|
Inj pegfilgrastim-bmez 0.5mg
|
$7,258.20 |
$7,258.20 |
$7,258.20 |
$6,403.59
|
|
Inj proc ankle arthr
|
$86.80 |
$86.80 |
$86.80 |
$405.31
|
|
Inj proc elbow arthro
|
$137.55 |
$137.55 |
$137.55 |
$453.60
|
|
Inj proc for lymphang
|
$113.40 |
$113.40 |
$113.40 |
$1,372.00
|
|
Inj proc lumbr disk ea lvl
|
$1,165.15 |
$1,165.15 |
$1,165.15 |
$1,224.30
|
|
Inj proc myelogram lumbar
|
$914.55 |
$914.55 |
$914.55 |
$922.80
|
|
Inj proc sialogram
|
$68.60 |
$68.60 |
$68.60 |
$380.80
|
|
Inj progesterone per 50 mg
|
$19.32 |
$19.32 |
$19.32 |
$48.51
|
|
Inj, releuko 1 mcg
|
$326.52 |
$326.52 |
$326.52 |
$557.11
|
|
Inj retacrit esrd on dialysi
|
$505.94 |
$505.94 |
$505.94 |
$307.40
|
|
Inj retro urethrocysto
|
$104.30 |
$104.30 |
$104.30 |
$551.29
|
|
Inj, rimabotulinumtoxinb
|
$855.67 |
$855.67 |
$855.67 |
$16.56
|
|
Inj scleros sol sgl vein
|
$326.88 |
$326.88 |
$326.88 |
$534.40
|
|
Inj secretin synthetic human
|
$28.80 |
$28.80 |
$28.80 |
$741.75
|
|
Inj, sezaby, 1 mg
|
$15.00 |
$15.00 |
$15.00 |
$1.41
|
|
Inj, sutimlimab-jome, 10 mg
|
$28,688.40 |
$28,688.40 |
$28,688.40 |
$18.13
|
|
Inj teclistamab cqyv 0.5 mg
|
$24,482.56 |
$24,482.56 |
$24,482.56 |
$14,653.61
|
|
Inj. teprotumumab-trbw 10 mg
|
$43,022.95 |
$43,022.95 |
$43,022.95 |
$47,971.67
|
|
Inj testosterone cypionate
|
$25.67 |
$25.67 |
$114.10 |
$77.15
|
|
Inj thiotepa nos 1 mg
|
$896.27 |
$896.27 |
$896.27 |
$3,452.53
|
|
Inj thrc fascial pln blk bi w/wo image
|
$520.80 |
$520.80 |
$520.80 |
$1,483.20
|
|
Inj thrc fascial pln blk uni w/wo image
|
$390.60 |
$390.60 |
$390.60 |
$1,252.02
|
|
Inj, tofidence, 1 mg
|
$5,719.74 |
$5,719.74 |
$5,719.74 |
$5.72
|
|
Inj, vancomycin hcl (mylan)
|
$44.28 |
$44.28 |
$68.35 |
$63.82
|
|
Inj w/fluor eval cv device
|
$170.45 |
$170.45 |
$3,213.00 |
$588.90
|
|
Inotuzumab ozogamicin 0.9 mg(0.25 mg/ml initial concentration) IV soln
|
$57,283.51 |
$57,283.51 |
$57,283.51 |
$3,429.94
|
|
Ins cath ren art 1st bi
|
$6,549.90 |
$6,549.90 |
$10,816.79 |
$6,033.75
|
|
Ins cath ren art 1st uni
|
$4,712.05 |
$4,712.05 |
$4,712.05 |
$4,667.63
|
|
Ins cath ren art 2nd+ bi
|
$7,680.75 |
$7,680.75 |
$10,816.79 |
$5,408.65
|
|
Ins cath ren art 2nd+ uni
|
$6,549.90 |
$6,549.90 |
$6,549.90 |
$5,528.94
|
|
Ins cerv dilator (sep proc)
|
$263.20 |
$263.20 |
$263.20 |
$544.00
|
|
Insert cath pleura with image
|
$2,241.75 |
$2,241.75 |
$16,300.98 |
$2,239.02
|
|
Insert cath pleura without image
|
$1,479.80 |
$1,479.80 |
$1,479.80 |
$2,212.00
|
|
Insert drug delivery implant
|
$105.35 |
$105.35 |
$105.35 |
$285.80
|
|
Insert hepatic shunt (tips)
|
$4,767.70 |
$4,767.70 |
$37,351.79 |
$9,754.48
|
|
Insert intrauterine device iud
|
$224.35 |
$224.35 |
$224.35 |
$378.83
|
|
Insertion catheter artery nfs ther chemotx 36640
|
$7,500.42 |
$7,500.42 |
