20 |
$25,448.55 |
$5,663.98
|
|
Ins cath ren art 2nd+ uni
|
$5,395.20 |
$5,395.20 |
$5,528.94 |
$5,395.20
|
|
Ins cerv dilator (sep proc)
|
$261.15 |
$261.15 |
$683.71 |
$490.73
|
|
Insert and remove bone pin
|
$4,433.36 |
$4,433.36 |
$4,433.36 |
$4,433.36
|
|
Insert ant drainage device
|
$4,299.12 |
$4,299.12 |
$4,299.12 |
$5,108.80
|
|
Insert cath pleura with image
|
$2,239.02 |
$2,414.10 |
$5,208.01 |
$2,194.40
|
|
Insert cath pleura without image
|
$2,549.87 |
$2,825.70 |
$5,208.01 |
$2,099.70
|
|
Insert hepatic shunt (tips)
|
$4,419.15 |
$4,419.15 |
$9,754.48 |
$7,571.20
|
|
Insert intrauterine device iud
|
$378.83 |
$378.83 |
$378.83 |
$347.10
|
|
Insertion catheter bladder non indwelling
|
$237.13 |
$237.13 |
$237.13 |
$208.01
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$4,035.45 |
$4,035.45 |
$4,524.66 |
$4,897.20
|
|
Insertion intra aortic balloon assist device percutaneous
|
$1,803.15 |
$1,803.15 |
$5,560.92 |
$2,447.63
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$7,210.78 |
$8,028.15 |
$37,809.69 |
$7,210.78
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$2,487.99 |
$2,899.95 |
$8,302.16 |
$2,585.25
|
|
Insertion of catheter vein
|
$1,953.90 |
$1,953.90 |
$2,244.40 |
$1,525.80
|
|
Insertion of catheter vein
|
$1,241.85 |
$1,241.85 |
$1,799.84 |
$870.59
|
|
Insertion of heart electrode 33211
|
$9,537.90 |
$9,537.90 |
$9,537.90 |
$6,820.50
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$18,985.80 |
$22,512.98 |
$22,677.49 |
$12,384.25
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$15,987.70 |
$16,493.55 |
$19,297.80 |
$12,324.60
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$18,479.83 |
$18,479.83 |
$33,423.45 |
$9,884.16
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$2,079.43 |
$2,079.43 |
$2,510.55 |
$2,103.75
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$2,414.10 |
$2,992.46 |
$12,431.05 |
$2,453.83
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$43,324.90 |
$46,313.01 |
$51,832.80 |
$29,180.00
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$7,753.75 |
$8,539.10 |
$9,426.60 |
$7,183.68
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$9,426.60 |
$10,799.55 |
$67,985.53 |
$7,267.20
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$8,520.42 |
$9,277.20 |
$12,642.44 |
$9,332.50
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$3,648.15 |
$5,470.54 |
$7,998.69 |
$5,236.80
|
|
Insert pessary/other device
|
$220.25 |
$220.25 |
$220.25 |
$278.90
|
|
Insert picvad cath
|
$6,609.75 |
$6,609.75 |
$6,609.75 |
$4,195.00
|
|
Insert pm/icd lead dual
|
$9,134.25 |
$11,589.58 |
$67,985.53 |
$7,115.90
|
|
Insert/repl sq defib w/eltrd
|
$32,052.60 |
$55,859.92 |
$56,761.43 |
$33,593.55
|
|
Insert sq defib electrode
|
$8,937.30 |
$12,133.56 |
$24,227.94 |
$8,167.68
|
|
Insert swan-ganz cath
|
$1,855.50 |
$1,855.50 |
$3,551.79 |
$2,164.52
|
|
Insert tunneled cv 2cath 2sits without port/pmp 36565
|
$4,112.03 |
$4,112.03 |
$4,112.03 |
$4,997.60
|
|
Insert uteri tandem/ovoids
|
$5,201.36 |
$5,201.36 |
$5,201.36 |
$3,940.41
|
|
Insert vad art access left hrt arterial access
|
$1,712.10 |
$8,898.90 |
$31,082.76 |
$4,276.00
|
|
Insert vad art access left hrt art & vein access
|
$7,330.95 |
$7,330.95 |
$31,082.76 |
$3,915.72
|
|
Ins icd gen exist mlt leads
|
$31,286.77 |
$31,286.77 |
$292,001.93 |
$31,286.77
|
|
Ins icd gen exist sgl lead
|
$25,622.43 |
$25,622.43 |
$31,662.03 |
$23,230.50
|
|
Insitu hybridization auto
|
$155.50 |
$155.50 |
$3,372.24 |
$377.37
|
|
Insitu hybridization (fish)
|
$366.00 |
$366.00 |
$3,005.97 |
$481.00
|
|
Insitu hybridization manual
|
$318.00 |
$325.50 |
$2,195.99 |
$401.28
|
|
In situ hybridization per specimen each additional single probe stain
|
$154.50 |
$361.60 |
$3,005.97 |
$243.50
|
|
In situ hybridization per specimen initial single probe stain
|
$353.40 |
$401.50 |
$3,005.97 |
$338.40
|
|
Insj perq vad r hrt venous
|
$11,556.32 |
$11,556.32 |
$31,082.76 |
$3,796.00
|
|
Insj phrnc nrv stim sys
|
$56,158.12 |
$56,158.12 |
$56,158.12 |
$53,251.79
|
|
Insj phrnc nrv stim transvns
|
$13,142.86 |
$13,142.86 |
$13,142.86 |
$13,142.86
|
|
Insj rx elut implt lac canal
|
$2,572.70 |
$2,572.70 |
$2,572.70 |
$2,572.70
|
|
Ins lv lead exist pm/icd
|
$17,869.22 |
$20,536.56 |
$33,423.45 |
$12,384.25
|
|
Ins mark abd/pel for right perq
|
$2,000.78 |
$2,000.78 |
$2,553.75 |
$2,477.24
|
|
Ins mark thor for right perq
|
$2,477.45 |
$2,477.45 |
$2,553.75 |
$2,503.80
|
|
Ins picad w subq port 5yr>
|
$3,167.85 |
$3,167.85 |
$3,912.93 |
$4,078.00
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$745.50 |
$745.50 |
$3,785.62 |
$1,690.00
|
|
Ins pm gen exist dual lead
|
$28,383.36 |
$42,952.50 |
$292,001.93 |
$24,159.72
|
|
Ins pm gen w/exist mlt leads
|
$15,107.85 |
$19,886.41 |
$88,341.98 |
$14,804.40
|
|
Ins pq tunnld ip cath w/img
|
$5,675.21 |
$5,675.21 |
$5,882.10 |
$5,486.00
|
|
Ins/rpl ldless pm right vent w img & eval
|
$29,327.76 |
$40,546.80 |
$56,192.07 |
$24,135.54
|
|
Ins/rpl pm gen exist dual lead
|
$11,936.76 |
$14,063.40 |
$18,315.87 |
$11,005.50
|
|
Ins/rpl pm gen exist sgl lead
|
$10,687.75 |
$13,247.55 |
$18,315.87 |
$9,428.64
|
|
Ins/rpl pm w/tv ld atrl
|
$15,654.45 |
$17,237.01 |
$19,297.80 |
$11,583.66
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$22,994.98 |
$40,452.30 |
$247,030.55 |
$27,318.11
|