|
Ingest challenge ea addl 60 min
|
$295.68 |
$295.68 |
$295.68 |
$289.64
|
|
Ingest challenge ini 120 min
|
$764.78 |
$764.78 |
$764.78 |
$764.78
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$359.64 |
$359.64 |
$359.64 |
$299.65
|
|
Initial foot exam pt lops
|
$102.35 |
$102.35 |
$102.35 |
$152.50
|
|
Initial nursing facility care/day 35 minutes
|
$169.81 |
$169.81 |
$169.81 |
$184.80
|
|
Initial nursing facility care/day 45 minutes
|
$219.89 |
$219.89 |
$219.89 |
$231.84
|
|
Initial nursing facility care/day low severity 99304
|
$120.07 |
$120.07 |
$120.07 |
$127.63
|
|
Init/sub psych care m 1st 30
|
$94.34 |
$94.34 |
$94.34 |
$94.34
|
|
Inj acetaminophen -fresenius
|
$34.56 |
$34.56 |
$34.56 |
$36.60
|
|
Inj, alfentanil hcl, 500mcg
|
$16.63 |
$16.63 |
$16.63 |
$35.94
|
|
Inj allopurinol sodium 1 mg
|
$7,176.71 |
$7,176.71 |
$7,176.71 |
$6,968.99
|
|
Inj alymsys 10 mg
|
$676.74 |
$676.74 |
$676.74 |
$1,280.74
|
|
Inj, biorphen, 20 micrograms
|
$20.40 |
$20.40 |
$20.40 |
$17.12
|
|
Inj, bupivacaine liposome
|
$507.76 |
$507.76 |
$507.76 |
$699.38
|
|
Inj calcitriol per 0.1 mcg
|
$35.82 |
$35.82 |
$35.82 |
$22.69
|
|
Inj cefazolin sodium, hikma
|
$34.59 |
$34.59 |
$34.59 |
$27.38
|
|
Inj cefazolin (wg crit care)
|
$24.24 |
$24.24 |
$24.24 |
$18.43
|
|
Inj, cefiderocol, 10 mg
|
$596.08 |
$596.08 |
$596.08 |
$544.85
|
|
Inj ceftolozane tazobactam
|
$431.36 |
$431.36 |
$431.36 |
$358.56
|
|
Inj cntr knee arthro incl ct/mri
|
$294.14 |
$294.14 |
$294.14 |
$441.88
|
|
Inj crotalidae im f(ab')2 eq
|
$1,584.60 |
$1,584.60 |
$1,584.60 |
$2,613.60
|
|
Inj disk cerv-thor ea lev
|
$511.09 |
$511.09 |
$511.09 |
$875.28
|
|
Inj dupuytren cord w/enzyme
|
$397.95 |
$397.95 |
$397.95 |
$416.00
|
|
Inj dx for sinogram
|
$267.64 |
$267.64 |
$267.64 |
$447.50
|
|
Inject for sacroiliac joint
|
$1,025.77 |
$1,025.77 |
$1,025.77 |
$1,025.77
|
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
|
$1,010.37 |
$1,010.37 |
$1,010.37 |
$1,214.78
|
|
Injection arthrography hip without anesthesia (both sides)
|
$390.00 |
$390.00 |
$390.00 |
$504.00
|
|
Injection, belinostat, 10mg
|
$3,631.78 |
$3,631.78 |
$3,631.78 |
$4,446.10
|
|
Injection, cangrelor
|
$1,734.77 |
$1,734.77 |
$1,734.77 |
$1,889.78
|
|
Injection carpal tunnel therapeutic (both sides)
|
$410.53 |
$410.53 |
$410.53 |
$458.15
|
|
Injection, daratumumab 10 mg
|
$5,324.34 |
$5,324.34 |
$5,324.34 |
$5,324.34
|
|
Injection during cath supravalvular aortography
|
$478.75 |
$478.75 |
$478.75 |
$1,028.00
|
|
Injection epidural blood patch or clot
|
$2,094.67 |
$2,094.67 |
$2,094.67 |
$1,192.80
|
|
Injection eye drug
|
$589.00 |
$589.00 |
$589.00 |
$648.96
|
|