$7,500.42 |
$3,706.68
|
|
Insertion catheter bladder non indwelling
|
$248.50 |
$248.50 |
$248.50 |
$237.13
|
|
Insertion catheter bladder temporary simple
|
$315.35 |
$315.35 |
$315.35 |
$273.60
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$1,351.70 |
$1,351.70 |
$14,560.00 |
$4,943.21
|
|
Insertion intra aortic balloon assist device percutaneous
|
$1,643.60 |
$1,643.60 |
$1,643.60 |
$2,549.95
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$6,832.00 |
$6,832.00 |
$24,333.22 |
$7,088.54
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$2,965.55 |
$2,965.55 |
$7,500.42 |
$2,618.40
|
|
Insertion of catheter vein
|
$594.30 |
$594.30 |
$594.30 |
$1,749.80
|
|
Insertion of catheter vein
|
$496.65 |
$496.65 |
$496.65 |
$858.05
|
|
Insertion of heart electrode 33211
|
$3,040.45 |
$3,040.45 |
$59,937.96 |
$9,090.00
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$10,759.35 |
$45,316.00 |
$77,281.88 |
$14,158.20
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$8,822.80 |
$40,267.00 |
$62,440.80 |
$12,813.28
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$8,144.15 |
$8,144.15 |
$8,144.15 |
$9,855.00
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$2,286.90 |
$2,286.90 |
$7,657.21 |
$2,079.43
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$2,286.90 |
$2,286.90 |
$6,962.06 |
$2,527.91
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$25,130.00 |
$60,141.00 |
$216,668.89 |
$29,997.52
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$2,895.55 |
$21,538.00 |
$61,047.92 |
$7,572.47
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$5,136.60 |
$6,593.22 |
$40,154.02 |
$7,673.12
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$8,186.15 |
$25,874.00 |
$45,357.89 |
$9,793.46
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$7,224.70 |
$7,224.70 |
$24,804.93 |
$5,470.54
|
|
Insert pm/icd lead dual
|
$7,004.90 |
$8,097.13 |
$35,636.91 |
$7,562.63
|
|
Insert/repl sq defib w/eltrd
|
$13,023.85 |
$65,517.00 |
$127,611.06 |
$33,948.20
|
|
Insert sq defib electrode
|
$2,852.85 |
$2,852.85 |
$27,103.57 |
$8,167.68
|
|
Insert swan-ganz cath
|
$1,633.80 |
$1,633.80 |
$1,633.80 |
$2,164.52
|
|
Insert uteri tandem/ovoids
|
$2,420.25 |
$2,420.25 |
$2,420.25 |
$3,986.00
|
|
Insert vad art access left hrt arterial access
|
$3,282.41 |
$5,234.95 |
$102,378.00 |
$5,062.80
|
|
Insert vad art access left hrt art & vein access
|
$6,543.95 |
$6,543.95 |
$295,544.98 |
$6,740.80
|
|
Ins icd gen exist mlt leads
|
$11,058.25 |
$11,058.25 |
$44,756.00 |
$31,286.77
|
|
Ins icd gen exist sgl lead
|
$6,593.22 |
$6,593.22 |
$35,665.00 |
$24,159.72
|
|
Insitu hybridization auto
|
$129.60 |
$296.53 |
$1,329.00 |
$398.16
|
|
Insitu hybridization (fish)
|
$1,329.00 |
$1,329.00 |
$1,329.00 |
$481.60
|