Injection for arthrography wrist (both sides)
|
$307.79 |
$307.79 |
$307.79 |
$438.00
|
|
Injection for bladder x-ray
|
$420.46 |
$420.46 |
$420.46 |
$460.00
|
|
Injection for hip x-ray
|
$1,210.53 |
$1,210.53 |
$1,210.53 |
$750.00
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$313.22 |
$313.22 |
$313.22 |
$503.30
|
|
Injection for ureter x-ray
|
$143.35 |
$143.35 |
$143.35 |
$415.80
|
|
Injection for ureter x-ray
|
$99.70 |
$99.70 |
$99.70 |
$527.70
|
|
Injection, fulvestrant
|
$3,520.29 |
$3,520.29 |
$3,520.29 |
$1,719.16
|
|
Injection, glucarpidase
|
$74,113.20 |
$74,113.20 |
$74,113.20 |
$74,113.20
|
|
Injection into brain canal
|
$933.60 |
$933.60 |
$933.60 |
$844.50
|
|
Injection into hemorrhoid(s)
|
$1,133.20 |
$1,133.20 |
$1,133.20 |
$1,433.00
|
|
Injection, isavuconazonium
|
$987.58 |
$987.58 |
$987.58 |
$787.67
|
|
Injection jaw joint x-ray
|
$235.74 |
$235.74 |
$235.74 |
$340.00
|
|
Injection jugular
|
$1,766.28 |
$1,766.28 |
$1,766.28 |
$790.00
|
|
Injection of sinus tract
|
$1,119.34 |
$1,119.34 |
$1,119.34 |
$1,640.99
|
|
Injection,onabotulinumtoxina
|
$1,162.80 |
$1,162.80 |
$1,162.80 |
$2,277.65
|
|
Injection, peramivir
|
$857.98 |
$857.98 |
$857.98 |
$744.75
|
|
Injection px peyronie ds
|
$409.34 |
$409.34 |
$409.34 |
$409.34
|
|
Injection radioactive tracer sentinel node (both sides)
|
$1,481.87 |
$1,481.87 |
$1,481.87 |
$694.20
|
|
Injection, renflexis
|
$1,356.10 |
$1,356.10 |
$1,356.10 |
$1,341.52
|
|
Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides)
|
$1,441.04 |
$1,441.04 |
$1,441.04 |
$1,582.12
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$2,407.00 |
$2,407.00 |
$2,407.00 |
$1,391.40
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$1,017.28 |
$1,017.28 |
$1,017.28 |
$1,045.65
|
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
|
$2,284.54 |
$2,284.54 |
$2,284.54 |
$2,071.80
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
|
$659.12 |
$659.12 |
$659.12 |
$1,030.05
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
|
$1,626.73 |
$1,626.73 |
$1,626.73 |
$1,888.80
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
|
$856.48 |
$856.48 |
$856.48 |
$1,048.20
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
|
$1,778.98 |
$1,778.98 |
$1,778.98 |
$2,006.79
|
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
|
$1,140.93 |
$1,140.93 |
$1,140.93 |
$1,826.80
|
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
|
$2,070.82 |
$2,070.82 |
$2,070.82 |
$1,685.00
|
|
Injection, siltuximab
|
$8,477.45 |
$8,477.45 |
$8,477.45 |
$11,502.35
|
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
|
$398.06 |
$398.06 |
$398.06 |
$485.28
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$684.07 |
$684.07 |
$684.07 |
$552.60
|
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
|
$703.22 |
$703.22 |
$703.22 |
$638.95
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$211.78 |
$211.78 |
$211.78 |
$145.60
|
|
Injection treatment of eye
|
$2,698.27 |
$2,698.27 |
$2,698.27 |
$2,698.92
|
|
Injection treatment of eye
|
$2,370.28 |
$2,370.28 |
$2,370.28 |
$2,685.92
|
|
Injection treatment of nerve
|
$3,016.15 |
$3,016.15 |
$3,016.15 |
$3,219.20
|
|
Injection treatment of nerve
|
$4,446.30 |
$4,446.30 |
$4,446.30 |
$4,446.30
|
|
Injection treatment of nerve
|
$2,380.77 |
$2,380.77 |
$2,380.77 |
$2,050.30
|
|
Injection treatment of nose
|
$859.59 |
$859.59 |
$859.59 |
$859.59
|
|
Inject sacroiliac joint
|
$1,029.04 |
$1,029.04 |
$1,029.04 |
$1,029.04
|
|
Inject/treat eye socket
|
$398.06 |
$398.06 |
$398.06 |
$381.13
|
|
Inject/treat eye socket
|
$631.90 |
$631.90 |
$631.90 |
$750.70
|
|
Inject/treat eye socket
|
$901.85 |
$901.85 |
$901.85 |
$670.02
|
|
Inj epidural sgl cerv-thor without img
|
$1,358.86 |
$1,358.86 |
$1,358.86 |
$1,329.00
|
|
Inj epidural sgl lumb-sacral without img
|
$1,616.30 |
$1,616.30 |
$1,616.30 |
$1,450.84
|
|
Inj., eravacycline, 1 mg
|
$300.00 |
$300.00 |
$300.00 |
$206.64
|
|
Inj., evomela, 1 mg
|
$3,630.00 |
$3,630.00 |
$3,630.00 |
$17.37
|
|
Inj for ext venography
|
$983.75 |
$983.75 |
$983.75 |
$631.80
|
|
Inj for mammo ductogram
|
$219.68 |
$219.68 |
$219.68 |
$397.80
|
|
Inj, gadopiclenol, 1 ml
|
$904.21 |
$904.21 |
$904.21 |
$37.63
|
|
Inj givosiran 0.5 mg
|
$76,708.80 |
$76,708.80 |
$76,708.80 |
$76,708.80
|
|
Inj heparin, pfizer, 1000u
|
$36.60 |
$36.60 |
$36.60 |
$25.30
|
|
Inj herzuma 10 mg
|
$2,554.50 |
$2,554.50 |
$2,554.50 |
$7,775.46
|
|
Inj hrt cath w/s&i nonsel p-art angrp
|
$2,613.24 |
$2,613.24 |
$2,613.24 |
$1,492.00
|
|
Inj hrt cath w/s&i sel hrt ang
|
$148.51 |
$148.51 |
$148.51 |
$1,818.15
|
|
Inj hrt cath w/s&i sel hrt art
|
$145.45 |
$145.45 |
$145.45 |
$1,045.80
|
|
Inj hrt cath w/s&i sel left vent
|
$110.75 |
$110.75 |
$110.75 |
$1,250.34
|
|
Inj hrt cath w/s&i sel right vent
|
$354.52 |
$354.52 |
$354.52 |
$999.96
|
|
Inj hydroxocobalamin IV 25mg
|
$1,478.38 |
$1,478.38 |
$1,478.38 |
$2,452.32
|
|
Inj hydroxyprogst capoat nos
|
$1,228.59 |
$1,228.59 |
$1,228.59 |
$1,228.59
|
|
Inj, immphentiv, 20 mcg
|
$38.40 |
$38.40 |
$38.40 |
$21.00
|
|
Inj/inf neurolyt sbst spinal canal lesion 62282
|
$1,565.46 |
$1,565.46 |
$1,565.46 |
$1,928.00
|
|
Inj intralesional <= 7 lsn(s)
|
$255.02 |
$255.02 |
$255.02 |
$235.13
|
|
Inj intralesional > 7 lsns
|
$251.02 |
$251.02 |
$251.02 |
$234.00
|
|
Inj, kovaltry, 1 i.u
|
$24.72 |
$24.72 |
$24.72 |
$5.07
|