|
Insitu hybridization manual
|
$129.60 |
$255.15 |
$1,329.00 |
$407.11
|
|
In situ hybridization per specimen each additional single probe stain
|
$156.60 |
$195.65 |
$623.47 |
$251.55
|
|
In situ hybridization per specimen initial single probe stain
|
$156.60 |
$291.90 |
$2,385.69 |
$338.40
|
|
Insj perq vad r hrt venous
|
$3,626.07 |
$5,130.30 |
$37,485.00 |
$4,981.60
|
|
Ins lv lead exist pm/icd
|
$4,729.55 |
$4,729.55 |
$60,657.97 |
$12,384.25
|
|
Ins mark abd/pel for right perq
|
$477.40 |
$477.40 |
$477.40 |
$2,070.00
|
|
Ins mark thor for right perq
|
$905.80 |
$905.80 |
$905.80 |
$2,396.35
|
|
Ins picad w subq port 5yr>
|
$4,642.75 |
$4,642.75 |
$4,642.75 |
$4,341.66
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$914.90 |
$914.90 |
$7,019.00 |
$1,483.95
|
|
Ins pm gen exist dual lead
|
$19,435.50 |
$19,435.50 |
$156,717.96 |
$24,696.00
|
|
Ins pm gen w/exist mlt leads
|
$15,162.00 |
$15,162.00 |
$15,162.00 |
$15,600.75
|
|
Ins pq tunnld ip cath w/img
|
$5,508.65 |
$5,508.65 |
$14,560.00 |
$5,593.60
|
|
Ins/rpl ldless pm right vent w img & eval
|
$14,670.25 |
$48,747.68 |
$66,882.00 |
$24,135.54
|
|
Ins/rpl pm gen exist dual lead
|
$9,112.95 |
$9,112.95 |
$10,861.39 |
$11,593.70
|
|
Ins/rpl pm gen exist sgl lead
|
$8,704.15 |
$8,704.15 |
$25,874.00 |
$9,746.29
|
|
Ins/rpl pm w/tv ld atrl
|
$3,658.20 |
$7,049.72 |
$64,123.86 |
$12,384.25
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$10,912.65 |
$87,407.00 |
$176,106.80 |
$25,106.90
|
|
Insti hexaminolevulinate hcl
|
$3,082.88 |
$3,082.88 |
$3,082.88 |
$2,359.80
|
|
Instillation anticarcinogenic agent bladder
|
$535.15 |
$535.15 |
$535.15 |
$721.50
|
|
Ins tun cv cath wo subq prt/pm
|
$7,428.40 |
$7,428.40 |
$7,428.40 |
$5,888.85
|
|
Ins tun cv cath wo subq prt/pm
|
$5,942.65 |
$5,942.65 |
$12,736.33 |
$4,748.00
|
|
Ins tun intraperit dia cath
|
$21,374.09 |
$21,374.09 |
$21,374.09 |
$4,657.46
|
|
Inst via cath agent pleurds
|
$493.50 |
$493.50 |
$493.50 |
$1,074.68
|
|
Insulin total
|
$68.60 |
$68.60 |
$739.00 |
$67.60
|
|
Ins vag brachytx device
|
$283.15 |
$283.15 |
$283.15 |
$909.35
|
|
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm
|
$10,746.00 |
$10,746.00 |
$10,746.00 |
$10,179.63
|
|
Integra meshed bil wound mat
|
$8,521.10 |
$8,521.10 |
$8,521.10 |
$24,354.93
|
|
Integra os putty 2.5cc - cost per 0.5cc
|
$6,085.80 |
$6,085.80 |
$6,085.80 |
$3,160.50
|
|
Interdiscal perq aspir dx
|
$378.00 |
$378.00 |
$3,431.00 |
$1,222.26
|
|
Interferon alfa-2b inj
|
$494.64 |
$494.64 |
$494.64 |
$494.64
|
|
Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper)
|
$299.03 |
$299.03 |
$299.03 |
$3,853.81
|
|
Interrogate subq defib
|
$134.05 |
$134.05 |
$134.05 |
$139.10
|
|
Interrogation vad in person
|
$198.10 |
$198.10 |
$198.10 |
$280.00
|